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重症监护中的人性化:家属与医护人员的看法

Humanization in the Intensive Care: perception of family and healthcare professionals.

作者信息

Luiz Flavia Feron, Caregnato Rita Catalina Aquino, Costa Márcia Rosa da

机构信息

Federal University of Health Sciences of Porto Alegre, Postgraduate Program in Professional Master's Degree in Healthcare Teaching. Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

Rev Bras Enferm. 2017 Sep-Oct;70(5):1040-1047. doi: 10.1590/0034-7167-2016-0281.

DOI:10.1590/0034-7167-2016-0281
PMID:28977232
Abstract

OBJECTIVE

: Understanding perceptions of family members and healthcare professionals about humanization at the Intensive Care Unit (ICU) to direct it to an educational action.

METHOD

: Exploratory descriptive and qualitative study conducted in an ICU level 3 of a public hospital in Porto Alegre, RS, Brazil, with fourteen subjects, eight family members and six healthcare professionals. Data collection carried out through semi-structured interviews and focus group. Content Analysis was used.

RESULTS

: Emerged categories were: welcoming; communication; ethical and sensible professionalism; unfavorable aspects; perception on humanization; and religiosity/spirituality.

FINAL CONSIDERATIONS

: Although the subjects have expressed their perceptions about humanization in different ways, both groups pointed out the same needs and priorities to improve humanization in Intensive Care. From the results, we created a reflective manual of humanizing assistance practices for professionals, a board to facilitate communication of these professionals with patients and a guideline book for family members.

OBJETIVO

: Compreender as percepções de familiares e profissionais de saúde sobre humanização na Unidade Terapia Intensiva (UTI) para direcionar a uma ação educativa.

MÉTODO:: Estudo exploratório-descritivo qualitativo, realizado em uma UTI nível III de um hospital público de Porto Alegre/RS com 14 sujeitos, sendo oito familiares e seis profissionais de saúde. Coleta de dados realizada por meio de: entrevistas semiestruturadas e grupo focal. Utilizou-se Análise de Conteúdo.

RESULTADOS

: As categorias emergidas foram: acolhida; comunicação; profissionalismo ético e sensível; aspectos desfavoráveis; percepção sobre humanização; e religiosidade/espiritualidade.

CONSIDERAÇÕES FINAIS:: Apesar dos sujeitos expressarem de maneiras distintas suas percepções sobre humanização, os dois grupos comparados elencaram iguais necessidades e prioridades para o aprimoramento da humanização na Terapia Intensiva. A partir dos resultados, criou-se um Manual Reflexivo de práticas assistenciais humanizadoras para os profissionais, um tabuleiro para facilitar a comunicação destes profissionais com os usuários e um guia de orientações aos familiares.

摘要

目的

了解家庭成员和医护人员对重症监护病房(ICU)人性化的看法,以便指导开展教育行动。

方法

在巴西阿雷格里港一家公立医院的三级ICU进行探索性描述性定性研究,共有14名受试者,其中8名家庭成员和6名医护人员。通过半结构化访谈和焦点小组进行数据收集。采用内容分析法。

结果

出现的类别有:接待;沟通;合乎道德且明智的专业精神;不利方面;对人性化的看法;以及宗教信仰/精神层面。

最终考量

尽管受试者以不同方式表达了他们对人性化的看法,但两组都指出了在重症监护中改善人性化的相同需求和优先事项。根据研究结果,我们为专业人员编写了一本关于人性化护理实践的反思手册、一个便于这些专业人员与患者沟通的展板以及一本给家庭成员的指南手册。

目标

理解家庭成员和医护人员对重症监护病房(UTI)人性化的看法,以指导开展教育行动。

方法

在阿雷格里港/南里奥格兰德州一家公立医院的三级UTI进行探索性描述性定性研究,有14名受试者,8名家庭成员和6名医护人员。通过半结构化访谈和焦点小组收集数据。采用内容分析法。

结果

出现的类别有:接待;沟通;合乎道德且明智的专业精神;不利方面;对人性化的看法;以及宗教信仰/精神层面。

最终考量

尽管受试者以不同方式表达了他们对人性化的看法,但所比较的两组都列出了在重症治疗中改善人性化的相同需求和优先事项。根据研究结果,为专业人员创建了一本关于人性化援助实践的反思手册、一个便于这些专业人员与使用者沟通的展板以及一本给家庭成员的指导手册。

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