Vargas Mara Ambrosina de Oliveira, Peter Elizabeth, Luz Kely Regina da, Barlem Edison Luiz Devos, Ventura Carla Aparecida Arena, Nascimento Eliane Regina Pereira do
Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Rev Lat Am Enfermagem. 2020;28:e3271. doi: 10.1590/1518-8345.3420.3271. Epub 2020 May 11.
to identify, from the nurse perspective, situations that interfere with the availability of beds in the intensive care unit in the context of hospitalization by court order.
qualitative exploratory, analytical research carried out with 42 nurses working in adult intensive care. The selection took place by non-probabilistic snowball sampling. Data collected by interview and analyzed using the Discursive Textual Analysis technique.
three categories were analyzed, entitled deficiency of physical structure and human resources; Lack of clear policies and criteria for patient admission and inadequate discharge from the intensive care unit. In situations of hospitalization by court order, there is a change in the criteria for the allocation of intensive care beds, due to the credibility of professionals, threats of medico-legal processes by family members and judicial imposition on institutions and health professionals.
nurses defend the needs of the patients, too, with actions that can positively impact the availability of intensive care beds and adequate care infrastructure.
从护士的角度识别在法院下令住院的情况下，干扰重症监护病房床位可用性的情况。
对42名在成人重症监护病房工作的护士进行定性探索性分析研究。通过非概率性滚雪球抽样进行选择。通过访谈收集数据，并使用话语文本分析技术进行分析。
分析了三个类别，分别为物理结构和人力资源不足；缺乏明确的患者入院政策和标准以及重症监护病房出院安排不当。在法院下令住院的情况下，由于专业人员的可信度、家庭成员的医疗法律程序威胁以及司法机构对机构和卫生专业人员的强制要求，重症监护床位的分配标准发生了变化。
护士也通过能够对重症监护床位的可用性和适当的护理基础设施产生积极影响的行动来维护患者的需求。
