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为符合条件的姑息治疗患者提供帮助:来自重症监护病房的专业人员的观点。

Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit.

机构信息

Universidade Estadual do Sudoeste da Bahia, Programa de Residência Multiprofissional em Urgência e Emergência, Jequié, BA, Brazil.

Universidade Estadual do Sudoeste da Bahia, Departamento de Saúde II, Jequié, BA, Brazil.

出版信息

Rev Esc Enferm USP. 2022 Jun 1;56:e20210429. doi: 10.1590/1980-220X-REEUSP-2021-0429en. eCollection 2022.

Abstract

OBJECTIVE

to understand the perception of the multiprofessional team about the quality of health care provided to patients in palliative care in the Intensive Care Unit.

METHOD

qualitative study, anchored to Donabedian's theoretical framework, through semi-structured interviews with 35 professionals working in the Intensive Care Unit. For data analysis, the Content Analysis technique was used.

RESULTS

three categories were pre-established: structure, process, and outcome, from which five subcategories emerged: Deficit in terms of numbers of workers and professional qualification; Ambience and palliative care; (In)existence of assistance based on the principles of palliative care; Failures in communication and in the interdisciplinary approach and Repercussions of (lack of) assistance.

CONCLUSION

the study allowed understanding the institutional weaknesses for the operationalization of care provided to patients eligible for palliative care in the Intensive Care Unit setting. Thus, for this philosophy of care to be propagated, the co-participation of managers, professionals, patients, and family members is required, since these gaps cannot be filled without collective involvement.

摘要

目的

了解多专业团队对重症监护病房临终关怀患者医疗保健质量的看法。

方法

定性研究,以 Donabedian 的理论框架为基础,通过对 35 名在重症监护病房工作的专业人员进行半结构化访谈。数据分析采用内容分析法。

结果

预先确定了三个类别:结构、过程和结果,从中出现了五个亚类:工作人员数量和专业资格不足;环境和临终关怀;(缺乏)基于临终关怀原则的援助;沟通和跨学科方法失败;以及(缺乏)援助的后果。

结论

该研究使我们能够了解机构的弱点,以便在重症监护病房环境中为符合条件的临终关怀患者提供护理。因此,为了推广这种护理理念,需要管理人员、专业人员、患者和家庭成员的共同参与,因为如果没有集体参与,这些差距是无法弥补的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db04/10081650/ab258791dcee/1980-220X-REEUSP-56-e20210429-gf1.jpg

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