Correia Tânia S P, Martins Maria Manuela F P S, Barroso Fernando F, Valentim Olga, Fonseca César, Lopes Manuel, Pinho Lara G
Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto (UP), 4050-313 Porto, Portugal.
CINTESIS (Centro de Investigação em Tecnologias e Serviços de Saúde)-NursID (Innovation & Development in Nursing), 4050-313 Porto, Portugal.
J Pers Med. 2022 Sep 20;12(10):1546. doi: 10.3390/jpm12101546.
Person and Family Centered Care (PFCC) has demonstrated important contributions to health care outcomes. However, in response to the need for safety due to the pandemic COVID-19, measures were taken to restrict hospital visits. So, the aim of this study was to understand the healthcare experience of family members of patients hospitalized during the pandemic period regarding safety and person- and family-centered care.
Qualitative interpretative study, conducted through semi-structured interviews with six family members of people hospitalized during the pandemic period. Content analysis was performed using Atlas.ti software version 22 (Berlin, Germany) and Bardin's methodology.
Restrictions on hospital visits due to the pandemic of COVID-19 have led to a distancing of families from the hospital setting and influenced healthcare practice, making it difficult to involve families in the care process. In some cases, healthcare professionals made efforts to provide PFCC, attempting to minimize the impact of the visitation restriction. However, there were reported experiences of care delivery that did not consider social and psychological factors and did not place the person and family at the center of the care process, relying instead on the biomedical model. These practices left out important factors for the provision of safe care. It is crucial, even in pandemic settings, that healthcare professionals provide person- and family-centered care to the extent possible, promoting the safety of care. The family should be involved in the care of the person in the inpatient setting.
以患者和家庭为中心的护理（PFCC）已证明对医疗保健结果有重要贡献。然而，由于2019年冠状病毒病（COVID-19）大流行对安全的需求，采取了限制医院探视的措施。因此，本研究的目的是了解在大流行期间住院患者家属在安全以及以患者和家庭为中心的护理方面的医疗保健体验。
定性解释性研究，通过对大流行期间住院患者的六名家属进行半结构化访谈来进行。使用德国柏林的Atlas.ti软件22版和巴丁的方法进行内容分析。
由于COVID-19大流行而对医院探视的限制导致家庭与医院环境疏远，并影响了医疗保健实践，使得家庭难以参与护理过程。在某些情况下，医疗保健专业人员努力提供以患者和家庭为中心的护理，试图将探视限制的影响降至最低。然而，有报告称护理提供过程中存在未考虑社会和心理因素、未将患者和家庭置于护理过程中心的情况，而是依赖生物医学模式。这些做法忽略了提供安全护理的重要因素。即使在大流行环境中，医疗保健专业人员尽可能提供以患者和家庭为中心的护理以促进护理安全也至关重要。家庭应参与住院患者的护理。
