[Interdisciplinary relationships and humanization in intensive care units]. / Relaciones interdisciplinarias y humanización en las unidades de cuidados intensivos.

OBJECTIVE: To analyze those aspects of the relationship between the health care team of an ICU that may be decisive in the construction of humanized care. DESIGN: phenomenology: descriptive and exploratory. ANALYSIS and observation unit: Polyvalent 23-bed adult ICU. DATA COLLECTION: nine extensive interviews. POPULATION: healthcare professionals in interaction in the ICU that is being studied. ANALYSIS: assigning of data to emergent categories. Contrasting with existing theories. RESULTS: Identification of guideline values circumspect to the humanistic paradigm. The value of professional role is accepted as emergency factor of certain attitudes. All the professional groups detect lack of independence situations, which are not always attributable to hierarchical reasons. Systematic interdisciplinary communication is evaluated positively. Humanization requires time, resources, and intergroup relationships and explicit commitment by the institution. CONCLUSIONS: Relief of great suffering situations is the main reason for interdisciplinary disagreement. Construction of a tolerant setting and institutional recognition as factors favoring humanized care. Lack of time and resources as obstacles to the humanization of care.

Relaciones interdisciplinarias y humanización en las unidades de cuidados intensivos / Interdisciplinary relationships and humanization in intensive care units

Objetivo. Analizar los aspectos de la relación entre el equipo asistencial de una unidad de cuidados intensivos (UCI) que puedan ser decisivos en la construcción de una atención humanizada. Método. Diseño: fenomenológico; descriptivo y exploratorio. Unidad de análisis y observación: UCI polivalente de adultos de 23 camas. Recogida de datos: 9 entrevistas a fondo. Población: profesionales sanitarios en interacción en la UCI objeto de estudio. Análisis: asignación de datos a categorías emergentes. Contrastación con teorías existentes. Resultados. Identificación de valores guía circunscritos al paradigma humanista. Valores asociados a características personales más que profesionales. Se acepta el valor del rol profesional como factor de emergencia de determinadas actitudes. Todos los grupos profesionales detectan situaciones de falta de autonomía, no siempre atribuibles a causa jerárquica. Se valora positivamente la comunicación interdisciplinaria sistemática. La humanización requiere tiempo, recursos, buena relación intergrupal y el compromiso explícito de la institución. Conclusiones. El alivio de situaciones de gran sufrimiento, principal motivo de desacuerdo interdisciplinario. La construcción de un entorno tolerante y el reconocimiento institucional como factores favorecedores de la atención humanizada. La falta de tiempo y recursos como obstáculos a la humanización de la atención

Objective. To analyze those aspects of the relationship between the health care team of an ICU that may be decisive in the construction of humanized care. Method. Design: phenomenology: descriptive and exploratory. Analysis and observation unit: Polyvalent 23-bed adult ICU. Data collection: nine extensive interviews. Population: healthcare professionals in interaction in the ICU that is being studied. Analysis: assigning of data to emergent categories. Contrasting with existing theories. Results. Identification of guideline values circumspect to the humanistic paradigm. The value of professional role is accepted as emergency factor of certain attitudes. All the professional groups detect lack of independence situations, which are not always attributable to hierarchical reasons. Systematic interdisciplinary communication is evaluated positively. Humanization requires time, resources, and intergroup relationships and explicit commitment by the institution. Conclusions. Relief of great suffering situations is the main reason for interdisciplinary disagreement. Construction of a tolerant setting and institutional recognition as factors favoring humanized care. Lack of time and resources as obstacles to the humanization of care