Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 653
Filtrar
1.
Enferm. intensiva (Ed. impr.) ; 31(2): 71-81, abr.-jun. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-190923

RESUMO

OBJETIVO: Conocer el significado que atribuyen pacientes adultos y sus familias a la ausencia familiar durante la atención de urgencia. MÉTODO: Estudio cualitativo siguiendo la propuesta de la teoría fundamentada con recogida de datos en 2 unidades públicas de urgencias hospitalarias, localizadas en el sur de Brasil. Se llevaron a cabo 15 entrevistas con pacientes y 15 entrevistas con familiares durante los meses de octubre de 2016 a febrero de 2017. Los datos fueron analizados siguiendo el método comparativo contante. RESULTADOS: Los pacientes y familiares vivencian la ausencia familiar en la atención de urgencia como un proceso de sufrimiento causado por la separación del binomio familia-paciente; por la falta de entendimiento acerca de los motivos que justifican la exclusión familiar, y por enfrentarse a la situación con resignación. CONCLUSIÓN: La urgencia per se conlleva un sufrimiento en el paciente y sus familiares; este sufrimiento se intensifica cuando la familia es apartada y no puede acompañar al paciente durante la atención de urgencia. En vista de estos resultados, es necesario desarrollar estrategias y políticas sanitarias que contribuyan a la atención integral de pacientes y familias en unidades de urgencias hospitalarias


AIM: To understand what the absence of the family during emergency care means to adult patients and their families to. METHOD: A grounded theory study was conducted in two emergency units of two public hospitals in southern Brazil. From October 2016 to February 2017, 15 interviews with patients and 15 with family members were carried out. The data were analyzed following the comparative method. RESULTS: The patients and families experienced the absence of the family in emergency care as a process of suffering caused by the separation of patient and family; they did not understand the reasons for family exclusion, and were resigned to the situation. CONCLUSIÓN: Urgent care per se entails suffering in patients and their relatives; this suffering intensifies when the family is separated and cannot accompany the patient during emergency care. These results show the need to develop health strategies and policies that contribute to the comprehensive care of patients and families in hospital emergency units


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Assistência Ambulatorial/psicologia , Estresse Psicológico/psicologia , Pacientes/psicologia , Família/psicologia , Relações Familiares/psicologia , Enfermagem Familiar , Serviços Médicos de Emergência , Visitas a Pacientes/psicologia
4.
Pediatrics ; 146(2)2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32430441

RESUMO

To control the spread of severe acute respiratory syndrome coronavirus 2, the virus responsible for coronavirus disease 2019, many hospitals have strict visitor restriction policies. These policies often prohibit both parents from visiting at the same time or having grandparents or other family members visit at all. We discuss cases in which such policies created ethical dilemmas and possibly called for compassionate exceptions from the general rules.


Assuntos
Betacoronavirus , Criança Hospitalizada/psicologia , Infecções por Coronavirus/prevenção & controle , Controle de Infecções/métodos , Pandemias/prevenção & controle , Assistência Centrada no Paciente/ética , Pneumonia Viral/prevenção & controle , Visitas a Pacientes/psicologia , Adolescente , Criança , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/transmissão , Análise Custo-Benefício , Família , Feminino , Política de Saúde , Humanos , Recém-Nascido , Controle de Infecções/normas , Masculino , Assistência Centrada no Paciente/métodos , Assistência Centrada no Paciente/normas , Pneumonia Viral/psicologia , Pneumonia Viral/transmissão
6.
Arq Neuropsiquiatr ; 77(11): 782-791, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31826134

RESUMO

INTRODUCTION: Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease without a cure, but multidisciplinary treatment can maintain the quality of life (QOL) of persons with ALS (PALS). Despite health professionals possibly being affected by ALS in their care roles, little is known about the impact of ALS care on these professionals. OBJECTIVE: To analyze the effects of interactions between PALS and Nursing/Psychology students. METHODS: Over 12 weeks, 16 student pairs performed weekly 60-minute home visits to 16 PALS. Instruments used for analyses were the McGill Quality of Life Questionnaire for the PALS; and the Draw-a-Person test and the Desiderative Questionnaire for the students. All instruments were applied twice: at the beginning (pre-first visit) and at the end of the study (post-12 visits). RESULTS: After 12 weeks, there was not a significant change in total QOL or its five domains (existential wellbeing, physical wellbeing, psychological wellbeing, physical symptoms, and support). Existential wellbeing/support domains contributed most to the QOL of the PALS (pre-first visit and post-12 visits). Students showed anxiety/impulsivity but preserved adequacy to reality, logical thinking and global perception with regard to the PALS. We found that students were psychologically fragile in some subgroups/moments. CONCLUSIONS: Students' visits to PALS may contribute to the maintenance of the QOL of the patients. Additionally, visits, with psychological support for the students, seem safe and could contribute to the students' psychological maturation as health professionals. Additional psychological support may be necessary for some students in fragile subgroups/moments.


Assuntos
Esclerose Amiotrófica Lateral/psicologia , Psicologia , Qualidade de Vida/psicologia , Estudantes de Enfermagem/psicologia , Estudantes/psicologia , Visitas a Pacientes/psicologia , Adolescente , Adulto , Fatores Etários , Idoso , Brasil , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores Sexuais , Estatísticas não Paramétricas , Inquéritos e Questionários , Fatores de Tempo , Adulto Jovem
7.
Rev Bras Enferm ; 72(suppl 3): 243-250, 2019 Dec.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31851260

RESUMO

OBJECTIVE: to identify and to analyze the support systems used by family members for the adaptation process to the child's hospitalization in the intensive care unit. METHOD: qualitative research, conducted in a hospital located in the Southern Brazil. Data were collected between June and July 2017, through semi-structured interviews with family members of hospitalized children. The adaptation model and thematic analysis were used for data processing. RESULTS: four themes emerged: family and friends as a support system; the family members of other hospitalized children as a support system; spirituality as a support system; health team as a support system. FINAL CONSIDERATIONS: identifying the support systems used in the process of family adaptation and their manifestations of interdependence was possible. The need of the nurses to intensify the listening to strengthen the support system of the family members of the children hospitalized in the unit studied.


Assuntos
Família/psicologia , Unidades de Terapia Intensiva Pediátrica/estatística & dados numéricos , Apoio Social , Adolescente , Adulto , Brasil , Feminino , Humanos , Unidades de Terapia Intensiva Pediátrica/organização & administração , Masculino , Relações Profissional-Família , Pesquisa Qualitativa , Visitas a Pacientes/psicologia , Visitas a Pacientes/estatística & dados numéricos
8.
Rev Bras Enferm ; 72(6): 1684-1691, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31644761

RESUMO

OBJECTIVE: to understand the process that leads adult and family patients to support family presence in emergency care. METHOD: a qualitative study that adopted Symbolic Interactionism as a theoretical reference and the Grounded Theory as a methodological framework. The theoretical sample consisted of 15 relatives and 15 patients assisted at two emergency units in the South of Brazil. Data were analyzed using open, axial and selective coding. RESULTS: the central category "Convergence of ideas: family members and patients supporting family presence in emergency care" is supported by the categories: "Affectionate relationship among family members"; "Tacit obligation to care for the sick relative"; "Benefits for the family"; "Benefits for the patient"; and "Benefits for the health team". CONCLUSION: family presence in emergency care provides maintenance and strengthening of affectionate bonds among relatives and the experience of more sensitive and qualified care.


Assuntos
Família/psicologia , Pacientes/psicologia , Visitas a Pacientes/psicologia , Adulto , Idoso , Brasil , Serviço Hospitalar de Emergência/organização & administração , Serviço Hospitalar de Emergência/normas , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Teoria Fundamentada , Humanos , Masculino , Pessoa de Meia-Idade , Pacientes/estatística & dados numéricos , Pesquisa Qualitativa , Visitas a Pacientes/estatística & dados numéricos
9.
Gac Med Mex ; 155(Suppl 1): S35-S38, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31638605

RESUMO

Introduction: Empathy is the ability of an individual to understand it from another cognitive and emotional point of view. Empathy is a complex that represents a retouch in its evaluation, so, it is necessary to have instruments validated in the Mexican population. Objective: Validation of the Comic Strip Test to evaluate empathy. Method: Sampling for convenience, based on internal consistency, convergent validity with the Empathy coefficient, construct validity in the factorial analysis, and the ability to discriminate between subjects with lack of empathy (psychopathology) and the control subjects through a curve ROC. Results: The comic strips test was evaluated in 86 controls, 19 patients with schizophrenia (Cronbach's alpha = 0.894). The correlation with the empathy coefficient was 0.88, with sensitivity of 81.3% and specificity of 38%. Conclusions: The Comic Strip Test was validated with parametric psychometric parameters.


Assuntos
Empatia , Testes Psicológicos , Feminino , Humanos , Masculino , Psicometria , Curva ROC , Reabilitação/educação , Reprodutibilidade dos Testes , Psicologia do Esquizofrênico , Sensibilidade e Especificidade , Estudantes de Medicina/psicologia , Visitas a Pacientes/psicologia
11.
BMC Psychiatry ; 19(1): 129, 2019 04 30.
Artigo em Inglês | MEDLINE | ID: mdl-31039767

RESUMO

BACKGROUND: Mental health problems are an important issue among institutionalized children. Although positive communication with parents is essential for children's well-being, it has not been sufficiently verified how interactions with parents affect mental health among institutionalized children, who have experienced childhood adversity and likely lack secure attachment formation with their parents. The objectives of this study were to investigate the association between parental visitation and depressive symptoms among institutionalized children in Japan, and to explore whether the established security of attachment interacts with that association. METHODS: A cross-sectional data from 399 institutionalized children aged 9 to 18 in Japan was used for the analysis. A mixed effects regression analysis was conducted to investigate the associations. RESULTS: Institutionalized children who had parental visitation showed higher depressive symptoms than those who did not. In particular, father's visitations were significantly associated with higher depressive symptoms. There was a significant interaction with score of secure attachment; children with low scores on secure attachment showed higher levels of depression with their father's visitation, whereas children with high scores on secure attachment did not. CONCLUSIONS: Findings suggested that parental visitation and the frequency of visitation were not actually associated with better psychological status, but that instead, father's visitations were associated with higher depressive symptoms among institutionalized children. It should be noted that our cross-sectional results cannot infer any causal relationship and do not emphasize that parental visitation should be avoided. However, it may be important to conduct careful assessment before starting parental visitation, especially when children seem to have problems with attachment formation.


Assuntos
Criança Institucionalizada/psicologia , Depressão/epidemiologia , Depressão/psicologia , Visitas a Pacientes/psicologia , Adolescente , Criança , Estudos Transversais , Depressão/diagnóstico , Feminino , Humanos , Japão/epidemiologia , Masculino , Saúde Mental , Pais/psicologia , Inquéritos e Questionários
12.
Intensive Crit Care Nurs ; 53: 15-22, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31053336

RESUMO

BACKGROUND: The option of family presence during resuscitation was first presented in the late 1980s. Discussion and debate about the pros and cons of this practice has led to an abundant body of international research. AIM: To determine critical care nurses' experiences of, and support for family presence during adult and paediatric resuscitation and their views on the positive and negative effects of this practice. METHODS: A narrative literature review of primary research published 2005 onwards. The search strategy comprised an electronic search of three bibliographic databases, supplemented by exploration of a web-based search engine and hand-searching. RESULTS: Twelve studies formed the review. Research primarily originated from Europe. The findings were obtained from a moderately small number of nurses, and their views were mostly based on conjecture. Among the factors influencing family presence during resuscitation were dominant concerns about harmful effects. There was a noticeable absence of compliance with recommended guidelines for practice, and the provision of a unit protocol or policy to assist decision-making. CONCLUSION: A commitment to family-centred care, educational intervention and the uptake of professional guidance are recommended evidence-informed strategies to enhance nurses' support for this practice in critical care.


Assuntos
Família/psicologia , Enfermeiras e Enfermeiros/psicologia , Ressuscitação/enfermagem , Visitas a Pacientes/psicologia , Enfermagem de Cuidados Críticos/métodos , Humanos , Narração , Relações Profissional-Família , Pesquisa Qualitativa , Ressuscitação/psicologia , Ressuscitação/normas
14.
Am J Crit Care ; 28(2): 142-148, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30824519

RESUMO

BACKGROUND: Family-witnessed resuscitation is not consistently practiced in critical care despite the fact that it is recommended and research shows that it supports the emotional needs of families and patients and improves decision-making, care, and communication. Nurses support the idea of family-witnessed resuscitation but may not believe it should be standard practice. OBJECTIVES: To examine the attitudes of American community hospital critical care nurses about family-witnessed resuscitation and to identify differences in attitudes between nurses who have and have not experienced it. METHODS: This cross-sectional, descriptive study of 40 critical care nurses was conducted at 2 community hospitals. Demographic data were collected and a previously developed questionnaire was used to survey participants on their attitudes about family-witnessed resuscitation factors including decision-making, process, and outcomes. RESULTS: Most participants (92%) had experienced family-witnessed resuscitation and most had positive attitudes about the benefits and outcomes of family-witnessed resuscitation. Participants did not believe that family presence is too distressing for families or that resuscitation team performance would be negatively affected. Participants indicated that fear of litigation, family disruption of resuscitation, and family misinterpretation of procedures would not increase with family presence. CONCLUSIONS: Findings show that community hospital critical care nurses support family-witnessed resuscitation. Prior experiences and cultural beliefs should be considered when developing family-witnessed resuscitation policies. Further research is needed on the influence of these factors on nurses' attitudes toward family presence to inform practice.


Assuntos
Atitude do Pessoal de Saúde , Reanimação Cardiopulmonar/psicologia , Família/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Visitas a Pacientes/psicologia , Adulto , Enfermagem de Cuidados Críticos , Estudos Transversais , Feminino , Hospitais Comunitários , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
15.
J Nurs Manag ; 27(5): 1039-1046, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30888740

RESUMO

AIMS: This study investigates nurse managers' perception of organisational safety culture and team efficacy in managing patient and visitor aggression , and determines the predictors of team efficacy. BACKGROUND: Patient and visitor aggression is a serious hazard in healthcare. A positive organisational safety culture regarding patient and visitor aggression enhances the safety and staff efficacy in managing patient and visitor aggression. METHODS: A cross-sectional online survey including nurse managers in psychiatric and general hospitals (n = 446) was conducted in Switzerland, Austria and Germany (November 2016-February 2017). Data were analysed descriptively and through binary logistic regression. RESULTS: The key results are as follows: "Working in a mental health setting" was 3.5 times more likely, "consideration of the physical environment" was four times more likely and a "shared organisational attitude" was twice as likely to predict high team efficacy. In comparison to psychiatric hospitals, general hospital managers perceived organisational safety cultures to be less positive. CONCLUSIONS: A positive organisational safety culture leads to the perception that teams are more effective at managing patient and visitor aggression. IMPLICATIONS FOR NURSING MANAGEMENT: Consideration of the physical environment and a positive shared organisational attitude regarding patient and visitor aggression are crucial for high team efficacy. General hospitals could benefit from approaches utilized in psychiatry to enhance staff efficacy in managing patient and visitor aggression.


Assuntos
Agressão/psicologia , Enfermeiras Administradoras/psicologia , Pacientes/estatística & dados numéricos , Gestão da Segurança/normas , Visitas a Pacientes/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/estatística & dados numéricos , Cultura Organizacional , Pacientes/psicologia , Gestão da Segurança/tendências , Autoeficácia , Suíça , Visitas a Pacientes/psicologia
17.
Int Emerg Nurs ; 42: 36-43, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-29887282

RESUMO

BACKGROUND: Family-witnessed resuscitation (FWR) offers the option for family to be present during a cardiac arrest, which has been proven to help them in their grieving process. International guidelines highlight the importance of FWR, but this has not yet been widely implemented in clinical practice in Europe. AIM: Explore nurses' and physicians' experiences and attitudes toward FWR in cardiac care units. METHODS: Cross-sectional web-based multicentre survey study including the seven university hospitals in Sweden, with 189 participants. RESULTS: The most common concern was that the resuscitation team may say things that are upsetting to the family member during resuscitation, with 68% agreeing with this statement. Physicians opposed FWR more strongly than nurses (3.22 vs. 2.93, p < .001). Twenty-five percent stated that family should not be present during resuscitation, as it would be far too painful for them, while 23% of the nurses and 11% of the physicians considered that FWR is beneficial to the patient, p < 0.001. There was strong agreement that there should always be a healthcare professional dedicated to take care of family (92%). None of the hospitals had local guidelines regarding FWR. CONCLUSION: Many concerns still exist in relation to FWR, suggesting that those barriers must be taken into consideration when planning for implementation of FWR in everyday practice.


Assuntos
Pessoal de Saúde/psicologia , Visitas a Pacientes/psicologia , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Família/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Relações Profissional-Família , Inquéritos e Questionários , Suécia
18.
J Clin Nurs ; 28(3-4): 538-544, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30091154

RESUMO

AIMS AND OBJECTIVE: To identify the family members' level of comfort and needs and to analyse the sociodemographic/clinical variables that influence this association. BACKGROUND: The needs of family members are important considerations in intensive care units. In this context, the needs will be assessed in five dimensions: information, safety, proximity, support and comfort. This study describes the association between comfort and needs of ICU patients' family members. DESIGN: Cross-sectional study developed at the adult ICU of a hospital within the state of São Paulo, in the period from July-September 2016. METHODS: We used the Critical Care Family Needs Inventory (INEFTI) Portuguese version and the comfort scale for critical care patient relatives (ECONF). RESULTS: In relation to INEFTI, the relatives assigned high importance to the needs (Median = 167), but not all of them satisfied (Median = 151). The comfort was low (Median = 3.6), and support was the most affected domain (Median = 2.78). The multivariate analysis indicated variables that influenced the comfort: marital status (ß = 0.80; p < 0.01), disease severity (ß = 0.03; p = 0.04), female sex (ß = 0.34; p = 0.01), highest educational attainment (ß = 0.37; p < 0.01), employment status (ß = 0.81; p < 0.01) and kinship (ß = 0.34; p < 0.01). Concerning the INEFTI scores, only age was statistically significant for importance (ß = 0.16; p < 0.01) and satisfaction (ß = -0.29; p = 0.04) of the family members' needs. In the multiple correspondence analysis, different proximities were identified for the variables comfort and needs. Greater ECONF scores were associated with family members with a higher educational degree, whose patients were stable, who attributed high levels of importance to the needs and who were housewives. CONCLUSIONS: Family members have needs that are considered important but not fully met. No direct correspondence between comfort and family needs was identified. RELEVANCE TO CLINICAL PRACTICE: In view of the lack of studies involving family members' comfort and needs, we believe that these results can guide nursing proposals focused on the family members, in line with the associations found among different variables that influenced the results.


Assuntos
Família/psicologia , Unidades de Terapia Intensiva/organização & administração , Determinação de Necessidades de Cuidados de Saúde , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Relações Profissional-Família , Visitas a Pacientes/psicologia , Adulto Jovem
19.
HERD ; 12(1): 124-144, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30103657

RESUMO

OBJECTIVE:: To identify family members' and visitors' needs with relation to the design of a hospital room. BACKGROUND:: There is a trend toward incorporating family zones in hospital patient rooms in order to improve patient satisfaction and encourage family caregivers to stay longer and overnight. METHOD:: A mixed-method study was employed. Interviews of patients and family caregivers were conducted to understand opportunities to improve hospital room designs based on recent experiences. Features intended to support short-term and overnight visitors were embedded in five full-scale simulated room design concepts. Small groups of family caregivers and patients toured two room design concepts and reacted real time to room features. A grounded theory approach was employed to identify emerging themes. RESULTS:: A theoretical design framework is developed for the needs of family members and visitors for a range of time periods. This framework is founded upon desires to help make the patient feel more comfortable. There are various levels of helping the patient feel more comfortable, including visiting, keeping company, providing support, providing assistance, and being a caregiver. Beyond this core need, family members and visitors must take care of their own needs in order to feel comfortable in the hospital room. Activities associated with these needs include sitting, relaxing, eating, working, tending to daily needs, and resting overnight. CONCLUSIONS:: Potential implications for architects, healthcare planners, and interior space designers are described. Design and renovation guidance for the hospital room environment in order to support the needs and expectations of families and visitors is provided.


Assuntos
Família/psicologia , Arquitetura Hospitalar/normas , Quartos de Pacientes/normas , Adulto , Feminino , Grupos Focais , Humanos , Decoração de Interiores e Mobiliário/normas , Masculino , Pessoa de Meia-Idade , Visitas a Pacientes/psicologia
20.
J Clin Nurs ; 28(1-2): 32-46, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30129259

RESUMO

OBJECTIVE: The objective was to consider family presence during resuscitation (FPDR) from the perspective of the family member. BACKGROUND: FPDR has been a topic of interest internationally since the first report of this practice more than 25 years ago. Worldwide, many studies have provided insight into the perspective of healthcare professionals (HCPs); however, there is limited research on the perspective and experiences of family members. DESIGN: An integrative review was conducted. An electronic database search was conducted for the years from 1994-2017. METHODS: The Cumulative Index of Nursing and Allied Health Literature (CINAHL), PyschINFO, Academic Search, SocINDEX, PubMed, ProQuest databases and Google Scholar were searched. Search terms were family perceptions, family presence and resuscitation. RESULTS: Twelve reviews met inclusion criteria. Findings suggest that family members view family presence as a fundamental right. Family members involved in a FPDR experience reported that their presence benefitted the patient and healthcare team. In an international sample of studies, family presence overall was viewed positively by family members and they voiced wanting to be given an option to be present during a loved one's resuscitation. CONCLUSIONS: Findings support that family members' desire for FPDR; however, the literature reflects that HCPs do not always embrace the practice of FPDR. Stronger educational preparation of nurses and other HCPs related to FPDR is warranted. Policy initiatives include the formulation of policies that allow family presence during resuscitation of a family member. RELEVANCE TO CLINICAL PRACTICE: The findings are relevant for a clinical practice that promotes a more family-centred approach to allowing FPDR. Creating policy and providing FPDR education for HCPs based on evidence provide more consistency in clinical practice and help to eliminate the moral distress experienced by clinical nurses forced to make difficult decisions during a stressful event.


Assuntos
Reanimação Cardiopulmonar/psicologia , Família/psicologia , Relações Profissional-Família , Visitas a Pacientes/psicologia , Atitude do Pessoal de Saúde , Reanimação Cardiopulmonar/enfermagem , Pessoal de Saúde , Humanos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA