Patient advocacy in valuing social and family being in times of COVID-19
Defensa del paciente en la valoración del ser social y la familia en tiempos de COVID-19
Advocacia do paciente na valorização do ser social e da família em tempos de COVID-19
Mayara Souza Manoel; Fábio Silva da Rosa; Elizabeth Peter; Carolina da Silva Caram; Kely Regina da Luz; Mara Ambrosina de Oliveira Vargas
Abstract
Objective: to understand the strategies used by intensive care nurses in the face of situations that required patient advocacy, involving the appreciation of social and family being during the COVID-19 pandemic.
Method: this is a qualitative, descriptive and exploratory study, carried out in the five regions of Brazil. A total of 25 intensive care nurses participated in the study. Data were collected through a semi-structured interview and subsequently subjected to discursive textual analysis.
Results: nurses advocated before the health team and for the family’s presence within the Intensive Care Unit. With the COVID-19 pandemic, new strategies were established to advocate, promoting virtual rapprochement between nurses, patients and family members as well as the permanence of family members in intensive care environments when necessary so that nurses could know patients better and integrate the family into care.
Conclusion and implications for practice: the strategies used to act on behalf of patients were carried out for rapprochement between nurses and family members; for instructing family members to advocate for patients; and for the defense of family presence within the Intensive Care Unit.
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Resumo
Objetivo: compreender as estratégias utilizadas pelos enfermeiros intensivistas diante das situações que demandaram a advocacia do paciente, envolvendo a valorização do ser social e familiar no cenário da pandemia de COVID-19.
Método: estudo qualitativo, descritivo e exploratório, realizado nas cinco regiões do Brasil. Participaram do estudo 25 enfermeiros intensivistas. Os dados foram coletados por meio de uma entrevista semiestruturada e, posteriormente, submetidos à análise textual discursiva.
Resultados: os enfermeiros advogaram perante a equipe de saúde e pela presença da família dentro da Unidade de Terapia Intensiva. Com a pandemia de COVID-19, foram estabelecidas novas estratégias para advogar, promovendo a aproximação, de forma virtual, entre enfermeiros, pacientes e familiares, bem como a permanência dos familiares no ambiente de terapia intensiva, quando necessário, para que os enfermeiros conhecessem melhor o paciente e integrassem a família ao cuidado.
Considerações finais e implicações para a prática: as estratégias utilizadas para agir em prol do paciente se deram por meio da aproximação entre enfermeiros e familiares; por meio da instrução de familiares para que advoguem pelo paciente; e pela defesa da presença familiar dentro da Unidade de Terapia Intensiva.
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Referências
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Aceito em:
27/09/2023
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