71º CBEn

71º CBEn • ISSN: 2319-0086

Resumo: 7940882

7940882

Relato de experiência: Atuação do enfermeiro de ligação em uma unidade de internação clínica

Autores:

Resumo:

**Objetivo: **compreender o processo que leva pacientes adultos e familiares a apoiarem a presença da família no atendimento emergencial. **Metodologia**: estudo qualitativo que adotou o Interacionismo Simbólico como referencial teórico e a Teoria Fundamentada nos Dados como referencial metodológico. A amostragem teórica foi composta por 15 familiares e 15 pacientes atendidos em duas unidades emergenciais do Sul do Brasil. Os dados foram analisados por meio de codificação aberta, axial e seletiva. **Resultados**: A categoria central “Convergência de ideias: familiares e pacientes apoiando a presença da família no atendimento emergencial” é sustentada pelas categorias: “Afetuosa relação entre os membros da família”; “Obrigação tácita de cuidar do familiar enfermo”; “Benefícios para a família”; “Benefícios para o paciente”, e; “Benefícios para a equipe de saúde. **Conclusão**: a presença familiar no atendimento emergencial proporciona a manutenção e o fortalecimento dos laços afetivos entre os familiares e a vivência de cuidados mais sensíveis e qualificados.

Referências:

1. Barreto MS, Arruda GO, Garcia-Vivar C, Marcon SS. Family centered care in emergency departments: perception of brazilian nurses and doctors. Esc Anna Nery [Internet]. 2017 [Access 30 Oct 2017]; 21(2):e20170042. Available from: http://www.scielo.br/pdf/ean/v21n2/en_1414-8145-ean-21-02-e20170042.pdf 2. Dall’orso MS, Concha PJ. Presencia familiar durante la reanimación cardiopulmonar: la mirada de enfermeros y familiares. Cienc Enferm [Internet]. 2012 [aceso 19 Sep 2017]; 18(3):83-99. Disponible en: http://www.scielo.cl/pdf/cienf/v18n3/art_09.pdf 3. Mekitarian FFP, Angelo M. Family´s presence in the pediatric emergency room: opinion of health´s professionals. Rev Paul Pediatr [Internet]. 2015 [Access 28 Sep 2017]; 33(4):460-466. Available from: http://www.scielo.br/pdf/rpp/v33n4/0103-0582-rpp-33-04-0460.pdf 4. Emergency Nurses Association. Presenting the Option for Family Presence. Eckle, N (Ed) 3ª Edição, Dallas, TX. 108p, 2007. 5. Oczkowski SJW, Mazzetti I, Cupido C. Family presence during resuscitation: A Canadian Critical Care Society position paper. Can Respir J [Internet]. 2015 [Access 22 Oct 2017]; 22(4):201-5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530851/ 6. American Association of Critical-Care Nurses. Family presence during resuscitation and invasive procedures. Crit Care Nurs [Internet] 2016 [Access 30 Oct 2017]; 36(1):11-14. Available from: http://ccn.aacnjournals.org/content/36/1/e11.full.pdf+html 7. Twibell RS, Craig S, Siela D, Simmonds S, Thomas C. Being there: inpatients’ perceptions of Family Presence During Resuscitation and Invasive Cardiac Procedures. Am J Crit Care [Internet]. 2015 [Access 01 Jan 2018]; 24(6):108-16. Available from: http://ajcc.aacnjournals.org/content/24/6/e108.full 8. Stefano C, Normand D, Jabre P, Azoulay E, Kentish-Barnes N, Lapostolle F, et al. Family presence during resuscitation: A qualitative analysis from a National Multicenter Randomized Clinical Trial. PloS One [Internet]. 2016 [Access 27 Feb 2017];11(6):e0156100. Available from: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0156100. 9. Giles T, Lacey S, Muir-Cochrane E. Factors influencing decision-making around family presence during resuscitation: a Grounded Theory study. J Adv Nurs [Internet]. 2016 [Access 20 Sep 2017]; 72 (11):2706-17. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jan.13046/epdf 10. Hung MSY, Pang SMC. Family presence preference when patients are receiving resuscitation in an accident and emergency department. J Adv Nurs [Internet]. 2011 [Access 04 Jan 2018];67(1):56-67. Available from: https://www.ncbi.nlm.nih.gov/pubmed/20825513. 11. Masa’Deh R, Saifan A, Timmons S, Nairn S. Families’ stressors and needs at time of Cardio-Pulmonary Resuscitation: A Jordanian perspective. Glob J Health Sci [Internet]. 2014 [Access 23 Jun 2017]; 6(2):72-85. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825218/ 12. Soares JR, Martin AR, Rabelo JF, Barreto MS, Marcon SS. Presença da família durante o atendimento emergencial: percepção do paciente vítima de trauma. Aquichan [Internet]. 2016 [Acesso 18 Jun 2017]; 16(2):193-204. Disponível em: http://www.scielo.org.co/pdf/aqui/v16n2/v16n2a07.pdf 13. Rittenmeyer L, Huffman D. How families and health care practitioners experience family presence during resuscitation and invasive procedures. JBI Libr Syst Rev [Internet]. 2012 [Access 19 Dec 2017]; 10(31):1785-882. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27820214. 14. Corbin JM, Strauss A. Basics of qualitative research: Techniques and procedures for developing Grounded Theory. 4a ed. New York: SAGE Publications; 2014. 15. Oliveira AMN, Nitschke RG, Silva MRS, Gomes CG, Busabello J. Repensando as relações intrafamiliares sob um olhar foucaultiano. Rev Rene [Internet]. 2009 [Acesso 10 Dez 2017]; 10(3):152-8. Disponível em: http://www.revistarene.ufc.br/revista/index.php/revista/article/view/556/pdf 16. Passos SS, Pereira A, Nitschke RG. Routine of the family companion during hospitalization of a family member. Acta Paul Enferm [Internet]. 2015 [Access 22 Dec 2017]; 28(6):539-45. Available from: http://www.scielo.br/pdf/ape/v28n6/en_1982-0194-ape-28-06-0539.pdf 17. Passos SS, Pereira A, Nitschke RG. Quotidian of accompanying family members in an environment of care: the emergence of hospital tribes. Rev Esc Enferm USP [Intenet]. 2016 [Access 01 Dec 2017]; 50(3):464-71. Available from: http://www.scielo.br/pdf/reeusp/v50n3/0080-6234-reeusp-50-03-0466.pdf 18. Andrade ACS, Cardoso BD, Souza JEAP, Campos MC, Lima GZ, Buriola AA. Sentimentos de familiares de pacientes internados na emergência psiquiátrica: um olhar sobre a família. Ciênc Cuid Saúde [Internet]. 2016 [Acesso 18 Abr 2017]; 15(2):268-74. Disponível em: http://www.periodicos.uem.br/ojs/index.php/CiencCuidSaude/article/view/25964/17401 19. Barreto MS, Marcon SS, Garcia-Vivar C. Patterns of behaviour in families of critically ill patients in the emergency room: A focused ethnography. J Adv Nurs [Internet]. 2017 [Access 20 Oct 2017]; 73(3), 633–42. Available from: https://doi.org/10.1111/jan.13156 20. Gullick JG, Taggart SB, Johnston RA, Ko N. The trauma bubble: patient and family experience of serious burn injury. J Burn Care Res [Internet]. 2014 [Access 20 Dec 2017]; 35(6):413-27. Available from: https://insights.ovid.com/pubmed?pmid=25144806 21. Leske JS, McAndrew NS, Brasel KJ. Experiences of families when present during resuscitation in the Emergency Department after trauma. J Trauma Nurs [Internet]. 2013 [Access 12 Mar 2017]; 20(2):77-85. Available from: https://insights.ovid.com/pubmed?pmid=23722216. 22. Youngson MJ, Currey J, Considine J. Current practices related to family presence during acute deterioration in adult emergency department patients. J Clin Nurs [Internet]. 2017 [Access 31 Nov 2017]; 26(21-22):3624-35. Available from: http://dx.doi.org/10.1111/jocn.13733 23. Buboltz FL, Silveira A, Neves ET, Silva JH, Carvalho JS, Zamberlan KC. Family perception about their presence or not in a pediatric emergency situation. Texto Contexto Enferm [Internet]. 2016 [Access 20 Jun 2017]; 25(3):e0230015. Available from: http://www.scielo.br/pdf/tce/v25n3/0104-0707-tce-25-03-0230015.pdf. 24. Walker WM. Emergency care staff experiences of lay presence during adult cardiopulmonary resuscitation: a phenomenological study. Emerg Med J [Internet]. 2014 [Access 05 Jan 2018]; 31(6):453-8. Available from: http://emj.bmj.com/content/31/6/453.long.