Presença da família em sala de emergência pediátrica: opiniões dos profissionais de saúde

Abstract

Objective:To learn the opinion of health professionals regarding the presence of family during pediatric emergency care.Methods:Cross-sectional study, performed with 46 health professionals, members of the medical and nursing team of a pediatric emergency service. The data were collected via the application of a questionnaire composed by variables related to the opinion of professionals about the studied subject, in line with the professional category and the vocational training time, as well as invasive procedures during which the presence of family is authorized by the professionals.Results:The medical staff and the professionals with shorter time after graduation (<10 years) were more favorable to the presence of family during emergency procedures. Regarding the complexity of the procedures, the nursing staff proved more favorable to the presence of family during less complex procedures - peripheral venous puncture and fluid sample - whereas the consent of the medical staff was similar, regardless the performed procedure - peripheral venous puncture, fluid sample, intraosseous puncture, tracheal intubation and cardiopulmonary resuscitation.Conclusions:In order to allow the presence of family in the emergency room, it is necessary to sensitize health professionals, especially the nursing staff and the longer-term acting professionals, which are more resistant to allow the family to stay with the child during the emergency care.

Family Perception About Their Presence or Not in a Pediatric Emergency Situation

“…[16][17] The presence of family during the child's hospital stay is a right guaranteed by Brazilian Law No. 8069/1990, which regulates the Statute of Children and Adolescents.…”

“…29 Faced with the different realities experienced by families and health staff, studies suggest the need for policy and development protocols to facilitate the process of the presence of the family member with the patient in an emergency situation. 8,[16][17]19,21,25 However, more research is needed on the subject, in order to provide assistance to health professionals so that they can encourage the practice family presence in the emergency room, based on the principles of the care model focused on the patient and family in crisis situations. 16 …”

Permanência De Familiares No Atendimento De Emergência Pediátrica: Percepções Da Equipe De Saúde

“…Em outro estudo realizado, que também objetivou conhecer as opiniões de profissionais de saúde em relação à presença da família durante o atendimento em sala de emergência pediá-trica, os profissionais apontaram como principais motivos para a inclusão da família na sala de emergência: a observação da família em relação aos esforços da equipe no atendimento, a importância das informações à equipe sobre o paciente e a segurança que a família poderá proporcionar à criança (14) . (5) .…”

Validation of instruments about family presence on invasive procedures and cardiopulmonary resuscitation in pediatrics

“…In a cross-sectional study conducted in Brazil with 46 participants 6 regarding health professionals’ opinions regarding the family presence in the pediatric emergency room, the authors concluded that the medical team was more favorable than the nursing professionals. In addition, there was a statistically significant association between having less than ten years of time of graduation and the acceptance of this practice.…”

“…The results will enable proposing interventions that modify this reality. In the literature, there are several studies addressing this issue using several methodological approaches whose results can contribute to the theoretical basis of instruments to measure family participation in invasive procedures and in cardiopulmonary resuscitation 3 - 4 , 6 - 11 .…”