Humanization in the Intensive Care: perception of family and healthcare professionals

Abstract

Objective: Understanding perceptions of family members and healthcare professionals about humanization at the Intensive Care Unit (ICU) to direct it to an educational action. Method: Exploratory descriptive and qualitative study conducted in an ICU level 3 of a public hospital in Porto Alegre, RS, Brazil, with fourteen subjects, eight family members and six healthcare professionals. Data collection carried out through semi-structured interviews and focus group. Content Analysis was used. Results: Emerged categories were: welcoming; communication; ethical and sensible professionalism; unfavorable aspects; perception on humanization; and religiosity/spirituality. Final considerations: Although the subjects have expressed their perceptions about humanization in different ways, both groups pointed out the same needs and priorities to improve humanization in Intensive Care. From the results, we created a refl ective manual of humanizing assistance practices for professionals, a board to facilitate communication of these professionals with patients and a guideline book for family members. Descriptores: Assistance Humanization; Critical Care; Health Education; Professional-Family Relationship; Health Personnel. RESUMO Objetivo: Compreender as percepções de familiares e profi ssionais de saúde sobre humanização na Unidade Terapia Intensiva (UTI) para direcionar a uma ação educativa. Método: Estudo exploratório-descritivo qualitativo, realizado em uma UTI nível III de um hospital público de Porto Alegre/RS com 14 sujeitos, sendo oito familiares e seis profi ssionais de saúde. Coleta de dados realizada por meio de: entrevistas semiestruturadas e grupo focal. Utilizou-se Análise de Conteúdo. Resultados: As categorias emergidas foram: acolhida; comunicação; profi ssionalismo ético e sensível; aspectos desfavoráveis; percepção sobre humanização; e religiosidade/espiritualidade. Considerações fi nais: Apesar dos sujeitos expressarem de maneiras distintas suas percepções sobre humanização, os dois grupos comparados elencaram iguais necessidades e prioridades para o aprimoramento da humanização na Terapia Intensiva. A partir dos resultados, criou-se um Manual Refl exivo de práticas assistenciais humanizadoras para os profi ssionais, um tabuleiro para facilitar a comunicação destes profi ssionais com os usuários e um guia de orientações aos familiares. Descritores: Humanização da Assistência; Cuidados Críticos; Educação em Saúde; Relações Profi ssional-Família; Pessoal de Saúde. RESUMENObjetivo: Comprender las percepciones de familiares y de los profesionales de salud acerca de la humanización en la unidad de cuidados intensivos (UCI) a fi n de determinar una acción educativa. Método: Estudio exploratorio-descriptivo cualitativo, llevado a cabo en la UCI nivel III de un hospital público de Porto Alegre, Brasil, con catorce personas: ocho familiares y seis profesionales de salud. Para la recolección de datos se empleó entrevistas semiestructuradas y grupo focal, además del análisis de contenido. Resultados: Aparecieron l...

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Professional-Family Communication in a Children’s Psychosocial Care Center: Practicalities and Difficulties

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Humanização dos cuidados de saúde no serviço de urgência: análise qualitativa baseada nas experiências dos enfermeiros

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