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

Abstract

ABSTRACT:The objective was to understand the perception of family members who experienced an emergency situation in relation to their presence or not during the child's treatment in the Pediatric Emergency Department. A qualitative study developed in a Pediatric Emergency Department. The study subjects consisted of ten relatives who had experienced an emergency situation. Data collection was through semi-structured interviews and data were submitted for thematic content analysis. The results showed that among the ten relatives interviewed only one said that they preferred not to remain with the child during the emergency situation. Regarding the clinical condition of the children, five of them had special health care needs. Previous negative situations had influenced the family member's choice of staying during the assistance. Considering the benefits of family presence, it is recommended that nursing teams develop strategies which can facilitate the inclusion of the family in child care in any situation, while respecting the uniqueness of each person. El objetivo fue conocer la percepción de la familia que vivió una situación de emergencia con respecto a su presencia o no en el cuidado de niños en la Sala de Emergencia Pediátrica. Estudio cualitativo desarrollado en la Sala de Emergencia Pediátrica con diez familiares que experimentaron una situación de emergencia. La recolección de datos fue través de entrevistas semiestructurados y ellos fueron sometidos a análisis de contenido temática. Mostraron que de los diez familiares entrevistados, sólo uno dijo que no prefiere permanecer con el niño durante la emergencia. Acerca de la situación clínica de los niños, cinco de ellos tenían necesidades especiales de salud. Situaciones negativas anteriores influenciaron en la elección de permanecer durante la asistencia. Teniendo en cuenta los beneficios de esta permanencia, se recomienda que la enfermería desarrolle estrategias que faciliten la inclusión de la familia, respetando la singularidad de cada persona. DESCRIPTORS: DESCRIPTORES:Niño. Familia. Cuidadores. Servicios médicos de emergencia. Enfermería pediátrica.

Decidindo “caso a caso” a presença familiar no serviço de atendimento emergencial

“…(7,13,14) In the Brazilian context, FCC is still very incipient, not implemented in health services, or discussed in vocational education. (15,16) In this investigation, the professionals emphasized that the complexity of the invasive procedures, the severity of the clinical condition, and the possibility of death were determinants for the family's withdrawal from the ER, which is in line with the results of studies conducted in Brazil (17) and Australia. (5) However, it is also understood that the family presence should be promoted when the patient has little chance of survival, so that they can say goodbye.…”

Meanings attributed by family and patients to family presence in emergency rooms

“…Regarding benefits for patients, results of this study indicate that family presence functions as an important strategy for support. The understanding that family presence supports the patient by promoting maintenance of physical and emotional contact among the family-patient binomial has also been reported in other studies with family members (9,11,24) and patients (8,13) . Therefore, allowing family members to accompany them increases the chance of them supporting their loved ones, giving them security, comfort and calmness, reducing, consequently, fears, anguish and anxiety (8)(9)11,13,24) , common feelings in patients admitted to emergency units.…”

Representações sociais sobre cateterismo periférico pediátrico na perspectiva da família e enfermagem

“…A pena foi compreendida como um sentimento de misericórdia, representando o cuidado, preocupação com o outro no momento da PVP diante do medo e do choro das crianças e da atuação dos profissionais de enfermagem que assistem/cuidam em diferentes condições de tratamento/reabilitação e níveis de sofrimento 3,26 . O nervoso, sentimento do acompanhante frente ao sofrimento repetitivo da criança ocorre pela perda do papel de cuidador durante a hospitalização, o que culmina com comportamentos agressivos e negação dos procedimentos ameaçadores 3,30 .…”

“…A Punção Venosa Periférica (PVP) constitui-se num procedimento de atribuição da equipe de enfermagem e destaca-se entre as tecnologias imprescindíveis para garantir a sobrevivência e a terapia das comorbidades agudas/crônicas infantis atrelada as habilidades e competências específicas quando executada no ambiente hospitalar no público infantil que deve ser acompanhada por um responsável durante o período de internação conforme assegurado em lei [1][2][3] .…”