As dimensões do cuidado em uma unidade de queimados: um estudo etnográfico

Abstract

Este estudo etnográfico teve como objetivo compreender as perspectivas culturais dos profissionais de enfermagem que atuam em uma Unidade de Queimados sobre cuidado do paciente vítima de queimaduras. Os dados foram coletados por meio de observação e entrevistas e interpretados de acordo com a perspectiva de Bourdieu, que utiliza os conceitos de habitus e campo para compreender os comportamentos que expressam o que está interiorizado pelas pessoas que fazem parte de um grupo social. Para desempenhar o cuidado, os profissionais agem de acordo com formas que já interiorizaram, como sofrer junto, ser firme e, ao mesmo tempo, atencioso e carinhoso.

Biopsychosocial factors that interfere in the rehabilitation of burn victims: integrative literature review

“…Hence, it is important to highlight that, although less studies included in this review identify it, the team is also appointed as a social and emotional support source in some level VI studies (23,(29)(30) and considered an important support for the accomplishment of physical care as well as the creation of an emotionally safe place in institutions (21) . The characteristics of this team appointed in the studies were: multifactorial and interdisciplinary work (35) ; identification of previous history of interaction with significant people and patients' individual aspects, helping with rehabilitation (9) , gentle and attentive care delivery, enhancement of psychological support and greater sensitivity to identify patients' real needs (29) .…”

“…The characteristics of this team appointed in the studies were: multifactorial and interdisciplinary work (35) ; identification of previous history of interaction with significant people and patients' individual aspects, helping with rehabilitation (9) , gentle and attentive care delivery, enhancement of psychological support and greater sensitivity to identify patients' real needs (29) . Also related with the team and its activities, in this study, adequate analgesics were identified as a determining factor for rehabilitation (5,(27)(28)(29) .…”

“…According to two studies with a correlation design (evidence level VI), emotional support is associated with better rehabilitation and quality of life (37)(38) (12,(20)(21) , family (7,12,20,(22)(23)(24) , friends (7,20,22) , significant relationships (9,(24)(25)(26)(27) ; religion (23) ; spirituality (7,20,28) , psychological (29)(30) ; community (26,(31)(32)(33) ; economic (27,34) E-VII family (35)(36) ; friends (35) related with better integration in domestic and social activities, as burns victims would perform their activities independently (39) .…”

“…Factors related with the treatment experience, including painful procedures experienced while in hospital, involvement in self-care and unreal expectations in the rehabilitation phase, are shown in Figure 3 and were mentioned in four studies. E-VI Meanings attributed to procedure experience during hospitalization (9,29) ; self-care encouragement (31) E-VII Unreal expectations during rehabilitation (45) E-VI Post-traumatic stress (6,10,46) anguish (30,33,47) ; psychological vulnerability and feelings of threat (30) ; anxiety (12,31) ; dissatisfaction with body image (48)(49) ; depressão (25,34) E-VII Post-traumatic stress (45) Factors related with burn trauma and severity…”

Desgaste da equipe de enfermagem no centro de tratamento de queimados

“…* The heart is considered a body sense to influence the perception of other senses In this sense, a study (9) observed that the attitudes of the team can directly interfere in patients' adjustment to the admission process, they can also interfere in the cultural meaning of pain and in the care of the clienteles' pain complaints (7,10) . The studies indicate a critical/reflexive practice to improve interpersonal and care relations (7,10) .…”