Dificuldades vivenciadas pela equipe multiprofissional na unidade de terapia intensiva

Abstract

This interpretative case study aimed to identify the difficulties experienced by the patient care team while working at the Intensive Care Unit. Data were collected through participant observation and semistructured interviews with doctors, nurses and nurse's aides. Two major categories emerged from the data analysis: Care delivery in intensive care-- "it is difficult to deal with death and inform the patient's family" and care delivery in intensive care-- "the lack of material resources and the difficulty to work in a team". The difficulties are related to the contact with family members, dealing with death and the lack of material resources, and particularly with the relation between team members. Therefore, teams need to promote opportunities and discussions to reflect on the technical, scientific and ethic aspects of care for critical patients as well as family members, with a view to better care quality and interpersonal relations.

Nurses' work in intensive care units: feelings of suffering

“…Nursing demands collectivity, cooperation, commitment, responsibility and other traits, especially in ICUs, which, due to the patients' severity, demands the ability to handle highly complex equipment, make constant clinical evaluations, perform actions in an accelerated work rhythm, perform complex procedures, and make immediate decisions, most of the time (1,14) .…”

“…In ICUs, activities are so intense that it is essential to have a united, harmonious, and committed team offering quality care, and there must be a solid base for constructive communication, friendship, and mutual respect (14) .…”

Tecnologia em ambiente de terapia intensiva: delineando uma figura-tipo de enfermeiro

“…Occasionally, these situations arouse feelings of frustration in the nurses, resulting from the fact that the client's life is not maintained, although all available resources are used, something that is stimulated in professional education (12) .…”

Vivência de familiares de pacientes internados em unidades de terapia intensiva

“…Studies showing how it is experienced: by denial, use of mechanisms to forget what has happened, defined as a stressing factor, aspect that has to be controlled in the name of professionalism stimulates impersonality that isolates professionals from the reality of pain and suffering. [13][14][15][16] Such attitudes lead to the persistence of a breach between the family and the team. The family lives the threat of death and the team avoids this threat without devising strategies to accept it at this moment.…”