Clínica do cuidado de enfermagem na terapia intensiva: aliança entre técnica, tecnologia e humanização

Silva, Rafael Celestino da; Ferreira, Márcia de Assunção

doi:10.1590/s0080-623420130000600011

Cited by 19 publications

(15 citation statements)

References 13 publications

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“…Caring involves giving 'so much care to the patient with the computer' (Almerud et al, 2008, p. 134), and '…looking at them from the baseline, by looking at the gases, and… at the patient overall' (Crocker & Timmons, 2009, p. 57). Technology was also the means by which the critical care nurse remains almost constantly present at the bedside (Almerud et al, 2008;da Silva & Ferreira, 2013;McGrath, 2008;Price, 2013;Walters, 1995). However, there was also acknowledgement of the risk of nurses giving '…too much focus to the devices' (Tunlind et al, 2015, p. 120) and becoming dependent on the technology; '…you do get very reliant on the machinery because they make you feel safe and in control' (Alasad, 2002, p. 410).…”

Section: Sometimes Machines Get All the Attentionmentioning

confidence: 99%

“…Although nurses across the studies acknowledged their responsibilities in developing caring relationships with patients, the episodes of care wherein the equipment and machinery were considered by nurses to take centre stage over other aspects of nursing care demonstrate the very real risk of depersonalising patients. The studies exposed that nurses felt much of their time was spent caring for machines (Alasad, 2002;Almerud et al, 2008;Crocker & Timmons, 2009;da Silva & Ferreira, 2013;Häggström, Asplund, & Kristiansen, 2013;Kongsuwan & Locsin, 2011;Price, 2013;Tunlind et al, 2015;Wilkin & Slevin, 2004). This meant that nurses often worried 'more about the machines' (Kongsuwan & Locsin, 2011, p. 106), avoided undertaking some nursing care in case of disconnecting dialysis or other connections (Tunlind et al, 2015, p. 120), had limited time available for 'the little things that make patients comfortable' (Alasad, 2002, p. 411) and worried that 'it's not the patient who is most important' (Almerud et al, 2008, p. 133).…”

Section: Sometimes Machines Get All the Attentionmentioning

confidence: 99%

“…Their care as a result focuses on the technology and not the patient (Kongsuwan & Locsin, 2011) because they need technology in an effort for 'full control' (Häggström et al, 2013, p. 512 holding less, rather than more prominence in their provision of patient care, in order to 'to see the patient first' (Tunlind et al, 2015, p. 120) and 'have no problem reducing the technology for a patient' (Häggström et al, 2013, p. 512). This relates to the experience that develops with technological competence (McGrath, 2008) and knowing that 'caring is technological' (Alasad, 2002, p. 410), but also that '…technology is dumb; it needs care' (da Silva & Ferreira, 2013, p. 1327. With increasing experience, critical care nurses are able to bring the patient centre stage and keep technology in perspective in their caring endeavours, '…you mustn't lose sight of the pressure area care, the comfort, the reassurance…' (Alasad, 2002, p. 411) while being cognisant that 'Technology assists us to know the patient more and be with the patient more but we may not be more interested in really knowing the patient' (Kongsuwan & Locsin, 2011, p. 106).…”

Section: With Experience the Patient Becomes The Focusmentioning

confidence: 99%

“…Initially, a scoping search was undertaken to help guide the focus of this qualitative evidence synthesis (Flemming, Booth, Garside, Tunçalp, & Noyes, 2019). The scoping search revealed a number of qualitative studies presenting nurses' struggle with finding a balance when caring in a highly technological environment (Bagherian, Sabzevari, Mirzaei, & Ravari, 2017;Da Silva & Ferreira, 2013;McGrath, 2008;Price, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis

Crilly

Dowling

Delaunois

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To synthesise the available body of qualitative evidence relating to nurses' perceptions and experiences of care provision in adult critical care environments. Methods The study adhered to ENTREQ (Confidence in Evidence of Reviews of Qualitative Research) guidelines. See Appendix S1. A systematic search of the literature in nine databases was undertaken: CINAHL, Web of Science, MEDLINE, EMBASE, PsycINFO, Campbell Collaboration, ProQuest A & I, DART and Lenus. Blind screening to select relevant studies was undertaken, and each selected study was assessed for quality using the Critical Appraisal Skills Programme framework. Guided by Thomas and Harden's three‐stage approach to thematic analysis, line‐by‐line coding of participants' verbatim accounts and the researchers' interpretations in the selected studies' findings was undertaken and then organised into higher order analytical themes. Confidence in the findings was reviewed using GRADE‐CERQual. Results Twelve studies reported in thirteen papers, including 122 nurses, were selected in the final sample for synthesis. Three analytical themes were identified: (a) sometimes machines get all the attention, (b) with experience the patient becomes the focus and (c) technology can't save everybody. Conclusions Providing care for adult patients in a highly technological environment is challenging particularly for novice nurses, who face the potential of technology drawing all their attention. Experienced critical care nurses learn to keep technology in abeyance and deliver person‐centred care within the bounds of a technological environment. Relevance to clinical practice The review supports Locsin's theory of technological competence and highlights that providing care in critical care requires nurses to actively balance attention for the person while managing machines. Experienced nurses achieve this balance and can offer support to novice nurses. Critical care nurse orientation programmes should be underpinned by a holistic approach which addresses the dualism of technology and care.

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Section: Sometimes Machines Get All the Attentionmentioning

confidence: 99%

Section: Sometimes Machines Get All the Attentionmentioning

confidence: 99%

Section: With Experience the Patient Becomes The Focusmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis

Crilly

Dowling

Delaunois

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

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“…Hoje sem a tecnologia seria mais difícil porque ela nos permite fazer outras coisas, você pode escrever mais, você pode observar mais." (E 6) Em estudo qualitativo sobre técnica, tecnologia e humanização na enfermagem emergiu como categoria a "observação da linguagem tecnológica", como requisito para a avaliação e o cuidado de pessoas, no que tange à interface com o maquinário (17) . Esse mesmo estudo atrela a subjetividade e a objetividade, traduzidas em interação, diálogo, princípios humanísticos, vigilância, conhecimento e finalmente, domínio do maquinário.…”

Section: Categoria 3: As Vantagens Do Aparato Tecnológicounclassified

A enfermagem nas unidades de terapia intensiva: o aparato tecnol�gico versus a humaniza��o da assist�ncia

Donoso¹,

Souza²,

Matos

et al. 2017

R. Enferm. Cent. O. Min.

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RESUMOObjetivo: conhecer a percepção dos profissionais de enfermagem de unidade de terapia intensiva sobre as peculiaridades do avanço tecnológico. Método: trata-se de estudo de abordagem qualitativa. Foi realizado na unidade de terapia intensiva de hospital de grande porte de capital brasileira. A entrevista aberta foi utilizada como instrumento de coleta de dados. A população foi constituída por enfermeiros e técnicos de enfermagem que atuam neste setor. A amostra foi definida pelo critério da saturação, alcançada na 19º entrevista. Os dados foram tratados conforme critérios da análise de conteúdo. Resultados: seis categorias emergiram à análise das entrevistas. Foram estas: A dinâmica da UTI como consequência da evolução do aparato tecnológico; As limitações do aparato tecnológico disponível; As vantagens do aparato tecnológico; A relação entre o cuidado e o aparato tecnológico; As dificuldades relacionadas ao domínio do aparato tecnológico e As dificuldades relacionadas ao prontuário informatizado. Conclusão: o cuidado deve ser assessorado por equipamentos, mas conduzido por pessoas. Além disso, o obsoleto é sentido como desvantagem: os profissionais reivindicam melhorias em detrimento do tradicional, na busca não só da qualidade da assistência, mas também do bemestar dos profissionais. Pode-se harmonizar humanização do cuidado à evolução da tecnologia e da ciência. Descritores: Unidade de terapia intensiva; Enfermagem; Tecnologia; Pesquisa qualitativa. ABSTRACTObjective: To know the healthcare professionals' perception on the peculiarities of technological advancement in intensive care unit. Method: A qualitative study carried out at the intensive care unit of a large hospital of Brazilian capital. The open interview was used as data collection instrument. The population consisted of nurses and nursing technicians working at that ICU. The sample was defined by saturation criteria, which was achieved with 19 interviews. The data were processed by content analysis. Results: Six categories emerged from the analysis: The ICU dynamics as a consequence of the evolution of technological apparatus; the limitations of the technological apparatus; the advantages of the technological apparatus; the relation between care and technological apparatus; the difficulties related to the field of technological apparatus, and the difficulties related to computerized medical records. Conclusion: Care should be aided by equipment, but directed by people. In addition, the obsolete is recognized as a disadvantage: professionals claim improvements over the tradition, seeking not only care quality, but also the personnel's welfare. It is possible to pair care humanization with the evolution of technology and science. Descriptors: Intensive care unit; Nursing; Technology; Qualitative research. RESUMENObjetivo: Conocer la percepción de los profesionales de enfermería de la unidad de cuidados intensivos sobre las peculiaridades de los avances tecnológicos. Método: se trata de un estudio cualitativo. Fue realizado en la unidad de cuidad...

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Development and Validation of the Humanistic Practice Ability of Nursing Scale

Jin-hua

Zhou

Wang

et al. 2021

Asian Nursing Research

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The purpose of this study was to develop a Humanistic Practice Ability of Nursing (HPAN) scale adapted to China and validate its psychometric properties. Methods: The original HPAN scale was revised through a literature review. Sixteen experts who met the inclusion criteria were consulted 2 rounds by the Delphi method. According to their suggestions and opinions, the structure, content, and semantics of each item of HPAN were modified, and a HPAN scale was preliminarily developed. The HPAN scale was validated through item analysis, exploratory factor analysis, convergent validity, and reliability. The data came from 406 first-class hospital nurses. Results: A 5-dimension, 29-item HPAN scale demonstrated satisfactory fit with significant factor loadings. The split-half reliability coefficient of the scale was .98, the split-half reliability coefficient of each dimension was .86e.99, Cronbach's a coefficient was .96, and the Cronbach's a coefficient of each dimension was .87e.98. The model fit of the scale was good, and the items of the scale showed convergent and discriminant validity. Conclusion:The HPAN scale indicated that the reliability and validity were good. It is easy to imply factors of HPAN. This scale can be used to assess the HPAN.

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Clínica do cuidado de enfermagem na terapia intensiva: aliança entre técnica, tecnologia e humanização

Cited by 19 publications

References 13 publications

Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis

Critical care nurses' experiences of providing care for adults in a highly technological environment: A qualitative evidence synthesis

A enfermagem nas unidades de terapia intensiva: o aparato tecnol�gico versus a humaniza��o da assist�ncia

Development and Validation of the Humanistic Practice Ability of Nursing Scale

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