Family centered care in emergency departments: perception of brazilian nurses and doctors

Abstract

Cuidado centrado na família em unidades emergenciais: percepção de enfermeiros e médicos brasileirosCuidado centrado en la familia en unidades de urgencias: percepción de enfermeros y médicos brasileños Mayckel AbstrActObjective: To know the perception of doctors and nurses working in Emergency Care Units (ECU, in Brazil known as "UPA") on Family Centered Care (FCC). Methods: Descriptive study with qualitative approach conducted in two emergency units in Southern Brazil. Participated 32 health professionals, whose speeches were recorded, transcribed and subjected to content analysis. Results: The majority of respondents was unaware of the FCC, however, perceived it as a practice which values the family presence and allows its insertion in care. Many believed to be difficult to implement the FCC in Brazilian UPA, due to professional unpreparedness on the subject, high numbers and turnover of patients, the small physical space and socio-cultural profile of the population served. Conclusion: There is an urge for discussion of this care reference with managers and professionals, so that gradually, and to the extent of its possibilities, care to families in emergency units is expanded. Participaron 32 profesionales, cuyos discursos fueron grabados y transcritos para posteriormente ser analizados a través de análisis de contenido. Resultados: La mayoría de los participantes desconocía el CCF, pero lo percibía como una práctica que valora la presencia de la familia y permite su inserción en el cuidado. Muchos expresaron la dificultad de implementar el CCF en las UCU de Brasil, debido a la falta de preparación profesional, el alto flujo de pacientes, falta de estructura física y el perfil socio-cultural de la población. Conclusiones: Se considera necesario que tanto los gerentes como los profesionales conozcan el marco conceptual del CCF para promover la implantación de prácticas centradas en la familia en UCU.

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

“…The 30 participants were equally divided between patients and family members. Eight patients were female; nine were between 19 and 59 years old and the other six were between 60 and 77 years old; nine had an employment relationship; eight had up to four years of study; and nine, low family income -up to a minimum wage per capita 1 . The reasons that triggered the search for the service involved neurological, cardiac, respiratory and automobile accidents.…”

“…Family-centered care presupposes that patients' relatives are integrated into care and decision-making, including during hospitalization for acute and severe diseases (1) . Specifically, family presence during emergency care, defined as the permanence of one or more relatives in a place that allows visual and/or physical contact with the patient during the performance of procedures in Emergency Rooms and Intensive Care Units, is a recent and not yet fully established practice (2)(3) , but has over the years been increasingly endorsed by important international critical care organizations (4)(5)(6) .…”

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

“…By recognizing the importance of the family in the user's life, it can help modulate government health policies and programs; elaborate institutional projects, rules and routines; evaluate health care; and direct daily interaction between professionals, users and family members. 27 In this sense, mastery and a greater appropriation of communication and its elements would contribute to the family's cooperation to the service, as well as facilitate the relationship among the individuals involved in the care process.…”

Family centered care and practice in the neonatal intensive care unit

“…A study carried out with Brazilian physicians and nurses concluded that professionals present difficulties in implementing this approach due to inadequate physical space, lack of preparation about the subject, absence of permanent education programs that address the issue, and the sociocultural profile of the population. Family centered care is still very incipient, it does not appear at various times involving the various levels of health care, much less is discussed in vocational training (7) .…”