Inter-professional collaboration in an Intensive Care Unit: Challenges and opportunities

Abstract

To understand the relationship between health professionals in an intensive care unit, to explore the inter-professional collaboration. Methods: it is a qualitative study, inspired by the Hermeneutics Phenomenology of Paul Ricoeur, for the production of knowledge. Interviews were conducted with 36 intensive care professionals of a tertiary public hospital. Results: the professionals are satisfied with the work, and there is a commitment to provide quality care despite organizational boundaries such as precarious employment relationships and turnover of professionals. The inter-professional collaboration is an indispensable factor for assistance, but in practice is not effective most of the times by the absence of provisions for the integration of the team, leadership presence, as well as the overcrowding of services that overwhelm health workers. Conclusion: while recognizing the need for inter-professional collaboration, professionals do their work even in a very individualized way, with no strategies to boost this cooperation.

Knowledge of critical care nurses about the process of brain death diagnosis

“…In contrast with the reality presented in the abovementioned study, it is noticed that all professionals participating in the research have satisfactory knowledge on brain death, demonstrating knowledge and experience to answer questions, allowing the construction of speeches with consistent content on the topic discussed, evidencing a different profile from those reported in literature (5) . Such fact might be explained by the existence of an Intra-Hospital Committee of Organ and Tissue Donation for Transplantation in the hospital where the research took place, which develops health education activities on brain death and other topics related to organ donation.…”

“…For the process for brain death certification, the patient must be in an intensive care unit, assisted by competent and qualified multidisciplinary team, since the late recognition of this process may lead to hemodynamic instability or cardiac arrest, hindering the organ donation, in case they are potential donors. Therefore, it is essential that professionals who work in Intensive Care Units are able to perform complex activities and have the scientific technical competence needed to perform the assistance comfortably and safely, showing confidence in their practices, demanding the awareness and continuing education of the team (4)(5) .…”

Educação Interprofissional em Saúde: Revisão Integrativa da Literatura Brasileira (2008-2018)

“…As referências enquadradas no primeiro eixo temático sublinham a importância, na visão de diferentes profissionais de saúde, das práticas colaborativas para a melhoria da atenção em saúde, mas apontam a existência de obstáculos devido a questões organizacionais e relacionais (Araújo & Galimbertti, 2013;Barros & Ellery, 2016;Caram, Rezende, & Brito, 2017;Souza, Peduzzi, Silva, & Carvalho;Faquim & Frazão, 2016;Goulart, Camelo, Simões, & Chaves, 2016;Previato & Baldissera, 2018). A lógica hierárquica e verticalizada ainda presente em muitos serviços de saúde foi apontada como o obstáculo organizacional que mais dificulta a atuação interprofissional, uma vez que, contrariando as premissas da EIP, confere maior relevância a certos saberes em detrimento de outros (Arruda & Moreira, 2018;Bispo Júnior & Moreira, 2018;Freire Filho, Costa, Magnago, & Forster, 2018;Oliveira, Lemes, Machado, Silva, & Miranda, 2010;Valadão, Lins, & Carvalho, 2017).…”

“…Outro importante obstáculo organizacional à implementação da EIP, segundo os participantes das referências de Arruda e Moreira (2018), Bispo Júnior e Moreira (2018), Caram et al (2017), Pirolo, Ferraz e Gomes (2011) e Peixoto e Brito (2015), diz respeito à inexistência de dispositivos formais capazes de fomentar a comunicação em muitos serviços de saúde, uma vez que a troca de informações foi reconhecida como fator imprescindível para a operacionalização de práticas colaborativas. Constatou-se que, comumente, profissionais de saúde se queixam da falta de horários e espaços físicos regulares para reuniões de equipe (Barros & Ellery, 2016;Peduzzi, Brígida, Mandú, Souza, & Silva, 2011;Reis et al, 2016;Rocha, Barreto, & Moreira, 2016). E, como exposto na referência de autoria de Previato e Baldissera (2018), tal situação pode ser enquadrada de fato como problemática, levando-se em conta que as reuniões de equipe se afiguram como um dispositivo formal potencialmente benéfico à organização dos serviços de saúde.…”

Pharmacist contribution in the multidisciplinary team in a neonatal intensive care unit

“…It is worth mentioning that in the development of the pharmaceutical treatment plan for neonates the following "actors" were considered: pharmacist, other professionals of the multiprofessional team, and newborns and their mothers, being the integration of these actors of extreme importance for the clinical practice, as the collaborative practice happens when several health professionals work together with patients, family, caregivers and community to provide quality assistance (Ellery, 2014;Barros & Ellery, 2016). Research, Society and Development, v. 9, n. 11, e2439119878, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i11.9878…”