Modos de ser de profissionais de enfermagem em terapia intensiva pediátrica

Abstract

Objective: to understand the experiences of Nursing professionals with the families of children hospitalized in a pediatric intensive care unit. Method: this is a qualitative study, using the analysis of the structure of the situated phenomenon as a methodological reference, carried out with 19 Nursing professionals working in the pediatric intensive care unit, of a public hospital in the state of São Paulo. We analyzed the speeches from the interviews according to the guidance of Martins and Bicudo. Results: two thematic categories emerged: "The family-being important for children in the pediatric intensive care unit"; "Being-yourself in the technique mode in family care in the pediatric intensive care unit". Discussion: the inclusion of the family does not happen in the studied unit because despite perceiving the benefits that the families bring to the child, they let it appear that they do not truly understand the importance of the presence of the family in the pediatric intensive care unit, revealing a long way to go. This is because professionals will need to be equipped to share this care, which is currently the sole responsibility of the Nursing team. Conclusion: this study revealed that

O cuidado centrado na família em unidade de terapia intensiva neonatal: Conceções dos técnicos de enfermagem

“…The neonatal nursing team's practice still limits parents' participation by requesting that they leave during procedures in which they could be present, such as infusion therapy and several other procedures which their presence does not hinder. This situation is also observed in studies that broaden the discussion on family participation by integrating them into care planning and delivery, including during cardiopulmonary resuscitation and tracheal intubation (Silva et al, 2020).…”

Support group for families with children in a pediatric intensive care unit

“…The creation of the group occurred after the analysis of the results of two studies conducted in the unit, which stimulated nurses to promote an intervention aiming to meet the care demands of families of children in PICU (4)(5) . Initially, meetings were held with the multi-professional team of the unit, managers, and teachers to present the proposal and outline the steps for its implementation.…”

“…Understanding the aspects mentioned above and considering the context of the intensive care unit where the study was developed, it was identified the need to provide support, by the initiative of nurses of the unit, based on the results of two studies conducted there, in which it was evidenced the lack of support and difficulty of the relationship between staff and family (4)(5) .…”

“…The first study carried out in the unit was conducted with grandparents of hospitalized children and found that the unmet demands are sources of pain and suffering, especially the lack of information about the grandchild's health (4) . The second study based on the experiences of nursing professionals regarding the presence of the family in the unit revealed that the inclusion of these members in care does not occur because the nursing team shows that it does not truly understand the importance of the family (5) . In this scenario, families did not have any type of support strategy, reception, or resources to stay full-time with the child.…”