Possibilidade de acompanhar o atendimento emergencial na perspectiva da família: estudo descritivo

Abstract

Aim: to understand the perception of families regarding the possibility to accompany emergency care procedures of their beloved one. Method: this is a descriptive study, with a qualitative approach. The sample is composed by 16 accompanying families of people who were treated in emergency rooms of units located in three cities in the South of Brazil. The data was collected in August 2015, through audio recorded interviews, later transcribed, and sent to analysis of content based on the themes. Results: the relatives mentioned they would have liked to accompany their beloved ones during emergency care. They believed that they could have demonstrated support to the patient, and they would have understood better the clinical condition.Yet, the fact they were not present during emergency care demonstrated the presence of feelings, such as sadness, despair, impotence, and feelings of family abandonment. Final considerations: health professionals of emergency rooms need, according to the possibilities present in the units, allow that families are near to their beloved ones during care procedures.

Vivência Familiar Do Atendimento De Emergência

“…Mesmo nos casos de sobrecarga do cuidado crônico, rotineiramente, as famílias desejam estar com o paciente (13) . Logo, ao vivenciar uma situação de doença/agravo inesperado ou agudização de condição crônica em um de seus membros, a família requer atenção, pois, na maior parte dos casos, sente-se desamparada, frágil e impotente (9) . Nesse sentido, os achados deste estudo permitiram identificar demandas assistenciais que as famílias de pacientes gravemente enfermos apresentam durante a prestação da assistência, as quais, por vezes, não são consideradas pelos profissionais de saúde dos serviços emergenciais.…”

“…Nessa conjuntura, quando inquiridas, as famílias dos pacientes classificaram a necessidade de informação compartilhada, comunicação hábil, apoio e proximidade com seus entes como prioridades na assistência recebida (1,9) . Pensar e repensar a família em situações altamente estressoras para o núcleo familiar, como é o caso do atendimento emergencial a um de seus membros, na perspectiva do cuidado centrado na família, e intervir diante do sofrimento familiar identificado, tem se tornado uma exigência crescente na área da saúde e, especificamente, da enfermagem, tanto no âmbito da prática e do ensino, como da pesquisa (10) .…”

A Corbin and Strauss Grounded Theory on the Experiences of Patients, Relatives, and Health Professionals About the Family Presence During Emergency Care

“…8,9 This may be so because they recognize that this presence promotes a safer context, trust, and peacefulness, helping the coping process of the situation. 7,8 Family presence has also been identified by some professionals as beneficial because it promotes care focused on all dimensions of the person, not only the physical but also the psychosocial and spiritual. 10 This approach is related to what the Family Systems Nursing recommends, since professionals use a more expanded conceptual lens, beyond the individual/patient, focusing on their performance in family competencies and forces.…”

“…[18][19][20] In Latin America, the scenario is not different. Studies conducted in Chile, 21 Experiences of Family Presence During Emergency Care E3 Colombia, 22 Mexico, 23 Argentina, 24 and Brazil 7,25 point out that the family inclusion in emergency care continues to occur in a variable, inconsistent, and nonsystematized way. This may occur because families may be seen as potential evaluators of patient care, and professionals could fear being judged, and even receive a claim in the case of a medical error; professionals may believe that family members can hinder, or even be traumatized, with the clinical procedures performed on the patient; they may fear for the violation of confidentiality of care; also, they believe that families can interfere in the training of the newest professionals or externship of medical and nursing students; finally, many professionals believe that family presence intensifies the feeling of stress in the team when caring for a dying patient.…”

“…Since the publication of the first report by Doyle et al,5 interest in the subject has grown globally. The available evidence suggests that family members, when present, experience a protective emotional effect, minimizing the traumatic damage inherent to the feeling of powerlessness 6,7. Family presence also satisfies the need for relatives to “be with” their close family members during the experience of acute and life-threatening illness,8 because, among other aspects, they wish to provide information about the patients' clinical status and health history, obtain information from health professionals, offer the patients emotional and spiritual well-being, and even have the possibility of saying goodbye to their loved one in a situation of deteriorating health and imminent death 6…”