Practices of intensive care nurses in the face of technologies: analysis in the light of social representations

Abstract

The aim was to analyze the social representations of nurses' care practices in the face of the technologies applied to the clients hospitalized in intensive therapy. Qualitative field research in the framework of the social representations theory. Semi-structured interviews were held with 21 nurses of an intensive therapy unit at a public hospital in Rio de Janeiro. Thematic content analyses were applied, which showed that the technologies are devices that translate the signs from the client's body, which nurses base themselves on for care. The ways of assisting indicate bureaucratic and care actions demanded by the technologies, which imply detachment from and proximity to the client. It was concluded that there is an idealized image of the intensive therapy client linked to the technologies, organized in the professional training and supported by the clinic practice of the intensive therapy unit.

A Systematic Review of Qualitative Studies Exploring Lived Experiences, Perceived Impact, and Coping Strategies of Children and Young People Whose Parents Use Substances

“…As they aged and gained power, in terms of physical, relational, and emotional strength, young people reported mediating conflict, by putting themselves in harm’s way to protect their non-using parent or siblings and to defuse escalating arguments (Ahuja et al, 2003; Alexanderson & Näsman, 2017; Bancroft et al, 2004; Barnard & Barlow, 2003; Bernays & Houmøller, 2011; D’Costa & Lavalekar, 2021; Hagström & Forinder, 2019; M. Hill et al, 1996; Holmila et al, 2011; Houmøller et al, 2011; Johnson, 2013; McGuire, 2002; Moore et al, 2011; Nattala et al, 2020; Park & Schepp, 2018; Park et al, 2016; Ramírez Dávila et al, 2014; Ronel & Haimoff-Ayali, 2010; Silva & Padilha, 2013; Templeton et al, 2009; Tinnfält et al, 2018; Velleman et al, 2008). Some also tried to confront their parent about substance use or gave ultimatums (Backett-Milburn et al, 2008; Bancroft et al, 2004; Christensen, 1997; Hagström & Forinder, 2019; Holmila et al, 2011; Johnson, 2013; McGuire, 2002; McLaughlin et al, 2015; Nattala et al, 2020; Park & Schepp, 2017; Templeton et al, 2009; Turning Point, 2006; Yusay & Canoy, 2019).…”

“…Younger children were described as having hope that their parents had stopped for good while older children recalled “losing hope” after witnessing several failed attempts by their parents to stop. However, these children began to predict the unpredictable, and were better able to find a path through the insecurity ( Alexanderson & Näsman, 2017 ; Bancroft et al, 2004 ; Christensen, 1997 ; D’Costa & Lavalekar, 2021 ; Moore et al, 2010 ; Silva & Padilha, 2013 ; Yusay & Canoy, 2019 ).…”

“…Some children described trying to control their parent’s substance use by hiding or throwing away substances or hiding money ( Ahuja et al, 2003 ; Backett-Milburn et al, 2008 ; Bancroft et al, 2004 ; D’Costa & Lavalekar, 2021 ; Fraser et al, 2009 ; Hagström & Forinder, 2019 ; M. Hill et al, 1996 ; Moore et al, 2011 ; Nattala et al, 2020 ; Tinnfält et al, 2018 ). As they aged and gained power, in terms of physical, relational, and emotional strength, young people reported mediating conflict, by putting themselves in harm’s way to protect their non-using parent or siblings and to defuse escalating arguments ( Ahuja et al, 2003 ; Alexanderson & Näsman, 2017 ; Bancroft et al, 2004 ; Barnard & Barlow, 2003 ; Bernays & Houmøller, 2011 ; D’Costa & Lavalekar, 2021 ; Hagström & Forinder, 2019 ; M. Hill et al, 1996 ; Holmila et al, 2011 ; Houmøller et al, 2011 ; Johnson, 2013 ; McGuire, 2002 ; Moore et al, 2011 ; Nattala et al, 2020 ; Park & Schepp, 2018 ; Park et al, 2016 ; Ramírez Dávila et al, 2014 ; Ronel & Haimoff-Ayali, 2010 ; Silva & Padilha, 2013 ; Templeton et al, 2009 ; Tinnfält et al, 2018 ; Velleman et al, 2008 ). Some also tried to confront their parent about substance use or gave ultimatums ( Backett-Milburn et al, 2008 ; Bancroft et al, 2004 ; Christensen, 1997 ; Hagström & Forinder, 2019 ; Holmila et al, 2011 ;…”

Repercussões das tecnologias do cuidar nas unidades de terapia intensiva

“…The use of technological resources in Nursing care generates positive repercussions insofar as it provides more qualified information to nurses, allowing them to guide their behavior by means of objective data of the reactions of the body. 7 Nevertheless, it is noticed that the negative effects happen to the detriment of causing the professional's dependence on the information sent by the equipment, which promotes the gradual distance of the customer prioritizing the data provided by the machinery. In the face of this premise, bureaucratic and care lines of action start, especially in the bureaucratic tasks mediated by the clinical knowledge based on evidence and objective data destined to the recovery of the patient, causing the nurse to act in a protocolized way.…”

“…Therefore, the nurse-client interaction ends up in the background, and the use of light technology is little expected in ICU Nursing care. [7][8][9] On the other hand, other studies support the view that the devices incorporated in care, by providing information about patients' clinical status, enable client observation and enable the planning and organization of care that constitutes knowledge general. Therefore, technology contributes to the fundamental care of Nursing.…”