Transition of patients from intensive care units

Suelly dos Passos Antonio, Elizabeth Bernardino, Louise Bueno Lelli Tominaga, Otilia Beatriz Maciel Silva, Fabieli Borges, Danelia Gomez Torres

Abstract


ABSTRACT

Objective: to understand, from the perspective of the companions, the transition of the patients who were discharged from the Intensive Care Units. Method: this is a qualitative, exploratory study, performed through a semi-structured interview, with 30 companions of patients identified as primary caregivers. Data were transcribed and analyzed using the Content Analysis technique in the Thematic Analysis modality. Results: three categories emerged: "Continuity of information: the care provided by professionals impacting the perceptions of the companions"; "Situational transitions: changes in family situations and the redefinition of roles" and "Transitions in the health-illness process of being cared for: the companions experiencing the transition experience of the patient". Conclusion: fragilities were identified by the caregivers in the process of transition of patients from the Intensive Care Units to the infirmary, and these can be mitigated by the nurses' performance, who must know the profile of the patients under their responsibility and the family context to apply care practices, guidelines, and family support measures. Descriptors: Nursing Care; Continuity of Patient Care; Transitional Care; Family; Intensive Care Unit; Patient Rooms.

RESUMO

Objetivo: compreender, na perspectiva dos acompanhantes, a transição dos pacientes que receberam alta das Unidades de Terapia Intensiva. Método: trata-se de estudo qualitativo, exploratório, realizado por meio de entrevista semiestruturada, com 30 acompanhantes de pacientes identificados como cuidadores principais. Transcreveram-se e analisaram-se os dados pela técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: emergiram-se três categorias: “Continuidade da informação: o cuidado prestado pelos profissionais impactando as percepções dos acompanhantes”; “Transições situacionais: mudanças nas situações de família e a redefinição de papéis” e “Transições no processo de saúde-doença do ser cuidado: os acompanhantes vivenciando a experiência de transição do paciente”. Conclusão: identificaram-se fragilidades, pelos acompanhantes, no processo de transição dos pacientes das Unidades de Terapia Intensiva para as enfermarias, e estas podem ser mitigadas pela atuação do enfermeiro, que deve conhecer o perfil dos pacientes sob a sua responsabilidade e o contexto familiar para aplicar as práticas de cuidado, orientações e medidas de suporte à família. Descritores: Cuidados de Enfermagem; Continuidade da Assistência ao Paciente; Cuidado Transicional; Família; Unidade de Terapia Intensiva; Enfermaria.

RESUMEN

Objetivo: comprender, en la perspectiva de los acompañantes, la transición de los pacientes que recibieron alta de las Unidades de Terapia Intensiva. Método: se trata de un estudio cualitativo, exploratorio, realizado por medio de una entrevista semiestructurada, con 30 acompañantes de pacientes identificados como cuidadores principales. Se transcribieron y analizaron los datos por la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: surgieron tres categorías: "Continuidad de la información: el cuidado prestado por los profesionales impactando las percepciones de los acompañantes"; "Transiciones situacionales: cambios en las situaciones de familia y la redefinición de papeles" y "Transiciones en el proceso de salud-enfermedad del ser cuidado: los acompañantes viviendo la experiencia de transición del paciente". Conclusión: se identificaron fragilidades, por los acompañantes, en el proceso de transición de los pacientes de las Unidades de Terapia Intensiva para las enfermerías, y éstas pueden ser mitigadas por la actuación del enfermero, que debe conocer el perfil de los pacientes bajo su responsabilidad y el contexto familiar para aplicar las prácticas de cuidado, orientaciones y medidas de soporte a la familia. Descriptores: Atención de Enfermería; Continuidad de la Atención al Paciente; Cuidado de Transición; Familia; Unidad de Cuidados Intensivos; Habitaciones para Pacientes.


Keywords


Cuidados de Enfermagem; Continuidade da Assistência ao Paciente; Cuidado Transicional; Família; Unidade de Terapia Intensiva; Enfermaria

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DOI: https://doi.org/10.5205/1981-8963-v12i12a237705p3320-3326-2018



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