ADVOCACY IN INTENSIVE CARE AND HOSPITALIZATION BY COURT ORDER: WHAT ARE THE PERSPECTIVES OF NURSES?
AUTOR(ES)
Luz, Kely Regina da
FONTE
Texto contexto - enferm.
DATA DE PUBLICAÇÃO
24/10/2019
RESUMO
RESUMO Objetivo: analisar como enfermeiros intensivistas têm exercido a advocacia do paciente diante da necessidade de internação em unidade de terapia intensiva por ordem judicial, perante in/viabilidade de leito. Método: pesquisa qualitativa exploratória, analítica. Os dados foram obtidos através da realização de entrevistas com 42 enfermeiros, selecionados mediante amostragem por bola de neve, entre janeiro e dezembro de 2016. As entrevistas foram analisadas mediante elementos da Análise Textual Discursiva. Resultados: emergiram duas categorias: 1) Entre a obediência à lei e o dever ético-moral do enfermeiro intensivista e; 2) A posição dos enfermeiros no exercício da advocacia do paciente que necessita de leito na terapia intensiva. Conclusões: enfermeiros intensivistas exercem a sensibilidade e dever moral do processo de cuidar quando defendem seus pacientes informando-os sobre seus direitos, orientando, agindo e falando sobre e em nome dos pacientes e seus familiares, prezando por um cuidado livre de julgamentos e prejuízos ao paciente que interna através da ordem judicial.ABSTRACT Objective: to analyze how intensive care nurses practice patient advocacy in view of the need for hospitalization by court order to an intensive care due to bed unviability. Method: analytical exploratory qualitative research. Data were obtained through interviews with 42 nurses, selected via snowball sampling, between January and December 2016. The interviews were analyzed using elements of the Discursive Textual Analysis. Results: two categories emerged: 1) Between obedience to the law and the ethical-moral duty of the intensive care nurse; 2) The position of nurses in the practice of patient advocacy for patients requiring intensive care beds. Conclusions: intensive care nurses exercise sensitivity and moral duty of the care process when defending their patients by informing them of their rights, guiding, acting and talking to and on behalf of patients and their families, valuing care free of judgment and harm to the patient hospitalized by court order.
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