Intensive Care Unit Nurses Need User Embracement O Enfermeiro De Unidade De Terapia Intensiva Necessita De Acolhimento El Enfermero De Unidad De Terapia Intensiva Necesita Acogimiento

Content Provider	Semantic Scholar
Author	Maestri, Eleine Nascimento, Eliane Regina Pereira Do Bertoncello, Kátia Cilene Godinho
Copyright Year	2014
Abstract	Objective: to understand how intensive care unit (ICU) nurses experience user embracement. Method: descriptive and exploratory study with qualitative approach. The research was held at the ICU of a public hospital in the south of Brazil with the participation of six nurses. Data collection was carried out from July to October 2008, using recorded semi-structured interviews, based on the following guiding question: How do you, nurse of the intensive care unit, experience user embracement? The collective subject's discourse was used for the analysis. The research project was approved by the Research Ethics Committee, Protocol No. 342/2007. Results: after the analysis, three discourses emerged: User embracement and receptivity; 2) User embracement is grounded in family values; and 3) Lack of user embracement for nurses. Conclusion: the nurses understood that user embracement in the environment of the ICU was directly influenced by the experiences of family, academic and professional life. Descriptors: Intensive Care Unit; User Embracement; Nursing. RESUMO Objetivo: entender como os enfermeiros de unidade de terapia intensiva (UTI) vivenciam o acolhimento. Método: estudo descritivo, exploratório, de abordagem qualitativa. A investigação foi realizada na UTI adulto de um hospital público no sul do Brasil com a participação de seis enfermeiros. A coleta dos dados foi realizada de julho a outubro de 2008, com entrevistas semiestruturadas gravadas, a partir da questão norteadora: Como você enfermeiro de unidade de terapia intensiva vivencia o acolhimento? Para análise, utilizou-se o discurso do sujeito coletivo. O projeto de pesquisa foi aprovado pelo Comitê de Ética em Pesquisa, Protocolo no 342/2007. Resultados: depois da análise foram originados três discursos: 1) Acolhimento é receptividade; 2) O acolhimento está ancorado em valores familiares; e 3) Falta acolhimento para o enfermeiro. Conclusão: os enfermeiros compreenderam que o acolhimento no ambiente de UTI era influenciado diretamente pelas experiências de vida familiar, acadêmica e profissional. Descritores: Unidade de terapia intensiva; Acolhimento; Enfermagem. RESUMEN Objetivo: comprender cómo los enfermeros de la unidad de cuidados intensivos (UCI) experimentan el acogimiento. Método: estudio descriptivo y exploratorio con enfoque cualitativo. La investigación se realizó en la UCI de adultos de un hospital público en el sur de Brasil con la participación de seis enfermeros. La recolección de datos se llevó a cabo de julio a octubre de 2008, con entrevistas semiestructuradas grabadas, con la siguiente pregunta guía: ¿Cómo, usted enfermero de la unidad de cuidados intensivos, experimenta el acogimiento? Para el análisis se utilizó el discurso del sujeto colectivo. El proyecto de investigación fue aprobado por el Comité de Ética de la Investigación, Protocolo N° 342/2007. Resultados: después del análisis se originaron tres discursos: 1) Acogimiento y receptividad; 2) El acogimiento está anclado en los valores familiares; y 3) Falta de acogimiento para el enfermero. Conclusión: los enfermeros comprendieron que el acogimiento en el ambiente de la UCI estaba influenciado directamente por las experiencias de la vida familiar, académica y profesional. Descriptores: Unidad de Cuidados Intensivos; Acogimiento; Enfermería. Nurse, Master's degree holder, Teacher of Nursing, Fronteira Sul Federal University. Chapecó (SC), Brazil. E-mail: eleine@hotmail.com; PhD, Nurse, Professor of Nursing, Department of Nursing, Federal University of Santa Catarina/UFSC. Florianópolis (SC), Brazil. E-mail: pongopam@terra.com.br; PhD, Nurse, Professor of Fundamental Nursing, Department of Nursing, Federal University of Santa Catarina/UFSC. Coordinator of the Professional Master's Program associated to the Multidisciplinary Residence in Health/UFSC/CCS/HU. Florianópolis (SC), Brazil. E-mail: kbertoncello@yahoo.com.br ORIGINAL ARTICLE Maestri E, Nascimento ERP do, Bertoncello KCG. Intensive care unit nurses need user... English/Portuguese J Nurs UFPE on line., Recife, 8(2):358-64, Feb., 2014 359 ISSN: 1981-8963 DOI: 10.5205/reuol.4688-38583-1-RV.0802201417 User embracement (UE) means receptivity, welcoming and also accepting the 'other' as a subject of rights and co-responsible for the promotion of health, both from an individual perspective and the collective point of view. UE and care humanization in intensive care units (ICUs) is a difficult task, because it sometimes requires individual attitudes against a dominant technological system. Even so, there is in practice a great effort on the part of nurses so that the humanization of the service occurs or starts. It is believed that when nurses are open to the relationship with the patients and families, various difficulties are overcome, facilitating the dosage of emotional needs and the use of technologies in a balanced way. With the passage of time, it can be noticed that UE experiences are intensely rewarding, especially when the families express confidence in the nurses and other health team members. With a relationship of trust and UE, nurses become the reference to support these users. The hospital environment has connotation of pain, suffering and deprivation. In ICUs, particularly, patients face fear, loneliness and the prospect of permanent coexistence with the death. Usually, patients are isolated from their family members, they are forgotten and excluded and the nursing staff ends sometimes depersonalizing their actions by focusing on objectivity and technology. However, since nurses manage nursing care, they are seen as a model and reference for care. For this reason they have to be well enough to play their role. ICU nurses have experienced that health care has become increasingly technological. However, a critical disease is not only a physiological change, but a psychosocial, developmental and spiritual process, representing a threat to the individuals and their families. This fact makes humanization requirements concurrent to technological advances increasingly essential. Nurses must also show interest, attention, empathy, desire and ability to make patients and their families in crisis to be embraced. ICU nurses, particularly, have a high level of responsibility to perform more complex activities involving greater risk for patients, in addition to being responsible for the activities carried out by all the nursing staff. Health care practice has shown that nurses who care for critical patients present signs of physical and/or psychological suffering, which are characteristic of the resistance, need and help phase... or would it be UE? Given this context, the following guiding research question was raised: How do intensive care unit nurses experience UE? In order to answer this question and seeking to minimize the gap that exists in this area, this study proposes the following goal: ● to understand how intensive care unit nurses experience UE. This is a descriptive exploratory study with a qualitative approach, carried out with the ICU nurses of a large public hospital, which is a reference institution of the southern region of Brazil. The ICU is comprised of 10 beds and two of them are insulated by glass panels for easy viewing. The nursing staff is constituted by six nurses and 26 nursing technicians. Since 2007, every technician provides nursing integral care for every two patients and, since six months ago, the ICU nurses, along with their teams, have implemented UE strategies for patients and family members in the unit. The participants of this research were six nurses who accepted the invitation to participate in the study during the period of data collection. The number of nurses was not previously stipulated because a qualitative research uses expressive sampling information and not the number of participants. The data were collected with the nurses separately through a semi-structured interview with the following guiding question: How do you, nurse of the intensive care unit, experience UE? The interviews were conducted from July to October 2008. They had an average duration of 30 minutes and were recorded for being subsequently transcribed. In order to preserve the privacy of the subjects of the study, they were identified using codes for the order number of the interviews, for example: Nurse 1 (E1). Confidentiality and anonymity of the information was assured to all the participants and they signed an informed consent form after the first contact, in accordance with Resolution No. 196/96 of the National Health Council, which regulates research involving human beings. For the processing of data, the following three methodological figures of the collective subject's discourse were used: key expressions (KEs); central ideas (CI); and the collective subject's discourse (CSD). The KEs are pieces, excerpts or continuous or discontinuous transcripts of discourses that reveal the essence of the content of a given fragment that makes up the discourse. They should be highlighted by the researcher since they INTRODUCTION
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