Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/17989 |
Resumo: | Palliative care (PC) consists of assistance provided by a multidisciplinary team, which aims to improve the quality of life of patients and their families in the face of a life-threatening disease. Thus, an integrative review was carried out in order to identify in the literature the weaknesses and strengths of the multidisciplinary team in the development of palliative care in the Intensive Care Unit (ICU). The search for scientific articles was performed in the Google Academic, PubMed and Virtual Health Library databases in July 2020, with 11 articles being selected to compose the review. It was observed that the potentials are poorly recognized by most professionals who are part of the multidisciplinary team within the ICU, and they recognize the need to offer comfort in the final moments of life and realize that the presence of PC in the ICU can improve the end-of-life patient quality. However, there are still many weaknesses/difficulties in implementing this care, such as: non-shared team work, lack of interaction and communication between professionals in the multidisciplinary team, the unpreparedness of professionals to deal with patients in PC due to lack of knowledge and adequate training, and also, ethical conflicts and the absence of specific protocols. It is important to offer training and continuing education to qualify these professionals for PC and it is necessary to implement specific protocols in palliative care in intensive care settings, to reduce suffering and to improve the quality of care offered to this patient in the final phase of life. |
id |
UNIFEI_8a609cf5b5362b4a1dd6710a43c45ab3 |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/17989 |
network_acronym_str |
UNIFEI |
network_name_str |
Research, Society and Development |
repository_id_str |
|
spelling |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care UnitDebilidades y fortalezas del equipo multidisciplinario en el desarrollo de cuidados paliativos en la Unidad de Cuidados Intensivos Fragilidades e potencialidades da equipe multiprofissional no desenvolvimento dos cuidados paliativos em Unidade de Terapia Intensiva Comfort CareIntensive Care UnitPalliative CareInterdisciplinarity.Cuidado de la comodidadUnidad de Cuidados IntensivosCuidados paliativosInterdisciplinariedad.Cuidados de ConfortoUnidade de Terapia IntensivaPaliativismoInterdisciplinaridade.Palliative care (PC) consists of assistance provided by a multidisciplinary team, which aims to improve the quality of life of patients and their families in the face of a life-threatening disease. Thus, an integrative review was carried out in order to identify in the literature the weaknesses and strengths of the multidisciplinary team in the development of palliative care in the Intensive Care Unit (ICU). The search for scientific articles was performed in the Google Academic, PubMed and Virtual Health Library databases in July 2020, with 11 articles being selected to compose the review. It was observed that the potentials are poorly recognized by most professionals who are part of the multidisciplinary team within the ICU, and they recognize the need to offer comfort in the final moments of life and realize that the presence of PC in the ICU can improve the end-of-life patient quality. However, there are still many weaknesses/difficulties in implementing this care, such as: non-shared team work, lack of interaction and communication between professionals in the multidisciplinary team, the unpreparedness of professionals to deal with patients in PC due to lack of knowledge and adequate training, and also, ethical conflicts and the absence of specific protocols. It is important to offer training and continuing education to qualify these professionals for PC and it is necessary to implement specific protocols in palliative care in intensive care settings, to reduce suffering and to improve the quality of care offered to this patient in the final phase of life.Los cuidados paliativos (CP) consisten en la asistencia brindada por un equipo multidisciplinar, que tiene como objetivo mejorar la calidad de vida de los pacientes y sus familias ante una enfermedad mortal. Así, se realizó una revisión integradora con el fin de identificar en la literatura las debilidades y fortalezas del equipo multidisciplinario en el desarrollo de los CP en la Unidad de Cuidados Intensivos (UCI). La búsqueda de artículos científicos se realizó en las bases Google Academic, PubMed y Biblioteca Virtual de Salud en julio de 2020, seleccionándose 11 artículos para la revisión. Se observó que las potencialidades son poco reconocidas por la mayoría de los profesionales del equipo multidisciplinario dentro de la UCI, y reconocen la necesidad de ofrecer comodidad en los momentos finales de la vida y que la presencia de CP en la UCI puede mejorar. Sin embargo, aún existen muchas debilidades en la implementación de esta atención, como: el trabajo en equipo no compartido, la falta de interacción y comunicación entre los profesionales del equipo multidisciplinar, la falta de preparación de los profesionales para el tratamiento de los pacientes en AP por falta de conocimiento y formación adecuada, y también, conflictos éticos y ausencia de protocolos específicos. Es importante ofrecer formación y educación continua para capacitar a estos profesionales en AP y es necesario implementar protocolos específicos en cuidados paliativos en cuidados intensivos, para reducir el sufrimiento y mejorar la calidad de la atención ofrecida a este paciente en la fase final de la vida.Os cuidados paliativos (CP) consistem na assistência promovida por equipe multiprofissional, que objetiva a melhoria da qualidade de vida do paciente e de seus familiares diante de uma doença que ameace a vida. Assim, foi realizada uma revisão integrativa com objetivo de identificar na literatura as fragilidades e potencialidades da equipe multidisciplinar no desenvolvimento dos cuidados paliativos em Unidade de Terapia Intensiva (UTI). A busca de artigos científicos foi realizada nas bases de dados Google Acadêmico, PubMed e Biblioteca Virtual em Saúde em julho de 2020, sendo selecionados 11 artigos para compor a revisão. Observou-se que as potencialidades ainda são pouco reconhecidas pela maioria dos profissionais que fazem parte da equipe multiprofissional dentro das UTI, sendo que estes reconhecem a necessidade de oferecer conforto nos momentos finais de vida e percebem que a presença de CP na UTI pode melhorar a qualidade do paciente em fim de vida. Porém, ainda são observadas muitas fragilidades/dificuldades para implementação desses cuidados, como: trabalho não compartilhado em equipe, falta de interação e comunicação entre profissionais da equipe multidisciplinar; despreparo dos profissionais para lidar com o paciente em CP devido à falta de conhecimento e formação adequada, conflitos éticos e ausência de protocolos específicos. É importante oferecer treinamento e educação continuada para capacitação desses profissionais para os CP e é necessário implantar protocolos específicos em cuidados paliativos nos ambientes de terapia intensiva, para a redução do sofrimento e para a melhora da qualidade do atendimento oferecido a este paciente em fase final de vida.Research, Society and Development2021-07-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1798910.33448/rsd-v10i9.17989Research, Society and Development; Vol. 10 No. 9; e22210917989Research, Society and Development; Vol. 10 Núm. 9; e22210917989Research, Society and Development; v. 10 n. 9; e222109179892525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/17989/16078Copyright (c) 2021 Clarissa Peruzzo Pereira; Natalia Veronez da Cunha Bellinati; Bruna Fernanda da Silvahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessPereira, Clarissa Peruzzo Bellinati, Natalia Veronez da Cunha Silva, Bruna Fernanda da2021-09-12T14:28:06Zoai:ojs.pkp.sfu.ca:article/17989Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:38:13.257051Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit Debilidades y fortalezas del equipo multidisciplinario en el desarrollo de cuidados paliativos en la Unidad de Cuidados Intensivos Fragilidades e potencialidades da equipe multiprofissional no desenvolvimento dos cuidados paliativos em Unidade de Terapia Intensiva |
title |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit |
spellingShingle |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit Pereira, Clarissa Peruzzo Comfort Care Intensive Care Unit Palliative Care Interdisciplinarity. Cuidado de la comodidad Unidad de Cuidados Intensivos Cuidados paliativos Interdisciplinariedad. Cuidados de Conforto Unidade de Terapia Intensiva Paliativismo Interdisciplinaridade. |
title_short |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit |
title_full |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit |
title_fullStr |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit |
title_full_unstemmed |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit |
title_sort |
Weaknesses and strengths of the multidisciplinary team in the development of palliative care in an Intensive Care Unit |
author |
Pereira, Clarissa Peruzzo |
author_facet |
Pereira, Clarissa Peruzzo Bellinati, Natalia Veronez da Cunha Silva, Bruna Fernanda da |
author_role |
author |
author2 |
Bellinati, Natalia Veronez da Cunha Silva, Bruna Fernanda da |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pereira, Clarissa Peruzzo Bellinati, Natalia Veronez da Cunha Silva, Bruna Fernanda da |
dc.subject.por.fl_str_mv |
Comfort Care Intensive Care Unit Palliative Care Interdisciplinarity. Cuidado de la comodidad Unidad de Cuidados Intensivos Cuidados paliativos Interdisciplinariedad. Cuidados de Conforto Unidade de Terapia Intensiva Paliativismo Interdisciplinaridade. |
topic |
Comfort Care Intensive Care Unit Palliative Care Interdisciplinarity. Cuidado de la comodidad Unidad de Cuidados Intensivos Cuidados paliativos Interdisciplinariedad. Cuidados de Conforto Unidade de Terapia Intensiva Paliativismo Interdisciplinaridade. |
description |
Palliative care (PC) consists of assistance provided by a multidisciplinary team, which aims to improve the quality of life of patients and their families in the face of a life-threatening disease. Thus, an integrative review was carried out in order to identify in the literature the weaknesses and strengths of the multidisciplinary team in the development of palliative care in the Intensive Care Unit (ICU). The search for scientific articles was performed in the Google Academic, PubMed and Virtual Health Library databases in July 2020, with 11 articles being selected to compose the review. It was observed that the potentials are poorly recognized by most professionals who are part of the multidisciplinary team within the ICU, and they recognize the need to offer comfort in the final moments of life and realize that the presence of PC in the ICU can improve the end-of-life patient quality. However, there are still many weaknesses/difficulties in implementing this care, such as: non-shared team work, lack of interaction and communication between professionals in the multidisciplinary team, the unpreparedness of professionals to deal with patients in PC due to lack of knowledge and adequate training, and also, ethical conflicts and the absence of specific protocols. It is important to offer training and continuing education to qualify these professionals for PC and it is necessary to implement specific protocols in palliative care in intensive care settings, to reduce suffering and to improve the quality of care offered to this patient in the final phase of life. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-24 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/17989 10.33448/rsd-v10i9.17989 |
url |
https://rsdjournal.org/index.php/rsd/article/view/17989 |
identifier_str_mv |
10.33448/rsd-v10i9.17989 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/17989/16078 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 9; e22210917989 Research, Society and Development; Vol. 10 Núm. 9; e22210917989 Research, Society and Development; v. 10 n. 9; e22210917989 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052752404152320 |