Assistência a pacientes elegíveis para cuidados paliativos: visão de profissionais de uma Unidade de Terapia Intensiva

• Autor(a) principal: Martins, Matheus Rodrigues
• Data de Publicação: 2022
• Outros Autores: Oliveira, Juliana da Silva, Silva, Alexandre Ernesto, Silva, Rudval Souza da, Constâncio, Tatiane Oliveira de Souza, Vieira, Sheylla Nayara Sales
• Tipo de documento: Artigo
• Idioma: eng; por
• Título da fonte: Revista da Escola de Enfermagem da USP (Online)
• Texto Completo: https://www.revistas.usp.br/reeusp/article/view/199093
• topic: Palliative care; Quality Indicators, Health Care; Intensive care units; Patient care team; Health manager; Patient safety; Cuidados paliativos; Indicadores de qualidade em assistência à saúde; Unidade de terapia intensiva; Equipe de Assistência ao Paciente; Gestor de saúde; Segurança do paciente; Cuidados paliativos; Indicadores de calidad de la atención de salud; Unidades de cuidados intensivos; Grupo de atención al paciente; Gestor de salud; Seguridad del paciente'

Objective: to understand the perception of the multiprofessional team about the quality of health care provided to patients in palliative care in the Intensive Care Unit. Method: qualitative study, anchored to Donabedian’s theoretical framework, through semi-structured interviews with 35 professionals working in the Intensive Care Unit. For data analysis, the Content Analysis technique was used. Results: three categories were pre-established: structure, process, and outcome, from which five subcategories emerged: Deficit in terms of numbers of workers and professional qualification; Ambience and palliative care; (In)existence of assistance based on the principles of palliative care; Failures in communication and in the interdisciplinary approach and Repercussions of (lack of) assistance. Conclusion: the study allowed understanding the institutional weaknesses for the operationalization of care provided to patients eligible for palliative care in the Intensive Care Unit setting. Thus, for this philosophy of care to be propagated, the co-participation of managers, professionals, patients, and family members is required, since these gaps cannot be filled without collective involvement.