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Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit

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 professiona...

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Autores principales: Rodrigues Martins, Matheus, da Silva Oliveira, Juliana, Ernesto Silva, Alexandre, Souza da Silva, Rudval, Constâncio, Tatiane Oliveira de Souza, Vieira, Sheylla Nayara Sales
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universidade de São Paulo, Escola de Enfermagem 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081650/
https://www.ncbi.nlm.nih.gov/pubmed/35653616
http://dx.doi.org/10.1590/1980-220X-REEUSP-2021-0429en
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author Rodrigues Martins, Matheus
da Silva Oliveira, Juliana
Ernesto Silva, Alexandre
Souza da Silva, Rudval
Constâncio, Tatiane Oliveira de Souza
Vieira, Sheylla Nayara Sales
author_facet Rodrigues Martins, Matheus
da Silva Oliveira, Juliana
Ernesto Silva, Alexandre
Souza da Silva, Rudval
Constâncio, Tatiane Oliveira de Souza
Vieira, Sheylla Nayara Sales
author_sort Rodrigues Martins, Matheus
collection PubMed
description 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.
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spelling pubmed-100816502023-04-14 Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit Rodrigues Martins, Matheus da Silva Oliveira, Juliana Ernesto Silva, Alexandre Souza da Silva, Rudval Constâncio, Tatiane Oliveira de Souza Vieira, Sheylla Nayara Sales Rev Esc Enferm USP Original Article 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. Universidade de São Paulo, Escola de Enfermagem 2022-06-01 /pmc/articles/PMC10081650/ /pubmed/35653616 http://dx.doi.org/10.1590/1980-220X-REEUSP-2021-0429en Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Rodrigues Martins, Matheus
da Silva Oliveira, Juliana
Ernesto Silva, Alexandre
Souza da Silva, Rudval
Constâncio, Tatiane Oliveira de Souza
Vieira, Sheylla Nayara Sales
Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit
title Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit
title_full Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit
title_fullStr Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit
title_full_unstemmed Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit
title_short Assistance to patients eligible for palliative care: the view of professionals from an Intensive Care Unit
title_sort assistance to patients eligible for palliative care: the view of professionals from an intensive care unit
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081650/
https://www.ncbi.nlm.nih.gov/pubmed/35653616
http://dx.doi.org/10.1590/1980-220X-REEUSP-2021-0429en
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