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Enfermagem e Famílias: conceções e práticas dos enfermeiros em unidades de internamento
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Advisor(s)
Abstract(s)
Face ao internamento de um membro, as famílias desenvolvem e procuram respostas diferenciadas, das experiências
que vão acumulando enquanto sistemas vivos, não é possível ficar indiferente ao afastamento de um
elemento da família, até porque sabemos, que este afastamento tem a particularidade de ser, por motivos de sofrimento,
dor, incerteza, aproximação da morte e num espaço físico e social diferente do que habitualmente vivemos
e procuramos ser felizes. O que nos levou a desenvolver um estudo em torno de um processo formativo In-door,
cujo tema central foi a problematização da família em dois serviços de Medicina num hospital de grandes dimensões.
Concebemos duas linhas de estudos com objetivos específicos centrados nos enfermeiros e nos familiares e
doentes. A finalidade dos estudos centra-se na necessidade de compreender estes processos no ambiente hospitalar.
Cada estudo controlou variáveis diferentes face aos atores e assim: satisfação de doentes e familiares, atitudes,
stress e conflitos dos enfermeiros, satisfação para com o processo formativo. Os estudos seguiram metodologias
de análise quantitativa seguindo um modelo de análise antes e depois de um processo formativo.
O processo formativo revelou maior sustentação para a dimensão família como recurso de enfermagem, a qual
prevê atitudes de suporte e a atribuição de menor relevância nas atitudes mais desfavoráveis, reveladas pela dimensão
Família como um fardo.
As situações sentidas como mais stressantes são o medo de errar em algum tratamento e o sofrimento. Os enfermeiros
tendem a gerir o conflito com o familiar do utente de modo a beneficiar as duas partes, adotando maioritariamente
os estilos Integração e Tendência ao Compromisso.
A satisfação aumentou nos clientes homens e nos familiares de ambos os serviços; Os resultados demonstram
que a satisfação aumentou depois do processo de formação, em alguns deles até coincidindo com o aumento do
envolvimento, porém sem relação evidente, por a satisfação inicial já ser elevada e pela questão do envolvimento
ser subjetiva.
Given the hospital admission of a family member, families seek to develop differentiated responses, ranging from the experiences accumulated whilst living systems, it is not possible to stay indifferent to the parting of a family member, because we know that, this departure is distinguished by suffering, by pain, by uncertainty, by the approach of death and by a physical and social space different from the one we usually live in and in which we try to be happy. These realities led us to develop a study based on a formative in-door process, and whose central theme is the questioning of the family in two medicine services in a large hospital. We designed two studies with specific targets focused on the nurses, on the relatives and on the patient. Each study controlled different variables according to the different actors, thus: patient and family satisfaction, attitudes, nurses’ stress and conflict and the satisfaction with the training process. The study charted quantitative analysis methods, and before and after, it was based on an analysis model. The training process demonstrated greater support in family size as a nursing resource, and it provides support attitudes, as well as, the allocation of less relevance in the most unfavorable attitudes, as revealed by family size as a burden. The situations that are perceived as being the most stressful, is the fear of making mistakes in any treatment, suffering. Nurses tend to manage the conflicts with the family in order to benefit both of the parts, largely adopting the Integration Tendency to Commitment styles. Customer satisfaction increased in men and in the family members of both services; The outcomes demonstrate that satisfaction increased between the different stages, in some of them, it even coincides with the increased involvement, however without a clear relationship, since the initial satisfaction is already high and since the involvement question is subjective.
Given the hospital admission of a family member, families seek to develop differentiated responses, ranging from the experiences accumulated whilst living systems, it is not possible to stay indifferent to the parting of a family member, because we know that, this departure is distinguished by suffering, by pain, by uncertainty, by the approach of death and by a physical and social space different from the one we usually live in and in which we try to be happy. These realities led us to develop a study based on a formative in-door process, and whose central theme is the questioning of the family in two medicine services in a large hospital. We designed two studies with specific targets focused on the nurses, on the relatives and on the patient. Each study controlled different variables according to the different actors, thus: patient and family satisfaction, attitudes, nurses’ stress and conflict and the satisfaction with the training process. The study charted quantitative analysis methods, and before and after, it was based on an analysis model. The training process demonstrated greater support in family size as a nursing resource, and it provides support attitudes, as well as, the allocation of less relevance in the most unfavorable attitudes, as revealed by family size as a burden. The situations that are perceived as being the most stressful, is the fear of making mistakes in any treatment, suffering. Nurses tend to manage the conflicts with the family in order to benefit both of the parts, largely adopting the Integration Tendency to Commitment styles. Customer satisfaction increased in men and in the family members of both services; The outcomes demonstrate that satisfaction increased between the different stages, in some of them, it even coincides with the increased involvement, however without a clear relationship, since the initial satisfaction is already high and since the involvement question is subjective.
Description
Keywords
Enfermagem de Família Unidade de Internamento
Citation
Publisher
Escola Superior de Enfermagem do Porto