家庭在儿科急诊室的存在:卫生专业人员的意见

Francine Fernandes Pires Mekitarian , Margareth Angelo
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引用次数: 3

摘要

目的了解卫生专业人员对儿科急诊中家属在场的看法。方法横断面研究,对46名卫生专业人员、儿科急诊医疗和护理团队成员进行研究。数据采用问卷形式收集,问卷由专业人员对研究对象的意见相关变量组成,符合专业类别和职业培训时间,并采用专业人员授权家属在场的侵入性程序。结果医务人员和毕业时间较短(10年)的专业人员在急诊过程中更倾向于家属在场。对于操作的复杂性,护理人员更倾向于在复杂性较低的操作(外周静脉穿刺和液体取样)中有家属在场,而无论进行何种操作(外周静脉穿刺、液体取样、骨内穿刺、气管插管和心肺复苏),医务人员的同意程度相似。结论为了让家属在急诊期间陪伴患儿,有必要对卫生专业人员,特别是护理人员和长期代理的专业人员进行敏感化,他们更不愿意让家属在急诊期间陪伴患儿。
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Family's presence in the pediatric emergency room: opinion of health's professionals

Objective

To learn the opinion of health professionals regarding the presence of family during pediatric emergency care.

Methods

Cross-sectional study, performed with 46 health professionals, members of the medical and nursing team of a pediatric emergency service. The data were collected via the application of a questionnaire composed by variables related to the opinion of professionals about the studied subject, in line with the professional category and the vocational training time, as well as invasive procedures during which the presence of family is authorized by the professionals.

Results

The medical staff and the professionals with shorter time after graduation (<10 years) were more favorable to the presence of family during emergency procedures. Regarding the complexity of the procedures, the nursing staff proved more favorable to the presence of family during less complex procedures – peripheral venous puncture and fluid sample – whereas the consent of the medical staff was similar, regardless the performed procedure – peripheral venous puncture, fluid sample, intraosseous puncture, tracheal intubation and cardiopulmonary resuscitation.

Conclusions

In order to allow the presence of family in the emergency room, it is necessary to sensitize health professionals, especially the nursing staff and the longer-term acting professionals, which are more resistant to allow the family to stay with the child during the emergency care.

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