Management of bed availability in intensive care in the context of hospitalization by court order

Autor: Mara Ambrosina de Oliveira Vargas, Elizabeth Peter, Kely Regina da Luz, Edison Luiz Devos Barlem, Carla Aparecida Arena Ventura, Eliane Regina Pereira do Nascimento
Jazyk: English<br />Spanish; Castilian<br />Portuguese
Rok vydání: 2020
Předmět:
Zdroj: Revista Latino-Americana de Enfermagem, Vol 28 (2020)
Druh dokumentu: article
ISSN: 1518-8345
DOI: 10.1590/1518-8345.3420.3271
Popis: Abstract Objective: to identify, from the nurse perspective, situations that interfere with the availability of beds in the intensive care unit in the context of hospitalization by court order. Method: qualitative exploratory, analytical research carried out with 42 nurses working in adult intensive care. The selection took place by non-probabilistic snowball sampling. Data collected by interview and analyzed using the Discursive Textual Analysis technique. Results: three categories were analyzed, entitled deficiency of physical structure and human resources; Lack of clear policies and criteria for patient admission and inadequate discharge from the intensive care unit. In situations of hospitalization by court order, there is a change in the criteria for the allocation of intensive care beds, due to the credibility of professionals, threats of medico-legal processes by family members and judicial imposition on institutions and health professionals. Conclusion: nurses defend the needs of the patients, too, with actions that can positively impact the availability of intensive care beds and adequate care infrastructure.
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