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Publication
As interações dos profissionais de saúde na conferência familiar em cuidados paliativos
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Abstract(s)
Na sociedade atual, é evidente o contínuo aumento da esperança média de vida, que conduz a um incremento substancial das doenças crónicas e degenerativas, surgindo os Cuidados Paliativos como uma resposta cada vez mais necessária e premente, de modo a fazer-se face às necessidades multidimensionais sentidas pela pessoa doente e seu sistema familiar, ao longo do processo de uma doença incurável e/ou grave, progressiva e avançada. Neste sentido, a conferência familiar emerge enquanto estratégia de comunicação privilegiada, que permite o cuidado focado na pessoa doente e família de forma estruturada e orientada para a resolução de problemas, onde as várias subjetividades se encontram e interagem num clima de grande proximidade. Norteados pela questão de investigação “Quais as experiências dos profissionais de saúde na interação com os intervenientes na Conferência Familiar no contexto dos Cuidados Paliativos?”, realizou-se uma investigação qualitativa, utilizando-se o método de Grounded Theory de Corbin & Strauss (2015). Constituíram-se como objetivos desta investigação: compreender as experiências dos profissionais de saúde na interação com os intervenientes na conferência familiar no contexto dos Cuidados Paliativos e construir um instrumento de apoio à decisão para a realização de conferências familiares no contexto dos Cuidados Paliativos. Como instrumento de recolha de informação utilizou-se a entrevista. A informação recolhida foi analisada de acordo com o sistema de codificação proposto nesta abordagem de Grounded Theory. Os resultados obtidos, permitiram compreender a conferência familiar em Cuidados Paliativos como um espaço intersubjetivo no processo de acompanhamento interativo à pessoa doente e família, que se desenvolve ao longo de três etapas: a fase preparatória, o desenrolar e o depois da conferência familiar. A fase preparatória constitui-se numa condição causal que condiciona tanto o desenrolar como o depois da conferência familiar. O desenrolar da conferência familiar é o momento em que a mesma se concretiza, sendo influenciada pela sua preparação prévia. O depois da conferência familiar, apresenta-se como a consequência de tudo que foi realizado, condicionando o processo de interação e as conferências familiares seguintes, em caso de necessidade de novo agendamento. Sobressai ainda, a necessidade de uniformizar a realização de conferências familiares no contexto dos CP.
In today’s society, the ongoing increase of the average life expectancy rate is evident, which leads to a substantial rise in chronic disorders and degenerative disease, where Palliative Care arises as a crucial and urging answer so as to face the multidimensional needs felt by the patient and their family system throughout the process of an incurable, serious, progressive and advanced disease. In this way, the family conference emerges as a privileged communication strategy that allows family-patient-centered care in a structured and problem-drawn resolution, where the several subjectivities intertwine and interact in an environment of proximity. Guided by the investigation question “Which experience do healthcare professionals have within the interaction with the parties involved in the Family Conference in the context of Palliative Care?” qualitative research was carried out by means of the Grounded Theory Method by Corbin & Strauss (2015). The following goals have been set: to understand the experience of the healthcare professional while interacting within the Family Conference in the context of Palliative Care, and to build an instrument of support for the decision in favor of carrying Family Conferences out in the context of Palliative Care. As an information-gathering tool, the interview was used. The information collected was analyzed according to the codification system proposed in the Grounded Theory approach. The results obtained enabled us to understand the Family Conference in Palliative Care as an intersubjective place in the process of a patient and their family's interactive follow-up. It develops itself in three stages: the preparatory stage, the conduction, and the aftermath of the family conference. The preparatory stage is based on a causal condition, which conditions not only the progression but also the aftermath of the conference. The conduction of the family conference is the moment when it takes place, being influenced by its previous preparation. The aftermath is the consequence of everything carried out, which conditions the interaction process and the following family conferences, in case of a new meeting. One must also note the need to standardize the execution of family conferences in the context of PC.
In today’s society, the ongoing increase of the average life expectancy rate is evident, which leads to a substantial rise in chronic disorders and degenerative disease, where Palliative Care arises as a crucial and urging answer so as to face the multidimensional needs felt by the patient and their family system throughout the process of an incurable, serious, progressive and advanced disease. In this way, the family conference emerges as a privileged communication strategy that allows family-patient-centered care in a structured and problem-drawn resolution, where the several subjectivities intertwine and interact in an environment of proximity. Guided by the investigation question “Which experience do healthcare professionals have within the interaction with the parties involved in the Family Conference in the context of Palliative Care?” qualitative research was carried out by means of the Grounded Theory Method by Corbin & Strauss (2015). The following goals have been set: to understand the experience of the healthcare professional while interacting within the Family Conference in the context of Palliative Care, and to build an instrument of support for the decision in favor of carrying Family Conferences out in the context of Palliative Care. As an information-gathering tool, the interview was used. The information collected was analyzed according to the codification system proposed in the Grounded Theory approach. The results obtained enabled us to understand the Family Conference in Palliative Care as an intersubjective place in the process of a patient and their family's interactive follow-up. It develops itself in three stages: the preparatory stage, the conduction, and the aftermath of the family conference. The preparatory stage is based on a causal condition, which conditions not only the progression but also the aftermath of the conference. The conduction of the family conference is the moment when it takes place, being influenced by its previous preparation. The aftermath is the consequence of everything carried out, which conditions the interaction process and the following family conferences, in case of a new meeting. One must also note the need to standardize the execution of family conferences in the context of PC.
Description
Keywords
Cuidados paliativos Conferências familiares Enfermagem Interação Intersubjetividade Grounded theory Palliative care Family conferences Nursing Interactions Intersubjectivity
Pedagogical Context
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Without CC licence