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1911
Original article
The absence of the family in emergency care contributes to suffering in patients and family members
La ausencia familiar en la atención de urgencia conlleva sufrimiento en pacientes y familiares
Visits
1911
M.S. Barretoa,
Corresponding author
mayckelbar@gmail.com

Corresponding author.
, C. Garcia-Vivarb, G. Dupasc, L. Misue Matsudad, S. Silva Marcond
a Departamento de Enfermería, Facultad de Filosofía, Ciencias y Letras de Mandaguari (FAFIMAN), Mandaguari, Paraná, Brazil
b Facultad de Enfermería, Universidad de Navarra, Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain
c Departamento de Enfermería, Universidad Federal de São Carlos (UFSCar), São Carlos, São Paulo, Brazil
d Departamento de Enfermería, Universidad Estatal de Maringá (UEM), Maringá, Paraná, Brazil
This item has received
Received 13 June 2018. Accepted 07 March 2019
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Table 1. Social characteristics of the family members. Maringá, Paraná, Brazil, 2017.
Table 2. Social characteristics of the patients. Maringá, Paraná, Brazil, 2017.
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Abstract
Aim

To understand what the absence of the family during emergency care means to adult patients and their families to.

Method

A grounded theory study was conducted in two emergency units of two public hospitals in southern Brazil. From October 2016 to February 2017, 15 interviews with patients and 15 with family members were carried out. The data were analysed following the comparative method.

Results

The patients and families experienced the absence of the family in emergency care as a process of suffering caused by the separation of patient and family; they did not understand the reasons for family exclusion, and were resigned to the situation.

Conclusion

Urgent care per se entails suffering in patients and their relatives; this suffering intensifies when the family is separated and cannot accompany the patient during emergency care. These results show the need to develop health strategies and policies that contribute to the comprehensive care of patients and families in hospital emergency units.

Keywords:
Patients
Family
Family relations
Perception
Hospital emergency service
Family focus
Family presence
Resumen
Objetivo

Conocer el significado que atribuyen pacientes adultos y sus familias a la ausencia familiar durante la atención de urgencia.

Método

Estudio cualitativo siguiendo la propuesta de la teoría fundamentada con recogida de datos en 2 unidades públicas de urgencias hospitalarias, localizadas en el sur de Brasil. Se llevaron a cabo 15 entrevistas con pacientes y 15 entrevistas con familiares durante los meses de octubre de 2016 a febrero de 2017. Los datos fueron analizados siguiendo el método comparativo contante.

Resultados

Los pacientes y familiares vivencian la ausencia familiar en la atención de urgencia como un proceso de sufrimiento causado por la separación del binomio familia-paciente; por la falta de entendimiento acerca de los motivos que justifican la exclusión familiar, y por enfrentarse a la situación con resignación.

Conclusión

La urgencia per se conlleva un sufrimiento en el paciente y sus familiares; este sufrimiento se intensifica cuando la familia es apartada y no puede acompañar al paciente durante la atención de urgencia. En vista de estos resultados, es necesario desarrollar estrategias y políticas sanitarias que contribuyan a la atención integral de pacientes y familias en unidades de urgencias hospitalarias.

Palabras clave:
Pacientes
Familia
Relaciones familiares
Percepción
Servicios de urgencia hospitalaria
Enfoque familiar
Presencia familiar

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