Banca de DEFESA: LILIANE VIANA DE SOUZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : LILIANE VIANA DE SOUZA
DATA : 09/01/2020
HORA: 14:00
LOCAL: Sala 106 da Superintendência de Tecnologia da Informação (STI)
TÍTULO:

Dealing with uncertainty: meanings related to ICU admission constructed by family members of patients during the hospitalization period

PALAVRAS-CHAVES:

Intensive care unit; family; meanings; rupture-transition.

PÁGINAS: 125
GRANDE ÁREA: Ciências Humanas
ÁREA: Psicologia
RESUMO:

Intensive care unit admission is associated with intense affective states of the actors involved in this experience. In the perspective of family members, having a family member admitted to the ICU, in some circumstances, seems to be a rupturein their daily life, handling unpredictable situations. Given this scenario, this study aimed to understand the process of constructing meanings about intensive care unit admission during the patient hospitalization period, in the perspective of family members. This study had the following specific objectives: 1) analyze the rupture-transition processes, identifying resources the participants used to handle the experience of having a family member in the ICU, and 2) analyze the elements constituting the construction of meanings regarding the ICU admission experience, characterizing: a) the affective-semiotic experience of participants, b) moments of tension/ambivalence in the speeches of participants, c) the configuration of dialogical relations in this context, and d) the imaginative processes involved in this experience. Historical-cultural psychology and cultural psychologywere used as the theoretical basis of this study, considering the concepts of meaning, rupture and transition. This is a qualitative study conducted in the ICU of a specialized public hospital located in Salvador, Bahia, with three family members of critically ill adultpatients admitted to the ICU, one family member per patient. Three semi-structured interviews were conducted with each participant;the first interview was conducted between day 4 and day 6 of ICU period, the second interview between day 11-13, and the third interview between day 18-21. Data analysis was according to the theoretical basis considering the study objectives. Regarding the meanings constructed by the participants, ICU emerged as a place for patient recovery and a place that promotes pain relief, associated with the meanings of suffering, death and terminal illness. This dynamics of meanings involved an ambivalence of hope for patient recovery and the perspective of imminent death. During the hospitalization process, one aspect of this duality was strengthened in the unique experience of these family members, associated with changes in the patient‟s clinical condition. Participants experience ruptures in their daily lives, and this situation affects other spheres of experiences, such as work and family relationships. However, they seek to restore balance in their routines, using resources such as religiosity, interpersonal relationships, support from the care team, and resources linked with their personal characteristics. Concerning imaginative processes, those related to the future are highlighted, also with an ambivalence of believing in the patient recovery and considering the possibility of patient death. During the hospitalization period, the possibility of patient death is considered, with thoughts about life without the presence of the patient and, in contrast, about the patient‟s hospital discharge and the next steps of health treatment, allowing them to imagine life after this rupture experience. Finally, this study suggests care provided by the health team in the ICU context should include family members, considering the patient-family binomial in the integrality of care.

MEMBROS DA BANCA:
Interno - 3012885 - GIUSEPPINA MARSICO
Externo à Instituição - JEANE SASKYA CAMPOS TAVARES
Presidente - 284577 - MARILENA RISTUM