Privacidade em unidades de terapia intensiva: direitos do paciente e implicações para a enfermagem

Abstract

The purpose of this study was to understand the experiences of nursing professionals about the patient's privacy hospitalized in the ICU and their implications. This qualitative study based on content analysis revealed the following categories: Exposing the patients' body and intimacy: the professionals' attitudes and actions; intimacy: difficulties experienced by the professionals and the patients' reactions; the lack of intimacy protection of the patient: contradictions that arise from the practice. The results point to the need for professionals to rethink their achievements in relation to the protection of the patient's privacy, by means of acts/attitudes which provide security in care actions. Privacy preservation is the patient's right and the professional's ethical commitment, giving to people dignity in the care process in the ICU.

Understanding the process of living as signified by myocardial revascularization surgery patients

“…Anxiety tends to increase the pain rating score and, consequently, the use of analgesia in the post-operative phase (11) . In the post-operative phase the patients encounter an intensive care environment (ICU), which due to its rigid and inflexible routines entails disturbance of sleep and loss of privacy and autonomy for the patient (12) .…”

“…It is observed that cardiac rehabilitation initiated in the pre-operative period, as well as reducing levels of post-operative complications and consequently reducing the duration of hospitalization, allows the patient to be more prepared to face the surgery (12) .…”

Percepções de pacientes sobre internação em unidade de terapia intensiva / Patients' perceptions of hospitalization in an intensive care unit

“…Isso é evidenciado principalmente em idosos quando atendidos pelo sexo oposto. 14 Quanto ao ambiente, os ruídos dos equipamentos da UTI foram citados como fonte de incômodo. Silva, Machado, Giaretta e Posso sustentam que a privação de sons e ruídos é dificultada pela estrutura física das UTIs.…”

Humanization of care patients in hemodialysis programm

“…We take privacy as a basic human need to be promoted, so preserve it presents itself as a value and a right, ensuring respect for the patient (Soares & Dall Agnol ´, 2011). The concern for privacy has been subject of several investigations worldwide (Leino-Kilpi, Välimäki, Dassen, Gasull, Lemonidou & Schopp, 2003;Baggio, Pomatti, Bettinelli & Erdmann, 2011), in order to ensure its preservation as a universal right. In Portugal is guaranteed and ensured by the Constitution of the Portuguese Republic, articles 26 and 64; in the Charter of rights of hospitalized patients and at the United Nations and in the Universal Declaration of human rights in 1984, article 12 .…”