학술논문
Presencia familiar durante procedimientos invasivos y reanimación cardiopulmonar. Opinión de pacientes, familiares y personal sanitario
Document Type
Dissertation/Thesis
Source
TDX (Tesis Doctorals en Xarxa)
Subject
Language
Spanish; Castilian
Abstract
Desde la década de los 80, el controvertido tema de la Presencia familiar durante procedimientos invasivos y reanimación cardiopulmonar (PFDRI) ha producido literatura nacional como internacional, tanto a favor, como en contra. Numerosas organizaciones profesionales sanitarias se posicionan a permitir la PFDRI. El objetivo de este estudio es conocer la opinión de pacientes, familiares y profesionales de medicina y enfermería sobre la PFDRI. En España existe escasa evidencia al respecto y por este motivo, después de analizar la literatura existente a través de una revisión bibliográfica sistemática, se realiza un estudio desde la perspectiva ético-legal en el estado español. Seguidamente se realizan varios estudios desde la perspectiva de los intervinientes en los procesos invasivos (PI) o reanimación cardiopulmonar (RCP): pacientes, familiares y personal sanitario de medicina y enfermería. Las metodologías para conseguir los objetivos son diversas: revisión bibliográfica sistemática, revisión de la jurisprudencia (primer artículo), metodología cualitativa (segundo artículo) y cuantitativa (tercer y cuarto artículo). Con estos métodos se ha dado respuesta a los objetivos propuestos, y como resultado se han producido cuatro artículos. Con ambos métodos se ha dado respuesta a los objetivos propuestos obteniendo los siguientes resultados: la existencia de protocolos favorece la PFDRI, y aunque no es garantía de que se implemente esta práctica, las leyes españolas sí protegen en caso de aplicar la PFDRI; que los pacientes y familiares están a favor de la PFDRI, con algunos condicionantes; y que, aunque el personal sanitario, en general, no esté a favor de la PFDRI, sí que está a favor de incluir a las familias en los cuidados generales del paciente y en PI poco invasivos. Se concluye que la atención centrada en el paciente y en la familia debe ser nuestra prioridad, propiciando el respeto a los principios de la bioètica médica.
Since the eighties, the controversial issue of family presence during cardiopulmonary resuscitation and invasive procedures (FPRI) has produced national and International literature, as well as to perceive benefits, barriers and guidelines for its implementation or for the training of health workers on the subject. Many organizations are positioned to allow FPDRI. In Spain, references on the subject are relatively scarce and there are few studies found that identify the experiences, perceptions and opinions of the participants in the FPDRI, as well as the policies implemented in this regard. These studies aim to obtain a current and comprehensive view of the family presence during cardiopulmonary resuscitation and in invasive procedures, including all the participants in the procedure: patient, family members, and health team. For this reason, we used different methodology. A bibliographic review, qualitative and quantitative methods. The methods have responded to the proposed objectives, obtaining the following results: the existence of protocols favors the FPDRI, although it is not a guarantee that this practice will be implemented, the Spanish laws do protect in case of applying the FPDRI, that patients and family members are in favor of FPDRI, with some conditions and that although health personnel, in general, are not in favor of the FPDRI. Concluding the centered care on the patient and the family is our future healthcare model and should include in this care the FPDRI, thus providing holistic care that empowers the patient in relation to their process-sicknessand thar fosters respect for the principles of medical bioethics.
Since the eighties, the controversial issue of family presence during cardiopulmonary resuscitation and invasive procedures (FPRI) has produced national and International literature, as well as to perceive benefits, barriers and guidelines for its implementation or for the training of health workers on the subject. Many organizations are positioned to allow FPDRI. In Spain, references on the subject are relatively scarce and there are few studies found that identify the experiences, perceptions and opinions of the participants in the FPDRI, as well as the policies implemented in this regard. These studies aim to obtain a current and comprehensive view of the family presence during cardiopulmonary resuscitation and in invasive procedures, including all the participants in the procedure: patient, family members, and health team. For this reason, we used different methodology. A bibliographic review, qualitative and quantitative methods. The methods have responded to the proposed objectives, obtaining the following results: the existence of protocols favors the FPDRI, although it is not a guarantee that this practice will be implemented, the Spanish laws do protect in case of applying the FPDRI, that patients and family members are in favor of FPDRI, with some conditions and that although health personnel, in general, are not in favor of the FPDRI. Concluding the centered care on the patient and the family is our future healthcare model and should include in this care the FPDRI, thus providing holistic care that empowers the patient in relation to their process-sicknessand thar fosters respect for the principles of medical bioethics.