Dignity and respect for the older adult with COVID-19 in Intensive Care from the nursing perspective
Abstract
Introduction: To describe nurses' perception of dignity and respect for older adults with COVID-19 during their care in intensive care units.
Material and methods: Qualitative approach study of phenomenological design, with a sample of 15 nurses from intensive care units of public and private institutions in Ecuador, obtained through convenience sampling, to whom semi-structured interviews were applied, for their analysis the Colaizzi model was followed and complemented with the implementation of the Atlas software. Ti.
Results: 5 categories emerged: 1. Lack of care for the elderly during COVID-19; 2. Dignity and respect for the elderly during the pandemic; 3. Separation of the family link to the critical patient during the health emergency; 4. Ethical and bioethical principles violated during the care of the elderly during the health crisis; and 5. Negative effects on the mental health of nursing personnel in critical services.
Conclusions: From the nurse's point of view, the limited therapeutic margin suffered by this age group in the health emergency stands out, presenting bioethical conflicts and human rights violations; in addition, humanized care had to be adapted through strategies to guarantee family closeness and their ontological dignity during the pandemic.
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References
Brito F, Leitón Z, Partezani R, Silva L, Silva J, Silva J. Atención hospitalaria al adulto mayor con COVID-19. Revista Latino-Americana de Enfermagem. 2020; 28 (3396). DOI: https://doi.org/10.1590/1518-8345.4649.3396
Wu Z, McGoogan J. Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention. JAMA. 2020; 323 (13). DOI: https://doi.org/10.1001/jama.2020.2648
Organización Panamericana de la Salud (OPS). La COVID-19 y adultos mayores. 2021. Disponible en: https://www.paho.org/es/envejecimiento-saludable/covid-19-adultos-mayores
Fernández G, Maza B, Pérez L. Personas mayores ¿población en riesgo en tiempos de pandemia? Un estudio cualitativo sobre narrativas de afrontamiento que favorecen la resiliencia en las personas mayores. Interacciones. 2021; 7 (183). DOI: https://doi.org/10.24016/2021.v7.183
Cordero M, Escudero P, Gómez I, González A, Lázaro N, Leizaola O. Age as a limiting factor of admission to an intensive care unit. Medicina Intensiva. 2021; 45 (8). DOI: https://doi.org/10.1016%2Fj.medine.2021.08.012
Arab M, Chegini Z, Kakemam E, Reza M. Experiences of critical care nurses fighting against COVID‐19: A qualitative phenomenological study. Nurs Forum. 2021; 56 (3). DOI: https://doi.org/10.1111%2Fnuf.12583
Camargo, R. Visión holística de la bioética en la pandemia COVID-19. Acta Colombiana de Cuidado Intensivo. 2021; 22 (1). DOI: https://doi.org/10.1016/j.acci.2021.03.003
Ministerio de Salud Pública del Ecuador. Informe epidemiológico de COVID-19, Ecuador. 2022. Disponible en: https://www.salud.gob.ec/wp-content/uploads/2022/01/MSP_ecu_cvd19_datos_epi_20220117.pdf
Lucas I, Buitrón V, Sánchez E, Castelo Rivas. Efectos emocionales negativos en los adultos mayores a lo largo de la cuarentena por COVID-19 en Santo Domingo. Polo del Conocimiento. 2021; 6 (9). Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8094593
Do Prado M, De Souza M, Monticelli M, Cometto M, Gómez P, Organización Panamericana de la Salud (OPS). Investigación cualitativa en enfermería. Metodología y didáctica. 2013. Disponible en: https://iris.paho.org/bitstream/handle/10665.2/51587/9789275318171_spa.pdf?sequen%20ce=3yisAllowed=y
Fuerte J, Mendieta G, Ramírez J. La fenomenología desde la perspectiva hermenéutica de Heidegger: una propuesta metodológica para la salud pública. Revista de la Facultad Nacional de Salud Pública. 2015; 33 (3). DOI: https://doi.org/10.17533/udea.rfnsp.v33n3a14
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care. 2007; 19 (6). DOI: https://doi.org/10.1093/intqhc/mzm042
Noreña A, Alcaraz N, Rojas J, Rebolledo D. Aplicabilidad de los criterios de rigor y éticos en la investigación cualitativa. Aquichan. 2012; 12 (3). Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1657-59972012000300006
Corona J, Maldonado J. Investigación Cualitativa: Enfoque Emic-Etic. Revista Cubana de Investigaciones Biomédicas. 2018; 37 (4). Disponible en: http://scielo.sld.cu/pdf/ibi/v37n4/ibi22418.pdf
Psychological research as the phenomenologist’s view it. En: Vale R, King M. Existential–phenomenological alternatives for psychology. Oxford University Pres. 1978. Disponible en: https://philpapers.org/rec/COLPRA-5
Fernández C, Granero J, Hernández J. ATLAS.ti para investigación cualitativa en salud. Editorial Universidad de Almería. 2020. Disponible en: https://editorial.ual.es/libro/atlas-ti-para-investigacion-cualitativa-en-salud_142658/
De Granda J, López D, Segrelles G, Zamora E. Limitación terapéutica en pacientes ancianos: reflexiones a propósito del COVID-19. Archivos de Bronconeumología. 2020; 56 (10). DOI: https://doi.org/10.1016/j.arbres.2020.05.036
Avellaneda S, del Río I, Fernández M, Humada P, Jiménez A, Martín A, Maté A, Redondo N. Gestión de la comunicación de los pacientes hospitalizados, aislados con sus familias por la COVID-19. Journal of Healthcare Quality Research. 2021; 36 (1). DOI: https://doi.org/10.1016/j.jhqr.2020.10.006
Gómez E, Martin C, Morlans M. Consideraciones éticas y médico-legales sobre la limitación de recursos y decisiones clínicas en la pandemia de la COVID-19. Revista Española de Medicina Legal. 2020; 46 (3). DOI: https://doi.org/10.1016/j.reml.2020.05.004
Águila D, Martínez J, Mazoteras V, Negreira M, Nieto P, Piqueras J. Mortalidad y factores pronósticos asociados en pacientes ancianos y muy ancianos hospitalizados con infección respiratoria COVID-19. Revista Española de Geriatría y Gerontología. 2021; 56 (5). DOI: https://doi.org/10.1016/j.regg.2020.09.006
Burdiles P, Pommier A. El triaje en pandemia: Fundamentos éticos para la asignación de recursos de soporte vital avanzado en escenarios de escasez. Revista Médica Clínica Las Condes. 2021; 32 (1). DOI: https://doi.org/10.1016/j.rmclc.2020.12.004
Bambi S, Lozz P, Rasero L, Lucchini A. COVID-19 in Critical Care Units: Rethinking the Humanization of Nursing Care. Dimensions of Critical Care Nursing. 2020; 39 (5). DOI: https://doi.org/10.1097/DCC.0000000000000438
Almeida K, Silva L, Abreu A. The path of hope in relationships involving older adults: the perspective from the complexity of the COVID-19 pandemic. Texto & Contexto Enfermagem. 2020; 29. DOI: https://doi.org/10.1590/1980-265X-TCE-2020-0132
Arnold M, Blanco D, De Lair W, Doshi A, Elmer J, Kennedy N, Nigra K, Steinberg A. Perspectives on Telephone and Video Communication in the Intensive Care Unit during COVID-19. Annals of the American Thoracic Society. 2021; 18 (5). DOI: https://doi.org/10.1513/AnnalsATS.202006-729OC
Arreciado A, Ventura L. Necesidades y estrategias de participación propuestas por la familia en los cuidados diarios del paciente crítico. Enfermería Clínica. 2021; 31 (5). DOI: https://doi.org/10.1016/j.enfcli.2020.10.029
Córdova N, Núñez A. Nivel de incertidumbre en los padres durante la hospitalización del neonato en un hospital público de Chiclayo, 2020. ACC CIETNA: Revista de la Escuela de Enfermería. 2021; 8 (2). DOI: https://doi.org/10.35383/cietna.v8i2.598
Lara P, Ruiz Á. Cuidados al paciente COVID en una unidad de cuidados intensivos. Revista Enfermería Docente. 2021; 113. Disponible en: https://ciberindex.com/index.php/ed/article/view/11356ed
Allande R, Navarro C, Porcel A. El cuidado humanizado en la muerte por COVID-19: a propósito de un caso. Enfermería Clínica. 2021; 31. DOI: https://doi.org/10.1016/j.enfcli.2020.05.018
Camargo R. Derechos humanos y dimensión social de personas vulnerables durante la pandemia por el nuevo coronavirus SARS-CoV-2. Acta Colombiana de Cuidado Intensivo. 2022; 22 (2). DOI: https://doi.org/10.1016/j.acci.2020.11.007
Allieri S, Amigoni C, Baldrighi R, Eliesi R, Giannetta N, Manara D, Rosa D. Moral Distress of Intensive Care Nurses: A Phenomenological Qualitative Study Two Years after the First Wave of the COVID-19 Pandemic. International Journal of Environmental Research and Public Health. 2022; 19 (15057). DOI: https://doi.org/10.3390/ijerph192215057
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