Misue-Matsuda, L. (Laura)
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- Presence of the family during emergency care: Patient and family living(FapUNIFESP (SciELO), 2019) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Angelo, M. (Margareth); Misue-Matsuda, L. (Laura); Felix-de-Oliveira, M.L. (Magda Lúcia); Garcia-Vivar, C. (Cristina)Objective: to understand how family members and adult patients perceive the family’s presence in emergency care. Method: qualitative study that used Symbolic Interactionism as a theoretical reference and the Data Grounded Theory as a methodological reference. Data collection took place in two emergency rooms, located in southern Brazil, between October 2016 and February 2017, through open interviews with four patients and eight relatives. Results: the relative presence in the emergency care was signified/perceived as positive, due to the benefits identified for patients, family members and health professionals. However, the experience was also marked by mishaps for the family-patient relationship, such as fear, doubts, anguish about the forced separation of family members and the experience of feelings of regret. Conclusion: due to the fact that the presence of the family in the emergency room is perceived as positive and beneficial, it is suggested that the health services, to the extent of their possibilities, implement this practice. However, such units need to be better prepared to mitigate the pitfalls faced by patients and their families.
- Deciding case by case on family presence in the emergency care service(Scielo, 2018) Ribeiro-Furlan, M.C. (Mara Cristina); Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Dupas, G. (Giselle); Rissardo, L.K. (Leidyani Karina); Misue-Matsuda, L. (Laura); Garcia-Vivar, C. (Cristina); Lourenço-Haddad, M. (Maria)Objective: To understand how physicians and nurses experience and perceive the presence of families in the emergency care service. Methods: This was a qualitative study that used symbolic interactionism as a theoretical reference, and grounded theory as a methodological reference. Twenty professionals participated – equally representing physicians and nurses - working in two emergency rooms located in the south of Brazil. Data were collected between October of 2016 and February of 2017, by means of interviews. Results: The existence of a social culture of family exclusion was identifi ed, widely diffused and practiced by professionals. However, families sometimes remain with their loved ones in the emergency room, since professionals analyze and decide “case by case”, considering different aspects throughout the care process. Conclusion: Multiple aspects are related in determining family presence during emergency care for physicians and nurses. Thus, a single directive on the presence of the family is not prudent. In fact, it is suggested that each health unit develop its protocols, considering local particularities.
- Meanings attributed by family and patients to family presence in emergency rooms(2019) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Gomes-Simoes-Maciel, D. (Daniela); Misue-Matsuda, L. (Laura); Garcia-Vivar, C. (Cristina); Guedes-dos-Santos, J.L. (José Luís)Objective: to understand the process that leads adult and family patients to support family presence in emergency care. Method: a qualitative study that adopted Symbolic Interactionism as a theoretical reference and the Grounded Theory as a methodological framework. The theoretical sample consisted of 15 relatives and 15 patients assisted at two emergency units in the South of Brazil. Data were analyzed using open, axial and selective coding. Results: the central category ¿Convergence of ideas: family members and patients supporting family presence in emergency care? is supported by the categories: Affectionate relationship among family members?; Tacit obligation to care for the sick relative?; Benefits for the family?; Benefits for the patient?; and Benefits for the health team?. Conclusion: family presence in emergency care provides maintenance and strengthening of affectionate bonds among relatives and the experience of more sensitive and qualified care.