Management of bed availability in intensive care in the context of hospitalization by court order

Authors

DOI:

https://doi.org/10.1590/1518-8345.3420.3271

Keywords:

Nursing Care, Intensive Care Units, Ethics, Public Policy, Health Service Management, Health’s Judicialization

Abstract

Objective: to identify, from the nurse perspective, situations that interfere with the availability of beds in the intensive care unit in the context of hospitalization by court order. Method: qualitative exploratory, analytical research carried out with 42 nurses working in adult intensive care. The selection took place by non-probabilistic snowball sampling. Data collected by interview and analyzed using the Discursive Textual Analysis technique. Results: three categories were analyzed, entitled deficiency of physical structure and human resources; Lack of clear policies and criteria for patient admission and inadequate discharge from the intensive care unit. In situations of hospitalization by court order, there is a change in the criteria for the allocation of intensive care beds, due to the credibility of professionals, threats of medicolegal processes by family members and judicial imposition on institutions and health professionals. Conclusion: nurses defend the needs of the patients, too, with actions that can positively impact the availability of intensive care beds and adequate care infrastructure.

Downloads

Download data is not yet available.

Published

2020-02-23

Issue

Section

Original Articles

How to Cite

Management of bed availability in intensive care in the context of hospitalization by court order. (2020). Revista Latino-Americana De Enfermagem, 28, e3271. https://doi.org/10.1590/1518-8345.3420.3271