Humanized care in critical care
Atención humanizada en cuidado crítico fundamentos técnico-científicos, de profesionalismo y bioéticos technical-scientific foundations, professionalism and bioethics Descriptive exploratory study in personnel of Intensive Care Units of Bogotá
Article Sidebar
PDF (Español (España))
FLIP
COPYRIGHT NOTICE
The authors who publish in the Movimiento Científico Journal agree with the following terms:
1. The authors retain the copyright and guarantee the journal the right to be the first publication of the work, as well as licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International that allows others to share the work with an acknowledgment of authorship , the mixture or remix must be published under the same initial publication license, does not allow commercial exploitation of it.
2. The concepts and opinions expressed in the articles are the sole responsibility of the authors and do not commit the Ibero-American University Corporation. The contents of this magazine are distributed under license: Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International.
3. The Movimiento Científico Journal is open access, so that both the editorial process and the published content are available to all users free of charge: the Magazine does not charge for reading or publishing.
Responsibilities. The concepts, opinions and ideas expressed in the published articles are the responsibility of the authors.For purposes of compliance with this point the authors must fill out the Letter of originality, which will be sent along with the article to the magazine's mail.
Main Article Content
Objective: to analyze the technical-scientific, professional and bioethical pillars of humanized care in critical care, based on the perception of health professionals in Adult Intensive Care Units in Bogota. Methods: A quantitative exploratory descriptive descriptive research with cross-sectional design, using a questionnaire to health professionals working in ICUs in Bogota. A questionnaire was designed based on the HUCI project, adapting its language and performing front-end validation. Descriptive statistics were used for the analysis by means of the STATA program. Results: In relation to the roles in the ICU, with respect to the technical-scientific pillar, 25.68% of the participants had a perception of humanization with a low level, 51.35% a medium level and 22.97% a high level. When relating the level of perception of humanization to gender, it was found that 20.27% of the participants had a perception of humanization with a low level, 52.70% a medium level and 27.03% a high level. Conclusions: The HUCI model is mainly based on technical-scientific elements based on processes, protocols or procedures used as methods to guide therapeutic or institutional actions, being the care around the patient at the end-of-life stage the best founded. The Bioethics Pillar, understood as the practice of ethical principles and virtues for the fair and dignified treatment of patients and their families, and for the resolution of ethical conflicts, is not clearly established; however, the model favors decision making under some ethical parameters.
Downloads
Article Details
nd World Conference on Research Integrity. (2010). Declaración de Singapur sobre la Integridad en la Investigación. 2nd World Conference on Research Integrity. http://eticayseguridad.uc.cl/documentos/cec-artes/legislacion-cecsociales/cec-sociales/223-decla-singa-cec-sociales/file.html
Alonso-Ovies, Á., & Heras La Calle, G. (2020). Humanizing care reduces mortality in critically ill patients. Medicina Intensiva (English Edition), 44(2), 122-124. https://doi.org/10.1016/j.medine.2019.03.016 DOI: https://doi.org/10.1016/j.medine.2019.03.016
Alonso-Rodríguez, A., Martínez-Villamea, S., Sánchez-Vallejo, A., Gallego-Lorenzo, J., & Fernández-Menéndez, M. (2021). Perspectives of intensive care nurses on open visits in an ICU. Enfermería Intensiva (English Ed.), 32(2), 62-72. https://doi.org/10.1016/j.enfie.2020.02.007 DOI: https://doi.org/10.1016/j.enfie.2020.02.007
Ávila-Morales, J. (2017). La deshumanización en medicina. Desde la formación al ejercicio profesional. IATREIA, 30(2), 216-229. https://doi.org/10.17533/udea.iatreia.v30n2a11 DOI: https://doi.org/10.17533/udea.iatreia.v30n2a11
Baeza Gómez, I., & Quispe Hoxsas, L. C. (2020). Proyecto “Humanizando los Cuidados Intensivos”, nuevo paradigma de orientación de los Cuidados Intensivos. Revista de Bioética y Derecho, 48, 111-126. https://doi.org/10.1344/rbd2020.48.29173 DOI: https://doi.org/10.1344/rbd2020.48.29173
Bermejo, J. C., & Villacieros Durban, M. (2018). Humanización y acción. Revista Iberoamericana de Bioética, 8, 01-16. https://doi.org/10.14422/rib.i08.y2018.005 DOI: https://doi.org/10.14422/rib.i08.y2018.005
Bohórquez-Rivero, J. de J., Montenegro-Gómez, A. P., Restom-Arrieta, J. G., Saenz López, J. D., & Abuabara-Franco, E. (2022). Proyecto HU-CI: Una necesidad en tiempos de la COVID-19. Revista Colombiana de Nefrología, 9(1), e509. https://doi.org/10.22265/acnef.9.1.509 DOI: https://doi.org/10.22265/acnef.9.1.509
Carvajal, A., Centeno, C., Watson, R., Martínez, M., & Sanz Rubiales, Á. (2011). ¿Cómo validar un instrumento de medida de la salud? Anales del Sistema Sanitario de Navarra, 34(1). https://doi.org/10.4321/S1137-66272011000100007 DOI: https://doi.org/10.4321/S1137-66272011000100007
Correa-Pérez, L., & Chavarro, G. A. (2021). Integralidad en la atención del paciente crítico: Buscando un camino para humanizar la UCI. Acta Colombiana de Cuidado Intensivo, 21(1), 77-82. https://doi.org/10.1016/j.acci.2020.04.004 DOI: https://doi.org/10.1016/j.acci.2020.04.004
Correa-Pérez, L. P. (2020). Aspectos bioéticos de la extubación paliativa dentro de los cuidados de fin de vida en el paciente no recuperable en la UCI. Acta Colombiana de Cuidado Intensivo, 22(1), 1-10. https://doi.org/10.1016/j.acci.2020.11.003 DOI: https://doi.org/10.1016/j.acci.2020.11.003
Franco Coffré, J. A., Mariño Cano, H., Morán Asencio, R. P., & Yugcha Andino, G. E. (2021). El desafío de brindar un cuidado humanizado en las unidades de Cuidados intensivos, durante la pandemia por la COVID 19. Polo del Conocimiento. Revista CientíficoAcadémica Multidisciplinaria, 6(10), 13.
Gómez Henao, J., & Sánchez-Alfaro, L. A. (2022). Principios bioéticos y virtudes éticas en la toma de decisiones fisioterapéuticas en una unidad de cuidado intensivo (UCI) de Bogotá. Revista Latinoamericana de Bioética, 22(2), 99-111. https://doi.org/10.18359/rlbi.5920 DOI: https://doi.org/10.18359/rlbi.5920
Heras La Calle, G., Alonso-Oviés, Á., & Gómez Tello, V. (2017). A plan for improving the humanisation of intensive care units. Intensive Care Medicine, 43(4), 547-549. https://doi.org/10.1007/s00134-017-4705-4 DOI: https://doi.org/10.1007/s00134-017-4705-4
Heras La Calle, G., Martin, M. C., & Nin, N. (2017). Seeking to humanize intensive care. Revista Brasileira de Terapia Intensiva, 29(1), 9-13. https://doi.org/10.5935/0103-507X.20170003 DOI: https://doi.org/10.5935/0103-507X.20170003
Hobbs, J. L. (2009). A Dimensional Analysis of Patient-Centered Care. Nursing Research, 58(1), 52-62. DOI: https://doi.org/10.1097/NNR.0b013e31818c3e79
Martínez Zubieta, R. (2021). Humanización en la Unidad de Cuidados Intensivos. Medicina Crítica, 35(3), 144-147. https://doi.org/10.35366/100003 DOI: https://doi.org/10.35366/100003
Nin Vaeza, N., Martin Delgado, M. C., & Heras La Calle, G. (2020). Humanizing Intensive Care: Toward a Human-Centered Care ICU Model. Critical Care Medicine, 48(3), 385-390. https://doi.org/10.1097/CCM.0000000000004191 DOI: https://doi.org/10.1097/CCM.0000000000004191
Ramos-Zúñiga, R. (2022). Alcances de las voluntades anticipadas como directrices médicas. En Voluntad anticipada. Una reflexión bioética en el contexto sociocultural (1a ed., pp. 123-156).
República de Colombia, & Ministerio de Salud. (1993). Resolución 008430 del 4 de 1993. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. Bogotá, Colombia. Ministerio de Salud. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Rojas, V. (2019). Humanización de los cuidados intensivos. Revista Médica Clínica Las Condes, 30(2), 120-125. https://doi.org/10.1016/j.rmclc.2019.03.005 DOI: https://doi.org/10.1016/j.rmclc.2019.03.005
Sánchez–Alfaro, L. A., Carmona González, Y., Silva Pinilla, Y. V., Garzón Ortiz, L. F., & Medina Carrión, M. A. (2022). Significados de la humanización en cuidado crítico. Vivencias y acciones de profesionales sanitarios en Unidades de Cuidado Intensivo en Bogotá y Cartagena (Colombia). Revista de Bioética y Derecho, 56, 185-207.
UNESCO. (2005). Declaración Universal sobre Bioética y Derechos Humanos (p. 12). UNESCO. http://portal.unesco.org/es/ev.php-URL_ID=31058&URL_DO=DO_TOPIC&URL_SECTION=201.html
Urrutia Egaña, M. U., Barrios Araya, S., Gutiérrez Núñez, M., & Mayorga Camus, M. (2014). Métodos óptimos para determinar validez de contenido. Educación Médica Superior, 28(3), 547-558.
Wilson, M. E., Beesley, S., Grow, A., Rubin, E., Hopkins, R. O., Hajizadeh, N., & Brown, S. M. (2019). Humanizing the intensive care unit. Critical Care, 23(1), 32, s13054-019-2327-7. https://doi.org/10.1186/s13054-019-2327-7 DOI: https://doi.org/10.1186/s13054-019-2327-7
