A VIVÊNCIA DA INTERNAÇÃO EMERGENCIAL NA PERSPECTIVA DE FAMILIARES DE PESSOAS COM POLITRAUMATISMO.

Abstract

Emergency hospitalization services are stressful environments for professionals, patients and accompanying family members due to the very scenario and severity of the patients that are cared for. In this environment, we meet the family member seeking take part in this context and in patient care. Facing this situation, we intend to comprehend the lived experience of emergency hospitalization in the perspective of accompanying family members of poly-trauma patients. This qualitative study presents a grounded theory analysis. The data collection happened in a public hospital in the state of Mato Grosso - MT. The sample consisted of eight family members who accompanied the emergency hospitalization of a family member with multiple traumas. The analysis used the pathway described by Charmaz (2009). It includes a critical consideration of the data, construction of open and analytical codes based on the data, thus making the organization and explanation of the meaning possible, resulting in the development of a theoretical model concerning the lived experience of the situation by the family member. The data showed that not only the emergency, but also the functioning of the health service had a strong impact on the family member. This functioning influences the family members´ capacity to contribute to the process. The results suggests that the family member is an important active actor, however insufficiently recognized in the process of patient care and in the mechanisms of the health service and that he or she faces obstacles and emotional impacts during hospitalization. The scenario and functioning of the emergency service do not only affect the life of the patient, but also his or her family members, who are directly exposed to new and unsettling information and situations. Family members have a contextual understanding of what happens and they acknowledge means of improvement of patient care and humane treatment and understand the efforts made by the health professionals. Health services should include and empower them in the context of patient care, and take action to improve the family members wellbeing contributing to the health professionals effectiveness, institutional and community wellbeing.