ABSTRACT
Introducción Al hablar de cuidados resulta impensable separar al individuo de su contexto más inmediato, la familia. Incorporarla en los cuidados de un paciente crítico supone una habilidad que no se desarrolla hasta que el profesional de enfermería es competente en términos de Benner. La habilidad que pueda tener la enfermera para implicarse en el cuidado de los pacientes y de la familia se adquiere con el tiempo y la experiencia.ObjetivoExplorar el comportamiento y el juicio clínico de la enfermera experta en áreas de cuidados críticos, según Patricia Benner, identificando las respuestas que esta ofrece a las necesidades del paciente y la familia.MetodologíaSe escogió a María, enfermera experta en una unidad de cuidados intensivos que relató un episodio clínico significativo relacionado con el cuidado a la familia. La lectura de la narración, el análisis y las conclusiones se realizaron, desde el dominio del cuidado a la familia, según los seis aspectos del juicio clínico y del comportamiento experto que señala Benner.ResultadosSe muestra cómo la expertez y el saber hacer de la enfermera impulsan un cambio importante en la práctica.ConclusionesAnimar a la familia a participar en los cuidados facilita la unión, decrece la impotencia y la ansiedad y ayuda a asimilar la situación del ser querido, aspectos que forman parte de la competencia enfermera para proporcionar un cuidado integral. A partir de la práctica clínica de María, se han podido observar los aspectos del juicio clínico y del comportamiento que Benner identifica en una enfermera experta(AU)
Introduction When discussing care, the individual cannot be considered separate from their most immediate context, that is, the family. Including the family in the cares for a critically ill patient requires a skill that is not developed until the nursing professional is competent in Benner's terms. The skill that a nurse can have to become involved in caring for patients and the family is acquired over time and through experience.ObjectiveTo explore the behavior and clinical judgment of a nurse qualified in areas of critical care, according to Patricia Benner, identifying the responses provided by the nurse for patient and family needs.MethodMaria, an expert nurse in an intensive care unit, was selected to report on a significant clinical episode related to caring for the family. Her narration was read, and analysis and conclusions were carried out, within the field of caring for the family and according to the six aspects of clinical judgment and expert behavior outlined by Benner.ResultsIt reveals how the expert skills and know-how of the nurse bring about a significant change in the practice.ConclusionsEncouraging the family to take part in the care promotes union, decreases impotence and anxiety and helps to assimilate the loved one's situation, aspects which form part of the nursing skill to provide complete care. Using Maria's clinical practice as a base, aspects of the clinical judgment and behavior that Benner identifies in an expert nurse can be observed (AU)
Subject(s)
Humans , Critical Illness/nursing , Nursing Care/methods , Critical Care/methods , Intensive Care Units , Professional-Family RelationsABSTRACT
INTRODUCTION: When discussing care, the individual cannot be considered separate from their most immediate context, that is, the family. Including the family in the cares for a critically ill patient requires a skill that is not developed until the nursing professional is competent in Benner's terms. The skill that a nurse can have to become involved in caring for patients and the family is acquired over time and through experience. OBJECTIVE: To explore the behavior and clinical judgment of a nurse qualified in areas of critical care, according to Patricia Benner, identifying the responses provided by the nurse for patient and family needs. METHOD: Maria, an expert nurse in an intensive care unit, was selected to report on a significant clinical episode related to caring for the family. Her narration was read, and analysis and conclusions were carried out, within the field of caring for the family and according to the six aspects of clinical judgment and expert behavior outlined by Benner. RESULTS: It reveals how the expert skills and know-how of the nurse bring about a significant change in the practice. CONCLUSIONS: Encouraging the family to take part in the care promotes union, decreases impotence and anxiety and helps to assimilate the loved one's situation, aspects which form part of the nursing skill to provide complete care. Using Maria's clinical practice as a base, aspects of the clinical judgment and behavior that Benner identifies in an expert nurse can be observed.
