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

• Main Authors: Mara Ambrosina de Oliveira Vargas (Author), Elizabeth Peter (Author), Kely Regina da Luz (Author), Edison Luiz Devos Barlem (Author), Carla Aparecida Arena Ventura (Author), Eliane Regina Pereira do Nascimento (Author)
• Format: Book
• Published: Universidade de São Paulo, 2020-05-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1518-8345; 10.1590/1518-8345.3420.3271
• Keywords: Nursing Care; Intensive Care Units; Ethics; Public Policy; Health Service Management; Health's Judicialization; Nursing; RT1-120
• Source: Revista Latino-Americana de Enfermagem, Vol 28 (2020)

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 medico-legal 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.