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

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...

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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)
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Published: Universidade de São Paulo, 2020-05-01T00:00:00Z.
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100 1 0 |a Mara Ambrosina de Oliveira Vargas  |e author 
700 1 0 |a Elizabeth Peter  |e author 
700 1 0 |a Kely Regina da Luz  |e author 
700 1 0 |a Edison Luiz Devos Barlem  |e author 
700 1 0 |a Carla Aparecida Arena Ventura  |e author 
700 1 0 |a Eliane Regina Pereira do Nascimento  |e author 
245 0 0 |a Management of bed availability in intensive care in the context of hospitalization by court order 
260 |b Universidade de São Paulo,   |c 2020-05-01T00:00:00Z. 
500 |a 1518-8345 
500 |a 10.1590/1518-8345.3420.3271 
520 |a 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. 
546 |a EN 
546 |a ES 
546 |a PT 
690 |a Nursing Care 
690 |a Intensive Care Units 
690 |a Ethics 
690 |a Public Policy 
690 |a Health Service Management 
690 |a Health's Judicialization 
690 |a Nursing 
690 |a RT1-120 
655 7 |a article  |2 local 
786 0 |n Revista Latino-Americana de Enfermagem, Vol 28 (2020) 
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787 0 |n https://doaj.org/toc/1518-8345 
856 4 1 |u https://doaj.org/article/6d89f8d4bf1b46b0a7a23c92107119a0  |z Connect to this object online.