Thoughtful hug: an experience of communication during the COVID-19 pandemic
DOI:
https://doi.org/10.33448/rsd-v11i13.35498Keywords:
Communication; Intensive care units; Coronavirus Infections; Family nursing.Abstract
The presence of a family member contributes to safety of care, maintains the family bond and plays a vital role in health outcomes. As a precaution to the COVID-19 transmission, the ability to have a relative in the intensive care unit (ICU) was suspended, and the communication between the patient and his family was interrupted. This study aimed to present the experience of the team with a nursing intervention entitled "Virtual Hug", implemented in a Brazilian public hospital ICU. A room was provided where the family could write letters in their own handwriting, deposit them in a box, and then they were read aloud to the patient by health professionals. This communication-focused intervention provided integral, humanized care, and became a tool of emotional support. It reduced the impact produced by disruption in the affective bond due to the need for isolation, corroborating with public policies of humanization and family nursing.
References
Al‐Mutair, A., Plummer, V., Paul, O'Brien, A., & Clerehan, R. (2014). Attitudes of healthcare providers towards family involvement and presence in adult critical care units in Saudi Arabia: a quantitative study. Journal of Clinical Nursing, 23, 744–755. https://doi.org/10.1111/jocn.12520
Aziz, S., Arabi, Y. M., Alhazzani, W., Evans, L., Citerio, G., Fischkoff, K., Salluh, J., Meyfroidt, G., Alshamsi, F., Oczkowski, S., Azoulay, E., Price, A., Burry, L., Dzierba, A., Benintende, A., Morgan, J., Grasselli, G., Rhodes, A., Møller, M. H., Chu, L., & Christian, M. D. (2020). Managing ICU surge during the COVID-19 crisis: rapid guidelines. Intensive Care Medicine, 46(7), 1303–1325. https://doi.org/10.1007/s00134-020-06092-5
Backes, M. T., Erdmann, A. L., & Büscher, A. (2015). The Living, Dynamic and Complex Environment Care in Intensive Care Unit. Revista Latino-Americana de Enfermagem, 23(3), 411-418. https://doi:10.1590/0104-1169.0568.2570
Barreto, B. B., Luz, M., Rios, M., Lopes, A. A., & Gusmao-Flores, D. (2019). The impact of intensive care unit diaries on patients' and relatives' outcomes: a systematic review and meta-analysis. Critical care (London, England), 23(1), 411. https://doi.org/10.1186/s13054-019-2678-0
Brazil. Ministry of Health. (2020). Covid-19 clinical management protocol in Specialized Care. Secretariat of Specialized Health Care, Department of Hospital, Home and Emergency Care. https://bvsms.saude.gov.br/bvs/publicacoes/manejo_clinico_covid-19_atencao_especializada.pdf
Brazil. Ministry of Health. (2010a). HumanizaSUS: base document for SUS managers and workers. Secretariat of Health Care. http://bvsms.saude.gov.br/bvs/publicacoes/humanizasus_documento_gestores_trabalhadores_sus.pdf
Brazil. Ministry of Health. (2010b). HumanizaSUS notebooks: training and intervention. Secretariat of Health Care. http://bvsms.saude.gov.br/bvs/publicacoes/cadernos_humanizaSUS.pdf
Brazilian Health Regulatory Agency (Anvisa). (2020). Technical note nº 04/2020 - GVIMS/GGTES/ANVISA - Guidelines for health services: prevention and control measures that must be adopted when assisting suspected or confirmed cases of infection with the new coronavirus (SARS-COV-2). https://Users/rafaelapedrosa/Downloads/NOTA_TECNICA_GVIMS_GGTES_ANVISA_04_2020_Revisao_08_05_2020.pdf
Davidson, J., Powers, K., & Hedayat, K. (2007). Clinical practice guidelines for support of the family in patient‐centred ICU: American College of Critical Care Task Force 2004–2005. Critical Care Medicine, 35, 605–622. https:// doi.org/10.1097/01.CCM.0000254067.14607.EB
Entwistle, V., & Watt, I. S. (2006). Patient involvement in decision‐making: the case for a broader conceptual framework. Patient Education and Counseling, 63, 268–278.
Estrela, C. (2018). Metodologia científica: ciência, ensino, pesquisa. Porto Alegre, Rio Grande do Sul: Artes Médicas.
Family Visitation in the Adult Intensive Care Unit. (2016). Critical Care Nurse, 36(1), e15–e18. https://doi.org/10.4037/ccn2016677
Fang, J., Liu, Y. T., Lee, E. Y., & Yadav, K. (2020). Telehealth Solutions for In-hospital Communication with Patients Under Isolation During COVID-19. The western journal of emergency medicine, 21(4), 801–806. https://doi.org/10.5811/westjem.2020.5.48165
Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2016). SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. BMJ quality & safety, 25(12), 986–992. https://doi.org/10.1136/bmjqs-2015-004411
Olding, M., McMillan, S. E., Reeves, S., Schmitt, M. H., Puntillo, K., & Kitto, S. (2016). Patient and family involvement in adult critical and intensive care settings: a scoping review. Health expectations: an international journal of public participation in health care and health policy, 19(6), 1183-1202. https:// doi.org/doi:10.1111/hex.12402
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa. Santa Maria, Rio Grande do Sul: UFSM - NTE.
Piscitello, G. M., Fukushima, C. M., Saulitis, A. K., Tian, K. T., Hwang, J., Gupta, S., & Sheldon, M. (2021). Family Meetings in the Intensive Care Unit During the Coronavirus Disease 2019 Pandemic. The American journal of hospice & palliative care, 38(3), 305–312. https://doi.org/10.1177/1049909120973431
Sottile, P. D., Lynch, Y., Mealer, M., & Moss, M. (2016). Association Between Resilience and Family Member Psychologic Symptoms in Critical Illness. Critical care medicine, 44(8), e721–e727. https://doi.org/10.1097/CCM.0000000000001673
Trumello, C., Bramanti, S. M., Ballarotto, G., Candelori, C., Cerniglia, L., Cimino, S., Crudele, M., Lombardi, L., Pignataro, S., Viceconti, M. L., & Babore, A. (2020). Psychological Adjustment of Healthcare Workers in Italy during the COVID-19 Pandemic: Differences in Stress, Anxiety, Depression, Burnout, Secondary Trauma, and Compassion Satisfaction between Frontline and Non-Frontline Professionals. International journal of environmental research and public health, 17(22), 8358. https://doi.org/10.3390/ijerph17228358
White, D. B., Angus, D. C., Shields, A. M., Buddadhumaruk, P., Pidro, C., Paner, C., Chaitin, E., Chang, C. H., Pike, F., Weissfeld, L., Kahn, J. M., Darby, J. M., Kowinsky, A., Martin, S., Arnold, R. M., & PARTNER Investigators (2018). A Randomized Trial of a Family-Support Intervention in Intensive Care Units. The New England journal of medicine, 378(25), 2365–2375. https://doi.org/10.1056/NEJMoa1802637
World Health Organization. (2007). People‐centred health care: a policy framework. Manila.
World Health Organization - China Joint Mission. (2020). Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). https://www.who.int/docs/default-source/coronaviruse/who-chinajoint-mission-on-covid-19-final-report.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Bruna Dias; Márcia de Sousa; Suzimar de Fátima Benato Fusco; Rafaela Batista dos Santos Pedrosa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.