Dignidad y respeto al adulto mayor con COVID-19 en Cuidados Intensivos desde la perspectiva enfermera.

Introduction: To describe nurses' perception of dignity and respect for older adults with COVID-19 during their care in intensive care units. Material and methods: Qualitative approach study of phenomenological design, with a sample of 15 nurses from intensive care units of public and private instit...

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Published in:Enfermería Global Vol. 24; no. 2; pp. 1 - 29
Main Authors: Macías-Delgado, Lucia Socorro, Gaibor-García, Adriana Denis, Cabrera-Olvera, Jorge Leodan, Jimenez-Barrera, Maricelys, Aules-Merchancano, Sandy Janeth, Peña Infante, Marisely
Format: research tables/charts Journal Article
Published: Servicio de Publicaciones de la Universidad de Murcia may-ago2025
Online Access:View this record in EBSCOhost
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      aug:
        au:
          Macías-Delgado, Lucia Socorro
          Gaibor-García, Adriana Denis
          Cabrera-Olvera, Jorge Leodan
          Jimenez-Barrera, Maricelys
          Aules-Merchancano, Sandy Janeth
          Peña Infante, Marisely
        affil: Pontificia Universidad Católica del Ecuador Sede Santo Domingo, Escuela de Enfermería y Maestría Gestión del Cuidado, Santo Domingo, Ecuador
      sug:
        subj:
          Human Dignity
          Respect
          COVID-19 Nursing
          Intensive Care Units
          Nurse Attitudes
          Attitude to Aging
          Human
          Qualitative Studies
          Phenomenological Research
          Ecuador
          Convenience Sample
          Nurse-Patient Relations
          Bioethics
          Critical Care Nursing
          Nursing Staff, Hospital
          Male
          Female
          Adult
          Semi-Structured Interview
          Data Analysis Software
          Adult: 19-44 years
          Male
          Female
      ab:
        Introduction: To describe nurses' perception of dignity and respect for older adults with COVID-19 during their care in intensive care units. Material and methods: Qualitative approach study of phenomenological design, with a sample of 15 nurses from intensive care units of public and private institutions in Ecuador, obtained through convenience sampling, to whom semi-structured interviews were applied, for their analysis the Colaizzi model was followed and complemented with the implementation of the Atlas software. Ti. Results: 5 categories emerged: 1. Lack of care for the elderly during COVID-19; 2. Dignity and respect for the elderly during the pandemic; 3. Separation of the family link to the critical patient during the health emergency; 4. Ethical and bioethical principles violated during the care of the elderly during the health crisis; and 5. Negative effects on the mental health of nursing personnel in critical services. Conclusions: From the nurse's point of view, the limited therapeutic margin suffered by this age group in the health emergency stands out, presenting bioethical conflicts and human rights violations; in addition, humanized care had to be adapted through strategies to guarantee family closeness and their ontological dignity during the pandemic.
        Introducción: Describir la percepción de las enfermeras frente a la dignidad y respeto al adulto mayor con COVID-19 durante su atención en las unidades de cuidados intensivos. Material y métodos: Estudio de enfoque cualitativo de diseño fenomenológico, con muestra de 15 enfermeros de unidades de cuidados intensivos de instituciones públicas y privadas del Ecuador, obtenidos mediante muestreo por conveniencia, a quienes se aplicaron entrevistas semiestructuradas, para su análisis se siguió el modelo de Colaizzi y complementó con la implementación del software Atlas. Ti. Resultados: Emergieron 5 categorías: 1. Carencia de la atención al adulto mayor en tiempos de COVID-19; 2. Dignidad y respeto al adulto mayor durante la pandemia; 3. Separación del vínculo familiar al paciente crítico durante la emergencia sanitaria; 4. Principios éticos y bioéticos vulnerados durante el cuidado al adulto mayor durante la crisis sanitaria; y 5. Efectos negativos en la salud mental del personal de enfermería de servicios críticos. Conclusiones: Desde la percepción enfermera, se destaca el limitado margen terapéutico que sufrió este grupo etario en la emergencia sanitaria, presentándose conflictos bioéticos y vulneración de derechos humanos; además el cuidado humanizado tuvo que adaptarse, mediante estrategias para garantizar el acercamiento familiar y su dignidad ontológica durante pandemia.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Spanish
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