Challenges Faced by the Nursing Team in the Care of Burned Victim: Literature Review

Authors

  • Izabel Fernanda Xavier Silva Federal University of Rio Grande do Norte
  • Larissa Lima Moulin
  • Sara Porfírio de Oliveira
  • Rodrigo Assis Neves Dantas
  • Maria do Carmo de Oliveira Ribeiro
  • Daniele Vieira Dantas
  • Isabelle Cristina Braga Coutinho Cunha
  • Maria Solange Moreira de Lima
  • Ana Elza Oliveira de Mendonça
  • Ellen de Fátima Lima Vasconcelos
  • Rayane Araújo do Nascimento
  • Glória Catarina Beserra Rodriguez
  • Sabrina Daiane Gurgel Sarmento
  • Roberta de Lima Cavalcanti
  • José Joandson de Souza dos Santos
  • Izabelle Cristine Tarquinio de Carvalho
  • Izabelle Bezerra Costa
  • Kezauyn Miranda Aiquoc
  • Millâny Kivia Pereira Soares
  • Karen Rayara Bezerra Lima
  • Tiago Alves de Brito

DOI:

https://doi.org/10.3823/2159

Keywords:

Nursing, Burn Units, Nursing Care

Abstract

Introduction: burned patient care needs the involvement of a multidisciplinary team, and nursing as a key role in this care since it is the professional category that is in constant contact with the patient and his family. However, nursing faces challenges on the care for burned victims and their constant exposure to suffering and pain. Objective: to identify the challenges of the nursing staff in the care of burned patients according to scientific literature. Method: this is a literature research, conducted between April and May/2016 in the Latin American databases and Caribbean Health Sciences (LILACS), the Nursing Database (BDENF) and the Medical Literature Analysis and Retrieval System online (MEDLINE), available on the Virtual Health Library (VHL), and Google Scholar, using the key words: “Nursing†and “Burn Units†with Boolean operator AND. The keywords crossing resulted in 282 scientific publications, of which 14 articles were selected addressing the topic, through the inclusion criteria: full-text availability, published between 2011 to May/2016, in Portuguese and English. The articles in duplicate (published in more than one selected database) were excluded. Results: The following challenges were observed in the nursing staff: assistance to the burned patient and guided planning in the Nursing Process (NP), related to the appropriate hemodynamic monitoring, control of infectious processes and pain; emotional professional support that the victims watch sensitized, exposed to pain, suffering, and guilt, often involved in the professional-patient-family cycle, arousing mixed feelings of grief and gratitude. Conclusions: It is necessary to understand these challenges and provide continuing education and inputs that support assistance guided to the nursing process. Moreover, it is essential to promote emotional support through health institution, encouraging professionals to report their anguish and difficulties to cope with the stressful and limiting factors in the work process involving the care of burned victims.

 

References

Hargreaves LHH, Dantas RAN. Atendimento Pré-Hospitalar e Múltiplas Vítimas/Catástrofes. 1ed. Rio de Janeiro: Ãguia Dourada; 2016.

Oliveira TS, Moreira KFA, Gonçalves TA. Assistência de enfermagem com pacientes queimados. Rev Bras Queimaduras [Internet], 2012 May [cited 2016 may 10] 11(1): 31-7. Available from: http://www.rbqueimaduras.com.br/detalhe_artigo.asp?id=97.

Duarte MLC, Lemos L, Zanini LNN, Wagnes ZI. Percepções da equipe de enfermagem sobre seu trabalho em uma unidade de queimados. Rev Gaúcha Enferm [Internet], Porto Alegre, 2012 May. [cited 2016 may 10] 33(1): 77-84. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472012000100011.

Henrique DM, Silva LD, Costa ACR, Rezende PMB, Santos e Santos JÃ, Menezes MM, Maurer TC. Controle de infecção no centro de tratamento de queimados:revisão de literatura. Rev Bras Queimaduras [Internet], 2013 Nov. [cited 2016 may 10] 12(4):230-4. Available from: http://rbqueimaduras.org.br/detalhe_artigo.asp?id=181.

Lima OBA, Arruda AJCG, Carvalho GDA, Melo VC, Silva AF. A enfermagem e o cuidado à vítima de queimaduras: Revisão Integrativa. Rev enferm UFPE on line [Internet], Recife, 2013 July [cited 2016 may 10] 7(esp): 4944-50. Available from: http://www.rbqueimaduras.com.br/detalhe_artigo.asp?id=97.

Montes SF, Barbosa MH, Sousa Neto AL de.Aspectos clínicos e epidemiológicos de pacientes queimados internados em um Hospital de Ensino. Rev Esc Enferm Usp [Internet], São Paulo, 2011 Recife, 2013 July [cited 2016 may 10] 45(2): 69-73. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342011000200010.

Silva RMA, Castilhos APL. A identificação de diagnósticos de enfermagem em paciente considerado grande queimado: um facilitador para implementação das ações de enfermagem. Rev Bras Queimaduras [Internet], 2010 Recife, 2013 July [cited 2016 may 10] 9(2): 60 - 5. Available from: http://www.rbqueimaduras.com.br/detalhe_artigo.asp?id=36.

Culleiton AL, Simko LM. Caring for patients with burn injuries. Nursing [Internet], 2013 Aug. [cited 2016 may 10] 43(2):26-34. Available from: http://pesquisa.bvsalud.org/portal/resource/pt/mdl-23793299.

Chaves SCS. Ações da enfermagem para reduzir os riscos de infecção em grande queimado no CTI. Rev. Bras. Queimaduras [Internet], 2013 July [cited 2016 may 10] 12(3): 140-44. Available from: http://pesquisa.bvsalud.org/portal/resource/pt/lil-752795.

Camuci MB, Martins JT, Cardeli AAM, Robazzi MLdoCC. Nursing Activities Score: carga de trabalho de enfermagem em Unidade de Terapia Intensiva de queimados. Rev. Latino-am. Enfermagem [Internet], 2014 Mar. [cited 2016 may 10] 22(2):325-31. Available from: http://pesquisa.bvsalud.org/portal/resource/pt/lil-710309.

Silva BA, Ribeiro FA. Participação da equipe de enfermagem na assistência à dor do paciente queimado. Rev Dor [Internet], São Paulo, 2011 Oct. [cited 2016 may 10] 12(4):342-8. Available from: http://pesquisa.bvsalud.org/portal/resource/pt/lil-609263

Canela AF, Sória DAC, Barros FE, Melos ROL, Castro RC. Monitorização do paciente grande queimado e as implicações na assistência de enfermagem: relato de experiência. Rev. Bras. Queimaduras [Internet], 2011 Oct. [cited 2016 may 10] 10(4):133-37. Available from: http://pesquisa.bvsalud.org/portal/resource/pt/lil-750424.

Soares NTI, Tacla MTGM. Vivência da equipe de enfermagem frente à hospitalização da criança queimada. Invest Educ Enferm [Internet], 2014 Jan. [cited 2016 may 10] 32(1): 49-59. Available from: http://pesquisa.bvsalud.org/portal/resource/pt/lil-715240.

Martins JT, Bobroff MCC, Ribeiro RP, Soares MH, Robazzi MLCC, Marziale MP. Sentimentos vivenciados pela equipe de enfermagem de um centro de tratamento de queimados. Esc. Anna Nery Rev. Enferm [Internet], 2014 July [cited 2016 may 10] 18(3):522-26. Available from: http://pesquisa.bvsalud.org/portal/resource/pt/lil-719360.

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Published

2016-11-01

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Section

Nursing

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