Bioethical foundations application for practice of critical care in ICU patients

María Araceli García Martínez, Dinora Margarita Rebolledo Malpica, Marcos Elpidio Pérez Ruiz, Yanetzi Loimig Arteaga Yanez, Carmen de Lourdes Condo León, Gloria Janeth Muñiz Granoble

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Introduction: Most critically ill patients are not located in time, space and person, and even some are unconscious, which makes them vulnerable to moral and ethical performance of their caregivers.
Objective: To describe the nursing bioethical behavior in the patient care in intensive care unit of Guayaquil Specialty Hospital "Dr. Abel Gilbert Pontón", Ecuador.
Methods: This was a qualitative research, of a clinical ethnography type, for which four nurses working in intensive care unit of said hospital were selected. The information was collected with open interviews and interpreted through a categorization process.
Results: The results show the following categories: First, that the commitment in nurse-patient relationship when providing care in the critical units reflects a moral quality of bioethical and humanizing care. Second, that empathy attitudes and patient acceptance as a recipient of care recognize bioethical and humanizing values. Third, there is emotional, social and cultural understanding of what it means to be in a critical care situation according to patient perspective and his family.
Conclusions: It is confirmed that nursing care bioethics is a rational and critical reflection of human values implicit in the needs satisfaction perception of critical patient, which entails to provide care with warmth, with a disposition to understand it and to do it feel comfortable, allowing to establish human links between patient-nurse.

Palabras clave

Nursing; bioethics; care; critics.

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