Being in front of the patient. Nurse-patient interaction and use of technology in emergency services

Yeimy Yesenia Granados-Pembertty, María Mercedes Arias- Valencia

Abstract


Objective. This study sought to describe how the use of technology intervenes in the nurse-patient relationship, from the nurse's point of view. 

Methodology. This was a qualitative research with tools from grounded theory. Twenty semi-structured interviews were conducted with nurses working in emergency services in three municipalities of Colombia. 

Results. Four categories emerged: 1) direct care, the maximum interaction or being in front of the patient; 2) fairly direct care; 3) indirect care, institutional management; and 4) minimum interaction; technology as facilitator of the interaction and awareness of the necessity for interaction. 

Conclusion. This study shows the irreplaceable nature of the nurse and the fundamental necessity of technology. The dual mediations of technology constitute a paradoxical matter that reveals the importance of placing it as a means; warning on the danger of converting it an end in and of itself.

Key words: emergency medical services; nurse-patient relations; biomedical technology.

How to cite this article: Granados-Pembertty YY, Arias-Valencia MM. Being in front of the patient. Nurse-patient interaction and use of technology in emergency services. Invest Educ Enferm. 2013;31(3): 421-432.


References


(1) Peplau HE. Interpersonal relations in nursing: A conceptual frame of reference for psychodynamic nursing. New York: Springer Publishing Company; 1991. P:17-42.

(2) Meleis AI. Theoretical Nursing: Development & Progress. Fifth ed. Wolters Kluwer Health, Lippincott Williams and Wilkins; 2012.

(3) Barra D, Nascimento E, Martins J, Albuquerque G, Erdmann A. Evolução histórica e impacto da tecnologia na área da saúde e da enfermagem. Rev Eletr Enf. 2009; 8(3):30.

(4) Palacios-Ceña D. Modernidad, positivismo y tecnología: Influencia en la enfermería y en pacientes que necesitan equipamiento tecnológico. Index Enferm. 2008;1 7(3):188-92.

(5) McGrath M. The challenges of caring in a technological environment: Critical care nurses' experiences. J Clin Nurs. 2008; 17(8):1096-104.

(6) Cooper MC. The intersection of technology and care in the ICU. Adv Nurs Sci. 1993; 15(3):23-32.

(7) Barnard A, Sandelowski M. Technology and humane nursing care:(ir) reconcilable or invented difference? J Adv Nurs. 2001. 34(3): 367-75.

(8) Alliex S, Ururita VF. Caring in a technological environment: How is this possible? Contem Nurse. 2004; 17(1-2):32-43.

(9) Neto ER, Carrillo G, Souza AMDA. Tecnología educacional en enfermería: marco conceptual y experiencias de los centros latinoamericanos. Educ Méd Salud. 1979; 13(4):401-16.

(10) Barnard A. Alteration to will as an experience of technology and nursing. J Adv Nurs. 2000; 31(5):1136-44.

(11) Locsin R. Machine technologies and caring in nursing. J Nurs Scholarship. 1995; 27(3):201-3.

(12) Wikström A. Technology - an actor in the ICU: a study in workplace research tradition. J Clin Nurs. 2004; 31(5):555-61.

(13) Kiekkas P, Karga M, Poulopoulou M, Karpouhtsi I, Papadoulas V, Koutsojannis C. Use of technological equipment in critical care units: nurses' perceptions in Greece. J Clin Nurs. 2006; 15(2):178-87.

(14) Neto JAdS, Rego BM, Rodrigues D. Tecnologia como fundamento do cuidar em neonatologia. Texto Contexto Enferm. 2010; 19(2):372-7.

(15) Rios MC, Marcon DSG. Tecnologia: definições e reflexões para a prática em saúde e enfermagem. Texto Contexto Enferm. 2008; 17(1):15-6.

(16) Meier J. Tecnologia em Enfermagem: desenvolvimento de um conceito. Florianópolis: Universidade Federal de Santa Catarina; 2004.

(17) Strauss A, Corbin J. Bases de la investigación cualitativa: técnicas y procedimientos para desarrollar la teoría fundamentada. Medellín: Universidad de Antioquia; 2002.

(18) Maerk J, Cabrolié M. ¿Existe una epistemología latinoamericana? México,DF: Universidad de Quintana Roo; 2000.

(19) Zemelman H, Merino HZ, León E. Los horizontes de la razón I. Dialéctica y apropiación del presente. Barcelona: Antrhopos; 1992.

(20) Lopera MM. Reflexiones sobre la relación interpersonal enfermera-paciente en el ámbito del cuidado clínico. Index Enferm. 2006; 15(54):48-52.

(21) Sandelowski M. Toward a theory of technology dependency. Nurs Outlook. 1993; 41(1):36-42.

(22) Fairman J, D'Antonio P. Virtual power: gendering the nurse-technology relationship. Nurs Inq. 1999; 6(3):178-86.

(23) Sandelowski M. Nursing, technology and the millennium. Nurs Inq. 1999; 6(3):145.

(24) Benner P, Benner P, Tanner C. Expertise in nursing practice: caring, clinical judgment & ethics. New York: Springer Publishing Company; 2009.

(25) Jones C, JW Alexander. The technology of caring: A synthesis of technology and caring for nursing administration. Nurs Adm Q. 1993;17(2):11-20.

(26) Locsin R. The Culture of Technology: Defining Transformation in Nursing, from The Lady with a Lamp to Robonurse? Holist Nurs Pract. 2001; 16(1):1-4.

(27) Barnard A, Sandelowski M. Technology and humane nursing care:(ir) reconcilable or invented difference? J Adv Nurs. 2001;34(3):367-75.


Abstract : 284 PDF (ENGLISH) : 158 HTML (ENGLISH) : 2786 HTML (ESPAÑOL) : 259

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Esta publicación hace parte del Sistema de Revistas de la Universidad de Antioquia
¿Quieres aprender a usar el Open Journal system? Ingresa al Curso virtual
Este sistema es administrado por el Programa Integración de Tecnologías a la Docencia
Universidad de Antioquia
Powered by Public Knowledge Project