La construcción narrativa de la experiencia del paso por la uci en la relación médico - paciente: un abordaje del afrontamiento familiar desde la postura ecológica compleja en la unidad de cuidados intensivos.

Abstract

The present project had as an objective comprises the process of narrative construction about the experience of passing in the intensive care unit (ICU) in the doctor-patient and family relations, and the connection with the coping skills, as a possibility of the emergence of alternative narratives. This research was in the base of the investigation line “Quality of life and wellness in health context”, with the base of the second-order qualitative research and the epistemology bases complex and constructionism, using the reflexives conversational scenes in two doctors and a patient and his family, who were been in the ICU. The obtained information was analyzed through a content analysis, that permitted recognized the interaction between the different conceptual and methodological categories: Narrative construction about the experience, doctor-patient relationship, familiar coping skills, and alternative narratives. The research concludes; the doctor-patient relation and the familiar support are the keys of the coping skills in the ICU, nevertheless, the communication between doctor and patients are limited and the relation is distant, the paternalistic relationship still prevails, and is permeated by the dominant discourses of the patients, his family and the doctor perpetuating this dynamic, in the same way ethically the doctors concentrate his efforts in the principle of truth and care less about the principle of autonomy. The restrictive requirements about the doctor’s labor allowed that they care less about their life and recount identityally.