Abstract

BAEZA GOMEZ, Ignacio  and  QUISPE HOXSAS, Linda Cynthia. Project "Humanizing Intensive Care", new paradigm of guidance in Intensive Care Unit. Rev. Bioética y Derecho [online]. 2020, n.48, pp.111-126.  Epub May 11, 2020. ISSN 1886-5887.

In the last 50 years, Intensive Medicine has reached the highest survival figures thanks to the work of highly qualified and trained multi-disciplinary teams, the role of advanced technology in the field of treatment, the disease as a center, life support and clinical diagnosis. The effort involves the use of technology and all the environment surrounding the Intensive Care Unit (ICU), focused on treating patient disease, but had displaced people and their individualities from the care facility. This resulted in the depersonalization of all the agents involved (patients, families, caregivers and even professionals). Research has shown the serious physical and psychological injuries in our survivors, with significant ethical consequences. Depersonalization is one of the signs of burnout syndrome, which is a serious unresolved and growing problem among health professionals that in early 2019 has been admitted as a disease by the WHO. The great bioethical principles have not been able to respond to the causes of physical and psychic suffering. New ethical orientations are needed that are resized to the individual and their particularity, under more emotional and affective aspects, by which we refer to the ''ethics of care'' as a gravitational nucleus where professionalism and the practice of resilience in the health field are growing. The importance of integrating the ethics of care oriented towards the patient-family binomial, and of combating burnout by performing care for professionals, is a real challenge within the ICU, two different but linked sides that belong to the same currency.

Keywords : Intensive Care; UCI humanization; HU-CI project; care ethics; professionalization; professional exhaust; burnout syndrome; overlap syndrome.

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