Relaciones interpersonales en el nuevo modelo de atención sanitarista al niño con dolor

Introduccion: el alivio del dolor debe considerase un derecho fundamental de la persona, porque el respeto a la dignidad humana exige que nadie sufra dolor innecesario. Objetivo: valorar como se establecia la relacion de los profesionales con el paciente y representantes validos, en la atencion a ninos con dolor, y si se ajustaban a un modelo de afrontamiento etico de las relaciones interpersonales y las valoraciones sobre virtudes y cualidades presentes en los profesionales que atienden ninos con dolor. Metodos: se realizo una investigacion descriptiva-transversal utilizando metodos cualitativos. Se realizaron encuestas a tutores validos de ninos que padecian dolor ingresados en el Hospital Pediatrico "Juan Manuel Marquez", y a profesionales de ese hospital de diferentes servicios que atienden a ninos con dolor. Las valoraciones de los profesionales sobre estas relaciones se contrastaron con las que hicieron los representantes legales de los ninos con dolor atendidos en el hospital. Resultados: el personal de salud considera generalmente (casi siempre) correctas las valoraciones bioeticas en la relacion medica con los enfermos y familiares. Los tutores validos de los ninos ingresados escogieron la alternativa siempre correcta en los procederes orientados desde la Bioetica por parte del personal de salud. Las cualidades que caracterizan al personal medico y de enfermeria son apreciadas en el rango de suficiente, y estas, con relacion a como deberian estar presentes, las frecuencias no fueron lo suficientemente elevadas para esta profesion. Conclusiones: se constato que la ponderacion de valores deseados para la profesion no alcanza las expectativas necesarias para considerar que se esten formando profesionales virtuosos. Los profesionales valoraron que no siempre se cumplen los procederes orientados desde la bioetica, sin embargo los padres consideran que estos son cumplidos siempre. Introduction: pain relief should be considered a fundamental right of a person since the respect to human dignity demands that no one suffer from unnecessary pain. Objective: to find out how the relationship between the health professionals and the patient and his/her legal representative was developed in the care of children with pain, and whether they adapted to a model of ethical coping with interpersonal relationship, and the assessment on virtues and qualities present in those professionals who treat children with pain. Methods: a descriptive cross-sectional research study using qualitative methods was carried out. Guardians of children suffering pain and admitted to "Juan Manuel Marquez" pediatric hospital, and health professionals in different hospital services, who treat children with pain, were surveyed. The professionals' assessment on these relationships was compared with those of the legal representatives of children with pain, who were seen at the hospital. Results: the health staff considered that almost all the bioethical assessments in terms of the medical relationships with patients and relatives were correct. The guardians of hospitalized children chose the alternative always correct to qualify the procedures which were oriented from a bioethical viewpoint by the health staff. The qualities of the medical and nursing staffs were regarded as sufficient, but when comparing them with the way they should present themselves, then the frequencies were not high enough for this profession. Conclusions: it was proved that weighing of wanted values for this profession did not reach the required expectations to consider that virtuous professionals are being formed. The professionals stated that not always the bioethically oriented procedures are complied with; however, the parents think that they are always implemented.