Júlio César Batista Santana

Reflexões éticas sobre o cuidado humanizado na percepção dos enfermeiros

Objetivo: compreender as reflexoes eticas sobre o cuidado humanizado na percepcao dos enfermeiros de um Hospital Publico do interior de Minas Gerais. Materiais e Metodos: estudo qualitativo com inspiracao fenomenologica. A pesquisa foi conduzida por uma questao norteadora: Qual a sua percepcao enquanto enfermeiro assistencial do processo etico do cuidar? Os dados dessa pesquisa foram coletados no periodo de janeiro a fevereiro de 2008. A partir da analise dos dados, obtidos por meio de depoimentos, foram coletadas informacoes que promoveram reflexoes favorecendo a elaboracao de tres categorias: a influencia da etica no cuidado humanizado; respeito ao paciente, a familia e a equipe; e necessidade de espaco de discussoes sobre os conflitos eticos no processo do cuidar. Resultados: Os entrevistados demonstram entender a complexidade do conceito humanizacao e sua relacao a etica do cuidado, alem de estarem constantemente a procura de respostas que lhes assegurem a dimensao humana das relacoes profissionais, principalmente as associadas a autonomia e ao respeito a dignidade da pessoa humana. Para os entrevistados, a abertura de um espaco proprio para discussoes e extremamente importante, visto que promovera melhor entendimento das questoes eticas, facilitando assim, a humanizacao do cuidar, principalmente da equipe de enfermagem. Conclusao: Para os enfermeiros do presente estudo existem falhas no desempenho do cuidado, e algumas posturas deixam a desejar. Pode-se perceber que a consciencia do relacionamento entre a equipe e com o paciente e seus familiares e fundamental. Para isso e preciso ser capaz de ouvir atentamente, ser sensivel ao sofrimento do outro sem perder o foco profissional e conviver com as diferencas.

Prehospital care: nursing professors’ perception ahead caring to multiple victims

Objective: to know the nursing professors’ perception ahead prehospital care to multiple victims. Method: this is about a qualitative study, from phenomenological approach. The sample was composed of five nurses from University professor Jose do Rosario Vellano  Unifenas, which has experience and who work or have worked in prehospital care from August 2006 to September 2008, directed by the following question: what is your perception before the assistance pre-hospital to multiple victims? Results: from the analysis of the data, obtained through testimony, it was possible determine five categories: 1) events with multiple victims: living with the stress all the time; 2) the criterion for assessing the scene and victims: putting into practice the training; 3) training and professional recognition: important aspects in the quality of care; 4) work in teams: fundamental aspect in response to multiple victims; 5) experiencing traumatic scenes: how to deal with death. Conclusion: the results show that serve multiple victims is a difficult, stressful, delicate, requiring knowledge a lot and practice skill on the part of professional, and an emotional balance and great human sensitivity. Decriptors: nursing; prehospital; multiple victims.

Orthothanasia in intensive care units: perception of nurses

This article aims to understand the meaning of the process of dying with dignity in an intensive care unit from the perception of nurses. A qualitative study was performed with 12 nurses of the lato sensu nursing specialization course in adult, pediatric and neonatal ICUs of the Pontifical Catholic University of Minas Gerais, Brazil, through the discourse analysis approach proposed by Laurence Bardin. An interview was used as the research instrument. Following discourse analysis, five categories emerged as discussed throughout the article. It was concluded that, in the perception of the nurses, orthothanasia is a practice that respects human dignity through a dignified death. Additionally, it is surrounded by bioethical principles that allow the suspension of curative measures, providing space for palliative care as a mechanism for reducing the suffering and pain of patients in the terminal phase.

Ortotanasia en las unidades de cuidados intensivos: percepciones de los enfermos

This article aims to understand the meaning of the process of dying with dignity in an intensive care unit from the perception of nurses. A qualitative study was performed with 12 nurses of the lato sensu nursing specialization course in adult, pediatric and neonatal ICUs of the Pontifical Catholic University of Minas Gerais, Brazil, through the discourse analysis approach proposed by Laurence Bardin. An interview was used as the research instrument. Following discourse analysis, five categories emerged as discussed throughout the article. It was concluded that, in the perception of the nurses, orthothanasia is a practice that respects human dignity through a dignified death. Additionally, it is surrounded by bioethical principles that allow the suspension of curative measures, providing space for palliative care as a mechanism for reducing the suffering and pain of patients in the terminal phase.

Ortotanásia nas unidades de terapia intensiva: percepção dos enfermeiros

This article aims to understand the meaning of the process of dying with dignity in an intensive care unit from the perception of nurses. A qualitative study was performed with 12 nurses of the lato sensu nursing specialization course in adult, pediatric and neonatal ICUs of the Pontifical Catholic University of Minas Gerais, Brazil, through the discourse analysis approach proposed by Laurence Bardin. An interview was used as the research instrument. Following discourse analysis, five categories emerged as discussed throughout the article. It was concluded that, in the perception of the nurses, orthothanasia is a practice that respects human dignity through a dignified death. Additionally, it is surrounded by bioethical principles that allow the suspension of curative measures, providing space for palliative care as a mechanism for reducing the suffering and pain of patients in the terminal phase.

Docentes de enfermería y terminalidad en condiciones dignas

This study aimed to understand the meaning assigned by a group of nursing professors on orthotanasia. This is a qualitative study with a phenomenological perspective. The study included five nurses from a private university of Minas Gerais State. Four categories emerged: Unpreparedness team in situations that refer to human finitude; Confronting the family in the process of finitude; Extension of human suffering in intensive care units; the perspective of palliative care in intensive care units. It may be concluded that reflections on the finality has been increasing but are still insufficient in contemplating the practice of professional nursing. It is observed that the difficulty in dealing with death is a common problem for health professionals. Further research is necessary to explore the difficulties and knowledge of nurses, encompassing orthotanasia and humanized in terminality.Nursing professors and the terminality in conditions of dignity This study aimed to understand the meaning assigned by a group of nursing professors on orthotanasia. This is a qualitative study with a phenomenological perspective. The study included five nurses from a private university of Minas Gerais State. Four categories emerged: Unpreparedness team in situations that refer to human finitude; Confronting the family in the process of finitude; Extension of human suffering in intensive care units; the perspective of palliative care in intensive care units. It may be concluded that reflections on the finality has been increasing but are still insufficient in contemplating the practice of professional nursing. It is observed that the difficulty in dealing with death is a common problem for health professionals. Further research is necessary to explore the difficulties and knowledge of nurses, encompassing orthotanasia and humanized in terminality.

Nursing professors and the terminality in conditions of dignity

This study aimed to understand the meaning assigned by a group of nursing professors on orthotanasia. This is a qualitative study with a phenomenological perspective. The study included five nurses from a private university of Minas Gerais State. Four categories emerged: Unpreparedness team in situations that refer to human finitude; Confronting the family in the process of finitude; Extension of human suffering in intensive care units; the perspective of palliative care in intensive care units. It may be concluded that reflections on the finality has been increasing but are still insufficient in contemplating the practice of professional nursing. It is observed that the difficulty in dealing with death is a common problem for health professionals. Further research is necessary to explore the difficulties and knowledge of nurses, encompassing orthotanasia and humanized in terminality.Nursing professors and the terminality in conditions of dignity This study aimed to understand the meaning assigned by a group of nursing professors on orthotanasia. This is a qualitative study with a phenomenological perspective. The study included five nurses from a private university of Minas Gerais State. Four categories emerged: Unpreparedness team in situations that refer to human finitude; Confronting the family in the process of finitude; Extension of human suffering in intensive care units; the perspective of palliative care in intensive care units. It may be concluded that reflections on the finality has been increasing but are still insufficient in contemplating the practice of professional nursing. It is observed that the difficulty in dealing with death is a common problem for health professionals. Further research is necessary to explore the difficulties and knowledge of nurses, encompassing orthotanasia and humanized in terminality.

Docentes de enfermagem e terminalidade em condições dignas

This study aimed to understand the meaning assigned by a group of nursing professors on orthotanasia. This is a qualitative study with a phenomenological perspective. The study included five nurses from a private university of Minas Gerais State. Four categories emerged: Unpreparedness team in situations that refer to human finitude; Confronting the family in the process of finitude; Extension of human suffering in intensive care units; the perspective of palliative care in intensive care units. It may be concluded that reflections on the finality has been increasing but are still insufficient in contemplating the practice of professional nursing. It is observed that the difficulty in dealing with death is a common problem for health professionals. Further research is necessary to explore the difficulties and knowledge of nurses, encompassing orthotanasia and humanized in terminality.Nursing professors and the terminality in conditions of dignity This study aimed to understand the meaning assigned by a group of nursing professors on orthotanasia. This is a qualitative study with a phenomenological perspective. The study included five nurses from a private university of Minas Gerais State. Four categories emerged: Unpreparedness team in situations that refer to human finitude; Confronting the family in the process of finitude; Extension of human suffering in intensive care units; the perspective of palliative care in intensive care units. It may be concluded that reflections on the finality has been increasing but are still insufficient in contemplating the practice of professional nursing. It is observed that the difficulty in dealing with death is a common problem for health professionals. Further research is necessary to explore the difficulties and knowledge of nurses, encompassing orthotanasia and humanized in terminality.

DYSTHANASIA: ETHICAL REFLECTIONS ON THE LIMITS OF THERAPEUTIC EFFORTS IN INTENSIVE CARE UNITS

Objetivo: identificar a concepcao pedagogica presente nas praticas educativas do enfermeiro. Metodologia: o tipo de estudo e de natureza qualitativa, sendo classificada como pesquisa bibliografica. Resultados: emergiram duas categorias: 1) Concepcao tradicional X Concepcao problematizadora: dificuldade e resistencia da implementacao de uma concepcao critica nas praticas educativas do enfermeiro; 2) Pedagogia problematizadora: experiencias de uma pratica transformadora. Conclusao: o estudo realizado nos mostrou, indiretamente, a existencia da concepcao pedagogica tradicional nas praticas educativas do enfermeiro e a dificuldade e resistencia para implementar uma pedagogia critica em suas acoes, porem, mesmo diante dessas barreiras, evidenciou-se uma mobilizacao de enfermeiros em varios campos de atuacao com movimentos, estrategias e iniciativas de mudancas para uma concepcao problematizadora.Trata-se de um estudo qualiquantitativo, descritivo, que teve como objetivo analisar os registros efetuados pelo tecnico de Enfermagem com relacao a descricao do paciente que chega na sala de emergencia. A amostra foi constituida de 171 prontuarios. Os dados foram colhidos em um municipio do sul do estado de Santa Catarina, no mes de agosto de 2008, referente aos prontuarios do mes de julho do mesmo ano. A apresentacao dos dados ocorreu a partir de planilhas excel, seguiu-se a analise tematica (1) . Os dados apontam para registros incompletos, com rasuras, que possibilitam dubia interpretacao, sem assinatura de quem o efetuou, caracterizando falhas graves dos registros de Enfermagem.

Perceptions from undergraduate nursing students about finitude in hospitals

ABSTRACT Objective: understanding the process of death and dying in hospitals in the perception of undergraduate nursing students. Methodology: this is about a qualitative study, from phenomenological approach, performed of seven nursing students at the University Jose Rosario Vellano. The research project has been approved by the Ethics Committee in Research of the University Jose Rosario Vellano (protocol number 76/2009). Results: through the interviews was enabled the construction of five categories: 1) Thinking about death, experiencing anxiety, 2) Professionalism in the view of academics and involvement with the cases, 3) The psychological impact at the time of loss and 4) The importance of family care of the patient; 5) Understanding the need to discuss death in academic education. Conclusion: the results showed that the students feel unprepared to deal with death, demonstrating a degree of anxiety, insecurity to talk about it, this is because the discussion of this issue is not frequent in the graduation, we believe that the creation of spaces for self-knowledge, awareness and reflection on the theme of death in the universities, would allow the training of professionals not only able to watch life for the rehabilitation or cure, but also prepared to deal with death. D escriptors: death; right to die ; education; nursing. RESUMO Objetivo: compreender o processo da morte e do morrer nos hospitais na percepcao de academicos de enfermagem. Metodologia: estudo qualitativo, de abordagem fenomenologica, com sete graduandos de enfermagem da Universidade Jose Rosario Vellano. O Projeto de Pesquisa que foi aprovado pelo parecer n°. 76/2009 do Comite de Etica da referida Universidade. Resultados: a analise das falas possibilitou a elaboracao de cinco categorias: 1) Pensando na morte, vivenciando a angustia; 2) Profissionalismo na visao dos academicos e o envolvimento com os casos; 3) O impacto psicologico no momento da perda; 4) A importância da assistencia a familia do paciente; 5) Compreendendo a necessidade de discutir a morte na formacao academica. Conclusao: os resultados evidenciaram que os academicos se sentem despreparados para lidar com a morte, demonstrando uma certa angustia, inseguranca ao falar sobre o assunto, isso se deve ao fato da discussao dessa tematica nao ser frequente dentro da graduacao, entendemos que a criacao de espacos para autoconhecimento, sensibilizacao e reflexao sobre o tema morte nas universidades, possibilitaria a formacao de profissionais nao so capacitados para assistir a vida visando a reabilitacao ou a cura, mas tambem preparados para lidar com a morte. Descritores: morte; direito a morrer ; educacao em enfermagem. RESUMEN Objetivo: comprender el proceso de morir y la muerte en los hospitales de la percepcion de estudiantes de enfermeria. Metodologia: estudio cualitativo, de enfoque fenomenologico. Participaron en el estudio, siete estudiantes de enfermeria de la Universidad Jose Rosario Vellano despues que lo proyecto de investigacion fue aprobado por el Comite de Etica (numero del registro 76/2009) . Resultados: el analisis de las declaraciones permitieron la construccion de cinco categorias: 1) Pensar en la muerte, experimentan ansiedad, 2) La profesionalidad en el punto de vista de los academicos y la participacion de los casos, 3) El impacto psicologico en el momento de la perdida de y 4) La importancia de la atencion de la familia del paciente, 5) Comprender la necesidad de hablar de la muerte en la educacion academica. Conclusion: Los resultados mostraron que los estudiantes no se sienten preparados para enfrentar la muerte, lo que demuestra un grado de ansiedad, inseguridad para hablar de ello, esto no es porque la discusion de este tema es frecuente en la graduacion, creemos que la creacion de espacios de auto-conocimiento, conciencia y reflexion sobre el tema de la muerte en las universidades, que permitiria la formacion de profesionales no solo es capaz de ver la vida para la rehabilitacion o cura, sino tambien preparados para lidiar con la muerte. Descriptores : muerte; derecho a morir ; educacion en enfermeria .