Moema da Silva Borges

Representações de profissionais de saúde sobre a morte e o processo de morrer

The curricula of the health area leave a gap in the theoretical and practical formation, allowing the interpretation of death as failure. This is a qualitative research of exploratory nature. The subjects were five health professionals who provide care to patients without cure possibilities. To analyze the data, it was used the software Alceste. From the analysis of the interviews two distinct axes had emerged: the first axis consists of classes that relate to the size of the professional front to death; the second axis refers to the subjective dimension in front of death. The results reveal the need to invest in the training of students not only in the development of technical skills, but also in the development of interpersonal skills, key elements in human care, especially on death.Os curriculos da area de saude deixam uma lacuna na formacao teorica e pratica, permitindo que a morte seja interpretada como fracasso. A pesquisa objetivou apreender as representacoes sociais da morte e do processo de morrer para os profissionais de saude. Trata-se de uma pesquisa qualitativa de natureza exploratoria. Foram entrevistados cinco profissionais de saude que prestam assistencia a pacientes fora de possibilidades de cura. Utilizou-se o software Alceste para apreender o conteudo das representacoes sociais dos entrevistados. Da analise de conteudo das entrevistas emergiram dois eixos distintos: o primeiro eixo agrupa classes que dizem respeito a dimensao do profissional frente a morte; o segundo eixo refere-se a dimensao subjetiva frente a morte. Os resultados ressaltam a necessidade de investir na capacitacao dos alunos nao somente no desenvolvimento de habilidades tecnicas, mas tambem no desenvolvimento de habilidades interpessoais, elementos fundamentais para o cuidado humano, sobretudo diante a morte.

Cuidar ou tratar? Busca do campo de competência e identidade profissional da enfermagem

Qualitative study which purpose was to identify the central nucleus of the social representations about the concepts of taking care and treating under the vision of the nursing professionals. Participated in the study45 subject. The data had been analyzed with the aid of Evoc software. The results reveal that the social representations of the professionals concerning the concepts of taking care and treating point to opposing actions and not complementary in the act of taking care. We conclude that this aspect can compromise the definition of the field of nursing practice and its professional identity. The challenge is in linking the treatment effect that care process and the contributions of the nursing cares in the health practices are irreplaceable.Qualitative study which purpose was to identify the central nucleus of the social representations about the concepts of taking care and treating under the vision of the nursing professionals. Participated in the study 45 subject. The data had been analyzed with the aid of Evoc software. The results reveal that the social representations of the professionals concerning the concepts of taking care and treating point to opposing actions and not complementary in the act of taking care. We conclude that this aspect can compromise the definition of the field of nursing practice and its professional identity. The challenge is in linking the treatment effect that care process and the contributions of the nursing cares in the health practices are irreplaceable.

Representações sociais sobre religião e espiritualidade

OBJECTIVE to identify the social representations about the concepts of spirituality and religion of of health teachers. METHOD exploratory and descriptive study, based on a qualitative approach. 25 subjects participated in it. The following instruments were used to collect data: questionnaire to identify the profile; questionnaire of free association, whose inducing words were religion and spirituality, and an interview based on the scale FICA (Puchalski, 2006). RESULTS the representations about religion and spirituality, for professors, are forged around the faith in God and it gives them meaning and purpose to deal with the challenges of personal and professional living. CONCLUSION there are still barriers that need to be overcome with a view to a comprehensive care. For this, it is essential to incorporate spirituality in the process in the curricula of health courses.

Representações sociais sobre cuidar e tratar: o olhar de pacientes e profissionais

The objective of this study was to learn about the central nucleus of the social representations of caring and treating for patients and nurses. This qualitative study was founded on the theoretical-methodological framework of the structural approach of social representations. Participants were 90 subjects, who answered a questionnaire using the free association technique. Data analysis was performed using Evoc software. Results show that the social representations that patients and professionals have of the concepts of caring express an ethical, sensitive, solidary, affective and committed relationship with a loving human life. However, the representations of treating point at different meanings and different expectations. In conclusion, the difference between these representations is rather concerning and deserves special attention. Such discrepancy denounces that the service that the professionals have delivered does not meat the demand and desires of patients.La investigacion objetivo conocer el nucleo central de representaciones sociales de pacientes y enfermeras/os acerca del significado de cuidar y tratar. Estudio de naturaleza cualitativa, basado en fundamento teorico-metodologico del abordaje estructural de las representaciones sociales. Participaron 90 sujetos. Se aplico un cuestionario usando tecnica de libre asociacion. Los datos se analizaron con ayuda del software Evoc. Los mismos revelaron que las representaciones sociales de pacientes y profesionales acerca de los conceptos de cuidar expresan una relacion etica, sensible, solidaria, afectiva y comprometida con la vida humana amorosa. Mientras tanto, las representaciones sociales sobre el tratar apuntan hacia diferentes significados y distintas expectativas. Se concluye en que la discrepancia entre las representaciones es bastante preocupante y merece atencion de la categoria. Tal discrepancia expresa que el servicio ofrecido por los profesionales no satisface la demanda y el deseo de los pacientes.

A construção do cuidado das parteiras tradicionais: um saber/fazer edificante

RESUMO Este artigo apresenta uma pesquisa realizada no Distrito Federal e regiao do Entorno do DF com o objetivo de identificar as representacoes sociais das parteiras tradicionais acerca do cuidado. Parte-se do pressuposto de que a base epistemologica da producao sobre o cuidado esta ancorada em saberes cientificos e tambem em outros saberes e praticas advindos do conhecimento do senso comum, dentre os quais se situa o trabalho das parteiras tradicionais. A partir dos dados colhidos acerca das caracteristicas da pratica, do nivel de envolvimento com o fazer, da forma de construcao do saber/fazer e das possibilidades de articulacao da pratica com outros saberes buscou-se identificar aspectos significativos da tematica cuidado na visao das parteiras. Descritores: Cuidado; Parteiras tradicionais; Saude da mulher.

To care for or treat? Seeking the field of competence and professional identity of nursing

Qualitative study which purpose was to identify the central nucleus of the social representations about the concepts of taking care and treating under the vision of the nursing professionals. Participated in the study45 subject. The data had been analyzed with the aid of Evoc software. The results reveal that the social representations of the professionals concerning the concepts of taking care and treating point to opposing actions and not complementary in the act of taking care. We conclude that this aspect can compromise the definition of the field of nursing practice and its professional identity. The challenge is in linking the treatment effect that care process and the contributions of the nursing cares in the health practices are irreplaceable.Qualitative study which purpose was to identify the central nucleus of the social representations about the concepts of taking care and treating under the vision of the nursing professionals. Participated in the study 45 subject. The data had been analyzed with the aid of Evoc software. The results reveal that the social representations of the professionals concerning the concepts of taking care and treating point to opposing actions and not complementary in the act of taking care. We conclude that this aspect can compromise the definition of the field of nursing practice and its professional identity. The challenge is in linking the treatment effect that care process and the contributions of the nursing cares in the health practices are irreplaceable.

Representações sociais de enfermeiros que cuidam de crianças sobre a sistematização da assistência de enfermagem

Objetivo: Conhecer as Representacoes Sociais de enfermeiros que cuidam de criancas hospitalizadas sobre a SAE. Metodo: Estudo qualitativo, descritivo e exploratorio com base na Teoria das Representacoes Sociais, realizado em maio de 2015, com 45 enfermeiros que assistiam criancas de hospitais-escola de um municipio do Mato Grosso. Os dados foram coletados por meio de entrevista, e analisados com auxilio do software Alceste. Resultados: Foram encontrados dois eixos tematicos, o primeiro refere-se a dimensao do conhecimento localizando o tempo e o espaco de formacao do conceito de SAE. O segundo, assinala a dimensao da pratica, descrevendo a dinâmica assistencial nas clinicas e as dificuldades cotidianas. Conclusao: As representacoes da dimensao do conhecimento nao parecem suficientes para ancorar a pratica assistencial, apontando a existencia de importante discrepâncias entre as representacoes, ou seja, entre a valoracao do saber e a qualidade do fazer cotidiano. Palavras-chave: Enfermagem. Processo de enfermagem. Cuidado da crianca.

AVALIAÇÃO DO PERFIL DE ATITUDES ACERCA DA MORTE: ESTUDO COM GRADUANDOS DA ÁREA DE SAÚDE

Objective: to identify the profile of attitudes towards death in undergraduate students from in the health science area. Method a cross-sectional study performed with undergraduates from six healthcare courses of a public university in the Federal District. The Death Attitude Profile Assessment Scale and a sociodemographic questionnaire were applied. Results a total of 1,005 students participated in the study. The neutral acceptance attitude obtained higher average scores among the undergraduate students, higher averages in the fear of death dimension are presented in younger students and lower means of avoidance of death in older students, who attended the first semester of the undergraduate course. The acceptance and approach acceptance dimensions obtained higher averages in male undergraduate students. It was observed that 59.9% of the participants had no prior experience of loss and 75.4% reported not having participated in any discussions about death or dying. Conclusion: based on the results found in the research, the need for discussions on the subject of death and dying beginning in the first semesters in undergraduate courses is reinforced, this is in order to provide a positive attitude towards death and future health professionals exercise their care in a more qualified manner.

Coping strategies used by the elderly regarding aging and death: an integrative review

Objective: to identify and synthesize studies that approach the coping strategies used by the elderly to deal with aging and death. Method: an integrative review was performed in seven databases with the following descriptors: psychological adaptation, the elderly, death and aging. Results: 73 articles were identified. After applying the inclusion and exclusion criteria, six articles that identified multiple losses experienced by the elderly and included coping strategies were selected and analyzed. The main losses were: loss of health; physical capacity and functionality; loss in quality of emotional relationships; Palavras-chave: Adaptação Psicológica. Idoso. Morte. Envelhecimento. http://dx.doi.org/10.1590/1981-22562017020.170083

Representaciones sociales sobre religión y espiritualida

OBJECTIVE to identify the social representations about the concepts of spirituality and religion of of health teachers. METHOD exploratory and descriptive study, based on a qualitative approach. 25 subjects participated in it. The following instruments were used to collect data: questionnaire to identify the profile; questionnaire of free association, whose inducing words were religion and spirituality, and an interview based on the scale FICA (Puchalski, 2006). RESULTS the representations about religion and spirituality, for professors, are forged around the faith in God and it gives them meaning and purpose to deal with the challenges of personal and professional living. CONCLUSION there are still barriers that need to be overcome with a view to a comprehensive care. For this, it is essential to incorporate spirituality in the process in the curricula of health courses.