Patrícia Serpa de Souza Batista

Cuidados paliativos em pacientes com HIV/AIDS: princípios da bioética adotados por enfermeiros

This study sought to investigate the principles of bioethics considered by nurses involved in research while caring for patients with HIV/Aids under palliative care. An exploratory study, with a qualitative approach, was conducted with twelve nurses in a public hospital in the municipality of Joao Pessoa in the State of Paraiba. A form was used for data collection and the empirical material was analyzed qualitatively using the content analysis technique. The following categories emerged from the qualitative analysis: Respect for the autonomy of HIV/Aids patients under palliative care; and Enhancement of the principles of charity, non-malevolence and justice in providing palliative care to HIV/Aids patients. The results revealed that the participants acknowledge the importance of bioethical principles while caring for patients with HIV/Aids under palliative care. The work provides a reflection on and elicits the pursuance of further studies which can contribute to improve the quality of life of these patients with care based on ethical principles.

Extensão Popular na formação profissional em saúde para o SUS: refletindo uma experiência*

O presente relato objetiva abordar a influencia da Extensao Popular na formacao universitaria em saude para o SUS, considerando a vivencia de uma estudante de enfermagem. Serao considerados os aprendizados adquiridos nas atividades desenvolvidas no Projeto Educacao Popular e Atencao a Saude da Familia (Pepasf): visitas domiciliares, reunioes semanais e nos espacos de articulacao politica comunitaria. As visitas domiciliares semanais aproximam o estudante do mundo popular que, por meio do vinculo, desenvolve novas maneiras de pensar e fazer saude; as reunioes semanais trabalham principios da interdisciplinaridade rumo ao trabalho integral em saude e; nos espacos de articulacao comunitaria, o estudante se engaja nas lutas e aprende a estimular a participacao popular. A Extensao Popular constitui uma alternativa ante o ensino na universidade que tem contribuido para uma formacao em saude coerente com os principios do SUS.

Situações de assédio moral vivenciadas por enfermeiros no ambiente de trabalho

Objectives: Investigate moral harassment experienced by nurses in their workplace. Methods: Cross-sectional study performed with 259 nurses working in primary healthcare units and public hospitals. The tool employed in the research was composed of a questionnaire available in the union councils website, and the nurses were emailed the invitation to participate. Results: Results showed that the moral harassment phenomenon is more frequently regarded to the manipulation perpetrated by the aggressor toward opposed interests of the victim, followed by the acknowledgement that the harasser seeks to hinder the professional development of the harassed worker. Conclusion: The study revealed that the moral harassment experienced by the nurse in the workplace directly impacts his/her labor performance, as well as health and emotional statuses.

Espiritualidade no cuidar de pacientes em cuidados paliativos: Um estudo com enfermeiros

Objective: To understand spirituality from the point of view of nurses who care for patients under palliative care. Methods: This is a qualitative field study, conducted with ten nurses working at a hospital in Joao Pessoa (PB). The empirical material was collected through semi-structured interviews and analyzed using the content analysis technique. Results: The results showed that nurses consider spirituality as a source of strength, comfort and faith, and that when cultivated by patients under palliative care, it helps to improve their condition and accept the dying process. Family support, forgiveness, love, belief, faith and hope were identified as the spiritual needs of these patients, which can be met using various strategies. Conclusion: It is evident that nurses recognize the importance of the spiritual dimension in the palliative care of patients, however, there is still unpreparedness to deal with spiritual matters.Objetivo: Compreender a espiritualidade sob o ponto de vista de enfermeiros que cuidam de pacientes em regime de cuidados paliativos. Metodos: Trata-se de uma pesquisa de campo, de natureza qualitativa, realizada com dez enfermeiros vinculados a um hospital de Joao Pessoa (PB). O material empirico foi coletado mediante entrevista semiestruturada e analisado por meio da tecnica de analise de conteudo. Resultados: Os enfermeiros consideram a espiritualidade como fonte de forca, conforto e fe e que, quando cultivada pelos pacientes em cuidados paliativos, contribui para melhorar a sua condicao e aceitar o processo de finitude. Identificaram o apoio familiar, perdao, amor, crenca, fe e esperanca como necessidades espirituais desses pacientes, as quais podem ser atendidas por eles utilizando variadas estrategias. Conclusao: Evidencia-se que os enfermeiros reconhecem a importância da dimensao espiritual no atendimento de pacientes sob cuidados paliativos, no entanto, ainda existe despreparo para lidar com as questoes espirituais.

Palliative care and spirituality: an integrative literature review.

OBJECTIVE to analyze scientifi c articles published in international online journals about palliative care and spirituality. METHODS an integrative literature review with data collected in September 2014 from the LILACS, SCIELO, MEDLINE/PubMed, and IBECS databases. RESULTS thirty-nine publications were identifi ed and their textual analysis facilitated through four thematic approaches: the meaning of spirituality in the context of palliative care; palliative care and spiritual support; spirituality and relief of pain and other symptoms in patients under palliative care; and instruments to evaluate the spiritual dimension of the scope of palliative care. CONCLUSION this study examined the relevance of the spiritual dimension in the care of patients with palliative care and the need for developing new studies to disseminate knowledge about this topic. DESCRIPTORS Palliative Care; Palliative Care at End of Live; Spirituality; Religion; Health.

Nursing care in terminality: compliance with principles of bioethics

The aim of the study was to investigate the principles of bioethics reported by nurses when caring forterminally ill patients. Exploratory research with qualitative approach, developed with fifteen nurses from an intensive care unit of a university hospital, in northeastern Brazil. Data collection was conducted between March and July 2013, through a form. Data were analyzed using the technique of content analysis, emerging the following thematic category: respect to the principles of autonomy, beneficence, non-maleficence and justice to take care of the terminally ill patients. The participating nurses valued these principles when caring for terminally ill patients, which reflect the ethical commitment of these professionals in the practice of nursing care. It is noteworthy that bioethical principles should guide the nursing care of human beings throughout their life cycle.

Institucionalização do ensino de enfermagem na Paraíba: uma viagem ao passado

Este estudo objetivou resgatar o processo de institucionalizacao do ensino de Enfermagem na Paraiba. Devido a escassez de informacoes sobre o assunto, a construcao deste estudo resulta de pesquisa em fontes primarias e secundarias apoiadas, principalmente, na historia oral tematica. Constatamos que a institucionalizacao do ensino de Enfermagem na Paraiba deu-se na decada de 50, quando o modelo tecnico-assistencial de saude publica vigente era chamado de modelo medicosanitario. Dentre os varios momentos significativos deste estudo, destacamos o da entrevista com a Sra. Doralice Kluppel, enfermeira integrante da equipe que atuou na estruturacao da primeira Escola de Enfermagem da Paraiba, pois fez-nos desabrochar um sentimento de valorizacao e respeito ao trabalho desenvolvido pelas precursoras do ensino da enfermagem no Estado.The purpose of this study was to carry out an historical rescue of the institutionalization of nursing education as it occurred in Paraíba. Due to the lack of written information on this subject, the authors carried out the research relying on primary and secondary oral sources. The authors verified that the institutionalization of nursing education in Paraíba occurred in the 1950s, period in which the so-called medical-sanitary model was in vogue at public health services. Among the many significant moments of the study, the authors highlight an interview with Mrs. Doralice Kluppel, a nurse which participated in the team of teachers which established the first School of Nursing in Paraíba, for she brings out feelings of worth and respect for the work carried out by this group of forerunners in nursing education in Paraíba.

Experiência existencial de crianças em tratamento quimioterápico sobre a importância do brincar

Objective: to understand the existential experience of children undergoing chemotherapy on the importance of playing. Methods: qualitative research performed in the outpatient clinic of a teaching hospital with five children undergoing chemotherapy. Data were collected through the interviews and analyzed in the light of the Humanistic Nursing Theory. Results: the discourses revealed the childrens understanding of their illness and their treatment, evidencing the deprivations experienced by them and the situation of emotional imbalance. Playing, according to the childrens reports, elicited positive feelings and represented a way for time to pass faster. Conclusion: the chemotherapy treatment was considered ambiguous, being an unpleasant experience, but necessary for cure. The games in the outpatient chemotherapy service were a viable tool to deal with the discontent before the situation lived, provoking positive feelings such as happiness and satisfaction.

Existential experience of children with cancer under palliative care

OBJECTIVE To understand the existential experience of children with cancer under Palliative Care from the Humanistic Nursing Theorys point of view. METHOD This is a field and qualitative research, in which eleven children participated, supported by the Support Centre for Children with Cancer in Paraíba State. To collect data it was used the Story Drawing Procedure. The data were qualitatively analyzed based on Humanistic Nursing Theory. RESULTS From the analysis of the empirical studys subject, the following thematic categories have emerged: children experiencing fear, sadness, anguish and insecurity in the face of their diagnosis and children experiencing fear of their family falling apart because of the possibility of dying. CONCLUSION It is fundamental the participation of nurses in the Palliative Care to the children with cancer in order to strengthen the trust between the children and the professional to have the relationship of dialogue as central axis.

AGING AND INDIVIDUAL VULNERABILITY: A PANORAMA OF OLDER ADULTS ATTENDED BY THE FAMILY HEALTH STRATEGY

Objective: identifying conditions of individual vulnerability in older adults and investigating the relationship with health indicators through a household survey. Method: a descriptive cross-sectional study conducted with 368 older adults attended by the Family Health Strategy. Data collection was performed through a structured interview, supported by instruments that include sociodemographic characterization, health indicators and the Vulnerable Elders Survey. A descriptive data analysis and Person’s chi-square test were also performed. Results: a prevalence of 52.2% individual vulnerability was found among older adults, in addition to an association with health problems, negative self-perception of health, difficulty with mobility and in performing activities of daily living. Conclusion: identifying vulnerability among the aged population is a relevant initiative for the adequacy of health policies and programs that prioritize the promotion of aging with the maintenance of functional capacity. DESCRIPTORS: Vulnerability health. Older adults. Primary health care. Nursing. ENVELHECIMENTO E VULNERABILIDADE INDIVIDUAL: UM PANORAMA DOS IDOSOS VINCULADOS À ESTRATÉGIA SAÚDE DA FAMÍLIA