scholarly journals Death and dying of newborns and children: relationships between nursing and family according to Travelbee

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Jocellem Alves de Medeiros ◽  
José Jailson de Almeida Júnior ◽  
Luciane Paula Batista Araújo de Oliveira ◽  
Flávia Rayonara Santana da Silva ◽  
Clara Caroline dos Santos Silva ◽  
...  

ABSTRACT Objective: Identify the nursing staff's perception of their relationship with families of newborns and children who are in the process of death and dying. Methods: Qualitative research, carried out in the Neonatal and Pediatric Intensive Care Unit of a public maternity hospital in Rio Grande do Norte, with 17 nursing professionals, through a semi-structured interview. After being transcribed, the data were subjected to Bardin's content analysis and interpreted in the light of the theory of Interpersonal Relations proposed by Travelbee. Results: Four categories emerged from the analysis: "Caring and welcoming people, feelings and stories"; "Reactions in the midst of pain: moving between acceptance and suffering"; "Communication of bad news: challenges and strategies"; "The weight of caring and suffering". Final considerations: Family assistance can be established using Travelbee's principles, as they offer timely theoretical support for nursing actions in the context of the process of death and dying.

2018 ◽  
Vol 71 (6) ◽  
pp. 2922-2929
Author(s):  
Fernanda Almeida Fettermann ◽  
Elisabeta Albertina Nietsche ◽  
Marlene Gomes Terra ◽  
Cléton Salbego ◽  
Odete Messa Torres ◽  
...  

ABSTRACT Objective: To analyze the influences of the Vivências e Estágios na Realidade do Sistema Único de Saúde (Brazilian Unified Health System), in the training and performance of nurses. Method: A qualitative study was carried out with 14 nurses who participated in the VER-SUS project in Rio Grande do Sul State. The data were collected through a semi-structured interview technique. The data were analyzed, interpreted and discussed, through the technique of Content Analysis. Results: The categories “VER-SUS Influences on Nursing Training for SUS” and “VER-SUS Contributions for Nurses Performance in the SUS” were highlighted. Final considerations: It was possible to identify the influences of the VER-SUS project in the training and performance of the nursing professionals, pointing out the revision of the Pedagogical Projects of Course and the preparation of the teachers, as a way to carry out the training with emphasis in the Brazilian Unified Health System.


2021 ◽  
Vol 7 (1) ◽  
pp. 343-361
Author(s):  
Flávia Silvestrin ◽  
Tayna Nayara Nunes ◽  
Luiz Renato de Moraes Braga

The perception that we have about death and dying in our society and the way it is experienced by health professionals can bring important psychic repercussions, especially for those who are closest to patients: the nursing team. Literature often suggests the creation of spaces for speech and/or discussion groups, as a care strategy for these professionals. The present study refers to a qualitative, exploratory and empirical research, whose proposal was to verify, through semi-structured interview, if nursing professionals in a Semi-Intensive Care Center have demands to work on themes related to care of end-of-life patients through an operative group and, according to the results, propose its realization. 21 professionals participated. The interviews were analyzed using the Content Analysis technique, which allowed to list five categories: Frequency; Difficulties; Coping strategies; Established links; Demands for updates and speech spaces. The results showed that the participants considered it necessary a space to talk about their experiences in the context of care for patients at the end of life, however, when it was proposed, it did not have adherence. A number of reasons can be considered about the impediments and difficulties in the implementation of a group with nursing professionals working in intensive care, as the main contingents are issues related to the profession itself, resistance, work overload, the context itself institutional and pandemic, making clear the need for further studies.


2019 ◽  
Vol 13 (1) ◽  
pp. 126
Author(s):  
Edna Regina Verri ◽  
Natalia Aparecida Santana Bitencourt ◽  
Jéssica Aires da Silva Oliveira ◽  
Randolfo Dos Santos Junior ◽  
Hélida Silva Marques ◽  
...  

ABSTRACT Objective: to investigate the understanding and practice ofpediatric palliative care. Method: it is a qualitative, exploratory and descriptive study, in a Maternal-Infant School Hospital with 30 Nursing professionals. A sociodemographic questionnaire and semi-structured interview were used to collect data. The data was submitted to the Content Analysis technique. Results: professionals presented difficulties related to the understanding of the philosophy and objectives of palliative care and difficulties in working with pediatric patients under this care, highlighting the feelings of failure and sadness in dealing with the situation. As a coping strategy, the affective detachment of the patient and his family, the spirituality and the offer to the patient of a differentiated and humanized care are used as coping strategies. Conclusion: it is necessary to include palliative care in the academic training of professionals, favoring the knowledge of the subject and preparing the professional to deal with death and dying, as well as the need for a space in the health institutions that provide shelter for the difficulties of professionals working in this context. Descritores: Palliative Care; Pediatrics; Pediatric Nursing; Death; Adaptation, Psychological; Humanization of Assistance. RESUMOObjetivo: investigar a compreensão e a prática dos profissionais de enfermagem sobre os cuidados paliativos pediátricos. Método: trata-se de estudo qualitativo, exploratório e descritivo, em um Hospital Escola Materno-Infantil com 30 profissionais de Enfermagem. Utilizaram-se, para a coleta de dados, questionário sociodemográfico e entrevista semiestruturada. Submeteram-se os dados à técnica de Análise de Conteúdo. Resultados: apresentaram-se, pelos profissionais, dificuldades relacionadas à compreensão da filosofia e aos objetivos dos cuidados paliativos e dificuldade em atuar com pacientes pediátricos que estão sob esse cuidado, destacando-se os sentimentos de fracasso e de tristeza ao lidarem com a situação. Empregam-se, com isso, como estratégias de enfrentamento, o distanciamento afetivo do paciente e de sua família, a espiritualidade e o oferecimento, ao paciente, de um atendimento diferenciado e humanizado. Conclusão: salienta-se a necessidade da inclusão de cuidados paliativos na formação acadêmica dos profissionais, favorecendo o conhecimento do tema e preparando o profissional para lidar com a morte e o morrer, assim como a necessidade de um espaço nas instituições de saúde que proporcione acolhimento frente às dificuldades dos profissionais que atuam nesse contexto. Descritores: Cuidados Paliativos; Pediatria; Enfermagem Pediátrica; Morte; Adaptação Psicológica; Humanização da Assistência. RESUMEN Objetivo: investigar la comprensión y la práctica de los profesionales de enfermería sobre los cuidados paliativos pediátricos. Método: se trata de un estudio cualitativo, exploratorio y descriptivo, en un Hospital Escuela Materno-Infantil con 30 profesionales de Enfermería. Se utilizaron, para la recolección de datos, cuestionario sociodemográfico y entrevista semiestructurada. Se sometieron los datos a la técnica de Análisis de Contenido. Resultados: se presentaron, por los profesionales, dificultades relacionadas a la comprensión de la filosofía y a los objetivos de los cuidados paliativos y dificultad en actuar con pacientes pediátricos que están bajo ese cuidado, destacándose los sentimientos de fracaso y de tristeza al lidiar con la situación. Se emplean, con ello, como estrategias de enfrentamiento, el distanciamiento afectivo del paciente y de su familia, la espiritualidad y el ofrecimiento, al paciente, de una atención diferenciada y humanizada. Conclusión: se destaca la necesidad de la inclusión de cuidados paliativos en la formación académica de los profesionales, favoreciendo el conocimiento del tema y preparando al profesional para lidiar con la muerte y el morir, así como la necesidad de un espacio en las instituciones de salud que proporcione acogida frente a las dificultades de los profesionales que actúan en ese contexto. Descritores: Cuidados paliativos; Pediatría; Enfermería Pediátrica; Muerte; Adaptación Psicológica; Humanización de la Atención. 


2018 ◽  
Vol 12 (12) ◽  
pp. 3337
Author(s):  
Amanda Regina da Silva Góis ◽  
Brígida Maria Gonçalves de Melo Brandão ◽  
Regina Celia de Oliveira ◽  
Solange Fátima Geraldo da Costa ◽  
Denize Cristina de Oliveira ◽  
...  

RESUMOObjetivo: descrever os conteúdos representacionais de profissionais da Enfermagem sobre a morte e o morrer de pessoas vivendo com HIV. Método: trata-se de estudo qualitativo, de campo, descritivo e exploratório, fundamentado na Teoria das Representações Sociais, realizado em sete Serviços de Assistência Especializada (SAE) em HIV/AIDS e um Centro de Testagem e Aconselhamento (CTA, com 20 profissionais de enfermagem, por meio de entrevista semiestruturada. Analisaram-se as falas pela técnica de Análise de Conteúdo na modalidade Análise Categorial. Resultados: elegeram-se quatro categorias temáticas a partir da análise das falas: “O diagnóstico”; “Os significados da morte e do morrer”; “O enfrentamento dos profissionais da Enfermagem perante a morte e morrer de PVHIV” e “A morte dando lugar à possibilidade de vida”. Conclusão: incidem-se os conteúdos representacionais nas práticas em saúde e enfermagem desde a construção simbólica do adoecimento perante a possibilidade de morte relacionada ao HIV e às novas perspectivas de tratamento e promoção da saúde, sendo possível destacar o avanço do conhecimento científico dos profissionais de enfermagem, o que contribui para a sua assistência em saúde às PVHIV. Descritores: Enfermagem; Morte; HIV; Síndrome de Imunodeficiência Adquirida; Percepção Social; Promoção da Saúde.ABSTRACT Objective: to describe the representational contents of Nursing professionals about the death and dying of people living with HIV. Method: this is a qualitative, field-based, descriptive and exploratory study, based on the Theory of Social Representations, carried out in seven Specialized Assistance Services (SAS) in HIV / AIDS and a Testing and Counseling Center (TCC) with 20 nursing professionals, through a semi-structured interview. The speeches were analyzed by the technique of Content Analysis in the Categorical Analysis modality. Results: four thematic categories were chosen from the analysis of the lines: "The diagnosis"; "The meanings of death and dying"; "The confrontation of nursing professionals before death and die of PLHIV" and "Death giving way to the possibility of life". Conclusion: the focus was on the representational contents on health and nursing practices from the symbolic construction of illness to the possibility of death related to HIV and the new perspectives of treatment and health promotion, being possible to highlight the advance of the scientific knowledge of nursing professionals, which contributes to their health care to PLHIV. Descriptors: Nursing; Death; HIV; Acquired Immunodeficiency Syndrome; Social Perception; Health Promotion.RESUMEN Objetivo: describir los contenidos representacionales de profesionales de Enfermería sobre la muerte y el morir de personas viviendo con VIH. Método: se trata de un estudio cualitativo, de campo, descriptivo y exploratorio, fundamentado en la Teoría de las Representaciones Sociales, realizado en siete Servicios de Asistencia Especializada (SAE) en VIH / SIDA y un Centro de Pruebas y Asesoramiento (CTA, con 20 profesionales de enfermería, por medio de una entrevista semiestructurada. Se analizaron las hablas por la técnica de Análisis de Contenido en la modalidad Análisis Categorial. Resultados:  se elegieron cuatro categorias temáticas a partir del análisis de las hablas: “El diagnóstico”; “El significado de la muerte y del morir”; “El enfrentamiento de los profesionales de la enfermería ante la muerte y morir de PVHIV" y "La muerte dando lugar a la posibilidad de vida". Conclusión: se inciden los contenidos representacionales en las prácticas en salud y enfermería desde la construcción simbólica de la enfermedad ante la posibilidad de muerte relacionada al VIH y las nuevas perspectivas de tratamiento y promoción de la salud, siendo posible destacar el avance del conocimiento científico de los profesionales de enfermería, lo que contribuye a su asistencia en salud a las PVVIH. Descriptores: Enfermería; Muerte; VIH; Síndrome de Inmunodeficiencia Adquirida; Percepción Social; Promoción de la Salud.


2019 ◽  
Vol 13 ◽  
Author(s):  
Camila Feijó Luft ◽  
Michele Mandagará De Oliveira ◽  
Ariane Da Cruz Guedes ◽  
Paola De Oliveira Camargo ◽  
Gabriela Botelho Pereira ◽  
...  

Objetivo: conhecer as especificidades dos cuidados prestados pela equipe de enfermagem às crianças filhas de mulheres que usam drogas. Método: trata-se de estudo qualitativo, descritivo, exploratório que se utilizou, como instrumento para a coleta de dados, a entrevista semiestruturada, com 13 profissionais de enfermagem que atuam na maternidade de um hospital escola. Analisaram-se os dados conforme a técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: observou-se que existem algumas especificidades na condição de saúde dos recém-nascidos filhos de mulheres que usam drogas e alguns cuidados que se diferenciam dos cuidados às demais crianças. Evidenciou-se, ainda, que a internação hospitalar da mãe que usa drogas, na maioria das vezes, é permeada de estigma e preconceito. Conclusão: demonstrou-se a necessidade de sensibilizar os profissionais para o tema, buscando superar possíveis estigmas sofridos por estas crianças e prestar uma assistência de qualidade para elas. Descritores: Cuidados de Enfermagem; Recém-nascidos; Mulheres; Usuários de Drogas; Enfermagem; Estigma Social.AbstractObjective: to know the specificities of the care provided by the nursing staff to the children of women who use drugs. Method: this is a qualitative, descriptive, exploratory study that used, as an instrument for data collection, a semi-structured interview with 13 nursing professionals who work in the maternity hospital of a teaching hospital. Data was analyzed according to the technique of Content Analysis in the Thematic Analysis modality. Results: it was observed that there are some specificities in the health condition of newborn children of women who use drugs and some care that differ from the care of other children. It was also evidenced that the hospitalization of the mother who uses drugs, in most cases, is permeated by stigma and prejudice. Conclusion: it was demonstrated the need to sensitize professionals to the theme, seeking to overcome possible stigmas suffered by these children and provide quality care for them. Descriptors: Nursing Care; Infant, Newborn; Women; Drug Users; Nursing; Social Stigma. ResumenObjetivo: conocer las especificidades de la atención brindada por el personal de enfermería a los hijos de mujeres que usan drogas. Método: este es un estudio cualitativo, descriptivo, exploratorio que utilizó, como instrumento para la recolección de datos, una entrevista semiestructurada con 13 profesionales de enfermería que actúan en la maternidad de un hospital escuela. Los datos se analizaron de acuerdo con la técnica de Análisis de Contenido en la modalidad de Análisis Temático. Resultados: se observó que existen algunas especificidades en el estado de salud de los recién nacidos de mujeres que usan drogas y algunos cuidados que difieren del cuidado de otros niños. También se evidenció que la hospitalización de la madre que usa drogas, en la mayoría de los casos, está impregnada de estigma y prejuicio. Conclusión: se demostró la necesidad de sensibilizar a los profesionales sobre el tema, buscando superar los posibles estigmas que sufren estos niños y brindarles una atención de calidad. Descriptores: Atención de Enfermería; Recién Nacido; Mujeres; Consumidores de Drogas; Enfermería; Estigma Social.


Author(s):  
Lucilene Da Silva Silva ◽  
Nathanielle Leite Resende ◽  
Carolinne Kilcia Carvalho Sena Damasceno ◽  
Cristina Maria Miranda de Sousa

Objective: To analyze the knowledge of nursing professionals about the Risk Management Process. Method: qualitative study conducted in a public maternity hospital. Data collection took place in June 2018 and was conducted through a semi-structured interview with the participation of 12 nursing professionals. Data were analyzed with the support of IRAMUTEQ Software. Results: the participants knew about risk management, but it was observed difficulties to conceptualize this process and when the actions taken in relation to the identification of a risk situation, they reported that they would trigger the patient's Safety Center, provide immediate assistance, would communicate the doctor/nurse and inform the institution's management through the ombudsman. Final Considerations: Knowledge about risk management is a theme that is far from the reality of some professionals, so it is necessary to improve the disclosure about what is risk management.


2015 ◽  
Vol 24 (3) ◽  
pp. 859-866 ◽  
Author(s):  
Ítalo Rodolfo Silva ◽  
Francisca Georgina Macêdo de Sousa ◽  
Marcelle Miranda da Silva ◽  
Thiago Privado da Silva ◽  
Joséte Luzia Leite

ABsTrACTThis was qualitative research performed with 15 nursing professionals of a study cohort on adolescent health, in the capital of Rio de Janeiro/Brazil. The objective of the study was to discuss nursing care strategies for the prevention of STDs/AIDS in adolescence, from the perspective of complexity. A semi-structured interview was used for data collection from January to August of 2012. Grounded Theory was used as the methodological framework. The category "Starting points for the nursing care of adolescents in the context of STDs/AIDS" is presented, which discusses aspects related to interdisciplinarity; multidimensionality and specificities of the adolescence-related process, in the midst of vulnerabilities to STDs/AIDS, thereby revealing the importance of contemplating the phenomenon as delimited by its complexity.


Author(s):  
Heitor Silva Biondi ◽  
Edison Luiz Devos Barlem ◽  
Eliana Cardia de Pinho ◽  
Diogo Henrique Tavares ◽  
Nalú Pereira da Costa Kerber ◽  
...  

ABSTRACT Objective: to know the situations found in the work of nurses working in maternity hospitals and obstetric centers that can lead to moral suffering. Method: qualitative, exploratory and descriptive study, developed with 14 nurses working in bstetric centers and maternities of two hospitals in southern Brazil. Data were collected from October 2015 to January 2016, through a semi-structured interview, analyzed based on Content Analysis. Results: there was an occurrence of moral distress related to the activities that supplanted nurses’ execution capacity, leading them to prioritize administrative and managerial activities, for which they are charged by the institutions, failing to participate directly in the care, an aspect enhanced by the quantitative nursing professionals. Asymmetric relations of power and conflicting interactions compose an atmosphere of toleration for the autonomy of the nurses, preventing them from acting in harmony with their knowledge and moral values. The fruitless attempts to change the dehumanizing context through advocacy and the visualization of disrespectful, interventionist and violent behaviors against women, generate moral suffering. Conclusion: the plurality of nurse actions, reduced autonomy, disrespect for their practice and the visualization of dehumanizing behaviors generate moral suffering. It is important to seek alternatives so that nurses may act and advocate in line with their moral knowledge and values, in an autonomous and empowered way, aiming to provide a dignified and safe childbirth assistance, and an environment that respects the woman and her autonomy.


2016 ◽  
Vol 1 (2) ◽  
pp. 125
Author(s):  
Evi Rinata ◽  
Hafmi Putri Syahilda Hamdi

Preparation of exclusive breastfeeding for pregnant mother is an effort made by pregnant mother to facilitate breastfeeding exclusively, includes information search, breast care, nutritional preparation for breastfeeding, and psychological preparation for breastfeeding. Based on introduction study for pregnant in 3rd trimester, there were 62,5% haven’t prepared exclusive breastfeeding who could impact to the success of exclusive breastfeeding program. The purpose of this research was to know the description the preparation of exclusive breastfeeding at Eva’s Maternity Hospital, Candi, Sidoarjo. The type of research was used descriptive study with survey approach. The data retrieval was conducted in July to August 2015 primarily using a structured interview guide to thirty pregnant mothers in 3rd trimester. The collected data were presented in distribution table and analyzed descriptively without statistical test. The result showed almost a half, there were 46,7% of less prepare exclusive breastfeeding during pregnancy respondents, 36,7% had done enough preparation, and only 16,7% had been prepared well. This was because 30 of respondents had not tried to find information about exclusive breastfeeding, 20% had not done breast-care yet during pregnancy, 50% had not prepared the nutritions for breastfeeding, and 50% had not prepared psychologically for breastfeeding. The research was concluded there were still less preparation of exclusive breastfeeding to pregnant mother. The suggestion for health workers that they have to improve the preparation of exclusive breastfeeding to pregnant mother so that mothers can prepare for feeding and increase the success of exclusive breasfeeding program.


2010 ◽  
Vol 60 (3) ◽  
pp. 225-239 ◽  
Author(s):  
Carol K. L. Chan ◽  
Matthew K. Yau

Death preparation is an important process as it can help the elderly to achieve ego integrity at the last stage of their lives. This study aims to explore how the ethnic Chinese elderly in Singapore approach issues related to death and dying, and to identify factors that influence death preparation. Descriptive surveys with semi-structured interview questions were used. Eight ethnic Chinese older adults, recruited through purposive sampling, were interviewed. Additionally, 4 adults with a deceased parent were also interviewed to validate and complement the earlier identified themes. Results show that the current generation of Chinese elderly in Singapore do not seem to be averse to talking about issues related to death, and those who find it unnecessary to prepare for death seem to be associated with, among other factors, lesser financial assets and a strong belief in filial piety. With increasing affluence and dissolving traditions, it will be beneficial to draw the attention of the current generation of mature adults on early preparation at the final stage of the lifespan.


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