scholarly journals MORAL SUFFERING IN ASSISTANCE TO CHILDBIRTH: SITUATIONS PRESENT IN THE WORK OF NURSES OF OBSTETRIC CENTERS AND MATERNITIES

2019 ◽  
Vol 28 ◽  
Author(s):  
Heitor Silva Biondi ◽  
Edison Luiz Devos Barlem ◽  
Eliana Cardia de Pinho ◽  
Diogo Henrique Tavares ◽  
Nalú Pereira da Costa Kerber ◽  
...  
Keyword(s):  
Moral Distress ◽  
Descriptive Study ◽  
Structured Interview ◽  
Moral Values ◽  
Southern Brazil ◽  
Violent Behaviors ◽  
Maternity Hospitals ◽  
Relations Of Power ◽  
Nursing Professionals ◽  
Safe Childbirth

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.

scholarly journals Construction of an Operational Protocol for Multiple Victims and Disasters in Southern Brazil

2019 ◽  
Vol 34 (s1) ◽  
pp. s111-s111
Author(s):  
Sandra Mara Marin ◽  
Jean Bender ◽  
Danielle Bezerra Cabral
Keyword(s):  
Emergency Service ◽  
Descriptive Study ◽  
Future Research ◽  
Emergency Unit ◽  
Southern Brazil ◽  
Hospital Emergency ◽  
Scientific Content ◽  
Emergency Units ◽  
South Of Brazil ◽  
Nursing Professionals

Introduction:Unpredictable events, such as disasters, can change the organizational configuration of health facilities. In a situation of multiple victims, this scenario modifies the flow of care to adapt to the reality that is there. In addition, emergency and emergency units provide immediate care to maintain and preserve the lives of these victims, making it a challenge for all health professionals.Aim:To construct an Operational Protocol for nursing care with multiple victims and disasters in a Hospital Emergency and Emergency Service.Methods:We used a descriptive study with a qualitative approach using the Focal Group technique (GF). The participants included nursing staff and residents who work in the emergency and emergency unit in a hospital in the south of Brazil. The topics from the GF discussion were analyzed by the scientific content of Minayo (2013).Results:The operational assistance protocol for multiple victims and disasters was planned with a redistribution of materials, equipment, human resources of the service, and physical restructuring of the service and other units with the construction of a flow chart to meet the proposed demand.Discussion:In the study, we observed the importance of discussing and planning proposals for care with multiple victims. In addition, the interest of the participants was fundamental to the success of this protocol. This protocol serves as an incentive for nursing professionals and academics for future research that evaluates the effectiveness of using nursing competencies to assist multiple victims in emergency and disaster situations.

scholarly journals COMMUNICATION IN NURSING SHIFT HANDOVER: PEDIATRIC PATIENT SAFETY

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Michelini Fátima da Silva ◽  
Jane Cristina Anders ◽  
Patrícia Kuerten Rocha ◽  
Ana Izabel Jatobá de Souza ◽  
Verônica Berumén Burciaga
Keyword(s):  
Patient Safety ◽  
Pediatric Patient ◽  
Thematic Analysis ◽  
Descriptive Study ◽  
Structured Interview ◽  
University Hospital ◽  
Pediatric Inpatient ◽  
South Of Brazil ◽  
Nursing Professionals ◽  
Safe Care

ABSTRACT Qualitative, exploratory-descriptive study. The aim of this study was to discover how nursing professionals perceive the communication during shift handover and its repercussion in pediatric patient safety. This study was performed at a Pediatric Inpatient Unit of a University Hospital in the South of Brazil. Data was collected by a semi-structured interview, involving 32 nursing professionals. To analyze the data, thematic analysis was used. Data was grouped in categories: shift handover and its interface with communication. The results evidenced the importance of shift handover, in which effective communication is essential for safe care. However, greater objectivity is needed in the information transmission, the time used needs to be reduced and the shift handover records need to be systemized.

scholarly journals Death in the Hospital: The Witnessing of the Patient with Cancer

2021 ◽  
Vol 0 ◽  
pp. 1-6
Author(s):  
Silvia Francine Sartor ◽  
Nen Nalú Alves das Mercês ◽  
Mercedes Nohely Rodríguez Torrealba
Keyword(s):  
Data Analysis ◽  
Descriptive Study ◽  
Structured Interview ◽  
Ethics Committee ◽  
The Other ◽  
Hospital Environment ◽  
Institutional Research ◽  
Southern Brazil ◽  
Relief Of Suffering ◽  
Dying Patient

Objectives: The aim of the study was to know the witnessing of death from the perspective of the cancer patient in the hospital environment. Materials and Methods: This is a qualitative and descriptive study, which was carried out in a cancer hospital in southern Brazil, with 27 cancer patients, through semi-structured interview, after the institutional research ethics committee approval. For categorisation and data analysis, Iramuteq software and Creswell content analysis were used. Results: Six classes emerged from the Iramuteq software and four categories were formed: (1) The reflection of the other itself; (2) feelings and emotions aroused; (3) the witnessing of a peaceful death and (4) death as a habitual event. Conclusion: Patients felt sad and distressed, and some perceived death as something natural, often necessary for the relief of suffering. They put themselves in the place of the dying patient and their family members, imagining their loved ones and the suffering they would experience. Participants considered peaceful deaths to be good, unlike those in which patients had some kind of discomfort, described as horrible, distressing, sad and bad.

scholarly journals PERCEPTION OF EMERGENCY NURSES IN USING A CHEST PAIN ASSESSMENT PROTOCOL

2016 ◽  
Vol 25 (1) ◽  
Author(s):  
Aline Costa Vieira ◽  
Kátia Cilene Godinho Bertoncello ◽  
Juliana Balbinot Reis Girondi ◽  
Eliane Regina Pereira do Nascimento ◽  
Karina Silveira de Almeida Hammerschmidt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chest Pain ◽  
Emergency Service ◽  
Private Hospital ◽  
Descriptive Study ◽  
Structured Interview ◽  
Southern Brazil ◽  
Emergency Nurses ◽  
Assessment Protocol ◽  
Time Consumption

A qualitative and descriptive study aimed at identifying the perception of nurses at the emergency service of a hospital in Southern Brazil on the use of a nursing protocol for classifying chest pain, implemented at a private hospital in the Brazilian Southeast. The protocol considers, among others, the characteristics of the chest pain, risk factors and flowcharts that lead to the nursing action of classifying the risk. Seven nurses participated in the study through semi-structured interview, between January and February 2014. For the data analysis, Content Analysis was used. The results reveal a consensus among nurses that the protocol prioritizes care; identifies risk factors for acute myocardial infarction more easily and identifies the type of pain. The lengthiness and time consumption were revealed as negative considerations. For the nurses, the protocol is applicable to the service as it supported their conduct.

scholarly journals Use of technologies in intravenous therapy: contributions to a safer practice

2017 ◽  
Vol 70 (3) ◽  
pp. 595-601
Author(s):  
Ana Paula Amorim Moreira ◽  
Cristina Lavoyer Escudeiro ◽  
Bárbara Pompeu Christovam ◽  
Zenith Rosa Silvino ◽  
Márglory Fraga de Carvalho ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Resources ◽  
Descriptive Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Intravenous Therapy ◽  
Infusion Pumps ◽  
Safety Issues ◽  
Technological Resource ◽  
Nursing Professionals

ABSTRACT Objectives: To identify what are the difficulties of the nursing staff in the management of technologies during intravenous therapy (IVT) and discuss the difficulties identified under the perspective of patient's safety. Method: Descriptive study of qualitative approach with data collected by semi-structured interview and analyzed by the Alceste software. Results: The greatest difficulty of cognitive and technical emphasis was the lack of training; and regarding administrative emphasis, the greatest difficulty was the lack of material and human resources. Infusion pumps and their proper use were highlighted as the technological resource that most contributed to patient safety. Final considerations: The lack of training is presented as the greatest difficulty of nursing professionals and permeates safety issues of both patient and professional when using the hard technologies in IVT. Training is essential to the development of techniques, considered nursing tools.

scholarly journals Use of nursing technologies for safe perioperative pediatric care

2020 ◽  
Vol 41 ◽  
Author(s):  
Sheila Cristina da Silva Ferraz ◽  
Patrícia Kuerten Rocha ◽  
Andreia Tomazoni ◽  
Roberta Waterkemper ◽  
Soraia Dornelles Schoeller ◽  
...  
Keyword(s):  
Perioperative Period ◽  
Structured Interview ◽  
Ethics Committee ◽  
Pediatric Care ◽  
Southern Brazil ◽  
Thematic Content Analysis ◽  
Perioperative Nursing ◽  
Use Of Technology ◽  
Nursing Professionals ◽  
Safe Care

ABSTRACT Objective: To understand the nursing team’s perception about the use of technology for safe perioperative pediatric care, through photographs. Method: A qualitative study using the theoretical framework of Nietsche Specific Nursing Technology, with a total of 18 perioperative nursing professionals from a general hospital in southern Brazil. Data collection occurred from June to August 2018, from a semi-structured interview and photograph production. They were analyzed through the Thematic Content Analysis. Approved by the Research Ethics Committee of the Federal University of Santa Catarina. Results: The Nursing Technologies category used for the safety of the pediatric patient in the perioperative period, with 250 photographs illustrating facts, situations and artifacts considered nursing technologies used in safe care. Conclusions: In the team’s perception, patient safety involves the use of technologies integrated to perioperative care and structural, physical and input aspects.

scholarly journals ESTRATÉGIAS DE DEFESA UTILIZADAS POR TRABALHADORES DE ENFERMAGEM ATUANTES EM PRONTO-SOCORRO

2016 ◽  
Vol 7 (2) ◽  
pp. 57 ◽  
Author(s):  
Jeanini Dalcol Miorin ◽  
Silviamar Camponogara ◽  
Camila Pinno ◽  
Etiane De Oliveira Freitas ◽  
Quézia Boeira Da Cunha ◽  
...  
Keyword(s):  
Emergency Room ◽  
Nursing Staff ◽  
Care Setting ◽  
Leisure Activities ◽  
Descriptive Study ◽  
Structured Interview ◽  
Thematic Content Analysis ◽  
Defensive Strategies ◽  
Investigación Cualitativa ◽  
Nursing Professionals

Objetivo: conhecer as estratégias defensivas utilizadas por trabalhadores de enfermagem atuantes em Pronto-Socorro. Metodologia: trata-se de um estudo descritivo com abordagem qualitativa. A coleta de dados ocorreu por meio de entrevista semiestruturada com 13 trabalhadores de enfermagem atuantes em um pronto-socorro, entre agosto e setembro de 2014. A análise dos dados seguiu os pressupostos da análise de conteúdo. Resultados: a partir da análise, emergiu a categoria: ‘Estratégias de defesa utilizadas pela equipe de enfermagem’, quais sejam: diálogo, enfoque nos aspectos técnicos do cuidado, estabelecimento de prioridades na rotina de serviço e desenvolvimento de atividades de lazer. Conclusão: a utilização de estratégias auxilia o trabalhador de enfermagem a vivenciar o trabalho de forma mais prazerosa.Descritores: Trabalho; Enfermagem; Adaptação Psicológica; Serviços Médicos de Emergência.DEFENSE STRATEGIES USED FOR NURSING WORKERS IN EMERGENCY ROOMObjective: the study aimed to know the defensive strategies used by nursing staff working in emergency room. Methodology: this is a descriptive study with a qualitative approach. A data collection was performed by semi-structured interview with 13 nursing professionals who work at an emergency room, between August and September 2014. Results: the analysis followed the assumptions of thematic content analysis. From the data analysis emerged the category: “Defensive strategies used by nursing staff”, which are dialogue, focus on technical aspects of care, setting priorities in the service routine and development of leisure activities. Conclusion: the use of strategies helps the nursing workers experience the work in a more pleasant way.Descriptors: Work; Nursing; Adaptation, Psychological; Emergency Medical Services.ESTRATEGIAS DEFENSIVAS UTILIZADAS POR TRABAJADORES DE ENFERMERÍA ACTIVOS EN PRIMEROS AUXILIOSObjetivo: conocer las estrategias defensivas utilizadas por trabajadores de enfermería que actúan en primeros auxilios. Metodología: investigación cualitativa y descriptiva. La recolección de datos ocurrió a través de entrevista semiestructurada con 13 trabajadores de enfermería que actúan en primeros auxilios, entre Agosto y Septiembre de 2014. El análisis siguió los supuestos del análisis de contenido temático. Resultados: a partir de la análisis de los datos ha surgido la categoría temática: “Estrategias defensivas utilizadas por el equipo de enfermería”, que son el diálogo, el enfoque en los aspectos técnicos de la atención, establecimiento de prioridades en la rutina de servicio y desarrollo de actividades de ocio. Conclusión: el uso de estrategias ayuda a los trabajadores de enfermería experimentar el trabajo de modo más agradable.Descriptores: Trabajo; Enfermería; Adaptación Psicológica; Servicios Médicos de Urgencia.

Habilidades do Enfermeiro no Diagnóstico e Cuidado ao Portador de Depressão / Nursing Skills in Diagnosis and Care For Patients With Depression

1970 ◽  
Vol 5 (4) ◽  
pp. 13-19
Author(s):  
Cristiane Rosa Guedes ◽  
Bianca Del Ducca Alvarenga ◽  
Isabella Rotella ◽  
Débora Vitória Alexandrina Lisboa Vilella
Keyword(s):  
Data Collection ◽  
Family Involvement ◽  
Nursing Care ◽  
Direct Contact ◽  
Descriptive Study ◽  
Structured Interview ◽  
Qualitative Approach ◽  
Patient Relationship ◽  
The Subject ◽  
The City

RESUMOObjetivo: Identificar o significado para o enfermeiro em prestar cuidados para pacientes com Depressão.  Materiais e métodos: Estudo exploratório e descritivo com abordagem qualitativa, a amostra foi de 12 enfermeiras, o cenário de estudo foram Unidades Básicas de Saúde e Estratégias de Saúde da Família, urbanas da cidade de Itajubá-MG. A coleta de dados foi por meio do roteiro de entrevista semiestruturada composta por questionário contendo uma pergunta inerente ao assunto. Resultados: Encontramos oito categorias como estigma da depressão, suicídio, dificuldade em lidar, tempo escasso, envolvimento familiar, aceitação da doença, acolhimento e dar medicamento, de acordo com os discursos dos sujeitos coletados na entrevista. Conclusão: Os enfermeiros não estão em contato direto com portadores de depressão no seu trabalho, não entendem que é sua tarefa identificar e encaminha-los para tratamento especializado. Sugerimos que outros estudos sejam desenvolvidos sobre essa temática.Palavras-chave: Depressão. Relação Enfermeiro-Paciente. Assistência de Enfermagem. ABSTRACTObjective: To identify the meaning for nurses when providing care for patients with depression. Materials and Methods: exploratory and descriptive study with qualitative approach, the sample consisted of 12 nurses, the study scenario was the urban Unidades Básicas de Saúde e Estrategia de Saúde da Família, in the city of Itajubá. Data collection was done through semi-structured interview guides consisting of a questionnaire containing a question related to the subject. Results and Discussion: we found eight categories as stigma of depression, suicide, coping difficulties, scarce time, family involvement, acceptance of the disease, host and give medicine, according to the speeches of the subjects collected in the interview. Conclusion: nurses are not in direct contact with individuals with depression in their work, do not understand that it is their job to identify and refer them to specialized treatment. We suggest that other studies be developed on this theme.Keywords: Depression, Nurse-patient Relationship, Nursing care.

The prevalence of the technocratic model in obstetric care from the perspective of health professionals

2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Marli Therezinha Stein Backes ◽  
Karini Manhães de Carvalho ◽  
Larissa Nascimento Ribeiro ◽  
Tamiris Scoz Amorim ◽  
Evanguelia Kotzias Atherino dos Santos ◽  
...  
Keyword(s):  
Health Professionals ◽  
Scientific Evidence ◽  
Obstetric Care ◽  
Ethics Committees ◽  
Obstetric Nurses ◽  
Data Collection And Analysis ◽  
Maternity Hospitals ◽  
Theoretical Sampling ◽  
Centered Care ◽  
Nursing Professionals

ABSTRACT Objectives: to identify the reasons for the prevalence of the technocratic model in obstetric care from the perspective of health professionals. Methods: Grounded Theory. Study approved by two Research Ethics Committees and conducted by theoretical sampling, from July 2015 to June 2017. Twenty-nine interviews were conducted with health professionals from two maternity hospitals in the Southern Region of Brazil. Data collection and analysis was performed alternately; and analysis by open, axial, and selective coding/integration. Results: the technocratic model still persists because the assistance is performed in a mechanized way, centered on the professionals. There is a lack of systematization of care, and under-dimensioning of the nursing staff. Final Considerations: obstetric nurses need to review their performance in obstetric centers, the internal organization, the dimensioning of nursing professionals, and become protagonists of care. Investment in academic training/updating the knowledge of midwifery professionals, based on scientific evidence and user-centered care is necessary.

scholarly journals Teaching strategies: promoting the development of moral competence in undergraduate students

2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1650-1656 ◽  
Author(s):  
Cleci de Fátima Enderle ◽  
Rosemary Silva da Silveira ◽  
Graziele de Lima Dalmolin ◽  
Valéria Lerch Lunardi ◽  
Liziane Iturriet Avila ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Undergraduate Students ◽  
Clinical Reasoning ◽  
Teaching Strategies ◽  
Textual Analysis ◽  
Structured Interview ◽  
Moral Values ◽  
Moral Competence

ABSTRACT Objective: To identify strategies and spaces used by professors to promote the development of the moral competence of nursing undergraduate students. Method: Qualitative research, developed with 20 nursing professors, through a semi-structured interview, from July to October 2016. Data were submitted to discursive textual analysis. Results: Three categories were constructed: Active methodologies as strategies for the development of moral competence; Knowledge and development of clinical reasoning as motivating spaces of moral competence; Attitude of professors as a strategy for dialogue, empathy, recovery of moral values and development of caring skills. Final considerations: The use of strategies and spaces to develop pedagogical actions favors the search for knowledge, clinical reasoning and the approach of ethical and moral aspects that collaborate for the development of the moral competence of nursing undergraduate students.

Sign in / Sign up

Export Citation Format

Share Document