scholarly journals Nursing care in terminality: compliance with principles of bioethics

2014 ◽  
Vol 35 (3) ◽  
pp. 97-102 ◽  
Author(s):  
Zirleide Carlos Felix ◽  
Patrícia Serpa de Souza Batista ◽  
Solange Fátima Geraldo da Costa ◽  
Maria Emília Limeira Lopes ◽  
Regina Célia de Oliveira ◽  
...  

The aim of the study was to investigate the principles of bioethics reported by nurses when caring for terminally 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.

2014 ◽  
Vol 23 (2) ◽  
pp. 214-222 ◽  
Author(s):  
Eva Martine Bull ◽  
Venke Sørlie

Background: Less sedated and more awake patients in the intensive care unit may cause ethical challenges. Research objectives: The purpose of this study is to describe ethical challenges registered nurses experience when patients refuse care and treatment. Research design: Narrative individual open interviews were conducted, and data were analysed using a phenomenological hermeneutic method developed for researching life experiences. Participants and research context: Three intensive care registered nurses from an intensive care unit at a university hospital in Norway were included. Ethical considerations: Norwegian Social Science Data Services approved the study. Permission was obtained from the intensive care unit leader. The participants’ informed and voluntary consent was obtained in writing. Findings: Registered nurses experienced ethical challenges in the balance between situations of deciding on behalf of the patient, persuading the patient and letting the patient decide. Ethical challenges were related to patients being harmful to themselves, not keeping up personal hygiene and care or hindering critical treatment. Discussion: It is made apparent how professional ethics may be threatened by more pragmatic arguments. In recent years, registered nurses are faced with increasing ethical challenges to do no harm and maintain dignity. Conclusion: Ethically challenging situations are emerging, due to new targets including conscious and aware critical care patients, leaving an altered responsibility on the registered nurses. Reflection is required to adjust the course when personal and professional ideals no longer are in harmony with the reality in the clinical practice. RNs must maintain a strong integrity as authentic human beings to provide holistic nursing care.


2015 ◽  
Vol 24 (3) ◽  
pp. 662-669 ◽  
Author(s):  
Marli dos Santos Salvador ◽  
Giovana Calcagno Gomes ◽  
Pâmela Kath de Oliveira ◽  
Vera Lúcia de Oliveira Gomes ◽  
Josefine Busanello ◽  
...  

ABSTRACTthis study aimed to know the strategies of families in the care of children with chronic diseases. A descriptive and exploratory research was carried out using a qualitative approach, in a Pediatric Unit of a university hospital in the south of Brazil, during the first and second halves of 2013. The study involved 15 participating families. Data were collected by means of interviews subjected to thematic analysis. It was identified as strategies: balance work, study and care, share tasks throughout the day, adapt the physical area of the house, engage the child in their own care, seek resources in the network of social support and faith, seek assistance in another city; and engage in physical activity to reduce stress. It was concluded that it is necessary that the nurses participate of the family support network, as a support source for the strengthening of the family to the care, acquiring skills and expertise to a positive coping of the child's chronic disease.


2018 ◽  
Vol 9 (4) ◽  
pp. 65 ◽  
Author(s):  
Elisabeth Wimo ◽  
Ann-Mari Fagerdahl ◽  
Janet Mattsson

Children who are critically ill are vulnerable and the nurse has a responsibility to meet the child's needs in a pediatric intensive care unit (PICU). The aim was to explore the vulnerable child's participation and how it can be understood through the nurses’ perspective in the nursing care intervention. The study design was an exploratory inductive qualitative approach. Data collection was done through observations and interviews. The data from the observations were analyzed through interpretive phenomenology. The affective elements were viewed as essential for uncover how children participate in the PICU. Three themes emerged through the analysis: Mediated participation, Bodily participation and Participation by proxy. They all highlight different aspect of the vulnerable child's way of participating in the nursing care given, through nurses’ awareness and situated salience. The concept participation should be redefined and broadened; as participation can present itself through the child’s body in diverse ways.


2009 ◽  
Vol 8 (2) ◽  
Author(s):  
Juliana Mendes ◽  
Mariluci Alves Maftum ◽  
Maria Ribeiro Lacerda ◽  
Maria de Fátima Mantovani ◽  
Rosalina Aparecida Partezani Rodrigues

2010 ◽  
Vol 18 (5) ◽  
pp. 873-880 ◽  
Author(s):  
Amália de Fátima Lucena ◽  
Maria Gaby Rivero de Gutiérrez ◽  
Isabel Cristina Echer ◽  
Alba Lucia Bottura Leite de Barros

This cross-sectional study was carried out at a university hospital to describe the nursing interventions most frequently performed in the clinical practice of an intensive care unit, based on nursing care prescriptions, and to investigate their similarity to the Nursing Interventions Classification (NIC). The sample consisted of 991 hospitalizations of patients. Data were retrospectively collected from the computer database and analyzed through descriptive statistics and cross-mapping. A total of 57 different NIC interventions frequently used in the unit were identified; most of them in the complex (42%) and basic physiological (37%) domains, in the classes ‘respiratory management’ and ‘self-care facilitation’. Similarity between the nursing care prescribed and nursing interventions/NIC was found in 97.2% of the cases. The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body’s physical and homeostatic functioning.


2019 ◽  
Vol 72 (5) ◽  
pp. 1243-1250
Author(s):  
Karen Gisela Moraes Zepeda ◽  
Marcelle Miranda da Silva ◽  
Débora Cristina Leitão dos Santos ◽  
Rafael Barroso Gaspar ◽  
Liana Amorim Corrêa Trotte

ABSTRACT Objectives: To understand the meaning attributed by the nurse to the management of nursing care to the person hospitalized due to clinical complications caused by AIDS; to analyze actions related to palliative care; and to construct a theoretical matrix regarding the management of nursing care. Method: Qualitative, exploratory research, guided by the Grounded Theory. Seven nurses and ten nursing technicians were interviewed between May and September 2015, in a university hospital, located in Rio de Janeiro State, Brazil. Results: Five categories that covered the profile of the hospitalized person, palliative care, intervening conditions for care management, the need for professional qualification, and other aspects to better organize and manage care, including conflict management arose. Final considerations: The theoretical matrix values the quality of life, the need to understand the flow of care to avoid readmissions and not adherence to medications, requiring new research in the area, such as implementation.


Author(s):  
Yasmin Cardoso Metwaly Mohamed Ali ◽  
Taís Milena Milena Pantaleão Souza ◽  
Paulo Carlos Garcia ◽  
Paula Cristina Nogueira

Objectives: To correlate the incidence of pressure injury (PI) with the average time of nursing care in an intensive care unit (ICU). Method: Epidemiological, observational, retrospective study, carried out in the ICU of a university hospital. Data were collected by consulting the PI incidence and the average nursing care time from ICU databases between 2010 and 2014. Measures of central tendency and variability, and Pearson’s correlation coefficient were used for data analysis. Results: The average incidence of PI between 2010 and 2014 was 10.83% (SD = 2.87) and the average time spent in nursing care for patients admitted to the ICU was 15 hours (SD = 0.94). There was no statistically significant correlation between the incidence of PI and the nursing care time (r = -0.17; p = 0.199), however, the results suggested an overload on the nursing team. Conclusion: This study confirms the importance of implementing and reassessing the effectiveness of preventive care protocols for PI, in addition to warning about the work overload of nursing in assisting critically ill patients.


2009 ◽  
Vol 3 (3) ◽  
pp. 567
Author(s):  
Álvaro Pereira ◽  
Ana Emília Rosa Campos ◽  
Rudval Souza da Silva

ABSTRACTObjective: to understand the nurses’ feelings who care for patients that are dying at Intensive Care Unit. Method: this is about an exploratory-descriptive study from qualitative approach, which had as principal question: How do you feel taking care of patients outside chance of cure Intensive Care Unit? The sample was composed by ten nurses. It was used as a scenario, the Intensive Care Unit of a public hospital in Salvador city. Data collection occurred from August to September 2008, with recorded interviews using a semi-structured script. The content analysis proposed by Bardin was the reference used for the analysis of data, which defined the categories of analysis. Results: two categories emerged: feelings related to the patient and feelings related to with the family. Conclusion: the death is considered by nurses who deal with it in the Intensive Care Unit, as an experience of conflicting emotions, sometimes painful. Descriptors: death; emotions; nursing care; intensive care unit.RESUMOObjetivo: compreender os sentimentos dos enfermeiros ao cuidar do paciente que está morrendo na Unidade de terapia intensiva. Método: estudo exploratório-descritivo, com abordagem qualitativa, que teve como questão norteadora: Como você se sente cuidando do paciente fora de possibilidade de cura na Unidade de terapia intensiva? Participaram desse estudo, dez enfermeiras. Utilizou-se, como cenário, a Unidade de Terapia Intensiva de um hospital público da cidade de Salvador. A coleta de dados aconteceu entre os meses de agosto e setembro de 2008, a partir de entrevistas gravadas com roteiro semi-estruturado. A Análise de Conteúdo proposta por Bardin foi à referência utilizada para a análise dos dados, onde se definiram as categorias de análise. Resultados: emergiram duas categorias: sentimentos relacionados ao paciente e sentimentos relacionados à família. Conclusão: a morte é tida pelas enfermeiras que com ela lidam no espaço da Unidade de terapia intensiva, como uma vivência de sentimentos conflituosos, por vezes dolorosos. Descritores: morte; emoções; cuidados de enfermagem; unidade de terapia intensiva.RESUMEN Objetivo: comprender los sentimientos de las enfermeras para el cuidado del paciente que está muriendo en la Unidad de Tratamiento Intensivo. Método: estudio descriptivo-exploratorio con aproximación cualitativa, que tênia como pregunta orientadora: ¿Cómo se siente teniendo el cuidado de los pacientes fuera de posibilidades de cura Unidad de Tratamiento Intensivo. La muestra estuvo compuesta por diez enfermeras. Se utilizó como escenario, la Unidad de Cuidados Intensivos de un hospital público en la ciudad de Salvador. La recopilación de datos ocurrieron entre los meses de agosto y septiembre de 2008, registrada a partir de entrevistas semi-estructuradas con el guión. El análisis de contenido propuesta por Bardin fue la referencia utilizada para el análisis de los datos, que definen las categorías de análisis. Resultados: surgieron dos categorías: los sentimientos relacionados con el paciente y los sentimientos relacionados con la familia. Conclusión: la muerte es considerada por las enfermeras para hacer frente a ella dentro de la Unidad de Tratamiento Intensivo, como una experiencia de emociones en conflicto, a veces doloroso. Descriptores: muerte; emociones; cuidados de enfermería; unidad de cuidados intensivos.


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