scholarly journals Nurses' work in intensive care units: feelings of suffering

2009 ◽  
Vol 17 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Júlia Trevisan Martins ◽  
Maria Lúcia do Carmo Cruz Robazzi

The purpose of this study was to investigate the feelings of suffering that Intensive Care Unit (ICU) nurses experience, and the strategies they use to face these feelings. It is a descriptive study using a qualitative approach and based on content analysis. The study used previous studies on Work Psychodynamics as complementary groundwork. Data collection occurred by means of semi-structured interviews, which were transcribed, categorized, and subcategorized. Results showed that suffering is related to: taking care of a young patient in critical condition, taking problems home, the patient's family, the team's work, and technology at work. As for the defense strategies used, emphasis is given to the search for strength in religion, promoting inter-relationships among team members, engaging in physical activity, and withdrawing from the patient.

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.


2010 ◽  
Vol 18 (3) ◽  
pp. 324-330 ◽  
Author(s):  
Rita de Cássia Pires Coli ◽  
Marcio Fabri dos Anjos ◽  
Luciane Lucio Pereira

This study analyzed the attitudes of nurses concerning the occurrence of errors in nursing procedures carried out in an Intensive Care Unit (ICU) based on the bioethics framework. This descriptive study with qualitative approach was carried out with 14 nurses from a private hospital in the city of São Paulo, Brazil. Results were analyzed according to Bardin’s proposal of content analysis. The resulting themes were: acknowledging one’s fallibility; acknowledging and reporting errors; hiding errors. The nurses’ reports are based on considerations through the lens of bioethics: taking responsibility for an error implies acknowledging one’s own vulnerabilities; acknowledging an error with responsibility implies ethical conditions in the relationships among those involved; and errors are in the context of a particular environment. This study enables re-thinking nursing practice based on bioethics, resorting to the analysis of errors focusing on the relationships between those involved.


2013 ◽  
Vol 4 (1) ◽  
pp. 45-48 ◽  
Author(s):  
Silvana Santiago Da Rocha ◽  
Dean Douglas Ferreira De Olivindo ◽  
Caroline Neves De Sá ◽  
Luara Freitas Fonseca

Objetivou-se descrever a percepção da equipe de enfermagem em relação às mães no cuidado de recém-nascidos na unidade de terapia intensiva neonatal. Estudo do tipo exploratório-descritivo, com abordagem qualitativa. A entrevista foi o instrumento utilizado para a coleta dos dados, obedecendo aos critérios da resolução CNS 196/96. Os dados foram analisados utilizando-se a análise de conteúdo, originando três categorias: problemas vivenciados pela equipe de enfermagem; a recuperação do recém-nascido: o cuidado integrado mãe-equipe de enfermagem; desconhecimento das mães percebido pela equipe de enfermagem, que proporcionaram a compreensão que a equipe de enfermagem tem em relação às mães.Descritores: Equipe de Enfermagem, Mães, UTI Neonatal.Nursing team's view of mothers in the care of newborns in the neonatal intensive care unitThis work aimed to describe the nursing team's view of mothers in the care of newborns in the neonatal intensive care unit. An exploratory, descriptive study, with qualitative approach. The interview was the instrument used to collect the data, in accordance with the criteria of resolution CNS 196/1996. The data were analyzed through content analysis, which originated three categories: problems experienced by the nursing team; the recovery of the newborn: the mother-nursing team integrated care; lack of knowledge of the mothers perceived by the nursing team, which provided the understanding that the nursing team has in relation to the mothers.Descriptors: Nursing Team, Mothers, Neonatal ICU.Percepción de la enfermería con relación a las madres en el cuidado a los recién nacidos en la unidad de terapia intensiva neonatal.Se buscó describir la percepción del equipo de enfermería con relación a las madres en el cuidado a los recién nacidos en la unidad de terapia intensiva neonatal. Estudio del tipo exploratorio – descriptivo, con abordaje cualitativo. La entrevista fue el instrumento utilizado para la colecta de datos, obedeciendo a los criterios de la resolución CNS 196/1996. Los datos fueron analizados valiéndose del análisis de contenido, originando tres categorías: problemas vividos por el equipo de enfermería; la recuperación del recién nacido: el cuidado integrado madre – equipo de enfermería; desconocimiento de las madres percibido por el equipo de enfermería, que proporcionaron la comprensión que el equipo de enfermería tiene con relación a las madres.Descriptores: Equipo de Enfermería, Madres, CTI Neonatal.


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.


2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Tássia Regine de Morais Alves ◽  
Francisco Arnoldo Nunes de Miranda ◽  
Glauber Weder dos Santos Silva ◽  
Jovanka Bittencourt Leite de Carvalho ◽  
Cecília Nogueira Valença ◽  
...  

Aim:  To  understand  the  importance  and  the  difficulties  faced  by women  when  adhering  to  exclusive  breastfeeding.  Method:  This  is  an exploratory  and descriptive study, using a qualitative approach, in which semi-structured interviews were conducted with 14 women. Data treatment occurred by means of the content analysis, in the form of a thematic analysis. Results: Most women revealed knowing the importance and  benefits  of  breastfeeding  for  being  an  important  practice,  since  it  provides  good nourishment   and   aids   the   development   of   the   child.   The   aspects   that   benefit breastfeeding  women  were  made  explicit;  however,  these  were  given  less  focus  when compared to the aspects related to the baby's health. Conclusion: We should point out the  need  to  incorporate  practices  beyond  the  biological  dimension,  to  understand  the characteristics  of  each  woman  and  to  encourage  self-care  as  an  important  issue  for them.


2016 ◽  
Vol 15 ◽  
pp. 521
Author(s):  
Malena Storani Gonçalves Rosa ◽  
Ândrea Cardoso De Sousa

General  aim:  to  evaluate  whether  PET-Health  has  been  constituted as   a   possibility   with   regard  to   continuing   education   for   professionals/preceptors employed by the health services. Specific aims: to identify and characterize the actions of Pet-Health, recognized by preceptors as a form of continuing education. Method: This is  a  descriptive  and  evaluative  study using  a  qualitative approach, to  be  undertaken  in mental health services that make use of PET experience in Niterói/RJ. For data collection, semi-structured interviews will be conducted with professionals who act as PET-HEALTH preceptors  in  the  mental  health  network.  Information  processing  will  be  based  on content  analysis.  At  the  end  of  this  study,  benefits  pointing  to  the  power  that  shapes PET-Health with regard to continuing education are expected.


2015 ◽  
Vol 36 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Michele Ebert ◽  
Elisiane Lorenzini ◽  
Eveline Franco da Silva

Childhood autism is characterized by severe and global impairment in several areas of human development and demands extensive care and dependence on the parents. The objective of this study was to understand the perceptions of mothers of children with autism regarding changes suffered by the child and their trajectories in search of an autism diagnosis. This is an exploratory descriptive study with a qualitative approach conducted with ten participant mothers. Data were collected in 2013 by means of semi-structured interviews. Thematic content analysis produced the following categories: perceptions of mothers as to changes in behaviour and/or development of their children; and trajectories of mothers in search of a diagnosis for their children. After the perception of changes in behaviour/development, mothers face an arduous trajectory of healthcare service utilization.


2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Andressa Hithomi Takahara ◽  
Sueli Aparecida Frari Galera ◽  
Ana Carolina Guidorizzi Zanetti ◽  
Angélica Martins de Souza Gonçalves ◽  
Simone Terezinha Protti-Zanatta ◽  
...  

Abstract Objective: To apprehend the experience of grandmothers who take care of their grandchildren who consume psychoactive substances. Methods: A descriptive study with a qualitative approach conducted with five grandmothers of two health services in a city in the interior of São Paulo. Data have collected from July 2015 to May 2016, through semi-structured interviews and analyzed using the technique of thematic content analysis. Results: The grandmothers recognized that their grandchildren used drugs when they changed their behavior, which required them to take on the role of counselor and educator. The aging process and financial difficulty consisted in limits to care. Conclusion and implications for practice: The grandmothers suffered psychosocial, structural, and organizational impacts, requiring nurses to enhance their facilitator skills in relational processes between two distinct generations of age and values.


2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Silvana Bastos Cogo ◽  
Ariele Priebe Reisdorfer ◽  
Jéssica Luíza Beck ◽  
Tais Falcão Gomes ◽  
Aline Gomes Ilha ◽  
...  

ABSTRACT Objectives: to understand nurses’ and physicians’ perceptions of the care of people with cancer admitted to an emergency department of a general hospital. Methods: descriptive study with a qualitative approach. Data collection took place from September to November 2017 through semi-structured interviews in which participated 12 professionals from the emergency department, including nurses and physicians. The data were analyzed using Minayo’s operative proposal. Results: three categories emerged: 1) The person with cancer from nurses and physicians’ perspective; 2) Comprehensive care of people with cancer or deconfiguration in the emergency department?; and 3) The context of the emergency department and the repercussions on the care of people with cancer. Final Considerations: we identified that the care provided to people with cancer in the emergency department is carried out differently regarding the overall population due to the disease’s particularities, which lead us to reflect on the quality and humanization of care.


2013 ◽  
Vol 20 (7) ◽  
pp. 798-807 ◽  
Author(s):  
Anne Korhonen ◽  
Annu Haho ◽  
Tarja Pölkki

The concept of suffering is discussed among those who are cognitively aware and verbally capable to express their suffering. Due to immaturity, preterm infants’ abilities to express suffering are limited. Relieving suffering is an ethical and juridical demand of good nursing care. The purpose of this study is to describe nurses’ perceptions of the suffering of preterm infants. A descriptive qualitative approach was selected. Data were collected from essays written by nurses (n = 19) working in the neonatal intensive care unit. Inductive content analysis guided by the research question was performed. The nurses described individually determined suffering of the preterm infants according to four categories: suffering ruled by maturation, existence of suffering, individual threshold of suffering and interpreting the cues of suffering. Suffering of preterm infants is manifested by population-specific features, emphasising the need to develop sensitive interventions for relieving their suffering.


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