RESUMO:Objetivou-se identificar a concepção dos enfermeiros que trabalham com oncologia pediátrica acerca de como a capacitação e a busca pelo conhecimento influenciam a atuação profissional nessa área. Pesquisa qualitativa, exploratória, com técnica de entrevista semi-estruturada aplicada a seis enfermeiras. Os dados foram submetidos à análise temática a qual convergiu para a seguinte categoria: subsídios que influenciam a produção do cuidado do enfermeiro na oncologia pediátrica. Os resultados ressaltam que a atuação em oncologia pediátrica exige profissionais com responsabilidade, compromisso, preparo adequado e sensibilidade para cuidar da criança. A produção do cuidado tem se fundamentado na vivência dos enfermeiros e na busca individual de conhecimento, demonstrando as dificuldades enfrentadas no processo formativo e a importância da capacitação profissional. Acredita-se que tais achados possam subsidiar a formação de enfermeiros com uma perspectiva problematizadora e capazes de promover uma atenção integral, humanizada e resolutiva para as crianças com diagnóstico de câncer. NURSES' CONCEPTIONS ABOUT PEDIATRIC ONCOLOGY CARE TRAININGABSTRACT: The objective of this study is to identify the conceptions of nurses who work with Pediatric Oncology concerning how their training and the further search for knowledge influences their professional practice. It is a qualitative, exploratory type study with semistructured interviews applied to six nurses. The results were submitted to thematic analysis, which converged to the category, "Subsidies that influence the Pediatric Oncology Nursing Care production". The results show that pediatric oncology performance demands professionals with responsibility, commitment, adequate preparation, and sensitivity to take care of the child at hand. Care production has been grounded in the individual experiences of nurses and individual pursuit of knowledge, demonstrating the difficulties encountered in the training process and the importance of professional training. It is believed that these findings may support nursing training with a problematzing perspective and be able to promote comprehensive, humane, and efficient care for children diagnosed with cancer.DESCRIPTORS: Professional competence. Education nursing. Oncologic nursing. Pediatrics. Nursing care. LA CONCEPCIÓN DE LOS ENFERMEROS SOBRE LA CAPACITACIÓN EN EL CUIDADO DE LOS NIÑOS CON CÁNCER RESUMEN:El objetivo del estudio es identificar la concepción de los enfermeros que trabajan con oncología pediátrica sobre cómo la capacitación en esta área y la búsqueda del conocimiento influencian el trabajo profesional. Se trata de una investigación cualitativa exploratoria, con técnica de entrevista semi-estructurada, aplicada a seis enfermeras. Los datos fueron sometidos al análisis temático el cual converge para la categoría: subsidios que influencian la producción del cuidado del enfermero en la oncología pediátrica. Los resultados muestran que el rendimiento de los profesionales de la oncología pediátrica demandan responsab...
This is an integrative review that aimed to identify the repercussions of childhood cancer for the family caregiver. The research was done in the databases LILACS, PubMed, SciELO, Adolec and Cochrane, searching articles in English, Portuguese and Spanish; published between 2005 and 2010; using the descriptors: caregivers, children, cancer and nursing. Eighteen articles was found. Through the analysis four themes were identified: feelings experienced by family caregivers; physical repercussions and psychological distress of family caregivers; financial impact of childhood cancer in the caregiver's life, and need for social support to family caregivers. It was concluded that the damage to the caregiver's life can weaken the relationship between child/caregiver, determining the need of effective performance of the health team to offer support, guidance and monitoring.
The purpose was to analyze the needs of the family companion that follows the child in the chemotherapy unit from the standpoint of the child in treatment. It was a qualitative study. We used the adaptation of drawing-story with themes for the production of empirical data from seven children with cancer. The analysis was done using a thematic interpretation. For children, the family needs are: to incentive to change among family members as caregivers of the child; counseling and training for all family members who accompany the children; comfort for the family to remain with the child; autonomy for the family; take care the healthy sibling; environment that provides closeness between unmarried parents to support the child in treatment. It is essential to expand the focus of care restricted to children with cancer, broadening also the attention of nursing's team to family.
Objective: To analyze the conceptions of care and the feelings which permeate the daily life of the family caregiver of children with cancer. Methods: Qualitative research conducted with nine family caregivers of children with cancer. Semi-structured interviews were performed. The empirical material was submitted to French Discourse Analysis, producing the discursive formation of the family caregiver of the child with cancer: associated feelings and emotions. Results: The comprehension of care is permeated by the legacy of dedication, selflessness and moral obligation from the perspective of parents who are caregivers. The feeling and emotions experienced in this trajectory, such as guilt, punishment and sin, were revealed between the lines of the caregiver. Conclusion: The conceptions of care are a boon, a feeling of exclusive dedication to the child with cancer. In the discourse analysis it was possible to dive into the feelings and the relationship of ambiguity experienced by the parents, who often feel overwhelmed and powerless, but who do not accept being replaced in their role as caregiver. ResumoObjetivo: Analisar as concepções de cuidado e os sentimentos que permeiam o cotidiano do cuidador familiar de crianças com câncer. Métodos: Pesquisa qualitativa realizada com nove cuidadores familiares de crianças com câncer. Foram realizadas entrevistas semiestruturadas. O material empírico foi submetido à Análise de Discurso francesa, sendo produzida a formação discursiva cuidador familiar da criança com câncer: sentimentos e emoções associados. Resultados: A compreensão do cuidar é permeada pelos legados da dedicação, abnegação e obrigação moral na perspectiva dos pais cuidadores. Os sentimentos e emoções vivenciados nessa trajetória, como culpa, castigo e pecado, se revelaram nas entrelinhas do cuidador. Conclusão: As concepções do cuidado são de uma dádiva, um sentimento de dedicação exclusiva a criança com câncer. Na análise dos discursos foi possível mergulhar nos sentimentos e na relação de ambiguidade vivenciada pelos pais que, muitas vezes, sentem-se sobrecarregados e impotentes, mas não aceitam serem substituídos na sua função de cuidador.
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