The objective of this reflective study was to propose conceptual elements for the analysis of moral distress as a process that articulates various concepts of moral experience. The moral distress is explored as a phenomenon manifested in different scenarios and dimensions of labor - care, management and education. Although a relative consensus exists on the concept and comparable empirical results in several countries, there are limited studies that explore theoretical gaps, critical points and possibilities to expand the analytical potential. In the search for consistent and updated theoretical supports for the changing needs of the field, the state of the art was surveyedn and a conceptual framework was designed to address moral distress as a process that articulates various concepts or moments of moral experience, such as uncertainty, moral sensitivity and moral deliberation. The proposed matrix articulates the development process of moral competencies or the construction of the ethical subject, present in pedagogical and philosophical discourses of interest to the profession.

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RESUmoO estudo buscou conhecer as implicações da integração ensino-serviço para a formação em Enfermagem na perspectiva de docentes, alunos e profissionais dos serviços de Atenção Básica à saúde e identificar os papéis de docentes e profissionais que acompanham as vivências práticas na formação. Pesquisa

The student nurses saw themselves both as actors and spectators in situations involving ethical problems and demanding moral deliberation, demonstrating the ability to base their arguments soundly. They tended to emphasise the possibilities offered by dialogue and that different ethical values must be respected to find fair solutions to ethical problems.

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Objective: to discuss the professors' conceptions about the ethical dimension of nurse training based on the relationships which this establishes with the competencies with the professional profile; and to identify the spaces and strategies for the teaching of ethics in this process. Method:A qualitative study delineated as a case study. The data was collected based on focus groups with professors from six undergraduate nursing courses in the state of Santa Catarina, Brazil, totaling 50 subjects. Based on the professors' discourse, the conceptions and mutual relations between professional competencies, the formative process and ethics were analyzed. Results:The results were organized and the discussion explored through the thematic categories: The ethics constructed in the process of training nurses -the professors' conceptions, and spaces and strategies for the teaching of ethics in nurse training. Conclusions: The issue of ethics was shown to be transversal in the formative process. The study evidenced the challenge of creating spaces and strategies for teaching and fosters discussion about the new demands for changes placed upon the nursing schools, about the suitability of the care setting, and about the exercising of critical and problem-based education. La ética que se construye en el proceso de formación de enfermeros: concepciones, espacios y estrategiasObjetivo: Discutir las concepciones de los profesores sobre la dimensión ética de la formación del enfermero, a partir de las relaciones que establece con las competencias del perfil profesional; e identificar los espacios y estrategias para la enseñanza de la ética. Métodos:Estudio cualitativo delineado como estudio de caso. Los datos fueron obtenidos a partir de grupos focales, con profesores de seis cursos de pregrado en Enfermería del estado de Santa Catarina, totalizando 50 sujetos. Resultados: Los resultados fueran organizados y exploran la discusión de dos categorías temáticas: La ética que construye en el proceso de formación en enfermería -las concepciones de profesores y Los espacios y estrategias para la enseñanza de la ética en la formación de enfermería. Conclusiones: La ética se mostró transversal en el proceso formativo. El estudio mostró el reto de desarrollar espacios y estrategias de enseñanza y sus contribuciones fueron la discusión sobre las nuevas demandas por cambios presentadas a las escuelas y sobre la cualificación del escenario del cuidado y del ejercicio de la educación problematizadora y crítica.Descriptores: Educación en Enfermería; Investigación en Educación en Enfermería; Ética. IntroductionThe teaching of ethics in the training of nurses In choosing discursive construction, the study is inspired in the Foucaultian notion, according to which texts and oral expressions are taken as manifestations of discourses, while being potential operators of social practices, putting into action and operating knowledges and multiple forms of intervention, that is to say, strategies of power which circulate in the social life. Discursive...