A percepção das enfermeiras acerca da sua atuação ante os direitos dos clientes

Abstract

RESUMENCon el objetivo de conocer la percepción de las enfermeras referentes a su actuación ante los derechos de los clientes y para desarrollar un instrumento para mensurar esta percepción, se realizó una investigación exploratorio-descriptiva, con una muestra de 73 enfermeras de dos hospitales. Por medio de un cuestionario autoaplicado, fueron identificados y validados cuatro constructos relacionados a la actuación de las enfermeras, en cuanto a los derechos de los clientes: preservación de la individualidad, respeto a la autonomía del cliente, identificación personal e información para la toma de decisión. El constructo que presentó un mejor desempeño se refiere a la preservación de la individualidad. Ya el respeto a la autonomía del cliente y la identificación personal se situaron en un nivel intermedio, mientras que el constructo información para la toma de decisión se presentó como el menos realizado por las enfermeras. La preservación de la individualidad y el respecto a la autonomía se mostraron como los constructos que más influencian la percepción de las enfermeras de como, en general, respetan los derechos de los clientes. DESCRIPTORES ABSTRACTThis exploratory-descriptive survey was carried out with a sample consisting of 73 nurses from two hospitals in order to know the perception they have of their work via-a-vis patients' rights and develop an instrument capable of measuring such perception. Four constructs referring to the nurses' performance via-a-vis patients' rights were identified and validated, based on questions the nurses answered: preservation of individuality; respect for the patient's autonomy; personal identification; and information for decision-taking. Preservation of individuality was the construct with the best performance. Respect for the patient's autonomy and personal identification appear in an intermediate level, whereas the construct information for decision-taking was the least used. In general, preservation of individuality and respect for the patient's autonomy are the constructs that influenced the most nurses' perception on patients' rights. KEY WORDS

Validação de material informativo a pacientes em tratamento quimioterápico e aos seus familiares

“…The concept of autonomy, that is, people's ability to decide for themselves in matters that concern themselves as individuals, as subjects capable of making personal choices and who should be treated with respect in relation to their ability of self-determination (9) was related to schooling. The rationale is that children are under the responsibility of their caregivers, who make decisions related to their treatment.…”

“…The rationale is that children are under the responsibility of their caregivers, who make decisions related to their treatment. From this perspective and considering the different levels of education, nurses should provide clear information to these people, respecting the knowledge of each, offering alternative therapies and care, clarifying the risks and benefits inherent to each and making sure all information is fully understood, which can be aided by the use of instructional material, and finally, acknowledging their ultimate decision (9) .…”

“…The nurses' educational function should be increasingly influenced by social and economic dimensions, which require constant interpellation of individuals' facts of life and approximation to social means and culture that are developed in such facts (9)(10) .…”

Internação por ordem judicial: dilemas éticos vivenciados por enfermeiros

“…These professionals need to implement collective efforts to find solutions for better patient care, also because they are the ones who stay alongside patients for long periods (10) . When it comes to ethics, several approaches are possible due to the magnitude of the situations experienced by professionals in practice.…”

Relações de "não cuidado" de enfermagem em uma emergência: que cuidado é esse?

“…Em contrapar tida, o "não cuidado", principalmente na voz dos pacientes, parece ser ainda pouco investigado nas pesquisas em enfermagem. [7][8] Por essas razões, consideramos importante dar voz aos pacientes em resposta às inquietações: Ocorrem relações de "não cuidado" de enfermagem em um serviço de emergência hospitalar junto aos sujeitos internados ou em observação, quando questionados sobre o significado das relações de cuidado de enfermagem? Se existem, que significados são atribuídos por esses sujeitos?…”