The Construction Of Ethical Competence In The Perception Of Primary Care Nurses

Abstract

RESUMENEstudio cualitativo con abordaje fenomenológico interpretativo cuyo objetivo fue entender la percepción de los enfermeros de atención primaria sobre la construcción de la competencia ética en su formación y práctica. Se llevaron a cabo entrevistas a 10 enfermeros de distintos servicios de atención primaria de Porto Alegre, RS. Los resultados demostraron que los profesionales entrevistados ya habían vivido situaciones éticamente conflictivas y conocían el significado de competencia ética. Los temas centrales apuntaron hacia tres pilares fundamentales en la construcción de la competencia ética: los valores personales, la enseñanza y la práctica. Teniendo en cuenta que la competencia ética está en permanente construcción, el estudio muestra la importancia de promover transversalmente iniciativas educacionales y organizacionales, así como herramientas del enfrentamiento del estrés moral y contribuye a mejorar la calidad del cuidado en la atención primaria en salud. DESCRIPTORESAtención Primaria a la Salud Atención de enfermería Ética en enfermería Educación en enfermería RESUMOO estudo buscou entender a percepção de enfermeiros da atenção primária sobre a construção da competência ética. A pesquisa foi qualitativa, de cunho fenomenológico interpretativo, tendo sido realizadas entrevistas com 10 enfermeiros de serviços de atenção primária de Porto Alegre, RS. Os resultados mostram que os profissionais entrevistados já haviam vivenciado situações eticamente conflitivas e tinham domí-nio da definição de competência ética. Os temas centrais apontam para três pilares fundamentais na construção da competên-cia ética: os valores pessoais, o ensino e a prática. Tendo presente que a competência ética é algo em permanente construção, o estudo mostra a importância de promover iniciativas educacionais e organizacionais de forma transversal, como ferramenta de enfrentamento do stress moral e contribuir para melhorar a qualidade do cuidado em atenção primária à saúde.

Validation of a moral distress instrument in nurses of primary health care

“…The scenario in which these professionals work is constantly changing in terms of organizational, technological or workload, implying a constant ethical action 35 . It is in this scenario that (re) builds the ethical competence of each professional, from the moment he has problems, he assumes responsibility and builds his action based on values and beliefs, allied to his scientific knowledge and professional experience 20 - 21 .…”

Scientific integrity among nursing students participating in the Scientific Initiation Program: An exploratory study

“…The training of future graduates depends on both individual and social aspects, and university admission represents the beginning of their professional socialization. The moral development of an individual is continuous, the capacity for moral judgment improves according to one’s experience, and the context of each student is the foundation for their professional training ( 20 – 21 ) . Undergraduation represents an opportunity to expand the portfolio of experiences of future professionals, being a fertile space for consolidating their moral formation ( 20 – 21 ) .…”

“…The university, as a locus of training, has a fundamental role in offering experiences which enable students to apply the concepts seen in a dialectical, transversal and critical-reflexive manner. Thus, research, discussion groups and case discussions are great opportunities to do so ( 20 – 21 ) .…”

Ethical Problems and Moral Distress in Primary Care: A Scoping Review

“…The majority (n = 7) of the studies were qualitative in design [19][20][21][22][23][24][25]: three studies were quantitative [26][27][28], three were validation studies [29][30][31], one study was an integrative review [32], and one was a case study [33].…”