Nursing ethics and its relation with power and work organization

Lunardi, Valéria Lerch; Filho, Wilson Danilo Lunardi; Silveira, Rosemary Silva da; Silva, Mara Regina Santos da; Svaldi, Jacqueline Sallete Dei; Bulhosa, Michele Salum

doi:10.1590/s0104-11692007000300020

Cited by 12 publications

(9 citation statements)

References 8 publications

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“…Such situations demonstrated the need for turning a critical and questioning eye toward the nursing profession and its surroundings, paying the utmost attention to everything that seems natural, small, banal, uninteresting or obscure, such as the daily practices and even the small gestures that go unnoticed in the everyday activities (8) .…”

Section: Discussionmentioning

confidence: 99%

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Moral distress in everyday nursing: hidden traces of power and resistance

Barlem

Lunardi

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: To know the strategies of resistance adopted by nursing staff, facing situations of moral distress, from an ethical perspective. Method: The authors conducted qualitative research through semi-structured interviews, with fifteen nursing staff members of a university hospital in the extreme south of Brazil, using textual discourse analysis and the theoretical reference of Foucault. Results: Two categories were constructed: denial of oneself and the other -in which one perceives that the nursing staff can perform actions that are governed predominantly by immobility and conformism, avoiding confrontations with whoever represents power in situations that provoke moral distress in them; possibility to care for oneself and for the other -in which nursing workers in situations that provoke moral distress for them exercise power and endurance.Conclusion: it was perceived that some professionals seem to use ethical coping strategies, in order to ensure and preserve their professional values. However, often the choice of some nursing professionals may be to relapse into immobility and the absence of building strategies of endurance. This situation may represent their reduced exercise of power and insufficient resistance in the face of ethical problems, contributing to the intensification of their invisibility in the area of health.Descriptors: Burnout, Professional; Power; Ethics; Nursing. IntroductionIn daily professional life, many situations seem to reflect suffering and distress for the nursing staff.We highlight the power relationships with patients, supervisors and the various teams in the health area, involving moral issues and values related to identified fragilities in care, insufficient nursing staff, lack of material resources and the predominantly bureaucratic work organization, cold and technical .

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Section: Discussionmentioning

confidence: 99%

“…However, the poor visibility of nursing was repeatedly mentioned. (8) , instead of executing what might seem to them to have been most correct (9) .…”

Section: Discussionmentioning

confidence: 99%

Moral distress in everyday nursing: hidden traces of power and resistance

Barlem

Lunardi

et al. 2013

Rev. Latino-Am. Enfermagem

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“…Assuming and recognizing the central position it occupies in the process of decision-making, Nurses may take ownership of a building space and professional recognition. However, if they do not occupy this space, they are taking part in their own oppression, becoming morally culpable for accepting their status quo (15) .…”

Section: Nursing Hierarchical Systemmentioning

confidence: 99%

Produção da subjetividade do enfermeiro e a tomada de decisão no processo de cuidar

Busanello

Filho

Kerber³

2013

Rev. Gaúcha Enferm.

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This study aimed to understand the relationship between Nurse's production of subjectivity and the decision-making in the process of Nursing care. A qualitative design of research was conducted. The investigation was carried out with twelve nurses who work at the Associação de Caridade Santa Casa do Rio Grande, a hospital located in Rio Grande, RS, Brazil. For data collection, focus group technique was used, three meetings were conducted in december 2011. The results were presented in semantic categories: Capitalist System: maintenance of employment bond; Submission System: institutionalized culture and vision of society; Nursing Hierarchical System; and Values System: feeling of guilt and lack of professional recognition. The capitalist system mediates, mainly, the behavior that prevails in the decision-making process in Nursing care. Descriptors:Nursing. Nursing care. Decision making. Focus groups. RESUMO O estudo teve como objetivo compreender a relação entre a produção da subjetividade do Enfermeiro e a tomada de decisão no processo de cuidar, em Enfermagem. Foi adotado o delineamento qualitativo de pesquisa. O cenário investigativo foi um hospital filantrópico do estado do Rio Grande do Sul. Os participantes do estudo foram doze Enfermeiros atuantes nessa instituição. Para a coleta de dados, foi utilizada a técnica do grupo focal, com três encontros focais

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“…Hence, nurses use their autonomy and face dilemmas and moral conflicts that frequently arise in everyday nursing practice (2) .…”

Section: Percepción De Los Enfermeros Recién Graduados Sobre Su Autonmentioning

confidence: 99%

Movement undertaken by newly graduated nurses towards the strengthening of their professional autonomy and towards patient autonomy

Berti¹,

Braga

Godoy

et al. 2008

Rev. Latino-Am. Enfermagem

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Nursing ethics and its relation with power and work organization

Cited by 12 publications

References 8 publications

Moral distress in everyday nursing: hidden traces of power and resistance

Moral distress in everyday nursing: hidden traces of power and resistance

Produção da subjetividade do enfermeiro e a tomada de decisão no processo de cuidar

Movement undertaken by newly graduated nurses towards the strengthening of their professional autonomy and towards patient autonomy

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