Nursing care practices in intensive care: An analysis according to ethics
                        of responsibility

Silva, Rafael Celestino da; Ferreira, Márcia de Assunção; Apostolidis, Thémis; Sauthier, Marta

doi:10.5935/1414-8145.20160095

Cited by 7 publications

(10 citation statements)

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“…When actions are motivated by doing what one believes to be good or for patients' best interest, this is the manifestation of benevolence that can be measured from nurses' perceptions regarding moral sensitivity. This study evidenced the understanding of moral sensitivity from doing good (23) .…”

Section: Discussionsupporting

confidence: 56%

“…Similar results were found in studies in ICUs in the states of Rio Grande do Sul, Rio de Janeiro, and in the surgical ward in the state of Bahia (Brazil) about ethical decision making. In these studies, the dialogue appeared as a fundamental component in the relationship with other health team members, and it could minimize differences in professional conduct and promote quality care (22)(23)(24) .…”

Section: Discussionmentioning

confidence: 99%

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Moral sensitivity components identified among nurses from Intensive Care Units

et al. 2019

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Objective: to identify ethical problems from the components of moral sensitivity among nurses of Intensive Care Units. Method: qualitative, exploratory-descriptive study developed in a hospital in the South of Brazil with 19 nurses working in intensive care units through semi-structured interviews that were analyzed through discursive textual analysis. Results: ethical education, dialogue, relationships with other health team members, professional autonomy, knowledge, personal values, effective communication, leadership and patients' positive outcomes were identified as important components of nurses' moral sensitivity, and comprise the domains of moral consciousness, benevolent motivation, and spontaneous moral perception. Final considerations: the components of moral sensitivity identified in this study facilitate nurses' instrumentalization in the face of decision making and ethical problems in the intensive care setting.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Moral sensitivity components identified among nurses from Intensive Care Units

et al. 2019

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“…Dialogue is, therefore, an essential instrument to exchange knowledge and a co-responsibility on the health-disease process, which must be built on the ethical conduct of nurses. For that, professionals must overcome possible difficulties in reflecting on ethical-professional values in their behaviors, which they can do from continuing education, involving ethical competence and comprehension of the subject's completeness (36)(37) .…”

Section: Attributes Of the Concept Of A "Good Nurse" In The Context Omentioning

confidence: 99%

The meaning of a “good nurse” in pediatric care: a concept analysis

et al. 2019

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Objective: to analyze the attributes, antecedents and consequences of the concept a “good nurse” in the context of Pediatrics. Method: concept analysis study based on Rodgers’ evolutionary method. Theoretical stage consisted of searching for articles in the CINAHL, Embase and Pubmed databases and a practical stage of semi-structured interviews with pediatric nurses. The final analysis unified the two stages by categories of antecedents, attributes and consequences of the concept. Results: 20 articles and 10 interviews were analyzed revealing as antecedents aspects related to education, scientific development and ethical-moral skills and values. Responsibility, compassion, honesty and advocacy stand out as attributes of the “good nurse.” The consequences describe implications for children and families, as well as for professionals. Final Consideration: the analysis of the concept of the “good nurse” allowed us to clarify fundamental aspects for the execution of good practices, establishing parameters for investment in professional development programs.

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“…[1][2][3] Moral sensitivity, however, is not just a matter of being sensitivity (that is, relying on emotions to identify moral conflicts), rather it is based on experiences and personal actions on which one grounds his/her being and doing in order to "feel" the moral meaning of a given situation. 2,4 It requires nurses to be able to use their moral sensitivity and put themselves on someone's else place, ensuring effective care is provided to the triad family, patient and worker. [4][5][6] Therefore, discerning between ethical problems in nursing practice from daily problems does not only depends on having theoretical knowledge, but also ability to distinguish feelings, facts and values.…”

Section: Introductionmentioning

confidence: 99%

“…2,4 It requires nurses to be able to use their moral sensitivity and put themselves on someone's else place, ensuring effective care is provided to the triad family, patient and worker. [4][5][6] Therefore, discerning between ethical problems in nursing practice from daily problems does not only depends on having theoretical knowledge, but also ability to distinguish feelings, facts and values. 2,4 For this reason, moral sensitivity should be reinforced among nurses, especially those in intensive care units (ICU) because these are settings where ethical problems concerning end-of-life situations emerge with greater intensity and frequency.…”

Section: Introductionmentioning

confidence: 99%

Estratégias para o desenvolvimento da sensibilidade moral: perspectiva dos enfermeiros de unidades de terapia intensiva

et al. 2020

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Resumo Objetivo conhecer estratégias para o desenvolvimento da sensibilidade moral na perspectiva dos enfermeiros que atuam em unidades de terapia intensiva. Método pesquisa qualitativa, do tipo exploratório descritiva, realizada com 19 enfermeiros atuantes em três unidades de terapia intensiva de um hospitalfilantrópico do Sul do Brasil através de entrevistas semiestruturadas, analisadas mediante análise textual discursiva. Resultados emergiram duas categorias: desenvolvimento da sensibilidade moral a partir da formação acadêmica e desenvolvimento da sensibilidade moral a partir da experiência profissional. Entre as estratégias verificadas destacaram-se as discussões e reflexões acerca de problemas éticos, a vivência de atividades extracurriculares, a comunicação efetiva, o trabalho multidisciplinar, a realização de reuniões, a busca pelo conhecimento e a educação permanente em saúde. Conclusões e implicações para a prática o desenvolvimento da sensibilidade moral dos enfermeiros pode auxiliá-los no reconhecimento e enfrentamento de situações eticamente inadequadas, de modo a favorecer o exercício da autonomia e a capacidade de lidar com os conflitos éticos emergentes do contexto de trabalho. Neste estudo, foi possível conhecer ainda, que priorizar espaços para a reflexão e discussão coletiva nos ambientes de formação e atuação da enfermagem, oportuniza o fortalecimento de tomadas de decisões éticas, coerentes, autônomas e eficientes.

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Nursing care practices in intensive care: An analysis according to ethics of responsibility

Cited by 7 publications

References 0 publications

Moral sensitivity components identified among nurses from Intensive Care Units

Moral sensitivity components identified among nurses from Intensive Care Units

The meaning of a “good nurse” in pediatric care: a concept analysis

Estratégias para o desenvolvimento da sensibilidade moral: perspectiva dos enfermeiros de unidades de terapia intensiva

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