Processo de viver humano e a enfermagem sob a perspectiva da vulnerabilidade

Abstract

Objective: This is an integrative review study aimed at analyzing the articles addressing this subject, health vulnerability and nursing, published in national and international journals. Methods: The survey was conducted on the following database: MEDLINE, CINAHL and SciELO, covering the period 2004 to 2008, using the descriptors Vulnerability, Health vulnerability, vulnerable populations associated with the descriptor Nursing, being selected 28 articles for analysis. Results: The characterization study allowed a brief history describing the concept of vulnerability and extracting their contributions to nursing practice. Conclusion: From the several approaches and perspectives of the concept of vulnerability it is important that nurses take ownership of this concept to contribute to the renewal of the care practices giving greater completeness and fairness to the actions in the health care. Keywords: Vulnerability; Health vulnerability; Vulnerable populations; Nursing RESUMOObjetivo: Trata-se de um estudo de revisão integrativa objetivando analisar os artigos que abordam o tema vulnerabilidade em saúde e enfermagem, divulgados em periódicos nacionais e internacionais. Métodos: A pesquisa foi realizada nas bases de dados MEDLINE, CINAHL e SciELO, abrangendo o período de 2004 a 2008, utilizando os descritores Vulnerabilidade, Vulnerabilidade em saúde, Populações vulneráveis associados ao descritor Enfermagem, sendo selecionados 24 artigos para análise. Resultados: A caracterização dos estudos permitiu descrever um breve histórico do conceito de vulnerabilidade e extrair suas contribuições para a prática de enfermagem. Conclusão: A partir das diversas abordagens e perspectivas do conceito de vulnerabilidade, considera-se importante que a enfermagem aproprie-se desse conceito para contribuir com a renovação das práticas de cuidado, podendo conferir maior integralidade e equidade às ações de saúde. Descritores: Vulnerabilidade; Vulnerabilidade em saúde; Populações vulneráveis; Enfermagem RESUMENObjetivos: Se trata de un estudio de revisión integradora com el objetivo de analisar los artigos que abordan el tema, vulnerabilidad en la salud y enfermería publicados en revistas nacionales y internacionales. Métodos: La encuesta fue realizada en MEDLINE, CINAHL e SciELO, abarcando el período de 2004 a 2008, utilizando los descriptores Vulnerabilidad, Vulnerabilidad en salud, Poblaciones vulnerables asociados con el descriptor Enfermería, siendo seleccionados 28 artículos para análisis. Resultados: La caracterización de los estudios permitió una breve historia que describe el concepto de vulnerabilidad extrayendo sus contribuciones a la práctica de enfermería. Conclusión: De las diversas abordajes y perspectivas del concepto de vulnerabilidad, es importante que el enfermero adquiere la propiedad de este concepto para contribuir a la renovación de las prácticas de cuidado, pudiendo dar major integralidad y equidad a las acciones de salud.

Vulnerabilidade, empoderamento e conhecimento: memórias e representações de enfermeiros acerca do cuidado

“…For presenting a well branded representational field, positive or negative attitudes and a body of consolidated knowledge, vulnerability and empowerment present themselves as objects of representation, such as have been explored by other authorsFurthermore, this study reinforced the assumption that fragilities, which touch the human being, particularly the nurse when providing care to other human beings in vulnerable situations, were answered with attitudes, knowledge and practices whose goal was to move the subjects to a more favorable context, in which a greater degree of empowerment could be achieved. (1)(2)(3)(4)(5)(6)(7)(8)9,(11)(12)(13)(14)(15)(16) Data highlight that knowledge maintains interfaces with vulnerability, with empowerment, with social representations of AIDS and of nursing care for patients with HIV. Even when dealing with distinct objects of representation, it is postulated that there was an intertwining of them, of complex configurations, and that it was susceptible to transformations consonant with interpersonal relationships among the social actors involved in daily healthcare and, more broadly, the geopolitical injunctions related to the AIDS phenomenon.…”

“…(14) This study points to pathways so that further research can investigate, under different conditions and in different contexts, the issue of vulnerability in nursing care and its reframing by nurses, patients and family. (12,13) The influence of variables such as the role of leadership, (14,15) the physical proximity to the diseased body and mind of the people living with AIDS, the educational function in a historical moment in which little technical and scientific knowledge was available about AIDS, (16) and the relationship between vulnerability and possible expressions of spirituality/religiosity, (17) appeared as variables that could be analyzed, associated with vulnerability and empowerment present in healthcare.…”

Contributions of the concept of vulnerability to professional nursing practice: integrated review

“…4 Consequently, the operationalization of this concept can promote the renewal of care practices, awarding greater integrity and equity to health actions. 5 In addition, the recognition of elements of vulnerability of a given community and their connections between the different socio-economic , political, institutional and cultural contexts, allow the strengthening of healthy environments of life and the potential of health of the population for their quality of life. 3 Thus, allows the seizure of the social determinants of diseases and stimulates changes in health practices, such as social, historical and intersectoral practices.…”

“…5 Regarding the approach of studies, 12 (75%) were of a qualitative approach 3,8,[10][11][13][14][15][16][17][18][19][20] , three (19%) revisions [4][5]12 and one (7%) experience report 9 . The themes addressed in articles were related to the areas of: STD/AIDS [13][14][15] , Child Health [19][20] , Public Health With the purpose of facilitating the interpretation of the data, the emerged contributions of meta-synthesis of sampled items were grouped into two thematic categories: Permanent Education for Nursing and Reorientation of the professional practice of Nursing.…”

Evidência e análise de vulnerabilidades de pessoas com Diabetes Mellitus: potencialidades para o cuidado

“…É um termo comumente usado para descrever os indivíduos ou grupos de indivíduos [12][13][14][15][16] . Consiste no conjunto de fatores de natureza biológica, epidemiológica, social e cultural cuja interação amplia ou reduz o risco ou a proteção contra uma determinada patologia, condição ou dano [20][21][22][23][24] . Vulnerabilidade é afetada por fatores pessoais, bem como fatores ambientais e sociais.…”