Sofrimento moral e a dimensão ética no trabalho da enfermagem

Abstract

Nurses face moral problems, moral dilemmas and moral distress in their professional daily. The moral distress manifests itself when nurses demonstrate difficulties to face situations morally appropriate following their conscious. The study aims to focus about the nurses' moral distress and their relationship with moral problems and moral dilemmas presenting concepts, moral distress experiences and possible strategies to be adopted to face it. To focus on the moral distress provoked by facing the moral problems and dilemmas in nursery work seems to be primordial not just to reveal a phenomenon still a little known even experienced almost every day but, also to headline the need of problematization and valorization of the ethical dimension of work in health.

Moral distress in nursing personnel

“…On the termination of the present study, it was possible to confirm that the instrument appeared not to have adequately explored MD referent to moral problems that are related principally to organizational problems previously identified in nurses' day-to-day activities -such as lack of health professionals, precariousness of material resources, and the lack of professional autonomy (15) . For data collection, the authors used an adaptation of the MDS (4) undertaken by the present research's authors and tested in a previous study (2) , validated in Portuguese and with 21 questions (2) , which included, for the reformulation of the instrument in the present research, an additional 18 questions resulting from the knowledge produced by studies which were either directed or carried out by the authors of the present research (2)(3)(15)(16) . category should present in carrying out a task which is specific to their profession (11) ; negation of the nurse's role as the patient's advocate, defined as the nurses'…”

“…, of being cared for in the process of dying, of being informed of their condition, consulted about how they wish to experience this process, and respected in the different phases of the dying process which they manifest, shows a direct relationship with morality, and constitutes a fundamental nursing activity; it can create MD when the nursing professional cannot perform this role in a way that satisfies her ideals (15) .…”

Ética e comprometimento do profissional da saúde pós-reestruturação produtiva numa região metropolitana do sul do Brasil

“…These emerge when the professional is not able to foster morally adequate situations according to his conscience: "they recognize a personal action that is hindered by individual, institutional or social barriers" 22:682 . Feelings of anger and sadness are the main biopsychosocial effects of this moral suffering and they may lead to conformism, distancing from patients, increase in occupational diseases, depression, insomnia, anxiety and incapacity for concentration, feelings of guilt, professional loneliness, dissatisfaction, withdrawal from or abandonment of the profession 23 .…”

Aspectos Éticos No Exercício Da Enfermagem: Revisão Integrativa Da Literatura

“…Alguns artigos abordam os conflitos morais vivenciados pelos trabalhadores de Enfermagem, apontando que estes problemas podem lhes provocar sofrimento moral (30)(31)(32) . Pode-se inferir que para o exercício saudável da Enfermagem algumas atitudes são fundamentais: o diálogo aberto entre a chefia e os enfermeiros, no sentido de buscar medidas para evitar frustrações, prevendo mudanças; maior envolvimento dos enfermeiros no desenvolvimento de políticas organizacionais que valorizem a dimensão humana e social; encorajamento para participar dos comitês de ética; presença de educação permanente que fortaleça as escolhas éticas; e esclarecimento contínuo de valores, tendo como parâmetros o Código de Ética dos Profissionais da Enfermagem.…”