Sofrimento moral vivenciado pelo enfermeiro em unidade de terapia intensiva neonatal

Pereira, Vanessa Torres; Oliveira, Marluce Alves Nunes; Fontoura, Elaine Guedes; Servo, Maria Lúcia Silva; Freitas, Kátia Santana; Portela, Pollyana Pereira; Góis, Joselice Almeida

doi:10.34119/bjhrv3n4-032

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…Among the most frequent conflicts faced by intensive care nurses it is the frequent use of resources considered useless for certain cases, as well as privacy violation, situations identified as moral dilemma and cause of moral distress, that is, they represent impossibility of taking appropriate action because internal or external factors (Pereira et al, 2020; Pishgooie et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Psychometric Properties of the Patient Advocacy Scale for Intensive Care Nurses

Vargas,

Aguilar Leocádio de Menezes,

de Farias Brehmer

et al. 2023

SAGE Open

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Patient advocacy exercised by an intensive care nurse refers to the defense of the patient’s interests and rights and can be measured if, for that, there are valid, reliable and reliable instruments, that is, which have their psychometric properties proven. Therefore, the patient’s advocacy processes would be permanently monitored and evaluated, also, the practice would become more visible. Perform psychometric validation of the Patient Advocacy Scale for Intensive Care Nurses (EAPEnf-ICU). Instrumental research for instrument validation, with exploratory and confirmatory factor analysis. Carried out from January to June 2021 with 377 Brazilian intensive care nurses, selected by non-probabilistic convenience sampling. Data were collected by means of Google Forms, organized on Excel® 2010 software and analyzed on R software. The Ethics Committee approved the study. Participants received information about the research, agreed to respond to the questionnaire and were guaranteed anonymity. From the scale structural exploration by analyzing exploratory, confirmatory and internal consistency of the measurement instrument, the final version of the EAPEnf-ICU was composed of 54 items, distributed in 5 dimensions/factors: Factor 1—Clinical and organizational advocacy in intensive care; Factor 2—Barriers associated with the intensive care clinical and organizational complexity; Factor 3—Attitudes to promote the autonomy of patients and family members in intensive care; Factor 4—Barriers associated with divergences and ethical-professional limits in intensive care, and Factor 5—Intensive care nurse’s personal and professional background. Findings point that the instrument presented in this study is valid and reliable for assessing the aforementioned construct, as it presents theoretical and empirical consistency, identifying five dimensions related to the exercise of patient advocacy by the intensive care nurse.

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Section: Discussionmentioning

confidence: 99%

Psychometric Properties of the Patient Advocacy Scale for Intensive Care Nurses

Vargas,

Aguilar Leocádio de Menezes,

de Farias Brehmer

et al. 2023

SAGE Open

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“…Os avanços tecnológicos proporcionam à equipe neonatal e obstétrica a possibilidade de tomada de decisão relacionada à sobrevivência prematura de maneira mais concreta. Nos últimos anos, os profissionais da saúde, incluindo-se enfermeiras(os) neonatologistas e obstetras, tem vivenciado conflitos morais na assistência em relação à sobrevivência neonatal, quando sentem pressionados ao tomarem decisões que acreditam serem eticamente errada [1][2][3] .…”

Section: Introductionunclassified

“…Nesse caso, cabe ao comitê de bioética hospitalar indicar a melhor situação em casos de impasse para as situações que se apresentam; 2) Beneficência e Não maleficência: a equipe neonatal e a família chegam a um consenso sobre o melhor tratamento, atuando no melhor interesse do neonato. Isso inclui o processo de reanimação do recém-nascido na sala de parto para evitar consequências gravíssimas ao prematuro; e 3) Justiça: distribuição justa de benefícios, acesso a leitos de UTI neonatal, oferecimento de cuidados humanizados para o recém-nascido e sua família [2][3][4] .…”

Section: Introductionunclassified

Conflitos bioéticos vivenciados por enfermeiras neonatalogistas e obstetras no contexto da prática cotidiana

De Souza Paes Landim,

De Lima Fontenele,

Bellezi Guilhem

2023

Com. Ciências Saúde

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Objetivo: verificar por meio da literatura nacional e internacional, quais são os principais conflitos bioéticos vivenciados pelas(os) enfermeiras(os) neonatologias e obstetras e sua influência no processo de cuidado dos pacientes. Método: trata-se de uma revisão integrativa da literatura, realizada no período de agosto de 2020 a agosto de 2021, utilizando-se de artigos oriundos das bases de dados BVS, CINAHL, LILACS, MEDLINE/PubMed e a Web of Science. Resultados: identificou-se 7.497 publicações, após a seleção e elegibilidade foram incluídos 12 artigos na amostra final. Após a análise e a categorização evidenciou-se a dificuldade na aplicação dos princípios para beneficiar a assistência dos pacientes e na mediação e resolução dos conflitos por parte das equipes multiprofissionais e dos familiares, ocasionando sobrecarga laboral e influenciando na saúde mental e física. Conclusão: o papel de conscientização da relevância dos princípios bioéticos favorece os pacientes, consolidando no julgamento moral no processo de tomada de decisão.

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“…National and international studies have focused on analyzing the causes and effects of MD in nurses and state the importance of creating ways to deal with this situation in the researched scenarios [1][2][4][5][6][7] . However, it is fundamental to explore studies that assume interventions focused on coping strategies for MD in hospitals as a research object, given that they can generate positive impacts for the nurse, the institution and the patient.…”

Section: Introductionmentioning

confidence: 99%

Strategies for Coping With Moral Distress Adopted by Nurses in Tertiary Care: A Scoping Review

Caram

Rezende

Fonseca

et al. 2022

Texto contexto - enferm.

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Objective: to map the scientific evidence on strategies for coping with moral distress adopted by nurses in the context of health services in tertiary care. Method: this is a Scoping Review based on the PRISMA-ScR recommendations. The searches were performed in September 2020 in the MEDLINE®, National Library of Medicine, Scopus, Cumulative Index to Nursing and Allied Health Literature, Web of Science, Cochrane and Biblioteca Virtual en Saúde databases. The eligibility criterion was to include studies that discussed strategies for coping with moral distress adopted by nurses in tertiary care, finding 2,041 studies, which were organized and screened in the Endnote software. The data were organized in Excel spreadsheets and analysis of the results was performed using the ATLAS.ti software. Results: the final selected sample consisted of 23 studies, which were grouped in two axes: strategies and recommendations. Four articles were included in the “strategies” axis, which reported actions taken to face moral distress, detailing the intervention and their results. The others, included in the “recommendations” axis, are articles whose focus was the experience of moral distress, suggesting important aspects to face it. Conclusion: recognition of moral distress by nurses and the opportunity for collective discussion and exchange of experiences are ways of collectively facing the situations. In addition, the institution's active participation in carrying out interventions was recommended. However, gaps were noticed in the production of studies that actually go deeper into intervention actions to cope with moral distress.

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Sofrimento moral vivenciado pelo enfermeiro em unidade de terapia intensiva neonatal

Abstract: Sofrimento moral vivenciado pelo enfermeiro em unidade de terapia intensiva neonatal Moral suffering experienced by nurses in neonatal intensive care unit

Cited by 4 publications

References 3 publications

Psychometric Properties of the Patient Advocacy Scale for Intensive Care Nurses

Psychometric Properties of the Patient Advocacy Scale for Intensive Care Nurses

Conflitos bioéticos vivenciados por enfermeiras neonatalogistas e obstetras no contexto da prática cotidiana

Strategies for Coping With Moral Distress Adopted by Nurses in Tertiary Care: A Scoping Review

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