Personal narratives of nurses who care for patients at the end of life.

BACKGROUND: Little attention has been paid to the ways in which nurses personally experience, understand and assign meaning to providing palliative care. AIM: A qualitative study of four nurses working with patients in the terminal phase in a hospital in Mexico was conducted to understand their lived professional experiences and relationships with death. METHODS: Four interviews were analysed using the Greimasian actantial-semiotic model. Actants were categorised by narrative role and their actions were analysed. The grammatical features of the narration were also examined. FINDINGS: Nurses sought a good death for the patient, which they typically achieved, and spiritual peace for themselves, which they often did not. Nurses placed a high value on personal, social and professional recognition for their work. The philosophical themes affecting nursing as a vocation that emerged included life and death, truth and honesty and the role of God and the family. These professional values were often contradictory, and these dilemmas should be addressed in professional training and support.

Reflexiones y emociones a propósito de las VIII Jornadas Internacionales de Cultura de los Cuidados / No disponible

El autor sintetiza los aspectos esenciales que han caracterizado las VIII Jornadas Internacionales de Cultura de los Cuidados, siendo destacable el propósito de analizar el fenómeno de la violencia de género y la mutilación genital femenina desde una perspectiva histórica fenomenológica, antropológica y social

Author synthesizes the essential aspects that have characterized the VIII International Conference on the Culture of Care, with the purpose of analyzing the phenomenon of gender violence and female genital mutilation from a historical phenomenological, anthropological and social perspective

O autor sintetiza os aspectos essenciais que caracterizaram a VIII Conferência Internacional sobre a Cultura do Cuidado, com o objetivo de analisar o fenômeno da violência de gênero e mutilação genital feminina sob uma perspectiva histórica, fenomenológica, antropológica e social

Musculoskeletal Problems in Pianists and Their Influence on Professional Activity.

BACKGROUND: Professional musical performance requires static postures and repetitive movements that may cause musculoskeletal problems in performers. Elite pianists are especially at risk for these disorders, which may cause discomfort but also affect their work. The objective of this study was to describe the most frequent musculoskeletal problems observed in pianists, and to explore the influence of these disorders on their professional activities from the perspective of the pianists themselves. METHODS: Musculoskeletal problems were defined in accordance with the International Classification of Diseases (ICD-10), and an analysis was conducted of medical records of 183 professional pianists held by a performing arts clinic (Terrassa, Spain). In addition, in-depth interviews were conducted with 20 pianists (6 students, 12 teachers, and 2 performers), followed by content analysis of the transcripts to explore musicians' perceptions. RESULTS: We identified a total of 20 different problems, which principally involved the upper body (arms and back). Regardless of occupation or age, all respondents reported having musculoskeletal problems and that these impacted on their professional activity. Interviewees also identified a lack of support or advice on how to prevent these problems. CONCLUSION: Musculoskeletal problems, principally those involving the upper body, are very common among pianists and affect their professional activity. It is necessary to include risk prevention information starting in the early stages of musicians' training programs.

Nurses' experiences working with nursing students in a hospital: a phenomenological enquiry.

OBJECTIVE: this paper explores the experiences of registered nurses working with Spanish nursing students within the hospital. METHODS: a qualitative phenomenological approach was followed. Purposeful sampling was employed. Twenty-one registered nurses, from a public hospital located in Spain, were included in the study. Data were collected by means of unstructured and semi-structured interviews and were analysed using Giorgi's proposal. The Consolidated Criteria for Reporting Qualitative Research were followed. RESULTS: three main themes described the experience of registered nurses: "The nurse's relationship with nursing students"; most nurses emphasized the importance of the first contact with students and they considered students' attitude to be key. "Defining the role of the student in clinical practice"; it is necessary to unify the nurse's role and interventions to avoid misleading students and establish priorities in clinical practice. "Building bridges between clinical settings and the University"; the need to establish a common ground and connection between the university and hospital clinical settings was emphasized. Nurses felt that the training program should also be designed by the clinical settings themselves. CONCLUSIONS: understanding the meaning of nursing students with registered nurses might gain a deeper insight into their expectations.

Nurses' experiences working with nursing students in a hospital: a phenomenological enquiry / A experiencia das enfermeiras que trabalham com estudantes de enfermagem em um hospital: uma investigação fenomenológica / La experiencia de las enfermeras que trabajan con estudiantes de enfermería en un hospital: una investigación fenomenológica

Abstract Objective: this paper explores the experiences of registered nurses working with Spanish nursing students within the hospital. Methods: a qualitative phenomenological approach was followed. Purposeful sampling was employed. Twenty-one registered nurses, from a public hospital located in Spain, were included in the study. Data were collected by means of unstructured and semi-structured interviews and were analysed using Giorgi's proposal. The Consolidated Criteria for Reporting Qualitative Research were followed. Results: three main themes described the experience of registered nurses: "The nurse's relationship with nursing students"; most nurses emphasized the importance of the first contact with students and they considered students' attitude to be key. "Defining the role of the student in clinical practice"; it is necessary to unify the nurse's role and interventions to avoid misleading students and establish priorities in clinical practice. "Building bridges between clinical settings and the University"; the need to establish a common ground and connection between the university and hospital clinical settings was emphasized. Nurses felt that the training program should also be designed by the clinical settings themselves. Conclusions: understanding the meaning of nursing students with registered nurses might gain a deeper insight into their expectations.

Resumo Objetivo: este artigo explora as vivencias das enfermeiras que trabalham com estudantes de enfermagem espanholas em um hospital. Método: foi utilizada uma abordagem fenomenológica qualitativa e uma amostra por conveniência. Vinte e uma enfermeiras pertencentes a um hospital público na Espanha foram incluídos no estudo. Os dados foram coletados através de entrevistas não-estruturadas e semiestruturadas e analisadas usando a proposta de Giorgi. Foram observados os Critérios Consolidados para Relatos de Pesquisa Qualitativa. Resultados: três temas principais descrevem a experiência das enfermeiras: "A relação da enfermeira com as estudantes de enfermagem"; a maioria das enfermeiras enfatizam a importância do primeiro contato com estudantes e consideram central a atitude dos estudantes. "A definição do papel da estudante na prática clínica"; é necessária para unificar o papel e as intervenções da enfermeira para evitar guiar erroneamente ao estudante e estabelecer prioridades na prática clínica. "Construir pontes entre os serviços clínicos e a Universidade"; enfatizou-se a necessidade de estabelecer um terreno comum e conexões entre a universidade e os serviços clínicos do hospital. As enfermeiras pensam que o programa educacional deve também ser desenhado pelos serviços clínicos. Conclusões: compreender os significados das estudantes de enfermagem com as enfermeiras graduadas pode permitir uma introspecção mais aprofundada nas suas expectativas.

Resumen Objetivo: este artículo explora las experiencias de las enfermeras que trabajan con estudiantes de enfermería españolas en un hospital. Métodos: se utilizó un abordaje fenomenológico cualitativo y una muestra de conveniencia. Se incluyeron en el estudio veintidós enfermeras pertenecientes a un hospital público de España. Los datos fueron recogidos a través de entrevistas no estructuradas y semi-estructuradas, y analizadas usando la propuesta de Giorgi. Se siguieron los Criterios Consolidados para Relatos de Investigación Cualitativa. Resultados: tres temas principales describen la experiencia de las enfermeras: "La relación de la enfermera con las estudiantes de enfermería" la mayoría de las enfermeras dan énfasis a la importancia del primer contacto con las estudiantes y consideran que la actitud de las estudiantes es esencial. "La definición del rol de la estudiante en la práctica clínica"; es necesaria para unificar el rol y las intervenciones de la enfermera para evitar guiar en forma errónea a las estudiantes y establecer prioridades en la práctica clínica. "Construir puentes entre los ambientes clínicos y la Universidad"; se enfatizó la necesidad de establecer un terreno común y conexiones entre la universidad y los servicios clínicos del hospital. Las enfermeras piensan que el programa educativo debe ser también diseñado por los servicios clínicos. Conclusiones: comprender los significados de las estudiantes de enfermería con las enfermeras puede proveer una introspección más profunda de sus expectativas.

Interpersonal relations and nurses' job satisfaction through knowledge and usage of relational skills.

BACKGROUND/RATIONALE: Many interpersonal labor disputes stem from the lack of communication skills and the relational problems in the interactions between health professionals. AIMS/METHODS: A qualitative study was conducted in a Spanish hospital in order to get to know how the communicative interaction between hospital nurses is like in relation to the nurses' interpersonal interaction and communication skills developed in their working relationships. Twenty-one hospital nurses between 29 and 55 years old, working in different wards, were interviewed. Open-ended interview discourses were transcribed verbatim and analyzed using qualitative content analysis. RESULTS: The following four key themes were analyzed: communication and sender; communication and awareness of who has the problem; non-verbal communication; communication and recipient. CONCLUSION: The results of this study highlight the need to broaden nurses' relational-communication skills in order to increase job satisfaction.

Immigration experience of Latin American working women in Alicante, Spain: an ethnographic study.

OBJECTIVE: To describe the experience of Latin American working women regarding immigration, taking into account the expectations and conditions in which this process takes place. METHOD: Ethnographic qualitative study. Data collection was performed by means of semi-structured interviews with 24 Latin American immigrant women in Spain. The information collected was triangulated through two focal groups. RESULTS: The expectations of migrant women focus on improving family living conditions. Social support is essential for their settling and to perform daily life activities. They declare they have adapted to the settlement country, although they live with stress. They perceive they have greater sexual freedom and power with their partners but keep greater responsibility in childcare, combining that with the role of working woman. CONCLUSIONS: Migrant women play a key role in the survival of households, they build and create new meanings about being a woman, their understanding of life, their social and couple relationships. Such importance is shaped by their expectations and the conditions in which the migration process takes place, as well as their work integration.

Supplemental nursing staff´s experiences at a Spanish hospital: Qualitative phenomenology research / A experiência das enfermeiras de turno num hospital espanhol: estudo qualitativo-fenomenológico / La experiencia de las enfermeras "de apoyo" en un hospital español: estudio cualitativo fenomenológico

The objective of this study was to describe the Supplemental Nursing Staff´s experiences at different hospital units. A qualitative phenomenological approach was conducted; a purposeful and theoretical sampling was implemented with supplemental nursing staff at Santa Barbara Hospital of Soria (Spain), to gain a more in-depth understanding of the Supplemental Nursing Staff ´s experience. Data were collected by in-depth interviews and through a field notebook. Data were analyzed using the Giorgi proposal. Twenty-one nurses with a mean age of 46 years were included. Three main topics emerged from the data analysis: building the first contact, carving out a niche and establishing interprofessional/interpersonal relationships. We conclude that the experience of hosting the supplemental nursing staff in changing clinical environments is conditioned by various factors. It is necessary for nurses and hospital managers to establish clear objectives with regard to the supplemental nursing staff´s role in the units.

O propósito deste estudo é descrever a experiência das enfermeiras de turno nas diferentes unidades hospitalares. Seguiu-se um enfoque fenomenológico e qualitativo. Realizamos uma amostragem teórica com o pessoal de enfermagem de turno do Hospital Santa Bárbara de Soria (Espanha), com a finalidade de obter uma compreensão mais profunda do fenômeno. Os dados foram coletados a través de entrevistas e de diário de campo. Os dados foram analisados usando a proposta de Giorgi. 21 enfermeiros de turno com uma média de idade de 46 anos foram incluídos. Três temas principais, que descrevem a experiência das enfermeiras, emergiram dos dados: construindo o primeiro contato, buscando um espaço e estabelecendo relações interprofissionais/interpressoais. Concluimos que a experiência de acolher as enfermeiras de turno em ambientes clínicos mutáveis está condicionada por diferentes fatores. É preciso estabelecer objetivos claros a respeito do papel das enfermeiras de turno nas unidades por parte de enfermeiras e gestores.

El propósito de este estudio es describir la experiencia de las enfermeras “de apoyo” en las diferentes unidades de hospitalización. Seguimos un enfoque fenomenológico cualitativo. Realizamos un muestreo por propósito y teórico de dicho personal del Hospital Santa Bárbara de Soria (España), con el fin de obtener una comprensión más profunda del fenómeno. Los datos fueron recolectados a través de entrevistas en profundidad y diario de campo. Los datos fueron analizados usando la propuesta de Giorgi. Veintiuna enfermeras “de apoyo” con una media de edad de 46 años fueron incluidos. Tres temas principales que describen la experiencia de los enfermeros emergieron de los datos: construyendo el primer contacto, buscando un hueco y estableciendo relaciones interprofesionales/interpersonales. Concluimos que la experiencia de acoger dichas enfermeras en entornos clínicos cambiantes esta condicionada por diferentes factores. Es preciso establecer objetivos claros respecto al rol de las mismas en las unidades por enfermeras y gestores.

Immigration experience of Latin American working women in Alicante, Spain: an ethnographic study / Experiência da imigração da mulher latina trabalhadora em Alicante, Espanha - estudo etnográfico / Experiencia de la inmigración de la mujer latina trabajadora en Alicante, España. Un estudio etnográfico

OBJECTIVE: to describe the experience of Latin American working women regarding immigration, taking into account the expectations and conditions in which this process takes place. METHOD: ethnographic qualitative study. Data collection was performed by means of semi-structured interviews with 24 Latin American immigrant women in Spain. The information collected was triangulated through two focal groups. RESULTS: the expectations of migrant women focus on improving family living conditions. Social support is essential for their settling and to perform daily life activities. They declare they have adapted to the settlement country, although they live with stress. They perceive they have greater sexual freedom and power with their partners but keep greater responsibility in childcare, combining that with the role of working woman. CONCLUSIONS: migrant women play a key role in the survival of households, they build and create new meanings about being a woman, their understanding of life, their social and couple relationships. Such importance is shaped by their expectations and the conditions in which the migration process takes place, as well as their work integration. .

OBJETIVO: descrever a experiência da mulher latina trabalhadora no contexto da imigração, considerando as expectativas e as condições em que ocorre esse processo. MÉTODO: corresponde a estudo qualitativo de cunho etnográfico. A coleta de dados foi realizada através de entrevistas semiestruturadas com 24 mulheres imigrantes, na Espanha. As informações recolhidas foram analisadas por meio de dois grupos focais. RESULTADOS: as expectativas das mulheres migrantes focalizam a melhoria das condições da vida familiar. O apoio social é essencial para a residência e o desempenho das atividades da vida diária. Consideram-se adaptadas ao país de residência, embora admitam viver com stress. Veem-se como tendo maior liberdade sexual e maior poder na vida de casadas, mantendo, no entanto, maior responsabilidade no cuidado das crianças, faceta essa que se une ao papel de mulheres trabalhadoras. CONCLUSÕES: as mulheres migrantes desempenham papel central na sobrevivência das famílias, constroem e produzem novos significados sobre o que é ser mulher, a sua concepção de vida, as relações sociais e a vida a dois. Tais significados são determinados pelas expectativas e condições em que o processo de migração ocorre, assim como a sua inserção laboral. .

OBJETIVO: describir la experiencia de la mujer latina trabajadora de la inmigración, considerando las expectativas y condiciones en que se da este proceso. MÉTODO: correponde a un estudio cualitativo de corte etnográfico. La recolección de datos se realizó a través de entrevistas semiestructuradas a 24 mujeres latinas inmigrantes en España. Se trianguló la información recogida a través de dos grupos focales. RESULTADOS: las expectativas de las mujeres migrantes se enfocan en mejorar las condiciones de vida familiar. El apoyo social es fundamental para su asentamiento y para el desempeño de actividades de la vida diaria. Refieren estar adaptadas en el país de asentamiento, aunque viven con estrés. Se perciben con mayor libertad sexual y poder con sus parejas pero mantienen una mayor responsabilidad en el cuidado de los hijos, aunado al rol de mujer trabajadora. CONCLUSIONES: las mujeres migrantes juegan un papel central en la supervivencia de los hogares, construyen y crean nuevos significados acerca de ser mujer, su concepción de la vida, las relaciones sociales y de pareja. Tal significación está moldeada por las expectativas y las condiciones en que se da el proceso migratorio, así como su inserción laboral. .

Supplemental nursing staff´s experiences at a Spanish hospital: Qualitative phenomenology research.

The objective of this study was to describe the Supplemental Nursing Staff´s experiences at different hospital units. A qualitative phenomenological approach was conducted; a purposeful and theoretical sampling was implemented with supplemental nursing staff at Santa Barbara Hospital of Soria (Spain), to gain a more in-depth understanding of the Supplemental Nursing Staff ´s experience. Data were collected by in-depth interviews and through a field notebook. Data were analyzed using the Giorgi proposal. Twenty-one nurses with a mean age of 46 years were included. Three main topics emerged from the data analysis: building the first contact, carving out a niche and establishing interprofessional/interpersonal relationships. We conclude that the experience of hosting the supplemental nursing staff in changing clinical environments is conditioned by various factors. It is necessary for nurses and hospital managers to establish clear objectives with regard to the supplemental nursing staff´s role in the units.

The experience of hospitalized children regarding their interactions with nursing professionals / A experiência de crianças hospitalizadas sobre sua interação com os profissionais de enfermagem / La experiencia de los niños hospitalizados acerca de su interacción con los profesionales de enfermería

The aim of this study is to describe the experience of children in their interactions with nursing professionals while in hospital. It is a qualitative study supported by the critical incident technique. Data was collected through participant observation and semi-structured interviews with thirty hospitalized children and teenagers between 8 and 14 years old. The results showed that children positively valued nursing care at the hospital and recognized that interactions with nursing staff included social and emotional factors. It is concluded that communication established with children plays a fundamental role to comprehend their experiences while in hospital. Therefore, nurses need to evaluate their strategies and relational skills used to interact with children at the hospital.

O objetivo deste estudo foi descrever a experiência da criança na interação com os profissionais de Enfermagem, durante a internação hospitalar. Trata-se de estudo qualitativo, fundamentado na técnica do incidente crítico. A coleta de dados realizou-se através da observação participante e de entrevistas semiestruturadas, com trinta crianças e adolescentes hospitalizados, tendo de 8 a 14 anos de idade. Os resultados mostram que as crianças avaliam positivamente o cuidado de Enfermagem no hospital, e reconhecem que as interações com os profissionais dessa área abrangem conteúdo afetivo e social. Conclui-se que a comunicação estabelecida com as crianças desempenha papel fundamental na compreensão que conseguem a respeito da experiência hospitalar, sendo necessária a avaliação das estratégias de Enfermagem, bem como das habilidades relacionais usadas para interagir com as crianças, no hospital.

El objetivo de este estudio es describir la experiencia del niño en la interacción con los profesionales de enfermería durante su estancia hospitalaria. Se trata de un estudio cualitativo fundamentado bajo la técnica del incidente crítico. La recolección de los datos se realizó mediante la observación participante y entrevistas semiestructuradas a treinta niños y adolescentes hospitalizados, con edades comprendidas entre 8-14 años. Los resultados muestran que los niños valoran positivamente el cuidado de enfermería en el hospital y reconocen que las interacciones con los profesionales de enfermería abarcan todo un contenido afectivo y social. Se concluye que la comunicación que se establece con los niños juega un papel fundamental en la comprensión que elaboran de la experiencia hospitalaria, por tanto es necesario en enfermería evaluar las estrategias y habilidades relacionales empleadas para interactuar con los niños en el hospital.

Roleplaying en el proceso de enseñanza-aprendizaje de enfermería: valoración de los profesores / Role-playing in the teaching process in nursing: evaluation by professors

El objetivo de este estudio es evaluar el roleplaying como herramienta metodológica en el proceso de enseñanza-aprendizaje de pregrado en enfermería, identificando las actitudes de los profesores ante el role playing, y analizando los comentarios de estos después de su utilización en el aula. Investigación de naturaleza reflexiva y enfoque cualitativo basado en la interacción simbólica. La recolección de datos se realizó durante los años académicos 2006-2007 y 2007-2008, a dos profesores de la asignatura del tercer año en la Escuela de Enfermería "X". Los resultados muestran el roleplaying como categoría temática seleccionada y permiten la clasificación en subcategorías y códigos. El análisis de los datos permitió identificar lo que realmente sucede con el roleplaying como herramienta metodológica en el proceso de enseñanza-aprendizaje de enfermería, por qué y cuáles son sus consecuencias.

Evolución del impacto emocional de la muerte y el proceso de morir en estudiantes de Enfermería / Evolution of the emotional impact of death and the dying process in student nurses

Objetivos: identificar el grado de preocupación/ansiedad presente en los estudiantes de primero en relación con su propia muerte, con el proceso de morir, con la muerte de otros y con el proceso de morir de los demás y conocer la evolución de estos aspectos al final de la carrera. Material y método: estudio longitudinal en una población diana de estudiantes de primero y tercero de Enfermería de la misma promoción (2007-2010), perteneciente a la Escuela de Enfermería de la Universidad San Pablo CEU, integrada dentro del Hospital Central de la Defensa “Gómez Ulla” de Madrid. La muestra observada coincide con la accesible y fue observada en dos momentos distintos en el tiempo, en primer curso (n = 47) yal llegar a tercero (n = 39). En ambos casos se utilizó la adaptación española de la Escala de Miedo a la Muerte de Collett-Lester. Resultados y conclusiones: se observó un mayor grado de ansiedad en los aspectos relacionados con “el propio proceso de morir” y “la muerte de otros” (ser querido), en los que además no se produjó un descenso con el paso del tiempo. Respecto a “la propia muerte” y al “proceso de morir de otros”, sí se observó un descenso significativo (p < 0,05) del grado de preocupación/ansiedad al final de la carrera. Estos resultados llevan a pensar en la necesidad de intervenir durante el período formativo para mitigar el efecto estresante del impacto de estas vivencias del dolor y la muerte y realizar el seguimiento personalizado de los estudiantes (AU)

Objectives: to identify the degree of concern/anxiety present in first year student nurses in relation to their own death, their own dying process, the dying of others and to determine the course of these aspects at the end of their studies. Material and methods: longitudinal study in a target population of first and third year student nurses of the same promotion (2007-2010), registered at the School of Nursing of the University San Pablo CEU, integrated as part of the Hospital Central de la Defensa “ Gómez Ulla” in Madrid. The sample studied coincides with the accessible one and was assessed at two different moments in time, in the first year (n = 47) and in the third year (n = 39). In both cases, the Spanish adaptation of the Collett-Lester Fear of Death Scale was used. Results and conclusions: a higher degree of anxiety was observed in aspects relating to “the own dying process” and “the dying of others”(being loved), in which in addition no decrease occurred over time. In relation to “their own death” and the “dying process of others”, a significant decrease of the degree of concern/anxiety was indeed observed(p < 0,05) at the completion of their career. These results lead us to think of the need to prevent the stressing effect that the impact of these experiences of pain and death have on the students during their training period, thus allowing us to carry out an individualized follow up of these students (AU)

Perspectiva de la enfermera ante el paciente oncológico en fase terminal en Tampico, Tamaulipas, México / Perspectiva do enfermeiro ao paciente com câncer terminal em Tampico, Tamaulipas, México / Perspective from the nurse to the terminal cancer patient in Tampico, Tamaulipas, Mexico

En este trabajo se muestran los resultados de una investigación cualitativa que se realizó en tres hospitales de Tampico, Tamaulipas, en México. En ella se detalla una perspectiva distinta respecto a la última etapa de la vida humana. Específicamente, la labor de la enfermera en el cuidado del paciente oncológico terminal y su relación con él y su familia cuando se acerca el momento de la muerte. Dentro de la práctica de enfermería existe un asunto al que se le debe dar un énfasis especial: el cuidado de pacientes con enfermedades terminales. Durante esta fase, el enfermo experimenta diversos síntomas, que son complejos y cambiantes, por ello necesita tener una atención integral y ética para mejorar su calidad de vida dentro de lo posible. No obstante, los resultados de esta investigación mostraron que las enfermeras viven el proceso de muerte con dolor, tristeza e impotencia. El dolor y la tristeza se relacionan con lo que les significa el paciente y por el tiempo de convivencia mutua. La impotencia la experimentan al sentir que no pudieron hacer más por él o que no sirvieron de mucho todo el esfuerzo, tiempo y recursos dedicados a su atención (AU)

Este artigo apresenta os resultados de uma pesquisa qualitativa foi realizada em três hospitais de Tampico, Tamaulipas, México. Ele detalha uma perspectiva diferente da última etapa da vida humana. Especificamente, o trabalho do enfermeiro no cuidado de pacientes terminais de câncer e sua relação com ele e sua família quando o tempo está se aproximando da morte. Dentro da prática de enfermagem não é uma questão que deve ser dada ênfase especial: o cuidado de doentes terminais. Durante esta fase, o paciente experimenta sintomas diferentes, que são complexas e em mudança, então você precisa de uma atenção integral e ética para melhorar sua qualidade de vida sempre que possível. No entanto, os resultados desta pesquisa mostram que as enfermeiras vivem o processo de morrer de tristeza, dor e desamparo. A dor ea tristeza que lhes estão associados significa que o paciente eo tempo de convivência mútua. A sensação de impotência experiência que poderia fazer mais por ele ou não serve muito de todos os tempo, esforço e recursos destinados a sua atenção (AU)

This paper presents the results of a qualitative study conducted in three hospitals in Tampico, Mexico. It details a different perspective from the last stage of human life, specifically, the work of the nurse in the care of terminal cancer patient, and her relationship with him and his families when he dies. Within nursing practice, it must be given special emphasis to the care of terminally ill patients. During this phase, the patient experience different symptoms, which are complex and changing, therefore he needs to have a holistic and ethical care to improve their quality of life wherever possible. However, the results of this inquiry showed that nurses experience the process of dying with pain, sadness and powerlessness. The pain and sadness are associated with the importance that nurses give the patient, also by their mutual relations. They experience impotence, feeling they could not do more for him, and believe that the effort, time and resources devoted for his attention were vain (AU)

The experience of hospitalized children regarding their interactions with nursing professionals.

The aim of this study is to describe the experience of children in their interactions with nursing professionals while in hospital. It is a qualitative study supported by the critical incident technique. Data was collected through participant observation and semi-structured interviews with thirty hospitalized children and teenagers between 8 and 14 years old. The results showed that children positively valued nursing care at the hospital and recognized that interactions with nursing staff included social and emotional factors. It is concluded that communication established with children plays a fundamental role to comprehend their experiences while in hospital. Therefore, nurses need to evaluate their strategies and relational skills used to interact with children at the hospital.

Using role playing in the integration of knowledge in the teaching-learning process in nursing: assessment of students / Utilización del role playing en la integración de conocimientos en el proceso de enseñanza-aprendizaje de enfermería: valoración de los estudiantes / Usando role playing na integração do conhecimento no processo ensino-aprendizagem em enfermagem: avaliação dos alunos

To assess role-playing as a methodology in the teaching-learning process for the Nursing Degree. To identify the attitude of nursing students towards role-playing. To analyze the response of students to their teaching-learning process after role-playing. Relationship is one of the main functions of nursing care in all fields, as it contributes to developing and coping with the various stimuli of life through therapeutic communication, which helps nurses know their role and how to behave according to the situation. Third-year students from the Nursing School of the "X". Academic years 2006-2007 and 2007-2008. The reflexive nature of qualitative research is based on Symbolic Interactionism. The subject category chosen is role-playing and it is sorted into the subcategories and codes. Findings from the analysis of the summaries have allowed us to see what actually happens when using role-playing as a teaching-learning tool in nursing, why and what the consequences are.

Evaluar el role-playing como metodología en el proceso de enseñanza-aprendizaje en la enseñanza del Grado de Enfermería. Identificar la actitud de los estudiantes de enfermería ante el role-playing. Analizar la respuesta de los estudiantes después de realizar el role-playing en su proceso de enseñanza-aprendizaje. La relación de ayuda es una de las funciones principales de los cuidados de enfermería, en todos los ámbitos con el fin de que se pueda desarrollar y hacer frente a los diversos estímulos de la vida a través de la comunicación terapéutica, que permite a las enfermeras ver su rol con las personas como un marco para "saber estar" en la relación de ayuda. Estudiantes de tercer año de la Escuela de Enfermería de la "X". Año académico 2006-2007 y 2007-2008. El carácter reflexivo de la investigación cualitativa está fundamentado en el Interaccionismo Simbólico. La categoría temática seleccionada, es la de role-playing que permite una clasificación de subcategorías y códigos. Los resultados del análisis de las síntesis nos han permitido identificar lo que sucede realmente con la utilización del role-playing como herramienta de enseñanza-aprendizaje en enfermería, por qué y cuáles son las consecuencias.

Avaliar o role-playing como metodologia no proceso ensino-aprendizagem no ensino de graduação de enfermagem. Identificar as atitudes dos estudantes de enfermagem relacionadas ao role-playing. Analisar a resposta dos alunos no proceso ensino-aprendizagem após realizarem o role-playing. a relação de ajuda é uma das principaisfunções dos cuidados de enfermagem, em todas as dimensões e, através da comunicação terapêutica busca o desenvolvimento das pessoas para enfrentar os diversos estímulos da vida. A comunicação terapêutica permite às enfermeiras reconhecerem seu papel, como um marco para "saber estar" na relação de ajuda. Estudantes de terceiro ano da Escola de Enfermagem "X" nos períodos letivos de 2006-2007 e 2007-2008. A natureza reflexiva desta pesquisa qualitativa baseia-se no interacionismo simbólico. A categoria temática selecionada foi o role-playing, que permitiuuma classificação em subcategorias e códigos. Os resultados permitiram identificar o que realmente acontece com o uso do role-playing como uma ferramenta de ensino e aprendizagem em enfermagem, porquê e quais suas consequências.

Integración docenteen el procesode enseñanza-aprendizaje / Teaching integration into the service-learning process

Una reforma, como concepto ideológico y político, genera con frecuenciauna ilusión de cambio más que una transformación real. Relacionadocon la manera de regular la enseñanza-aprendizaje, el EEES comportaun proceso en el que se sitúa al profesor como conductor y facilitador yno sólo como fuente de conocimiento. En la Escuela de Enfermería dela Universidad de Alicante desde hace ocho años se está desarrollandouna experiencia que une dos asignaturas, Enfermería en Salud Mental eIntervención Comunitaria, en una virtual: Enfermería Integrada, que hapermitido poner en práctica recursos innovadores dirigidos a elaborar estrategiasconjuntas de intervención familiar y comunitaria donde se contemplenlas complejas realidades de la comunicación, el diálogo y la interacción,desde una perspectiva integral e integradora, basada en laexperiencia, la reflexión, la observación y el respeto. Esta experienciapermite concluir que los alumnos están capacitados para la asimilacióngradual de los contenidos de las materias y desarrollo progresivo de lascompetencias, su implicación directa en el proceso de enseñanza-aprendizaje,el desarrollo de habilidades de comunicación, generación de unapráctica reflexiva y un análisis crítico. Quienes han participado de estaexperiencia han ido experimentando una cada vez mayor satisfacciónpor el trabajo realizado y por los resultados obtenidos, lo que anima a continuaren esta dinámica (AU)

As an ideological and political concept, a reform frequently creates anexcitement for change rather than a real transformation. In relation tohow the teaching-learning process is regulated, the ESFHE (EuropeanSpace for Higher Education) entails a process in which the teacher is positionedas the driver and facilitator and not just as the source of knowledge.At the School of Nursing of the University of Alicante, a new experiencehas been in progress for the last eight years whereby twosubjects, Mental Health Nursing and Community Intervention Nursing,are being combined into one virtual subject: Integrated Nursing, whichhas made it possible to set in into motion innovative resources aimed atelaborating joint strategies for family and community intervention thatembrace the complex realities of communication, dialog and interaction,from an integral and integrated perspective, based on experience,reflection, observation and respect. This experiences concludes that studentsare prepared to gradually take in the contents of the subjects andto progressively develop their competencies, to become directly involvein the learning-teaching process, to develop communication skills, togenerate a reflective practice and a critical analysis. Students that haveparticipated in this experience have experienced an increasing satisfactionwith the work done and the results obtained, which encouragesthem to continue with the same dynamics (AU)

La Técnica del Incidente Crítico y sus implicaciones en el desarrollo de la investigación en enfermería / The critical incident technique and its implications in the development of the nursing research

En este artículo pretende describir, a manera introductoria, la aplicabilidad que tiene la técnica del incidente crítico, como herramienta de investigación cualitativa. A su vez explora el valor que desde sus inicios diversas disciplinas le han atribuido a la técnica para recolectar y analizar datos cualitativos. Su reconocimiento actual está basado en que la técnica permite comprender algunos componentes que pueden estar siendo valorados como “críticos” dentro de una actividad determinada. Se ha considerado que la técnica posee a nivel metodológico propiedades tales como practicidad, flexibilidad, versatilidad y efectividad en su aplicación. En esta breve disertación sobre la técnica, se describen las características generales de la técnica, sus atributos, aplicaciones y los aportes potenciales y reales que su utilización tiene en la investigación científica y el conocimento disciplinar de enfermería

This article describes, in an introductory way, the applicability that the critical incident technique has, as a qualitative research tool. It also explores the value that has been attributed to the technique by diverse disciplines to recollect and analyze qualitative data. Its current acknowledgment is based on the fact that the technique allows to understand some components that can been valued as “critical” among a given activity. It’s been considered that the technique has in the methodological level properties such as practicability, flexibility, versatility, and effectiveness in its application. In this brief dissertation about the technique, it’s described the general characteristics of the technique, its attributes, applications, and the potential and real contributions that its use has in the scientific research and the disciplinary knowledge of nursery

Experiencia docente en el marco del Espacio Europeo de Educación Superior / Academic teaching experience in the frameworl of the European Higher Education Space (EHES)

El Espacio Europeo de Educación Superior (EEES), se configura como un escenario en el que a medio plazo se van a desarrollar importantes cambios en la universidad española tendentes a lograr la necesaria convergencia con el resto de países de la Comunidad Europea. El paso de una sociedad de la información a una sociedad del conocimiento va a suponer el cambio del proceso pedagógico y curricular de todas las disciplinas universitarias y su consiguiente adaptación a los nuevos planteamientos surgidos del EEES. La titulación de Enfermería se enfrenta, por tanto, a un nuevo reto, que le permitirá el pleno desarrollo académico en igualdad de condiciones con el resto de disciplinas. En base a estos planteamientos se presenta una experiencia de adaptación al EEES desarrollada en la Escuela de Enfermería de la Universidad de Alicante, en la que se estructuran dos asignaturas del actual plan de estudios de Enfermería de manera transversal y con una metodología de enseñanza-aprendizaje adaptada al EEES en una única materia que ha venido en denominarse Enfermería integrada

The European Space for Higher Education (ESHE) is configured as a scenario in which important changes will take place in the mid-term resulting in significant changes for Spanish university that tend to achieve a necessary convergence with the rest of EC countries. The progression from a society of information into a society of knowledge will represent a change in the pedagogic and curricular process of all university disciplines and subsequent adaptation of new approaches emerging from the EHES. Nursing as a career faces a new challenge that will enable a full academic development in a more levelled playing field, together with other disciplines. Based on these approaches, an experience developed by the University of Alicante School of Nursing to adapt to the goals set forth by ESHE is presented. This experience is structured cross-sectionally into two subjects of the currently in force nursing curricula with a teaching-learning methodology that was adapted to the ESHE postulations in a fashion that has been termed “integrated Nursing”

[Teaching in Europe]. / Enseñar, en Europa.

The European Area for Higher Education is the venue where, over a medium time frame, important changes in the Spanish university system shall be carried out in order to achieve the necessary convergence with the rest of the European Union countries. The step from an information society to a knowledge-based society will require a change in the pedagogical process and the curricula in all university disciplines and their subsequent adaptation to the new plans formulated by the European Area for Higher Education. Therefore, nursing faces a new challenge which will allow it to develop its full academic potential under conditions equal to those of all other academic disciplines.