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1.
BMJ ; 373: n920, 2021 04 28.
Artigo em Inglês | MEDLINE | ID: mdl-33910919
2.
Medicine (Baltimore) ; 100(14): e25397, 2021 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-33832133

RESUMO

ABSTRACT: Decision-making to stop cancer treatment in patients with advanced cancer is stressful, and it significantly influences subsequent end-of-life palliative treatment. However, little is known about the extent to which the patient's self-decisions influenced the prognostic period. This study focused on the patient's self-decision and investigated the impact of the self-decision to stop cancer treatment on their post-cancer treatment survival period and place of death.We retrospectively analyzed 167 cases of advanced genitourinary cancer patients (kidney cancer: 42; bladder cancer: 68; prostate cancer: 57) treated at the University of Fukui Hospital (UFH), who later died because of cancer. Of these, 100 patients decided to stop cancer treatment by themselves (self-decision group), while the families of the remaining 67 patients (family's decision group) decided to stop treatment on their behalf because the patient's decision-making ability was already impaired. Differences in the post-cancer-treatment survival period and place of death between the 2 groups were examined. The association between place of death and survival period was also analyzed.The median survival period after terminating cancer treatment was approximately 6 times longer in the self-decision group (145.5 days in self-decision group vs 23.0 days in family's decision group, P < .001). Proportions for places of death were as follows: among the self-decision group, 42.0% of patients died at UFH, 45.0% at other medical institutions, and 13.0% at home; among the family's decision group, 62.7% died at UFH, 32.8% at other medical institutions, and 4.5% at home. The proportion of patients who died at UFH was significantly higher among the family's decision group (P = .011). The median survival period was significantly shorter for patients who died at UFH (UFH: 30.0 days; other institutions/home: 161.0 days; P < .001).Significantly longer post-cancer-treatment survival period and higher home death rate were observed among patients whose cancer treatment was terminated based on their self-decision. Our results provide clinical evidence, especially in terms of prognostic period and place of death that support the importance of discussing bad news, such as stopping cancer treatment with patients.


Assuntos
Família/psicologia , Doente Terminal/psicologia , Neoplasias Urogenitais/mortalidade , Neoplasias Urogenitais/terapia , Suspensão de Tratamento/estatística & dados numéricos , Idoso , Idoso de 80 Anos ou mais , Atitude Frente a Morte , Estudos de Casos e Controles , Tomada de Decisões/fisiologia , Feminino , Humanos , Japão/epidemiologia , Neoplasias Renais/epidemiologia , Neoplasias Renais/mortalidade , Neoplasias Renais/psicologia , Neoplasias Renais/terapia , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos/ética , Cuidados Paliativos/psicologia , Prognóstico , Neoplasias da Próstata/epidemiologia , Neoplasias da Próstata/mortalidade , Neoplasias da Próstata/psicologia , Neoplasias da Próstata/terapia , Estudos Retrospectivos , Taxa de Sobrevida/tendências , Assistência Terminal/ética , Assistência Terminal/psicologia , Neoplasias da Bexiga Urinária/epidemiologia , Neoplasias da Bexiga Urinária/mortalidade , Neoplasias da Bexiga Urinária/psicologia , Neoplasias da Bexiga Urinária/terapia , Neoplasias Urogenitais/patologia , Neoplasias Urogenitais/psicologia
4.
Cien Saude Colet ; 26(3): 1013-1022, 2021 Mar.
Artigo em Português, Inglês | MEDLINE | ID: mdl-33729355

RESUMO

The article aims to discuss the care provided by female healthcare workers in Brazil during the Covid-19 pandemic, based on a sociological analysis by authors who discuss such care as devalued and poorly paid work performed to a large extent by low-income women. The work involves social constructions of emotions and has used the body as a work instrument in care for others. In addition, the increasingly precarious nature of health work in Brazilian society, aggravated in recent decades, with an increase in temporary contracts, loss of labor rights, overload of tasks, and adverse work conditions, among others, adds to the increase in medical and hospital care in the Covid-19 pandemic. In this context, female healthcare workers experience lack of personal protective equipment, fear of coronavirus infection, concerns with their children and other family members, and illness and death of coworkers and themselves. The article highlights the need for government attention and management of healthcare work and professional societies, analyzing the work conditions female healthcare workers are experiencing in confronting the pandemic.


Assuntos
/epidemiologia , Assistência à Saúde , Pessoal de Saúde , Pandemias , Atitude Frente a Morte , Brasil/epidemiologia , /transmissão , Assistência à Saúde/economia , Assistência à Saúde/normas , Assistência à Saúde/tendências , Família , Medo , Feminino , Pessoal de Saúde/economia , Pessoal de Saúde/psicologia , Humanos , Programas Nacionais de Saúde , Equipamento de Proteção Individual/provisão & distribução , Salários e Benefícios/tendências , Fatores Sexuais , Fatores Sociológicos , Local de Trabalho/psicologia , Local de Trabalho/normas
5.
Cochrane Database Syst Rev ; 3: CD009231, 2021 03 16.
Artigo em Inglês | MEDLINE | ID: mdl-33721912

RESUMO

BACKGROUND: The policy several countries is to provide people with a terminal illness the choice of dying at home; this is supported by surveys that indicate that the general public and people with a terminal illness would prefer to receive end-of-life care at home. This is the fifth update of the original review. OBJECTIVES: To determine if providing home-based end-of-life care reduces the likelihood of dying in hospital and what effect this has on patients' symptoms, quality of life, health service costs and caregivers compared with inpatient hospital or hospice care. SEARCH METHODS: We searched CENTRAL, Ovid MEDLINE(R), Embase, CINAHL, and clinical trials registries to 18 March 2020. We checked the reference lists of systematic reviews. For included studies, we checked the reference lists and performed a forward search using ISI Web of Science. We handsearched palliative care journals indexed by ISI Web of Science for online first references. SELECTION CRITERIA: Randomised controlled trials evaluating the effectiveness of home-based end-of-life care with inpatient hospital or hospice care for people aged 18 years and older. DATA COLLECTION AND ANALYSIS: Two review authors independently extracted data and assessed study quality. When appropriate, we combined published data for dichotomous outcomes using a fixed-effect Mantel-Haenszel meta-analysis to calculate risk ratios (RR) with 95% confidence intervals (CI). When combining outcome data was not possible, we reported the results from individual studies. MAIN RESULTS: We included four randomised trials and found no new studies from the search in March 2020. Home-based end-of-life care increased the likelihood of dying at home compared with usual care (RR 1.31, 95% CI 1.12 to 1.52; 2 trials, 539 participants; I2 = 25%; high-certainty evidence). Admission to hospital varied among the trials (range of RR 0.62, 95% CI 0.48 to 0.79, to RR 2.61, 95% CI 1.50 to 4.55). The effect on patient outcomes and control of symptoms was uncertain. Home-based end-of-life care may slightly improve patient satisfaction at one-month follow-up, with little or no difference at six-month follow-up (2 trials; low-certainty evidence). The effect on caregivers (2 trials; very low-certainty evidence), staff (1 trial; very low-certainty evidence) and health service costs was uncertain (2 trials, very low-certainty evidence). AUTHORS' CONCLUSIONS: The evidence included in this review supports the use of home-based end-of-life care programmes for increasing the number of people who will die at home. Research that assesses the impact of home-based end-of-life care on caregivers and admissions to hospital would be a useful addition to the evidence base, and might inform the delivery of these services.


Assuntos
Atitude Frente a Morte , Serviços de Assistência Domiciliar , Cuidados Paliativos na Terminalidade da Vida/psicologia , Preferência do Paciente/psicologia , Idoso , Atitude do Pessoal de Saúde , Viés , Cuidadores/psicologia , Feminino , Acesso aos Serviços de Saúde , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Ensaios Clínicos Controlados Aleatórios como Assunto , Características de Residência/estatística & dados numéricos , Fatores de Tempo
6.
Ciênc. Saúde Colet ; 26(3): 1013-1022, mar. 2021.
Artigo em Português | LILACS | ID: biblio-1153827

RESUMO

Resumo Este texto tem como finalidade discutir o cuidado de trabalhadoras da área da saúde em face da Covid-19, sob a análise sociológica de autoras que o vêm discutindo enquanto um trabalho que é desempenhado, na sua maioria, pelas mulheres das classes populares, é desvalorizado e sofre baixa remuneração. É uma atividade que envolve as construções sociais das emoções e tem utilizado o corpo como um instrumento de trabalho no cuidado com o outro. Além disso, a precarização do trabalho em saúde na sociedade brasileira acirrada nas últimas décadas, como o aumento de contratos temporários, perdas de direitos trabalhistas, a sobrecarga das atividades, condições de trabalho precárias, dentre outros, soma-se com o aumento dos atendimentos médico-hospitalares diante da pandemia da Covid-19. Neste contexto, as trabalhadoras em saúde vivenciam as ausências de equipamentos de proteção individual, medo de contaminação pelo vírus, preocupações com filhos e familiares, vivências diante da morte e do adoecimento de si e de colegas de profissão. Este texto aponta para a necessidade de atenção governamental, bem como para a gestão do trabalho em saúde e dos órgãos de classe profissional, analisando as condições de trabalho que as trabalhadoras em saúde estão vivendo no enfrentamento da pandemia.


Abstract The article aims to discuss the care provided by female healthcare workers in Brazil during the Covid-19 pandemic, based on a sociological analysis by authors who discuss such care as devalued and poorly paid work performed to a large extent by low-income women. The work involves social constructions of emotions and has used the body as a work instrument in care for others. In addition, the increasingly precarious nature of health work in Brazilian society, aggravated in recent decades, with an increase in temporary contracts, loss of labor rights, overload of tasks, and adverse work conditions, among others, adds to the increase in medical and hospital care in the Covid-19 pandemic. In this context, female healthcare workers experience lack of personal protective equipment, fear of coronavirus infection, concerns with their children and other family members, and illness and death of coworkers and themselves. The article highlights the need for government attention and management of healthcare work and professional societies, analyzing the work conditions female healthcare workers are experiencing in confronting the pandemic.


Assuntos
Humanos , Feminino , Pessoal de Saúde/economia , Pessoal de Saúde/psicologia , Infecções por Coronavirus/epidemiologia , Assistência à Saúde/economia , Assistência à Saúde/normas , Assistência à Saúde/tendências , Pandemias , Salários e Benefícios/tendências , Brasil/epidemiologia , Atitude Frente a Morte , Família , Fatores Sexuais , Local de Trabalho/normas , Local de Trabalho/psicologia , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/transmissão , Medo , Fatores Sociológicos , Equipamento de Proteção Individual/provisão & distribução , Programas Nacionais de Saúde
7.
Public Health ; 192: 72-73, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33652211

RESUMO

OBJECTIVES: Care planning should define care at the end of life in advance. At a later stage, when patients are no longer able to do this themselves, it should serve as a guideline for health care. The aim of this article is to give a first insight into the discussions around this social instrument. STUDY DESIGN: The study design was comparing the arguments of proponents and critics. METHODS: This is a critical discourse analysis. RESULTS: A discussion of proponents and critics shows how closely this social instrument is interwoven with the areas of biopolitics, economics and governmentality. CONCLUSIONS: Further research should address the question of what quality assurance can look like.


Assuntos
Planejamento Antecipado de Cuidados , Assistência Terminal , Diretivas Antecipadas , Atitude Frente a Morte , Morte , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Política
10.
Rev Gaucha Enferm ; 42(spe): e20200160, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33566887

RESUMO

OBJECTIVE: To understand the reactions and feelings of professionals in the frontline of care for inpatients with suspected COVID-19. METHOD: Qualitative approach study with 19 health team professionals from a teaching hospital located in the hinterland of the state of Paraná. Data were collected in March and April 2020. For data analysis, content analysis was used. RESULTS: Of all professionals, 89.5% were female, 57.8% were between 20 and 30 years old. The following emotions and feelings were highlighted by the content analysis: Motivation; willingness to contribute; feelings of fear, anxiety; obligation; preoccupation with death; sadness; discrimination; isolation; prejudice; uncertainty; and doubts about the future. CONCLUSION: The research showed workers' reactions/feelings, which were ambivalent both as a motivating impulse and as self-care, such as in the case of isolation/fear in coping with COVID-19.


Assuntos
/terapia , Emoções , Pessoal de Saúde/psicologia , Pacientes Internados , Adulto , Ansiedade/psicologia , Atitude Frente a Morte , Medo/psicologia , Feminino , Humanos , Masculino , Motivação , Preconceito , Pesquisa Qualitativa , Tristeza , Isolamento Social , Incerteza , Adulto Jovem
11.
Behav Brain Sci ; 44: e10, 2021 02 18.
Artigo em Inglês | MEDLINE | ID: mdl-33599582

RESUMO

Using terror management theory and research findings, we expand the framework provided by Lee and Schwarz to highlight the potential link between separation and connection effects to existential, death-related concerns. Specifically, we address how death awareness may motivate separation and connection behaviors and how engaging in these behaviors may serve a protective terror management function.


Assuntos
Atitude Frente a Morte , Humanos
12.
N Engl J Med ; 384(6): 494-495, 2021 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-33567481
13.
Metas enferm ; 23(10): 58-64, dic.-ene. 2021. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-197945

RESUMO

OBJETIVO: determinar las actitudes de profesionales de Enfermería ante la muerte, analizar diferencias entre las percepciones de profesionales de España y Chile, y determinar la influencia de factores culturales y sociodemográficos en dichas percepciones. MÉTODO: se realizó un estudio descriptivo transversal, empleando el cuestionario del Perfil revisado de actitudes hacia la muerte. Se accedió a 200 profesionales de Valdivia (Chile) y 500 de Navarra (España). Se emplearon test no paramétricos (X² de Pearson, U Mann-Whitney y Kruskal Wallis) para contrastar variables sociodemográficas y su correlación con las dimensiones factoriales otorgando un nivel de significación p< 0,05. RESULTADOS: participaron 325 profesionales de Navarra y 114 de Valdivia (66,51%). Los de Navarra obtuvieron mayor puntuación en la dimensión de Miedo (= 3,66 frente a 3,35) y los de Valdivia en las dimensiones de Escape (= 4 frente a 3,55) y Reacercamiento (= 4,93 frente a 3,37). En los profesionales de Navarra influyeron factores como la situación civil, profesar una religión, una baja autopercepción sobre el manejo emocional y técnico al final de vida o tener experiencias previas de pérdida de un familiar cercano. Entre los de Valdivia influyeron factores como el sexo, la edad, haber asistido en la infancia a funerales, profesar y practicar una religión o trabajar en un centro de salud frente a un hospital. CONCLUSIONES: ambos presentaron una actitud neutral hacia la muerte conforme más edad tenían, mayor actitud de reacercamiento al profesar una religión y miedo ante la autopercepción de escaso manejo técnico de la muerte, aunque influyeron aspectos culturales y sociodemográficos en las dos muestras


OBJECTIVE: to determine the attitudes by Nursing professionals towards death, to analyze differences between the perceptions of professionals from Spain and Chile, and to determine the influence of cultural and sociodemographic factors in said perceptions. METHOD: a descriptive cross-sectional study was conducted, using the Revised Death Attitude Profile questionnaire. There was access to 200 professionals from Valdivia (Chile) and 500 from Navarre (Spain). Non-parametric tests were used (Pearson's X², Mann-Whitney U and Kruskal Wallis) in order to compare sociodemographic variables and their correlation with factor dimensions, granting a significance level of p< 0.05. RESULTS: the study included 325 professionals from Navarre and 114 from Valdivia (66.51%). Those from Navarre obtained a higher score in the Fear dimension (= 3.66 vs.3.35), and those from Valdivia in the Escape (= 4 vs. 3.55) and Approach dimensions (= 4.93 vs. 3.37). There was impact on Navarre professionals by factors such as civil status, practicing a religion, a low self-perception about emotional and technical management at the end of life, or having previous experiences of losing a close relative. Among those from Valdivia, there was impact by factors such as gender, age, having attended funerals during childhood, professing and practicing a religion, or working at a health center vs. a hospital. CONCLUSIONS: both groups presented a neutral attitude towards death correlated with an increase in age, a higher attitude of approach when professing a religion, and fear towards the self-perception of low technical management of death; however, cultural and sociodemographic aspects had influence in both samples


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Atitude do Pessoal de Saúde , Atitude Frente a Morte , Recursos Humanos de Enfermagem/psicologia , Percepção , Espanha , Chile , Estudos Transversais , Inquéritos e Questionários , Adaptação Psicológica
14.
Am J Nurs ; 121(2): 72, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33497137

RESUMO

As stories of dying alone from COVID-19 pervade the news, a reminder of the intimacy and love that can surround a hospice patient's last moments.


Assuntos
/enfermagem , Cuidados Paliativos na Terminalidade da Vida/psicologia , Papel do Profissional de Enfermagem/psicologia , Atitude Frente a Morte , Humanos , Solidão/psicologia
15.
PLoS One ; 16(1): e0244980, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33411839

RESUMO

Medical cryopreservation is the speculative practice of using low temperatures and medical-grade cryoprotective agents to halt the decay of a recently-deceased person's brain and body for the prospect of future resuscitation and restoration of function. We conducted a survey of 1,487 internet users in the United States to measure familiarity with, interest in, beliefs about, and attitudes towards cryopreservation. The majority of respondents (75%) had previously heard of the topic. Respondents tended to underestimate the cost of cryopreservation and number of previous cases but overestimate the number of providers. While many respondents expressed interest in signing up (20%) or had actively researched the topic (21%), a much smaller fraction have decided to be cryopreserved (6%). This level of interest is much greater than the number of previous preservation cases would indicate. We found that respondents' attitudes towards death significantly correlated with their general sentiments towards the topic, with those expressing a desire for longer life or to see the future being more interested and positively inclined. Fear of death was not associated with interest in cryopreservation. Negative sentiments towards cryopreservation were less common than respondents perceived. For example, 14% of respondents believed that "most people" think cryopreservation should be illegal, but only 4% of respondents actually did. Many respondents (42%) were pessimistic regarding the likelihood of cryopreservation being successful, but the mean estimate of time until revival of cryopreserved bodies would be possible was 82 years.


Assuntos
Atitude Frente a Morte , Criopreservação , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Intenção , Inquéritos e Questionários , Estados Unidos
17.
BMC Palliat Care ; 20(1): 14, 2021 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-33435961

RESUMO

BACKGROUND: China holds one fifth of the world's population and faces a rapidly aging society. In its ambition to reach a health care standard comparable to developed countries by 2030, the implementation of palliative care gains special importance. Until now, palliative care education in China is limited and disparate. This study aims to explore and determine factors that have impeded the development and implementation of palliative care education in China. METHODS: We conducted semi-structured interviews with n=28 medical teachers from seven Chinese universities. Interviews were transcribed, and thematic analysis applied. RESULTS: Three themes with two subthemes were constructed from data analysis. Theme 1 covers the still ambivalent perception of palliative care and palliative care education among participants. The second theme is about cultural attitudes around death and communication. The third theme reflects participants' pragmatic general understanding of teaching. All themes incorporate obstacles to further implementation of palliative care and palliative care education in China. CONCLUSIONS: According to the study participants, palliative care implementation through palliative care education in China is hindered by cultural views of medical teachers, their perception of palliative care and palliative care education, and their understanding of teaching. The study demonstrates that current attitudes may work as an obstacle to the implementation of palliative care within the health care system. Approaches to changing medical teachers' views on palliative care and palliative care education and their cultural attitudes towards death and dying are crucial to further promote the implementation of palliative care in China.


Assuntos
Atitude do Pessoal de Saúde/etnologia , Atitude Frente a Morte/etnologia , Atitude Frente a Saúde/etnologia , Cultura , Docentes de Medicina , Cuidados Paliativos , Medicina Paliativa/educação , China , Comunicação , Feminino , Humanos , Masculino , Pesquisa Qualitativa
18.
J Affect Disord ; 278: 54-56, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-32950843

RESUMO

BACKGROUND: There are now over 800,000 registered deaths due to the COVID-19 pandemic worldwide. Researchers have suggested that COVID-19 death characteristics (e.g., intensive care admission, unexpected death) and circumstances (e.g., secondary stressors, social isolation) will precipitate a worldwide increase of prolonged grief disorder (PGD) and persistent complex bereavement disorder (PCBD). Yet, no study has investigated this. Since acute grief is a strong predictor of future pathological grief, we compared grief levels among people recently bereaved due to COVID-19, natural, and unnatural causes. METHODS: People bereaved through COVID-19 (n = 49), natural causes (n = 1182), and unnatural causes (n = 210), completed self-report measures of demographic and loss-related characteristics and PGD and PCBD symptoms. RESULTS: COVID-19 bereavement yielded higher symptom levels of PGD (d = 0.42) and PCBD (d = 0.35) than natural bereavement (but not unnatural bereavement). Effects held when limiting analyses to recent losses and those who participated during the pandemic. Expectedness of the death explained this effect. LIMITATIONS: Limitations include using a convenience sample and self-report measures. CONCLUSIONS: Higher grief levels occur among people bereaved due to COVID-19 compared to people bereaved due to natural loss. We predict that pandemic-related increases in pathological grief will become a worldwide public health concern.


Assuntos
Atitude Frente a Morte , /psicologia , Pesar , Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Autorrelato , Adulto Jovem
19.
Nurs Res ; 70(1): E1-E10, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32991529

RESUMO

BACKGROUND: Studies focusing on adolescent suicide in Arab countries are particularly scarce, with the few available undertaken from within an epidemiological paradigm. OBJECTIVE: This study aimed to understand Jordanian adolescents' perceptions, beliefs, and attitudes toward suicide. METHODS: A qualitative design using 12 dual-moderator focus group discussions was conducted in public schools. Participants were selected from the three main regions of the country (rural southern, urban central, and suburban northern). Participants included Jordanian adolescent boys and girls, aged 14-17 years, who reported experiencing mild to moderate depressive symptoms. A relational content analysis approach was used for coding data, and a content analysis was used to identify salient thematic categories. Data were analyzed using NVivo software. RESULTS: Four themes emerged, including perceived risk factors, perceived protective factors, active and passive suicidal ideations, and e-games and Internet influences. Main risk factors were depression; anxiety; stigma, shame, and isolation; family issues; life pressures; and guilt. Conversely, religiosity, perceived positive family functioning, and availability of long-term goals seemed to confer resilience to adolescents' suicidal ideation and behavior. Passive suicidality (having death wishes without any plans to complete suicide) was noticed most among participants who feared jeopardizing the family's reputation if they committed suicide. Several boys with active suicidal ideations used the Blue Whale Challenge e-game to learn how to complete suicide and relinquish their problems. DISCUSSION: Suicide is a multifactorial problem requiring multimodal strategies. Evidence from this research suggests that those most passionate about the outcome of interest are encouraged to redouble efforts to reduce modifiable risk factors, enrich protective factors, target the underlying psychiatric illness that informs suicidal ideations and behavior, and research the effect of social media and Internet activity more deeply. Parents are advised to monitor the online activities of their children and familiarize themselves with the digital applications they use.


Assuntos
Comportamento do Adolescente/psicologia , Atitude Frente a Morte , Geografia/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Ideação Suicida , Tentativa de Suicídio/psicologia , Suicídio/psicologia , Adolescente , Feminino , Humanos , Jordânia/epidemiologia , Masculino , Fatores de Risco , População Rural/estatística & dados numéricos , População Suburbana/estatística & dados numéricos , População Urbana/estatística & dados numéricos
20.
Esc. Anna Nery Rev. Enferm ; 25(1): e20200100, 2021. tab, graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1114763

RESUMO

RESUMO Objetivo identificar a ocorrência da morte nas unidades de cuidados, bem como analisar os registros e as atitudes dos enfermeiros frente à morte no contexto hospitalar. Método estudo quantitativo, descritivo, transversal, com participação de 900 enfermeiros de um hospital do Norte de Portugal. Com recurso à triangulação de fontes de dados, a coleta realizou-se de fevereiro a março de 2018 através de questionário e observação de registros efetuados pelos enfermeiros. Para análise dos dados, usou-se estatística descritiva e analítica. Resultados são as unidades de medicina que apresentam maior número de mortes, sendo no turno da noite que se registra um valor mais elevado de ocorrências. Com relação às atitudes dos enfermeiros frente à morte, à exceção do evitamento, todas as outras evidenciam tendência semelhante entre o grupo profissional, independentemente da sua área de atuação. Os registros de enfermagem apresentam maior incidência ao nível da função ao invés de focados no domínio da pessoa. Conclusão e implicações para a prática além da aquisição de conhecimentos através da participação em formações sobre a morte e o processo de morrer, o acompanhamento e apoio dos profissionais, poderão desempenhar um papel fundamental na preparação dos enfermeiros para cuidar das pessoas em fim de vida.


RESUMEN Objetivo identificar la ocurrencia de la muerte en unidades de cuidados y analizar registros y actitudes de los enfermeros frente a la muerte en el contexto hospitalario. Método estudio cuantitativo, descriptivo, transversal, con participación de 900 enfermeros de un hospital en el Norte de Portugal. Utilizando la triangulación de fuentes de datos, la recopilación se realizó de febrero a marzo de 2018 a través de cuestionario y observación de registros de enfermeros. Para el análisis, se utilizaron estadísticas descriptivas y analíticas. Resultados las unidades médicas presentan mayor número de muertes, con mayor número de ocurrencias en el turno nocturno. Con respecto a las actitudes de los enfermeros frente a la muerte, con excepción de la evitación, todas las demás muestran una tendencia similar entre el grupo profesional, independientemente de su área de especialización. Los registros de enfermería tienen una mayor incidencia a nivel de función, en lugar de centrarse en el dominio de la persona. Conclusión e implicaciones para la práctica además de la obtención de conocimiento sobre la muerte y el morir, el seguimiento y el apoyo de profesionales puede desempeñar un papel fundamental en la preparación de los enfermeros para cuidar a los enfermos en final de vida.


ABSTRACT Objective to identify the occurrence of death in the care units, as well as to analyze the nurses' records and attitudes towards death in the hospital context. Method quantitative, descriptive, cross-sectional study, with the participation of 900 nurses from a hospital in northern Portugal. Using data source triangulation, the collection took place from February to March 2018 through a questionnaire and observation of records made by nurses. For data analysis, descriptive and analytical statistics were used. Results it is the medical units that present the highest number of deaths, with the highest number of occurrences taking place in the night shift. Regarding the nurses' attitudes towards death, with the exception of avoidance, all the others show a similar trend among the professional group, regardless of their area of activity. Nursing records have a higher incidence at the function level rather than focusing on the person's domain. Conclusion and implications for the practic e: in addition to the acquisition of knowledge, through participation in training on death and the dying process, the monitoring and support of professionals, may play a fundamental role in preparing nurses to care of people at the end of life.


Assuntos
Humanos , Masculino , Feminino , Atitude Frente a Morte , Registros de Enfermagem , Morte , Unidades Hospitalares , Profissionais de Enfermagem , Pacientes , Enfermagem , Capacitação Profissional , Cuidados de Enfermagem
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