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1.
Rech Soins Infirm ; (141): 7-16, 2020 06.
Artigo em Francês | MEDLINE | ID: mdl-32988192

RESUMO

This article aims to reveal the ethical framework surrounding hospitalized school students, showing that, in the context of disease, traditional ethics do not work. From a philosophical perspective, the target audience are teachers and volunteers who teach at hospitals, but also nurses and other professionals who work with sick children. The development of an ethical framework based on the ethics of care (EoC) will enable teachers to guide their activity in hospitals, highlighting the need for another ethical framework in order to achieve a teaching practice that is fully responsible and compassionate. In an ethical framework centered on the sick child, concepts such as "care" and "well-being" are mobilized by understanding how they relate to the psychological well-being of hospitalized students. I propose that an educational attitude rooted in admiration, respect and love can be a good guide for teaching practices in hospitals, offering an alternative to the ethical limitations of codes based on a universal conception of justice.


Assuntos
Criança Hospitalizada/educação , Cuidados de Enfermagem/ética , Ensino/ética , Criança , Criança Hospitalizada/psicologia , Humanos , Estudantes/psicologia
2.
Index enferm ; 29(1/2): 46-50, ene.-jun. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-197426

RESUMO

OBJETIVO PRINCIPAL: Identificar los principales problemas bioéticos suscitados al proporcionar cuidados de enfermería durante la pandemia de Covid-19. METODOLOGÍA: Revisión de la literatura sobre bioética de las pandemias y de las respuestas propuestas por organismos nacionales e internacionales con competencia sobre cuestiones bioéticas. RESULTADOS PRINCIPALES: Se identificaron problemas bioéticos en las siguientes áreas: el autocuidado de la enfermera en un contexto de alta contagiosidad; la priorización en la distribución de recursos insuficientes; y la defensa de los derechos del paciente. CONCLUSIÓN PRINCIPAL: Si bien se pueden obtener algunas respuestas a los mencionados desafíos a partir de las fuentes empleadas en este trabajo, resulta necesario un mayor análisis de cada uno de los problemas bioéticos identificados para hallar las respuestas correctas para el momento actual y en futuros escenarios análogos que puedan presentarse


OBJECTIVE: To identify the main bioethical problems raised by providing nursing care during the Covid-19 pandemic. METHODS: Review of the literature on bioethics of pandemics and the responses offered by national and international organizations with competence on bioethical issues. RESULTS: Bioethical problems were identified in the following areas: nurse self-care in a highly contagious context; prioritization in the distribution of insufficient resources; and the defense of the patient's rights. CONCLUSION: Although some answers to the mentioned challenges have been offered from the sources used in the document, it is necessary to further analyze each of the bioethical problems identified, to find the correct answers for the present moment and in future similar scenarios that may occur


Assuntos
Humanos , Cuidados de Enfermagem/ética , Pandemias/ética , Infecções por Coronavirus/enfermagem , Pneumonia Viral/enfermagem , Relações Enfermeiro-Paciente/ética , Pandemias/prevenção & controle , Direitos do Paciente , Qualidade da Assistência à Saúde/ética
3.
Enferm. clín. (Ed. impr.) ; 30(3): 136-144, mayo-jun. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-196678

RESUMO

La aplicación de Guías de Buenas Prácticas es efectiva en la mejora de la práctica clínica y en la disminución de la variabilidad clínica. En España se implantan desde 2012 las Guías de Buenas Prácticas de la Asociación de Enfermeras de Ontario a través del Programa de Centros Comprometidos con la Excelencia en Cuidados®, siguiendo los principios del programa canadiense Best Practice Spotlight Organizations® (BPSO®). La Unidad de Investigación en Cuidados y Servicios de Salud (Investén-isciii) coordina dicho programa en España, tras ser nombrada BPSO Host por la Asociación de Enfermeras de Ontario. Se han seguido 4 estrategias: traducción de las Guías de Buenas Prácticas, difusión de las mismas y del programa, implantación de las GuÍas de Buenas Prácticas y evaluación de los resultados en centros seleccionados de forma competitiva, y, finalmente, desarrollo de mecanismos de sostenibilidad. La implantación se apoya en el modelo teórico Knowledge to Action, que establece un ciclo de 6 fases: identificación del problema y formación a Centros Comprometidos con la Excelencia en Cuidados® seleccionados; adaptación al contexto local; evaluación de los facilitadores y barreras; adaptación e implantación de las intervenciones; monitorización y evaluación de resultados, y sostenibilidad. En cada una de estas fases se incorporan aquellos elementos basados en la evidencia que favorecen la efectividad de la implantación, como son la concurrencia competitiva para ser seleccionado candidato a participar en el programa, la selección por la institución de las guías a implantar, el liderazgo por enfermeras con un enfoque multiprofesional, la planificación del proceso a partir de estructuras de trabajo no verticales, pero con apoyo de la institución, el uso de múltiples estrategias de forma simultánea, la evaluación continuada y la retroalimentación de resultados, todo ello tutorizado y apoyado desde el BPSO Host. Actualmente en España hay 27 instituciones de diferentes características que implantan en total 20 guías clínicas. Recientemente se ha ampliado el alcance y estructura del programa con centros coordinadores BPSO Host regionales, lo que ha ampliado el número de instituciones a 36 y el número de guías clínicas implantadas a 22. El programa ha tenido un impacto positivo a nivel de las organizaciones y el sistema, en los procesos de cuidados y en la salud de los pacientes. Se observa en el enriquecimiento de la práctica profesional basada en la evidencia, el fomento del trabajo colaborativo en red, así como en la mejora en los resultados de salud de los pacientes y en la calidad de los cuidados prestados


The implementation of Best practice guidelines is effective in improving clinical practice and reducing clinical variability. The Best Practice Guidelines of the Ontario Nurses Association have been implemented in Spain since 2012 following the principles of the Canadian programme of the Best Practice Spotlight Organisations® (BPSO®). The Nursing and Healthcare Research Unit (Investén-isciii) coordinates this programme in Spain, having been nominated BPSO Host by the Ontario Nurses Association. Four strategies were followed: translation of the Best Practice Guidelines, dissemination of same and of the programme, implementation of the Best Practice Guidelines and assessment of the results in competitively selected centres, and, finally, the development of sustainability mechanisms. Implementation is based on the theoretical Knowledge to Action model, which establishes a cycle of 6 phases: identification of the problem and training of selected BPSO®; adaptation to the local context; assessment of facilitators and barriers; adaptation and implementation of interventions; monitoring and evaluation of results, and sustainability. Each of these phases incorporate evidence-based elements that promote the effectiveness of implementation, such as the competitive selection of candidates to participate in the programme, selection by the institution of the guidelines to be implemented, leadership by nurses with a multi-professional approach, planning of the process from work structures that are non-vertical but with the support of the institution, the simultaneous use of multiple strategies, ongoing assessment and feedback of results. All of which is mentored and supported by the BPSO Host. There are currently 27 institutions in Spain of different characteristics that implement a total of 20 clinical guidelines. The scope and structure of the programme has recently been extended with regional BPSO Host coordinating centres, which has brought the number of institutions to 36 and the number of implemented clinical guidelines to 22. The programme has had a positive impact on organisations and the system, on care processes and on patient health. This is evidenced by enriched evidence-based professional practice, the promotion of collaborative networking and by improved patient health outcomes and the quality of care provided


Assuntos
Humanos , Guias de Prática Clínica como Assunto/normas , Avaliação de Programas e Projetos de Saúde , Cuidados de Enfermagem/organização & administração , Enfermagem Baseada em Evidências/normas , Implementação de Plano de Saúde/normas , Espanha , Cuidados de Enfermagem/normas , Cuidados de Enfermagem/ética
4.
Nurs Ethics ; 27(4): 911-923, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32264790

RESUMO

BACKGROUND: Ethical care provided by nurses to earthquake victims is one of the main subjects in nursing profession. OBJECTIVES: Given the information gap in this field, the present study is an attempt to explore the nurses' experience of ethical care provided to victims of an earthquake. RESEARCH DESIGN AND METHOD: A hermeneutic phenomenological study was performed. The participants were 16 nurses involved in providing care to the injured in Kermanshah earthquake, Iran. They were selected using purposeful sampling, and in-depth and semi-structured interviews were carried out. The transcribed interviews were analyzed based on the hermeneutic approach using the analysis method proposed by Diekelmann et al. ETHICAL CONSIDERATIONS: The study was approved by the Research Council and Ethics Committee of Urmia University of Medical Sciences, Iran. FINDINGS: Data analyses revealed four themes and 10 sub-themes that illustrated nurses' experience of ethical care during earthquake. The themes were (1) Respecting humanistic values (sacrifice, stepping beyond task description, and voluntary work), (2) Commitment to ethics (honesty, confidentiality, and trustworthiness), (3) Respecting dignity of victims (respecting cultural values, maintaining privacy, having humanistic perspective, and effective communication), and (4) Spiritual support (helping patients to do religious rituals Psychological support). CONCLUSION: The results showed the nurses' experience with providing care to earthquake victims. The findings underlined ethics and ethical values in providing nursing care during disasters. It is suggested that special courses on the importance of nursing ethics in critical situations be incorporated into nursing curriculums and in-service educations.


Assuntos
Atitude do Pessoal de Saúde , Vítimas de Desastres , Terremotos , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/ética , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Feminino , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
5.
Rev. Rol enferm ; 43(3): 185-190, mar. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-193819

RESUMO

Este artículo se basa en una ponencia sobre el Código de Ética y Deontología de la Enfermería de la Comunidad Valenciana, impartida por el autor en un Congreso el pasado mes de abril. La investigación se centra en dos cuestiones: la naturaleza del código y su aplicación en las decisiones de la práctica enfermera. El problema de la naturaleza viene dado por la creencia extendida de que se trata de un documento de carácter ético, cuando su naturaleza es deontológica y, por ende, las consecuencias son distintas. Por su parte, dado que se le da mayor importancia al enfoque técnico que al deontológico, las decisiones que se toman a diario en la práctica asistencial orillando las normas del código por falta de asimilación del mismo también pueden tener consecuencias nada baladíes para la enfermera


This article is based on a Talk given in a Congress on last April about the Ethics and Deontology Code of Nursing from Comunidad Valenciana. This study has two questions: the nature and the application of the Code in the practical decisions in Nursing. There are many persons who think that the Code is an ethics document, when, indeed, its nature is deontological: the consequences are different. On the other hand, the importance of the technical point of view in the professional decision making moving the deontological perspective can have problematic effects for the nurse


Assuntos
Humanos , Teoria Ética , Ética em Enfermagem , Tomada de Decisões , Cuidados de Enfermagem/ética , Espanha
6.
Nurs Ethics ; 27(1): 168-183, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31113265

RESUMO

BACKGROUND: The concept of conscientious objection is well described; however, because of its nature, little is known about real experiences of nursing professionals who apply objections in their practice. Extended roles in nursing indicate that clinical and value-based dilemmas are becoming increasingly common. In addition, the migration trends of the nursing workforce have increased the need for the mutual understanding of culturally based assumptions on aspects of health care delivery. AIM: To present (a) the arguments for and against conscientious objection in nursing practice, (b) a description of current regulations and practice regarding conscientious objection in nursing in Poland and the United Kingdom, and (c) to offer a balanced view regarding the application of conscientious objection in clinical nursing practice. DESIGN: Discussion paper. ETHICAL CONSIDERATIONS: Ethical guidelines has been followed at each stage of this study. FINDINGS: Strong arguments exist both for and against conscientious objection in nursing which are underpinned by empirical research from across Europe. Arguments against conscientious objection relate less to it as a concept, but rather in regard to organisational aspects of its application and different mechanisms which could be introduced in order to reach the balance between professional and patient's rights. DISCUSSION AND CONCLUSION: Debate regarding conscientious objection is vivid, and there is consensus that the right to objection among nurses is an important, acknowledged part of nursing practice. Regulation in the United Kingdom is limited to reproductive health, while in Poland, there are no specific procedures to which nurses can apply an objection. The same obligations of those who express conscientious objection apply in both countries, including the requirement to share information with a line manager, the patient, documentation of the objection and necessity to indicate the possibility of receiving care from other nurses. Using Poland and the United Kingdom as case study countries, this article offers a balanced view regarding the application of conscientious objection in clinical nursing practice.


Assuntos
Recusa Consciente em Tratar-se/ética , Recusa Consciente em Tratar-se/legislação & jurisprudência , Cuidados de Enfermagem/ética , Recusa de Participação/ética , Recusa de Participação/legislação & jurisprudência , Humanos , Princípios Morais , Polônia , Saúde Reprodutiva/ética , Reino Unido
7.
Nurs Ethics ; 27(1): 152-167, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31113279

RESUMO

BACKGROUND: Medical Assistance in Dying, also known as euthanasia or assisted suicide, is expanding internationally. Canada is the first country to permit Nurse Practitioners to provide euthanasia. These developments highlight the need for nurses to reflect upon the moral and ethical issues that euthanasia presents for nursing practice. PURPOSE: The purpose of this article is to provide a narrative review of the ethical arguments surrounding euthanasia in relationship to nursing practice. METHODS: Systematic search and narrative review. Nine electronic databases were searched using vocabulary developed from a stage 1 search of Medline and CINAHL. Articles that analysed a focused ethical question related to euthanasia in the context of nursing practice were included. Articles were synthesized to provide an overview of the literature of nursing ethics and euthanasia. ETHICAL CONSIDERATIONS: This review was conducted as per established scientific guidelines. We have tried to be fair and respectful to the authors discussed. FINDINGS: Forty-three articles were identified and arranged inductively into four themes: arguments from the nature of nursing; arguments from ethical principles, concepts and theories; arguments for moral consistency; and arguments from the nature of the social good. Key considerations included nursing's moral ontology, the nurse-patient relationship, potential impact on the profession, ethical principles and theories, moral culpability for acts versus omissions, the role of intention and the nature of the society in which euthanasia would be enacted. In many cases, the same assumptions, values, principles and theories were used to argue both for and against euthanasia. DISCUSSION: The review identified a relative paucity of literature in light of the expansion of euthanasia internationally. However, the literature provided a fulsome range of positions for nurses to consider as they reflect on their own participation in euthanasia. Many of the arguments reviewed were not nursing-specific, but rather are relevant across healthcare disciplines. Arguments explicitly grounded within the nature of nursing and nurse-patient relationships warrant further exploration.


Assuntos
Ética em Enfermagem , Eutanásia/ética , Cuidados de Enfermagem/ética , Suicídio Assistido/ética , Eutanásia/legislação & jurisprudência , Humanos , Profissionais de Enfermagem/ética , Suicídio Assistido/legislação & jurisprudência
8.
Nurs Ethics ; 27(2): 348-359, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31113285

RESUMO

BACKGROUND: Nurses must balance their perceived duty to care against their perceived risk of harm to determine their willingness to report during disaster events, potentially creating an ethical dilemma and impacting patient care. RESEARCH AIM: The purpose of this study was to investigate nurses' perceived duty to care and whether there were differences in willingness to respond during disaster events based on perceived levels of duty to care. RESEARCH DESIGN: A cross-sectional survey research design was used in this study. PARTICIPANTS AND RESEARCH CONTEXT: Using a convenience sample with a snowball technique, data were collected from 289 nurses throughout the United States in 2017. Participants were recruited through host university websites, Facebook, and an American Nurses Association discussion board. ETHICAL CONSIDERATIONS: Institutional review board approval was obtained from the University of Texas at Tyler and the University of Arkansas. FINDINGS: Analysis of willingness to report to work based on levels of perceived duty to care resulted in the emergence of two groups: "lower level of perceived duty to care group" and "higher level of perceived duty to care group." The most discriminating characteristics differentiating the groups included fear of abandonment by co-workers, reporting because it is morally the right thing to, and because of imperatives within the Nursing Code of Ethics. DISCUSSION: The number of nurses in the lower level of perceived duty to care group causes concern. It is important for nursing management to develop strategies to advance nurses' safety, minimize nurses' risk, and promote nurses' knowledge to confidently work during disaster situations. CONCLUSION: Level of perceived duty to care affects nurses' willingness to report to work during disasters. Primary indicators of low perceived duty to care are amenable to actionable strategies, potentially increasing nurses' perceived duty to provide care and willingness to report to work during disasters.


Assuntos
Obrigações Morais , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/ética , Adulto , Arkansas , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/tendências , Cuidados de Enfermagem/psicologia , Gestão de Riscos/métodos , Gestão de Riscos/normas , Inquéritos e Questionários , Texas
9.
Nurs Ethics ; 27(4): 1012-1031, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31522601

RESUMO

BACKGROUND: In research on co-creation in nursing, a caring manner can be used to create opportunities for the patient to reach vital goals and thereby increase the patient's quality of life in palliative home care. This can be described as an ethical cornerstone and the goal of palliative care. Nurses must be extra sensitive to patients' and their relatives' needs with regard to ethical and existential issues and situations in home care encounters, especially at the end of life. AIM: The aim of this study was to explore nurses' experiences of dealing with ethical and existential issues through co-creation at the end of life in palliative home care. RESEARCH DESIGN, PARTICIPANTS, AND RESEARCH CONTEXT: The material consisted of texts from interviews with 12 nurses in a home care context. A hermeneutical approach was used, and the method was inspired by a thematic analysis. ETHICAL CONSIDERATIONS: Informed consent was sought from the participants regarding study participation and the storage and handling of data for research purposes. Ethical permission to conduct the study was given from organizations that participated in this study. FINDINGS: A main theme and four subthemes emerged. The main theme was "Deep co-creative relationships are needed to manage ethical and existential issues at the end of life." A model was created to display the findings and relations between ethical issues and situations and the need for a deep trustful caring relationship to solve problems in palliative home care. DISCUSSION: Together, the themes can be considered as a tool for learning and dealing with ethical and existential issues at the end of life in home care. The themes can also be seen as a part of nurses' ethical competence within this context. CONCLUSION: The quality of life at the end of life can be improved through co-creation, despite difficult ethical and existential issues. Future research should focus on co-creation from the patients' perspective.


Assuntos
Atitude do Pessoal de Saúde , Serviços de Assistência Domiciliar , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/ética , Cuidados Paliativos , Assistência Terminal , Adulto , Existencialismo , Feminino , Finlândia , Humanos , Masculino , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Qualidade de Vida
10.
Nurs Ethics ; 27(1): 77-87, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31032700

RESUMO

This article explores emerging ethical questions that result from knowledge development in a complex, technological age. Nursing practice is at a critical ideological and ethical precipice where decision-making is enhanced and burdened by new ways of knowing that include artificial intelligence, algorithms, Big Data, genetics and genomics, neuroscience, and technological innovation. On the positive side is the new understanding provided by large data sets; the quick and efficient reduction of data into useable pieces; the replacement of redundant human tasks by machines, error reduction, pattern recognition, and so forth. However, these innovations require skepticism and critique from a profession whose mission is to care for and protect patients. The promise of technology and the new biological sciences to radically and positively transform healthcare may seem compelling when couched in terms of safety, efficiency, and effectiveness but their role in the provision of ethical nursing care remains uncertain. Given the profound moral and clinical implications of how today's knowledge is developed and utilized, it is time to reconsider the relationship between ethics and knowledge development in this new uncharted area.


Assuntos
Algoritmos , Inteligência Artificial/ética , Big Data , Tecnologia Biomédica/ética , Ética em Enfermagem , Cuidados de Enfermagem/ética , Inteligência Artificial/tendências , Tecnologia Biomédica/tendências , Genética/ética , Genômica/ética , Humanos , Invenções/ética , Invenções/tendências , Conhecimento , Neurociências/ética , Pensamento
11.
Nurs Ethics ; 27(1): 127-140, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31096891

RESUMO

BACKGROUND: Since "dignity" is one of the fundamental rights of every patient, consideration for patients' dignity is essential. Unfortunately, in many cases, especially in cancer patients, dignity is not fully respected. Dignity is an abstract concept, and there are only a few comprehensive studies on the dignity of cancer patients in Iran. RESEARCH OBJECTIVE: This study aimed to evaluate the perception of Iranian cancer patients on human dignity. RESEARCH DESIGN: A qualitative research approach was used as the study design. The data were collected through individual semi-structured interviews and analyzed using the qualitative content analysis method. PARTICIPANTS AND RESEARCH CONTEXT:  This study was conducted on cancer patients in internal medicine wards in Iran. The data were gathered through semi-structured interviews from May 2017 to February 2018. ETHICAL CONSIDERATIONS: The study protocol was approved by the Research Ethics Committee of medical universities located in Southwest of Iran. The ethical principles were carefully followed throughout the study. FINDINGS: Based on the results of the interviews, 3 main themes and 11 categories were determined. The main themes were identified as the "personal space and privacy," "respect for human values," and "moral support." DISCUSSION: The results of the present study showed the necessity of care for cancer patients in a respectful manner. The key elements in such care were the preservation of their personal space and privacy, respect for their values, and the provision of adequate moral support. These measures will have a positive effect on the perception of such patients on human dignity. CONCLUSION: Considering the special care required by cancer patients, the Iranian healthcare and hygiene managers should design and implement a care plan that includes the ethical principles related to human dignity.


Assuntos
Pacientes Internados/psicologia , Neoplasias/psicologia , Cuidados de Enfermagem/ética , Pessoalidade , Respeito , Adulto , Idoso , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Espaço Pessoal , Privacidade , Pesquisa Qualitativa
13.
Cult. cuid ; 23(57): 52-60, 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-195905

RESUMO

El objetivo de este artículo de carácter reflexivo es analizar cómo se sostiene la relación entre el cuidado de enfermería y la ética de la compasión y algunos efectos de la protocolización del cuidado en dicha relación. METODOLOGÍA: La delimitación del tema de análisis surge en el marco de un ejercicio de narrativa de experiencias de cuidado, en el que las categorías conceptuales cuidado de enfermería - compasión - protocolo se encuentran interrelacionadas. Se realiza un análisis teórico reflexivo principalmente desde la fenomenología de M. Heidegger y la filosofía de la finitud de JC Melich. CONCLUSIÓN: la relación entre cuidado y compasión es consustancial. No puede haber cuidado sin compasión y tampoco puede haber compasión sin cuidado, la compasión exalta el cuidado de enfermería y este a su vez es la cúspide de una ética de la compasión. Sin embargo, esta puede verse disgregada por la protocolización del cuidado y las practicas de enfermería, alejando al cuidado de su verdadera esencia, la ética de la compasión


The objective of this reflective article is to analyze how the relationship between nursing care and comparison ethics is maintained and some effects of the protocolization of care in said relationship. METHODOLOGY: The delimitation of the analysis topic arises within the framework of a narrative exercise of care experiences, in the conceptual categories nursing care - comparison - protocol are interrelated. A reflective theoretical analysis is carried out mainly from the phenomenology of M. Heidegger and the philosophy of finitude from JC Melich. CONCLUSION: the relationship between caring and compassion is inherent. You can't be careful without compassion and you can't have compassion without care, compassion exalts nursing care and this is your time is the hope of an ethic of compassion. However, this can be broken down by the protocolization of nursing care and practices, taking care away from its true essence, the ethics of compassion


O objetivo deste artigo reflexivo é analisar como se mantém a relação entre o cuidado de enfermagem e a ética da comparação e alguns efeitos da protocolização do cuidado nesse relacionamento. METODOLOGIA: A delimitação do tópico de análise surge no marco de um exercício narrativo de experiências de cuidado, nas categorias conceituais protocolo de assistência de enfermagem - comparação - protocolo. Uma análise teórica reflexiva é realizada principalmente a partir da fenomenologia de M. Heidegger e da filosofia da finitude de JCMelich. CONCLUSÃO: a relação entre cuidar ecompaixão é inerente. Você não pode seimportar sem compaixão e não pode tercompaixão sem se importar, a compaixãoexalta os cuidados de enfermagem e este é oseu tempo é a esperança de uma ética dacompaixão. No entanto, isso pode ser quebrado pela protocolização dos cuidados e práticas de enfermagem, afastando o cuidado de sua verdadeira essência, a ética da compaixão


Assuntos
Humanos , Cuidados de Enfermagem/ética , Empatia/ética , Avaliação em Enfermagem/ética , Filosofia em Enfermagem , Relações Enfermeiro-Paciente/ética
14.
Esc. Anna Nery Rev. Enferm ; 24(3): e20190287, 2020.
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1090277

RESUMO

RESUMEN Objetivo Identificar las implicancias sociales, espirituales y éticas que tiene el proceso de muerte y morir para estudiantes de enfermería. Metodología Abordaje cualitativo, de carácter descriptivo. La muestra estuvo compuesta por 19 estudiantes de enfermería de quinto año. Los datos recolectados fueron sometidos a los preceptos de Análisis de Contenido, analizados a la luz de los principios bioéticos y relacionados con la Teoría del Final Tranquilo de la Vida, de Ruland y Moore. Resultados Las implicancias sociales se relacionan con las experiencias previas y el abordaje familiar, el significado espiritual está ligado a la trascendencia del espíritu como una explicación de que la persona se compone de un cuerpo biológico que termina con la muerte, y los relatos sobre las implicancias éticas muestran la importancia del cuidado humanizado y el significado de una muerte digna. Conclusión e implicación para la práctica La autorreflexión acerca del significado de la muerte y su proceso, ayuda al estudiante a respetar los valores y creencias del paciente y su familia con respecto al proceso de finitud, y por lo tanto, a propiciar un cuidado más digno. Destacamos el proceso de educación en enfermería con respecto a los aspectos éticos implicados en el final de la vida.


RESUMO Objetivo Identificar as implicâncias sociais, espirituais e éticas que tem o processo de morte e morrer para estudantes de enfermagem. Método Abordagem qualitativa, de caráter descritivo. Amostra composta por 19 estudantes de enfermagem do quinto ano. Os dados coletados foram submetidos aos preceitos da Análise de Conteúdo, analisados à luz dos princípios da bioética e relacionados com a Teoria de Final de Vida Tranquilo, de Ruland e Moore. Resultados As implicâncias sociais são relacionadas com as experiências prévias e a abordagem familiar, o significado espiritual está ligado à transcendência do espírito com a explicação de que as pessoas se compõem de um corpo biológico que termina com a morte, e os relatos sobre as implicações éticas mostram a importância do cuidado humanizado e o significado de uma morte digna. Conclusão e implicação para a prática A autorreflexão acerca do significado da morte e seu processo, ajuda o estudante a respeitar os valores e crenças do paciente e de sua família em relação ao processo de finitude, e assim a entrega de um cuidado mais digno. Destaca-se o processo de educação em enfermagem em relação aos aspectos éticos que envolvem o final de vida.


ABSTRACT Objective Identify the social, spiritual and ethical implications that have the death process and die for nursing students. Methodology A qualitative approach, of a descriptive character. Sample comprised of 19 fifth-year nursing students. The data collected were submitted to content analysis precepts, analyzed in the light of the principles of bioethics and related to the Theory of the Peaceful End of Life, by Ruland and Moore. Results Social implications are mainly related to experiences and the family approach, the spiritual meaning is linked to the transcendence of the spirit with an explanation that people are composed of a biological body that ends with death, and the stories about ethical implications show the importance of humanized care and the meaning of a dignified death. Conclusion and implications for practice Self-reflection about the meaning of death and its process, helps the student to respect the values and beliefs of the patient and his family regarding the process of finitude, and thus the dignified care. It is highlighted the nursing education process in relation to ethical aspects and the end of life.


Assuntos
Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Estudantes de Enfermagem , Atitude Frente a Morte , Morte , Relações Profissional-Família/ética , Família , Pesquisa Qualitativa , Educação em Enfermagem , Emoções , Ética , Angústia Psicológica , Cuidados de Enfermagem/ética
15.
Creat Nurs ; 25(4): 329-333, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31796622

RESUMO

This essay describes an educator's desire to teach her nursing students that individuals with mental illness are people and deserve to be treated with dignity and respect. During an informal discussion, she learned that one of her junior-level students has used art to educate nonnursing peers about the struggles that people with mental illness face every day and how to treat them with respect. The essay begins with a description of what the teacher hopes to convey to her students about people with mental illness. This is followed by a student essay that describes how she used photography to educate her nonnursing peers about the challenges that people with mental illness face, inviting them to act in ethical ways. In the end, both the teacher and the student are enlightened.


Assuntos
Relações Interpessoais , Transtornos Mentais/enfermagem , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/métodos , Estudantes de Enfermagem/psicologia , Adulto , Feminino , Humanos , Masculino , Grupo Associado , Adulto Jovem
16.
Res Theory Nurs Pract ; 33(4): 310-323, 2019 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-31666391

RESUMO

BACKGROUND AND PURPOSE: Harm reduction is a concept that is increasingly applied in health and social care, as well as law and policy development around the world. Despite being used in a variety of contexts for decades, there is no universal understanding of harm reduction, and this may interfere with its implementation in various settings. Using Rodgers' (1989) evolutionary approach to concept analysis, this article defines the key attributes of harm reduction, along with surrogate terms, relevant uses, antecedents, consequences, related concepts, a model case, and implications for practice. METHODS: Following Rodgers' (1989) method, a literature sample from a variety of disciplines was selected using keywords. The review included 25 key publications of international origin, as well as several web-based resources, with a focus on illegal psychoactive drug use and healthcare outcomes. RESULTS: Seven key attributes of harm reduction were identified: a focus on harms, the participation of people who use drugs, the promotion of human rights, a public health approach, value neutrality and nonjudgment, practicality and pragmatism, and innovation and adaptability. IMPLICATIONS FOR PRACTICE: The harms associated with illegal drugs are a global health problem, and advocacy is needed to promote harm reduction policy at health provision, community, and government levels. Without a concerted understanding of harm reduction, the concept is at risk of being relegated to a buzzword that lacks meaning. This concept analysis provides health and social care providers with a point of reference for meaningful harm reduction initiatives and strategies within their practice.


Assuntos
Redução do Dano , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/normas , Guias de Prática Clínica como Assunto , Estudo de Prova de Conceito , Humanos
17.
Cuad Bioet ; 30(100): 237-252, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31618587

RESUMO

In 2003 Ruth Macklin published a short paper questioning the usefulness of the concept ″human dignity. ″ Since then the debate has been kept alive, although in the world of Law, ethics and clinical practice, this concept continues to be used normally. In the spotlight of that criticism was the bioethics of Leon Kass, built on the concept of dignity and sustained in a narrative methodology. In homage to Leon Kass, in this work I approach the concept of dignity from a literary perspective and focusing on nursing health care, in which the usefulness of the concept of human dignity is especially visible.


Assuntos
Assistência à Saúde/ética , Literatura Moderna , Medicina na Literatura , Cuidados de Enfermagem/ética , Direitos do Paciente/ética , Narrativas Pessoais como Assunto , Pessoalidade , Atitude do Pessoal de Saúde , Esgotamento Profissional/psicologia , Fadiga por Compaixão/psicologia , Dissidências e Disputas , Empatia , Humanos , Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/psicologia , Pobreza , Direito a Morrer/ética
18.
J Nurs Adm ; 49(10): 480-486, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517755

RESUMO

OBJECTIVES: To determine the work values of Generation Z nurses, a new generation in the current workforce. BACKGROUND: A new generation of nurses is now part of the nursing workforce. Generation Z nurses, born in 1995 (aged ≤24 years), will bring new expectations and ideals about life and work into healthcare work settings. METHODS: A descriptive, cross-sectional survey design was used to assess the work values of traditional baccalaureate Generation Z nursing students using the Lyons Work Values Survey. RESULTS: The work value component ranked most important by participants was social/altruistic, followed by instrumental/extrinsic, cognitive/intrinsic, and prestige. CONCLUSION: Helping people and having a job that is interesting and engaging while also offering job security and good benefits were the most important future Generation Z nurse work values.


Assuntos
Atitude do Pessoal de Saúde , Satisfação no Emprego , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/ética , Recursos Humanos de Enfermagem/psicologia , Local de Trabalho/psicologia , Adulto , Fatores Etários , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários , Adulto Jovem
19.
Rev. Rol enferm ; 42(7/8): 534-544, jul.-ago. 2019.
Artigo em Espanhol | IBECS | ID: ibc-187135

RESUMO

En los últimos años se ha venido produciendo un incremento de la población anciana con algún tipo de demencia. La demencia es un tipo de dolencia que se caracteriza por generar una dependencia progresiva que suscita numerosas preguntas éticas. La demanda creciente de su atención integral pone a prueba la estabilidad de la familia, las instituciones y los servicios sociosanitarios. Y la magnitud de su impacto se recrudece aún más cuando se aprecia la extrema vulnerabilidad que llegan a presentar las personas con demencia. La enfermera cuida de forma profesional a la persona con demencia y a su familia en todos los ámbitos asistenciales. Por todo ello, se hace necesario que las enfermeras asuman plena-mente la responsabilidad de garantizar y preservar las máximas de libertad, dignidad y autoestima. Asimismo, deben velar por la integridad, además de por la seguridad jurídica las personas atendidas en servicios y centros geriátricos, así como en sus domicilios. Para ello, es imprescindible que manejen adecuadamente los cono-cimientos que le faciliten el correcto abordaje de los dilemas éticos que con más frecuencia podemos observar en la asistencia de estas personas y sus familiares. Dada la complejidad que rodea dicha atención, es preciso contemplar las mejores acciones de forma ética y legal. Teniendo en cuenta que las dificultades en la asistencia difícilmente se pueden resolver aplicando, sola-mente, el sentido común, apelamos al compromiso de la enfermera para aplicar los principios básicos de la bioética: no maleficencia, justicia, beneficencia y autonomía de la persona enferma


In recent years there has been an in-crease in the elderly population with some type of dementia. Dementia is a kind of disease that is characterized by generating a progressive dependence, raising numerous ethical questions. The growing demand for its integral attention tests the stability of the family, institutions and social health services. And the magnitude of its impact is further exacerbated when the extreme vulnerability of people with dementia is appreciated. The nurse takes care professionally of the person with dementia and their family in all care settings. For all these reasons, it is necessary for nurses to fully assume the responsibility of guaranteeing and preserving the maxims of freedom, dignity and self-esteem. Likewise, they must ensure the integrity, in addition to the legal security of the people served in services and nursing homes, as well as in their homes. For this, it is essential that they adequately handle the knowledge that facilitates the correct approach to the ethical dilemmas that we can most frequently observe in the assistance of these people and their families. Given the complexity surrounding such attention, it is necessary to contemplate the best ethically and legally actions. Bearing in mind that difficulties in care can hardly be solved by applying only common sense, we appeal to the commitment of the nurse to apply the basic principles of bioethics: non maleficence, justice, beneficence and autonomy of the patient


Assuntos
Humanos , Idoso , Cuidados de Enfermagem/ética , Demência/enfermagem , Ética Clínica
20.
Rev Gaucha Enferm ; 40: e20180263, 2019 Jun 10.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31188988

RESUMO

OBJECTIVE: To analyze the evidence of researches carried out on humanization in urgent and emergency care, considering their contributions to nursing care. METHODS: Integrative review of LILACS, CINAHL, SciELO, Web of Science, SCOPUS, and BDENF databases, using the keywords: humanization of care, urgencies, emergencies, emergency medical services, and nursing. RESULTS: The search resulted in a total of 133 publications, of which 17 were included in the scope of this review. The analysis enabled the elaboration of the evidence units: 'Reception with Risk Classification: a device with good results' and 'Barriers and difficulties to use the guidelines of the National Humanization Policy'. CONCLUSION: The Reception with Risk Classification was evidenced as the main device for the effective implementation of the National Humanization Policy and there are barriers to its effectiveness related to the organization of health care networks, structural problems, and multi-professional work.


Assuntos
Serviços Médicos de Emergência/ética , Enfermagem em Emergência/ética , Humanismo , Fidelidade a Diretrizes , Política de Saúde , Humanos , Cuidados de Enfermagem/ética
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