Significado da ética e bioética ao cuidar da criança e sua família no contexto ambulatorial: perspectiva do enfermeiro

• Autor(a) principal: Gomes, Ana Paula Rocha
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11344
• topic: Pediatric nursing; Ethics; Bioethics; Child health clinic; Care; Enfermagem pediátrica; Ética; Bioética; Saúde da criança no ambulatório; Cuidado; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM PEDIATRICA

The study proposes to reflect and rethink about the adoption of professional attitude supported on ethics and bioethics to take care of the human being and, in particular children and their families in the outpatient setting . In this perspective, the care of pediatric nursing must have a foundation in one act that considers the limitations in recognizing the stages of development and the growth of the child, as well as respect for human dignity, without violating the ethical and bioethical principles. Therefore, the object of study is the ethics and bioethics in nursing care to a child and its family in the outpatient setting. The objectives are: describing how nurses relate the ethical and bioethical issues to take care of children and their families in the outpatient setting and also to discuss the nursing care to children and their families in the outpatient setting in the light of ethical and bioethical issues. This is a descriptive, exploratory study with a qualitative approach. The scenario for its realization took place in the outpatient clinic of a pediatric hospital in the municipal health and outpatient clinic of a university hospital, both located in the city of Rio de Janeiro, attended by 13 nurses. For the interpretation of the empirical material content analysis of Bardin was used in thematic and interpreted in the light of ethical and bioethical issues. As results have emerged 02 categories: Ethical and Bioethical issues that guide the care of the child and his family. In addition to that, insertion of ethical and bioethical issues in nursing care practices. In referring to the ethical and bioethical aspects nurses to care for children and their families in the outpatient setting attempt to respect the individuality, privacy and confidentiality family decisions in treating children, are guided in laws in force as the code of ethics, which has as its fundamental principles: rights, responsibilities, and duties pertaining to the ethical conduct of nursing bans. Regarding the inclusion of ethical and bioethical aspects nurses assess, identify and recognize the different situations of the children when they arrive at the clinic prioritizing care with risk rating. In this sense, to accept the child and his family used as a strategy to verbal and nonverbal communication and the importance of the listening and also the hearing of the child during care. The study points to the importance of the work of nurses in caring for children and their families in the outpatient setting guided not merely the actual legislation that supports the professional ethical conduct, but especially in the appreciation and recognition on the integration of bioethical principles as: autonomy, beneficence, nonmaleficence and justice in the view of the inclusion of human rights as a citizen. Thus, the full and individualized assistance, child-centered and family will be held aimed at guaranteeing their rights as citizens to be included throughout the care of the process.