Moral distress: challenges for an autonomous nursing professional practice

Detalhes bibliográficos
Autor(a) principal: Barlem, Edison Luiz Devos
Data de Publicação: 2013
Outros Autores: Lunardi, Valéria Lerch, Tomaschewski-Barlem, Jamila Geri, Lunardi, Guilherme Lerch, Lunardi Filho, Wilson Danilo, Schwonke, Camila Rose Guadalupe Barcelos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FURG (RI FURG)
Texto Completo: http://repositorio.furg.br/handle/1/5298
Resumo: Constantly experiencing limiting situations that hinder a professional practice coherent with its principles – of autonomy and advocacy of users’ interests –, and often conditioned to experience moral distress, the nursing profession plays a prominent role in the current health model because it has the characteristic of managing the care rendered to users in a perspective of social inclusion, both in the basic health network and in hospitals. Aiming at carrying out a reflection on the nursing practice and the difficulties present in its work routine, and considering its characteristics as a profession, this article sought to make a reflection between the practice of nursing and the numerous moral challenges imposed by the routine, resulting, in many cases, in a value crisis that can reverberate directly on the quality of the service rendered, and in abandonment of the ideals of advocacy for users
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spelling Barlem, Edison Luiz DevosLunardi, Valéria LerchTomaschewski-Barlem, Jamila GeriLunardi, Guilherme LerchLunardi Filho, Wilson DaniloSchwonke, Camila Rose Guadalupe Barcelos2015-08-28T22:40:23Z2015-08-28T22:40:23Z2013BARLEM, Edison Luiz Devos et al. Moral distress: challenges for an autonomous nursing professional practice. Revista da Escola de Enfermagem da USP, v. 47, n. 2, p. 506-510, 2013. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000200033>. Acesso em: 26 ago. 2015.0080-6234http://repositorio.furg.br/handle/1/529810.1590/S0080-62342013000200033Constantly experiencing limiting situations that hinder a professional practice coherent with its principles – of autonomy and advocacy of users’ interests –, and often conditioned to experience moral distress, the nursing profession plays a prominent role in the current health model because it has the characteristic of managing the care rendered to users in a perspective of social inclusion, both in the basic health network and in hospitals. Aiming at carrying out a reflection on the nursing practice and the difficulties present in its work routine, and considering its characteristics as a profession, this article sought to make a reflection between the practice of nursing and the numerous moral challenges imposed by the routine, resulting, in many cases, in a value crisis that can reverberate directly on the quality of the service rendered, and in abandonment of the ideals of advocacy for usersO profissional de enfermagem apresenta um papel de destaque no atual modelo de saúde. Tem em como característica gerenciar os cuidados prestados aos usuários em uma perspectiva de inclusão social, tanto na rede básica, quanto nas instituições hospitalares. Entretanto, enfrenta constantemente limitações que dificultam o exercício profissional coerente com princípios de autonomia e advocacia pelos interesses dos usuários, o que muitas vezes o leva vivenciar o sofrimento moral. Com o objetivo de realizar uma reflexão sobre a prática de enfermagem e as dificuldades existentes no seu cotidiano de trabalho da enfermagem, considerando suas características como profissão, o presente artigo buscou realizar uma reflexão entre o fazer da enfermagem e os inúmeros desafios morais impostos pelo cotidiano, resultando, em muitos casos, em uma crise de valores que pode repercutir diretamente na qualidade do atendimento prestado e no abandono dos ideais de advocacia pelos usuários.El profesional de enfermería presenta un rol destacado en el actual modelo de salud. Adquiere la característica de administrar los cuidados brindados a los pacientes en una perspectiva de inclusión social, tanto en la red básica como en las instituciones hospitalarias. Sin embargo, enfrenta constantemente limitaciones que dificultan el ejercicio profesional coherente con principios de autonomía de abogar por los intereses de los pacientes, lo que muchas veces lo lleva a experimentar sufrimiento moral. Objetivando reflexionar acerca de la práctica de enfermería y considerando sus características profesionales, el presente artículo procuró realizar una reflexión entre el quehacer de enfermería y los innumerables desafíos morales impuestos por el día a día; resultando, a menudo, en una crisis de valores que puede tener repercusión directamente en la calidad de la atención brindada y en el abandono del ideal de abogar por el bienestar de los pacientes.engNursingProfessional practiceEthics, nursingStress psychologicalHealth advocacyEnfermagemPrática profissionalÉtica em enfermagemEstresse psicológicoAdvocacia em saúdeEnfermeríaPráctica profesionalÉtica en enfermeríaEstrés psicológicoDefensa de la saludMoral distress: challenges for an autonomous nursing professional practiceSofrimento moral: desafios para uma prática profissional de enfermagem autônomaSufrimiento moral: desafíos para una práctica profesional de enfermería autónomainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FURG (RI FURG)instname:Universidade Federal do Rio Grande (FURG)instacron:FURGLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repositorio.furg.br/bitstream/1/5298/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52open accessORIGINAL33.pdf33.pdfapplication/pdf721370https://repositorio.furg.br/bitstream/1/5298/1/33.pdf3c0e319ddfe5e120424e23e7567e562fMD51open access1/52982015-08-28 19:40:23.915open accessoai:repositorio.furg.br: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Repositório InstitucionalPUBhttps://repositorio.furg.br/oai/request || http://200.19.254.174/oai/requestopendoar:2015-08-28T22:40:23Repositório Institucional da FURG (RI FURG) - Universidade Federal do Rio Grande (FURG)false
dc.title.pt_BR.fl_str_mv Moral distress: challenges for an autonomous nursing professional practice
dc.title.alternative.pt_BR.fl_str_mv Sofrimento moral: desafios para uma prática profissional de enfermagem autônoma
Sufrimiento moral: desafíos para una práctica profesional de enfermería autónoma
title Moral distress: challenges for an autonomous nursing professional practice
spellingShingle Moral distress: challenges for an autonomous nursing professional practice
Barlem, Edison Luiz Devos
Nursing
Professional practice
Ethics, nursing
Stress psychological
Health advocacy
Enfermagem
Prática profissional
Ética em enfermagem
Estresse psicológico
Advocacia em saúde
Enfermería
Práctica profesional
Ética en enfermería
Estrés psicológico
Defensa de la salud
title_short Moral distress: challenges for an autonomous nursing professional practice
title_full Moral distress: challenges for an autonomous nursing professional practice
title_fullStr Moral distress: challenges for an autonomous nursing professional practice
title_full_unstemmed Moral distress: challenges for an autonomous nursing professional practice
title_sort Moral distress: challenges for an autonomous nursing professional practice
author Barlem, Edison Luiz Devos
author_facet Barlem, Edison Luiz Devos
Lunardi, Valéria Lerch
Tomaschewski-Barlem, Jamila Geri
Lunardi, Guilherme Lerch
Lunardi Filho, Wilson Danilo
Schwonke, Camila Rose Guadalupe Barcelos
author_role author
author2 Lunardi, Valéria Lerch
Tomaschewski-Barlem, Jamila Geri
Lunardi, Guilherme Lerch
Lunardi Filho, Wilson Danilo
Schwonke, Camila Rose Guadalupe Barcelos
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Barlem, Edison Luiz Devos
Lunardi, Valéria Lerch
Tomaschewski-Barlem, Jamila Geri
Lunardi, Guilherme Lerch
Lunardi Filho, Wilson Danilo
Schwonke, Camila Rose Guadalupe Barcelos
dc.subject.por.fl_str_mv Nursing
Professional practice
Ethics, nursing
Stress psychological
Health advocacy
Enfermagem
Prática profissional
Ética em enfermagem
Estresse psicológico
Advocacia em saúde
Enfermería
Práctica profesional
Ética en enfermería
Estrés psicológico
Defensa de la salud
topic Nursing
Professional practice
Ethics, nursing
Stress psychological
Health advocacy
Enfermagem
Prática profissional
Ética em enfermagem
Estresse psicológico
Advocacia em saúde
Enfermería
Práctica profesional
Ética en enfermería
Estrés psicológico
Defensa de la salud
description Constantly experiencing limiting situations that hinder a professional practice coherent with its principles – of autonomy and advocacy of users’ interests –, and often conditioned to experience moral distress, the nursing profession plays a prominent role in the current health model because it has the characteristic of managing the care rendered to users in a perspective of social inclusion, both in the basic health network and in hospitals. Aiming at carrying out a reflection on the nursing practice and the difficulties present in its work routine, and considering its characteristics as a profession, this article sought to make a reflection between the practice of nursing and the numerous moral challenges imposed by the routine, resulting, in many cases, in a value crisis that can reverberate directly on the quality of the service rendered, and in abandonment of the ideals of advocacy for users
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2015-08-28T22:40:23Z
dc.date.available.fl_str_mv 2015-08-28T22:40:23Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv BARLEM, Edison Luiz Devos et al. Moral distress: challenges for an autonomous nursing professional practice. Revista da Escola de Enfermagem da USP, v. 47, n. 2, p. 506-510, 2013. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000200033>. Acesso em: 26 ago. 2015.
dc.identifier.uri.fl_str_mv http://repositorio.furg.br/handle/1/5298
dc.identifier.issn.none.fl_str_mv 0080-6234
dc.identifier.doi.pt_BR.fl_str_mv 10.1590/S0080-62342013000200033
identifier_str_mv BARLEM, Edison Luiz Devos et al. Moral distress: challenges for an autonomous nursing professional practice. Revista da Escola de Enfermagem da USP, v. 47, n. 2, p. 506-510, 2013. Disponível em: <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000200033>. Acesso em: 26 ago. 2015.
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