Moral distress in family health strategy: experiences expressed by daily life

Detalhes bibliográficos
Autor(a) principal: Cecília Maria Lima Cardoso
Data de Publicação: 2016
Outros Autores: Maria Odete Pereira, Danielle de Araújo Moreira, Hanna Beatriz Bacelar Tibães, Flávia Regina Souza Ramos, Maria José Menezes Brito
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFMG
Texto Completo: https://doi.org/10.1590/S0080-623420160000300013
http://hdl.handle.net/1843/64410
https://orcid.org/0000-0003-0846-0231
https://orcid.org/0000-0001-8553-4666
https://orcid.org/0000-0002-0077-2292
https://orcid.org/0000-0001-9183-1982
Resumo: Objective: Understanding the Moral Suffering experiences expressed in the daily life of the Family Health Strategy. Method: This is a case study with a qualitative approach, conducted between August and October 2014 in a municipality of Minas Gerais. The sample was represented by 28 professionals of family health teams. Data were collected through interviews with semi-structured questionnaires, observation, projective technique and submitted to thematic content analysis. Results: The results indicate that routine issues of the health care system lead professionals to experience a challenging practice in dealing with daily situations that contradict their ethical precepts and can compromise the quality of work, becoming triggers of Moral Distress. Conclusions: Social vulnerabilities such as domestic violence, poor socioeconomic conditions and organizational weaknesses of the health system were the main triggers of Moral Distress. Therefore, it is necessary to amplify this reflection by workers of the Family Health Strategy, aiming to encourage the minimization of suffering experiences, considering their ethical values.
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spelling 2024-02-21T16:53:10Z2024-02-21T16:53:10Z2016508692https://doi.org/10.1590/S0080-6234201600003000131980-220Xhttp://hdl.handle.net/1843/64410https://orcid.org/0000-0003-0846-0231https://orcid.org/0000-0001-8553-4666https://orcid.org/0000-0002-0077-2292https://orcid.org/0000-0001-9183-1982Objective: Understanding the Moral Suffering experiences expressed in the daily life of the Family Health Strategy. Method: This is a case study with a qualitative approach, conducted between August and October 2014 in a municipality of Minas Gerais. The sample was represented by 28 professionals of family health teams. Data were collected through interviews with semi-structured questionnaires, observation, projective technique and submitted to thematic content analysis. Results: The results indicate that routine issues of the health care system lead professionals to experience a challenging practice in dealing with daily situations that contradict their ethical precepts and can compromise the quality of work, becoming triggers of Moral Distress. Conclusions: Social vulnerabilities such as domestic violence, poor socioeconomic conditions and organizational weaknesses of the health system were the main triggers of Moral Distress. Therefore, it is necessary to amplify this reflection by workers of the Family Health Strategy, aiming to encourage the minimization of suffering experiences, considering their ethical values.Objetivo: Compreender as vivências de Sofrimento Moral expressas no cotidiano da Estratégia de Saúde da Família. Método: Trata-se de um estudo de caso com abordagem qualitativa, realizado entre os meses de agosto a outubro de 2014, cujo cenário foi um município de Minas Gerais. Participaram 28 profissionais das equipes de saúde da família. Os dados foram coletados por meio de entrevistas com roteiro semiestruturado, observação, técnica projetiva e, submetidos à análise de conteúdo temática. Resultados: Os resultados apontaram que as questões rotineiras do serviço de saúde levam os profissionais a vivenciarem uma prática desafiadora ao lidarem diariamente com situações que contradizem seus preceitos éticos capazes de comprometer a qualidade do trabalho tornando-se disparadores de Sofrimento Moral. Conclusão: As vulnerabilidades sociais, como violência doméstica e condições socioeconômicas precárias, além das fragilidades organizacionais do Sistema de Saúde, foram os principais geradores de Sofrimento Moral. Assim, considera-se necessária a reflexão ampliada sobre a temática por parte dos trabalhadores da Estratégia de Saúde da Família, com intuito de propiciar a minimização de vivências de sofrimento e uma prática profissional em consonância com seus valores éticos.engUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM APLICADARevista da escola de enfermagem da USPEstratégias de saúde nacionaisÉtica médicaDano moralFamily health strategyEthicsMoral damageMoral distress in family health strategy: experiences expressed by daily lifeSofrimento moral na estratégia de saúde da família: vivências desveladas no cotidianoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielo.br/j/reeusp/a/qrCsGcvQMGnR9B3x8YN5pjk/?lang=en#Cecília Maria Lima CardosoMaria Odete PereiraDanielle de Araújo MoreiraHanna Beatriz Bacelar TibãesFlávia Regina Souza RamosMaria José Menezes Britoapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/64410/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALMoral distress in family health strategy_ experiences expressed by daily life.pdfMoral distress in family health strategy_ experiences expressed by daily life.pdfapplication/pdf242813https://repositorio.ufmg.br/bitstream/1843/64410/2/Moral%20distress%20in%20family%20health%20strategy_%20experiences%20expressed%20by%20daily%20life.pdfd93173226cc38e4ac5aded1fac679b48MD521843/644102024-02-21 13:53:10.508oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2024-02-21T16:53:10Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
dc.title.pt_BR.fl_str_mv Moral distress in family health strategy: experiences expressed by daily life
dc.title.alternative.pt_BR.fl_str_mv Sofrimento moral na estratégia de saúde da família: vivências desveladas no cotidiano
title Moral distress in family health strategy: experiences expressed by daily life
spellingShingle Moral distress in family health strategy: experiences expressed by daily life
Cecília Maria Lima Cardoso
Family health strategy
Ethics
Moral damage
Estratégias de saúde nacionais
Ética médica
Dano moral
title_short Moral distress in family health strategy: experiences expressed by daily life
title_full Moral distress in family health strategy: experiences expressed by daily life
title_fullStr Moral distress in family health strategy: experiences expressed by daily life
title_full_unstemmed Moral distress in family health strategy: experiences expressed by daily life
title_sort Moral distress in family health strategy: experiences expressed by daily life
author Cecília Maria Lima Cardoso
author_facet Cecília Maria Lima Cardoso
Maria Odete Pereira
Danielle de Araújo Moreira
Hanna Beatriz Bacelar Tibães
Flávia Regina Souza Ramos
Maria José Menezes Brito
author_role author
author2 Maria Odete Pereira
Danielle de Araújo Moreira
Hanna Beatriz Bacelar Tibães
Flávia Regina Souza Ramos
Maria José Menezes Brito
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Cecília Maria Lima Cardoso
Maria Odete Pereira
Danielle de Araújo Moreira
Hanna Beatriz Bacelar Tibães
Flávia Regina Souza Ramos
Maria José Menezes Brito
dc.subject.por.fl_str_mv Family health strategy
Ethics
Moral damage
topic Family health strategy
Ethics
Moral damage
Estratégias de saúde nacionais
Ética médica
Dano moral
dc.subject.other.pt_BR.fl_str_mv Estratégias de saúde nacionais
Ética médica
Dano moral
description Objective: Understanding the Moral Suffering experiences expressed in the daily life of the Family Health Strategy. Method: This is a case study with a qualitative approach, conducted between August and October 2014 in a municipality of Minas Gerais. The sample was represented by 28 professionals of family health teams. Data were collected through interviews with semi-structured questionnaires, observation, projective technique and submitted to thematic content analysis. Results: The results indicate that routine issues of the health care system lead professionals to experience a challenging practice in dealing with daily situations that contradict their ethical precepts and can compromise the quality of work, becoming triggers of Moral Distress. Conclusions: Social vulnerabilities such as domestic violence, poor socioeconomic conditions and organizational weaknesses of the health system were the main triggers of Moral Distress. Therefore, it is necessary to amplify this reflection by workers of the Family Health Strategy, aiming to encourage the minimization of suffering experiences, considering their ethical values.
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2024-02-21T16:53:10Z
dc.date.available.fl_str_mv 2024-02-21T16:53:10Z
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.uri.fl_str_mv http://hdl.handle.net/1843/64410
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.1590/S0080-623420160000300013
dc.identifier.issn.pt_BR.fl_str_mv 1980-220X
dc.identifier.orcid.pt_BR.fl_str_mv https://orcid.org/0000-0003-0846-0231
https://orcid.org/0000-0001-8553-4666
https://orcid.org/0000-0002-0077-2292
https://orcid.org/0000-0001-9183-1982
url https://doi.org/10.1590/S0080-623420160000300013
http://hdl.handle.net/1843/64410
https://orcid.org/0000-0003-0846-0231
https://orcid.org/0000-0001-8553-4666
https://orcid.org/0000-0002-0077-2292
https://orcid.org/0000-0001-9183-1982
identifier_str_mv 1980-220X
dc.language.iso.fl_str_mv eng
language eng
dc.relation.ispartof.pt_BR.fl_str_mv Revista da escola de enfermagem da USP
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dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.publisher.initials.fl_str_mv UFMG
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv ENF - DEPARTAMENTO DE ENFERMAGEM APLICADA
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFMG
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