Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações do UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/7470 |
Resumo: | Introduction: Pediatric nursing practice is becoming increasingly complex, since the profile of Brazilian children is in the process of change, bringing the increase in the number of children with special health care needs. Nurses are professionals with an important knowledge about the best interests of children and families, advocating on behalf of their welfare and are thus inclined to experience moral distress. Aim: The aim of this study was to examine the experiences of moral distress of nurses who care for children with special healthcare needs. Methodology: interpretive phenomenology was selected as the study method. Nine nurses working at three different pediatric units of a teaching hospital were interview in November and December 2014. The data analysis process was held according to Patricia Benner's framework. The process consisted of transcription, coding, thematic analysis, and search for paradigm cases and exemplars. All the ethical aspects were preserved and the study was approved by the Research Ethics Committee of the institution under number 36618114.4.0000.5346. Results: Data analysis identified three themes. The themes arises from the relationships that nurses experienced in their daily lives and therefore their different moral experiences. Their moral experiences can be changed by their engagements. The nurses of this study are engaged in different levels according to their concerns throughout pediatrics nursing practice. Depending on the relationship they are living; with the health team, with other nurses, with the child's family, and the child; the participants can experience distress, anguish, frustration, satisfaction, responsibility. Conclusion: The findings identified that the engagement of nurses can be modified all the time during childcare situations and can instigate or inhibit their moral agency, according to their understanding of the nursing practice. |
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2016-05-192016-05-192016-02-19SANTOS, Raíssa Passos dos. MORAL EXPERIENCIES AND MORAL DISTRESS OF NURSES WHO CARE FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS. 2016. 134 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2016.http://repositorio.ufsm.br/handle/1/7470Introduction: Pediatric nursing practice is becoming increasingly complex, since the profile of Brazilian children is in the process of change, bringing the increase in the number of children with special health care needs. Nurses are professionals with an important knowledge about the best interests of children and families, advocating on behalf of their welfare and are thus inclined to experience moral distress. Aim: The aim of this study was to examine the experiences of moral distress of nurses who care for children with special healthcare needs. Methodology: interpretive phenomenology was selected as the study method. Nine nurses working at three different pediatric units of a teaching hospital were interview in November and December 2014. The data analysis process was held according to Patricia Benner's framework. The process consisted of transcription, coding, thematic analysis, and search for paradigm cases and exemplars. All the ethical aspects were preserved and the study was approved by the Research Ethics Committee of the institution under number 36618114.4.0000.5346. Results: Data analysis identified three themes. The themes arises from the relationships that nurses experienced in their daily lives and therefore their different moral experiences. Their moral experiences can be changed by their engagements. The nurses of this study are engaged in different levels according to their concerns throughout pediatrics nursing practice. Depending on the relationship they are living; with the health team, with other nurses, with the child's family, and the child; the participants can experience distress, anguish, frustration, satisfaction, responsibility. Conclusion: The findings identified that the engagement of nurses can be modified all the time during childcare situations and can instigate or inhibit their moral agency, according to their understanding of the nursing practice.Introdução: A prática da enfermagem em pediatria vem se tornando cada vez mais complexa, uma vez que o perfil da infância brasileira encontra-se em processo de mudança, trazendo consigo o aumento do número de crianças com necessidades especiais de saúde. Os enfermeiros constituem-se em profissionais com importante conhecimento acerca dos melhores interesses da criança e da família, advogando em prol de seu bem estar, estando, dessa forma, inclinado a vivenciar o sofrimento moral. Objetivo: compreender como o sofrimento moral se apresenta no cotidiano de cuidado de enfermeiros que cuidam de crianças com necessidades especiais de saúde. Metodologia: Estudo fenomenológico interpretativo, realizado em três unidades de internação pediátrica e neonatal de um hospital de ensino. Participaram do estudo nove enfermeiros e a coleta dos dados foi realizada por meio de entrevista nos meses de novembro e dezembro de 2014. As entrevistas foram gravadas e transcritas. A análise deste estudo foi feita a partir da perspectiva Fenomenológica Interpretativa de Patrícia Benner. Na análise interpretativa ocorreu a busca por exemplares e casos paradigmáticos e na análise temática elencou-se os padrões de significado que possibilitaram a compreensão do fenômeno. Assim, três temas foram descritos referente às relações das enfermeiras que culminam no aparecimento de vivências morais. O estudo preservou os princípios éticos da pesquisa, conforme Resolução Nº 466, de 12 de dezembro de 2012 e foi aprovado pelo Comitê de Ética em Pesquisa da instituição, sob número 36618114.4.0000.5346. Resultados: As enfermeiras deste estudo mostraram-se engajadas em diversos níveis de intensidade diante das preocupações relacionados ao cuidado em pediatria. Dessa forma, na relação com a equipe de saúde, com os enfermeiros, com a família da criança, e com a criança, as participantes vivenciaram um cuidado que gera sofrimento, angústia, sentimento de frustração, satisfação, responsabilidade, entre outros. Conclusão: concluiu-se que o engajamento das enfermeiras modifica-se a todo o momento nas situações de cuidado à criança, podendo instigar a sua agência moral ou inibindoa, de acordo com as compreensões sobre a prática de enfermagem.Fundação de Amparo a Pesquisa no Estado do Rio Grande do Sulapplication/pdfporUniversidade Federal de Santa MariaPrograma de Pós-Graduação em EnfermagemUFSMBREnfermagemSaúde da criançaSofrimento moralEnfermagem pediátricaÉtica da enfermagemChild healthMoral distressPediatric nursingNursing ethicsCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMVivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúdeMoral experiencies and moral distress of nurses who care for children with special healthcare needsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisNeves, Eliane Tatschhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4778071H5Carnevale, Francohttp://lattes.cnpq.br/5161162642754729Paula, Cristiane Cardoso dehttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4733546E8Rodrigues, Benedita Maria Rêgo Deusdaráhttp://lattes.cnpq.br/3429144382068615Dalmolin, Graziele de Limahttp://lattes.cnpq.br/7268927320407160http://lattes.cnpq.br/6780380547290470Santos, Raíssa Passos dos4004000000004003003003003003003006b9cb74a-f6ee-4f27-bbad-1ceb257903a525dd5794-348d-4af3-baf4-9d622dee9cda55081741-ac54-4185-8a4c-d1ebc7c0871135153ccd-d02a-41e7-aa91-d7d5709f6ee0f675a282-e2ac-4e0e-9478-6d5b9a03169a82c1c1d8-1106-45c9-807e-7af7e35e0c51info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALSANTOS, RAISSA PASSOS DOS.pdfapplication/pdf2270839http://repositorio.ufsm.br/bitstream/1/7470/1/SANTOS%2c%20RAISSA%20PASSOS%20DOS.pdf3fdca9ae55640217eee8dae7821595d5MD51TEXTSANTOS, RAISSA PASSOS DOS.pdf.txtSANTOS, RAISSA PASSOS DOS.pdf.txtExtracted texttext/plain295548http://repositorio.ufsm.br/bitstream/1/7470/2/SANTOS%2c%20RAISSA%20PASSOS%20DOS.pdf.txta826b84a78132bfd1f50890cd843b393MD52THUMBNAILSANTOS, RAISSA PASSOS DOS.pdf.jpgSANTOS, RAISSA PASSOS DOS.pdf.jpgIM Thumbnailimage/jpeg2438http://repositorio.ufsm.br/bitstream/1/7470/3/SANTOS%2c%20RAISSA%20PASSOS%20DOS.pdf.jpg266ead827ce59127c79ab85cb8f71cc6MD531/74702021-07-28 13:49:14.034oai:repositorio.ufsm.br:1/7470Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufsm.br/ONGhttps://repositorio.ufsm.br/oai/requestatendimento.sib@ufsm.br||tedebc@gmail.comopendoar:2021-07-28T16:49:14Biblioteca Digital de Teses e Dissertações do UFSM - Universidade Federal de Santa Maria (UFSM)false |
dc.title.por.fl_str_mv |
Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde |
dc.title.alternative.eng.fl_str_mv |
Moral experiencies and moral distress of nurses who care for children with special healthcare needs |
title |
Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde |
spellingShingle |
Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde Santos, Raíssa Passos dos Saúde da criança Sofrimento moral Enfermagem pediátrica Ética da enfermagem Child health Moral distress Pediatric nursing Nursing ethics CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde |
title_full |
Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde |
title_fullStr |
Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde |
title_full_unstemmed |
Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde |
title_sort |
Vivências morais e sofrimento moral de enfermeiros que cuidam de crianças com necessidades especiais de saúde |
author |
Santos, Raíssa Passos dos |
author_facet |
Santos, Raíssa Passos dos |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Neves, Eliane Tatsch |
dc.contributor.advisor1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4778071H5 |
dc.contributor.advisor-co1.fl_str_mv |
Carnevale, Franco |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/5161162642754729 |
dc.contributor.referee1.fl_str_mv |
Paula, Cristiane Cardoso de |
dc.contributor.referee1Lattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4733546E8 |
dc.contributor.referee2.fl_str_mv |
Rodrigues, Benedita Maria Rêgo Deusdará |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/3429144382068615 |
dc.contributor.referee3.fl_str_mv |
Dalmolin, Graziele de Lima |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/7268927320407160 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/6780380547290470 |
dc.contributor.author.fl_str_mv |
Santos, Raíssa Passos dos |
contributor_str_mv |
Neves, Eliane Tatsch Carnevale, Franco Paula, Cristiane Cardoso de Rodrigues, Benedita Maria Rêgo Deusdará Dalmolin, Graziele de Lima |
dc.subject.por.fl_str_mv |
Saúde da criança Sofrimento moral Enfermagem pediátrica Ética da enfermagem |
topic |
Saúde da criança Sofrimento moral Enfermagem pediátrica Ética da enfermagem Child health Moral distress Pediatric nursing Nursing ethics CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Child health Moral distress Pediatric nursing Nursing ethics |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Introduction: Pediatric nursing practice is becoming increasingly complex, since the profile of Brazilian children is in the process of change, bringing the increase in the number of children with special health care needs. Nurses are professionals with an important knowledge about the best interests of children and families, advocating on behalf of their welfare and are thus inclined to experience moral distress. Aim: The aim of this study was to examine the experiences of moral distress of nurses who care for children with special healthcare needs. Methodology: interpretive phenomenology was selected as the study method. Nine nurses working at three different pediatric units of a teaching hospital were interview in November and December 2014. The data analysis process was held according to Patricia Benner's framework. The process consisted of transcription, coding, thematic analysis, and search for paradigm cases and exemplars. All the ethical aspects were preserved and the study was approved by the Research Ethics Committee of the institution under number 36618114.4.0000.5346. Results: Data analysis identified three themes. The themes arises from the relationships that nurses experienced in their daily lives and therefore their different moral experiences. Their moral experiences can be changed by their engagements. The nurses of this study are engaged in different levels according to their concerns throughout pediatrics nursing practice. Depending on the relationship they are living; with the health team, with other nurses, with the child's family, and the child; the participants can experience distress, anguish, frustration, satisfaction, responsibility. Conclusion: The findings identified that the engagement of nurses can be modified all the time during childcare situations and can instigate or inhibit their moral agency, according to their understanding of the nursing practice. |
publishDate |
2016 |
dc.date.accessioned.fl_str_mv |
2016-05-19 |
dc.date.available.fl_str_mv |
2016-05-19 |
dc.date.issued.fl_str_mv |
2016-02-19 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
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SANTOS, Raíssa Passos dos. MORAL EXPERIENCIES AND MORAL DISTRESS OF NURSES WHO CARE FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS. 2016. 134 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2016. |
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http://repositorio.ufsm.br/handle/1/7470 |
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SANTOS, Raíssa Passos dos. MORAL EXPERIENCIES AND MORAL DISTRESS OF NURSES WHO CARE FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS. 2016. 134 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Santa Maria, Santa Maria, 2016. |
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