"Luz no fim do túnel": a qualidade de vida e o autocuidado nas vivências dos enfermeiros com pacientes em risco ou processo de morte

• Autor(a) principal: Bastos, Rodrigo Almeida
• Data de Publicação: 2016
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Manancial - Repositório Digital da UFSM
• dARK ID: ark:/26339/001300000nkd0
• Texto Completo: http://repositorio.ufsm.br/handle/1/10363
• topic: Atitude frente à morte; Enfermagem; Qualidade de vida; Autocuidado; Psicologia; Attitude to death; Nursing; Quality of life; Self-care; Psychology; CNPQ::CIENCIAS HUMANAS::PSICOLOGIA

Self care is not to create coping strategies, but become yourself a political actions subject, that is, the relationship to the world should be based on the reflection on yourself, to know the own abilities and limits to subsequently act in detail over the world. Nurses find barriers to practice their reflection about themselves and self care, especially with regard to hospital care and work in the context of death. Therefore, this study aimed to understand the meaning attributed by nurses about their self-care experiences in their work with patients at risk or in death process, in a hospital department of hematology-oncology. It was a clinical-qualitative study with 06 nurses of the hematology-oncology unit from a university hospital, covering the sectors of chemotherapy clinic and children's hospital. Individual interviews were developed from a structured script, using the theoretical saturation as strategy to delimit the number of participants. This study was approved by the Research Ethics Committee CAAE 40608715.9.0000.5346. Articles 01 and 02 are from theoretical reflections about the themes and Article 03 dealt with a qualitative meta-synthesis that justified the analysis of field results. The categories derived from the data analysis are described and discussed in articles 04 and 05. From the analysis of the results, the importance of working with patients at risk or death process as the nurse anxieties generator was possible to highlight and also how these anxieties may be potential sources of reflection on you. Not find sources of motivation at work or quality of life references, makes it vulnerable nurse suffering at death or in building the relationship with the patient. Hopelessness comes sometimes with such burden that the risk of undermining the own life becomes real. A major reason is the moral pressure that nurses suffer to develop and work with a knowledge-power, which causes anxiety when faced with dying patient, who opens wide his not-knowing. The counterpoint that was perceived is encouraging the speaking and listening this nurse, making it apt to think their practices and develop learning and reflexive strategies to act on their dramas. Thus the nurse can develop a particular way of dealing with suffering and develop own powers, fleeing the moralization of your practice that is constantly imposed on him. From these discussions is possible infer that it is from the factors which cause suffering to the nurse that her reflection process on itself can be started. It can be started as a form of resistance, realizing that something beyond the rigidly systematic process of care can and must be thought of.