Breast cancer remains significantly distressing and produces profound changes in women’s lives. Spirituality is an important resource at the time of diagnosis and treatment decisions. This qualitative study aimed to explore the spiritual experience of women diagnosed with breast cancer and the considerations of spirituality in health care using the existential phenomenology approach. The sampling procedure was intentional, based on the study’s exclusion and inclusion criteria. Forty women participated in individual interviews. The research was conducted in the outpatient clinic of a reference federal university hospital in South-Eastern Brazil. Throughout the research process, ethical principles were carefully followed. Five themes were identified: (1) meaning of spirituality–source of spiritual strength, (2) well-being in the relationship with God, (3) well-being in religious fellowship, (4) values and purpose of life–meaning in life, and (5) spirituality as a foundation to continue. Respect for patient’s spiritual values was recognised as a fundamental principle in health care. Spirituality was revealed as a source of support during the complex process of being diagnosed with breast cancer. Thus, health care professionals that value and encourage spirituality are needed, favouring better patient response to the diagnosis.

Objective: to analyze practices considered violent in obstetric care. Method: integrative review, with data collection in the Web of Science, CINAHL, Scopus, MEDLINE, LILACS databases and the SciELO virtual library with articles of the last five years in English, Spanish and Portuguese, obtaining 13 selected articles that were submitted to the Content Analysis technique, in the Thematic Analysis modality. Results: the following categories have been identified: 'Obstetric violence: typology, definitions, legislation'; << Obstetric violence in the perception of the obstetric team >>; << Obstetric violence in the perception of users >>. Conclusion: obstetric violence is inserted with the practices of health professionals, such as episiotomy, kristeller maneuver, medicalization of childbirth, and care in the context of the birth process should occur in a respectful way and, thus, face acts of violence. Thus, the study contributes to the knowledge about disrespectful practices with women in the context of parturition. Descritores: Obstetrics; Labor, Obstetric; Natural Childbirth; Violence Against Women; Humanizing Delivery; Reproductive Rights. RESUMOObjetivo: analisar as práticas consideradas violentas na atenção obstétrica. Método: revisão integrativa, com coleta de dados nas bases de dados Web of Science, CINAHL, Scopus, MEDLINE, LILACS e a biblioteca virtual SciELO, com artigos dos últimos cinco anos, em idioma inglês, espanhol e português, obtendo 13 artigos selecionados que foram submetidos à técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: foram identificadas as seguintes categorias <>; <>; <>. Conclusão: a violência obstétrica está inserida com as práticas dos profissionais de saúde, como a episiotomia, a manobra de kristeller, a medicalização do parto, e o cuidado no contexto do processo de nascimento deve ocorrer de forma respeitosa e, assim, enfrentar atos de violência. Desse modo, o estudo contribui para o conhecimento acerca das práticas desrespeitosas com a mulher no contexto da parturição. Descritores: Obstetrícia; Trabalho de Parto; Parto Normal; Violência contra a Mulher; Parto Humanizado; Direitos Sexuais e Reprodutivos. RESUMENObjetivo: analizar las prácticas consideradas violentas en la atención obstétrica. Método: revisión integrativa, con recolección de datos en las bases de datos Web of Science, CINAHL, Scopus, MEDLINE, LILACS y la biblioteca virtual SciELO, con artículos de los últimos cinco años, en Inglés, español y portugués lenguaje, obteniendo 13 artículos seleccionados, que fueron sometidos a la técnica de Análisis de Contenido, en el modo de análisis temático. Resultados: se identificaron las siguientes categorías << Violencia obstétrica: tipología, definiciones, legislación >>; << La violencia obstétrica en la percepción del equipo obstétrico >>; << La violencia obstétrica en la percepción...

No abstract

Objective: reveal experiences of cancer patients undergoing neurotoxic chemotherapy. Method: phenomenology-based, qualitative study, carried out with nine adult patients in antineoplastic neurotoxic treatment, interviewed in June and July 2018. The testimonies were analyzed using an empirical comprehensive model. Results: the following categories were delineated: nerves on edge: perception of limitations caused by neuropathic pain induced by chemotherapy; chemotherapy drains me of energy; the suffering of starting again; the suffering of enduring it; alone in a desert, I heard the cry of my silence; chemotherapy: an infusion of hope; and there is no suffering on earth that heaven cannot heal. Conclusion: the study presented various meanings of suffering that emerge from experiences with neurotoxic treatment and found that many dimensions of suffering interpenetrate, making it impossible to disassociate them.