Objective: To know the strategies of resistance adopted by nursing staff, facing situations of moral distress, from an ethical perspective. Method: The authors conducted qualitative research through semi-structured interviews, with fifteen nursing staff members of a university hospital in the extreme south of Brazil, using textual discourse analysis and the theoretical reference of Foucault. Results: Two categories were constructed: denial of oneself and the other -in which one perceives that the nursing staff can perform actions that are governed predominantly by immobility and conformism, avoiding confrontations with whoever represents power in situations that provoke moral distress in them; possibility to care for oneself and for the other -in which nursing workers in situations that provoke moral distress for them exercise power and endurance.Conclusion: it was perceived that some professionals seem to use ethical coping strategies, in order to ensure and preserve their professional values. However, often the choice of some nursing professionals may be to relapse into immobility and the absence of building strategies of endurance. This situation may represent their reduced exercise of power and insufficient resistance in the face of ethical problems, contributing to the intensification of their invisibility in the area of health.Descriptors: Burnout, Professional; Power; Ethics; Nursing. IntroductionIn daily professional life, many situations seem to reflect suffering and distress for the nursing staff.We highlight the power relationships with patients, supervisors and the various teams in the health area, involving moral issues and values related to identified fragilities in care, insufficient nursing staff, lack of material resources and the predominantly bureaucratic work organization, cold and technical .
Purpose The popularity of social networks has created business opportunities to the electronic commerce environment, being recently named as social commerce. The purpose of this paper is to analyze – from the perspective of the consumer – the main factors and characteristics (personal or related to the products bought) that have influenced consumers to participate in social commerce buying, recommending, comparing and sharing information about products and services in online marketplace and communities. Design/methodology/approach The study is characterized as an exploratory descriptive research, operationalized through a survey, applied to 229 participants of the social network Facebook. The research involves a qualitative stage for identifying potential variables that influence the participation of consumers in social commerce, followed by a quantitative one, including data collection procedures, validation and data analysis. Findings The results show trust, perceived usefulness and information quality as the factors that most influence consumer participation in social commerce, being trust in the website the main predictor. Concerning the characteristics, the findings also show that more expensive products and products classified as computers and electronics use ratings, recommendations and comments online more intensively than books, travel, household appliances and fashion products. Research limitations/implications As limitations of the study, the authors highlight the small number of interviews conducted during the qualitative stage, which may have left out other relevant factors of the analysis on consumers’ participation in social commerce. Another limitation refers to the selection of the participants of the study; all members of the social network Facebook are identified by the contact net of the authors – though it has been tried to enlarge this contact list by requesting the respondents to share the questionnaire link with their acquaintances, we should be cautious about the generalization of the results. Originality/value The study proposes an instrument to identify factors and characteristics that are taken into consideration by the consumers when participating in social commerce. Such a tool can be replicated by firms included in this type of commerce, in order to evaluate the behavior and perception of their customers about their performance in the online environment. This study also highlights trust, information quality and perceived usefulness of the website as the most influencing factors of the consumers’ participation in social commerce. In addition, the authors identified that more expensive products and products classified as computers and electronics seem to use more intensively ratings, recommendations and comments online provided by other people. This fact supports the research literature that (positive or negative) online recommendations influence the consumers purchase behavior, reducing uncertainties about the products and increasing credibility and trust.
Objective: to analyze the frequency and intensity of moral distress experienced by nursing personnel in southern Brazil, covering elements of their professional practice. Method: a survey was undertaken in two hospitals in Rio Grande do Sul, Brazil, with 247 nurses. Data was collected by means of the adapted Moral Distress Scale. Results: the perception of situations that lead to moral distress is enhanced in nurses and in nursing staff working in institutions with greater openness to dialogue, which hold team meetings, with fewer working hours and a greater ratio of professionals to patients. Conclusion: understanding moral distress allows us to go beyond solving the problems of the workers themselves, enabling the development of an ethics of active individuals and wide opportunities, defined mainly by the relationship with oneself.Descriptors: Nursing; Nursing Ethics; Burnout. Sufrimiento moral en trabajadores de enfermeríaObjetivo: analizar la frecuencia e intensidad del sufrimiento moral vivido por los profesionales de enfermería del sur de Brasil, abarcando los elementos de su rutina profesional. Método:investigación survey en dos hospitales, con 247 profesionales de enfermería. Los datos fueron recolectados mediante aplicación de la adaptación del Moral Distress Scale. Resultados: la percepción de situaciones que conducen al sufrimiento moral es intensificada en enfermeros; en trabajadores de enfermería que actúan en instituciones con mayor apertura al dialogo, que realizan reuniones de equipo, con menos horas de trabajo y mayor relación del número de profesionales por paciente. Conclusión: entender el sufrimiento moral permite ir más allá de la resolución de los problemas de los propios trabajadores, lo que posibilita la elaboración de una ética de sujetos activos y de amplias posibilidades, definidas principalmente por la relación consigo mismo.
OBJECTIVE: to investigate the burnout syndrome and its relationship with demographic and academic variables among undergraduate nursing students at a public university in Southern Brazil. METHOD: a quantitative study with 168 students, by applying an adaptation of the Maslach Burnout Inventory - Student Survey, validated for this study. We used descriptive and variance analysis of the data analysis. RESULTS: we found that students do not have the burnout syndrome, manifesting high average scores in Emotional Exhaustion, low in Disbelief and high in Professional Effectiveness; that younger students who perform leisure activities have greater Professional Effectiveness, unlike students in early grades with no extracurricular activities; combining work and studies negatively influenced only the Professional Effectiveness factor, while the intention of giving up influenced negatively Disbelief and Professional Effectiveness factors. CONCLUSION: the situations that lead students to Emotional Exhaustion need to be recognized, considering the specificity of their study environments.
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