This study aims to know the reactions and feelings of nursing professionals facing their patients' death. This qualitative research was developed at the Medical Clinic Unit of a university hospital in Southern Brazil. The population of the study was composed of four nurses and five nursing technicians that work at this unit. Data were collected in the second semester of 2006 through semi-structured interviews and analyzed with the use of thematic analysis. The analysisproduced three categories reactions of nursing professionals facing death in daily work, feelings towards facing death in daily work; and nursing team members facing the care of the body after death. Results indicate that there is a need for discussing this issue in the workplace in order to prepare these healthcare workers to deal with their patients' death.

ABSTRACT:A descriptive study with a qualitative approach that aimed to identify the repercussions of ostomy construction on the living process of people with an ostomy. The study was performed at a Stomatherapy Service from a university hospital in southern Brazil, in the first semester of 2011, with eight patients. Data were collected through semi-structured interviews, and they were analyzed by thematic analysis. We found that the surgery happened to prevent patient deaths. Patients presented themselves as disheartened, angry, sad, having doubts, and they sought to keep the ostomy a secret. They were concerned with the acquisition of resources for self-care. They may present complications and experience embarrassing situations because of the stoma. However, they perceived that they could live with a stoma and regain joy. We concluded that they were able to reframe their lives. We highlight the role of nurses, enabling them for self-care, constituting part of their social support network, helping them to become able to live independently. DESCRIPTORS:Ostomy. Psychosocial impact. Adaptation. Nursing. REPERCUSSÕES NO PROCESSO DE VIVER DA PESSOA COM ESTOMARESUMO: Estudo descritivo, com abordagem qualitativa, que objetivou conhecer as repercussões da estomização no processo de viver de pessoas com estoma. Este estudo foi realizado em um serviço de estomaterapia de um hospital universitário do Sul do Brasil, no primeiro semestre de 2011, com oito pessoas estomizadas. Os dados foram coletados por meio de entrevistas semiestruturadas e analisados pela análise temática. Evidenciou-se que a cirurgia ocorreu, geralmente, para evitar sua morte. Os pacientes apresentavam-se abatidos, revoltados, tristes e com dúvidas, buscando manter a estomização em segredo. Preocupavam-se com a aquisição dos recursos para seu autocuidado. Podiam apresentar complicações e vivenciar situações constrangedoras relativas ao estoma. No entanto, após adaptados, percebiam que era possível viver com o estoma, recuperando a alegria. Chegou-se à conclusão que eles eram capazes de (re)significar seu viver. Destacou-se o papel da enfermagem, habilitando-os para seu autocuidado, constituindo sua rede de apoio social e auxiliando-os a se tornarem autônomos no seu viver. DESCRITORES:Estomia. Impacto psicossocial. Adaptação. Enfermagem. IMPACTOS EN EL PROCESO DE VIVIR CON PERSONAS ESTOMIZADASRESUMEN: Estudio descriptivo con un abordaje cualitativo, que objetivó identificar las repercusiones de la estomización en el proceso de vivir de las personas con estomía. Esto fue realizado en un Servicio de Estoma-Terapia de un hospital universitario en la región Sur del Brasil, en el primer semestre de 2011, con ocho portadores. Los datos fueron recolectados a través de entrevistas semiestructuradas y analizados por el análisis temático. Se encontró que la cirugía se llevó a cabo para evitar su muerte. Los pacientes se presentaron abatidos, enojados, tristes y con dudas. Ellos se preocupaban con la adquisición de recursos para su autocuidado. Presentaron complicac...

Objective:To know the facilitating factors of the transition process from dependency to the self-care of people with a stoma. Method: This is a descriptive study of qualitative approach, including 27 people with permanent stomas due to cancer. The data were collected through semi-structured interviews and submitted to content analysis based on the Transition Theory as theoretical reference. Results: The self-care facilitators related to the person were the positive significance of ostomy; the preparation for this experience already in the preoperative period; emotional stability; faith; religiousness; and a sense of normalcy acquired from a next image similar to the previous one. The facilitators related to the community were the following: receiving equipment for free from the government; support from family and the multidisciplinary team, especially the nurses; and having contact with other people with stomata. Conclusion: The results allow that nurses develop strategies to help people with stomata to resume their self-care.

Objective. To know the effects for the newborn of the use of crack in pregnancy. Methods. This is a qualitative study conducted in a university hospital in southern Brazil, in the first half of 2014. Fifteen mothers crack users and five grandparents participated. The data were produced through semi-structured interviews and later submitted to content analysis. Results. It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In relation to the newborn, prematurity, congenital malformation, hospitalization in an intensive care unit, use of care and feeding technologies through artificial milk formulas were mentioned. In the family context, it was evidenced the occurrence of abandonment of the child by the mother, causing the adoption of the newborn by relatives of the family nucleus or their institutionalization due to lack of family structure. Conclusion. It was found that the use of crack in pregnancy leads to repercussions related to the health of the newborn and repercussions related to family restructuring. In this sense, the recruitment of pregnant users of crack by health/nursing professionals and referral for high-risk prenatal care, as well as early identification of the peculiarities of the newborns of these women, and the development of actions that minimize the repercussions of crack are imperative.Descriptors: infant, newborn; pregnant women; postpartum period; cocaína crack; nursing.Uso del crack durante el embarazo: repercusiones para el recién nacido Objetivo. Conocer las repercusiones para el recién nacido por el consumo de crack durante el embarazo. Método. Estudio cualitativo realizado en un hospital universitario en el sur de Brasil, en el primer semestre de 2014. Participaron quince puérperas usuarias de crack durante la gestación y cinco abuelos. Los datos se recolectaron en entrevistas semiestructuradas y Use of crack in pregnancy: repercussions for the newborn posteriormente se sometieron a análisis de contenido. Resultados. Para los participantes del estudio el uso de crack en la gestación llevó a repercusiones relacionadas con la salud del recién nacido, como prematuridad, malformación congénita, internación en unidad de cuidado intensivo, uso de tecnologías de cuidado y alimentación mediante fórmulas lácteas artificiales. Por otra parte, en el ámbito familiar produjo abandono del niño por por parte de la madre lo que derivo en la adopción del recién nacido por parientes del núcleo familiar o su institucionalización por falta de estructura familiar adecuada. Conclusión. Se constató que el uso de crack en la gestación conlleva a repercusiones relacionadas con la salud del recién nacido y con la desestructuración familiar. En este sentido, se hace indispensable la captación de las gestantes usuarias de crack por los profesionales de la salud y por enfermería para la realización del control prenatal de alto riesgo, así como la identificación precoz de las necesidades de los recién nacidos y...

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