Cuidando de pacientes em fase terminal: a perspectiva de alunos de enfermagem

Abstract

RESUMOEste estudo busca compreender como alunos de graduação em Enfermagem percebem a si mesmos ao cuidar de pacientes em fase terminal e expor os significados da experiência vivida. Foram entrevistados 14 alunos, respondendo à questão: Como se mostra a você o cuidar do paciente na fase terminal? Para os alunos, é sempre uma experiência dolorosa, que os coloca face a face com suas fragilidades e inseguranças. Eles atribuem suas dificuldades à própria incapacidade de aceitar a morte e ao despreparo e inexperiência. Relatam que falta apoio dos profissionais com quem compartilham esse cuidado. No que se refere à formação profissional, para alguns a experiên-cia foi positiva, apesar das dificuldades; outros a avaliam negativamente, resultando em rejeição a situações semelhantes. Novas investigações sobre o tema são necessárias para aprofundar e ampliar a reflexão para o âmbito da formação dos enfermeiros em nível nacional. DESCRITORES ABSTRACTThe aim of this study is to understand how nursing undergraduates perceive themselves while care delivery to terminal patients and expose the meaning of the experience they have. Fourteen students were interviewed, and answered the following question: What is the image you have about caring for a terminal patient? Students always consider this to be a painful experience, one that puts them face to face with their weaknesses and insecurities. They attribute their difficulties to their personal incapacity to accept death and to their lack of preparation and their inexperience. They report a lack of support from professionals with whom they share this care. In terms of professional development, for some, the experience was positive, despite the difficulties; others evaluate it as negative, resulting in a rejection of similar situations. Further studies on this subject are needed with a view to a deeper and broader reflection on nursing education in Brazil. KEY WORDS RESUMENEste estudio busca comprender como los alumnos del curso de Enfermería perciben el cuidar de pacientes en fase terminal y exponer los significados de la experiencia vivida. Fueron entrevistados 14 alumnos, respondiendo a la pregunta: ¿Qué le parece a usted cuidar de un paciente en fase terminal? Para los alumnos, siempre es una experiencia dolorosa, que los coloca frente a frente con sus fragilidades e inseguridades. Atribuyen sus dificultades a la propia incapacidad de aceptar la muerte y a la falta de preparación e inexperiencia. Relatan que les falta apoyo de los profesionales con quien comparten ese cuidado. En lo que se refiere a la formación profesional, para algunos la experiencia fue positiva, a pesar de las dificultades; otros la evalúan negativamente, resultando en rechazo a situaciones semejantes. Nuevas investigaciones sobre el tema son necesarias, en el sentido de profundizar y ampliar la reflexión dentro del ámbito de formación de los enfermeros a nivel nacional. DESCRIPTORES

Nursing students attitudes across the suicidal behavior

“…Students stated that had very few opportunities in the internships to take care of terminal patients and that, when they do it, they do not feel guided and supported. 16 In the evaluation of the attitudes before suicidal behavior were identified changes, occurred among nursing students, regarding the perception of professional capacity to deal with these patients and negative feelings before these patients. The increase in the perception of own professional competence among future nurses (p<0.05) is critical to the qualified care of patients with suicidal behavior.…”

Meaning of the Systematization of Nursing Care for nurse managers

“…(7) This study is based on the method of situated phenomenology, which has the following steps: description, reduction and comprehension. (8,9) The description includes three elements: perception, conscience and the subject. At first we sought to hear testimony about how the subjects perceived the systematization of nursing care in their daily work.…”

Conflitos bioéticos: atendimento fisioterapêutico domiciliar a pacientes em condição de terminalidade

“…However, the professional felt distressed because the patient was terminally ill and nothing she could do within her therapeutic intervention would modify the prognosis. For Sadala and Silva 23 , in dealing with the finitude of life, health professionals face a situation feared by human beings, which manifests itself in feelings such as anguish and pain. In this sense, for the authors, dealing with death on a daily basis is extremely distressing and exhausting, giving rise to feelings such as impotence, frustration and insecurity in the face of patients' suffering and failure of professional actions 24 .…”