Estudo fenomenológico sobre a vivência da morte em uma unidade de terapia intensiva neonatal

Abstract

This research aimed at describing the care experiences of neonatal critical care nurses when facing the death and to understand their feelings before the death of the newborn. Qualitative research with a phenomenological approach, with the guiding question: How do you feel about the death of the newborn ICU where you work? Attended the interview 12 nurses and ICU nursing. Emerging feelings such as guilt, failure and denial. Understanding the phenomenon being studied, we affirm that the death of the newborn within the ICU is an experience of conflicting feelings, sometimes painful for the nurses.

Reflexão sobre a morte e o morrer na UTI: a perspectiva do profissional

“…As such, their preparation for dealing with the process of dying and of death itself is an aspect that has become (almost) ignored within the activities of the health care sciences. A study that was conducted with nurses and nursing technicians that work in neonatal ICUs at two public hospitals in the city of Natal, Rio Grande do Norte, confirmed this hypothesis in its identification of the feelings that these professionals have regarding the death of patients, showing that feelings of guilt, failure and negation are common among them 11 .…”

“…The academic backgrounds of these individuals emphasizes the characterization of health care professionals as heroes that save lives, which means, by extension, that they are capable of defeating death. As a consequence, when a patient dies, deeply negative feelings emerge, and, as a result, generally speaking, health care professionals become burnt out and patients suffer 11 .…”

“…Treatment should indeed be multidisciplinary, for it presupposes that the comprehensive care of patients should, in fact, be balanced. In addition to promoting the integration of each agent that is involved in providing care, nursing professionals are directly responsible for procuring the resources that are necessary to improve the quality of life of the patient, and for adequately preparing him or her for the process of dying when it is inevitable [9][10][11][12][13][14] .…”

Narrativas de uma Equipe de Enfermagem diante da Iminência da Morte

“…O corolário disto remete a um aumento na ansiedade dos médicos e a uma profunda tristeza frente às "derrotas" sofridas ao perder pacientes (Santos & Hormanez, 2013). A vivência de ansiedade na equipe de enfermagem da UTI é destacada por alguns autores (Gutierrez & Ciampone, 2007;Nogacz & Souza, 2004;Silva, Valença, & Germano, 2010), e parece estar associada à ameaça real de concretização da morte.…”

Knowing nursing team care practices in relation to newborns in end-of-life situations

“…The following was observed among nurses: fear of provoking reactions in colleagues, patients and family members; the desire to protect family members from further suffering; and uncertainty about their own feelings regarding death. 2 It was seen that the context of neonatal intensive care units (NICU) has various implications for the parties involved in the hospitalization process -newborns, families and multiprofessional and interdisciplinary teams -where the work process should enable the provision of care that meets the specific needs of the neonatal group. 3,4 Newborns in ICUs are in a state of dependency, fragility and instability, which requires specific care and training, perspicacity and sensitivity on the part of health teams to provide safe and comprehensive care.…”