Abstract:Expressões da ética e do di stresse moral na prática do enfermeiro intensivista Ethics and moral distress expressions in intensive care nursing practice Expresiones de la ética y del distrés moral en la práctica del enfermero intensivista
“…A sense of powerlessness to intervene regarding care, treatment and decision‐making perceived as generating needless patient suffering and transgressing core professional values contributed to moral distress among RNs (Berhie et al, 2020; Crespo Drago et al, 2020; De Brasi et al, 2021; Deady & McCarthy, 2010; Harrowing & Mill, 2010; Ko et al, 2019; Langley et al, 2015; Nikbakht Nasrabadi et al, 2018; Prompahakul et al, 2021; Sauerland et al, 2014) and nursing students (Escolar Chua & Magpantay, 2019). This was invariably connected with interventions, treatment and care decisions perceived as futile (Asayesh et al, 2018; Browning, 2013; Choe et al, 2015; Ganz et al, 2013; Dodek et al, 2019; Dyo et al, 2016; Emmamally & Chiyangwa, 2020; Hiler et al, 2018; Hou et al, 2021; Karanikola et al, 2014; Ko et al, 2019; Latimer et al, 2021; Rezaee et al, 2019; Robinson & Stinson, 2016; Silverman et al, 2021; Wiegand & Funk, 2012; Wilson et al, 2013), overly aggressive (Rezaee et al, 2019; Wiegand & Funk, 2012) and inappropriate or unnecessary (Asgari et al, 2019; Browning, 2013; Choe et al, 2015; Christodoulou‐Fella et al, 2017; De Brasi et al, 2021; de Sousa Vilela et al, 2021; Fernandez‐Parsons et al, 2013; Forozeiya et al, 2019; Ganz et al, 2013; Ko et al, 2019; Laurs et al, 2020; Nikbakht Nasrabadi et al, 2018; Silverman et al, 2021) particularly, but not exclusively (de Sousa Vilela et al, 2021; Deady & McCarthy, 2010; Rezaee et al, 2019; Wojtowicz et al, 2014), in the context of end‐of‐life care.…”
Section: Resultsmentioning
confidence: 99%
“…Others, however, seemingly remained silent. This was primarily on account of interprofessional team hierarchies, notably the perceived enduring power of the medical profession (Atashzadeh Shorideh et al, 2012; Caram et al, 2019; de Sousa Vilela et al, 2021; Deady & McCarthy, 2010; Escolar Chua & Magpantay, 2019; Ko et al, 2019; Langley et al, 2015; Pavlish et al, 2016; Renno et al, 2018; Silverman et al, 2021; Wolf et al, 2016), encapsulated in the following data extract:…”
AimTo examine Registered Nurses (RNs') and nursing students' perspectives on factors contributing to moral distress and the effects on their health, well‐being and professional and career intentions.DesignJoanna Briggs Institute mixed‐methods systematic review and thematic synthesis. Registered in Prospero (Redacted).MethodsFive databases were searched on 5 May 2021 for studies published in English since January 2010. Methodological quality assessment was conducted in parallel with data extraction.ResultsSearches yielded 2343 hits. Seventy‐seven articles were included. Most were correlational design and used convenience sampling. Studies were mainly from North America and Asia and situated in intensive and critical care settings. There were common, consistent sources of moral distress across continents, specialities and settings. Factors related to perceived inability or failure to enact moral agency and responsibility in moral events at individual, team and structural levels generated distress. Moral distress had a negative effect on RNs health and psychological well‐being.Patient or Public ContributionNo patient or public contribution to this systematic review.
“…A sense of powerlessness to intervene regarding care, treatment and decision‐making perceived as generating needless patient suffering and transgressing core professional values contributed to moral distress among RNs (Berhie et al, 2020; Crespo Drago et al, 2020; De Brasi et al, 2021; Deady & McCarthy, 2010; Harrowing & Mill, 2010; Ko et al, 2019; Langley et al, 2015; Nikbakht Nasrabadi et al, 2018; Prompahakul et al, 2021; Sauerland et al, 2014) and nursing students (Escolar Chua & Magpantay, 2019). This was invariably connected with interventions, treatment and care decisions perceived as futile (Asayesh et al, 2018; Browning, 2013; Choe et al, 2015; Ganz et al, 2013; Dodek et al, 2019; Dyo et al, 2016; Emmamally & Chiyangwa, 2020; Hiler et al, 2018; Hou et al, 2021; Karanikola et al, 2014; Ko et al, 2019; Latimer et al, 2021; Rezaee et al, 2019; Robinson & Stinson, 2016; Silverman et al, 2021; Wiegand & Funk, 2012; Wilson et al, 2013), overly aggressive (Rezaee et al, 2019; Wiegand & Funk, 2012) and inappropriate or unnecessary (Asgari et al, 2019; Browning, 2013; Choe et al, 2015; Christodoulou‐Fella et al, 2017; De Brasi et al, 2021; de Sousa Vilela et al, 2021; Fernandez‐Parsons et al, 2013; Forozeiya et al, 2019; Ganz et al, 2013; Ko et al, 2019; Laurs et al, 2020; Nikbakht Nasrabadi et al, 2018; Silverman et al, 2021) particularly, but not exclusively (de Sousa Vilela et al, 2021; Deady & McCarthy, 2010; Rezaee et al, 2019; Wojtowicz et al, 2014), in the context of end‐of‐life care.…”
Section: Resultsmentioning
confidence: 99%
“…Others, however, seemingly remained silent. This was primarily on account of interprofessional team hierarchies, notably the perceived enduring power of the medical profession (Atashzadeh Shorideh et al, 2012; Caram et al, 2019; de Sousa Vilela et al, 2021; Deady & McCarthy, 2010; Escolar Chua & Magpantay, 2019; Ko et al, 2019; Langley et al, 2015; Pavlish et al, 2016; Renno et al, 2018; Silverman et al, 2021; Wolf et al, 2016), encapsulated in the following data extract:…”
AimTo examine Registered Nurses (RNs') and nursing students' perspectives on factors contributing to moral distress and the effects on their health, well‐being and professional and career intentions.DesignJoanna Briggs Institute mixed‐methods systematic review and thematic synthesis. Registered in Prospero (Redacted).MethodsFive databases were searched on 5 May 2021 for studies published in English since January 2010. Methodological quality assessment was conducted in parallel with data extraction.ResultsSearches yielded 2343 hits. Seventy‐seven articles were included. Most were correlational design and used convenience sampling. Studies were mainly from North America and Asia and situated in intensive and critical care settings. There were common, consistent sources of moral distress across continents, specialities and settings. Factors related to perceived inability or failure to enact moral agency and responsibility in moral events at individual, team and structural levels generated distress. Moral distress had a negative effect on RNs health and psychological well‐being.Patient or Public ContributionNo patient or public contribution to this systematic review.
“…Os enfermeiros apontam à invisibilidade de sua prática à ausência de definição das atribuições da equipe de enfermagem e a sensação de não pertencimento à equipe multidisciplinar, as deficiências na comunicação é uma das situações levantadas pelos enfermeiros, o que pode acarretar desavença entre os componentes da equipe, e sua organização (VILELA G, et al, 2021). A agressividade no campo de trabalho também é causada pelos próprios profissionais, ou seja, os colaboradores de saúde que desempenham cargos semelhantes ou hierarquicamente superiores, e associasse ainda a deficiência e a crise na saúde.…”
Section: Os Fatores Estressores Para Os Profissionais De Enfermagem D...unclassified
Objetivo: Investigar a produção científica sobre os fatores que interferem na saúde dos profissionais de enfermagem do centro cirúrgico. Revisão bibliográfica: A adequação de estrutura física e a melhor disposição de salas de apoio, facilita o fluxo de trabalho e diminui o desgaste dos profissionais. Sendo assim, uma das opções para facilitar a tomada de decisão do enfermeiro, seria a mudança do layout no centro cirúrgico, adequar os turnos de trabalho de acordo com a necessidade do colaborador, melhorar o dimensionamento, ampliar o quadro de profissionais, criar um espaço para a interação e promover eventos para otimizar a comunicação multiprofissional, bem como a unidade hospitalar disponibilizar cursos e palestras motivacionais para melhorar gestão de conflitos entre a equipe. Considerações finais: Conforme foi evidenciado na literatura científica pode se vislumbrar a necessidade da melhoria do espaço físico, melhor comunicação entre a equipe de enfermagem que estão atuando no centro cirúrgico, bem como ações educativas para melhorar o estado psicológico e físico dos profissionais.
“…Nursing is considered one of the ideal professions for the practice of health advocacy because of its close relationship with users, and its defense is understood as a professional obligation, a moral good, and an ethical ideal 5 . Health advocacy represents ethics in the work actions of the nursing professional, related to quality care, and also to the defense of the rights and needs of each user of the health servisse 6 .…”
Objective: to describe the development and validation of an educational manual for nurses on the practice of health advocacy in their professional experience. Method the method used to develop the manual was composed of three stages carried out from 2018 to 2020: an integrative review of studies published from 2010 to 2018, development of the content, and validation of the educational manual by experts. Results: based on the integrative literature review, 91 final articles related to the theme of advocacy in health and nursing were selected, which subsidized the definition of four themes: The meaning and fundamental elements for the practice of advocacy in nursing; Advocacy in teaching and the involvement of other care actors; Advocacy as a professional, moral, and ethical obligation; Advocacy about specific population groups. The themes contributed to the development of the educational manual content. After submission and validation by specialists, it was possible to define the layout, size, number of pages, and final design of the educational manual, which will be printed and handed out to nursing professionals and students, and made available online. Conclusions: the elaboration and validation of the manual help to build knowledge related to the professional practice of the nursing team and the exercise of advocacy in health.
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