Primary Care Nurse Practitioners' Integrity When Faced With Moral Conflict

Laabs, Carolyn A.

doi:10.1177/0969733007082120

Cited by 58 publications

(106 citation statements)

References 19 publications

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“…With this, it is hoped that professionals are better able to resolve everyday situations, identifying ethical issues and dealing with them by anticipating, recognizing and resolving these conflicts (3) . Ethical Issues which permeate primary care work are difficult to identify (4) . A scenario lacking situations where there is a sense of urgency in making decisions makes questions about ethical issues less evident.…”

Section: Introductionmentioning

confidence: 99%

Validation of the comprehensiveness of an instrument on ethical problems in primary care

Junges

Zóboli

Schaefer

et al. 2014

Rev. Gaúcha Enferm.

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The study aimed to validate the comprehensiveness of an instrument on the occurrence of ethical problems in primary health care and discuss their results. This is a methodological research. The technique used was Delphi, which seeks to obtain a consensus on a subject by experts, using structured questionnaires that are modified to obtain consensus on the comprehensibility of content. The sample was composed by nine professionals with expertise in primary health care in São Leopoldo. Data collection was in March and April 2011. In the first round, the professional was asked to respond whether the described situation has represented an ethical problem, whether the statement was clear and whether there was any suggestion to rewriting the problem. Were presented thirtysix statements, and to twenty was suggested new rewrite. After the review and systematization the proposed amendments, has begun the second round to seek consensus among all the statements that its writing had changed. In the second round, the consensus required by the method was obtained. Using the method supported significantly to build the instrument in its initial stage, what makes it appropriated and comprehensive for the subsequent steps of the validation.

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Section: Introductionmentioning

confidence: 99%

Validation of the comprehensiveness of an instrument on ethical problems in primary care

Junges

Zóboli

Schaefer

et al. 2014

Rev. Gaúcha Enferm.

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“…From the analysis of studies, the main factors identified as responsible for the psychic and moral exhaustion were moral distress (7,13,(17)(18)(19) and burnout syndrome (2,5,7,(20)(21)(22) . The analyzed studies were performed mainly with nurses, and describe moral distress and Burnout as frequent phenomena in the reality of different health work contexts.…”

Section: Resultsmentioning

confidence: 99%

Psychic and moral exhaustion in primary care workers

Pegoraro

Schaefer

Zóboli

2017

Rev. esc. enferm. USP

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Objective:To report the experience of developing a workshop proposal to assist local managers with the identification, management and prevention of primary care workers' psychic and moral exhaustion. Method: The workshop was developed through a literature review performed between November 2014 and June 2015. The temporal cut considered studies of the ten previous years. The selection included studies describing collective interventions for situations generating psychic and moral exhaustion, preferably in primary care services. Results: Thirty-five articles were analyzed. The workshop provides five meetings with an average duration of one hour. The themes are: awareness; recognizing personal stress; dealing with personal stress; recognizing team stress; and dealing with team stress. The workshop is based on five key principles: detection and coping; attention to interpersonal relationships; communication; self-knowledge and mindfulness. Conclusion: Psychic and moral exhaustion may reflect negatively on workers' health, the care, and the organization. The proposal of measures to recognize, deal with and prevent psychic and moral exhaustion is relevant and strategic in the constant search for improvement of satisfaction and quality.

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“…valores, crenças e ideais. Os achados mostram que lidar com problemas éticos na atenção básica deve ser uma preocupação para a enfermagem pois, comparados com os dramáticos e urgentes cenários de vida ou morte que caracterizam a enfermagem hospitalar, os problemas éticos na atenção básica tendem a ser sutis, mundanos e difíceis de discernir, sejam comuns ou complexos, o que requer mais sensibilidade dos enfermeiros para discerni-los e encaminhar sua solução (8)(9)21) .…”

Section: Tabela 4 -Problemas éTicos Nas Relações Com a Equipe Segundunclassified

Problemas Éticos Na Atenção Básica: A Visão De Enfermeiros E Médicos

Lima¹,

Morales²,

Zóboli³

et al. 2009

Cogitare Enferm.

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RESUMO:Estudo empírico, quanti-qualitativo, que buscou identificar e comparar problemas éticos vivenciados por enfermeiros e médicos que atuam na Atenção Básica no município de São Paulo. Por meio de entrevista semi-estruturada pediu-se aos sujeitos que narrassem algum problema ético que tivessem vivido em seu trabalho na Atenção Básica. Os resultados mostraram dificuldade dos profissionais em lidar com questões éticas identificadas por serem amplas, diversificadas e influenciadas pelo contexto social e subjetivo presentes mais intensamente na Atenção Básica. Isto intervém como um obstáculo a mais para a efetivação da prática de uma atenção integral, muitas vezes já comprometida pela fragmentação nas relações profissionais que dificultam o trabalho em equipe e a construção de espaços para discussão de problemas éticos. PALAVRAS-CHAVE: Bioética; Atenção básica; Relações profissional-paciente; Ética profissional. ETHICAL PROBLEMS IN PRIMARY HEALTH CARE: THE PERCEPTION OF NURSES AND DOCTORSABSTRACT: This is an empirical, quanti-qualitative research that aimed to identify and compare ethical problems experienced by nurses and doctors at Primary Care Centers, in São Paulo, Brazil. Data were collected through semistructured interviews. The participants were asked to tell an ethical problem that they experienced during their work at Primary Care. The problems were analyzed by using an evaluation instrument of ethical problems' occurrence in primary care. The results showed that professionals have difficulty to deal with the ethical issues raised by assistance in a primary care because these problems are broad, diverse and influenced by social and subjective aspects on the caring context. This questions become an obstacle for an effective and comprenhensive healthcare. The quality of healthcare and rare discussion about ethical problems or issues compromises the healh care quality and team work. KEYWORDS: Bioethics; Primary health care; Professional-patient relations; Professional ethics. PROBLEMAS ÉTICOS EN LA ATENCIÓN BÁSICA: LA VISIÓN DE ENFERMEROS Y MÉDICOS RESUMEN:Estudio empírico, cuanti-cualitativo, que buscó identificar y comparar problemas éticos vividos por enfermeros y médicos que actúan en la Atención Básica, en el municipio de São Paulo/ Brasil. Por medio de entrevista semiestructurada se pidió a los participantes que contasen algún problema ético que vivieron en su trabajo en la Atención Básica. Los discursos sufrieron análisis de contenido y los problemas encontrados fueron agrupados con el uso del Instrumento para Evaluación de la Ocurrencia del Problema Ético en la Atención Básica. Los resultados mostraron dificultad en lidiar con cuestiones éticas identificadas por ser amplias, diversificadas e influenciadas por el contexto social y subjetivo presentes de forma más intensa en la atención básica. Esto interviene como obstáculo a más para la efectuación de la práctica de una atención integral, muchas veces ya comprometida por la fragmentación en las relaciones profesionales que dificultan el trabajo en e...

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Primary Care Nurse Practitioners' Integrity When Faced With Moral Conflict

Cited by 58 publications

References 19 publications

Validation of the comprehensiveness of an instrument on ethical problems in primary care

Validation of the comprehensiveness of an instrument on ethical problems in primary care

Psychic and moral exhaustion in primary care workers

Problemas Éticos Na Atenção Básica: A Visão De Enfermeiros E Médicos

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