Bioethics and nursing care in the process of dying and death of critically ill patients
DOI:
https://doi.org/10.5902/2179769284381Keywords:
Bioethics, Nursing, Nursing Care, Critical Care, Ethics, NursingAbstract
Objective: analyze the bioethical aspects involved in nursing care during the process of dying and death of critically ill adult patients. Method: this is a qualitative, descriptive and exploratory study carried out with six nurses and eight nursing technicians from an Adult Intensive Care Unit in the northeast region of Rio Grande do Sul. The data was collected through semi-structured interviews, from May to June 2022, and analyzed according to content analysis. Results: data emerged relating to the following categories: Bioethics from the perspective of the adult intensive care nursing team; the patient-professional-family trinomial at the end of life; Nursing in coping with the death of the critically ill adult patient; and Patient autonomy as a premise of nursing care. Conclusion: bioethical aspects are essential in nursing care during the death of the critically ill patient. Nurses face dilemmas and conflicts when balancing ethical principles with the individual needs of patients and their families.
Downloads
References
Ruivo BARA, Bastos JPC, Figueiredo Júnior AM, Silva JCS, Jesus LM, Brígida GVS, et al. Asistência de enfermagem na segurança do paciente na UTI: uma revisão integrativa da literatura. Rev Eletrônica Acervo Enferm. 2020;5:e5221. doi: 10.25248/reaenf.e5221.2020. DOI: https://doi.org/10.25248/reaenf.e5221.2020
Salbego C, Nietsche EA, Pacheco TF, Cogo SB, Santos AO, Kohlrausch LF, et al. Sentimentos, dificuldades e estratégias de enfrentamento da morte pela enfermagem. Rev Enferm Atual In Derme [Internet]. 2022 [acesso em 2024 nov 11];96(38):e-021250. Disponível em: https://revistaenfermagematual.com/index.php/revista/article/view/1355/1387. DOI: https://doi.org/10.31011/reaid-2022-v.96-n.38-art.1355
Sampson MW, Baldassarini CR, Oliveira JL, Souza J. Coping styles of Guyanese nurses in the face of patients’ deaths: a cross-sectional study. 2023 jun 07;19(2):86-94. doi: 10.11606/issn.1806-6976.smad.2023.200281. DOI: https://doi.org/10.11606/issn.1806-6976.smad.2023.200281
Silva AE, Ribeiro SA, Ferreira GJ, Silva JMD, Oliveira LA, Jesus SB, et al. Percepções do enfermeiro: processo de morte e morrer. Res Soc Dev. 2021;10(4):e33310414112. doi: 10.33448/rsd-v10i4.14112. DOI: https://doi.org/10.33448/rsd-v10i4.14112
Silva CPBV, Amaral TSA, Silva VA. Percepção da equipe de enfermagem sobre cuidados paliativos na unidade de terapia intensiva. Enferm Brasil. 2021;19(6):484. doi: 10.33233/eb.v19i6.4391. DOI: https://doi.org/10.33233/eb.v19i6.4391
Branco JS, Polido CG, Almeida JDPD, Souza CA. A assistência e percepção do enfermeiro na terminalidade. Rev Hórus [Internet]. 2022 [acesso em 2024 nov 11];17(01):20-32. Disponível em: https://estacio.periodicoscientificos.com.br/index.php/revistahorus/article/view/1095.
Lima MA, Manchola-Castillo C. Bioética, cuidados paliativos e libertação: contribuição ao “bem morrer.” Rev Bioét. 2021;29(2):268-78. doi: 10.1590/1983-80422021292464. DOI: https://doi.org/10.1590/1983-80422021292464
Cantão JLF, Santos CM, Gallotte JC, Ramos IP, Ribeiro ET, Paula SS, et al. Ensino de bioética em pós-graduações na área de medicina III. Rev Bioét. 2024;32:e3685PT. doi: 10.1590/1983-803420243685PT. DOI: https://doi.org/10.1590/1983-803420243685pt
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. doi: 10.1093/intqhc/mzm042. DOI: https://doi.org/10.1093/intqhc/mzm042
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.
Almeida F, Munhoz CJM, Oliveira JC. Bioética e sua interface com a unidade de terapia intensiva: uma revisão integrativa. Braz J Dev. 2021;7(4):34928-36. doi: 10.34117/bjdv7n4-110. DOI: https://doi.org/10.34117/bjdv7n4-110
Souza MAM, Messias ALB, Cruz ES, Ribeiro ES. Bioética na prática dos cuidados paliativos. Braz J Health Rev. 2022;5(4):16841-59. doi: 10.34119/bjhrv5n4-237. DOI: https://doi.org/10.34119/bjhrv5n4-237
Borges GF, Santos CR, Borges FJS. Bioethical approach: production of nursing knowledge in Brazil. Rev Bioét. 2022;30(3):610-8. doi: 10.1590/1983-80422022303554EN. DOI: https://doi.org/10.1590/1983-80422022303554en
Guirro UBP, Ferreira FS, Vinne L, Miranda GFF. Conhecimento sobre diretivas antecipadas de vontade em hospital-escola. Rev Bioét. 2022;30(1):116-25. doi: 10.1590/1983-80422022301512PT. DOI: https://doi.org/10.1590/1983-80422022301512pt
Martins V, Santos C, Duarte I. Educar para a bioética: desafio em enfermagem. Rev Bioét. 2022;30(3):498-504. doi: 10.1590/1983-80422022303543PT. DOI: https://doi.org/10.1590/1983-80422022303543en
Pires IB, Menezes TMO, Cerqueira BB, Albuquerque RS, Moura HC, Freitas RA, et al. Conforto no final de vida na terapia intensiva: percepção da equipe multiprofissional. Acta Paul Enferm. 2020; eAPE20190148. doi: 10.37689/acta-ape/2020AO0148. DOI: https://doi.org/10.37689/acta-ape/2020AO0148
Urtiga LMPC, Lins GAN, Slongo A, Cabral AKGD, Ventura ALF, Parente LB, et al. Espiritualidade e religiosidade: influência na terapêutica e bem-estar no câncer. Rev Bioét. 2022;30(4):883-91. doi: 10.1590/1983-80422022304578PT DOI: https://doi.org/10.1590/1983-80422022304578pt
Souza TC, Chaves EHB, Oliveira JLC, Aldabe LN, Duarte AS, Trevisan BF, et al. Necessidades da família do paciente crítico em terminalidade de vida: revisão integrativa. Rev Enferm Atual In Derme. 2021;95(36):e-021162. doi:10.31011/reaid-2021-v.95-n.36-art.1168. DOI: https://doi.org/10.31011/reaid-2021-v.95-n.36-art.1168
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista de Enfermagem da UFSM

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.



