Concepções de enfermeiras sobre o prolongamento artificial da vida [Nurses’ view on artificial extension of life]
DOI:
https://doi.org/10.12957/reuerj.2014.15527Keywords:
Cuidados paliativos, unidades de terapia intensiva, obstinação terapêutica, enfermagem [Palliative care, intensive care units, therapeutic obstinacy, nursing] [Cuidados paliativos, unidades de cuidados intensivos, obstinación terapéutica, enfermeira]Abstract
Os pacientes fora de possibilidade de cura continuam sendo alvos da obstinação terapêutica nas unidades de terapia intensiva (UTI). Esta pesquisa descritiva teve como objetivo analisar as concepções das enfermeiras sobre o cuidado aos pacientes em prolongamento artificial da vida em UTI. Foi desenvolvido em 2009, na UTI de um hospital público, na cidade de Salvador, Bahia. Foram entrevistadas 17 enfermeiras e os dados tratados conforme a análise de conteúdo temática de Bardin. Como resultado obteve-se a categoria principal: Percebendo a obstinação terapêutica. E as subcategorias: Acreditando no limite da vida; Sofrendo com o prolongamento artificial da vida. Conclui-se que as enfermeiras acreditam que deve existir limitação nas condutas terapêuticas e consideram o prolongamento artificial da vida fonte geradora de sofrimento para o paciente.
ABSTRACT
Patients with no chance of cure in intensive care unit (ICU) are still targets of therapeutic obstinacy. This descriptive study aimed at analyzing views of female nurses on the care of ICU patients by means of artificial prolongation of life. It was carried out in the ICU of a large public hospital in the city of Salvador, Bahia, Brazil, in 2009. Seventeen (17) nurses were interviewed and data were treated on the basis of Bardin’s thematic content analysis. The main outstanding category was Acknowledging therapeutic obstinacy; with the outstanding subcategories Acknowledging limits to life; Suffering from artificial prolongation of life. Conclusions show nurses believe there should be limits to therapeutic approaches and they consider artificial prolongation of life to be a source for patient’s suffering.
RESUMEN
Los pacientes sin posibilidad de cura siguen siendo víctimas de la obstinación terapéutica en las unidades de cuidados intensivos (UCI). Este estudio descriptivo tuvo como objetivo analizar las concepciones de las enfermeras sobre el cuidado a los pacientes en prolongación artificial de la vida en UCI. Fue desarrollado en 2009, en la UCI de un hospital público, en la ciudad de Salvador, Bahia-Brasil. Se entrevistaron 17 enfermeras y los datos procesados de acuerdo con el análisis de contenido temático de Bardin. Como resultado se obtuvo la categoría principal: percibiendo la obstinación terapéutica. Y las subcategorías: Creyendo en el límite de la vida; Sufriendo con la prolongación artificial de la vida. En conclusión, las enfermeras creen que debe haber limitaciones en los enfoques terapéuticos y quea si la prolongación artificial de la vida es una fuente de sufrimiento para el paciente.
DOI: http://dx.doi.org/10.12957/reuerj.2014.15527
Published
How to Cite
Issue
Section
License
When publishing in Revista Enfermagem UERJ, the authors declare that the work is their exclusive authorship and therefore assume full responsibility for its content.
Authors retain copyright to their article and agree to license their work using a Creative Commons Attribution International Public License (CC BY), thereby accepting the terms and conditions of this license (https://creativecommons.org/licenses/by/4.0/legalcode.en), which allows material created by the author to be distributed, copied and displayed by third parties. The original work must be cited and present a link to the article available on the website of the journal in which it was published.
The Copyright of the articles published in Revista Enfermagem UERJ belongs to their respective author(s), with the rights of first publication assigned to Revista Enfermagem UERJ, with the work simultaneously licensed under a Creative Commons License CC BY, which allows sharing of work with recognition of authorship and initial publication in this journal.
The authors grant Revista Enfermagem UERJ the right of first publication, to identify themselves as the original publisher of the work and grant the magazine a license of non-exclusive rights to use the work in the following ways:
- Sell and/or distribute the work in printed copies and/or electronic format;
- Distribute parts and/or the work as a whole with the aim of promoting the magazine through the internet and other digital and printed media;
- Record and playback work in any format, including digital media.
In line with the journal's policies, each published article will be assigned a Creative Commons Attribution (CC BY) license.
