Nurses’ autonomy in end-of-life situations in intensive care units (2015)
- Authors:
- Autor USP: BOUSSO, REGINA SZYLIT - EE
- Unidade: EE
- Sigla do Departamento: ENP
- DOI: 10.1177/0969733014547970
- Subjects: ENFERMAGEM EM UNIDADES DE TERAPIA INTENSIVA; UNIDADES DE TERAPIA INTENSIVA; PESQUISA QUALITATIVA
- Language: Inglês
- Abstract: Background: The intensive care unit environment focuses on interventions and support therapies that prolong life. The exercise by nurses of their autonomy impacts on perception of the role they assume in the multidisciplinary team and on their function in the intensive care unit context. There is much international research relating to nurses' involvement in end-of-life situations; however, there is a paucity of research in this area in Brazil. In the Brazilian medical scenario, life support limitation generated a certain reluctance of a legal nature, which has now become unjustifiable with the publication of a resolution by the Federal Medical Council. In Brazil, the lack of medical commitments to end-of-life care is evident. Objective: To understand the process by which nurses exercise autonomy in making end-of-life decisions in intensive care units. Research design: Symbolic Interactionism and Corbin and Strauss theory methodology were used for this study. Participants and research context: Data were collected through single audio-recorded qualitative interviews with 14 critical care nurses. The comparative analysis of the data has permitted the understanding of the meaning of nurse's experience in exercising autonomy relating to end-of-life decision-making. Ethical considerations: Institutional ethics approval was obtained for data collection. Participants gave informed consent. All data were anonymized. Findings: The results revealed that nurses experience the need to exercise autonomy in intensive care units on a daily basis. Their experience expressed by the process of increase opportunities to exercise autonomy is conditioned by the pressure of the intensive care unit environment, in which nurses can grow, feel empowered, and exercise their autonomy or else can continuously depend on the decisions made by other professionals. Conclusion: Nurses exercise their autonomy through care.They work to create new spaces at the same time that they acquire new knowledge and make decisions. Because of the complexity of the end-of-life situation, nurses must adopt a proactive attitude that inserts them into the decision-making process.
- Imprenta:
- Source:
- Título do periódico: Nursing Ethics
- ISSN: 0969-7330
- Volume/Número/Paginação/Ano: v. 22, n. 7, p. 803-814, 2015
- Este periódico é de assinatura
- Este artigo NÃO é de acesso aberto
- Cor do Acesso Aberto: closed
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ABNT
PAGANINI, Maria Cristina e SZYLIT, Regina. Nurses’ autonomy in end-of-life situations in intensive care units. Nursing Ethics, v. 22, n. 7, p. 803-814, 2015Tradução . . Disponível em: https://doi.org/10.1177/0969733014547970. Acesso em: 25 abr. 2024. -
APA
Paganini, M. C., & Szylit, R. (2015). Nurses’ autonomy in end-of-life situations in intensive care units. Nursing Ethics, 22( 7), 803-814. doi:10.1177/0969733014547970 -
NLM
Paganini MC, Szylit R. Nurses’ autonomy in end-of-life situations in intensive care units [Internet]. Nursing Ethics. 2015 ; 22( 7): 803-814.[citado 2024 abr. 25 ] Available from: https://doi.org/10.1177/0969733014547970 -
Vancouver
Paganini MC, Szylit R. Nurses’ autonomy in end-of-life situations in intensive care units [Internet]. Nursing Ethics. 2015 ; 22( 7): 803-814.[citado 2024 abr. 25 ] Available from: https://doi.org/10.1177/0969733014547970 - Dificuldades da enfermeira convivendo com familias de crianças que aguardam um transplante
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Informações sobre o DOI: 10.1177/0969733014547970 (Fonte: oaDOI API)
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