da Silva Marcelle Miranda, Moreira Marleá Chagas, Leite Joséte Luzia, Erdmann Alacoque Lorenzini
Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Rio de Janeiro, RJ, Brazil.
Rev Lat Am Enfermagem. 2013 May-Jun;21(3):773-9. doi: 10.1590/S0104-11692013000300017.
to understand the meaning baccalaureate nurses and nursing technicians attribute to night work in the context of clinical palliative oncology nursing care services, as well as how nursing works to attend to clients and caregivers' needs in this period.
in this exploratory and qualitative study, grounded theory was used. Seven nurses and four nursing technicians were interviewed, who composed two sample groups. Nine categories were produced and, in their comparative content analysis, a knowledge emphasis was evidenced with implications for nighttime nursing work. In this study, these aspects were discussed in two of the categories, which are: to describe care practice in order to understand nursing care management and to point out the difficulties in care practice and nursing care management.
The results evidence the complexity in the nighttime care context, considering the clients' clinical conditions and clients and caregivers' psychological demands, mainly because of the threat of death.
The team attempts to respond to these needs through communication, but reveals a lack of assistential services and an overload. Interdisciplinarity is a palliative care premise, favoring holistic care delivery, and cannot be neglected at, which requires attention and investment to develop better practices.
了解在临床姑息肿瘤护理服务背景下，本科护士和护理技术员对夜班工作的理解，以及在此期间护理工作如何满足患者及其照顾者的需求。
在这项探索性定性研究中，采用了扎根理论。对七名护士和四名护理技术员进行了访谈，他们构成了两个样本组。产生了九个类别，在对其进行比较内容分析时，发现了对夜间护理工作有影响的知识重点。在本研究中，这些方面在两个类别中进行了讨论，即：描述护理实践以理解护理管理，以及指出护理实践和护理管理中的困难。
考虑到患者的临床状况以及患者及其照顾者的心理需求，结果证明了夜间护理环境的复杂性，主要是因为死亡的威胁。
该团队试图通过沟通来应对这些需求，但显示出辅助服务的缺乏和工作负担过重。跨学科性是姑息治疗的前提，有利于提供整体护理，在夜间护理中不能被忽视，这需要关注和投入以发展更好的实践。
