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照顾濒死新生儿及其家庭:护士在新生儿重症监护方面的经历。

Taking care of the newborn dying and their families: Nurses' experiences of neonatal intensive care.

作者信息

Almeida Fabiane de Amorim, Moraes Mariana Salim de, Cunha Mariana Lucas da Rocha

机构信息

Faculdade Israelita de Ciências da Saúde Albert Einstein (FICSAE). São Paulo, SP, Brasil.

Clínica de Imunização Pediátrica - Departamento Materno Infantil. Hospital Israelita Albert Einstein. São Paulo, SP, Brasil.

出版信息

Rev Esc Enferm USP. 2016 Jun;50 Spec:122-9. doi: 10.1590/S0080-623420160000300018.

DOI:10.1590/S0080-623420160000300018
PMID:27384286
Abstract

OBJECTIVE

To understand the experiences of nurses when caring for dying newborns and their families in the NICU; and redeem their perceptions about acting before the death and grieving process.

METHOD

A descriptive exploratory study with a qualitative approach, developed with nine nurses at the ICU of a hospital in São Paulo (SP), Brazil. Data was collected through semi-structured interviews and analyzed using the Collective Subject Discourse (CSD).

RESULTS

Caring for newborns who are dying and their families is very difficult for nurses, due to the intense involvement. They seek strategies to deal with the situation and, before the newborn's death, despite the suffering, express the feeling of accomplishment.

CONCLUSIONS

Facing death and grief triggers mechanisms that emerge life references, coming across painful issues. Learning to deal with these questions is a daily challenge for nurses of the NICU.

OBJETIVO

Compreender as experiências vivenciadas por enfermeiros ao cuidar de neonatos que estão morrendo e seus familiares na UTIN; e resgatar as suas percepções sobre a atuação diante do processo de morte e luto.

MÉTODO: Estudo descritivo exploratório, de abordagem qualitativa, desenvolvido com nove enfermeiras da UTIN de um hospital de São Paulo (SP), Brasil. Os dados foram coletados por meio de entrevista semi-estruturada e analisados pela técnica do Discurso de Sujeito Coletivo (DSC).

RESULTADOS

Cuidar de neonatos que estão morrendo e suas famílias é muito difícil para as enfermeiras, devido ao intenso envolvimento. Buscam estratégias para lidar com a situação e, diante do óbito do neonato, apesar do sofrimento, manifestam o sentimento de dever cumprido.

CONCLUSIÓN: Enfrentar a morte e o luto aciona mecanismos que afloram referências de vida, deparando-se com questões dolorosas. Aprender a lidar com essas questões é um desafio diário para os enfermeiros de UTIN.

摘要

目的

了解护士在新生儿重症监护病房(NICU)照顾濒死新生儿及其家庭时的经历;并探究他们对在死亡和悲伤过程中所采取行动的看法。

方法

采用定性研究方法进行描述性探索性研究,研究对象为巴西圣保罗市一家医院重症监护病房的9名护士。通过半结构化访谈收集数据,并使用集体主体话语(CSD)进行分析。

结果

由于情感高度投入,护士照顾濒死新生儿及其家庭非常困难。他们寻求应对这种情况的策略,在新生儿死亡前,尽管痛苦,但仍表达出成就感。

结论

面对死亡和悲伤会触发一些机制,这些机制会浮现生活参照,遇到痛苦的问题。学会应对这些问题对新生儿重症监护病房的护士来说是每日的挑战。

目的

理解护士在新生儿重症监护病房(UTIN)照顾濒死新生儿及其家庭时所经历的体验;并找回他们在面对死亡和悲伤过程中的看法。

方法

采用定性方法进行描述性探索性研究,由巴西圣保罗市一家医院新生儿重症监护病房的9名护士参与。通过半结构化访谈收集数据,并采用集体主体话语(DSC)技术进行分析。

结果

照顾濒死新生儿及其家庭对护士来说非常困难,因为情感投入强烈。他们寻求应对这种情况的策略,在新生儿死亡时,尽管痛苦,但仍表现出完成任务的感觉。

结论

面对死亡和悲伤会引发一些机制,这些机制会浮现生活参照,遇到痛苦的问题。学会应对这些问题对新生儿重症监护病房的护士来说是每日的挑战。

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