Cogo Silvana Bastos, Lunardi Valéria Lerch, Quintana Alberto Manuel, Girardon-Perlini Nara Marilene Oliveira, Silveira Rosemary Silva da
Universidade Federal de Santa Maria (UFSM). Programa de Pós-Graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil.
Universidade Federal de Rio Grande (FURG). Programa de Pós-Graduação em Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.
Rev Gaucha Enferm. 2018 Jun 7;38(4):e65617. doi: 10.1590/1983-1447.2017.04.65617.
To know the advantages related to the applicability of the advance directives of will in the hospital context from the perspective of nurses, doctors and family members.
Qualitative, descriptive and exploratory study with semi structured interviews carried out from October to November 2014, with nurses, doctors and family members of patients in the final stage. Afterwards, a discursive textual analysis was carried out.
Four categories emerged: respect for patient's autonomy; support in confrontation of conflicts with and from family members; reduction of conflicts in the team about treatments and conducts; disclosure and instrumentation for application of the Advance Directives of Will.
The respect for personal autonomy permeates the advantages when relating the conduct of treatments at the end of life with the Advance Directives of Will. Thus, disagreements involving the processes at the end of life would be supported by the patient's desire, besides implying in the reduction of the fear of professionals in facing lawsuits and in the support of the family.
从护士、医生和家属的角度了解遗嘱预嘱在医院环境中的适用性相关优势。
2014年10月至11月对晚期患者的护士、医生和家属进行半结构式访谈，开展定性、描述性和探索性研究。之后，进行话语文本分析。
出现了四类情况：尊重患者自主权；在与家属及来自家属的冲突中提供支持；减少团队在治疗和行为方面的冲突；遗嘱预嘱应用的披露与手段。
在将临终治疗行为与遗嘱预嘱联系起来时，对个人自主权的尊重贯穿于优势之中。因此，涉及临终过程的分歧将得到患者意愿的支持，此外还意味着减少专业人员面对诉讼的恐惧并支持家属。
