Universidade Federal do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil.
Universidade Federal do Rio de Janeiro, Macaé, Rio de Janeiro, Brazil.
Rev Bras Enferm. 2020;73 Suppl 3:e20180857. doi: 10.1590/0034-7167-2018-0857. Epub 2020 Jul 13.
to understand the meanings attributed by nurses about conditions that interfere in defending of the elderly's autonomy on the terminality of life in the context of hospitalization.
qualitative and exploratory study, which applied the Grounded Theory. Data were collected between November 2016 and May 2017, in the internal medicine wards of a hospital in Rio de Janeiro, Brazil, through non-participant observation and semi-structured interviews. Three sample groups composed of ten nurses, eight doctors, and 15 nursing technicians were investigated.
the conditions are related to the medical power, subordination of nurses, family influences; the functional decline of the elderly; and biomedical model. Final considerations: the elderly's autonomy is veiled and violated since their abilities are subjugated, and the family's will and professional paternalism may prevail. However, this right must guide contemporary care models and integrate palliative care.
了解护士对住院老年患者生命终末期影响其自主权的因素的理解。
定性和探索性研究，采用扎根理论。数据于 2016 年 11 月至 2017 年 5 月在巴西里约热内卢的一家医院的内科病房采集，通过非参与式观察和半结构化访谈进行。调查了三组样本，每组由 10 名护士、8 名医生和 15 名护理技师组成。
这些条件与医疗权力、护士的从属地位、家庭影响、老年人的功能衰退以及生物医学模式有关。最终考虑：老年人的自主权被掩盖和侵犯，因为他们的能力被削弱，家庭的意愿和专业家长式作风可能占上风。然而，这一权利必须指导当代护理模式，并将姑息治疗纳入其中。
