Universidade Federal do Rio Grande (FURG), Escola de Enfermagem. Programa de Pós-graduação em Enfermagem. Rio Grande, Rio Grande do Sul, Brasil.
Universidade Federal de Santa Maria (UFSM), Departamento de Enfermagem, Programa de Pós-graduação em Enfermagem. Santa Maria, Rio Grande do Sul, Brasil.
Rev Gaucha Enferm. 2020 Nov 20;41:e20190399. doi: 10.1590/1983-1447.2020.20190399. eCollection 2020.
To know the facilities and difficulties the palliative care team professionals experience in the implementation process of advance healthcare directives.
Exploratory-descriptive study with a qualitative approach, involving 51 professionals from seven palliative care teams in the state of Rio Grande do Sul, Brazil. The data were collected between December 2018 and April 2019 and discursive textual analysis was applied.
The facilities found were: the approach by the palliative care team; listening and respecting patients' wishes; effective communication between professionals, patients, and family members and resolution of difficult situations. The difficulties reported were: legal issues; the lack of knowledge of professionals about the subject; the lack of institutional protocols; the difficulty in talking about death and the family barrier.
Despite the perceived facilities and difficulties, palliative care professionals intend to work based on the patients' desires and will, aiming to offer dignity in the dying process.
了解姑息治疗团队专业人员在实施预先医疗指示过程中所面临的设施和困难。
这是一项具有定性研究方法的探索性描述研究，涉及巴西南里奥格兰德州的七个姑息治疗团队的 51 名专业人员。数据收集于 2018 年 12 月至 2019 年 4 月期间，并应用了话语文本分析。
发现的有利条件有：姑息治疗团队的方法；倾听和尊重患者的意愿；专业人员、患者和家属之间的有效沟通，以及解决困难情况。报告的困难有：法律问题；专业人员对该主题的知识不足；机构协议缺乏；谈论死亡和家庭障碍的困难。
尽管存在感知到的有利条件和困难，姑息治疗专业人员仍打算根据患者的意愿和意愿开展工作，旨在提供临终过程中的尊严。
