Mendes A M, Linhares N J
Rev Bras Enferm. 1996 Apr-Jun;49(2):267-80. doi: 10.1590/s0034-71671996000200011.
The purpose of this research is to investigate the existence of defensive strategies employed by intensive care unit nurses at a public hospital in Brasilia-DF, manage the suffering generated in the nurse-patient relationship, which arises a constant confrontation with life-death contents. This effort involved four collective interviews with eight professionals. The interviews theme were the difficulties, limitations and fulfillment with the patient care. The defensive behavior were analysed through the professionals' speeches. Four strategies were identified: impersonalness, emotional distance, avoidance of communication and high evaluation of technical procedures. The employment of these strategies facilitates a psychological balance to minimize the contact with suffering, although, these defensive strategies can affect quality of work or the nurse's life extra work.
本研究的目的是调查巴西利亚联邦区一家公立医院的重症监护室护士所采用的防御策略的存在情况，管理护患关系中产生的痛苦，这种关系引发了与生死内容的持续对抗。这项工作涉及对八名专业人员进行的四次集体访谈。访谈主题是患者护理中的困难、局限性和成就感。通过专业人员的发言分析防御行为。确定了四种策略：冷漠、情感距离、避免沟通和对技术程序的高度评价。这些策略的运用有助于实现心理平衡，以尽量减少与痛苦的接触，尽管这些防御策略可能会影响工作质量或护士的工作之余的生活。
