O cuidado de enfermagem e a invasão da privacidade do doente: uma questão ético-moral
ABSTRACT Os enfermeiros constantemente invadem a intimidade e a privacidade do doente ao realizar os cuidados de enfermagem, porém raramente discutem os aspectos que envolvem esse problema. A literatura de enfermagem abrangendo esse tema é escassa, motivando a elaboração deste estudo com o objetivo de sensibilizar os enfermeiros quanto à relevância e necessidade de reflexão sobre o assunto. Ressaltam-se questões ético-legais e morais que permeiam a invasão da privacidade, apontando as responsabilidades dos profissionais de enfermagem. Discute-se a atuação dos Comitês de Ética em Pesquisa e das Comissões de Ética de Enfermagem das Entidades como mecanismos de controle e proteção dos indivíduos, circunstanciando, principalmente, a respeito da conduta e postura dos enfermeiros no processo de cuidar. O estudo alerta para a necessidade de discussão e reavaliação dos papéis desses mecanismos e da qualidade da assistência de enfermagem, uma vez que a proteção da privacidade dos doentes ainda é deficiente.
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ABSTRACT: Objective: The aim of this study is to gain insight into the meaning of being a nursing professional working in a public Intensive Therapy Unit (ITU). This study addresses aspects related to their way of being and feeling from the perspective of ITU patients care and treatment. Methods: A qualitative research was applied based on a phenomenological background. The guiding question of the study was "what does it mean to you being an ITU nursing professional?" Results: The results show that the lack of human and material resources in the ITU contributes to a feeling of low self-esteem. It pointed out a stressfull work which can lead to problems in the health assistance quality. Conclusion: The stress at work affects psychologically the ITU nursing professionals and it can have negative outcomes in the patients treatment, caused by the isolation and aleniation phenomena.
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ABSTRACT: INTRODUCTION: This paper proposes a reflection on the ethical relationship of the physiotherapist in the Intensive Therapy Unit. MATERIALS AND METHODS: We performed a literature review on the basis of electronic databases MEDLINE, LILACS e SciELO, the period 1998-2010. The words were: "ethics in physical therapy in the ICU" and combinations of the words "physiotherapy", "ethics/bioethics", "ICU/ICC", "humanization" and "health". RESULTS: Adding up all databases, generated by the corpus consisted of 23 bibliographic records, records of these 23, four have significant interface with the ethics of physiotherapy in the ICU. DISCUSSION: Studies show that, due to the recent role of the physiotherapist in the ICU environment associated with the fact that a very strict routine established in these centers and little discussion of the ethical dilemmas of the day-to-day ICUs, becomes urgent change in how to manage the relationship between patient and therapist, aiming to improve human relations at all levels. FINAL CONSIDERATIONS: According to the literature review presented, it is of fundamental importance the involvement and participation of a physiotherapist in discussions involving ethical dilemmas in ICU, in addition, the acquisition of more knowledge about ethical issues and aspects related to the humanization of intensive care should be topics of discussion not only limited to the scope of physical therapy, but all professionals. Additionally, future studies are needed to improve the practice of physical therapy and better define and point out the main difficulties in this professional context.Fisioterapia em Movimento. 06/2013; 26(2):415-422.
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ABSTRACT: The present paper had for aims to study the effects of the nursing aid given to surgery patients submitted to previously appointed surgeries through written communication instruments proposed by Araújo and Noronha/Noronha and Araújo (1998), to assess comparatively the quality of this aid given, during the Pre and Post surgery periods. The results obtained on this research prove that 89,3 % of the patients received nursing directions during the pre-surgery period and 89,3% during the post-surgery period; the most of the interviewees couldn't identify the nursing professional responsible for the directions the periods surgery. There were complaints the nursing care given, but most of the patients classified that care as excellent or good.