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      El sentir enfermero ante la muerte de un ser querido Translated title: O sentir enfermeiro ante a morte de um ser querido Translated title: Feeling nurse after the passing of a loved one

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          Abstract

          Con 14 años de egresada de la universidad como enfermera, la autora experimentó el sufrimiento, la tristeza, la pérdida y la incertidumbre ante la enfermedad y muerte de un ser querido. El conocimiento y la práctica adquiridos en su vida profesional no fueron suficientes para enfrentar estos sentimientos, que se transformaron en dolor, culpa y no aceptación de la realidad. A partir de la experiencia personal reconstruyó el sentir enfermero ante la muerte de su madre: esa una mujer menuda pero de gran carácter y con mucha fortaleza, que con solo tenía 54 años de edad se enfrentaba a un cáncer terminal. La impotencia en el actuar ante la enfermedad, la pérdida, el duelo, la negación, el enojo, la depresión, la aceptación y la muerte le hicieron comprender el papel de enfermería en situaciones críticas y que comprometen a seres queridos.

          Translated abstract

          Com 14 anos de formada da universidade como enfermeira, a autora experimentou o sofrimento, a tristeza, a perda e a incerteza ante a doença e morte de um ser querido. O conhecimento e a prática adquiridos em sua vida profissional não foram suficientes para enfrentar estes sentimentos, que se transformaram em dor, culpa e não aceitação da realidade. A partir da experiência pessoal reconstruiu o sentir enfermeiro ante a morte de sua mãe: essa uma mulher miúda mas, de grande caráter e com muita fortaleza, que com só tinha 54 anos de idade se enfrentava a um câncer terminal. A impotência no atuar ante a doença, a perda, o duelo, a negação, o agastamento, a depressão, a aceitação e a morte lhe fizeram compreender o papel de enfermaria em situações críticas e que comprometem a seres queridos.

          Translated abstract

          With 14 years of university graduate as a nurse, the author experienced the pain, sorrow, loss, and uncertainty in illness and death of a loved one. Knowledge and experience gotten in her professional life were not enough to face these feelings which became pain, guilt, and reality denial. From her personal experience she rebuilt the nurse feelings to her mother's death: that one, a tiny woman but of great character who with only 54 years old faced a terminal cancer. Impotence during the diseases course, the loss, grief, denial, anger, depression, acceptance and death made her understand the nursing role in critical situations that involve loved ones.

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          Most cited references27

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          Providing end-of-life care to patients: critical care nurses' perceived obstacles and supportive behaviors.

          Critical care nurses care for dying patients daily. The process of dying in an intensive care unit is complicated, and research on specific obstacles that impede delivery of end-of-life care and/or supportive behaviors that help in delivery of end-of-life care is limited. To measure critical care nurses' perceptions of the intensity and frequency of occurrence of (1) obstacles to providing end-of-life care and (2) supportive behaviors that help in providing end-of-life care in the intensive care unit. An experimental, posttest-only, control-group design was used. A national, geographically dispersed, random sample of members of the American Association of Critical-Care Nurses was surveyed. The response rate was 61.3%, 864 usable responses from 1409 eligible respondents. The highest scoring obstacles were frequent telephone calls from patients' family members for information, patients' families who did not understand the term lifesaving measures, and physicians disagreeing about the direction of a dying patient's care. The highest scoring supportive behaviors were allowing patients' family members adequate time alone with patients after death, providing peaceful and dignified bedside scenes after death, and teaching patients' families how to act around a dying patient. The biggest obstacles to appropriate end-of-life care in the intensive care unit are behaviors of patients' families that remove nurses from caring for patients, behaviors that prolong patients' suffering or cause patients pain, and physicians' disagreement about the plan of care.
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            Practice of expert critical care nurses in situations of prognostic conflict at the end of life.

            Prolonging the living-dying process with inappropriate treatment is a profoundly disturbing ethical issue for nurses in many practice areas, including the intensive care unit. Despite the frequent occurrence of such distressing events, research suggests that critical care nurses assume a limited role in end-of-life decision making and care planning. To explore the practice of expert critical care nurses in end-of-life conflicts and to describe actions taken when the nurses thought continued aggressive medical interventions were not warranted. A qualitative design was used with narrative analysis of interview data that had a temporal ordering of events. Interviews were conducted with 21 critical care nurses from 7 facilities in the southwestern United States who were nominated as experts by their colleagues. Three recurrent narrative plots were derived: protecting or speaking for the patient, presenting a realistic picture, and experiencing frustration and resignation. Narratives of protecting or speaking for the patient concerned preventing further technological intrusion and thus permitting a dignified death. Presenting a realistic picture involved helping patients' family members reframe the members' sense of the potential for recovery. Inability to affect a patient's situation was expressed in narratives of frustration and resignation. The transition from curative to end-of-life care in the intensive care unit is often fraught with ambiguity and anguish. The expert nurses demonstrated the ability and willingness to actively protect and advocate for their vulnerable patients even in situations in which the nurses' actions did not influence the outcomes.
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              Aquellos que nos verán morir: Significado y respuesta de los profesionales sanitarios de una residencia de ancianos ante la muerte y los moribundos

              La muerte se considera en nuestra sociedad un tabú, como también lo es para las instituciones y profesionales sanitarios. La muerte debe estar inserta en un proceso de morir; la inclusión de una persona en este proceso está condicionada por factores sociales y culturales. De la consideración de una persona como moribundo dependen muchas decisiones y actitudes de la propia persona y de los que rodea. Metodología: se decidió conducir nueve entrevistas semi-estructuradas a personal sanitario de una residencia de ancianos en contacto directo con el moribundo, con el fin de determinar qué significa para ellos la muerte, qué actitudes y comportamientos tienen para con los moribundos, cómo distinguen a aquel que muere, y qué factores condicionan el proceso de morir en ese ámbito privilegiado de estudio. Resultados: el profesional considera la muerte de los residentes un descanso, cree que puede identificar al moribundo y trata de calcular el momento del deceso. El comportamiento de los trabajadores con los moribundos cambia respecto al resto de los residentes. El factor ambiental que más influye en el comportamiento con los moribundos es la falta de tiempo. La metodología cualitativa es necesaria para estudiar el proceso de morir.
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                Author and article information

                Journal
                iee
                Investigación y Educación en Enfermería
                Invest. educ. enferm
                Imprenta Universidad de Antioquia (Medellín, Antioquia, Colombia )
                0120-5307
                2216-0280
                July 2010
                : 28
                : 2
                : 267-274
                Affiliations
                [01] Mérida orgnameUniversidad de los Andes orgdiv1Escuela de Enfermería Venezuela
                Article
                S0120-53072010000200014 S0120-5307(10)02800214
                6484c4af-7d51-4e5f-bd2a-03c242e241c0

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 04 June 2010
                : 14 May 2009
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 27, Pages: 8
                Product

                SciELO Colombia

                Self URI: Texto completo solamente en formato PDF (ES)
                Categories
                Experiencia práctica de enfermería

                nurse,death,life change events,família,enfermeira,morte,acontecimentos que mudam a vida,familia,muerte,acontecimientos que cambian la vida,enfermera,family

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