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      Palliative Care for SARS-CoV-2 Patients in the Intensive Care Unit: A Comprehensive Study Translated title: Cuidados Paliativos al paciente con SARS-CoV-2 en una unidad de cuidados intensivos: un estudio integral

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          ABSTRACT

          Objective:

          To comprehend the multiprofessional actions regarding palliative care for patients in the Intensive Care Unit affected by SARS-CoV-2.

          Methods:

          A comprehensive qualitative study conducted with 31 professionals from the Intensive Care Units of a university hospital, based on the Theory of Peaceful End of Life.

          Results:

          The analysis of the discourse led to the identification of two categories: “Multidisciplinary actions to promote comfort at the end of life” and “Palliative care during the pandemic period and the promotion of emotional and spiritual comfort.”

          Final Considerations:

          It became evident that local administration needs to invest in measures that reduce barriers to the implementation of palliative care during times of crisis. Understanding the discourse highlighted that non-specialized professionals can provide basic palliative care appropriately, without diminishing the importance and necessity of the presence of palliative care specialists in various hospital areas.

          RESUMEN

          Objetivo:

          Comprender las acciones multiprofesionales en la atención paliativa de pacientes en una Unidad de Cuidados Intensivos afectados por el SARS-CoV-2.

          Métodos:

          Estudio integral y cualitativo realizado con 31 profesionales de Unidades de Cuidados Intensivos de un hospital universitario, basado en la Teoría del Final de Vida Pacífico.

          Resultados:

          El análisis de los discursos llevó a la identificación de dos categorías: “Acciones multidisciplinarias para promover el confort al final de la vida” y “Cuidados paliativos durante el período de la pandemia y el fomento del confort emocional y espiritual”.

          Conclusiones:

          Se evidenció la necesidad de que la administración local invierta en medidas que minimicen las barreras para la implementación de la atención paliativa durante los momentos de crisis. La comprensión de los discursos resaltó que los profesionales no especializados pueden proporcionar cuidados paliativos básicos de manera adecuada, sin desmerecer la importancia y la necesidad de contar con especialistas en Cuidados Paliativos en diferentes áreas hospitalarias.

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          Most cited references23

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          The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises

          The current International Association for the Study of Pain (IASP) definition of pain as "An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" was recommended by the Subcommittee on Taxonomy and adopted by the IASP Council in 1979. This definition has become accepted widely by health care professionals and researchers in the pain field and adopted by several professional, governmental, and nongovernmental organizations, including the World Health Organization. In recent years, some in the field have reasoned that advances in our understanding of pain warrant a reevaluation of the definition and have proposed modifications. Therefore, in 2018, the IASP formed a 14-member, multinational Presidential Task Force comprising individuals with broad expertise in clinical and basic science related to pain, to evaluate the current definition and accompanying note and recommend whether they should be retained or changed. This review provides a synopsis of the critical concepts, the analysis of comments from the IASP membership and public, and the committee's final recommendations for revisions to the definition and notes, which were discussed over a 2-year period. The task force ultimately recommended that the definition of pain be revised to "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage," and that the accompanying notes be updated to a bulleted list that included the etymology. The revised definition and notes were unanimously accepted by the IASP Council early this year.
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            IRAMUTEQ: um software gratuito para análisede dados textuais

            Esta nota visa apresentar o software IRAMUTEQ (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires), desenvolvido por Pierre Ratinaud (2009). Trata-se de um programa informático gratuito, que se ancora no software R e permite diferentes formas de análises estatísticas sobre corpus textuais e sobre tabelas de indivíduos por palavras. Desenvolvido inicialmente em língua francesa, este programa começou a ser utilizado no Brasil em 2013. O dicionário experimental em língua portuguesa encontra-se em fase de aprimoramento, embora já seja bastante adequado. O IRAMU-TEQ possibilita os seguintes tipos de análises: estatísticas textuais clássicas; pesquisa de especificidades de grupos; classificação hierárquica descendente; análises de similitude e nuvem de palavras. Pelo seu rigor estatístico, pelas diferentes possibilidades de análise, interface simples e compreensível, e, sobretudo por seu acesso gratuito, o IRAMUTEQ pode trazer muitas contribuições aos estudos em ciências humanas e sociais, que têm o conteúdo simbólico proveniente dos materiais textuais como uma fonte importante de dados de pesquisa.
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              Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias

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                Author and article information

                Contributors
                Role: conception or design of the study/researchRole: analysis and/or interpretation of the dataRole: final review with critical and intellectual participation in the manuscript
                Role: final review with critical and intellectual participation in the manuscript
                Role: analysis and/or interpretation of the data
                Role: analysis and/or interpretation of the dataRole: final review with critical and intellectual participation in the manuscript
                Role: conception or design of the study/researchRole: analysis and/or interpretation of the dataRole: final review with critical and intellectual participation in the manuscript
                Journal
                Rev Bras Enferm
                Rev Bras Enferm
                reben
                Revista Brasileira de Enfermagem
                Associação Brasileira de Enfermagem
                0034-7167
                1984-0446
                28 June 2024
                2024
                : 77
                : Suppl 1
                : e20230218
                Affiliations
                [I ]Universidade Estadual do Cearpa. Fortaleza, Ceará, Brazil
                [I ]Universidade Estadual do Cearpa. Fortaleza, Ceará, Brasil
                Author notes
                Corresponding author: Marilia Alves Furtado , E-mail: br.mariliaalves@ 123456gmail.com

                EDITOR IN CHIEF: Antonio José de Almeida Filho

                ASSOCIATE EDITOR: Priscilla Broca

                Autor Correspondente: Marilia Alves Furtado , E-mail: br.mariliaalves@ 123456gmail.com

                EDITOR CHEFE: Antonio José de Almeida Filho

                EDITOR ASSOCIADO: Priscilla Broca

                Author information
                https://orcid.org/0000-0003-2672-9679
                https://orcid.org/0000-0002-6150-8938
                https://orcid.org/0000-0002-3634-8522
                https://orcid.org/0000-0002-7955-0894
                https://orcid.org/0000-0002-8158-7071
                Article
                00152
                10.1590/0034-7167-2023-0218
                11213540
                e41c1212-b673-47fa-9774-bdfbe9b33d03

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 5 July 2023
                : 19 October 2023
                Categories
                Original Article

                covid-19,intensive care unit,palliative care,sars-cov-2,terminal care,cuidado terminal,cuidados paliativos,unidades de cuidados intensivos

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