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A Experiência de ser enfermeiro emcuidados paliativos
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Este estudo teve como objetivo compreender a experiência vivida pelos enfermeiros em Cuidados Paliativos, e o impacto da exposição ao sofrimento do outro. Adotou-se uma Abordagem fenomenológica Interpretativa (IPA), sustentada por Smith et al., (2009), tendo sido realizadas dez entrevistas semiestruturadas a enfermeiros a exercer na área dos Cuidados Paliativos. A análise interpretativa permitiu identificar oito constituintes
essenciais da experiência: Vocação e Identidade Profissional; Dimensão Emocional e Regulação do Cuidar; Relação com Doentes e Famílias; Comunicação e Verdade Compassiva;
Vivência da Morte e Finitude; Transformação Existencial e Sentido de Vida; Formação, Competência e Desenvolvimento Profissional; e Equipa, Instituições e Estruturas.
Os resultados revelam que o cuidar em fim de vida é vivido como uma vocação ética e existencial, marcada pela compaixão, pela autenticidade e pela consciência da finitude. O contacto contínuo com o sofrimento e a morte conduz a processos de maturação pessoal e profissional, nos quais aprender a cuidar é também aprender a ser. Apesar da fragilidade institucional e da predominância biomédica, os enfermeiros encontram reconhecimento e sentido no vínculo com doentes e famílias.
Conclui-se que os Cuidados Paliativos constituem um espaço privilegiado de crescimento ético, humano e espiritual, no qual a prática profissional se transforma em experiência de humanidade partilhada, sustentando a dignidade até ao fim da vida.
This study aimed to understand the lived experience of nurses in Palliative Care, and the impact of exposure to others suffering. A Interpretative Phenomenological Analysis (IPA), based on Smith et al., (2009), was adopted. Ten semi-structured interviews were conducted with nurses working in Palliative Care settings. The interpretative analysis identified eight essential constituents of the experience: Vocation and Professional Identity; Emotional Dimension and Regulation of Care; Relationship with Patients and Families; Communication and Compassionate Truth; Experience of Death and Finitude; Existential Transformation and Sense of Life; Training, Competence and Professional Development; and Team, Institutions and Structures. Findings reveal that end-of-life care is lived as an ethical and existential vocation, characterized by compassion, authenticity, and awareness of human finitude. Continuous contact with suffering and death fosters processes of personal and professional maturation, where learning to care also means learning to be. Despite institutional fragility and the persistence of a biomedical paradigm, nurses find recognition and meaning through relationships with patients and families. It is concluded that Palliative Care represents a privileged context for ethical, human, and spiritual growth, where professional practice becomes an experience of shared humanity that upholds dignity until the end of life.
This study aimed to understand the lived experience of nurses in Palliative Care, and the impact of exposure to others suffering. A Interpretative Phenomenological Analysis (IPA), based on Smith et al., (2009), was adopted. Ten semi-structured interviews were conducted with nurses working in Palliative Care settings. The interpretative analysis identified eight essential constituents of the experience: Vocation and Professional Identity; Emotional Dimension and Regulation of Care; Relationship with Patients and Families; Communication and Compassionate Truth; Experience of Death and Finitude; Existential Transformation and Sense of Life; Training, Competence and Professional Development; and Team, Institutions and Structures. Findings reveal that end-of-life care is lived as an ethical and existential vocation, characterized by compassion, authenticity, and awareness of human finitude. Continuous contact with suffering and death fosters processes of personal and professional maturation, where learning to care also means learning to be. Despite institutional fragility and the persistence of a biomedical paradigm, nurses find recognition and meaning through relationships with patients and families. It is concluded that Palliative Care represents a privileged context for ethical, human, and spiritual growth, where professional practice becomes an experience of shared humanity that upholds dignity until the end of life.
Descrição
Dissertação de Mestrado Apresentada no Ispa - Instituto Universitário para obtenção do grau de Mestre em Psicologia Clínica
Palavras-chave
Cuidados Paliativos Enfermagem Experiência vivida Fim de vida fenomenologia interpretativa Palliative care Nursing Lived experience End of life Interpretative Phenomenological Analysis.