Adult intensive care nursing in the face of Advance Directives: qualitative research

Objective: To understand the knowledge and practices of the Adult Intensive Care nursing team about the Advance Directives. Methods: Qualitative research carried out with 14 nursing professionals from an Adult Intensive Care Unit in the Northeast region of the state of Rio Grande do Sul. Data were c...

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Detalles Bibliográficos
Autores: Salbego, Cleton, Toledo, Katiane Lima, Cogo, Silvana Bastos, Nietsche, Elisabeta Albertina, Santos, Aline Ost dos, Ferreira, Mariana Kathleen da Costa, Muniz, Vinícius de Oliveira
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:Brasil
Institución:Universidade Federal do Piauí (UFPI)
Repositorio:Revista de Enfermagem da UFPI
Idioma:portugués
inglés
OAI Identifier:oai:periodicos.ufpi.br:article/5370
Acceso en línea:https://periodicos.ufpi.br/index.php/reufpi/article/view/5370
Access Level:acceso abierto
Palabra clave:Enfermagem
Diretivas Antecipadas
Assistência Hospitalar
Unidades de Terapia Intensiva
Equipe de Enfermagem
Nursing
Advance Directives
Hospital Assistance
Intensive Care Units
Nursing Team
Descripción
Sumario:Objective: To understand the knowledge and practices of the Adult Intensive Care nursing team about the Advance Directives. Methods: Qualitative research carried out with 14 nursing professionals from an Adult Intensive Care Unit in the Northeast region of the state of Rio Grande do Sul. Data were collected through semi-structured interviews, between May and June 2022 and submitted to Content Analysis. Results: Three thematic categories emerged: Knowledge of the nursing team about the Advance Directives (directives related to care; nursing technicians are unaware of the concept of directives); Practice of the nursing team related to the wishes and desires of the patient (there is a sensitivity of nursing to the care of the Advance Directives of the patient, by communication and discussion in a multidisciplinary round) and Decisions of medical professionals or family members: (dis)respect for the autonomy of the patient (physicians and family members do not respect the prior decision of the patient and the invisibility of the nursing team by physicians, regarding compliance with the directives, was evidenced). Conclusion: There was little knowledge about Advance Directives by nursing technicians in Adult Intensive Care. The patient's wishes are met by affective care. [...]