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- Double nursing degree: potentialities and challenges of an international student academic experiencePublication . Nora, Carlise Rigon Dalla; Schaefer, Rafaela; Schveitzer, Mariana Cabral; Zoboli, Elma Lourdes Campos Pavone; Vieira, Margarida MariaObjective: To share the experience of a Double Nursing degree promoted between the Nursing School of the Universidade de São Paulo and the Health Sciences Institute of the Universidade Católica Portuguesa, reflecting on the potentialities and challenges of this opportunity for graduate students. Method: This is an experience report presented in chronological order and of a descriptive nature. The double degree in Nursing was accomplished over a period of 6 months in a different institution from the institution of origin. Results: Among the activities developed during the Double Degree are: participating in examining boards, congresses, seminars, courses, meetings, lectures, colloquium, classes, research groups and technical visits to health services. A table presents and describes the main benefits of the experience experienced by the authors. Conclusion: When well-planned and well-developed, a double degree can promote personal, cultural and professional development of the students, favoring internationalization and contributing to the qualification of graduate programs.
- Elements and strategies for ethical decision-making in nursingPublication . Nora, Carlise Rigon Dalla; Deodato, Sérgio; Vieira, Margarida; Zoboli, ElmaThis study aimed to identify the elements and strategies that facilitate the ethical decision-making of nurses faced with ethical problems, from publications on the theme. An integrative literature review was carried out. Data collection was performed between the months of April and May 2014, in the databases: SciELO, CINAHL, LILACS and MEDLINE. Original, theoretical and case study articles, with a health team that included nurses, published in Portuguese, English and Spanish were included. A total of 19 studies were selected, the analysis of which resulted in three categories: external factors of ethical decision-making in nursing, individual factors of ethical decision-making in nursing and facilitating strategies of ethical decision-making in nursing. It was concluded that nurses need to use strategies that develop sensitivity, ability and ethical competence, in order to make prudent ethical decisions, contributing to the quality of health care.
- Sufrimiento moral en el personal de enfermeríaPublication . Ramos, María Dolores Burguete; Álvarez, Enrique Sáez; Nora, Carlise Rigon Dalla; Schaefer, Rafaela; López-Gómez, Jorge; Berbegal, Pablo Rico; Martínez-Riera, José RamónThe aim of this study is to determine the perception of a group of nurses about the causes of mental suffering in their daily work. Method: This is a study using qualitative methodology, obtaining information through a discussion group. The number of attendees was six and worked in different areas. Results: Moral suffering was grouped into three dimensions related to the personal dimension, in relation to the patient and their environment and ultimately to conflicts with the health team. Conclusions: The conceptualization of moral suffering seems complex, as it is clear from the study a large number of existing factors are involved, in relation to the work environment and the private sphere of individuals. About the latter, factors are related to personality, gender, lack of knowledge and commitment to the profession itself that causes pain when the right conditions to practise are not met.
- Nursing practices in the primary health care context: a scoping reviewPublication . Barbiani, Rosangela; Nora, Carlise Rigon Dalla; Schaefer, RafaelaObjective: to identify and categorize the practices performed by nurses working in Primary Health Care and Family Health Strategy Units in light of responsibilities established by the profession’s legal and programmatic frameworks and by the Brazilian Unified Health System. Method: a scoping review was conducted in the following databases: LILACS, IBECS, BDENF, CINAHL and MEDLINE, and the Cochrane and SciELO libraries. Original research papers written by nurses addressing nursing practices in the primary health care context were included. Results: the review comprised 30 studies published between 2005 and 2014. Three categories emerged from the analysis: practices in the service; practices in the community; and management and education practices. Conclusion: the challenges faced by nurses are complex, as care should be centered on the population’s health needs, which requires actions at other levels of clinical and health responsibility. Brazilian nursing has achieved important advancements since the implementation of policies intended to reorganize work. There is, however, a need to shift work processes from being focused on individual procedures to being focused on patients so that an enlarged clinic is the ethical-political imperative guiding the organization of services and professional intervention.
- Ethical problems experienced by nurses in primary health care: integrative literature reviewPublication . Nora, Carlise Rigon Dalla; Zoboli, Elma Lourdes Campos Pavone Zoboli; Vieira, MargaridaEste estudo tem como objetivo identificar problemas éticos evidenciados por enfermeiros da atenção primária e recursos de enfrentamento a partir de publicações sobre a temática. Realizou-se uma revisão integrativa da literatura entre os meses de outubro e novembro de 2013, nas bases: BDTD, CINAHL, LILACS, MEDLINE, Biblioteca Cochrane, PubMed, RCAAP e SciELO. Foram incluídos artigos, dissertações e teses publicados em inglês, espanhol e português, no período de 1992 a 2013, totalizando 31 estudos. Da análise resultaram quatro categorias: problemas éticos na relação entre a equipe, problemas éticos na relação com o usuário, problemas éticos na gestão dos serviços de saúde e os recursos de enfrentamento dos problemas éticos. Conclui-se que os enfermeiros precisam ser preparados para enfrentar os problemas éticos, evidenciando-se a importância da formação em ética durante o processo educativo, antes e durante a prática profissional, proporcionando o desenvolvimento de sensibilidade e competência ética para a resolução desses problemas.