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Contributos de enfermagem para a construção de um legado em cuidados paliativos: uma revisão integrativa
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A vivência de uma doença grave, progressiva e limitante de vida leva a desafios psicossociais e existenciais, onde a falta de sentido, utilidade e propósito na vida podem constituir uma ameaça à dignidade da pessoa. A criação de um legado permite à pessoa a manutenção da sua identidade, o reconhecimento da sua trajetória e conquistas, e a realização de algo que sobreviva à sua própria morte, contribuindo para a redução do sofrimento existencial e psicossocial. Relativamente aos familiares/cuidadores é facilitadora do processo de luto. Desta forma, o objetivo desta revisão integrativa foi sintetizar os contributos da Enfermagem para a construção de um legado em Cuidados Paliativos considerando as dimensões emocionais, espirituais, relacionais e simbólicas da prática do legado. Para responder a este objetivo recorreu-se às bases de dados MEDLINE Complete, CINAHL Complete, eBook Nursing Collection, eBook Collection, eBook Medical Collection e PubMed, tendo sido incluídos 13 artigos. O referencial teórico utilizado como base deste estudo foi a A Teoria do Cuidado Humano de Jean Watson que permitiu identificar três grandes dimensões dos contributos de enfermagem na construção de um legado: intrapessoal, relacional-transpessoal e espiritual-existencial. Os estudos evidenciaram que a Enfermagem contribui para que a construção de um legado como prática de cuidado espiritual e simbólico, onde a escuta, a presença e a intenção são instrumentos de cura e transcendência. A atuação do enfermeiro assume-se como catalisadora de um cuidado intencional e compassivo, centrado na pessoa, que acolhe a sua história, respeita os seus valores e dignifica a sua existência.
Experiencing a serious, progressive, life-limiting illness leads to psychosocial and existential challenges, where the lack of meaning, purpose, and purpose in life can pose a threat to a person's dignity. Creating a legacy allows a person to maintain their identity, recognize their journey and achievements, and achieve something that survives their own death, contributing to the reduction of existential and psychosocial suffering. For family members/caregivers, it facilitates the grieving process. Therefore, the objective of this integrative review was to synthesize Nursing's contributions to building a legacy in Palliative Care, considering the emotional, spiritual, relational, and symbolic dimensions of legacy practice. To achieve this objective, the MEDLINE Complete, CINAHL Complete, eBook Nursing Collection, eBook Collection, eBook Medical Collection, and PubMed databases were used, and 13 articles were included. The theoretical framework used as the basis for this study was Jean Watson's Theory of Human Caring, which identified three major dimensions of nursing's contributions to legacy building: intrapersonal, relational-transpersonal, and spiritual-existential. The studies demonstrated that nursing contributes to legacy building as a practice of spiritual and symbolic care, where listening, presence, and intention are instruments of healing and transcendence. The nurse's role is seen as a catalyst for intentional and compassionate care, centered on the person, which embraces their story, respects their values, and dignifies their existence.
Experiencing a serious, progressive, life-limiting illness leads to psychosocial and existential challenges, where the lack of meaning, purpose, and purpose in life can pose a threat to a person's dignity. Creating a legacy allows a person to maintain their identity, recognize their journey and achievements, and achieve something that survives their own death, contributing to the reduction of existential and psychosocial suffering. For family members/caregivers, it facilitates the grieving process. Therefore, the objective of this integrative review was to synthesize Nursing's contributions to building a legacy in Palliative Care, considering the emotional, spiritual, relational, and symbolic dimensions of legacy practice. To achieve this objective, the MEDLINE Complete, CINAHL Complete, eBook Nursing Collection, eBook Collection, eBook Medical Collection, and PubMed databases were used, and 13 articles were included. The theoretical framework used as the basis for this study was Jean Watson's Theory of Human Caring, which identified three major dimensions of nursing's contributions to legacy building: intrapersonal, relational-transpersonal, and spiritual-existential. The studies demonstrated that nursing contributes to legacy building as a practice of spiritual and symbolic care, where listening, presence, and intention are instruments of healing and transcendence. The nurse's role is seen as a catalyst for intentional and compassionate care, centered on the person, which embraces their story, respects their values, and dignifies their existence.
Descrição
Palavras-chave
Enfermagem Cuidados paliativos Assitência terminal Fim de vida Legado Nursing Palliative care Terminal care End of life Legacy
Contexto Educativo
Citação
Editora
Associação Nacional de Gerontologia Social