| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.17 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Com este estudo percebemos de forma mais aprofundada a participação dos
enfermeiros no diagnóstico e planeamento de cuidados de enfermagem que se
relacionam com a dimensão espiritual do ser humano. Concretamente identificámos
os indicadores que estão presentes no processo de construção do diagnóstico de
”angústia espiritual” e as intervenções de enfermagem que poderão ser
implementadas num processo de cuidados de saúde.
As questões orientadoras do estudo estiveram relacionadas com o processo de
diagnóstico e com as intervenções específicas de enfermagem. A construção do
conhecimento foi realizada com o recurso a um período de observação e com a
implementação de estratégias de investigação-ação num serviço de internamento de
um hospital.
Foi considerado que a espiritualidade é uma misteriosa e complexa dimensão
da existência humana, que envolve aspetos na vida diária que são profundamente
pessoais e sensíveis, como a religião ou a filiação religiosa e é tão mais complexa
quanto mais envolve aspetos da vida na sua interligação com as crenças, os valores e a
cultura.
A espiritualidade vem dar significado a algumas interrogações humanas muito
ligadas aos valores, a estilos de vida, às crenças que se expressam em práticas
religiosas, a crenças da relação do ser humano com Deus, com a natureza, com a
beleza, com a arte e veio fornecer avanços importantes na compreensão de muitos
comportamentos individuais e coletivos.
Relativamente à identificação dos indicadores que estão na origem do processo
de construção do diagnóstico foram reforçadas as caraterísticas definidoras do
diagnóstico de angústia espiritual preconizado pela NANDA.
Foi identificado um conjunto de intervenções de enfermagem que os
enfermeiros sugerem como intervenção específica neste diagnóstico, tendo sido muito
valorizada a intervenção “escutar ou falar com o doente relativamente à sua situação
de doença”.
Verificamos a grande necessidade de formação inicial, contínua e avançada
nesta área de cuidados para podermos reforçar o significado e o sentido que os
enfermeiros podem atribuir à sua função na equipa de saúde.
In this study, we realize in depth, nurses involvement in diagnosis and planning of nursing care, which have a connection with the man’ spiritual dimension. Specifically, we identified the process of “spiritual distress” construction, and nursing interventions that can be implemented in the health care provision. Research guiding questions was addressed to the diagnosis process and also to nursing specifically interventions. Knowledge construction was performed, using an observation period and Action Research strategies at a hospital medical unit. It was found, that spirituality is a mysterious and complex dimension of human being, involving daily aspects which are deeply personal and sensitive, like religion or religious’ affiliation, and is so much more complex as involves interconnection with beliefs, values and culture. Spirituality gives meaning, to some human questions that are closely to human values, spiritual vision, some lifestyles, some beliefs about God and human being relationship, with nature, loveliness and art. Spirituality is also deeply nested in beliefs that are expressed in religious practices, in understanding roots and maintenance of social and religious communities, and it came to provide important advances, into the understanding process of many individual and collective behaviors’. Regarding the diagnosis construction process, it was identified and reinforced, the defining characteristics of the spiritual distress, which had been advocated by North American Nursing Diagnosis Association. It was mapped nursing interventions, suggested by nurses, that, in order to answer this diagnosis, underline “listen or speak with patient regarding to their disease condition” as the more important motion. We found as major outcome, some needs in nursing education, for initial and continued, such as for advanced levels, in order to enhance, meaning and sense that nurses can give to their mission in health care team.
In this study, we realize in depth, nurses involvement in diagnosis and planning of nursing care, which have a connection with the man’ spiritual dimension. Specifically, we identified the process of “spiritual distress” construction, and nursing interventions that can be implemented in the health care provision. Research guiding questions was addressed to the diagnosis process and also to nursing specifically interventions. Knowledge construction was performed, using an observation period and Action Research strategies at a hospital medical unit. It was found, that spirituality is a mysterious and complex dimension of human being, involving daily aspects which are deeply personal and sensitive, like religion or religious’ affiliation, and is so much more complex as involves interconnection with beliefs, values and culture. Spirituality gives meaning, to some human questions that are closely to human values, spiritual vision, some lifestyles, some beliefs about God and human being relationship, with nature, loveliness and art. Spirituality is also deeply nested in beliefs that are expressed in religious practices, in understanding roots and maintenance of social and religious communities, and it came to provide important advances, into the understanding process of many individual and collective behaviors’. Regarding the diagnosis construction process, it was identified and reinforced, the defining characteristics of the spiritual distress, which had been advocated by North American Nursing Diagnosis Association. It was mapped nursing interventions, suggested by nurses, that, in order to answer this diagnosis, underline “listen or speak with patient regarding to their disease condition” as the more important motion. We found as major outcome, some needs in nursing education, for initial and continued, such as for advanced levels, in order to enhance, meaning and sense that nurses can give to their mission in health care team.