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Abstract(s)
A Comunicação é importante para a relação que se estabelece entre o cuidador e os
pais/criança. Consoante o estadio de desenvolvimento, as crianças/adolescentes tem
diferentes ideias sobre o conceito da morte, por isso, o discurso deve ser adaptado às suas
necessidades e capacidade de compreensão. Os pais negam e recusam contar a verdade,
mas as crianças sabem quando vão morrer, e acabam por escondê-lo dos seus pais por
receio de os magoarem. Este foi o enquadramento e o tema do estudo.
Perante esta problemática, e ao reconhecermos a importância da comunicação com
a criança em fim de vida, e por sentirmos necessidade de quebrar esta barreira,
desenvolvemos um estudo
elaboramos os seguintes objectivos: identificar as
dificuldades dos enfermeiros em falar sobre morte com a criança em fim de vida, quais as
suas estratégias e como respondem quando confrontados pelas crianças.
Considerando os objectivos, a metodologia utilizada foi qualitativa suportada pela
análise de conteúdo. Foram entrevistados 6 enfermeiros do serviço de Pediatria de um
hospital, em Lisboa. O instrumento de colheita de dados utilizado, foi a entrevista semiestruturada.
A partir da análise dos achados, podemos concluir que as dificuldades sentidas pelos
enfermeiros, em falar sobre morte com a criança em fim de vida são: falar com os pais; a
idade das crianças; o falar sobre a morte; a falta de formação e dificuldades emocionais. Na
resposta ao segundo objectivo, as estratégias referidas foram: trabalho em equipa,
comunicação e formação. As sugestões, como forma de resposta ,
passam por: devolver a pergunta; contornar a questão; a relação com a criança/família.
Os resultados mostram sobretudo, a importância da preparação e da formação para uma
boa comunicação, com a criança em fim de vida.
is important to the relationship established between the caregiver and the parent/child. Depending on the stage of development, children/teens have different ideas about the concept of death, so the speech should be adapted to their needs and ability to understand. Parents deny and refuse to tell the truth, but the children know when they will die, and eventually hide it from their parents for fear of hurting them. Faced with this problem, we had to recognize the importance of communication with the child at the end of life, and due to the need of break this barrier, we developed a study based on the question "how nurses talk about death with a child at the end of life" and prepared the following objectives: identify nurses difficulties talking about death with a child at the end of life, their strategies and how they respond when confronted by children. Considering the objectives, the methodology used was qualitative, supported by content analysis. Six nurses from the Pediatric Service of an Lisbon hospital, were interviewed. The data collection instrument used was a semi - structured interview. From the analysis of the findings, we conclude that the nurses difficulties talking about death with a child at the end of life are: speaking with the parents; the age of the children; talk about death; lack of training and emotional difficulties. In response to the second objective, the strategies mentioned were: teamwork, communication and training. The suggestions, as a way to m going to die?" pass for: return the question; skirting the issue, the relationship with the child/family. The above results show the importance of preparation and training for good communication with the child at the end of life.
is important to the relationship established between the caregiver and the parent/child. Depending on the stage of development, children/teens have different ideas about the concept of death, so the speech should be adapted to their needs and ability to understand. Parents deny and refuse to tell the truth, but the children know when they will die, and eventually hide it from their parents for fear of hurting them. Faced with this problem, we had to recognize the importance of communication with the child at the end of life, and due to the need of break this barrier, we developed a study based on the question "how nurses talk about death with a child at the end of life" and prepared the following objectives: identify nurses difficulties talking about death with a child at the end of life, their strategies and how they respond when confronted by children. Considering the objectives, the methodology used was qualitative, supported by content analysis. Six nurses from the Pediatric Service of an Lisbon hospital, were interviewed. The data collection instrument used was a semi - structured interview. From the analysis of the findings, we conclude that the nurses difficulties talking about death with a child at the end of life are: speaking with the parents; the age of the children; talk about death; lack of training and emotional difficulties. In response to the second objective, the strategies mentioned were: teamwork, communication and training. The suggestions, as a way to m going to die?" pass for: return the question; skirting the issue, the relationship with the child/family. The above results show the importance of preparation and training for good communication with the child at the end of life.
Description
Keywords
Comunicação Criança Fim de vida Communication Children End-of-life