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Advisor(s)
Abstract(s)
A presente tese resultou do estudo realizado com o propósito da obtenção do grau de doutor em enfermagem, na Universidade Católica Portuguesa. Incide sobre a decisão ética em enfermagem, definindo o conceito de problema ético de enfermagem, enunciando as fases de construção da decisão ética e significando os fundamentos utilizados pelos enfermeiros no seu agir profissional.
O estudo parte de dois problemas de investigação, a saber, o que constitui problema ético na prática clínica de enfermagem e como é que os enfermeiros constroem a decisão ética para resolver esses problemas. Destes problemas resultaram três questões de investigação: o que constitui problema ético de enfermagem; de que forma os enfermeiros constroem a decisão ética de enfermagem e por fim, quais os fundamentos utilizados pelos enfermeiros, na sua prática clínica, para suportarem a construção da decisão ética de enfermagem. As questões de investigação formuladas deram origem a três objetivos, a saber, definir o conceito de problema ético de enfermagem; descrever a construção da decisão ética de enfermagem e ainda, significar os fundamentos da construção da decisão ética de enfermagem. Para estes objetivos desenhou-se um estudo de abordagem qualitativa, exploratório e descritivo, com recurso à entrevista como método de recolha de dados e a utilização da análise de conteúdo para a sua análise.
A tese, elaborada sob orientação da Sra. Professora Doutora Lucília Nunes, inclui um enquadramento apriorístico do estudo (Parte I), onde se identifica o conhecimento atual na área da decisão ética de enfermagem, se sintetiza a ancoragem teórica de referência e se situa o campo epistemológico escolhido. Ancoramo-nos em Aristóteles, Kant e Paul Ricoeur quanto à decisão ética e em Lucília Nunes e Margarida Vieira na ligação da ética à enfermagem. Tendo em conta o contexto problemático e metodológico do estudo, situamo-nos no pos-modernismo enquanto campo epistemológico de referência.
A uma clarificação da metodologia utilizada do estudo (Parte II), segue-se a apresentação dos resultados na Parte III. A parte IV é destinada à teorização da decisão ética de enfermagem, discutindo os resultados do estudo com os referenciais teóricos adotados.
Como principais conclusões, relevamos a definição do conceito de problema ético de enfermagem, enquanto incerteza face à escolha das intervenções a realizar pelo enfermeiro, a natureza não processual da construção da decisão ética de enfermagem e uma predominância da utilização de fundamentos éticos para esta decisão. Como propostas futuras, este estudo sugere o aprofundamento da investigação na área de ligação entre a decisão clínica e a decisão ética de enfermagem.
This thesis resulted from a study conducted for the purpose of obtaining a doctoral degree in nursing at Catholic University. It focuses on the ethical decision in nursing, defining the concept of nursing ethical problem by setting out the stages of decision making and ethical meaning the grounds used by nurses in their professional action. The study explores two research problems, namely what constitutes an ethical problem in clinical nursing and how nurses construct the ethical choice to solve these problems. These problems resulted in three research questions: what constitutes ethical issues in nursing; how nurses construct the decision nursing ethics and finally, what are the grounds used by nurses in their clinical practice, to support the construction of ethical decision nursing. The research questions formulated led to three goals, namely to define the concept of ethical issues in nursing, to describe the construction of nursing and ethical decision also means building the foundations of ethical decision nursing. For these goals drew up a qualitative study, exploratory and descriptive, using the interview as a method of data collection and use of content analysis to the analysis. The thesis, prepared under the guidance of the Professor Lucilia Nunes, includes a priori framework of the study (Part I), which identifies the current knowledge in the field of nursing ethics decision, if synthesizes the theoretical grounding of reference and is situated epistemological field chosen. Leaning in Aristotle, Kant and Paul Ricoeur on the decision in ethical and in Lucilia Nunes, and in Margarida Vieira on the link to nursing ethics. Having regard to the problematic context and methodology of the study, are located within postmodernism as an epistemological field of reference. The clarification of the methodology of the study (Part II), followed by the presentation of results in Part III. Part IV is devoted to theorizing the decision nursing ethics, discussing the study results with the theoretical frameworks adopted. As main conclusions, we highlight the definition of ethical issues in nursing, while uncertainty over the choice of interventions to be undertaken by nurses, not the nature of the construction of procedural decision nursing ethics and a predominant use of ethical foundations for this decision. As future proposals, this study suggests further research in the area of connection between the clinical decision and the decision of nursing ethics.
This thesis resulted from a study conducted for the purpose of obtaining a doctoral degree in nursing at Catholic University. It focuses on the ethical decision in nursing, defining the concept of nursing ethical problem by setting out the stages of decision making and ethical meaning the grounds used by nurses in their professional action. The study explores two research problems, namely what constitutes an ethical problem in clinical nursing and how nurses construct the ethical choice to solve these problems. These problems resulted in three research questions: what constitutes ethical issues in nursing; how nurses construct the decision nursing ethics and finally, what are the grounds used by nurses in their clinical practice, to support the construction of ethical decision nursing. The research questions formulated led to three goals, namely to define the concept of ethical issues in nursing, to describe the construction of nursing and ethical decision also means building the foundations of ethical decision nursing. For these goals drew up a qualitative study, exploratory and descriptive, using the interview as a method of data collection and use of content analysis to the analysis. The thesis, prepared under the guidance of the Professor Lucilia Nunes, includes a priori framework of the study (Part I), which identifies the current knowledge in the field of nursing ethics decision, if synthesizes the theoretical grounding of reference and is situated epistemological field chosen. Leaning in Aristotle, Kant and Paul Ricoeur on the decision in ethical and in Lucilia Nunes, and in Margarida Vieira on the link to nursing ethics. Having regard to the problematic context and methodology of the study, are located within postmodernism as an epistemological field of reference. The clarification of the methodology of the study (Part II), followed by the presentation of results in Part III. Part IV is devoted to theorizing the decision nursing ethics, discussing the study results with the theoretical frameworks adopted. As main conclusions, we highlight the definition of ethical issues in nursing, while uncertainty over the choice of interventions to be undertaken by nurses, not the nature of the construction of procedural decision nursing ethics and a predominant use of ethical foundations for this decision. As future proposals, this study suggests further research in the area of connection between the clinical decision and the decision of nursing ethics.