Elaboração de um modelo de enfermagem em cuidados paliativos na atenção domiciliar.
Home nursing care for people in palliative care involves direct management and assistance, based on the theoretical and methodological principles and knowledge of the profession. The nursing care model offers a guiding framework for this assistance. This study aimed to develop a Nursing Care Mode...
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/30762 |
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| Resumo: | Home nursing care for people in palliative care involves direct management and
assistance, based on the theoretical and methodological principles and knowledge
of the profession. The nursing care model offers a guiding framework for this
assistance. This study aimed to develop a Nursing Care Model for people in
palliative care at home. A qualitative, convergent care research was carried out in
Natal, Rio Grande do Norte, Brazil. Nineteen nursing professionals participated in
the multidisciplinary teams of Home Care Services, selected for convenience. The
study was developed in four stages: 1) Insertion 2) Definition of the basic subsidies.
In this phase, it was realized: the configuration of theoretical subsidies through the
literature review and conceptual definitions; the identification of the profile of
people in palliative care in the services; the performance of the survey, data
collection that made immersibility possible; and the intersection of care and
research actions in the identification of the perception of nursing professionals
about the care for people in palliative care at home; 3) Analysis and Interpretation.
In this stage, the data was captured and synthesized, through the organizational
record and the Atlas Ti.1® software, culminating in the theorization of information
and the elaboration of a conceptual structure in the form of a model. 4) Transfer.
In this, a focus group was held with the participants to negotiate the proposal, in
order to merge into a coherent whole. Finally, attitudes of commitment,
transferability and dialogicity with the new knowledge and the use of the model as
a practical and reliable instrument of intervention in nursing care were encouraged.
The research was approved by the Research Ethics Committee of the Federal
University of Rio Grande do Norte, CAAE: 91773018.7.0000.5537. The study
elaborated the “Nursing Care Model for people in palliative care at home” based
on theoretical nursing concepts and its assistance methodology. The Model aims
to guide nursing professionals to provide systematic assistance to people in
palliative care in a comprehensive, interdisciplinary and humanized way, valuing
the centrality of the person and his family, in promoting quality of life and comfort
in the home environment. Caring for home care is a favorable moment for reflecting
on nursing know-how for people in palliative care and the role of nurses as an
articulator of care, educational and managerial actions among the health team. It
concludes the thesis that a model of nursing care based on comfort and quality of
life developed with nursing professionals working in home care represents a guide
to know-how in nursing in palliative care in this context |
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