Nurses defending the autonomy of the elderly at the end of life

ABSTRACT Objective: to understand how nurses deal with the elderly’s autonomy at the end of life. Method: qualitative, exploratory study, guided by the Grounded Theory. Ten nurses, eight doctors and 15 nursing technicians were interviewed between November 2016 and May 2017 at a university hospital...

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Main Authors: Rafael Barroso Gaspar, Marcelle Miranda da Silva, Karen Gisela Moraes Zepeda, Ítalo Rodolfo Silva
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2019-10-01
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000601639&tlng=en
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author Rafael Barroso Gaspar
Marcelle Miranda da Silva
Karen Gisela Moraes Zepeda
Ítalo Rodolfo Silva
author_facet Rafael Barroso Gaspar
Marcelle Miranda da Silva
Karen Gisela Moraes Zepeda
Ítalo Rodolfo Silva
author_sort Rafael Barroso Gaspar
collection DOAJ
description ABSTRACT Objective: to understand how nurses deal with the elderly’s autonomy at the end of life. Method: qualitative, exploratory study, guided by the Grounded Theory. Ten nurses, eight doctors and 15 nursing technicians were interviewed between November 2016 and May 2017 at a university hospital in Rio de Janeiro/Brazil. Results: nurses deal with the elderly’s autonomy in compliance with the code of ethics and exercise leadership in actions and interactions to defend this right, evaluating, guiding and listening to the preferences of the elderly; interacting with the family; and sharing information with the health team. Final considerations: the elderly’s autonomy must be ensured in care planning, based on patient-centered communication and developed in the interaction among agents involved in care. The discussion on “Living Wills” Health Care Directives and principles of palliative care must be encouraged.
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spelling doaj.art-b9c77c8f337f42129f75015a25f1378b2022-12-22T04:13:19ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462019-10-017261639164510.1590/0034-7167-2018-0768Nurses defending the autonomy of the elderly at the end of lifeRafael Barroso Gasparhttps://orcid.org/0000-0002-1042-3096Marcelle Miranda da Silvahttps://orcid.org/0000-0003-4872-7252Karen Gisela Moraes Zepedahttps://orcid.org/0000-0001-8390-3579Ítalo Rodolfo Silvahttps://orcid.org/0000-0002-2882-1877ABSTRACT Objective: to understand how nurses deal with the elderly’s autonomy at the end of life. Method: qualitative, exploratory study, guided by the Grounded Theory. Ten nurses, eight doctors and 15 nursing technicians were interviewed between November 2016 and May 2017 at a university hospital in Rio de Janeiro/Brazil. Results: nurses deal with the elderly’s autonomy in compliance with the code of ethics and exercise leadership in actions and interactions to defend this right, evaluating, guiding and listening to the preferences of the elderly; interacting with the family; and sharing information with the health team. Final considerations: the elderly’s autonomy must be ensured in care planning, based on patient-centered communication and developed in the interaction among agents involved in care. The discussion on “Living Wills” Health Care Directives and principles of palliative care must be encouraged.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000601639&tlng=enNursingPersonal AutonomyHospice CareAged RightsChronic DdiseaseHospitalization
spellingShingle Rafael Barroso Gaspar
Marcelle Miranda da Silva
Karen Gisela Moraes Zepeda
Ítalo Rodolfo Silva
Nurses defending the autonomy of the elderly at the end of life
Revista Brasileira de Enfermagem
Nursing
Personal Autonomy
Hospice Care
Aged Rights
Chronic Ddisease
Hospitalization
title Nurses defending the autonomy of the elderly at the end of life
title_full Nurses defending the autonomy of the elderly at the end of life
title_fullStr Nurses defending the autonomy of the elderly at the end of life
title_full_unstemmed Nurses defending the autonomy of the elderly at the end of life
title_short Nurses defending the autonomy of the elderly at the end of life
title_sort nurses defending the autonomy of the elderly at the end of life
topic Nursing
Personal Autonomy
Hospice Care
Aged Rights
Chronic Ddisease
Hospitalization
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000601639&tlng=en
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