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Advisor(s)
Abstract(s)
O presente artigo tem como objetivo caracterizar o
processo de tomada de decisão de não reanimar
nas Equipas de Emergência Médica Intrahospitalares,
elegendo como ponto nuclear de
pesquisa o papel do enfermeiro, do doente e/ou
família neste processo, bem como as diretivas
antecipadas de vontade, que benefícios/
implicações na tomada de decisão.
Para a realização deste estudo de investigação
recorreu-se à revisão sistemática da literatura, com
o horizonte temporal de janeiro de 2005 a
novembro de 2015. Para a seleção dos artigos foram
definidos critérios de inclusão e exclusão bem
como, descritores de pesquisa, utilizando o método
PICOD. Pesquisando a partir de bases de dados de
texto integral e de referência, foram incluídos 9
artigos dos quais 2 de natureza qualitativa e 7 de
natureza quantitativa.
Com este trabalho ficou explicita a necessidade de
definir normas de orientação, para que os
profissionais de saúde tenham clara noção do
referencial de atuação ética e legal em doentes
terminais, implementando boas práticas no que se
refere à suspensão ou abstenção de tratamentos
desproporcionados. As decisões antecipadas de
vontade (a seu comunicação deve ser semelhante
ao consentimento informado) e o envolvimento dos
enfermeiros nessas decisões devem ser incluídos.
Só desta forma a Decisão de Não Reanimar (DNR) é
considerada uma prática digna, enquadrada na
visão da ortotanásia.
ABSTRACT: This paper main goal is to describe the do not resuscitate process in which Hospital Emergency Medical Teams are involved. The aim of this research is to understand the role of the nurse and the patient and/or family, as well to know the implications that advance healthcare directives have on decision making. This research is the result of a systematic review of the literature, with the time frame form January 2005 to November 2015. For the selection of items it were established inclusion and exclusion criteria as well research descriptors using the PICOD method. The search was performed in data bases of full text and reference data. It were found 9 papers of which 1 was of qualitative research and 7 of quantitative research. With this systematic review of the literature it was found that healthcare professionals need to have an ethical and legal framework in which they can resort before engaging life saving procedures. This document should include advance healthcare directives and the foundations in which nurses take part of the do not resuscitate decision making.
ABSTRACT: This paper main goal is to describe the do not resuscitate process in which Hospital Emergency Medical Teams are involved. The aim of this research is to understand the role of the nurse and the patient and/or family, as well to know the implications that advance healthcare directives have on decision making. This research is the result of a systematic review of the literature, with the time frame form January 2005 to November 2015. For the selection of items it were established inclusion and exclusion criteria as well research descriptors using the PICOD method. The search was performed in data bases of full text and reference data. It were found 9 papers of which 1 was of qualitative research and 7 of quantitative research. With this systematic review of the literature it was found that healthcare professionals need to have an ethical and legal framework in which they can resort before engaging life saving procedures. This document should include advance healthcare directives and the foundations in which nurses take part of the do not resuscitate decision making.
Description
Keywords
Processo de decisão de não reanimar DNR Diretivas antecipadas de vontade Papel do enfermeiro, doente e família Ética Process decision not to resuscitate DNR Advance directives of will Role of the nurse, patient and familie Ethics
Citation
RAMOS, Vânia; SAPETA, Paula (2016) - Equipa de emergência médica intra-hospitalar: processo de decisão de não reanimar. IPCB.ESALD. 30 p.