Sentimentos vivenciados pela equipe de enfermagem em cuidados paliativos por câncer

Abstract

Palliative care is considered integral care for patients whose disease no longer responds to the so-called curative treatment. It is a differentiated approach to care that aims to improve the quality of life of patients, their families and friends, through the relief of physical, psychological, social and spiritual suffering. The aim of this study was to analyze the feelings experienced by the nursing team that assists cancer patients in palliative care. This is an exploratory and descriptive study with a qualitative approach. Eight focus groups were held, which took place between June and July 2018, totaling the participation of 37 members of the nursing team, who develop their work activities in the oncology ward. from a university hospital. A semi-structured questionnaire was used, containing closed questions about the sociodemographic variables related to the interviewees, their formation and team functions; After completing the questionnaire, focus groups were conducted on the feelings experienced by the nursing staff regarding terminal patient care. The analysis was performed according to Bardin's thematic content analysis technique, adapted by Minayo. Data were transcribed and transported to Atlas-ti software, version 8.4.16.0, which implemented the pre-analysis and material exploration steps, coding the material and organizing it into categories and subcategories, so that it could be done. thereafter the treatment of the results. The following categories emerged: “Work in Oncology”; “Feeling prepared to deal with cancer patients in palliative care”; “Feelings of nursing caring for patients in palliative cancer care”: “Interference of feelings in patient care in palliative cancer care”; "Organizational factors that intensify the feelings of the professional." The results showed that the nursing staff needs technical and emotional preparation to deal with patients in palliative cancer care. This preparation does not yet exist in the team in question, having been initiated by the service the technical preparation in palliative care, but still no proposal regarding emotional care with the professional, which would reduce the suffering caused by dealing with patients at the end of life and would improve patient and family care. Thus, it is concluded that the permanent care with patients in palliative care, reveal feelings of anguish, frustration and suffering, which are expressed by the fact that they feel helpless and unprepared to care in terminality. For comprehensive patient care to be possible, the involvement of a multidisciplinary team is necessary, with nursing professionals being the key actors in this process, as they are the ones who take care of the patient full time, sharing their needs and pains. Based on the findings of this research, an extension project is proposed as a proposal for the implementation of continuing education entitled: “integrative practices promoting the health of nursing workers in palliative care” with effective interaction and technical cooperation between Onofre Lopes University Hospital and Escola de Health of the Federal University of Rio Grande do Norte aimed at nursing professionals who deal with the care of cancer patients in palliative care. The School of Health, through the course of massage therapy presents itself as an active learning scenario, as it provides the acquisition of fundamental knowledge and skills by stimulating the use of these integrative therapies in a rational, safe, effective and quality way. However, it is necessary to strengthen the practice of care for nursing professionals through integrative practices, in order to consolidate nursing care in quality palliative care, committed to the real needs of the Unified Health System.