Dilemas éticos: a percepção de enfermeiros de instituições de medicina diagnóstica. / Ethical dilemmas: the nurse’s perception from institutions of medicine diagnostic.

AUTOR(ES)

Viviane Barrere Martin Taffner

DATA DE PUBLICAÇÃO

2005

RESUMO

This study tried to reveal the ethical dilemmas in wich nurses from institutions of medicine diagnostic live every day, and what they consider when they make a decision. To understand the nurse’s experience in this context, I chose the qualitative analysis, according to phenomenological orientation in which there is the modality “structure of the phenomenon situated”. Nine interviews were realized with two guiding questions: “In your ordinary day, do you identify situations involving ethical dilemmas? Speak about your experience.” and “In front of an ethical dilemma, what do you take into consideration for making a decision?” After describing the speeches, there was an ideographic analysis in which apperead seven themes: “(No) Acknowledgement of the existence of ethical dilemmas”; “Lack of professional autonomy”; “Professional (de) valuation”; “Factors involved in making decision”; “Humanization in the relationship with the team and the customer”; “Ethical attitude” and “Valuation of the tecnique dimension”. The nomothetic analysis was in order to show the convergences and divergences of the units of meaning interpreted, with the purpose of understanting the general structure of the phenomenon. With the propositions it was possible to unveil that the ethical dilemmas in Medicine Diagnostic are perceived like situations created by costumer, family professionals and institution. The nurses make a decisions by regarding the participation of people involved in the situation, analyse the cost-benefit of an action for the customer, humanize their actions, in their beliefs, respect the institucional hierarchy and look for a medical opinion when they feel insecurity. The only decide to change a routine when there are resources at work. Other factors are also considered for making a decision: execute rules and behaviours inside the company, be impartial and humane with the nursing team and the customer and identify what is right and wrong to know how to make a correct decision in an ethic situation.

ASSUNTO(S)

ethic laboratories dilemmas laboratórios nurses dilemas enfermeiros Ética

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