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Texto & Contexto. ISSN:0104-0707 2017 v26n3 r26331p

ARTIGO ORIGINAL

Advocacia do paciente na enfermagem: barreiras, facilitadores e possÍveis implicações*

Jamila Geri Tomaschewski-Barlem,¹ Valéria Lerch Lunardi,² Edison Luiz Devos Barlem,³ Rosemary Silva da Silveira,⁴ Aline Marcelino Ramos,⁵Diéssica Roggia Piexak⁶¹Doutora em Enfermagem. Docente do Programa de Pós-Graduação em Enfermagem da Universidade Federal do Rio Grande (FURG). Rio Grande, Rio Grande do Sul, Brasil. E-mail: jamila_tomaschewski@hotmail.com ²Doutora em Enfermagem. Docente do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: vlunardi@terra.com.br ³Doutor em Enfermagem. Docente do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: ebarlem@gmail.com ⁴Doutora em Enfermagem. Docente do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: anacarol@mikrus.com.br ⁵Mestranda do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: aline-ramos-@hotmail.com ⁶Doutoranda do PPGEnf/FURG. Rio Grande, Rio Grande do Sul, Brasil. E-mail: diessicap@yahoo.com.br

*Artigo extraído da tese - O exercício da advocacia do paciente pelos enfermeiros: uma perspectiva foucaultiana, defendida no Programa de Pós-Graduação em Enfermagem (PPGEnf) da Universidade Federal do Rio Grade (FURG), em 2014

Recebido: 24 de março de 2015
Aprovado: 03 de dezembro de 2015

Cómo citar este documento

Tomaschewski-Barlem, Jamila Geri; Lunardi, Valéria Lerch; Barlem, Edison Luiz Devos; Silveira, Rosemary Silva da; Ramos, Aline Marcelino; Piexak, Diéssica Roggia.Advocacia do paciente na enfermagem: barreiras, facilitadores e possÍveis implicações. Texto Contexto Enferm, jul-sep 2017, 26(3). Disponible en <https://www.index-f.com/textocontexto/2017/26331p.php> Consultado el

Resumo

Objetivo: realizar uma reflexão acerca das barreiras, facilitadores e possíveis implicações do exercício da advocacia do paciente pelos enfermeiros. Resultados: essa reflexão resulta de uma leitura minuciosa da literatura internacional acerca da advocacia do paciente, acrescida de estudos nacionais e internacionais acerca do sofrimento moral e suas relações com o exercício da advocacia. Conclusão: as barreiras diante do exercício da advocacia do paciente são notórias, pautando-se na própria estrutura organizacional das instituições de saúde e nas relações de poder entre equipes médica e de enfermagem, desafiando e desencorajando os enfermeiros a agirem de acordo com seus conhecimentos e consciências, implicando, muitas vezes, em situações reconhecidas como de sofrimento moral.
Descritores: Advocacia em saúde/ Enfermagem/ Ética em enfermagem.

Resumen
Defensa del paciente en enfermerÍa: barreras, facilitadores y las posibles implicaciones

Objetivo: realizar una reflexión sobre las barreras, facilitadores y las posibles consecuencias del ejercicio de la defensa de los pacientes por enfermeras. Resultados: esta reflexión resulta de una lectura exhaustiva de la literatura internacional en defensa de los pacientes, como estudios nacionales e internacionales acerca de la angustia moral y su relación con la práctica de la defensa de los pacientes. Conclusión: los obstáculos al ejercicio de la defensa de los pacientes son notorios, basándose en la estructura organizativa de las instituciones de salud y de las relaciones de poder entre los equipos de médicos y enfermeros, desafiando y desencorajando los enfermeras para actuar de acuerdo con sus conocimientos y conciencia, resultando a menudo en situaciones consideradas como sufrimiento moral.
Descriptores: Defensa de la salud/ Enfermería/ Ética en enfermería.

Abstract
Patient advocacy in nursing: barriers, facilitators and possible implications

Objective: to promote reflection upon the barriers, facilitators and potential implications of patient advocacy on the part of nurses. Results: this reflection results from a thorough reading of the international literature addressing patient advocacy along with Brazilian and international studies addressing moral distress and its relationship with patient advocacy. Conclusion: the barriers imposed on patient advocacy are well-known and such constraints are based on the organizational structure of health institutions and power relationships established between doctors and nurses, challenging and discouraging nurses from acting in accordance with their knowledge and conscience, often leading to a condition known as moral distress.
Descriptors: Health advocacy/ Nursing/ Nursing; ethics.

Referências

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