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Barreiras que influenciam as atitudes dos enfermeiros face aos cuidados paliativos na unidade de cuidados intensivos neonatais :
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Abstract(s)
Objetivo: Identificar as barreiras que influenciam as atitudes dos enfermeiros face aos cuidados paliativos na unidade de cuidados intensivos neonatais. Introdução: Os enfermeiros neonatais desempenham um papel crucial no cuidado ao recém-nascido que sofre de uma doença crónica complexa ou que se encontra em fim de vida e necessita de cuidados paliativos. Na unidade de cuidados intensivos neonatais, a implementação dos cuidados paliativos é inconsistente devido à existência de barreiras que influenciam as atitudes dos enfermeiros perante a necessidade de tomar decisões relacionadas com o fim
de vida dos recém-nascidos ou a suspensão de tratamentos curativos. Método: De acordo com a metodologia indicada pelo Joanna Briggs Institute, e o PRISMA-ScR como lista de verificação complementar, esta revisão scoping foi realizada em três fases e foram pesquisados em 10 bases de dados estudos primários, revisões sistemáticas e meta-análises, em inglês, português, francês e espanhol entre 2016 a 2021. Os dados obtidos através do processo de extração foram reunidos numa tabela, e incluíram as características dos estudos, a população envolvida e os principais achados relacionados com as barreiras que influenciam as atitudes dos enfermeiros face à prestação dos cuidados paliativos na unidade de neonatologia, e os instrumentos utilizados para avaliar essas atitudes. Resultados: Dezasseis estudos preencheram os critérios de inclusão. As principais barreiras identificadas pelos estudos estão relacionadas com a ausência de formação em cuidados paliativos, dificuldade de comunicação com os pais e entre profissionais de saúde, e ausência de políticas relacionadas com a prestação de cuidados paliativos neonatais. A entrevista semiestruturada foi o instrumento mais comum e amplamente utilizado para estudos qualitativos. Os questionários foram selecionados para estudos quantitativos, sendo a NiPCAS o mais utilizado na UCIN.
Conclusão: As barreiras que influenciam as atitudes dos enfermeiros na implementação dos cuidados paliativos neonatais estão identificadas pela literatura científica, no entanto os cuidados permanecem inconsistentes. A definição de estratégias de formação e políticas organizacionais pode reduzir o impacto das barreiras enfrentadas pelos enfermeiros neonatais na prestação de cuidados paliativos.
ObjectivesTo identify the barriers that influence nurses' attitudes towards palliative care in the neonatal intensive care unit.BackgroundNeonatal nurses play a crucial role in caring for the newborn suffering from a complex chronic illness or who is at the end of life and needs palliative care. In the neonatal intensive care unit, the implementation of palliative care is inconsistent due to the existence of barriers that influence nurses' attitudes when faced with the need to make decisions related to newborns’ end-of-life or the suspension of curative treatments. MethodsFollowing the methodology designated by the Joanna Briggs Institute and the PRISMA-ScR as a complementary checklist, this scoping review was conducted in three phases and 10 databases were searched for relevant primary research studies, systematic reviews and meta-analyses, in English, Portuguese, French, and Spanish from 2016 to 2021. The data obtained through the extraction process were gathered in a table, and included the study characteristics, the population involved, the key findings related to the barriers influencing the nurses' attitudes towards the provision of palliative care in the neonatal unit and the instruments used to assess those attitudes. ResultsSixteen studies met the inclusion criteria. The main barriers identified by the studies arerelated to the absence of training in palliative care, difficulty in communication with parents and between health professionals, and the absence of policies related to the provision of neonatal palliative care. The semi-structured interview has been the most common and widely used instrument for qualitative studies. Questionnaires were selected for quantitative studies, with the NiPCAS being the most commonly used in the NICU. ConclusionThe barriers influencing nurses' attitudes towards the implementation of neonatal palliative care are identified by the scientific literature, however care remains inconsistent. The definition of training strategies and organizational policies can reduce the impact of barriers faced by neonatal nurses in the provision ofpalliative care
ObjectivesTo identify the barriers that influence nurses' attitudes towards palliative care in the neonatal intensive care unit.BackgroundNeonatal nurses play a crucial role in caring for the newborn suffering from a complex chronic illness or who is at the end of life and needs palliative care. In the neonatal intensive care unit, the implementation of palliative care is inconsistent due to the existence of barriers that influence nurses' attitudes when faced with the need to make decisions related to newborns’ end-of-life or the suspension of curative treatments. MethodsFollowing the methodology designated by the Joanna Briggs Institute and the PRISMA-ScR as a complementary checklist, this scoping review was conducted in three phases and 10 databases were searched for relevant primary research studies, systematic reviews and meta-analyses, in English, Portuguese, French, and Spanish from 2016 to 2021. The data obtained through the extraction process were gathered in a table, and included the study characteristics, the population involved, the key findings related to the barriers influencing the nurses' attitudes towards the provision of palliative care in the neonatal unit and the instruments used to assess those attitudes. ResultsSixteen studies met the inclusion criteria. The main barriers identified by the studies arerelated to the absence of training in palliative care, difficulty in communication with parents and between health professionals, and the absence of policies related to the provision of neonatal palliative care. The semi-structured interview has been the most common and widely used instrument for qualitative studies. Questionnaires were selected for quantitative studies, with the NiPCAS being the most commonly used in the NICU. ConclusionThe barriers influencing nurses' attitudes towards the implementation of neonatal palliative care are identified by the scientific literature, however care remains inconsistent. The definition of training strategies and organizational policies can reduce the impact of barriers faced by neonatal nurses in the provision ofpalliative care
Description
Keywords
Atitudes Barreiras Unidade de terapia intensiva Neonatal Enfermeiro Cuidados paliativos
Citation
Sousa, F. P., & Curado, M. A. S. (2023). Barreiras que influenciam as atitudes dos enfermeiros face aos cuidados paliativos na unidade de cuidados intensivos neonatais: revisão scoping. Pensar Enfermagem, 27(1), 5–15. https://doi.org/10.56732/pensarenf.v27i1.200
Publisher
ESEL