Willfulness therapeutic under reference bioethical vulnerability the practice nursing

DOI: 10.15343/0104-7809.20164003382389

Abstract

The technology triggers bioethical dilemmas, including the therapeutic obstinacy, and face these dilemmas, nurses
prioritize technological advances to reflective knowledge. The aim of this research was to understand the perception
of the ICU nurse about therapeutic obstinacy in the light of bioethical term vulnerability. As a method, we used the
descriptive research, analysis of Bardin content, with fourteen graduate students of the Specialization Course of
a private institution of higher education who worked in the ICU for more than a year after approval by the Ethics
Committee research and interviewed. As a result, there was obtained two categories: lack concept; positioning, with
five subcategories: passivity in the face of medical decision, difficulty facing the terminal illness; negatively realizing
the therapeutic obstinacy, feelings towards the terminally young child, recognizing the role of the nurse in relation
to terminally. Ignorance of therapeutic obstinacy influences the vulnerability of nurses to experience such a situation
probably was not prepared for the undergraduate and graduate levels, especially when those involved are young people
or children. They are also unprepared to recognize when the patient’s recovery is rather to technology, requiring
multidisciplinary consensus. Nurses recognize the need for pain control, reduced suffering and promote dignity. Finally,
evidence of the need for inclusion of bioethical issues in nursing education, it identifies that these do not know the
concept of therapeutic obstinacy, but recognize the prolongation of the dying process as negative, especially when
they are involved young, still yes, they recognize their role in terminally. Prepare the nurse since graduation, to handle
terminal situations will enable a more adequate nursing care, with less suffering of those involved.