Dificuldade de implantação da sistematização da assistência de enfermagem em cuidados paliativos: uma metassíntese da literatura

Abstract

It is the implementation of the Care System Nursing (ASN) through the Nursing Process (EP) that the nurse can use clinical reasoning and critical judgment to identify and survey of problems and help in choosing the best decision according to the needs real biopsychosocial-spiritual needs of clients and their families. OBJECTIVE: Recognize conditions involved in the implementation process of systematization in palliative care. METHOD: We used the evidence-based practice as a theoretical and methodological framework as metasynthesis. A search of studies was performed in: Virtual Health Library, which includes publications indexed in LILACS, SciELO, IBECS, COCHRANE and MEDLINE. The articles selected for the sample were classified according to their general characteristics from the criteria of the instrument Critical Appraisal Skills Programs, CASP. RESULTS: it was found that the model of care is based on illness and organized around medical specialties, the unpredictability, the uncertainties of life, the proximity of death, clinical instability of the client, and the multiplicity of patient problems and lack of control and power in the workplace and severity of caring for dying patients. DISCUSSION: the social action of the nurse is identified in SAE that is imperative for the critical evaluation of the relevance and importance of nursing work ahead to meet the basic human needs of health. CONCLUSION: it is necessary to reflect on the need to care for the person in palliative care.