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      O poder na relação enfermeiro-paciente: revisão integrativa Translated title: El poder en la relación enfermero-paciente: revisión integradora Translated title: The power in the nurse-patient relationship: integrative review

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          Abstract

          Visando descrever e analisar a produção de conhecimento acerca do poder nas relações de cuidado de enfermagem a pacientes internados, realizou-se busca em sete das principais bases de dados eletrônicas em saúde para embasar revisão integrativa de literatura. Conforme os critérios estabelecidos, 10 artigos publicados desde 2000 até setembro de 2015 foram selecionados. A análise mostrou que o conhecimento científico e as normas e rotinas hospitalares são instrumentos de exercício de poder que podem violar a identidade da pessoa ao transformá-la em paciente. Entretanto, alguns estudos revelaram que profissionais de enfermagem nem sempre se dão conta de que exercem poder sobre pacientes, argumentando que agem conforme as necessidades de cuidado diagnosticadas, prescrevendo intervenções que, embora resolutivas, nem sempre são pactuadas com os enfermos. Em suma, esses profissionais precisam refletir sobre seus processos de trabalho, concentrando-se no cuidado e na autonomia do paciente.

          Translated abstract

          Resumen Con el propósito de describir y analizar la producción del conocimiento acerca del poder en las relaciones de cuidado de enfermería con pacientes internados, se realizó una revisión integrativa de la literatura mediante una búsqueda en siete de las principales bases de datos electrónicos en salud. Conforme a los criterios establecidos se seleccionaron 10 artículos publicados desde el año 2000 hasta septiembre de 2015. El análisis de éstos evidenció que el conocimiento científico y las normas y rutinas hospitalarias son instrumentos de ejercicio de poder que acaban violando la identidad de la persona transformándola en paciente. Sin embargo, los estudios revelaron que los profesionales de enfermería no siempre se perciben ejerciendo poder sobre los pacientes, argumentando que actúan conforme a las necesidades de cuidado diagnosticadas, prescribiendo intervenciones, no siempre pactadas con ellos, sino resolutivas. En suma, los profesionales de enfermería necesitan reflexionar sobre sus procesos de trabajo para percibirse como profesionales de cuidado y garantizar el espacio para la autonomía.

          Translated abstract

          Abstract An integrative literature review was performed by searching seven of the main electronic health databases order to describe and analyse the production of knowledge about the power in nursing care relationships to hospitalised patients. According to the established criteria, 10 articles were selected from the year 2000 to September 2015. The analysis of these data evidenced that the scientific knowledge and the hospital routines and norms are instruments of exercise of power that end up violating the identity of the person who is transformed into a patient. However, the studies revealed that nursing professionals do not always perceive themselves as exercising power over patients, arguing that they act according to the needs diagnosed care, prescribing interventions, not always agreed with the patients, but resolutive. In short, nursing professionals need to reflect on their work processes to perceive themselves as care professionals and to guarantee the space for autonomy.

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          Revisão integrativa: conceitos e métodos utilizados na enfermagem

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            Revisão integrati va: o que é e como fazer

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              Power imbalance between nurses and patients: a potential inhibitor of partnership in care.

              The Patient's Charter identifies the need for nurses to respect patients' rights to influence their care, and contemporary nursing practice advocates that nurses work in partnership with patients. Hence nurses are encouraged to share their power and facilitate empowerment in their patients by giving them information and support. However, the literature indicates that nurses are not very successful in making patients feel empowered to make informed decisions. This study, conducted in 1998, provides some answers as to why this may be the case. The aim of the study was to explore and describe nurses' and patients' views regarding partnership in care in hospital. Using the grounded theory approach, participants were drawn from four hospitals in Western Australia. A purposive sample of 33 nurses and 32 patients were interviewed in-depth. Participant observation was also conducted and field notes were written. The interviews were transcribed verbatim and analysed using the constant comparative method. The findings showed that nurses viewed involving patients in care as requiring them to give patients information and to share their decision-making powers with them. With the exception of a few, the majority of nurses were unwilling to share their decision-making powers. This created a situation of power imbalance with subsequent little patient input. Factors identified included nurses' beliefs that they "know best", the view that patients lacked medical knowledge and the perceived need for nurses to hold onto their power and maintain control. If nurses and patients are to work as partners, it is important that nurses make every effort to equalize the power imbalance. One way to do this is for nurses to share and give information to patients readily and to be open in their communication with them.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                bioet
                Revista Bioética
                Rev. Bioét.
                Conselho Federal de Medicina (Brasília, DF, Brazil )
                1983-8042
                1983-8034
                December 2018
                : 26
                : 4
                : 556-566
                Affiliations
                [1] orgnameUniversidade Federal de Alagoas orgdiv1Escola de Enfermagem e Farmácia orgdiv2Programa de Pós-Graduação em Enfermagem Brazil
                Article
                S1983-80422018000400556
                10.1590/1983-80422018264274
                7c4caf3b-8a39-4cb1-b0f6-d7ef261fcbb2

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 16 June 2017
                : 08 March 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 40, Pages: 11
                Product

                SciELO Brazil

                Categories
                Pesquisa

                Enfermería,Poder (psicología,Pacientes internos,Ética,Nursing,Power (psychology,Inpatients,Ethics,Enfermagem,Poder (psicologia,Pacientes internados

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