O processo deliberativo e sensibilidade moral em enfermeiros de cuidados de saúde primários (CSP)

: revisão de literatura

Abstract

Ethics and Moral Sensitivity are sets of values that determine the behavior of each individual and of the environment where the individual is inserted. Moral Sensitivity is represented by one’s ability to recognize moral questions in actual events. Ethical problems arise in the provision of health services when a case study raises ethical issues regarding the decision making process and the performance of the professional. Ethical problems do not have protocols for their resolution; how-ever, they require “finding ways” to solve such problems in order to improve and achieve the ideal field of ethics and care. For this, the professional recognizes the ethical problem and looks for the best way to solve the matter, which can be done collectively or individually, so the deliberation is the process of weighting the decision-making, in order to obtain a more consistent course of action. In the scope of deliberation and moral sensitivity, scientific knowledge has been currently growing as a tool for effectiveness in a way that nursing has acknowledged it for creating a main structure for nurses and for providing skills necessary for the performance of their roles. There-fore, this work aims at reviewing the literature on the deliberative process and on the moral sensitivity of PHC nurses. This research work is a Scoping Review: during the review the articles have been divided into two categories: original research articles and theoretical studies, both in English, Spanish and Portuguese. At the end of the review there were a total of nine studies, published in the last five years. Regarding the analysis, it resulted in five original articles and four theoretical studies. Different journals, year of publication, article title, author, language, origin of the article, financing, context, country, aim, research method, sample, types of professionals, data analysis methods, authorship, definition of deliberation, definition of moral sensitivity, deliberation strategies used, deliberation contribution, moral sensitivity contribution, facilitators for establishing deliberation and facilitators for establishing moral sensitivity were analyzed. It was concluded that there is an increase in moral sensitivity due to personal experiences during the performance of one’s role. Therefore, it is important to develop ethics education programs for nursing students, in order for them to improve the performance of their roles as future advocates of the beneficiaries. Regarding the deliberative process, it was concluded that it is important to rationally and argumentatively take into account the rules and duties that interfere with ethical problems and to look for balanced resolutions. In addition to that, this process is a form of constant learning, due to its character of exchange of experiences.

Date of Award	9 Sept 2019
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Margarida Maria Vieira (Supervisor)