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Processos ??ticos de enfermagem envolvendo idosos no Distrito Federal, Brasil: 2005 a 2015Pereira, Mayara C??ndida 01 January 2017 (has links)
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Previous issue date: 2017-01-01 / Population aging is associated with important social and economic transformations, as well as
changes in the demographic and epidemiological profile. Such changes and transformations
demand more from nursing and health services, opening new fields of work. Nursing
professionals are currently the largest workforce in the healthcare area, having Resolution
311/2007 ruling their activities and they have COREN as a regulatory institution in all the
states and the federal district in Brazil. Because of this scenario, the interest for this study
arose. It aimed to describe ethical nursing occurrences involving elderly in the ethical
processes judged by the Regional Nursing Council (COREN/DF), from 2005 to 2015. This
work regards the profile of professionals involved, the denunciations and whistleblowers
involved. Besides, it intended to analyze the main articles violated in the code of ethics, the
penalties applied, the locations, and types of health institution with the greatest number of
ethical occurrences. Method: A literature review was carried out addressing topics such as
aging, vulnerability, the development of nursing, codes of ethics, nursing mistakes and their
reflect in the field of civil and criminal law. Then, an active search was done in the finalized
ethical processes involving elderly at COREN-DF from 2005 to 2015. They were collected
through a data collection instrument. The results were worked out using descriptive statistics.
Results: A total of 144 completed cases were found at COREN-DF and only 18 involved
elderly patients, which were the ones that entered this study. Among the most relevant results,
there was a high number of licensed practical nurses (LPN), with 12 offenders. In this
percentage, there is a prevalence of professionals with short enrollment period at COREN-DF,
who were 9 people. The majority of complaints were made by the elderly???s relatives, 8 of the
total. The most evidenced iatrogenesis were negligence(8), followed by maltreatment(7). The
most common place where the abuses took place was elderlies??? houses, standing out with 10
cases. Conclusion: It is understood from the data analysis that, fortunately, people are
becoming more likely to report the ethical infractions they suffer. It is necessary to think,
however, about the quantity of these infractions that are not reported. Through denunciations
and studies like this, the nursing service can be improved and that???s why it???s important. Being
LPN the most reported category, it is concluded that more work is needed in order to recycle
learning and humanization. This work, of course, must be done not only with these
professionals, but with everyone involved. It is believed that this study may instigate nursing
professionals to think about their professional practice and about the possible ethical and legal
implications of assisting the elderly, thus contributing to a more cautious and ethically
responsible nursing practice. / O envelhecimento da popula????o ?? associado a importantes transforma????es sociais e
econ??micas, bem como mudan??as no perfil demogr??fico e epidemiol??gico. Tais mudan??as e
transforma????es refletem em demandas nos servi??os da enfermagem e sa??de por essa
popula????o crescente, abrindo novos campos de trabalho para a enfermagem. Frente ao
exposto, surgiu o interesse em se realizar este estudo, que teve como objetivo analisar os
processos ??ticos de enfermagem envolvendo idosos no Conselho Regional de Enfermagem
(COREN-DF), no per??odo de 2005 a 2015, quanto ao perfil dos profissionais envolvidos, as
den??ncias e os denunciantes envolvidos. Al??m disso, pretendeu analisar os principais artigos
violados do c??digo de ??tica, as penalidades aplicadas, os locais e tipos de institui????o de sa??de
com maior n??mero de ocorr??ncias ??ticas. M??todo: Foi realizada uma revis??o de literatura
abordando temas como envelhecimento, vulnerabilidade, o desenvolvimento da enfermagem,
os c??digos de ??tica, os erros de enfermagem e seu reflexo no campo do direito civil e penal.
Em seguida, foi realizada uma busca ativa nos processos ??ticos finalizados envolvendo idosos
do COREN-DF, no per??odo de 2005 a 2015. Estes foram coletados por meio de instrumento
de coleta de dados. Os resultados foram trabalhados em estat??stica
descritiva. Resultado: Foram localizados 144 processos conclusos pelo COREN-DF e,
destes, apenas 18 envolviam idosos e somente estes que entraram neste estudo. Dentre os
mais relevantes resultados, destaca-se o elevado n??mero de t??cnicos de enfermagem, com 12
dos infratores. H??, nesse n??mero, preval??ncia de profissionais com menor tempo de inscri????o
no COREN-DF, com 9. As den??ncias, em sua maioria, foram realizadas pelos familiares, em
8 dos casos. Os erros mais evidenciados foram: neglig??ncia, 8, seguidos de maus tratos, 7.
Como local de ocorr??ncia da infra????o, destaca-se a resid??ncia dos idosos, 10.
Conclus??o: Entende-se, a partir da an??lise dos dados, que, felizmente, a popula????o est??
come??ando a denunciar as infra????es ??ticas as quais s??o expostas. Deve-se pensar, entretanto,
em quantas dessas infra????es n??o s??o reportadas. Atrav??s das den??ncias e de estudos como
esse, o servi??o de enfermagem pode ser aperfei??oado, da?? sua import??ncia. Sendo t??cnicos de
enfermagem a categoria mais denunciada, conclui-se que ?? necess??rio que sejam realizados
mais trabalhos de educa????o continuada e humaniza????o. Trabalho esse que, claro, deve ser
feito n??o s?? com esses profissionais, mas com todos os envolvidos. Acredita-se que este
estudo possa instigar os profissionais de enfermagem a pensar acerca da sua pr??tica
profissional e a respeito das poss??veis implica????es ??ticas e legais decorrentes da assist??ncia
aos idosos, contribuindo para que a pr??tica de enfermagem seja mais cautelosa e eticamente
respons??vel.
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Atua??o da comiss?o de ?tica p?blica no contexto da Universidade Federal dos Vales do Jequitinhonha e Mucuri, no per?odo de 2008 a 2014Silva, Eufrosina Ribeiro Lopes 04 December 2015 (has links)
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Refer?ncia ABNT
Tipo
Nota de disserta??o/Tese
Resumos
Palavra Chave
Ag?ncia Financiadora
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Previous issue date: 2015 / Um dos argumentos para a promo??o da ?tica nas organiza??es ? a necessidade de coibir e evitar pr?ticas de desvios ?ticos recorrentes nos ?rg?os p?blicos. Para tanto, o governo federal determinou a constitui??o das Comiss?es de ?tica, nos seus ?rg?os e institui??es, para contribuir com a plena vig?ncia do C?digo de ?tica do Servidor. Partindo do princ?pio de que a consci?ncia ?tica ? aprendida pelo ser humano, a ?tica na administra??o p?blica deve ser desenvolvida junto aos agentes p?blicos, de forma que possam conhecer e compreender o regramento ?tico pr?prio, educando-se para a pr?tica dos valores nele contidos. Diante disso, entende-se que a Comiss?o de ?tica deve executar suas fun??es para a observ?ncia do C?digo de ?tica, com a finalidade primeira de educar os agentes p?blicos, favorecendo a promo??o da ?tica. Entretanto, questiona-se se a Comiss?o de ?tica (CE) da Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM) exerce sua fun??o educativa institu?da. Nesse sentido, o problema se desdobra nas seguintes perguntas norteadoras: Existe um plano de trabalho da CE? Quais s?o as atividades descritas nesse plano, que contemplam a fun??o educativa da comiss?o? Quais as principais atividades desenvolvidas concretamente pela CE, para efetivar sua fun??o educativa? Existem produ??es da CE para desenvolver sua fun??o educativa? A CE busca realizar parcerias com setores internos? Desse modo, o presente trabalho analisou a atua??o da CE no contexto da UFVJM, na perspectiva educativa, pautada nas normativas e nos Decretos que orientam sua constitui??o e funcionamento. Trata-se de uma pesquisa de abordagem qualitativa, com objetivo explorat?rio, valendo-se de pesquisas bibliogr?fica, documental e de campo. Analisaram-se as atividades desenvolvidas pela CE, no per?odo de 2008 a 2014, sob a perspectiva de suas a??es educativas, bem como, identificar quais s?o as principais dificuldades enfrentadas pela CE, para exercer suas fun??es. Tamb?m foram analisados os documentos n?o sigilosos e feitas entrevistas semiestruturadas com servidores, membros que atuam ou atuaram na CE. Mediante os resultados obtidos, foi poss?vel concluir que sobressaem as a??es de natureza investigativa, uma vez que, em sua maioria, pautou-se na apura??o de desvios ?ticos. Constatou-se que parte da comiss?o n?o recebeu capacita??o para exercer suas fun??es, sendo a falta de recurso da institui??o a justificativa para tal. Outro fator importante diz respeito ? forma??o dos integrantes da CE, pois, os entrevistados apontam como grande dificuldade, n?o ter uma forma??o que favore?a o desenvolvimento das atividades. Faz-se necess?rio apontar que para a composi??o da CE, seus membros julgam essencial a participa??o dos mesmos na indica??o dos pr?ximos indiv?duos a ocuparem as fun??es; haja vista que, no ?mbito da UFVJM, foi poss?vel identificar que, diversas vezes, essa decis?o n?o coube tamb?m ? CE, visto que as portarias de designa??o foram expedidas sem consulta pr?via ao CE ou ao novo integrante. Diante dos resultados obtidos, entende-se que existe necessidade de implanta??o de a??es educativas para a comunidade acad?mica e maior capacita??o dos membros da CE, a fim de que sejam fomentadas tanto a ?tica p?blica, como a ?tica profissional no ?mbito da UFVJM. / Programa de P?s-Gradua??o em Gest?o de Institui??es Educacionais, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2015. / One of the arguments for ethics promotion in organizations is the need to restrain and avoid practices of appellant ethical deviations in public agencies. For this, the Federal Government has determined the constitution of Ethics Commissions, in its organizations and institutions, to cooperate with the full validity of the Laborer Ethics Code. Considering that ethic conscience is learned by the humans, ethics in public administration must be developed with the public agents, so that they may know and understand the self-ethical ruling, educating them to practice values within it. Considering that, we understand that the Ethics Commission (EC) must execute its functions to the Ethics Code observance, with the primordial purpose in educate the public agents favoring the ethic promotion. However, we ask if the Ethics Commission of the Vales do Jequitinhonha e Mucuri Federal University (UFVJM) wield its instituted educative function. In this way, the problem unfolds in the following guiding questions: Is there a work plan from the Ethics Commission? What are the activities described in this plan that include the educative function of the Commission? What are the main productions developed by the EC to wield its educative function? Are there CE?s productions to develop this educative function? Does the EC try to accomplish partnerships with other instances? Thus, this study analyzed the EC actions, in UFVJM context, regarding the educative perspective, set in Normative and Enactments that guide its constitution and operation. This research refers to a qualitative approach, with exploratory aim, making use of bibliographical, documental and field searches. The activities developed by the EC were analyzed in the period of 2008 to 2014, under the perspective of their educative actions, as well as we looked for to identify what are the main difficulties faced by the EC to perform their functions. We also analyzed the non-confidential documents and interviewed the laborers through a non-structured interview, persons who compound and compounded the EC. The results permitted to conclude that the actions of investigative nature stand, since, mostly, it was based on the investigation of ethical misconduct. It was found that the committee did not receive training to perform their functions, and the lack of the institution's resources was the justification for it. Another important factor to be discussed concerns to the training of the EC members, the interviewed ones pointed out as a big difficulty not to have an education that favors the development of activities. It is necessary to point that for the EC composition, its members deem essential their participation in indicating the next individuals to occupy the functions; given that, under the UFVJM, we observed that, several times, that decision did not have the EC participation, since the ordinances designation were issued without prior consultation to the EC or to the new member. Given the results, We understand that there is the necessity of implementing educational activities for the academic community and increased training of EC members in order to be promoted both public ethics and the professional ethics within the UFVJM.
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