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Background: According to World Health Organization is palliative care a human right. The focus of palliative care is relieving suffering and having quality of life as the main goal. The nurse's role is to enable symptom control, to be a support for the patient and close relatives, as well as contributing to a good and worthy death. Although death is a part of life, strong feelings arise about death and the dying. Aim: The aim of this study was to describe nurse experiences of palliative care. Method: The method used was a literature study based on international qualitative research. Eleven articles were analyzed and resulted in four main themes and nine sub-themes. Results: The findings were four main themes; the profession, relationships, work environment and feelings as well as nine sub themes; experiences and knowledges, the patient, relatives, stress, support from colleagues, lack of support from colleagues, grief and impotency, satisfaction and mental strain. Conclusion: The nurse’s experience of palliative care is individual and varies depending on, experience, interaction with colleagues and self-perception regarding individual values and existential questions.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-07-21T18:06:14Z No. of bitstreams: 1 jorgececiliodaherjunior.pdf: 3997005 bytes, checksum: 5cd16f8d9e7c45ac7f4ee338f307c068 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-07-22T15:35:32Z (GMT) No. of bitstreams: 1 jorgececiliodaherjunior.pdf: 3997005 bytes, checksum: 5cd16f8d9e7c45ac7f4ee338f307c068 (MD5) / Made available in DSpace on 2016-07-22T15:35:32Z (GMT). No. of bitstreams: 1 jorgececiliodaherjunior.pdf: 3997005 bytes, checksum: 5cd16f8d9e7c45ac7f4ee338f307c068 (MD5) Previous issue date: 2016-05-20 / Introdução: A hipótese da autonomia da consciência em relação ao cérebro é um tema controverso sobre o qual há uma longa história de investigações científicas. Entretanto, ainda não se realizou uma análise sistematizada das publicações sobre esse tema, que possibilite conhecer o estado da arte nesse campo e determinar lacunas e limitações metodológicas. Objetivos: Fazer um levantamento bibliométrico das publicações que investigaram experiências habitualmente associadas à possibilidade da existência da consciência independente do cérebro nas principais bases de dados científicos. Métodos: Avaliaram-se todos os artigos contidos no Pubmed, Web of Knowledge, PsycINFO, Science Direct e Scopus até 31/12/2015, através de operadores booleanos, envolvendo os seguintes campos: Experiências de quase morte(NDE), Experiências fora do corpo(OBE), Experiências de final de vida(ELE), Possessão(POS), Memórias sugestivas de vidas passadas(PLM), Mediunidade(MED), transcomunicação, detecção de “espíritos” e relação mente-cérebro. Foram excluídos artigos científicos fora do tema ou de outras áreas, publicações não científicas, referências de livros e capítulos de livros. Resultados: Dos 9065 artigos encontrados, 1954 artigos foram incluídos (598 NDE, 223 OBE, 56 ELE, 224 POS, 244 PLM, 565 MED, 44 outros). Ao longo das décadas, notou-se um aumento na quantidade de artigos em todos os campos avaliados, com exceção dos estudos em Mediunidade, no qual houve um declínio no final do sec XX e uma retomada no sec XXI. Em relação aos tipos de artigos, com exceção de Past-life memories e End-of-life experiences (predominando estudos originais), os demais campos possuíram predomínio de artigos de revisão. Os artigos foram publicados em periódicos com fator de impacto médio comparável com outras áreas da ciência, como por exemplo psicologia positiva e reabilitação cardiovascular. Conclusão: De forma geral as pesquisas sobre sobrevivência da consciência têm aumentado nas últimas décadas, em revistas com fator de impacto semelhante ao de outras áreas, porém com predomínio de revisões. A identificação dessas lacunas pode auxiliar na elaboração de novas pesquisas na área. / Introduction: The hypothesis of autonomy of the consciousness in relation to the brain is a controversial subject with a long history of scientific investigations. To date, however, no systematic analysis of the publications on this topic, establishing the state of art in this field and identifying methodological gaps and limitations, has been conducted. Objectives: To conduct a bibliometric search of publications investigating experiences commonly associated with the possibility of the existence of a consciousness independent of the brain held on the main scientific databases. Methods: A search of all articles held on the Pubmed, Web of Knowledge, PsycINFO, Science Direct and Scopus databases up to 31/12/2015 was performed with boolean operators involving the following fields: Near-death experiences (NDE), Out-of-body experiences (OBE), End-of-life experiences (ELE), Possession (POS), Memories suggestive of past lives (PLM), Mediumship (MED), transcommunication, detection of “spirits” and mind-brain relationship. Scientific articles unrelated to the topic or on other areas, unscientific publications, book references and book chapters were all excluded. Results: Of the 9065 articles retrieved, 1954 were included (598 NDE, 223 OBE, 56 ELE, 224 POS, 244 PLM, 565 MED, 44 others). Over the decades, there was an evident increase in the number of articles on all the fields, with the exception of studies on Mediumship which showed a decline during the late twentieth century and subsequent rise in the early twenty-first century. Regarding the types of articles found, with the exception of Past-life memories and End-of-life experiences (mostly original studies), publications were predominantly review articles. The articles were published in journals with an average impact factor similar to other areas of science, such as positive psychology and cardiovascular rehabilitation. Conclusion: Overall, publications of studies on survival of the consciousness have tended to increase over recent decades in journals with similar impact factors to other areas, although these studies were predominantly review articles. Identifying gaps can help guide future studies in the area.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2017-01-05T14:39:20Z No. of bitstreams: 1 claudiasoaresdossantos.pdf: 1927808 bytes, checksum: 5902218e3907d5fa92e9cbc9f18b713d (MD5) / Approved for entry into archive by Diamantino Mayra (mayra.diamantino@ufjf.edu.br) on 2017-01-31T11:29:36Z (GMT) No. of bitstreams: 1 claudiasoaresdossantos.pdf: 1927808 bytes, checksum: 5902218e3907d5fa92e9cbc9f18b713d (MD5) / Made available in DSpace on 2017-01-31T11:29:36Z (GMT). No. of bitstreams: 1 claudiasoaresdossantos.pdf: 1927808 bytes, checksum: 5902218e3907d5fa92e9cbc9f18b713d (MD5) Previous issue date: 2016-07-27 / INTRODUÇÃO: Experiências espirituais no final da vida (ELEs) e fenômenos à beira do leito são comumente relatados de forma anedótica. Porém, ainda existem poucos estudos que tenham avaliado sistematicamente essas experiências. OBJETIVOS: Objetiva-se descrever e comparar as características e a prevalência das ELEs de acordo com relatos de profissionais de saúde em diferentes instituições (Unidade de cuidados paliativos, Instituições de Longa Permanência e Hospital oncológico) e avaliar a influência das crenças religiosas nesses relatos. MÉTODOS: Estudo multicêntrico, conduzido em Instituições de Longa Permanência (ILPI) em Juiz de Fora e no Hospital de Câncer de Barretos (Unidade oncológica-ONC e Cuidados Paliativos-PC), no Brasil. Foram avaliados dados sócio-demográficos, relatos de ELEs (pelo questionário de Fenwick), religiosidade (DUREL), espiritualidade (SRSS) e saúde mental (DASS 21). A análise foi feita através de ANOVA e qui-quadrado. RESULTADOS: 133 profissionais (46 ONC; 36 PC e 51 ILPI‟s) foram entrevistados, sendo que 70% tiveram relatos de ELEs nos últimos 5 anos. As principais ELEs relatadas foram “visões de parentes falecidos buscando o falecido” (n=82, 88,2%), “desejo súbito de reconciliamento” (n=79, 84,9%) e “parentes falecidos próximos ao leito proporcionando conforto” (n=75, 80,6%). A maioria dos profissionais (70-80%) acreditava que tais experiências tinham um cunho espiritual e não ocorriam por condições biológicas. Na comparação entre os grupos, PC tiveram mais relatos que os demais grupos e relataram maior abertura frente ao tema e maior interesse em um treinamento. As crenças individuais não interferiram de forma importante na percepção das ELEs. CONCLUSÃO: O estudo mostrou uma grande prevalência de ELEs relatadas por profissionais de saúde, associadas a opinião de que essas experiências seriam espirituais. Apesar de comum em todas as instituições, profissionais que atuam com cuidados paliativos referiram mais ELEs, maior abertura em sua instituição e maior desejo de treinamento. As crenças religiosas e espirituais tiveram pouca influência nos relatos de ELEs pelos profissionais, mostrando que não esse não foi um aspecto determinante para sua percepção. / INTRODUCTION: Spiritual end-of-life experiences (ELEs) and deathbed phenomena are often reported in an anecdotal fashion. Few studies however, have systematically assessed these experiences. OBJECTIVES: The objective of this study was to compare the characteristics and prevalence of ELEs as reported by health professionals at different institutions (palliative care, nursing homes and oncology hospital) and to assess the influence of religious beliefs on these reports. METHODS: A multi-center study was conducted at Nursing Homes (NH) in Juiz de Fora and at the Hospital de Câncer de Barretos (Oncology-ONC and Palliative Care-PC Unit) in Brazil. Sociodemographic data, ELE reports (Fenwick´s questionnaire), religiosity (DUREL), spirituality (SRSS) and mental health (DASS 21) were assessed. The analysis was performed using the ANOVA and Chi-square tests. RESULTS: A total of 133 health professionals (46 ONC, 36 PC and 51 NH) were interviewed, 70% of whom had ELEs reported to them in the past 5 years. The main ELEs reported were “visions of dead relatives collecting the dying person“ (n=82, 88.2%), “a desire to mend family rifts” (n=79, 84.9%) and “dead relatives near the bed who provide emotional comfort” (n=75, 80.6%). The majority of the health professionals (70-80%) believed these experiences had spiritual significance and were not due to biological conditions. Comparison among the groups revealed that the PC had more reports than the other groups and also greater openness on the issue and more interest in training. Individual religious beliefs had no relevant influence on the perception of ELEs. CONCLUSION: The study revealed a high prevalence of ELEs reported by health professionals, who believed these experiences were spiritual. Although prevalent in all of the institutions, greater ELEs, openness at their institution and desire for training were reported by palliative care professionals. Religious and spiritual beliefs had little influence on ELEs reported by the health professionals, indicating this was not a factor determining the perception of ELEs.