Feelings of nurses faced with death: pleasure and suffering from the perspective of psychodynamics of Dejours / Los sentimientos de los enfermeros que enfrentan la muerte: el placer y el sufrimiento desde la perspectiva de la psicodinámica de Dejours / Sentimentos de enfermeiros confrontados com a morte: prazer e sofrimento sob a ótica da psicodinâmica de Dejours

Abstract Objective To analyze the feelings of nurses confronting death, according to the Dejourian psychodynamic. Methods. This is a qualitative, exploratory study, analyzed, interpreted and discussed emphasizing the suffering and pleasure, proposed by Dejours. Results. Participants were 11 nurses, mostly woman, single, white, Catholic, between two sixteen years of profession. The analysis of responses allowed finding some driving and potentiating factors of feelings of pleasure and suffering. It was identified as pleasure: feeling of accomplishment, comfort and relief; as suffering, sadness, frustration, difficulty with grief, impotence and incapacity. They also have defense mechanisms to prevent suffering, as not to think about suffering and death, taking refuge in work. Conclusion The factors related to the pleasure and the pain of Nurses when facing death were identified. Therefore, education is necessary regarding the process of death in academic training and studies that approach the nurse to this natural process.

Resumen Objetivo. Analizar los sentimientos de los enfermeros frente a la muerte, a la luz de la psicodinámica dejouriana. Métodos. Estudio cualitativo exploratorio, analizada, interpretada y discutida haciendo hincapié en el sufrimiento y el placer, propuesto por Dejours. Resultados. Los participantes fueron 11 enfermeros, en su mayoría mujeres, solteros, blancos, católicos y que llevaban entre dos y dieciséis años de egresados. El análisis de los resultados permitió encontrar algunos factores propulsores y potencializadores de los sentimientos de placer y sufrimiento. Se identificaron como placer: la sensación del deber cumplido, la comodidad y el alivio; y como sufrimiento: la tristeza, la frustración, dificultad con el luto, la impotencia y la incapacidad. También, tienen mecanismos de defensa para evitar el sufrimiento como no pensar en este ni en la muerte, refugiándose en el trabajo. Conclusión. Se identificaron los factores relacionados con el placer y el sufrimiento de los enfermeros cuando enfrentan la muerte. Por lo tanto, en el ámbito académico existe la necesidad de la educación en el proceso de la muerte, así como la realización de estudios que acerquen a la enfermera a este proceso natural.

Resumo Objetivo . analisar os sentimentos de enfermeiros confrontados com a morte, a luz da psicodinâmica Dejouriana. Métodos . Estudo qualitativo, exploratório, analisado, interpretado e discutido enfatizando o sofrimento e prazer, proposto por Dejours. Resultados . Os participantes foram 11 Enfermeiros, maioria mulheres, solteiras, brancas, católicas, entre dois e dezesseis anos de profissão. A análise das respostas permitiu encontrar alguns fatores propulsores e potencializadores dos sentimentos de prazer e sofrimento. Identificou-se como prazer: sensação de dever cumprido, conforto e alívio; como sofrimento: tristeza, frustração, dificuldade com o luto, impotência e incapacidade. Também apresentam mecanismos de defesa para evitar o sofrer, como: não pensar no sofrimento e morte, refugiando-se no trabalho. Conclusão . Identificou-se os fatores relacionados com o prazer e o sofrimento dos Enfermeiros quando enfrentam a morte. Há, portanto, necessidade da educação para a o processo de morte na formação acadêmica e estudos, que aproximem o enfermeiro deste processo natural.

Feelings of nurses faced with death: pleasure and suffering from the perspective of psychodynamics of Dejours.

OBJECTIVES: To analyze the feelings of nurses confronting death, according to the Dejourian psychodynamic. METHODS: This is a qualitative, exploratory study, analyzed, interpreted and discussed emphasizing the suffering and pleasure, proposed by Dejours. RESULTS: Participants were 11 nurses, mostly woman, single, white, Catholic, between two sixteen years of profession. The analysis of responses allowed finding some driving and potentiating factors of feelings of pleasure and suffering. It was identified as pleasure: feeling of accomplishment, comfort and relief; as suffering, sadness, frustration, difficulty with grief, impotence and incapacity. They also have defense mechanisms to prevent suffering, as not to think about suffering and death, taking refuge in work. CONCLUSIONS: The factors related to the pleasure and the pain of Nurses when facing death were identified. Therefore, education is necessary regarding the process of death in academic training and studies that approach the nurse to this natural process.

[Death education for nursing professors and students: a document review of the scientific literature]. / Educação para a morte a docentes e discentes de enfermagem: revisão documental da literatura científica.

In Western cultures, Death is not among the favorite topics. Nevertheless, how should professionals who deal with Death on a daily basis behave? What meaning does Death have to them? This study consists of a survey on scientific literature about the referred subject in nursing education. Using a qualitative method, a documentary exploratory study was performed, characterized by a survey over a five-year period. The following keywords were used: Nursing Professor and Student, Death and Dying. Twelve articles were located and comprised three categories: Nursing students and dealing with death every day; The nursing professor dealing with death every day and the teaching skills; Academic education providing support for a critical-reflexive view about death-dying. In conclusion, there is o preparation for nursing students on the referred theme. Changing the current situation is only possible with greater investments and if further studies are performed.