Eutanasia: ¿una solución equivocada a un problema no reconocido? / Euthanasia: a wrong solution to an unrecognized problem?

La Ley Orgánica 3/2021, de 24 de marzo, de regulación de la eutanasia, ha intensificado un duro de bate. A priori se trata de un conflicto de valores bioéticos y de una visión antropológica diferente entre las diferentes partes, sin embargo, no debemos olvidar que quizá antes de plantearse ningún debate se deba interpretar correctamente lo que el paciente realmente quiere cuando manifiesta que quiere morir. En nuestro sistema sanitario y en nuestra sociedad, hay ciertos rasgos y necesidades de la persona que son ignorados, y que requieren urgentemente, para el paciente, de atención. Descubrir el sentido de la propia vida, considerar la trascendencia humana, encontrar un orden personal y poder experimentar el amor, son elementos vitales de la vida, que en un momento tan crítico como es un sufrimiento de alto grado o una muerte inminente, requieren de toda la atención del personal sanitario. Todo ello puede contrastar fuer temente con los valores de nuestra sociedad, no dedicándosele la atención adecuada, entre otros motivos, por el esfuerzo que supone llevar a cabo una atención integral de este tipo, así, resulta mucho más sencillo realizar los trámites requeridos por la ley de regulación de la eutanasia que abordar carencias tan íntimas del ser, a pesar de que éstas puedan ser el verdadero problema del paciente, que en su dramática vivencia pide auxilio (AU)

Organic Law 3/2021, of March 24, regulating euthanasia, has intensified a harsh debate. A priori, it is a conflict of bioethical values and a different anthropological vision between the different parties, however, we must not forget that perhaps before considering any debate, it is necessary to correctly interpret what the patient really wants when he states that he wants to die. In our health system and in our society, there are certain traits and needs of the person that are ignored, and that urgently require attention for the patient. Discovering the meaning of one’s life, considering human transcendence, finding personal order and being able to experience love are vital elements of life, which at such a critical moment as high-grade suffering or imminent death, require all the attention of the health personnel. All this can contrast sharply with the values of our society, not dedicating adequate attention to it, among other reasons, due to the effort involved in carrying out comprehensive care of this type, thus making it much easier to carry out the procedures required by law regulation of euthanasia than addressing such intimate deficiencies of the being, despite the fact that these may be the real problem of the patient, who in his dramatic experience asks for help (AU)

Burnout in nursing: A vision of gender and "invisible" unrecorded care.

AIM: To reflect on how characteristics inherent in the nursing profession might be related to burnout syndrome among the nursing collective. BACKGROUND: Most people are unaware of the tasks and responsibilities of the nursing profession, as well as the burnout rates suffered by nurses. The nursing profession is a feminized profession, and this feminization may lead to the assignment of gender stereotypes and roles traditionally attributed to women. Much of the care provided by nurses is unrecorded, "invisible" and could be seen as an extension of their role as caregivers. METHODS: This is a discussion paper. The literature on gender stereotypes, unrecorded (invisible) care in nursing and burnout are the argumentative basis of this work. DISCUSSION: Stereotypes and gender roles may explain the lack of recognition of some of the carework carried out by nurses. Care, which is the essence of the profession, continues to be largely invisible and is not valued. This lack of recognition of invisible care, coupled with gender stereotypes, may help to understand burnout syndrome in nursing. IMPACT FOR NURSING: Health organizations should take into account the history of the nursing profession and the stereotypes associated with it. It is necessary to recognize and make visible much of the care provided by nurses which are not recorded (invisible care), since this would facilitate the visibilization of the workload and could reduce the possibility of suffering burnout. If we want quality care and staff who enjoy the greatest possible well-being, it will be necessary to take these variables into consideration. One purpose should be: to care for them so that they can provide quality care to others. NO PATIENT OR PUBLIC CONTRIBUTION: This is a discussion paper.

Development, Application and Evaluation of an Active Learning Methodology for Health Science Students, Oriented towards Equity and Cultural Diversity in the Treatment and Care of Geriatric Patients.

The increased aging of populations and rises in immigration have prompted the design of new methodologies and instruments for fostering the invisible care of geriatric patients among health science students in accordance with the 2030 Agenda and the SDGs. A total of 656 psychology, nursing and dentistry students participated in this study, which had a pretest-posttest design and was implemented over the course of three academic years. The intervention groups received training using an active learning methodology based on a case study involving a geriatric patient; specifically, a Maghrebi woman. The control groups were not exposed to the case study. The CCI-U questionnaire was designed ad hoc to evaluate the acquisition of invisible competences for caring for geriatric patients in accordance with their age, sex, emotional situation and ethnic origin. The questionnaire had a reliability of α = 0.63 to 0.72 and its factor solution was found to have a good fit. Students in the intervention groups scored higher than those in the control groups, with the difference being statistically significant for ethnic origin in all three undergraduate courses and all three academic years. The proper application of this active learning methodology fosters the invisible care of geriatric patients among students in accordance with the 2030 Agenda.

El cuidado invisible en pacientes críticos desde la perspectiva del equipo de enfermeria / nvisible care in critical patients from the perspective of the nursing team

Introducción: es cierto que existen cuidados que son visiblemente notorios y de hecho quedan asentados en los registros de enfermería e historia clínica. Sin embargo, existen otros cuidados, comúnmente llamados cuidados invisibles. Estos últimos son acciones y cuidados que la mayoría de las veces son intangibles pero que contribuyen al bienestar y mejoría de las personas, tanto o más que las acciones técnicas y/o delegadas, dirigidas al plano físico/clínico del paciente. Objetivos: Comprender e interpretar los cuidados invisibles de enfermería y su importancia en la evolución del paciente crítico en el servicio de Terapia Intensiva, de un hospital del departamento de San Martín, Mendoza, durante el mes de Junio de 2019. Material y Método: estudio cualitativo fenomenológico. La población estuvo dada por enfermeros del servicio de terapia intensiva de adultos. Muestreo por saturación. Se emplearon entrevistas abiertas en profundidad. Se registraron de manera manual escrita los datos y luego se realizó un análisis detallado de la información. Se entregó previamente a cada entrevistado un consentimiento informado explicativo. Conclusiones: El enfermero crítico ejerce un rol fundamental durante la estancia de sus pacientes, ya que su papel involucra muchas más cosas que solo los procedimientos técnicos. Esta relación vincular requiere no solo de conocimiento científico sino también de valores y cuidados éticos. El enfermero es por consideración, un buen acompañante terapéutico, ya que es capaz de ser educador, poseer actitud empática, ejercer escucha activa, contener frente a situaciones estresantes, brindar afecto y ser fiel frente a las necesidades de los pacientes[AU]

Introduction: it is true that there are care that are clearly visible and in fact are recorded in the nursing records and clinical history. However, there are other care, commonly called invisible care. The latter are actions and care that most of the time are intangible but that contribute to the welfare and improvement of people, as much or more than the technical and / or delegated actions, directed to the physical / clinical plane of the patient. Objectives: To understand and interpret the invisible nursing care and its importance in the evolution of the critical patient in the Intensive Therapy service of the Alfredo Italo Perrupato Hospital, in the department of San Martín, Mendoza during the month of June 2019. Material and Method: qualitative phenomenological study. The population was given by nurses of the adult intensive care service. Saturation sampling. Open interviews were used n depth. The data was recorded manually and then a detailed analysis of the information was made. An explanatory informed consent was previously given to each respondent. Conclusions: The critical nurse plays a fundamental role during the stay of his patients, since his role involves many more things than just the technical procedures. This relationship requires not only scientific knowledge but also values and ethical care. The nurse is, by consideration, a good therapeutic companion, since he is able to be an educator, have an empathic attitude, exercise active listening, contain stressful situations, provide affection and be faithful to the needs of patients[AU]

Introdução: é verdade que existem cuidados que são claramente visíveis e de fato estão registrados nos registros de enfermagem e na história clínica. No entanto, existem outros cuidados, comumente chamados de cuidados invisíveis. Estas últimas são ações e cuidados que na maioria das vezes são intangíveis, mas que contribuem para o bem-estar e a melhoria das pessoas, tanto ou mais do que as ações técnicas e / ou delegadas, direcionadas ao plano físico / clínico do paciente. Objetivos: Compreender e interpretar o cuidado invisível de enfermagem e sua importância na evolução do paciente crítico no serviço de Terapia Intensiva do Hospital Alfredo Italo Perrupato, no departamento de San Martín, Mendoza, durante o mês de junho de 2019. Material e Metodo: estudo fenomenológico qualitativo. A população foi atendida por enfermeiras do serviço de terapia intensiva adulto. Amostragem de saturação. Entrevistas abertas foram usadas em profundidade. Os dados foram registrados manualmente e, em seguida, foi feita uma análise detalhada das informações. Um consentimento informado explicativo foi dado previamente a cada respondente. Conclusões: O enfermeiro crítico desempenha um papel fundamental durante a internação de seus pacientes, visto que sua atuação envolve muito mais coisas do que apenas os procedimentos técnicos. Essa relação requer não apenas conhecimento científico, mas também valores e cuidados éticos. O enfermeiro é, por consideração, um bom companheiro terapêutico, pois pode ser educador, ter atitude empática, exercer a escuta ativa, conter situações estressantes, proporcionar carinho e ser fiel às necessidades dos pacientes[AU]