Content validation of the symptom control outcome for heart failure patients in palliative care.

OBJECTIVES: To estimate the content validity of the Symptom Control nursing outcome for heart failure patients in palliative care and to analyze the influence of experts' experience in the judgment of the relevance of indicators. METHODS: A methodological study conducted in São Paulo in 2018, with an adaptation of Fehring's validation model. The relevance of the 11 outcome indicators was assessed by 19 experts by means of an electronically submitted survey. The influence of the experts' experience on judgment was analyzed by the Wilcoxon-Mann-Whitney test and by Kendall's Tau correlation. RESULTS: The indicators were considered pertinent; with 54.5% classified as critical. There was no association between the weighted means of the indicators and the experts' experience. CONCLUSIONS: The indicators analyzed are relevant for the evaluation of the Symptom Control outcome in this group of patients. The experts' judgment was not influenced by their area of clinical experience or by their experience with the Nursing Outcomes Classification (NOC).

Care for families after suicide loss: nursing academic experience.

OBJECTIVE: To understand how the nursing academics experience the process of taking care of bereaved families after a suicide loss, to identify the meanings of the experience and to build a theoretical model. METHOD: Qualitative study that used symbolic interactionism and grounded theory. Open interviews were held with 16 nursing academics. Data were analyzed according to the constant comparative method. RESULTS: The phenomenon seeking his/her own restoration to help the bereaved family to move on is represented by the theoretical model composed by the categories: facing the tragedy in the family, evaluating the caring scenario, mobilizing his/her internal resources, performing the care and reflecting on the repercussions of the experience. FINAL CONSIDERATIONS: The process represents efforts undertaken by students in the pursuit of the family's restoration to provide the best care toward them, through embracement, listening, sensitivity and flexibility, so it creates opportunities for the family to strengthen and plan their future.

Care for families after suicide loss: nursing academic experience / Cuidado a las familias después de la pérdida por suicidio: experiencia de los académicos de enfermería / Cuidado a famílias após perda por suicídio: experiência de acadêmicos de enfermagem

ABSTRACT Objective: To understand how the nursing academics experience the process of taking care of bereaved families after a suicide loss, to identify the meanings of the experience and to build a theoretical model. Method: Qualitative study that used symbolic interactionism and grounded theory. Open interviews were held with 16 nursing academics. Data were analyzed according to the constant comparative method. Results: The phenomenon seeking his/her own restoration to help the bereaved family to move on is represented by the theoretical model composed by the categories: facing the tragedy in the family, evaluating the caring scenario, mobilizing his/her internal resources, performing the care and reflecting on the repercussions of the experience. Final considerations: The process represents efforts undertaken by students in the pursuit of the family's restoration to provide the best care toward them, through embracement, listening, sensitivity and flexibility, so it creates opportunities for the family to strengthen and plan their future.

RESUMEN Objetivo: Comprender cómo los académicos de enfermería vivencian el proceso de cuidar de familias enlutadas después de una pérdida por suicidio, identificar los significados de la experiencia y construir un modelo teórico. Método: Estudio cualitativo que utilizó interaccionismo simbólico y teoría fundamentada en los datos. Se realizaron entrevistas abiertas con 16 académicos de enfermería. Los datos se analizaron según el método comparativo constante. Resultados: El fenómeno buscando su propia restauración para ayudar a la familia enlutada a seguir adelante, es representado por el modelo teórico compuesto por las categorías: enfrentándose con la tragedia en la familia, evaluando el escenario de la asistencia, movilizando sus recursos internos, conduciendo el cuidado y reflexionando sobre las repercusiones de la experiencia. Consideraciones finales: El proceso representa esfuerzos emprendidos por los estudiantes en la búsqueda de su restauración para ofrecer el mejor cuidado a la familia, por medio de acogida, escucha, sensibilidad y flexibilidad, de modo que se fortalezca para planificar su futuro.

RESUMO Objetivo: Compreender como os acadêmicos de enfermagem vivenciam o processo de cuidar de famílias enlutadas após uma perda por suicídio, identificar os significados da experiência e construir um modelo teórico. Método: Estudo qualitativo que utilizou interacionismo simbólico e teoria fundamentada nos dados. Foram realizadas entrevistas abertas com 16 acadêmicos de enfermagem. Os dados foram analisados conforme o método comparativo constante. Resultados: O fenômeno buscando sua própria restauração para ajudar a família enlutada a seguir em frente é representado pelo modelo teórico composto pelas categorias: deparando-se com a tragédia na família, avaliando o cenário da assistência, mobilizando seus recursos internos, conduzindo o cuidado e refletindo sobre as repercussões da experiência. Considerações finais: O processo representa esforços empreendidos pelos estudantes na busca de sua restauração para oferecer o melhor cuidado à família, por meio de acolhimento, escuta, sensibilidade e flexibilidade, de modo a oportunizar que ela se fortaleça para planejar seu futuro.