Abstract

to characterize the profile and describe the moral sensitivity of primary health care nurses. this is a quantitative, transversal, exploratory, descriptive study. The data were collected through the Moral Sensitivity Questionnaire translated and adapted to Brazil. 100 primary health care nurses participated, from Rio Grande do Sul, Brazil. The data collection took place during the months of March and July 2016, in an online form. The analysis of the data occurred through descriptive statistical analysis. the nurses had an average moral sensitivity of 4.5 (out of 7). The dimensions with the greatest moral sensitivity were: interpersonal orientation, professional knowledge, moral conflict and moral meaning. the nurses of Rio Grande do Sul have a moderate moral sensitivity, which may contribute to a lower quality in Primary Health Care.

Highlights

  • Primary Health Care (PHC) is the structuring axis of the Unified Health System (SUS), since it coordinates the service network in order to guarantee the continuity and integrality of assistance at the various points of attention and care[1]

  • Nurses who work in this context face peculiar ethical problems that arise from the aspects, issues or ethical implications of everyday life and the production of services

  • Taking into account the set of challenges presented to the PHC nurse and knowing the importance of recognizing the moral sensitivity of nurses through their values, attitudes and knowledge, this study aims to characterize the profile and describe the moral sensitivity of Primary Health Care nurses

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Summary

Introduction

Primary Health Care (PHC) is the structuring axis of the Unified Health System (SUS), since it coordinates the service network in order to guarantee the continuity and integrality of assistance at the various points of attention and care[1]. Nurses who work in this context face peculiar ethical problems that arise from the aspects, issues or ethical implications of everyday life and the production of services. Nurses need to be able to make ethical decisions when faced with ethical problems[2]. Study[3] states that the higher the moral sensitivity of nurses the better is their ethics in clinical decision-making situations. A precondition for responding to an ethical problem is to perceive it and, we speak of moral sensibility[4]. Moral sensitivity is defined as the contextual and intuitive understanding of the patient’s vulnerability situation, having an insight into the ethical consequences of decisions made on behalf of the patient[5]. The study[6] broadened this concept and understood other dimensions beyond cognitive ability, including sensations, feelings, moral knowledge and abilities

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