Abstract
The present study aimed to characterize the processes of ethical and professional nursing transacted at the Regional Nursing Council of Santa Catarina (Coren/SC), considering their factual elements (events/offenses, causes and outcomes). This descriptive, exploratory and documentary research with a quantitative approach was developed at Coren/SC. Data was collected from 128 professional ethical processes in nursing, between 1999 and 2007, analyzed descriptively with regard to the origin of the complaints and ethical processes, the denouncers, the accused, the subject of the complaint and the outcome of the process. Considering the topics, out of the eight categories described, iatrogenesis was highlighted, as well as illegal professional practice, conflicting inter-professional relationships and professional responsibility of the nurse. The results show the need for discussion and intervention in concrete practical and arouse reflections about the process of professional training and continuous education in the institutional spaces of health, in order to reduce ethical occurrences in professional practice.
Highlights
The discussion about solutions for ethical conflicts in care practice entail the need to study, identify and characterize these conflicts, highlighting the most frequent types, how decisions are made and how decision-making interferes for all stakeholders and for the profession’s expression in society.In daily Nursing practice, we are confronted with situations in which professionals have to choose www.eerp.usp.br/rlaeRev
The Nursing Ethics Committees (NEC) receive several accusations, verify the facts preliminarily, collect testimonies and issue an opinion, which is forwarded to the Coren President when necessary
Verbal aggression and mistreatment of patients were the motives for accusations in 13 (8.2%) ethical processes, demonstrating asymmetric and authoritarian relations between the nursing professional and the patient and family
Summary
The discussion about solutions for ethical conflicts in care practice entail the need to study, identify and characterize these conflicts, highlighting the most frequent types, how decisions are made and how decision-making interferes for all stakeholders and for the profession’s expression in society.In daily Nursing practice, we are confronted with situations in which professionals have to choose www.eerp.usp.br/rlaeRev. The discussion about solutions for ethical conflicts in care practice entail the need to study, identify and characterize these conflicts, highlighting the most frequent types, how decisions are made and how decision-making interferes for all stakeholders and for the profession’s expression in society. In daily Nursing practice, we are confronted with situations in which professionals have to choose www.eerp.usp.br/rlae. Between two or more desirable or undesirable alternatives. This demands reflection, discussion and ponderation, considering specific knowledge, values, ethical and legal principles and aggregated standards or rules of conduct. Decisions imply interventions, involving other human beings who are often in weak or vulnerable situations. The ethical contents of care are problematized and should be addressed in this kind of analysis
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