O estudante do curso de enfermagem e o paciente terminal: uma relação desafiadora

Abstract

The theme of the death is still approached with a lot of difficulty by the students of the Nursing Course, being necessary larger space to work the anguish due to the care to the terminal patients. The aim of that study was to verify as the nursing students work with the anguish in the care to the terminal patients. Students of the Nursing Course of third, sixth and eighth semester had participated in this research, accomplished in two universities in Santa Maria/RS. Semi-structured interviews were designed to explore as the students deal with its own anguish, particularly, during the training. The data were analyzed emerging conceptually five categories: (1) There is not desire to take care of the terminal patient: It refers on the feeling of the student in front to the death, consisting basically of avoiding the contact with this situation; the student wants to take care of the another seeking to the recovery of the patient and not to drive the patient to death. (2) The search of preparing to take care: It represents the student's desire in getting ready, to know as to proceed with the terminal patient, as a strategy to deal with the anguish. (3) Care the terminal patients terminals: It refers the ability to take care, that only is not reduced to that it is learned in the course, but it also includes subjective elements, as affective factors so much positive as negatives, indicating larger or smaller inner disposition to take care. (4) Taking care in itself is the Nursing: It indicates caring to other rather caring itself as a influence of a care model sustained in the past being in transformation through the student's desire of also to take care of itself. (5) Preparing requests to practical knowing , it emerges of a " knowledge that is not known ": It characterizes the practical function as generating of preparing to take care of the terminal patient. Although the space is recognized inside of the Nursing Course to address practical subjects, it is in the personal with the anguish situations that the student learns how handle with it. The reference done to the problem of the anguish still denotes in the student a precarious elaboration of the idea of death, expressed in the contact with terminal patients. From those concepts it was possible to find a road to understand as the students work with distressing contents during the contact with the terminal patients.