Obstinação terapêutica sob o referencial bioético da vulnerabilidade na prática da enfermagem

The technology triggers bioethical dilemmas, including the therapeutic obstinacy, and face these dilemmas, nursesprioritize technological advances to reflective knowledge. The aim of this research was to understand the perceptionof the ICU nurse about therapeutic obstinacy in the light of bioethical term vulnerability. As a method, we used thedescriptive research, analysis of Bardin content, with fourteen graduate students of the Specialization Course ofa private institution of higher education who worked in the ICU for more than a year after approval by the EthicsCommittee research and interviewed. As a result, there was obtained two categories: lack concept; positioning, withfive subcategories: passivity in the face of medical decision, difficulty facing the terminal illness; negatively realizingthe therapeutic obstinacy, feelings towards the terminally young child, recognizing the role of the nurse in relationto terminally. Ignorance of therapeutic obstinacy influences the vulnerability of nurses to experience such a situationprobably was not prepared for the undergraduate and graduate levels, especially when those involved are young peopleor children. They are also unprepared to recognize when the patient’s recovery is rather to technology, requiringmultidisciplinary consensus. Nurses recognize the need for pain control, reduced suffering and promote dignity. Finally,evidence of the need for inclusion of bioethical issues in nursing education, it identifies that these do not know theconcept of therapeutic obstinacy, but recognize the prolongation of the dying process as negative, especially whenthey are involved young, still yes, they recognize their role in terminally. Prepare the nurse since graduation, to handleterminal situations will enable a more adequate nursing care, with less suffering of those involved.