Abstract

SILVA, Lívia Silveira et al. Professionals safety and ethical and bioethical problems in the primary care journal: nurse experiences. rev.latinoam.bioet. [online]. 2020, vol.20, n.2, pp.103-120.  Epub Apr 23, 2021. ISSN 1657-4702.  https://doi.org/10.18359/rlbi.4906.

The purpose of the article is to understand ethical and bioethical problems in the experience of primary healthcare (APS) nurses and their impact on the safety of the professional. It is a holistic-qualitative multi-case study, supported by the comprehensive sociology of everyday life, which included 54 nurses from the APS. It presents two cases framed by the scenarios of two capital cities of southern Brazil. The data were subjected to the analysis of thematic content and the analytical technique of cross-synthesis of cases. The results show that ethical and bioethical problems relate to the precariousness of the system and attention, to the conditions of infrastructure, environment and context, and the fragility around the relationships between user-family-team, team-team, team-management, which negatively impacts the safety of the professional. Safety is promoted through the experience and skills acquired by the nurse in their professional practice, the systematization of assistance, assistance protocols, the use of networks and social media, and the awareness of teams through discussion and training spaces related to ethics and bioethics, and safe action. Understanding safety of the professional nurse, under study, integrates objectivity that standardizes ethical and bioethical behaviors, and the subjectivity of nurses by pointing out questions about their professional safety through feelings, anxieties and longings in their daily practice.

Keywords : primary health, bioethics; nursing ethics; safety management; nurses.

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