Elaboration of a nursing model in palliative care in home care.
Nursing; Care Model; Nursing Care Model; Palliative Care; Home
Nursing care of individuals in palliative home care involves management and direct care based on the principles and knowledge of theoretical and methodological nursing concepts. The nursing care model provides a guiding framework for that care. The objective of this study was to develop a Nursing Care Model for individuals receiving home palliative care. Nursing Care Models are structures/instruments derived from a conceptual framework and a care methodology that guide the provision of nursing care to specific populations. The theoretical framework for the study included the humanistic and holistic perspective of the person in his context, palliative care concepts and the theoretical principles of nursing care. A qualitative study using the Convergent Care Research method was conducted in Natal, Rio Grande do Norte, Brazil. Nineteen nursing professionals, members of the multiprofissional teams of the Home Care Services were selected by convenience and participated in the study. The study was conducted in four stages: 1) Insertion. The researcher imersed in the healthcare team of the Home Care Services; 2) Definition of the subsidizing base. In this stage, the theoretical base was constructed by means of: review of literature and identification of relevant conceptual definitions; the profile identification of persons receiving palliative care in the services; the search of reality, or the data collection, that enabled the imersement and the integration of nursing care and research, in the identification of the perceptions of health professionals regarding nursing care in the provision of palliative care, 3) Analises and Interpretation. This stage involved the organization and synthesis of data using an organized system and the Atlas Ti.1 software, resulting in the theorization of information and the construction of the conceptual structure in model form. Incentives were also given for committment atitudes, transferibility and the dialogue of knowledge, and for the use of the model as a practical reliable instrument. The study was approved by the Research Committee of the Universidade Federal do Rio Grande do Norte, CAAE 91773018.8.0000.5537. The“Nursing Care Model for Individuals on Home Palliative Care” developed in this study is based on the theortical and methodological concepts of nursing care. The aim of the Model is to guide nursing professionals in the systematized care, while valuing the centrality of care on the person and family, and in the promotion of quality of life and comfort in the home environment. Home care permits reflexion on the knowing/doing of nursing to people under palliative care and on the nurse´s role as articulator of care and management actions. It is concluded that the utilization of the model may enhance the nursing values in the home palliative care of humanism and scientific principles, thereby providing comfort and relief to the person and family,