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ORIGINAL ARTICLE
Nurses’ patterns of knowing about HIV disclosure to children
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210103
07-18-2022
Resumo
ORIGINAL ARTICLENurses’ patterns of knowing about HIV disclosure to children
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210103
07-18-2022DOI 10.1590/0034-7167-2021-0103
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Objectives:
to identify and analyze nurses’ patterns of knowing and experiences with the preparation of families for disclosure to children living with HIV seropositivity.
Methods:
thirteen pediatric nurses from Rio de Janeiro participated in the research using the sensitive creative method. Data were treated with Orlandi’s discourse analysis and Carper’s patterns of knowing.
Results:
nurses’ speeches revealed socioculturally constructed imaginary and ideological formations. The personal pattern of knowing, under the influence of negative media about the disease in the 1980s, generated stigma and prejudice. Empirical, esthetic, and ethical patterns were built on training and professional practice of the 1990s-2010s. They composed a context of (in)security about competence, to contribute to preparing families to disclose HIV to children.
Final Considerations:
nurses’ experience demonstrates knowledge to intervene and many challenges for their practical appropriation.
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REVIEW
Communication of bad news in pediatrics: integrative review
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20190059
08-05-2020
Resumo
REVIEWCommunication of bad news in pediatrics: integrative review
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20190059
08-05-2020DOI 10.1590/0034-7167-2019-0059
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Objectives:
to identify the scientific evidence of the elements of communication in the process of communicating bad news in pediatrics.
Methods:
integrative review searched in the LILACS, PubMed and WoS databases. Primary studies in Portuguese, Spanish or English were included.
Results:
the evidence from the 40 studies were organized according to the elements of communication: sender (family and/or professional), receiver (family and/or child), message (bad or difficult news about diagnosis/prognosis; empathetically, honestly, objective, hopeful and available), channel (materials, quality, quantity and pace), context and effects (social and emotional changes), noise (feelings and language) and failures (silencing and misleading information).
Conclusions:
there is a need to prepare the institution and team, as well as the family and the child, in order to promote co-responsibility in this process, to minimize suffering and communication noise and to avoid failures, recognizing the child’s right to know their condition.