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Nursing practice in the promotion of the elderly’s autonomy

Práctica de enfermería en la promoción de la autonomía de los ancianos

ABSTRACT

Objective:

To describe the meaning attributed by specialist nurses to the promotion of the elderly’s autonomy.

Method:

This is a phenomenological study, according to Giorgi’s method, which uses semi-structured interviews. Eighteen specialist nurses participated, recruited using convenience sampling, in two hospitals in the northern region of Portugal, between March and December 2018.

Results:

Five themes emerged: use of instruments; use of theoretical framework; nursing diagnoses; prescription of interventions; nursing records.

Conclusion:

Specialist nurses use instruments that essentially promote the elderly’s physical capacity, within the scope of autonomy. The information systems used to record the diagnoses and prescriptions for interventions do not reflect the intervention for the person’s autonomy. Autonomy in a multidimensional way is not very well developed, despite the recognition of its importance for the elderly’s quality of life and dignity.

DESCRIPTORS
Patient Care; Nursing Diagnosis; Nursing Care; Personal Autonomy; Qualitative Research; Geriatric Nursing

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br