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Breast cancer remains significantly distressing and produces profound changes in women's lives. Spirituality is an important resource at the time of diagnosis and treatment decisions. This qualitative study aimed to explore the spiritual experience of women diagnosed with breast cancer and the considerations of spirituality in health care using the existential phenomenology approach. The sampling procedure was intentional, based on the study's exclusion and inclusion criteria. Forty women participated in individual interviews. The research was conducted in the outpatient clinic of a reference federal university hospital in South-Eastern Brazil. Throughout the research process, ethical principles were carefully followed. Five themes were identified: (1) meaning of spirituality-source of spiritual strength, (2) well-being in the relationship with God, (3) well-being in religious fellowship, (4) values and purpose of life-meaning in life, and (5) spirituality as a foundation to continue. Respect for patient's spiritual values was recognised as a fundamental principle in health care. Spirituality was revealed as a source of support during the complex process of being diagnosed with breast cancer. Thus, health care professionals that value and encourage spirituality are needed, favouring better patient response to the diagnosis.

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OBJECTIVE: To understand the meaning of life as perceived by nurses at work in oncology palliative care. METHOD: This is a qualitative study, with a phenomenological approach, based on the theoretical-philosophical framework by Viktor Emil Frankl. It was developed with nurses in a unit specialized in oncology palliative care located in the city of Rio de Janeiro and used phenomenological interviews. Data were processed using the phenomenological method by Amedeo Giorgi. RESULTS: Thirty-four nurses participated in the study. The study conveys an existential message to nurses through selftranscendence. Through their work, they represent their own identity, which is directly impacted by the way they perceive freedom and responsibility in the face of actions taken. They build their reality and make work viable as a source of life. The care provided is no longer just a task to be qualified as a solidary, relational, existential, dynamic, and temporal issue. CONCLUSION: The experience in a scenario of life finitude allows these professionals to experience an authentic encounter with their self, the awakening of values giving meaning to their existence, and self-transcendence, deeply contributing to society through a more human, comprehensive, and quality assistance.

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ABSTRACT Objective: To understand the meaning of life as perceived by nurses at work in oncology palliative care. Method: This is a qualitative study, with a phenomenological approach, based on the theoretical-philosophical framework by Viktor Emil Frankl. It was developed with nurses in a unit specialized in oncology palliative care located in the city of Rio de Janeiro and used phenomenological interviews. Data were processed using the phenomenological method by Amedeo Giorgi. Results: Thirty-four nurses participated in the study. The study conveys an existential message to nurses through selftranscendence. Through their work, they represent their own identity, which is directly impacted by the way they perceive freedom and responsibility in the face of actions taken. They build their reality and make work viable as a source of life. The care provided is no longer just a task to be qualified as a solidary, relational, existential, dynamic, and temporal issue. Conclusion: The experience in a scenario of life finitude allows these professionals to experience an authentic encounter with their self, the awakening of values giving meaning to their existence, and self-transcendence, deeply contributing to society through a more human, comprehensive, and quality assistance.

RESUMEN Objetivo: Comprender el sentido de la vida percibido por los enfermeros en su trabajo con los cuidados paliativos oncológicos. Método: Estudio de carácter cualitativo, con abordaje fenomenológico, fundamentado en el referencial teórico-filosófico de Viktor Emil Frankl. Se desarrolló con enfermeros de una unidad especializada en cuidados paliativos oncológicos ubicada en el municipio de Río de Janeiro mediante entrevistas fenomenológicas. Los datos fueron tratados con el método fenomenológico de Amedeo Giorgi. Resultados: Han participado 34 enfermeros. Para ellos, el trabajo transmite un mensaje existencial a través de la autotrascendencia. Con su trabajo, representan su propia identidad, que se ve directamente impactada por la forma en la que perciben la libertad y la responsabilidad hacia las acciones practicadas. Construyen su realidad y la convierten en una fuente de vida viable. El cuidado que se presta deja de ser una mera tarea para calificarse como una condición solidaria, relacional, existencial, dinámica y temporal. Conclusión: La experiencia en el escenario de la finitud de la vida permite a estos profesionales el auténtico encuentro con sí mismos, el despertar de los valores que dan sentido a su existencia y la autotrascendencia, contribuyendo profundamente hacia la sociedad a través de una asistencia más humana, integral y de calidad.

RESUMO Objetivo: Compreender o sentido da vida percebido pelos enfermeiros no trabalho em cuidados paliativos oncológicos. Método: Estudo de natureza qualitativa, com abordagem fenomenológica, fundamentado no referencial teórico-filosófico de Viktor Emil Frankl. Desenvolveu-se com enfermeiros em uma unidade especializada em cuidados paliativos oncológicos localizada no município do Rio de Janeiro por meio de entrevista fenomenológica. Os dados foram tratados pelo método fenomenológico de Amedeo Giorgi. Resultados: Participaram 34 enfermeiros. O trabalho veicula para os enfermeiros uma mensagem existencial por meio da autotranscendência. Pelo trabalho, representam a própria identidade que é diretamente impactada pela forma como percebem a liberdade e responsabilidade perante as ações assumidas. Constroem a sua realidade e o viabilizam como fonte de vida. O cuidado prestado deixa de ser apenas uma tarefa para ser qualificado como uma condição solidária, relacional, existencial, dinâmica e temporal. Conclusão: A experiência no cenário da finitude da vida possibilita a estes profissionais o encontro autêntico com seu eu, o despertar de valores que dão sentido a seu existir e à autotranscendência, contribuindo profundamente à sociedade por meio de uma assistência mais humana, integral e de qualidade.

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OBJECTIVES: To report the experience in teaching internship in the elective discipline "Spirituality in the Health Field" of the curriculum of the graduation course in Nursing of Universidade Federal Fluminense. METHODS: This is a case report with descriptive-reflexive approach of the class "the meaning of life as spiritual care strategy in the nursing practice". For the elaboration of the discipline, a lesson plan and active methodologies were used. RESULTS: The strategy used for preparation of the class allowed transmitting and constructing knowledge objectively. The reflections disclosed along with students showed the importance of the meaning of life as spiritual care in nursing practices for the health professional and for the act of being cared for. FINAL CONSIDERATIONS: The class was considered a successful experience, as the theme proposed was essential for the theoretical-reflective construction about spirituality and meaning of life as a form of care that transcends technical procedures.

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ABSTRACT Objectives: To report the experience in teaching internship in the elective discipline "Spirituality in the Health Field" of the curriculum of the graduation course in Nursing of Universidade Federal Fluminense. Methods: This is a case report with descriptive-reflexive approach of the class "the meaning of life as spiritual care strategy in the nursing practice". For the elaboration of the discipline, a lesson plan and active methodologies were used. Results: The strategy used for preparation of the class allowed transmitting and constructing knowledge objectively. The reflections disclosed along with students showed the importance of the meaning of life as spiritual care in nursing practices for the health professional and for the act of being cared for. Final considerations: The class was considered a successful experience, as the theme proposed was essential for the theoretical-reflective construction about spirituality and meaning of life as a form of care that transcends technical procedures.

RESUMEN Objetivos: Relatar la experiencia en prácticas-docencia en la asignatura electiva "Espiritualidad en el ámbito de la salud" del plan de estudios del grado en Enfermería de la Universidad Federal Fluminense. Métodos: Se trata de un relato de experiencia de enfoque descriptivo-reflexivo de la clase "el sentido de la vida como estrategia de cuidado espiritual en la práctica de la enfermería". Para la elaboración del curso, se utilizó un plan de clase y metodologías activas. Resultados: La estrategia utilizada en la elaboración de la clase permitió la transmisión y construcción del conocimiento de forma objetiva. Las reflexiones desveladas con los alumnos evidenciaronla importancia del sentido de la vida como cuidado espiritual en las praxis de la enfermería para el profesional de la salud y para el ser cuidado. Consideraciones finales: la clase fue considerada una experiencia exitosa, en la medida en que el tema propuesto fue fundamental para la construcción teórico-reflexiva acerca de la espiritualidad y el sentido de la vida como forma de cuidado que transciende los procedimientos técnicos.

RESUMO Objetivos: Relatar a experiência em estágio-docência na disciplina optativa "Espiritualidade no Campo da Saúde" da grade curricular da graduação em Enfermagem da Universidade Federal Fluminense. Métodos: Trata-se de um relato de experiência de abordagem descritivo-reflexiva da aula "o sentido da vida como estratégia de cuidado espiritual na prática da enfermagem". Para a construção do curso foi utilizado um plano de aula e metodologias ativas. Resultados: A estratégia utilizada na elaboração da aula possibilitou a transmissão e construção do conhecimento de forma objetiva. As reflexões desveladas com alunos evidenciarama importância do sentido da vida como cuidado espiritual nas práxis da enfermagem para o profissional da saúde e para o ser cuidado. Considerações finais: A aula foi considerada uma experiência exitosa, na medida que o tema proposto foi fundamental para a construção teórico-reflexiva acerca da espiritualidade e sentido da vida como forma de cuidado que transcende os procedimentos técnicos.

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Objetivou-se identificar evidências científicas acerca do sentido da vida dos enfermeiros no trabalho em cuidados paliativos no contexto hospitalar numa perspectiva existencialista. Revisão integrativa conduzida nas bases indexadas LILACS, MEDLINE, BDENF, CINAHL e SCOPUS no período de 2008 a junho de 2019, seguindo as recomendações da ferramenta PRISMA. Foram selecionados 12 artigos internacionais dos quais emergiram três categorias temáticas: "experiências existenciais de enfermeiros que trabalham aos cuidados paliativos", "os sentidos e significados atribuídos pelos enfermeiros em cuidados paliativos", e "estratégias de enfrentamento e intervenções apontadas como superação de questões existenciais". Para que o trabalho dos enfermeiros tenha sentido e represente um valor importante em sua vidas, torna-se importante conhecer as fontes motivadoras que orientam suas decisões, bem como a criação de janelas estratégicas no cuidado que promovam satisfação e desempenho no processo de trabalho e favoreça a cultura do cuidado a pacientes em cuidados paliativos.

The aim was to identify the scientific evidence surrounding the meaning of life of nurses working in palliative care in a hospital, through an existential perspective. The integrative review was performed through searches in the indexed databases LILACS, MEDLINE, BDENF, CINAHL, and SCOPUS from 2008 to June 2019, following the PRISMA recommendations. Twelve international papers were selected from which three categories emerged: "existential experiences of nurses working in palliative care", "the meanings and significations assigned by nurses in palliative care" and, "coping strategies and interventions pointed out as overcoming existential questions". It is important to know the motivating sources guiding nurses' decisions, as well as the creation of strategic windows in care to give meaning to the nurses' work. Additionally, to represent an essential value in their lives, that will promote satisfaction and favor the care culture to patients in palliative care.

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Objetivou-se identificar evidências científicas acerca do sentido da vida dos enfermeiros no trabalho em cuidados paliativos no contexto hospitalar numa perspectiva existencialista. Revisão integrativa conduzida nas bases indexadas LILACS, MEDLINE, BDENF, CINAHL e SCOPUS no período de 2008 a junho de 2019, seguindo as recomendações da ferramenta PRISMA. Foram selecionados 12 artigos internacionais dos quais emergiram três categorias temáticas: "experiências existenciais de enfermeiros que trabalham aos cuidados paliativos", "os sentidos e significados atribuídos pelos enfermeiros em cuidados paliativos", e "estratégias de enfrentamento e intervenções apontadas como superação de questões existenciais". Para que o trabalho dos enfermeiros tenha sentido e represente um valor importante em sua vidas, torna-se importante conhecer as fontes motivadoras que orientam suas decisões, bem como a criação de janelas estratégicas no cuidado que promovam satisfação e desempenho no processo de trabalho e favoreça a cultura do cuidado a pacientes em cuidados paliativos.

The aim was to identify the scientific evidence surrounding the meaning of life of nurses working in palliative care in a hospital, through an existential perspective. The integrative review was performed through searches in the indexed databases LILACS, MEDLINE, BDENF, CINAHL, and SCOPUS from 2008 to June 2019, following the PRISMA recommendations. Twelve international papers were selected from which three categories emerged: "existential experiences of nurses working in palliative care", "the meanings and significations assigned by nurses in palliative care" and, "coping strategies and interventions pointed out as overcoming existential questions". It is important to know the motivating sources guiding nurses' decisions, as well as the creation of strategic windows in care to give meaning to the nurses' work. Additionally, to represent an essential value in their lives, that will promote satisfaction and favor the care culture to patients in palliative care.

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ABSTRACT Objectives: To report the experience in teaching internship in the elective discipline "Spirituality in the Health Field" of the curriculum of the graduation course in Nursing of Universidade Federal Fluminense. Methods: This is a case report with descriptive-reflexive approach of the class "the meaning of life as spiritual care strategy in the nursing practice". For the elaboration of the discipline, a lesson plan and active methodologies were used. Results: The strategy used for preparation of the class allowed transmitting and constructing knowledge objectively. The reflections disclosed along with students showed the importance of the meaning of life as spiritual care in nursing practices for the health professional and for the act of being cared for. Final considerations: The class was considered a successful experience, as the theme proposed was essential for the theoretical-reflective construction about spirituality and meaning of life as a form of care that transcends technical procedures.

RESUMEN Objetivos: Relatar la experiencia en prácticas-docencia en la asignatura electiva "Espiritualidad en el ámbito de la salud" del plan de estudios del grado en Enfermería de la Universidad Federal Fluminense. Métodos: Se trata de un relato de experiencia de enfoque descriptivo-reflexivo de la clase "el sentido de la vida como estrategia de cuidado espiritual en la práctica de la enfermería". Para la elaboración del curso, se utilizó un plan de clase y metodologías activas. Resultados: La estrategia utilizada en la elaboración de la clase permitió la transmisión y construcción del conocimiento de forma objetiva. Las reflexiones desveladas con los alumnos evidenciaronla importancia del sentido de la vida como cuidado espiritual en las praxis de la enfermería para el profesional de la salud y para el ser cuidado. Consideraciones finales: la clase fue considerada una experiencia exitosa, en la medida en que el tema propuesto fue fundamental para la construcción teórico-reflexiva acerca de la espiritualidad y el sentido de la vida como forma de cuidado que transciende los procedimientos técnicos.

RESUMO Objetivos: Relatar a experiência em estágio-docência na disciplina optativa "Espiritualidade no Campo da Saúde" da grade curricular da graduação em Enfermagem da Universidade Federal Fluminense. Métodos: Trata-se de um relato de experiência de abordagem descritivo-reflexiva da aula "o sentido da vida como estratégia de cuidado espiritual na prática da enfermagem". Para a construção do curso foi utilizado um plano de aula e metodologias ativas. Resultados: A estratégia utilizada na elaboração da aula possibilitou a transmissão e construção do conhecimento de forma objetiva. As reflexões desveladas com alunos evidenciarama importância do sentido da vida como cuidado espiritual nas práxis da enfermagem para o profissional da saúde e para o ser cuidado. Considerações finais: A aula foi considerada uma experiência exitosa, na medida que o tema proposto foi fundamental para a construção teórico-reflexiva acerca da espiritualidade e sentido da vida como forma de cuidado que transcende os procedimentos técnicos.

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OBJECTIVE: To describe nurses' experience in the care of high-risk newborns. METHOD: This is a descriptive study with a qualitative approach, based on Merleau-Ponty's phenomenology and performed at the Fernando Magalhães Maternity Hospital in the state of Rio de Janeiro, through interviews with 30 nurses who work in neonatal care, according to the phenomenological thinking of Maurice Merleau- Ponty. RESULTS: Three categories emerged: "experienced body of the nurse practitioner on the high-risk newborn"; "experienced world of the nurse practitioner on the high-risk newborn"; and "time spent by the nurse practitioner with the high-risk newborn". FINAL CONSIDERATIONS: The study allowed us to describe, through the participants' speeches, that the care of the high-risk newborn is broad, that is, objective, subjective and carried out with advanced technologies, their experiences and scientific improvement are composed of shared practice and theory with the family, professionals and beginners in the neonatal universe, favoring a differentiated and humanized care.

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OBJECTIVE: To analyze health as a right from the perspective of care of the self, in the conception of nursing professionals. METHOD: Qualitative study, carried out in a Federal Hospital of the city of Rio de Janeiro, with the participation of 10 nurses and 20 nursing technicians through interviews recorded, transcribed and analyzed in light of the Discursive Textual Analysis. RESULTS: Two categories emerged: Health as the right of professionals and their "non-right" to health; and Care of the self for the health professional: work and torture. CONCLUSION: There are many challenges to overcome, such as the search for satisfactory public funding, the need to improve the quality of Primary Health Care services, the implementation of a care model compatible with the country's demographic and epidemiological situation; all professionals need an effective endorsement for care of the self, such as their knowledge of the right to health.

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