Psychological Fantasies about the Administration of Palliative Sedation to Terminal Cancer Patients: A Qualitative Study of Reports from Brazilian Nurses in a Specialized Hospital

Claudiane Gracas Dos Santos; Maria  Eufrasia De Faria; Ricardo Souza Evangelista Sant'Ana; Rodrigo Almeida Bastos; Jéssica Renata Ponce de Leon Rodrigues; Claudinei José Gomes Campos; Simone de Godoy Costa; Christine Maheu; Carmen Silvia Passos Lima; Egberto Ribeiro Turato

doi:10.20944/preprints202306.1336.v1

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preprints.org > public health and healthcare > nursing > doi: 10.20944/preprints202306.1336.v1

Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Psychological Fantasies about the Administration of Palliative Sedation to Terminal Cancer Patients: A Qualitative Study of Reports from Brazilian Nurses in a Specialized Hospital

Claudiane Gracas Dos Santos

^* ,

Maria Eufrasia De Faria

Ricardo Souza Evangelista Sant'Ana

Rodrigo Almeida Bastos

Jéssica Renata Ponce de Leon Rodrigues

Claudinei José Gomes Campos

Simone de Godoy Costa

Christine Maheu

Carmen Silvia Passos Lima

Egberto Ribeiro Turato

Version 1 : Received: 16 June 2023 / Approved: 19 June 2023 / Online: 19 June 2023 (09:20:02 CEST)

How to cite: Dos Santos, C. G.; De Faria, M. . E.; Sant'Ana, R. S. E.; Bastos, R. A.; Rodrigues, J. R. P. D. L.; Campos, C. J. G.; Costa, S. D. G.; Maheu, C.; Lima, C. S. P.; Turato, E. R. Psychological Fantasies about the Administration of Palliative Sedation to Terminal Cancer Patients: A Qualitative Study of Reports from Brazilian Nurses in a Specialized Hospital. Preprints 2023, 2023061336. https://doi.org/10.20944/preprints202306.1336.v1 Dos Santos, C. G.; De Faria, M. . E.; Sant'Ana, R. S. E.; Bastos, R. A.; Rodrigues, J. R. P. D. L.; Campos, C. J. G.; Costa, S. D. G.; Maheu, C.; Lima, C. S. P.; Turato, E. R. Psychological Fantasies about the Administration of Palliative Sedation to Terminal Cancer Patients: A Qualitative Study of Reports from Brazilian Nurses in a Specialized Hospital. Preprints 2023, 2023061336. https://doi.org/10.20944/preprints202306.1336.v1

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MDPI and ACS Style

Dos Santos, C. G.; De Faria, M. . E.; Sant'Ana, R. S. E.; Bastos, R. A.; Rodrigues, J. R. P. D. L.; Campos, C. J. G.; Costa, S. D. G.; Maheu, C.; Lima, C. S. P.; Turato, E. R. Psychological Fantasies about the Administration of Palliative Sedation to Terminal Cancer Patients: A Qualitative Study of Reports from Brazilian Nurses in a Specialized Hospital. Preprints 2023, 2023061336. https://doi.org/10.20944/preprints202306.1336.v1

APA Style

Dos Santos, C. G., De Faria, M. . E., Sant'Ana, R. S. E., Bastos, R. A., Rodrigues, J. R. P. D. L., Campos, C. J. G., Costa, S. D. G., Maheu, C., Lima, C. S. P., & Turato, E. R. (2023). Psychological Fantasies about the Administration of Palliative Sedation to Terminal Cancer Patients: A Qualitative Study of Reports from Brazilian Nurses in a Specialized Hospital. Preprints. https://doi.org/10.20944/preprints202306.1336.v1

Chicago/Turabian Style

Dos Santos, C. G., Carmen Silvia Passos Lima and Egberto Ribeiro Turato. 2023 "Psychological Fantasies about the Administration of Palliative Sedation to Terminal Cancer Patients: A Qualitative Study of Reports from Brazilian Nurses in a Specialized Hospital" Preprints. https://doi.org/10.20944/preprints202306.1336.v1

Abstract

Knowing the symbolizations constructed in people's consciousness, based on lived experiences, is crucial to understanding how they structure their lives. Palliative Sedation (PS) integrates treatment in terminal palliative care, with the purpose of offering support and relief of refractory symptoms that may occur at the end of life. This study aimed at interpreting psychic fantasies that permeate thoughts, as reported by a sample of nurses when administering palliative sedation to patients in the final stage of life. This is a clinical-qualitative study conducted in a large hospital in the city of São Paulo (state of São Paulo, Brazil), a national reference in oncology. The study included 11 nurses working in the care of cancer patients. For data collection, we used the technique of SDIOQD – Semi-Directed Interview with Open-ended Questions in-Depth. The treatment by CQCA - Clinical-Qualitative Content Analysis is grounded on psychodynamic concepts. The interpretation of the meaning cores found in the interviews, complemented by observation of the para-verbal and nonverbal manifestations of the interviewees, led to the construction of three categories: (1) to symbolically serve death on a tray; (2) the act of sedation and its unfortunate coincidences; (3) palliative sedation as an agent of mercy death. This study suggests that nurses face dilemmatic situations, going through periods of self-questioning and moments of the ambivalence of feelings of beneficence and maleficence. When sedating a patient, the nurses envision to be offering dignity in death. Euthanasia fantasies in the process of administering sedation are latent in consciousness.

Keywords

palliative sedation; terminal care; nursing; palliative care; qualitative research

Subject

Public Health and Healthcare, Nursing

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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