title: [Hospitalization by court order: ethical dilemmas experienced by nurses].
abstract: A qualitative study aimed at describing the situations experienced and the ethical dilemmas of nurses in the process of referring and receiving hospitalized patients by court order who require admission to the Intensive Care Unit (ICU). A partially structured interview was conducted with 10 nurses who worked in the ICU and 10 who worked in the Emergency Room (ER) in public and private hospitals in the metropolitan area of Porto Alegre, Brazil. The data was analyzed following the Semantic Analysis. The results indicated that nurses experienced ethical dilemmas associated with problems of overcrowding in emergency rooms and ICUs, poor specialized technology and orientation as to the benefits provided by law. We concluded that it is essential for nurses to participate in discussions that allow the planning of the different instances that have been promoting this often chaotic situation.
authors.affiliation: Universidade Federal de Santa Catarina (UFSC), Departamento e Programa de Pós-graduaçã em Enfermagem (UFSC), Florianópolis, SC, Brasil. mara@ccs.ufsc.br
authors.forename: Mara Ambrosina de Oliveira
authors.initials: MA
authors.lastname: Vargas
authors.forename: Flávia Regina Souza
authors.initials: FR
authors.lastname: Ramos
authors.forename: Dulcinéia Ghizoni
authors.initials: DG
authors.lastname: Schneider
authors.forename: Nadir
authors.initials: N
authors.lastname: Schneider
authors.forename: Alessandra Ceci
authors.initials: AC
authors.lastname: dos Santos
authors.forename: Sandra Maria Cezar
authors.initials: SM
authors.lastname: Leal
mesh_terms: D001509:Bed Occupancy / Q000941:ethics* / Q000331:legislation & jurisprudence; D001938:Brazil; D003134:Commitment of Persons with Psychiatric Disorders / Q000331:legislation & jurisprudence*; D003422:Critical Care / Q000941:ethics*; D003441:Crowding; D016529:Emergency Nursing / Q000941:ethics*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D004993:Ethics, Nursing; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006760:Hospitalization / Q000331:legislation & jurisprudence*; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D008318:Malpractice; D024802:Nurse's Role; D009732:Nursing Care / Q000941:ethics*; D028701:Patient Rights; D061214:Patient Safety; D036301:Qualitative Research; D012959:Socioeconomic Factors