http://www.bdtd.uerj.br/handle/1/3529 Thu, 11 Jun 2026 16:15:54 GMT 2026-06-11T16:15:54Z http://www.bdtd.uerj.br/handle/1/25631 Título: Alimentação de pacientes disfágicos em cuidados paliativos: aspectos éticos envolvidos no processo Autor: Canaan, Fernanda Silva Primeiro orientador: Costa, Cristiane Maria Amorim Abstract: Introduction: The increase in patients receiving palliative care brings to the forefront increasingly relevant bioethical discussions, such as autonomy and decision-making. When considering individuals diagnosed with some degree of dysphagia, ethical conflicts and moral dilemmas may arise regarding the maintenance of oral feeding, even when it poses certain risks. Objective: To analyze, from the theory of principles, the moral conflicts and how the decision regarding the maintenance of oral feeding is made, understanding that the act of eating goes beyond nutritional aspects, encompassing social, cultural, and religious dimensions that must be considered, while the principles of beneficence, non-maleficence, and autonomy should always guide decision-making. Methodology: The methodology employed was an integrative review, as there is a need to identify and analyze studies on this topic, resulting in only 7 articles. It was observed that respect for autonomy and decision-making were the most relevant points to be analyzed and intertwined with Beauchamp and Childress's principlism theory. Conclusion: Regardless of the individual's decision, the most effective and valued approach is for the speech therapist, along with the rest of the medical and multidisciplinary team, to provide information, clarify doubts, and maintain a safe and welcoming environment where the individual feels secure enough to change their decision without being influenced or having decisions imposed upon them Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação Tue, 01 Jul 2025 00:00:00 GMT http://www.bdtd.uerj.br/handle/1/25631 2025-07-01T00:00:00Z http://www.bdtd.uerj.br/handle/1/25524 Título: Aprendendo a transgredir: a violência durante a formação acadêmica sob a perspectiva de estudantes de Enfermagem LGBT Autor: Teodoro, Sheila de Assis Costa Primeiro orientador: Costa, Cristiane Maria Amorim Abstract: Throughout the history of societies and civilizations, violence, in its various forms and contexts, has been present. Depending on the perspective, it can take on different meanings and types. Any individual can experience violence, directly or indirectly. However, it is known that some groups or populations are more susceptible than others, due to their vulnerability. It is understood that vulnerability also intersects with issues of gender and sexual orientation, where those who do not conform to cisheteronormativity are marginalized, discriminated against, and prevented from living freely. Therefore, it is possible to say that the people represented by the LGBT acronym are, consequently, made vulnerable. Understanding the university environment as a space of diversity, a shaper of individuals, and a promoter of dialogue, but not always welcoming of this heterogeneity and plurality, the present study focuses on the violence experienced by LGBT Nursing students (lesbians, gays, bisexuals, transgender, transsexual, and transvestite individuals) during the academic training process. The main objective was to analyze the violence that LGBT Nursing students experience during the training process, considering the power relations present at the university. This is a descriptive study with a qualitative approach, conducted with LGBT Nursing students selected through the snowball sampling technique. Data collection was carried out through a sociodemographic questionnaire and semi-structured interviews, and the analysis was conducted according to Bardin's Content Analysis. The results revealed the presence of explicit violence, symbolic violence, and microaggressions, influenced by cisheteronormative norms, academic hierarchies, and, in some cases, racial markers. The narratives also revealed the fragility of institutional responses to the complaints, resulting in silencing, insecurity, and individual accountability of the students. The violence significantly impacted academic trajectories and professional development, causing psychological distress, constant vigilance, and difficulties in academic performance, while also prompting coping and resistance strategies based on peer support and collective engagement. It was concluded that the violence experienced by LGBT Nursing students during their education is not episodic, but structural, requiring the implementation of effective institutional policies, a review of pedagogical practices, and the transversal incorporation of gender, sexuality, and diversity topics in Nursing education, in order to promote more equitable learning environments committed to human dignity Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação Fri, 30 Jan 2026 00:00:00 GMT http://www.bdtd.uerj.br/handle/1/25524 2026-01-30T00:00:00Z http://www.bdtd.uerj.br/handle/1/24362 Título: Descolonizando as emoções: um giro amefricano pelo discurso sobre as emoções nas bases do pensamento moderno Autor: Quintan, Victor Hugo Soares Primeiro orientador: Mendonça, André Luís de Oliveira Abstract: This work critically explores the modern dichotomy between reason and emotion, evidencing how this separation operates as a power device in the construction of racial, epistemic, and existential hierarchies. It observes that rationality, elevated as the foundation of morality, science, and citizenship, was racialized, becoming a criterion for validating humanity, while affects, associated with instability and the body, were systematically relegated to irrationality and inferiority, thus underpinning racism. The dissertation uses Charles Mills's concept of the "racial contract" to unveil the exclusionary logic of the modern social pact, deepening it with Denise Ferreira da Silva's "engulfment strategy," which explains how the separation between reason and emotion subjugates non-white populations and contributes to colonialism. The study articulates these reflections with Brazilian Black thought, with an emphasis on Lélia Gonzalez's legacy, proposing the "Amefrican turn" as an epistemological movement that reconnects knowing and feeling to enable new practices. The research, anchored in a personal account of the demolition of Aldeia Imbuhy, in Niterói (RJ), demonstrates the politicization of rage and grief as forces of resistance and re-signification. It proposes a "disenchantment of rage" that rejects moral imperatives and reopens the sensible as a field of dispute and reinvention. The work, developed within a bioethics program in collective health, advocates for a bioethics sensitive to affects and plural experiences, capable of confronting historical asymmetries, recognizing racialized suffering, and promoting radical care. It concludes with an invitation to continue investigations into the coloniality of emotions and to listen to non-hegemonic epistemologies, aiming for a more equitable public health system and the construction of other ways of living, feeling, and caring Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação Mon, 14 Jul 2025 00:00:00 GMT http://www.bdtd.uerj.br/handle/1/24362 2025-07-14T00:00:00Z http://www.bdtd.uerj.br/handle/1/23319 Título: Processo de tomada de decisão ética em fim de vida em terapia intensiva pediátrica: uma revisão integrativa Autor: Xavier, Gisele Martins Primeiro orientador: Costa, Cristiane Maria Amorim Abstract: Although it is uncommon for children to die in the pediatric intensive care unit (PICU), the majority of infant deaths in the most developed countries occur in the PICU, often following decisions to limit life support. Limiting life support (LLS) refers to the appropriateness and/or proportionality of the treatment offered, with the aim of avoiding excessive procedures and therapies with no prospect of success. The aim of this dissertation is to analyze, from the perspective of the ethics of care, the decision-making process of pediatric intensive care physicians in limiting life support in pediatrics (LLSP). This study consisted of an integrative review of national and international scientific literature, and criteria were established for the selection of articles. Data from the articles were analyzed using content analysis according to the thematic analysis technique. The results allowed us to identify the definition of LLS, the main ethical dilemmas faced when making decisions about LLS, the criteria used to indicate this practice in pediatric ICUs, the factors that influence this decision-making process, the medical team's view of LLS, and the consequences of these decisions. Based on the results of this study, we can see that the ethics of care is well suited as a theoretical-practical reference in decision-making procedures in PICUs, not only in cases related to LLSP. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação Fri, 28 Jun 2024 00:00:00 GMT http://www.bdtd.uerj.br/handle/1/23319 2024-06-28T00:00:00Z