{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T20:08:55Z","timestamp":1774296535590,"version":"3.50.1"},"reference-count":22,"publisher":"Escola Superior de Saude Norte da Cruz Vermelha Portuguesa","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["RIIS"],"abstract":"<jats:p>Enquadramento: a dor \u00e9 um dos sintomas mais prevalentes e debilitantes em cuidados paliativos. A tomada de decis\u00e3o dos profissionais de sa\u00fade, incluindo enfermeiros, \u00e9 determinante na qualidade dos cuidados prestados e no al\u00edvio do sofrimento da pessoa em fim de vida. Objetivo: identificar fatores que influenciam a tomada de decis\u00e3o dos profissionais de sa\u00fade, incluindo enfermeiros, na gest\u00e3o da dor em cuidados paliativos. Metodologia: revis\u00e3o integrativa da literatura, seguindo uma abordagem integrativa conforme enquadrada no JBI Manual for Evidence Synthesis (2024). A pesquisa decorreu na MEDLINE Complete (EBSCO), entre janeiro 2013 e mar\u00e7o de 2023, utilizando a estrat\u00e9gia PI(c)O. Identificados 212 estudos; seis cumpriram os crit\u00e9rios de inclus\u00e3o. A sele\u00e7\u00e3o e extra\u00e7\u00e3o dos dados foram realizadas por dois revisores independentes. A revis\u00e3o apresenta limita\u00e7\u00f5es metodol\u00f3gicas, incluindo a utiliza\u00e7\u00e3o de uma \u00fanica base de dados e a aus\u00eancia de avalia\u00e7\u00e3o cr\u00edtica da qualidade dos estudos inclu\u00eddos, o que exige interpreta\u00e7\u00e3o prudente dos resultados. Resultados: os fatores identificados s\u00e3o complexos e multifatoriais, agrupam-se em dois dom\u00ednios: intr\u00ednsecos (conhecimento, experi\u00eancia, autonomia, personalidade) e extr\u00ednsecos (recursos, protocolos, cultura organizacional). Conclus\u00e3o: a tomada de decis\u00e3o na gest\u00e3o da dor \u00e9 um processo complexo e multidimensional que exige conhecimento, experi\u00eancia cl\u00ednica e condi\u00e7\u00f5es organizacionais adequadas.<\/jats:p>","DOI":"10.37914\/riis.v9.501","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T19:44:56Z","timestamp":1774295096000},"page":"e501","source":"Crossref","is-referenced-by-count":0,"title":["Tomada de decis\u00e3o na gest\u00e3o da dor em cuidados paliativos: revis\u00e3o integrativa","Decision-making in pain management in palliative care: integrative review","Toma de decisiones en el manejo del dolor en cuidados paliativos: revisi\u00f3n integrativa"],"prefix":"10.37914","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9157-3756","authenticated-orcid":false,"given":"Ana","family":"Sevivas","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5953-788X","authenticated-orcid":false,"given":"Marisa","family":"Louren\u00e7o","sequence":"additional","affiliation":[]}],"member":"24811","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"12627","doi-asserted-by":"crossref","unstructured":"Aromataris, E., Lockwood, C., Porritt, K., Pilla, B., & Jordan, Z. 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