<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-4568</journal-id>
<journal-title><![CDATA[Enfermería Actual de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Enfermería Actual de Costa Rica]]></abbrev-journal-title>
<issn>1409-4568</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Costa Rica ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-45682023000200011</article-id>
<article-id pub-id-type="doi">10.15517/enferm.actual.cr.i45.49378</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Teoria fundamentada sobre o tornar-se cuidador de um familiar em cuidado paliativo pela atenção domiciliar]]></article-title>
<article-title xml:lang="es"><![CDATA[Teoría fundamentada sobre convertirse en una persona cuidadora de un familiar bajo cuidados paliativos en el hogar]]></article-title>
<article-title xml:lang="en"><![CDATA[Grounded theory about becoming a caregiver of a family member under palliative care at home]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prado]]></surname>
<given-names><![CDATA[Roberta Teixeira]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leone]]></surname>
<given-names><![CDATA[Denise Rocha Raimundo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Souza]]></surname>
<given-names><![CDATA[Thiago de Medeiros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Paula Bertoluci Alves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[Elaine da Silva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[Edna Aparecida Barbosa de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal de Juiz de Fora  ]]></institution>
<addr-line><![CDATA[Juiz de Fora Minas Gerais]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Estácio de Sá de Juiz de Fora  ]]></institution>
<addr-line><![CDATA[Juiz de Fora Minas Gerais]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitário da Universidade Federal de Juiz de Fora  ]]></institution>
<addr-line><![CDATA[Juiz de Fora Minas Gerais]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade Federal de São Paulo  ]]></institution>
<addr-line><![CDATA[ S ão Paulo]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Prefeitura de Juiz de Fora  ]]></institution>
<addr-line><![CDATA[Juiz de Fora Minas Gerais]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Universidade Federal de Juiz de Fora  ]]></institution>
<addr-line><![CDATA[Juiz de Fora Minas Gerais]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<numero>45</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-45682023000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-45682023000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-45682023000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  O Cuidado Paliativo domiciliar, aliado ao trabalho multiprofissional e à presença de um cuidador familiar, possibilita a produção de autonomia e de alternativas criativas no cuidado.  Objetivo:  Compreender as condições relacionadas ao tornar-se cuidador familiar principal de um membro da família que recebe cuidados paliativos por serviço de Atenção Domiciliar.  Metodologia:  Pesquisa qualitativa, explicativa, utilizando a perspectiva metodológica de Strauss e Corbin da Teoria Fundamentada nos Dados. Realizamos entrevistas em profundidade com 18 participantes, sendo nove cuidadores familiares e nove profissionais de enfermagem de um Serviço de Atenção Domiciliar e as analisamos pelas codificações aberta, axial e seletiva. Posteriormente, apresentamos as categorias construídas em uma roda de conversa com 15 cuidadores familiares e nove profissionais para a validação teórica.  Resultados:  O processo de tornar-se cuidador familiar relaciona-se a três subcategorias analíticas: ''Assumindo o cuidado domiciliar do familiar dependente''; ''(Des) conhecendo a condição de saúde do familiar e o significado de cuidados paliativos''e ''Vivenciando os cuidados paliativos e lidando com a possibilidade de morte''. Destaca-se que os familiares tornaram-se cuidadores pela imperativa necessidade do cuidado de um parente. A compreensão sobre o significado de cuidado paliativo foi se instituindo pela vivência deste familiar e pelo lidar diário com a condição e possibilidades de morte, mediada pela equipe de Atenção Domiciliar, destacando-se os profissionais de enfermagem. Os profissionais atuantes no serviço mostraram dificuldades para abordarem o tema da morte e de cuidado paliativo com paciente e cuidador.  Conclusão:  Tornar-se cuidador familiar mostra-se um processo complexo, permeado por diversas interações entre pacientes, cuidadores familiares e profissionais da saúde. Identificou-se que as dificuldades nesse processo podem ser amenizadas por meio de estratégias adotadas pelos profissionais para ampliar a comunicação e o apoio frente às singularidades das famílias e, também, através da implementação de políticas públicas que favoreçam o cuidador.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  El cuidado paliativo en el hogar, aliado al trabajo multiprofesional y a la presencia de una persona familiar cuidadora, posibilita la obtención de autonomía y de alternativas creativas en el cuidado.  Objetivo:  Comprender las condiciones relacionadas al convertirse en la persona cuidadora principal de un miembro de la familia que recibe cuidados paliativos en el hogar.  Método:  Investigación cualitativa, utilizando la perspectiva metodológica de Strauss y Corbin de la teoría fundamentada en los datos. Se realizaron entrevistas exhaustivas a 18 participantes, 9 familiares cuidadores y 9 profesionales de enfermería de un Servicio de Atención en el Hogar. Estas entrevistas fueron analizadas por codificación abierta, axial y selectiva. Posteriormente, se presentan las categorías identificadas en una rueda de conversación con 15 familiares cuidadores y 9 profesionales para su validación teórica.  Resultados:  El proceso de convertirse en una persona cuidadora familiar está relacionado a tres subcategorías analíticas: ''Comprometiéndose con la asistencia en el hogar de la persona familiar dependiente.''; ''(Des) conociendo la condición de salud de la persona familiar y el significado de los cuidados paliativos''y ''Vivenciando los cuidados paliativos y lidiando con la posibilidad de muerte''. Se destaca que familiares se convierten en cuidadores por la imperativa necesidad de cuidados de un pariente. La comprensión del significado de los cuidados paliativos fue instituida por la experiencia de esta persona integrante de la familia y por el tratamiento diario de la condición y posibilidades de muerte, mediada por el equipo de asistencia en el hogar, especialmente las personas profesionales de enfermería. Las personas profesionales de enfermería que actúan en el servicio mostraron dificultades para abordar el tema de la muerte y los cuidados paliativos con pacientes y cuidador.  Conclusión:  Convertirse en persona cuidadora familiar es un proceso complejo, permeado por diferentes interacciones entre pacientes, cuidadores familiares y profesionales de la salud. Se identificó que las dificultades en ese proceso pueden ser paliadas a través de estrategias adoptadas por las personas profesionales para ampliar la comunicación y el apoyo frente a las singularidades de las familias y, también, a través de la implementación de políticas públicas que favorezcan a quien realiza el cuidado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Palliative care at home, combined with multiprofessional work and the presence of a family caregiver, enables the achievement of autonomy and creative alternatives in caregiving.  Objective:  To understand the conditions related to becoming the main caregiver of a family member receiving palliative care at home.  Method:  Qualitative research, using Strauss and Corbin's methodological perspective of Grounded Data Theory. In-depth interviews were conducted, with 18 participants: nine family caregivers and nine nursing professionals from a Home Care Service, and were analyzed them by open, axial and selective coding. Subsequently, the categories identified in a conversation with fifteen family caregivers and nine professionals are presented for theoretical validation.  Results:  The process of becoming a family caregiver is related to three analytical subcategories: "Engaging in the home care of the dependent family member"; " (Un) knowing the health condition of the family member and the meaning of palliative care," and "Experiencing palliative care and coping with the possibility of death". It is emphasized that family members became caregivers due to the imperative need for care of a relative. The understanding of the meaning of palliative care was instituted by the experience of this family member, by the daily treatment of the condition, and the possibilities of death, mediated by the Home Care team, especially the nursing professionals. The professionals working in the service showed difficulties in addressing the theme of death and palliative care with patients and caregivers.  Conclusion:  Becoming a family caregiver is a complex process, permeated by different interactions between patients, family caregivers and health professionals. It was identified that the difficulties in this process can be mitigated through strategies adopted by professionals to expand the communication and the support for the specific needs of families and, also, through the implementation of public policies that favor the caregiver.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Assistência domiciliar]]></kwd>
<kwd lng="pt"><![CDATA[Cuidadores]]></kwd>
<kwd lng="pt"><![CDATA[Cuidados paliativos]]></kwd>
<kwd lng="pt"><![CDATA[Teoria fundamentada]]></kwd>
<kwd lng="es"><![CDATA[Asistencia domiciliaria]]></kwd>
<kwd lng="es"><![CDATA[Cuidadores]]></kwd>
<kwd lng="es"><![CDATA[Cuidados paliativos]]></kwd>
<kwd lng="es"><![CDATA[Teoría fundamentada]]></kwd>
<kwd lng="en"><![CDATA[Caregivers]]></kwd>
<kwd lng="en"><![CDATA[Grounded theory]]></kwd>
<kwd lng="en"><![CDATA[Home nursing]]></kwd>
<kwd lng="en"><![CDATA[Palliative care]]></kwd>
</kwd-group>
</article-meta>
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