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Avaliação e Intervenção familiar com famílias na transição para a parentalidade: Projeto de desenvolvimento de competências clínicas especializadas na área de Enfermagem Comunitária na área de Enfermagem de Saúde Familiar
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As Unidades Curriculares, Estágio de natureza profissional com relatório - Módulo I e II, estão integradas no curso de Mestrado em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar da Escola Superior de Enfermagem do Porto, onde as atividades desenvolvidas no seu âmbito se concretizaram numa Unidade de Saúde Familiar. Pelos regulamentos n.º 140/2019 e n.º 428/2018 da Ordem dos Enfermeiros, estas visaram evidenciar o desenvolvimento de competências comuns do enfermeiro especialista e específicas do enfermeiro especialista em enfermagem comunitária na área de enfermagem de saúde familiar. Em concordância com as referidas competências, foram estabelecidos dois objetivos gerais para o seu desenvolvimento: Cuidar da família, enquanto unidade de cuidados, e de cada um dos seus membros, ao longo do ciclo vital e aos diferentes níveis de prevenção e Liderar e colaborar nos processos de intervenção no âmbito da Enfermagem de Saúde Familiar. A prestação de cuidados à família sustentou-se no Modelo Dinâmico de Avaliação e Intervenção Familiar que tem como base teórica o Modelo de Calgary de Avaliação da Família e o Modelo de Calgary de Intervenção na Família e para os seus membros recorreu-se à Teoria das Transições. Ressalva-se a importância destes modelos teóricos, pois orientam e suportam a conceção de cuidados de enfermagem às famílias e aos seus membros, tal como se constatou na realização destes estágios, que sustentado na melhor evidencia científica se traduziu em ganhos em saúde pela capacitação na mobilização das suas forças e recursos face ás necessidades identificadas, pela perspetiva sistémica dinâmica e flexível naquela que foi a avaliação e intervenção em famílias em transição para a parentalidade. Neste âmbito, foram realizadas consultas que permitiram a avaliação e intervenção familiar, possível pela colheita de dados com recurso à entrevista familiar sistémica, pela utilização de instrumentos validados, pela tomada de decisão e juízo critico que com recurso a técnicas de intervenção sistémica, encaminhamento para outras unidades utilizando os recursos disponíveis para colmatar necessidades especificas e a respetiva avaliação dos cuidados. Destaca-se a dinamização de sistemas de informação e tecnologia com o intuito de melhorar os resultados de saúde familiar com o início do desenvolvimento de uma aplicação móvel, apresentada por processo formativo aos enfermeiros da Unidade de Saúde Familiar, bem como o desenvolvimento do protocolo de uma Scoping Review e a participação em eventos científicos. Colaborou-se, deste modo, na disseminação do conhecimento em enfermagem de saúde familiar, alinhado com o desenvolvimento profissional e pessoal.
The Curricular Units, Internship of a professional nature with report - Module I and II, are part of the Master´s Degree in Community Nursing in the area of Family Health Nursing at the Nursing School of Porto, where the activities developed within their ambit took place in a Family Health Unit. According to regulations no. 140/2019 and no. 428/2018 of the Order of Nurses, these aimed to highlight the development of common competencies for specialized nurses and specific competencies for nurses specialist in community nursing in the area of family health nursing. In line with these competencies, two general objectives were established for their development: Caring for the family, as a unit of care, and for each of its members, throughout the life cycle and at different levels of prevention and Leading and collaborating in intervention processes within the scope of Family Health Nursing. The care provided to the family was based on the Dynamic Model of Family Assessment and Intervention, which has the Calgary Model of Family Assessment and the Calgary Model of Family Intervention as its theoretical basis, and the Transitions Theory was used for its members. These theoretical models are important because they guide and support the design of nursing care for families and their members, as was seen in these internships, which, based on the best scientific evidence, resulted in health gains by empowering families to mobilize their strengths and resources in the face of identified needs, through the dynamic and flexible systemic perspective of assessment and intervention in families in transition to parenthood. In this regard, consultations were held that allowed for family assessment and intervention, made possible by data collection using systemic family interviews, the use of validated instruments, decision-making and critical judgement using systemic intervention techniques, referral to other units using the resources available to meet specific needs and the respective assessment of care. Of particular note was the dynamization of information systems and technology to improve family health outcomes with the start of the development of a mobile application, presented through a training process for the Family Health Unit nurses, as well as the development of a Scoping Review protocol and participation in scientific events. In this way, we collaborated in disseminating knowledge in family health nursing, in line with professional and personal development.
The Curricular Units, Internship of a professional nature with report - Module I and II, are part of the Master´s Degree in Community Nursing in the area of Family Health Nursing at the Nursing School of Porto, where the activities developed within their ambit took place in a Family Health Unit. According to regulations no. 140/2019 and no. 428/2018 of the Order of Nurses, these aimed to highlight the development of common competencies for specialized nurses and specific competencies for nurses specialist in community nursing in the area of family health nursing. In line with these competencies, two general objectives were established for their development: Caring for the family, as a unit of care, and for each of its members, throughout the life cycle and at different levels of prevention and Leading and collaborating in intervention processes within the scope of Family Health Nursing. The care provided to the family was based on the Dynamic Model of Family Assessment and Intervention, which has the Calgary Model of Family Assessment and the Calgary Model of Family Intervention as its theoretical basis, and the Transitions Theory was used for its members. These theoretical models are important because they guide and support the design of nursing care for families and their members, as was seen in these internships, which, based on the best scientific evidence, resulted in health gains by empowering families to mobilize their strengths and resources in the face of identified needs, through the dynamic and flexible systemic perspective of assessment and intervention in families in transition to parenthood. In this regard, consultations were held that allowed for family assessment and intervention, made possible by data collection using systemic family interviews, the use of validated instruments, decision-making and critical judgement using systemic intervention techniques, referral to other units using the resources available to meet specific needs and the respective assessment of care. Of particular note was the dynamization of information systems and technology to improve family health outcomes with the start of the development of a mobile application, presented through a training process for the Family Health Unit nurses, as well as the development of a Scoping Review protocol and participation in scientific events. In this way, we collaborated in disseminating knowledge in family health nursing, in line with professional and personal development.
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Palavras-chave
Enfermagem de Saúde Familiar Família Parentalidade Modelo Dinâmico de Avaliação e Intervenção Familiar Aplicação Móvel Relatório de estágio