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Publication
Perda gestacional :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 63.24 MB | Adobe PDF |
Advisor(s)
Abstract(s)
A morte de um filho, independentemente da sua idade, é uma perda devastadora. O
luto pela morte está integrado numa reação natural à perda, e determina um processo que
tem como objetivo a adaptação a uma nova realidade, que implica uma recuperação
emocional.
O conceito de perda gestacional compreende o aborto espontâneo, a morte fetal, a
morte neonatal, a interrupção médica da gravidez e a interrupção voluntária da gravidez.
A intervenção junto do casal que inicia o seu luto por perda gestacional, é uma área
pouco investigada na comunidade científica. Tendo em conta a complexidade deste processo
que envolve um sofrimento emocional intenso, o enfermeiro EESMO tem um papel
determinante na aquisição pelo casal e família de estratégias de luto.
Inicia-se esta investigação, com a questão de partida “Quais as estratégias do
Enfermeiro Obstetra na gestão do luto do casal por perda gestacional?”, onde se realiza uma
revisão scoping, segundo as orientações do Joanna Briggs Institute e o estudo empírico, com
a inclusão de entrevistas semiestruturadas a seis casais em gestão de luto por perda
gestacional, durante o seu internamento. “O Cuidar em Enfermagem baseado nas Forças” de
Laurie Gottlieb, é a teoria de enfermagem norteadora e que fundamenta a minha prática de
cuidados, retratando uma abordagem centrada na pessoa e na humanidade.
Produzir mais conhecimento sobre a práxis do enfermeiro EESMO perante uma
situação de perda gestacional pode contribuir para a implementação de modelos assistenciais
em Portugal, que privilegiem experiências mais diferenciadas e humanizadas, aos casais em
processo de luto por perda gestacional. Numa visita realizada à equipa do luto liderada por
Midwives, no Rotunda Hospital em Dublin, corroborei o que a melhor evidência científica
preconiza, constatando que a formação dos profissionais nesta problemática permite uma
intervenção individualizada e adequada ao casal em processo de luto por perda gestacional,
com impacto na melhoria da sua qualidade de vida, bem-estar e equilíbrio.
No presente relatório consta o percurso reflexivo da prática clínica vivenciada, para
aquisição e desenvolvimento de competências comuns e específicas do enfermeiro EESMO,
bem como, as conferentes de grau de Mestre.
The death of a child, regardless of their age, is a devastating loss. Mourning due to death is a natural reaction to a loss and determines a process that aims to adapt to a new reality, which implies emotional recovery. The concept of pregnancy loss includes miscarriage, fetal death, neonatal death, medical termination of pregnancy and voluntary termination of pregnancy. Intervention with the couple that begins mourning due to pregnancy loss is a topic little investigated by the scientific community. Given the complexity of this process, which involves intense emotional suffering, the midwife does play a decisive role in assisting the couple and family acquiring mourning strategies. This research starts with the question “What are the Obstetric Nurse’s strategies in managing the couple’s mourning due to pregnancy loss?”, where a scoping review is carried out according to the Joanna Briggs Institute guidelines and empirical study, with the inclusion of semi-structured interviews of six couples undergoing management of mourning due to pregnancy loss, during hospitalization. Laurie Gottlieb's “Strengths-Based Nursing Care” represents the nursing theory that guides my care practice, based on a person-centered and humanity-centered approach. Producing more knowledge about the role of the Midwife when dealing with a scenario of pregnancy loss can contribute to the implementation of care models in Portugal, which may favour more differentiated and humanized experiences to couples undergoing a mourning process due to pregnancy loss. In a visit to the bereavement team led by Midwives at the Rotunda Hospital in Dublin, I corroborated with the most current scientific recommendations, noting that professional training in this area allows for an individualized intervention, adapted to the couple undergoing a mourning process due to pregnancy loss, which ultimately improves their quality of life, well-being and balance. This report contains the reflective course of the clinical practice experienced, for the acquisition and development of common and specific competences of the midwife, as well as the Master's degree conferers.
The death of a child, regardless of their age, is a devastating loss. Mourning due to death is a natural reaction to a loss and determines a process that aims to adapt to a new reality, which implies emotional recovery. The concept of pregnancy loss includes miscarriage, fetal death, neonatal death, medical termination of pregnancy and voluntary termination of pregnancy. Intervention with the couple that begins mourning due to pregnancy loss is a topic little investigated by the scientific community. Given the complexity of this process, which involves intense emotional suffering, the midwife does play a decisive role in assisting the couple and family acquiring mourning strategies. This research starts with the question “What are the Obstetric Nurse’s strategies in managing the couple’s mourning due to pregnancy loss?”, where a scoping review is carried out according to the Joanna Briggs Institute guidelines and empirical study, with the inclusion of semi-structured interviews of six couples undergoing management of mourning due to pregnancy loss, during hospitalization. Laurie Gottlieb's “Strengths-Based Nursing Care” represents the nursing theory that guides my care practice, based on a person-centered and humanity-centered approach. Producing more knowledge about the role of the Midwife when dealing with a scenario of pregnancy loss can contribute to the implementation of care models in Portugal, which may favour more differentiated and humanized experiences to couples undergoing a mourning process due to pregnancy loss. In a visit to the bereavement team led by Midwives at the Rotunda Hospital in Dublin, I corroborated with the most current scientific recommendations, noting that professional training in this area allows for an individualized intervention, adapted to the couple undergoing a mourning process due to pregnancy loss, which ultimately improves their quality of life, well-being and balance. This report contains the reflective course of the clinical practice experienced, for the acquisition and development of common and specific competences of the midwife, as well as the Master's degree conferers.
Description
Keywords
Enfermagem obstétrica Estratégias Pais Luto parental