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FAMILI(AR): avaliação e intervenção em famílias que integram membro com DPOC - projeto de desenvolvimento de competências clínicas especializadas em enfermagem comunitária na área de enfermagem de saúde familiar
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| 10.77 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
A transição acidental vivida pela família aquando do diagnóstico de um membro da
família com doença crónica representa “um admirável mundo novo” para todos os
elementos. O processo de adaptação à doença por parte do sistema familiar é um
momento de vulnerabilidade. É essencial que os enfermeiros especialistas em
Enfermagem de saúde familiar atuem significativamente partindo da premissa que a
família é um sistema global. No âmbito das Unidades Curriculares Estágio de Natureza
Profissional com Relatório – Módulo I e Estágio de Natureza Profissional com Relatório
– Módulo II, do Curso de Mestrado em Enfermagem Comunitária na área de
Enfermagem de Saúde Familiar da Escola Superior de Enfermagem do Porto, pretendese
fornecer cuidados às famílias, tratando-as como uma unidade de cuidados,
juntamente com os seus membros, ao longo de todas as fases da vida e em diversos
níveis de prevenção. Além disso, visa-se promover a liderança e a colaboração nos
processos de intervenção no campo da Enfermagem de saúde familiar, evidenciando o
processo de desenvolvimento de competências comuns do enfermeiro especialista
(Regulamento n.º 140/2019 da Ordem dos Enfermeiros) e específicas do enfermeiro
especialista em Enfermagem comunitária na área de Enfermagem de saúde familiar
(Regulamento n.º 428/2018 da Ordem dos Enfermeiros). O processo de Enfermagem foi
elaborado a quatro famílias que integram membro com Doença Pulmonar Obstrutiva
Crónica (DPOC). O Modelo Dinâmico de Avaliação e Intervenção Familiar foi escolhido
para guiar as atividades provenientes das intervenções de Enfermagem às famílias pela
estrutura operativa que possibilita realizar uma ligação contínua nas etapas do processo
de Enfermagem. Tem por bases teóricas o Modelo Calgary de Avaliação e o Modelo
Calgary de Intervenção Familiar e como referencial epistemológico, o pensamento
sistémico. Os diagnósticos identificados implicaram cuidados familiares sistémicos e
flexíveis com a implementação de intervenções específicas, como as cartas terapêuticas,
com ganhos em saúde. Outras relevantes contribuições resultaram da criação de um
protocolo de Scoping Review que justifica a criação e a apresentação de uma aplicação
móvel de Enfermagem de saúde familiar, a FamiliApp. Assim, contribuiu-se para
apresentação da prestação de cuidados às famílias que integram membro com DPOC
nos cuidados de saúde primários, apoiada pela evidência científica atual e promoveu-se
o desenvolvimento pessoal e profissional. Foram identificadas recomendações
importantes, como a necessidade de aprofundar a pesquisa sobre a abordagem
sistêmica às famílias e a utilização do MDAIF, vitais para uma atuação cada vez mais
credível cientificamente na Enfermagem de saúde familiar.
The accidental transition experienced by the family upon the diagnosis of a family member with a chronic illness represents "a brave new world" for all involved. The process of adapting to the illness by the family system is a moment of vulnerability. It is essential for specialist nurses in Family Health Nursing to act significantly, starting from the premise that the family is a global system. Within the Professional Internship with Report - Module I and Professional Internship with Report - Module II, of the Master’s Degree Program in Community Nursing in the area of Family Health Nursing at Escola Superior de Enfermagem do Porto, the aim is to provide care to families, treating them as a unit of care along with their members, throughout all stages of life and at various levels of prevention. Additionally, the goal is to promote leadership and collaboration in intervention processes in the field of Family Health Nursing, highlighting the development of common competencies of the specialist nurse (Order of Nurses Regulation No. 140/2019) and specific competencies of the specialist nurse in Community Nursing in Family Health Nursing (Order of Nurses Regulation No. 428/2018). The Nursing process was developed for four families with a member diagnosed with Chronic Obstructive Pulmonary Disease (COPD). The Dynamic Model of Family Assessment and Intervention was chosen to guide nursing interventions with families due to its operational structure, which enables continuous connection in the stages of the Nursing process. It is based on the Calgary Family Assessment and Intervention Models and the systemic thinking epistemological framework. The identified diagnoses involved systemic and flexible family care with the implementation of specific interventions, such as therapeutic letters, resulting in health gains. Other significant contributions resulted from the creation of a Scoping Review protocol, justifying the development and presentation of a Family Health Nursing mobile application, FamiliApp. In summary, this contributed to the presentation of care provision to families with a member with COPD in primary healthcare, supported by current scientific evidence, and promoted personal and professional development. Important recommendations were identified, such as the need to deepen research on systemic approaches to families and the use of the Dynamic Model of Family Assessment and Intervention, vital for increasingly credible scientific practice in Family Health Nursing.
The accidental transition experienced by the family upon the diagnosis of a family member with a chronic illness represents "a brave new world" for all involved. The process of adapting to the illness by the family system is a moment of vulnerability. It is essential for specialist nurses in Family Health Nursing to act significantly, starting from the premise that the family is a global system. Within the Professional Internship with Report - Module I and Professional Internship with Report - Module II, of the Master’s Degree Program in Community Nursing in the area of Family Health Nursing at Escola Superior de Enfermagem do Porto, the aim is to provide care to families, treating them as a unit of care along with their members, throughout all stages of life and at various levels of prevention. Additionally, the goal is to promote leadership and collaboration in intervention processes in the field of Family Health Nursing, highlighting the development of common competencies of the specialist nurse (Order of Nurses Regulation No. 140/2019) and specific competencies of the specialist nurse in Community Nursing in Family Health Nursing (Order of Nurses Regulation No. 428/2018). The Nursing process was developed for four families with a member diagnosed with Chronic Obstructive Pulmonary Disease (COPD). The Dynamic Model of Family Assessment and Intervention was chosen to guide nursing interventions with families due to its operational structure, which enables continuous connection in the stages of the Nursing process. It is based on the Calgary Family Assessment and Intervention Models and the systemic thinking epistemological framework. The identified diagnoses involved systemic and flexible family care with the implementation of specific interventions, such as therapeutic letters, resulting in health gains. Other significant contributions resulted from the creation of a Scoping Review protocol, justifying the development and presentation of a Family Health Nursing mobile application, FamiliApp. In summary, this contributed to the presentation of care provision to families with a member with COPD in primary healthcare, supported by current scientific evidence, and promoted personal and professional development. Important recommendations were identified, such as the need to deepen research on systemic approaches to families and the use of the Dynamic Model of Family Assessment and Intervention, vital for increasingly credible scientific practice in Family Health Nursing.
Description
Keywords
Cuidados de Saúde Primários Doença Pulmonar Obstrutiva Crónica Enfermagem Familiar eSaúde Saúde da Família Relatório de estágio