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Intervenções do enfermeiro obstetra no cuidado à mulher com endometriose
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Abstract(s)
No presente relatório estudam-se as intervenções do enfermeiro EESMO no cuidado à
mulher com endometriose e realiza-se uma análise crítica das competências comuns e
especificas do enfermeiro EESMO, assim como as competências do grau de Mestre. Aprofunda se a endometriose na sua: caracterização, aspetos históricos, manifestações, tratamento,
impacto na vida da mulher/família, relação com infertilidade, impacto na gravidez e feto e retrata se o cuidado à mulher com endometriose por enfermeiros especialistas, no Reino Unido. Depois,
refere-se a Teoria do Cuidar de Kristen Swanson (1991), mencionando o seu metaparadigma e
adapta-se a teoria à mulher com endometriose. Em seguida, tratam-se as opções metodológicas
visando o desenvolvimento do enfermeiro EESMO, assente na scoping review (segundo
orientações do Joanna Briggs Institute, 2020), na prática baseada na evidência e na pesquisa
empírica. Tem-se assim, como principal propósito integrar a melhor evidência científica
relacionada com a mulher/família com endometriose, refletindo sobre os cuidados prestados pelo
enfermeiro EESMO a estes indivíduos.
Desta forma, pretende-se mapear o estado da arte relativamente a esta temática e define se como questão de pesquisa: “Quais são as intervenções do enfermeiro EESMO, no cuidado à
mulher com endometriose?”. Durante a realização do Relatório de Estágio, elaborou-se e
implementou-se um questionário a 10 enfermeiros EESMO, que prestam cuidados em serviços
de ginecologia, há mais de um ano. Depois da análise de conteúdo dos registos, categorizaram se as intervenções enunciadas segundo o modelo biopsicossociocultural e espiritual. Após a
análise dos resultados obtidos (Bardin, 2011), foi claro que os enfermeiros EESMO prestam
cuidados holísticos, no entanto, nem todas as intervenções propostas pela evidência científica
são aplicadas na prática clínica. Conclui-se ainda que, é necessário formar enfermeiros EESMO,
de modo a que este profissional seja expedito, na disseminação da temática na população
mundial, encorajando a mulher/família com endometriose a procurar ajuda nas unidades de
saúde de referência, contribuindo para o seu bem-estar e advogando a mulher/família no seio da
equipa multidisciplinar. Por fim, surgem algumas questões que podem suscitar interesse à
realização de futuras pesquisas.
This report studies the interventions of nurse midwives (EESMO) in the provision of care to women with endometriosis, conducting a critical analysis of the common and specific competencies of the nurse midwife, as well as the ones conferred by Master's degree. Endometriosis is addressed in terms of: characterization, historical aspects, manifestations, treatment, impact on woman and family’s lives, correlation with infertility, impact on pregnancy and foetus and portrays the care of women with endometriosis by nurse midwives in the United Kingdom. The analysis of this pathology and its impact was studied within the metaparadigm of Kristen Swanson's Theory of Care (1991), adapting the theory to women with endometriosis. The methodological approach focuses on the nurse midwife’s development, based on the scoping review (according Joanna Briggs Institute’s guidelines, 2020), on practice-based medicine and empirical research. Thus, the main purpose is to integrate the best scientific evidence related to the woman with endometriosis and its family, reflecting on the nurse midwife’s care to these people. The purpose of this analysis was to identify the state of the art in relation to this theme with a research question: "What are the interventions of nurse midwife’s care to women with endometriosis?". During the clinical placement, a questionnaire was developed and implemented to 10 nurse midwives, who have been providing care to women in gynaecology services for more than one year. The answers analysis content, enunciated interventions which were categorized according to the biopsychosociocultural and spiritual model. The analysis of the results obtained (Bardin, 2011), revealed an adequate holistic care provided by nurse midwives, however, not all interventions proposed by scientific evidence are applied in clinical practice. It should also be noted that nurse midwives need continuous education and practice of nurse, so that these nurses are expeditious, disseminating this issue within the population, encouraging women and families with endometriosis to seek help at health units, contributing to their well-being and advocating for the women and their families within a multidisciplinary team.
This report studies the interventions of nurse midwives (EESMO) in the provision of care to women with endometriosis, conducting a critical analysis of the common and specific competencies of the nurse midwife, as well as the ones conferred by Master's degree. Endometriosis is addressed in terms of: characterization, historical aspects, manifestations, treatment, impact on woman and family’s lives, correlation with infertility, impact on pregnancy and foetus and portrays the care of women with endometriosis by nurse midwives in the United Kingdom. The analysis of this pathology and its impact was studied within the metaparadigm of Kristen Swanson's Theory of Care (1991), adapting the theory to women with endometriosis. The methodological approach focuses on the nurse midwife’s development, based on the scoping review (according Joanna Briggs Institute’s guidelines, 2020), on practice-based medicine and empirical research. Thus, the main purpose is to integrate the best scientific evidence related to the woman with endometriosis and its family, reflecting on the nurse midwife’s care to these people. The purpose of this analysis was to identify the state of the art in relation to this theme with a research question: "What are the interventions of nurse midwife’s care to women with endometriosis?". During the clinical placement, a questionnaire was developed and implemented to 10 nurse midwives, who have been providing care to women in gynaecology services for more than one year. The answers analysis content, enunciated interventions which were categorized according to the biopsychosociocultural and spiritual model. The analysis of the results obtained (Bardin, 2011), revealed an adequate holistic care provided by nurse midwives, however, not all interventions proposed by scientific evidence are applied in clinical practice. It should also be noted that nurse midwives need continuous education and practice of nurse, so that these nurses are expeditious, disseminating this issue within the population, encouraging women and families with endometriosis to seek help at health units, contributing to their well-being and advocating for the women and their families within a multidisciplinary team.
Description
Keywords
Enfermagem obstétrica Endometriose Cuidados de enfermagem