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Integração de enfermeiros na equipa de hospitalização domiciliária: Subsídios para a elaboração de um manual de integração
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| 4.16 MB | Adobe PDF |
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Resumo(s)
Enquadramento: A Hospitalização Domiciliária tem-se estabelecido como uma
alternativa eficaz à hospitalização tradicional, permitindo que as pessoas
recebam cuidados no conforto dos seus lares e beneficiem de uma
recuperação mais humanizada. Este contexto exige dos enfermeiros autonomia
e, concomitantemente, um apoio estruturado e específico para garantir uma
adaptação adequada e uma atuação eficaz. A criação de um Manual de
Integração torna-se assim fundamental para orientar os enfermeiros,
elucidando práticas eficazes de supervisão e desenvolvimento de
competências.
Objetivo: Identificar informações a incluir no Manual de Integração para
enfermeiros em contexto de Hospitalização Domiciliária. Metodologia: Estudo
qualitativo, descritivo e exploratório. A amostra foi selecionada por
conveniência e de forma intencional. A recolha de dados foi efetuada através
da realização de um focus group, composto por oito enfermeiros supervisores
de Unidades de Hospitalização Domiciliária de Unidades Locais de Saúde
diferentes.
Resultados: Emergiram três domínios sendo que o 1.º Enfermeiro Supervisor
Clínico - tem as seguintes categorias: Competências do Supervisor; Orientação
e Acompanhamento do Processo Supervisivo; Formação do Supervisor. No 2.º
domínio Integração de Enfermeiros em Hospitalização Domiciliária
emergiram as categorias: Desafios da Integração em Hospitalização
Domiciliária; Ferramentas e Estratégias; Requisitos e Competências do
Enfermeiro Supervisado. Já no 3.º domínio Manual de Integração surgiram
as categorias: Enquadramento; Estrutura Organizacional e Recursos;
Processos Assistenciais; Supervisão Clínica e Integração Profissional;
Formação e Melhoria Continua.
Conclusão: A supervisão Clínica para além de apoiar o desenvolvimento
profissional e a reflexão crítica dos enfermeiros, possibilitou identificar práticas,
necessidades formativas e dinâmicas organizacionais essenciais à
consolidação de um modelo de acolhimento estruturado, promovendo a
qualidade e segurança dos cuidados prestados.
Framework: Home Hospitalization has established itself as an effective alternative to traditional hospitalization, allowing people to receive care in the comfort of their homes and benefit from a more humane recovery. This context requires nurses to have autonomy and, at the same time, structured and specific support to ensure proper adaptation and effective performance. The creation of an Integration Manual thus becomes essential to guide nurses, clarifying effective practices for supervision and skills development. Objective: To identify information to include in the Integration Manual for nurses in the context of Home Hospitalization. Methodology: Qualitative, descriptive, and exploratory study. The sample was selected by convenience and intentionally. Data collection was carried out through a focus group composed of eight supervising nurses from Home Hospitalization Units of different Local Health Units. Results: Three domains emerged, with the 1st Clinical Nurse Supervisor having the following categories: Supervisor Competencies; Guidance and Monitoring of the Supervisory Process; Supervisor Training. In the 2nd domain Integration of Nurses in Home Hospitalization the categories that emerged were: Challenges of Integration in Home Hospitalization; Tools and Strategies; Requirements and Competencies of the Supervised Nurse. In the 3rd domain Integration Manual the categories that emerged were: Context; Organizational Structure and Resources; Care Processes; Clinical Supervision and Professional Integration; Training and Continuous Improvement. Conclusion: Clinical supervision, beyond supporting the professional development and critical reflection of nurses, made it possible to identify practices, training needs, and organizational dynamics essential for the consolidation of a structured onboarding model, promoting the quality and safety of care provided.
Framework: Home Hospitalization has established itself as an effective alternative to traditional hospitalization, allowing people to receive care in the comfort of their homes and benefit from a more humane recovery. This context requires nurses to have autonomy and, at the same time, structured and specific support to ensure proper adaptation and effective performance. The creation of an Integration Manual thus becomes essential to guide nurses, clarifying effective practices for supervision and skills development. Objective: To identify information to include in the Integration Manual for nurses in the context of Home Hospitalization. Methodology: Qualitative, descriptive, and exploratory study. The sample was selected by convenience and intentionally. Data collection was carried out through a focus group composed of eight supervising nurses from Home Hospitalization Units of different Local Health Units. Results: Three domains emerged, with the 1st Clinical Nurse Supervisor having the following categories: Supervisor Competencies; Guidance and Monitoring of the Supervisory Process; Supervisor Training. In the 2nd domain Integration of Nurses in Home Hospitalization the categories that emerged were: Challenges of Integration in Home Hospitalization; Tools and Strategies; Requirements and Competencies of the Supervised Nurse. In the 3rd domain Integration Manual the categories that emerged were: Context; Organizational Structure and Resources; Care Processes; Clinical Supervision and Professional Integration; Training and Continuous Improvement. Conclusion: Clinical supervision, beyond supporting the professional development and critical reflection of nurses, made it possible to identify practices, training needs, and organizational dynamics essential for the consolidation of a structured onboarding model, promoting the quality and safety of care provided.
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Supervisão Clínica Enfermeiros Manual de integração