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Impacte da pandemia sobre os enfermeiros especialistas em enfermagem de reabilitação e os cuidados de enfermagem
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Introdução: A pandemia por COVID-19 conduziu à readaptação e reorganização dos sistemas de saúde para responderem aos desafios em saúde que emergiram a nível global. Estas alterações sobrecarregaram os sistemas e os profissionais de saúde. Apesar de já ser conhecido, em parte, o impacte que a pandemia por COVID-19 teve na saúde dos profissionais de saúde, ainda pouco se sabe sobre o impacte específico nos enfermeiros especialistas em enfermagem de reabilitação e nos cuidados especializados prestados.
Objetivos: Pretendíamos caraterizar o impacte da pandemia por COVID-19 nos Enfermeiros Especialistas em Enfermagem de reabilitação (EEER); 2) caraterizar impacte da pandemia por COVID-19 nos cuidados especializados de enfermagem de reabilitação disponibilizados às populações; 3) caraterizar o impacte da pandemia por COVID-19 nas estratégias de atualização técnico-científica dos EEER; 4) disponibilizar informação aos decisores para uma melhor gestão de recursos humanos/profissionais; e, 5) disponibilizar informação aos decisores para uma melhor gestão de cuidados de enfermagem especializados às populações.
Metodologia: Realizamos um estudo observacional, descritivo e transversal. Utilizamos uma amostra não probabilística, de conveniência, de enfermeiros especialistas em enfermagem de reabilitação, sócios da Associação Portuguesa dos Enfermeiros de Reabilitação que aceitaram participar no estudo. Os dados foram recolhidos através de um questionário online. Procedemos a uma análise descritiva e inferencial.
Resultados: A pandemia por COVID-19 teve impacte nos últimos dois anos e terá impacte no nosso futuro. Relativamente ao impacte percecionado durante o período da pandemia pelos EEER verificamos um impacte negativo nas dimensões “tempo para os amigos” e “tempo para o lazer pessoal”, e um impacte positivo nas dimensões “relacionamento com os colegas de trabalho” e “disponibilidade de equipamentos de proteção individual. No futuro verifica-se uma perceção de impacte negativo nas dimensões “atividades burocráticas”, “saúde pessoal”, “tempo para os amigos”, e “tempo para o lazer pessoal”, e um impacte positivo nas dimensões “disponibilidade de equipamentos de proteção individual” e “organização do espaço físico no local de trabalho”. A pandemia por COVID-19 apresentou ainda uma alteração na complexidade clínica dos doentes. Verificou-se um aumento da complexidade nos doentes do “foro respiratório”, com “alterações na capacidade para o autocuidado” e “alterações na capacidade de autogestão da doença”. A satisfação global, com as várias dimensões dos cuidados especializados prestados, diminuiu para a maioria dos enfermeiros, contudo, quando analisamos individualmente a dimensão dos cuidados prestados a doentes do “foro respiratório”, a satisfação aumentou para uma parte dos EEER. Durante a pandemia por COVID-19 verificou-se uma necessidade de utilização de recursos de aprendizagem pelos profissionais de saúde, sendo que os webinars e os jornais/revistas científicas foram os recursos mais utilizados e com impacte mais positivo para os enfermeiros. Relativamente às modalidades de aprendizagem preferidas pelos enfermeiros no futuro, o regime presencial e misto foram os que obtiveram valores médios superiores. A pandemia por COVID-19 teve impacte nas diferentes dimensões estudadas, realçando-se que os enfermeiros chefes/gestores têm uma perceção mais positiva deste impacte comparativamente aos restantes enfermeiros, quer no período da pandemia quer para o futuro. A pandemia teve o maior impacte negativo nos EEER no tempo disponível para a sua família. Na dimensão da satisfação com a qualidade dos cuidados o impacte mais negativo, foi percebido pelos EEER que deixarem de exercer funções de especialistas e relativamente à prestação de cuidados de enfermagem a pessoas com alterações da eliminação.
Conclusão: A pandemia por COVID-19 apresentou um impacte nos enfermeiros especialistas em enfermagem de reabilitação e nos cuidados especializados prestados. O conhecimento deste impacte serve como orientação para a implementação de mudanças na dinâmica de trabalho e nas estruturas dos serviços perspetivando maior qualidade e segurança dos cuidados, bem como uma maior satisfação dos EEER com os cuidados especializados disponibilizados às populações.
Introduction: The COVID-19 pandemic has led to the readaptation and reorganization of health systems to respond to the health challenges that have emerged globally. These changes have burdened healthcare systems and professionals. Although the impact that the COVID-19 pandemic had on the health of healthcare professionals is already known, in part, little is known about the specific impact on nurses specializing in rehabilitation nursing and the specialized care provided. Objectives: With this study, we aimed to 1) characterize the impact of the COVID-19 pandemic on Specialist Nurses in Rehabilitation Nursing (SNRN); 2) characterize the impact of the COVID-19 pandemic on specialized rehabilitation nursing care available to populations; 3) characterize the impact of the COVID-19 pandemic on the technical-scientific updating strategies of the SNRN; 4) make information available to decision-makers for better management of human/professional resources; and, 5) make information available to decision-makers for better management of specialized nursing care for populations. Methodology: We performed an observational, descriptive, and cross-sectional study. We used a non-probability, convenience sample of nurses specialized in rehabilitation nursing, members of the Portuguese Association of Rehabilitation Nurses who agreed to participate in the study. Data were collected through an online questionnaire. We proceeded to descriptive and inferential analysis. Results: The COVID-19 pandemic has had an impact in the last two years and will impact our future. Regarding the impact perceived during the period of the pandemic by the SNRN, we verified a negative impact on the dimensions “time for friends” and “time for personal leisure”, and a positive impact on the dimensions “relationship with co-workers” and “availability of Personal protective equipment. In the future, there is a perception of a negative impact on the dimensions "bureaucratic activities", "personal health", "time for friends", and "time for personal leisure", and a positive impact on the dimensions "availability of individual protective equipment” and “organization of physical space in the workplace”. The COVID-19 pandemic also presented a change in the clinical complexity of patients. There was an increase in complexity in “respiratory patients”, with “changes in the ability to self-care” and “changes in the ability to self-manage the disease”. Overall satisfaction, with the various dimensions of specialized care provided, decreased for most nurses, however, when we individually analysed the dimension of care provided to patients in the “respiratory area”, satisfaction increased for part of the SNRN. During the COVID-19 pandemic, there was a need to use learning resources by healthcare professionals, with webinars and scientific journals being the most used resources and with the most positive impact for nurses. Regarding the learning modalities preferred by nurses in the future, the face-to-face and mixed regimen were the ones that obtained higher average values. The COVID-19 pandemic had an impact on the different dimensions studied, highlighting that head/manager nurses have a more positive perception of this impact compared to other nurses, both in the period of the pandemic and for the future. The pandemic had the biggest negative impact on the SNRN on the time available to their family. In the dimension of satisfaction with the quality of care, the most negative impact was perceived by SNRN who ceased to perform specialist functions and in relation to the provision of nursing care to people with elimination disorders. Conclusion: The COVID-19 pandemic had an impact in different aspects on nurses specializing in rehabilitation nursing and on the specialized care provided. The knowledge of this impact serves as a guideline for the implementation of changes in the work dynamics and the structures of the services, with a view to greater quality and safety of care, as well as greater satisfaction of the SNRN with the specialized care available to the populations
Introduction: The COVID-19 pandemic has led to the readaptation and reorganization of health systems to respond to the health challenges that have emerged globally. These changes have burdened healthcare systems and professionals. Although the impact that the COVID-19 pandemic had on the health of healthcare professionals is already known, in part, little is known about the specific impact on nurses specializing in rehabilitation nursing and the specialized care provided. Objectives: With this study, we aimed to 1) characterize the impact of the COVID-19 pandemic on Specialist Nurses in Rehabilitation Nursing (SNRN); 2) characterize the impact of the COVID-19 pandemic on specialized rehabilitation nursing care available to populations; 3) characterize the impact of the COVID-19 pandemic on the technical-scientific updating strategies of the SNRN; 4) make information available to decision-makers for better management of human/professional resources; and, 5) make information available to decision-makers for better management of specialized nursing care for populations. Methodology: We performed an observational, descriptive, and cross-sectional study. We used a non-probability, convenience sample of nurses specialized in rehabilitation nursing, members of the Portuguese Association of Rehabilitation Nurses who agreed to participate in the study. Data were collected through an online questionnaire. We proceeded to descriptive and inferential analysis. Results: The COVID-19 pandemic has had an impact in the last two years and will impact our future. Regarding the impact perceived during the period of the pandemic by the SNRN, we verified a negative impact on the dimensions “time for friends” and “time for personal leisure”, and a positive impact on the dimensions “relationship with co-workers” and “availability of Personal protective equipment. In the future, there is a perception of a negative impact on the dimensions "bureaucratic activities", "personal health", "time for friends", and "time for personal leisure", and a positive impact on the dimensions "availability of individual protective equipment” and “organization of physical space in the workplace”. The COVID-19 pandemic also presented a change in the clinical complexity of patients. There was an increase in complexity in “respiratory patients”, with “changes in the ability to self-care” and “changes in the ability to self-manage the disease”. Overall satisfaction, with the various dimensions of specialized care provided, decreased for most nurses, however, when we individually analysed the dimension of care provided to patients in the “respiratory area”, satisfaction increased for part of the SNRN. During the COVID-19 pandemic, there was a need to use learning resources by healthcare professionals, with webinars and scientific journals being the most used resources and with the most positive impact for nurses. Regarding the learning modalities preferred by nurses in the future, the face-to-face and mixed regimen were the ones that obtained higher average values. The COVID-19 pandemic had an impact on the different dimensions studied, highlighting that head/manager nurses have a more positive perception of this impact compared to other nurses, both in the period of the pandemic and for the future. The pandemic had the biggest negative impact on the SNRN on the time available to their family. In the dimension of satisfaction with the quality of care, the most negative impact was perceived by SNRN who ceased to perform specialist functions and in relation to the provision of nursing care to people with elimination disorders. Conclusion: The COVID-19 pandemic had an impact in different aspects on nurses specializing in rehabilitation nursing and on the specialized care provided. The knowledge of this impact serves as a guideline for the implementation of changes in the work dynamics and the structures of the services, with a view to greater quality and safety of care, as well as greater satisfaction of the SNRN with the specialized care available to the populations
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COVID-19 Enfermeiros Enfermagem em reabilitação Pandemia