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Tomada de decisão no âmbito da reabilitação da criança com infeção respiratória aguda: perspetiva do enfermeiro especialista em enfermagem de reabilitação
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Authors
Advisor(s)
Abstract(s)
A Infeção Respiratória Aguda retrata a doença respiratória infantil mais comum e uma
das principais causas de morte evitáveis (United Nations Internacional Children’s
Emergency Fund, 2022). Pelas particularidades anatómico-fisiológicas, associadas aos
sintomas da doença, a criança apresenta propensão para um rápido agravamento do estado
geral, com impacto funcional e estrutural, na criança e na família (Mameli et al., 2022;
Pinto et al., 2017)..
A reabilitação respiratória objetiva a minimização da sintomatologia, a prevenção de
complicações e a maximização da capacidade da pessoa, promovendo o seu bem-estar e
qualidade de vida (Ordem dos Enfermeiros, 2018). A sua implementação parece relevante
na Infeção Respiratória Aguda infantil, no entanto, a evidência científica é escassa,
tornando-se pertinente o desenvolvimento de investigação que minimize este gap.
Os objetivos deste estudo consistem em descrever e analisar o Processo de Tomada de
Decisão de Enfermagem de Reabilitação, no contexto da criança internada com Infeção
Respiratória Aguda, segundo a perspetiva de Enfermeiros Especialistas em Enfermagem
de Reabilitação peritos na área.
Para o efeito, desenvolveu-se um estudo qualitativo, descritivo e exploratório, com
recurso a focus group para recolha de dados. Foi desenvolvida uma análise de conteúdo
categorial (Bardin, 2016), que permitiu a descrição do conteúdo da mensagem dos 9
participantes.
A investigação resultou na compreensão do conceito de Processo de Tomada de Decisão,
nos fatores que o influenciam e na fundamentação das etapas do Processo de Tomada de
Decisão em Enfermagem de Reabilitação no contexto da criança com Infeção
Respiratória Aguda, tendo sido desenvolvida uma proposta de linhas orientadoras para a
prática de Enfermagem de Reabilitação nesse contexto.
Considera-se essencial a investigação futura direcionada à criança com dificuldade
respiratória grave e a exploração dos diferentes contextos individualmente, assim como
estudos focados não só na intervenção técnica, como na experiência de profissionais
peritos e na sua intervenção holística.
Acute Respiratory Infection portrays the most common childhood respiratory disease and one of the main preventable causes of death (United Nations Internacional Children’s Emergency Fund, 2022). Due to the anatomical-physiological particularities, associated with the symptoms of the disease, the child is prone to a rapid worsening of the general condition, with functional and structural impact, on the child and on the family (Mameli et al., 2022; Pinto et al., 2017). Respiratory rehabilitation aims to minimize symptoms, prevent complications, and maximize the person's capacity, promoting their well-being and quality of life (Ordem dos Enfermeiros, 2018). Its implementation seems relevant in Acute Respiratory Infection in children however, scientific evidence is scarce, making it pertinent to develop research that minimizes this gap. The objectives of this study are to describe and analyze the Decision-Making Process in Rehabilitation Nursing, in the context of children hospitalized with Acute Respiratory Infection, according to the perspective of Specialist Nurses in Rehabilitation Nursing, experts in the area. For this purpose, a qualitative, descriptive, and exploratory study was developed using a focus group for data collection. A categorical content analysis was developed (Bardin, 2016), which allowed the description of the message content of the 9 participants. The investigation involved understanding the concept of the Decision-Making Process, the factors that affect it and the rationale for the stages of the Decision-Making Process in Rehabilitation Nursing in the context of children with Acute Respiratory Infection, having developed a proposal of oriented lines towards the practice of Rehabilitation Nursing in this context. It is considered essential the future research aimed at children with severe respiratory failure and the exploration of different individual contexts, as well as studies focused not only on technical intervention, but also on the experience of expert professionals and their holistic intervention.
Acute Respiratory Infection portrays the most common childhood respiratory disease and one of the main preventable causes of death (United Nations Internacional Children’s Emergency Fund, 2022). Due to the anatomical-physiological particularities, associated with the symptoms of the disease, the child is prone to a rapid worsening of the general condition, with functional and structural impact, on the child and on the family (Mameli et al., 2022; Pinto et al., 2017). Respiratory rehabilitation aims to minimize symptoms, prevent complications, and maximize the person's capacity, promoting their well-being and quality of life (Ordem dos Enfermeiros, 2018). Its implementation seems relevant in Acute Respiratory Infection in children however, scientific evidence is scarce, making it pertinent to develop research that minimizes this gap. The objectives of this study are to describe and analyze the Decision-Making Process in Rehabilitation Nursing, in the context of children hospitalized with Acute Respiratory Infection, according to the perspective of Specialist Nurses in Rehabilitation Nursing, experts in the area. For this purpose, a qualitative, descriptive, and exploratory study was developed using a focus group for data collection. A categorical content analysis was developed (Bardin, 2016), which allowed the description of the message content of the 9 participants. The investigation involved understanding the concept of the Decision-Making Process, the factors that affect it and the rationale for the stages of the Decision-Making Process in Rehabilitation Nursing in the context of children with Acute Respiratory Infection, having developed a proposal of oriented lines towards the practice of Rehabilitation Nursing in this context. It is considered essential the future research aimed at children with severe respiratory failure and the exploration of different individual contexts, as well as studies focused not only on technical intervention, but also on the experience of expert professionals and their holistic intervention.
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny e Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado
Keywords
Enfermagem em Reabilitação Tomada de Decisão Clínica Cuidado da Criança Infecções Respiratórias