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Publication
A perspetiva dos Profissionais de Saúde na abordagem prática do Vírus da Imunodeficiência Humana (VIH)
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| 11.3 MB | Adobe PDF |
Advisor(s)
Abstract(s)
No âmbito do Mestrado em Enfermagem Comunitária na área de Saúde Comunitária e de Saúde Pública, realizou-se o estágio de natureza profissional (Módulo I e II) na Unidade de Saúde Pública e na Unidade de Cuidados na Comunidade e do qual resulta este relatório. Este tem como principal objetivo descrever e analisar as atividades que contribuíram para o desenvolvimento das competências comuns e especificas do Enfermeiro Especialista em Enfermagem Comunitária na área de Saúde Comunitária e de Saúde Pública.
O Enfermeiro Especialista em Enfermagem Comunitária e de Saúde Pública, surge como o profissional de eleição para atuar na capacitação de grupos e/ou comunidades, através da implementação de programas e projetos de intervenção comunitária, onde desenvolve um papel primordial na promoção da saúde.
Neste relatório é enfatizada a metodologia do planeamento em saúde, sendo uma das competências a ser desenvolvida de acordo com a proposta da Ordem dos Enfermeiros para a atribuição do título de especialista referido anteriormente. Durante o módulo I desenvolveram-se as etapas de diagnóstico de situação, definição de prioridades e fixação de objetivos e no módulo II a seleção de estratégias, previsão de recursos, preparação da execução e avaliação. O tema central deste relatório emerge de um diagnóstico de situação prévio do Agrupamento de Centros de Saúde (ACeS).
Tendo em conta o papel que desenvolvem junto da população na temática do Vírus da Imunodeficiência Humana (VIH) e pela proximidade que apresentam com o utente e com a comunidade, a população-alvo foi os enfermeiros, médicos e assistentes técnicos do ACeS. As estratégias utilizadas neste projeto foram a educação para a saúde, estabelecimento de parcerias e a elaboração de um processo assistencial do rastreio da infeção pelo VIH com teste rápido no ACeS. Para a avaliação do projeto, foram definidos indicadores de atividade, resultado e de impacto.
Como principais resultados das atividades, destaca-se o aumento em 40,1% (54,5% para 94,6%) dos conhecimentos dos médicos e enfermeiros sobre a Profilaxia Pré-Exposição; o aumento em 29,4% (40,9% para 70,3%) dos conhecimentos dos médicos e enfermeiros sobre as caraterísticas dos novos casos de VIH no ACeS e ainda o aumento em 25% (47,2% para 72,2%) dos conhecimentos dos assistentes técnicos sobre princípios éticos.
Concluindo, a oferta de testes de rastreio a todos os utentes, de forma oportunista e rotineira, contribui para o aumento do diagnóstico precoce e do acesso atempado a cuidados especializados. É assim importante o papel que estes profissionais desenvolvem junto da comunidade no rastreio da infeção pelo VIH, sensibilizando e aconselhando o indivíduo, sobre a temática da infeção.
As part of the Master's Degree in Community Nursing in the area of Community Health and Public Health, the professional internship (Module I and II) was carried out in the Public Health Unit and in the Community Care Unit, which resulted in this report. The main aim of this report is to describe and analyze the activities that contributed to the development of the common and specific competences of the Specialist Nurse in Community Nursing in the area of Community Health and Public Health. The Specialist Nurse in Community and Public Health Nursing emerges as the professional of choice for working to empower of groups and/or communities, through the implementation of community intervention programs and projects, where they play a key role in health promotion. This report emphasizes the methodology of health planning, being one of the skills to be developed in accordance with the proposal of the Order of Nurses for the award of the title of specialist referred to above. During module I, the stages of situation diagnosis, defining priorities and setting objectives were developed, and in module II the selection of strategies, forecasting resource, preparation for execution and evaluation. The central theme of this report emerges from a previous situation diagnosis of the Health Center Group (ACeS). Given the role they play with the population in Human Immunodeficiency Virus (HIV) and their proximity to users and the community, the target population was the ACeS's nurses, doctors and technical assistants. The strategies used in this project were health education, establishing partnerships and development of a care process for screening HIV infection with a rapid test at ACeS. Activity, result and impact indicators were defined to evaluate the project. The main results of the activities were a 40,1% increase (54,5% to 94.6%) in in doctors and nurses’ knowledge of Pre-Exposure Prophylaxis; a 29,4% increase (40,9% to 70,3%)) in doctors and nurses knowledge of the characteristics of new HIV cases in the ACeS and a 25% increase (47,2% to 72,2 %) in technical assistants' knowledge of ethical principles. In conclusion, offering screening tests to all users, opportunistically and routinely, helps to increase early diagnosis and timely access to specialized care. The role that these professionals play in the community in screening for HIV infection is therefore important, raising awareness and counselling the individual about infection.
As part of the Master's Degree in Community Nursing in the area of Community Health and Public Health, the professional internship (Module I and II) was carried out in the Public Health Unit and in the Community Care Unit, which resulted in this report. The main aim of this report is to describe and analyze the activities that contributed to the development of the common and specific competences of the Specialist Nurse in Community Nursing in the area of Community Health and Public Health. The Specialist Nurse in Community and Public Health Nursing emerges as the professional of choice for working to empower of groups and/or communities, through the implementation of community intervention programs and projects, where they play a key role in health promotion. This report emphasizes the methodology of health planning, being one of the skills to be developed in accordance with the proposal of the Order of Nurses for the award of the title of specialist referred to above. During module I, the stages of situation diagnosis, defining priorities and setting objectives were developed, and in module II the selection of strategies, forecasting resource, preparation for execution and evaluation. The central theme of this report emerges from a previous situation diagnosis of the Health Center Group (ACeS). Given the role they play with the population in Human Immunodeficiency Virus (HIV) and their proximity to users and the community, the target population was the ACeS's nurses, doctors and technical assistants. The strategies used in this project were health education, establishing partnerships and development of a care process for screening HIV infection with a rapid test at ACeS. Activity, result and impact indicators were defined to evaluate the project. The main results of the activities were a 40,1% increase (54,5% to 94.6%) in in doctors and nurses’ knowledge of Pre-Exposure Prophylaxis; a 29,4% increase (40,9% to 70,3%)) in doctors and nurses knowledge of the characteristics of new HIV cases in the ACeS and a 25% increase (47,2% to 72,2 %) in technical assistants' knowledge of ethical principles. In conclusion, offering screening tests to all users, opportunistically and routinely, helps to increase early diagnosis and timely access to specialized care. The role that these professionals play in the community in screening for HIV infection is therefore important, raising awareness and counselling the individual about infection.
Description
Keywords
competências do enfermeiro especialista enfermagem saúde pública saúde comunitária infeção pelo VIH Relatório de estágio