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Cuidado Centrado na Pessoa em Ambiente SAD
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| 1.12 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Introdução: O envelhecimento populacional aumenta a necessidade de respostas que promovam
a autonomia das pessoas idosas. Em Portugal, o Serviço de Apoio Domiciliário (SAD)
desempenha um papel essencial, mas mantém um modelo assistencialista, focado na execução
de tarefas, em detrimento dos Cuidados Centrados na Pessoa (CCP), focados nas necessidades
individuais.
Objetivo: Analisar a perspetiva de Diretores Técnicos (DTs), Ajudantes de Ação Direta (AADs),
familiares e clientes sobre a aplicação dos princípios do CCP no SAD, identificando
semelhanças e divergências entre os grupos.
Metodologia: Estudo predominantemente qualitativo, com abordagem quantitativa para a
caracterização da amostra. Quatro DTs, sete AADs, quatro familiares e quatro clientes
participaram no estudo. Utilizaram-se questionários para recolher variáveis sociodemográficas
e do contexto, e entrevistas semiestruturadas (DTs, clientes e familiares) e focus groups (AADs)
para recolher as perspetivas sobre o SAD. Seguindo os pressupostos de Bardin para a análise
qualitativa, os dados foram categorizados segundo os princípios do CCP: dinâmica
organizacional, intervenção, foco, decisões, plano individual, perspetiva/intervenção, avaliação
da qualidade, autonomia e rede de suporte social, permitindo identificar lacunas no SAD face
aos CCP.
Resultados: O SAD apresenta um modelo assistencialista com pouca flexibilidade na adaptação
às necessidades individuais. Além das categorias descritas, emergiram duas novas: uso da
tecnologia e capacitação da equipa. Apesar de algumas práticas CCP, persistem desafios na
personalização dos cuidados, participação na tomada de decisão e diversificação dos serviços.
Conclusões: A adoção dos CCP no SAD pode contribuir para um envelhecimento mais digno e
autónomo, consolidando o SAD como resposta de ageing in place.
Introduction: The ageing population increases the need for responses that promote the autonomy of older people. In Portugal, Home Care Support plays a crucial role but maintains an assistance-based model focused on task execution rather than Person-Centred Care (PCC), which prioritises individual needs. Objective: To analyse the perspective of Residential Care Managers (RCMs), Healthcare Assistants (HCAs), family members, and clients regarding the application of PCC principles in Home Care Support, identifying similarities and differences between these groups Methodology: A predominantly qualitative study, with a quantitative approach for sample characterisation. Four RCMs, seven HCAs, four family members, and four clients participated in this study. Questionnaires were used to collect sociodemographic and contextual variables, while semi-structured interviews (with RCMs, clients, and family members) and focus groups (with HCAs) gathered perspectives on Home Care Support. Following Bardin’s qualitative analysis framework, data were categorised based on PCC principles: organisational dynamics, intervention, focus, decision-making, individual plans, perspective/intervention, quality assessment, autonomy, and social support networks, allowing for the identification of gaps in Home Care Support regarding PCC. Results: Home Care Support follows an assistance-based model with limited flexibility in adapting to individual needs. In addition to the described categories, two new themes emerged: technology use and team training. Despite some PCC-aligned practices, challenges persist in personalising care, involving clients in decision-making, and diversifying services. Conclusions: The adoption of PCC in Home Care Support can contribute to a more dignified and autonomous ageing process, strengthening Home Care Support as a key solution for ageing in place.
Introduction: The ageing population increases the need for responses that promote the autonomy of older people. In Portugal, Home Care Support plays a crucial role but maintains an assistance-based model focused on task execution rather than Person-Centred Care (PCC), which prioritises individual needs. Objective: To analyse the perspective of Residential Care Managers (RCMs), Healthcare Assistants (HCAs), family members, and clients regarding the application of PCC principles in Home Care Support, identifying similarities and differences between these groups Methodology: A predominantly qualitative study, with a quantitative approach for sample characterisation. Four RCMs, seven HCAs, four family members, and four clients participated in this study. Questionnaires were used to collect sociodemographic and contextual variables, while semi-structured interviews (with RCMs, clients, and family members) and focus groups (with HCAs) gathered perspectives on Home Care Support. Following Bardin’s qualitative analysis framework, data were categorised based on PCC principles: organisational dynamics, intervention, focus, decision-making, individual plans, perspective/intervention, quality assessment, autonomy, and social support networks, allowing for the identification of gaps in Home Care Support regarding PCC. Results: Home Care Support follows an assistance-based model with limited flexibility in adapting to individual needs. In addition to the described categories, two new themes emerged: technology use and team training. Despite some PCC-aligned practices, challenges persist in personalising care, involving clients in decision-making, and diversifying services. Conclusions: The adoption of PCC in Home Care Support can contribute to a more dignified and autonomous ageing process, strengthening Home Care Support as a key solution for ageing in place.
Description
Keywords
Análise Qualitativa Cuidado Centrado na Pessoa Envelhecimento Humanização dos cuidados SAD