Loading...
Publication
Para um percurso de desenvolvimento de competência de enfermeiro especialista : estratégias de preparação de crianças em idade pré-escolar e escolar para procedimentos dolorosos no contexto de cuidados intensivos
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 6.14 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Este trabalho surge no âmbito da Unidade Curricular Estágio do 3º Semestre do 2º Curso de Mestrado e Especialização em Enfermagem de Saúde Infantil e Pediatria e constitui o relatório final de atividades desenvolvidas num projeto que foi iniciado no 2º Semestre, onde foram delineados objetivos e atividade para a sua implementação numa Unidade de Cuidados Intensivos e Especiais Pediátricos. Tem como tema central a preparação de crianças em idade pré-escolar e escolar para procedimentos dolorosos, e o tema surge de uma necessidade que identifiquei na equipa de enfermagem através da observação dos cuidados prestados às crianças internadas. Durante o internamento na Unidade as crianças são submetidas a inúmeros procedimentos que são fontes de dor, stress e ansiedade para a criança, mas os pais e os enfermeiros também são afetados por estes episódios por vivenciarem de perto o sofrimento da criança. As estratégias de preparação para procedimentos dolorosos constituem intervenções autónomas de enfermagem, reduzem a dor e stress da criança e pais, minimizando deste modo as consequências negativas da hospitalização, humanizando os cuidados e conferindo-lhes um grau elevado de qualidade. Tendo como filosofia que alicerça este projeto a dos Cuidados Atraumáticos, este percurso passou por diferentes estágios cujos locais foram escolhidos por serem considerados especialistas na área, e por implementarem estas estratégias com perícia, permitindo-me desenvolver competências de enfermeiro especialista, através da observação, análise e reflexão das experiências e tendo como suporte a literatura científica. Tendo como base a Metodologia de Projeto, foi realizado o diagnóstico das necessidades de formação da equipa de enfermagem através de um questionário, e a partir dos resultados desenhou-se um plano para implementar o projeto na Unidade, com o objetivo de desenvolver as competências da equipa de enfermagem. As estratégias utilizadas foram a modelagem, sessões de formação e análise e reflexão de casos práticos, e foram adequadas ao local, contexto, recursos e equipa de enfermagem.
The following pages constitute the final report of activities for the project started in the second semester of the Curricular Unit “Estágio”, part of the program for the Master and Specialist degree in Child Health and Pediatrics. Under this program several objectives were defined as well as activities for their achievement in a Pediatrics Intensive and Special Care Unit. This work has as its main theme the preparation of children ranging pre-school and school age for painful procedures. This has risen from the observation of the care provided to children in the Unit during interment, which allowed me to identify the need for improvement in this area. During their time in the Unit, children undergo a number of procedures that are sources of pain, stress and anxiety for themselves most of all, but parents and nurses are also affected by these episodes as witnesses to the child’s suffering. Strategies which prepare children for painful procedures are autonomous nursing interventions, and they reduce pain and stress in both child and parents. In this way, they minimize undesirable consequences of hospitalization, making care more humane and of better quality. Searching a philosophy of Atraumatic Care, this project went first through several locations, which were chosen for being known as experts in the field and where those strategies are skilfuly executed, in the hope that I could develop my own skills as Specialist Nurse. For this, I resorted to observation, analysis, reflection and scientific literature. A project based methodology was followed throughout. First, using an open questionaire, I made a diagnosis of the Unit’s nursing team training needs. From these results, a plan was designed to implement the project in the Unit. The training strategies used were modeling, training sessions and reflection and analysis of case studies, and they were planed taking into account the location, the context, resources and personal peculiarities, which aimed at developing relevant skills within the team.
The following pages constitute the final report of activities for the project started in the second semester of the Curricular Unit “Estágio”, part of the program for the Master and Specialist degree in Child Health and Pediatrics. Under this program several objectives were defined as well as activities for their achievement in a Pediatrics Intensive and Special Care Unit. This work has as its main theme the preparation of children ranging pre-school and school age for painful procedures. This has risen from the observation of the care provided to children in the Unit during interment, which allowed me to identify the need for improvement in this area. During their time in the Unit, children undergo a number of procedures that are sources of pain, stress and anxiety for themselves most of all, but parents and nurses are also affected by these episodes as witnesses to the child’s suffering. Strategies which prepare children for painful procedures are autonomous nursing interventions, and they reduce pain and stress in both child and parents. In this way, they minimize undesirable consequences of hospitalization, making care more humane and of better quality. Searching a philosophy of Atraumatic Care, this project went first through several locations, which were chosen for being known as experts in the field and where those strategies are skilfuly executed, in the hope that I could develop my own skills as Specialist Nurse. For this, I resorted to observation, analysis, reflection and scientific literature. A project based methodology was followed throughout. First, using an open questionaire, I made a diagnosis of the Unit’s nursing team training needs. From these results, a plan was designed to implement the project in the Unit. The training strategies used were modeling, training sessions and reflection and analysis of case studies, and they were planed taking into account the location, the context, resources and personal peculiarities, which aimed at developing relevant skills within the team.
Description
Keywords
criança escolar pré-escolar procedimentos dolorosos enfermagem cuidados intensivos pediátricos formação de adultos