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Boas práticas para cuidados especializados em enfermagem de saúde materna e obstétrica em mulheres que optam pela interrupção médica da gravidez: Relatório de Estágio Profissional de Desenvolvimento de Competências na Área da Enfermagem de Saúde Materna e Obstétrica
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O presente relatório explana o trabalho desenvolvido ao longo do estágio de natureza profissional, no âmbito do Curso de Mestrado em Enfermagem de Saúde Materna e Obstétrica.
Este relatório de estágio tem como propósito refletir criticamente sobre o percurso de aquisição de competências, comuns e específicas, enquanto Enfermeira Especialista em Enfermagem de Saúde Materna e Obstétrica, no âmbito da prática clínica. Para além dessa reflexão, procura igualmente compreender quais são as boas práticas para cuidados especializados em enfermagem de saúde materna e obstétrica em mulheres que optam pela interrupção médica da gravidez, reconhecendo o desafio e a vulnerabilidade deste evento na vida de uma mulher.
Ao longo deste relatório procurei desenvolver uma análise crítico-reflexiva sobre a metodologia aplicada nos diferentes contextos e campos de estágio, nomeadamente no internamento de grávidas com complicações, no puerpério e na sala de partos. Esta reflexão foi construída a partir da vivência de casos reais que marcaram o meu percurso, permitindo não só aplicar o conhecimento adquirido, mas também reconhecer os desafios e aprendizagens de cada situação. Todo este processo foi orientado pelo Regulamento de Competências Comuns do Enfermeiro Especialista e pelo Regulamento de Competências Específicas do Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica, ambos regulamentos sob chancela da Ordem dos Enfermeiros, que serviram como referência para a avaliação e consolidação das competências desenvolvidas.
No desenvolvimento das competências na área da investigação, elaborei uma Revisão Narrativa da Literatura com foco nas boas práticas de cuidados especializados em enfermagem de saúde materna e obstétrica para mulheres que enfrentam a decisão de interromper a gravidez por indicação médica. A análise evidenciou a reduzida atenção a esta temática, destacando-se a escassez de estudos centrados na experiência da mulher. Compreender as suas necessidades, neste momento particularmente sensível e doloroso, constitui um ponto de partida essencial para a construção de estratégias de uma proposta de uma checklist de boas práticas para guiar os cuidados especializados em enfermagem de saúde materna e obstétrica nos casos de interrupção médica da gravidez, que possam, de algum modo, promover o suporte adequado e prevenir que a vivência desta decisão desencadeie um luto disfuncional.
This report presents a comprehensive account of the work developed during the professional internship undertaken within the framework of the Master’s Degree in Maternal and Obstetric Health Nursing. This internship report aims to critically reflect on the process of acquiring both general and specific competencies as a Specialist Nurse in Maternal and Obstetric Health Nursing, within the scope of clinical practice. In addition to this reflection, it also seeks to compile the best practices in specialized maternal and obstetric health nursing care for women who undergo medical termination of pregnancy, acknowledging the challenge and vulnerability of this event in a woman’s life. Throughout this report, I sought to develop a critical and reflective analysis of the methodology applied in the different contexts and fields of practice, namely in the hospitalization of pregnant women with complications, in the postpartum period, and in the delivery room. This reflection was based on the experience of real cases that shaped my professional journey, allowing me not only to apply acquired knowledge but also to recognize the challenges and learning opportunities that each situation presented. This entire process was guided by the Regulation of Common Competencies of the Specialist Nurse and by the Regulation of Specific Competencies of the Specialist Nurse in Maternal and Obstetric Health Nursing, which served as references for the assessment and consolidation of the competencies developed. For the development of research competencies, I carried out a Narrative Literature Review focusing on best practices in specialized maternal and obstetric health nursing care for women facing the decision of medical termination of pregnancy. The analysis revealed the limited attention given to this topic, with a notable scarcity of studies truly centered on women’s experiences. Understanding their needs during this particularly sensitive and painful time is an essential starting point for the design of specialized intervention strategies that can provide appropriate support and prevent the experience of this decision from leading to dysfunctional grief.
This report presents a comprehensive account of the work developed during the professional internship undertaken within the framework of the Master’s Degree in Maternal and Obstetric Health Nursing. This internship report aims to critically reflect on the process of acquiring both general and specific competencies as a Specialist Nurse in Maternal and Obstetric Health Nursing, within the scope of clinical practice. In addition to this reflection, it also seeks to compile the best practices in specialized maternal and obstetric health nursing care for women who undergo medical termination of pregnancy, acknowledging the challenge and vulnerability of this event in a woman’s life. Throughout this report, I sought to develop a critical and reflective analysis of the methodology applied in the different contexts and fields of practice, namely in the hospitalization of pregnant women with complications, in the postpartum period, and in the delivery room. This reflection was based on the experience of real cases that shaped my professional journey, allowing me not only to apply acquired knowledge but also to recognize the challenges and learning opportunities that each situation presented. This entire process was guided by the Regulation of Common Competencies of the Specialist Nurse and by the Regulation of Specific Competencies of the Specialist Nurse in Maternal and Obstetric Health Nursing, which served as references for the assessment and consolidation of the competencies developed. For the development of research competencies, I carried out a Narrative Literature Review focusing on best practices in specialized maternal and obstetric health nursing care for women facing the decision of medical termination of pregnancy. The analysis revealed the limited attention given to this topic, with a notable scarcity of studies truly centered on women’s experiences. Understanding their needs during this particularly sensitive and painful time is an essential starting point for the design of specialized intervention strategies that can provide appropriate support and prevent the experience of this decision from leading to dysfunctional grief.
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Palavras-chave
Gravidez Cuidados de enfermagem Interrupção da gravidez Enfermagem de Saúde Materna