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Perda gestacional - vivências do enfermeiro especialista em enfermagem de saúde materna e obstétrica
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O presente Relatório Final de Estágio insere-se no âmbito do Estágio Profissional do Primeiro Curso de Mestrado em Enfermagem de Saúde Materna e Obstétrica e reflete o percurso de desenvolvimento de competências especializadas e de mestre nos diferentes contextos de prática clínica. A temática orientadora incidiu na perda gestacional, atendendo à sua complexidade clínica, emocional e relacional, bem como ao impacto significativo que representa para a mulher, família e profissionais de saúde.
Partindo da evidência científica e sustentado no Modelo de Sistemas de Betty Neuman, este relatório integra uma análise reflexiva das experiências vivenciadas e das intervenções desenvolvidas ao longo deste percurso, considerando a perda gestacional enquanto acontecimento gerador de stress que exige respostas diferenciadas, humanizadas e centradas nas necessidades da família.
Nos diferentes contextos de ensino clínico foram identificadas necessidades de melhoria na assistência à mulher e família em situação de perda gestacional, bem como no suporte aos profissionais, tendo sido implementadas atividades dirigidas à sensibilização e promoção da reflexão em equipa, elaboração de materiais de apoio e propostas de uniformização de cuidados. Paralelamente, foi possível consolidar competências técnicas, científicas, éticas e relacionais essenciais ao exercício autónomo do Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica destacando-se o seu papel na comunicação terapêutica, no apoio emocional, na promoção do processo de luto saudável e na humanização dos cuidados em contextos particularmente vulneráveis. Evidenciou-se igualmente a importância do investimento na formação contínua, no suporte às equipas e na existência de orientações institucionais promotoras de práticas consistentes e seguras.
Conclui-se que este percurso formativo constituiu uma oportunidade de crescimento pessoal e profissional, contribuindo para uma prática clínica mais crítica, reflexiva e sustentada na evidência científica, reforçando a qualidade dos cuidados prestados à mulher e família em situação de perda gestacional e o bem-estar dos profissionais no decorrer da sua prática.
This Final Internship Report was developed within the scope of the Professional Internship of the First Master’s Degree Programme in Maternal and Obstetric Health Nursing and reflects the pathway of developing specialist and master’s level competencies across different clinical practice settings. The guiding theme focused on pregnancy loss, considering its clinical, emotional, and relational complexity, as well as the significant impact it has on women, families, and healthcare professionals. Based on scientific evidence and supported by Betty Neuman’s Systems Model, this report includes a reflective analysis of the experiences lived and the interventions developed throughout this pathway, considering pregnancy loss as a stress-generating event that requires differentiated, humanised, and family-centred responses. Across the different clinical training contexts, needs for improvement were identified in the care provided to women and families experiencing pregnancy loss, as well as in professional support. Activities were therefore implemented to raise awareness, promote team reflection, develop support materials, and propose the standardisation of care. Simultaneously, it was possible to consolidate the technical, scientific, ethical, and relational competencies essential for the autonomous practice of the Specialist Nurse in Maternal and Obstetric Health Nursing, highlighting their role in therapeutic communication, emotional support, promotion of a healthy grieving process, and the humanisation of care in particularly vulnerable contexts. The importance of investing in continuous training, team support, and the existence of institutional guidelines promoting consistent and safe practices was also evidenced. It is concluded that this training pathway represented an opportunity for personal and professional growth, contributing to a more critical, reflective, and evidence-based clinical practice, while strengthening the quality of care provided to women and families experiencing pregnancy loss and the well-being of professionals throughout their practice.
This Final Internship Report was developed within the scope of the Professional Internship of the First Master’s Degree Programme in Maternal and Obstetric Health Nursing and reflects the pathway of developing specialist and master’s level competencies across different clinical practice settings. The guiding theme focused on pregnancy loss, considering its clinical, emotional, and relational complexity, as well as the significant impact it has on women, families, and healthcare professionals. Based on scientific evidence and supported by Betty Neuman’s Systems Model, this report includes a reflective analysis of the experiences lived and the interventions developed throughout this pathway, considering pregnancy loss as a stress-generating event that requires differentiated, humanised, and family-centred responses. Across the different clinical training contexts, needs for improvement were identified in the care provided to women and families experiencing pregnancy loss, as well as in professional support. Activities were therefore implemented to raise awareness, promote team reflection, develop support materials, and propose the standardisation of care. Simultaneously, it was possible to consolidate the technical, scientific, ethical, and relational competencies essential for the autonomous practice of the Specialist Nurse in Maternal and Obstetric Health Nursing, highlighting their role in therapeutic communication, emotional support, promotion of a healthy grieving process, and the humanisation of care in particularly vulnerable contexts. The importance of investing in continuous training, team support, and the existence of institutional guidelines promoting consistent and safe practices was also evidenced. It is concluded that this training pathway represented an opportunity for personal and professional growth, contributing to a more critical, reflective, and evidence-based clinical practice, while strengthening the quality of care provided to women and families experiencing pregnancy loss and the well-being of professionals throughout their practice.
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perda gestacional luto enfermeiro especialista em enfermagem de saúde materna e obstétrica competências especializadas pregnancy loss grief specialist maternal and obstetric health nurse specialist competencies
Contexto Educativo
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