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O impacto da barreira linguística nos cuidados prestados à mulher na gravidez, parto e pós-parto - Desenvolvimento de Competências Especializadas na Área de Enfermagem de Saúde Materna e Obstétrica
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O presente relatório foi desenvolvido no âmbito do Estágio de Natureza Profissional com
Relatório Final, inserido no plano curricular do Mestrado em Enfermagem de Saúde Materna e
Obstétrica da Escola Superior de Enfermagem do Porto, no ano letivo de 2024/2025. Com um
total de 800 horas, o estágio decorreu entre 21 de setembro de 2024 e 25 de julho de 2025,
num hospital central da região Norte de Portugal, tendo decorrido nos serviços de puerpério,
internamento de grávidas/medicina materno-fetal de risco e bloco de partos.
O relatório apresenta uma análise crítica e reflexiva sobre a prática desenvolvida nos diferentes
contextos clínicos, sendo sustentado pelo aprofundamento de quatro casos clínicos
representativos. Os casos clínicos permitiram evidenciar o processo de prestação de cuidados
especializados, através da recolha de dados, diagnóstico, planeamento, implementação e
avaliação das intervenções. A prática foi guiada tendo por base as competências gerais e
específicas do Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica,
conforme definido nos Regulamentos n.º 140/2019 e n.º 391/2019 da Ordem dos Enfermeiros, o
que proporcionou uma abordagem centrada na mulher, respeitando as suas especificidades
culturais, sociais e emocionais, e promovendo cuidados humanizados, baseados na escuta ativa,
empatia e respeito pelas decisões informadas.
Para além da componente prática, o relatório integra a realização de uma Revisão Integrativa da
Literatura, centrada na problemática do impacto da barreira linguística nos cuidados prestados
à mulher durante a gravidez, parto e pós-parto. Esta revisão permitiu não só aprofundar a
compreensão do impacto da comunicação ineficaz na qualidade dos cuidados, como também
identificar estratégias baseadas na evidência para mitigar este desafio em contextos
multiculturais, contribuindo para uma prática profissional mais informada e culturalmente
sensível.
Este percurso constituiu uma oportunidade significativa de crescimento pessoal e profissional,
marcado pela consolidação de conhecimentos e pelo desenvolvimento de competências
práticas. A elaboração do relatório revelou-se um instrumento essencial para integrar a
experiência prática com a componente teórica, o que promoveu uma abordagem crítica e
centrada na melhoria dos cuidados.
This report was developed within the scope of the Professional Internship with Final Report, included in the Master's Degree in Maternal and Obstetric Health Nursing at the Porto Higher School of Nursing, during the academic year 2024/2025. With a total of 800 hours of clinical training, the internship occurred over the period from September 21/2024 to July 25/2025, in a central hospital in the north of Portugal, involving the care for high-risk pregnant women, women during labor, postpartum women and newborns. The report presents a critical and reflective analysis of the practice developed in the different clinical settings, supported by the examination of four representative clinical cases. These cases made it possible to illustrate the process of providing specialized nursing care through data collection, diagnosis, planning, implementation, and evaluation of interventions. The practice was guided by the general and specific competencies of the Specialist Nurse in Maternal and Obstetric Health Nursing which enabled a woman-centered approach, respecting her cultural, social, and emotional specificities and promoting humanized care based on active listening, empathy, and respect for informed choices. In addition to the practical component, the report included the development of an Integrative Literature Review, focused on the issue of language barriers in the care provided to women during pregnancy, childbirth, and the postpartum period. This review not only deepened the understanding of the impact of ineffective communication on care quality but also identified evidence-based strategies to mitigate this challenge in multicultural contexts, contributing to a more informed and culturally sensitive professional practice. This journey represented a significant opportunity for personal and professional growth, marked by the consolidation of knowledge and the development of practical skills. The elaboration of this report proved to be an essential tool for integrating practical experience with theoretical foundations, fostering a critical approach focused on improving the quality of care.
This report was developed within the scope of the Professional Internship with Final Report, included in the Master's Degree in Maternal and Obstetric Health Nursing at the Porto Higher School of Nursing, during the academic year 2024/2025. With a total of 800 hours of clinical training, the internship occurred over the period from September 21/2024 to July 25/2025, in a central hospital in the north of Portugal, involving the care for high-risk pregnant women, women during labor, postpartum women and newborns. The report presents a critical and reflective analysis of the practice developed in the different clinical settings, supported by the examination of four representative clinical cases. These cases made it possible to illustrate the process of providing specialized nursing care through data collection, diagnosis, planning, implementation, and evaluation of interventions. The practice was guided by the general and specific competencies of the Specialist Nurse in Maternal and Obstetric Health Nursing which enabled a woman-centered approach, respecting her cultural, social, and emotional specificities and promoting humanized care based on active listening, empathy, and respect for informed choices. In addition to the practical component, the report included the development of an Integrative Literature Review, focused on the issue of language barriers in the care provided to women during pregnancy, childbirth, and the postpartum period. This review not only deepened the understanding of the impact of ineffective communication on care quality but also identified evidence-based strategies to mitigate this challenge in multicultural contexts, contributing to a more informed and culturally sensitive professional practice. This journey represented a significant opportunity for personal and professional growth, marked by the consolidation of knowledge and the development of practical skills. The elaboration of this report proved to be an essential tool for integrating practical experience with theoretical foundations, fostering a critical approach focused on improving the quality of care.
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Barreira linguística Gravidez Parto Pós-parto Cuidados de saúde materna