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A intervenção do enfermeiro mestre e especialista no cuidado espiritual à pessoa em situação paliativa
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A espiritualidade da pessoa em situação paliativa assume papel determinante em cuidados paliativos, pela sua influência na qualidade de vida, resiliência e resposta ao sofrimento. A evidência e os normativos éticos realçam a importância do cuidado espiritual integrado numa abordagem holística e centrada na pessoa, determinante para a qualidade de cuidados que visam o conforto e bem-estar desta população. O cuidado espiritual, enquadrado na intervenção de enfermagem, compreende a valorização e integração desta dimensão, a identificação de necessidades espirituais e a contribuição para a sua satisfação, de forma integrada nos planos terapêuticos.
O presente relatório descreve o percurso formativo realizado para aquisição das competências requeridas à prática de Enfermagem Especializada e de Mestre em Enfermagem Médico-cirúrgica na área de Enfermagem à Pessoa em Situação Paliativa. O Projeto de Formação para aquisição das referidas competências, baseado na Metodologia de Trabalho de Projeto foi desenvolvido ao longo dos dois estágios, realizados de forma complementar em contextos especializados de Cuidados Paliativos.
Durante o primeiro estágio em Unidade de Cuidados Paliativos foram identificadas necessidades de aprendizagem para prática do cuidado espiritual, que motivaram a elaboração do Projeto de Formação. A implementação deste Projeto teve lugar durante a realização do segundo estágio, numa Equipa Comunitária de Suporte em Cuidados Paliativos. As atividades desenvolvidas incluíram a aquisição e aprofundamento de conhecimento teórico-científico, treino de habilidades interpessoais e prática reflexiva, durante a prestação de cuidados integrais às pessoas em acompanhamento pela equipa, suportado pelo referencial teórico da Auto-Transcendência de Pamela Reed.
As atividades desenvolvidas resultaram na integração do cuidado espiritual nos planos terapêuticos, contribuindo para o desenvolvimento das competências pretendidas, e evidenciaram o impacto positivo do cuidado espiritual na dignidade, conforto e qualidade de vida das pessoas e famílias em situação paliativa.
The spirituality of the person in a palliative situation plays a decisive role in palliative care, due to its influence on quality of life, resilience and response to suffering. Evidence and ethical standards highlight the importance of spiritual care as part of a holistic, person-centred approach, which is crucial to the quality of care aimed at the comfort and well-being of this population. Spiritual care, as part of nursing intervention, includes valuing and integrating this dimension, identifying spiritual needs and contributing to their fulfilment, in an integrated way in therapeutic plans. This report describes the training undertaken to acquire the competencies required for the practice of Specialised Nursing and the Master's Degree in Medical-Surgical Nursing in the area of Palliative Care Nursing. The training project to acquire these competences, based on the Project Work Methodology, was developed over the course of two internships, carried out in a complementary way in specialised palliative care contexts. During the first internship in the Palliative Care Unit, learning needs were identified for the practice of spiritual care, which motivated the development of the Training Project. This project was implemented during the second internship, in a Community Palliative Care Support Team. The activities carried out included the acquisition and deepening of theoretical and scientific knowledge, interpersonal skills training and reflective practice during the provision of comprehensive care to people being monitored by the team, supported by Pamela Reed's theoretical framework of Self-Transcendence. These practices resulted in the integration of spiritual care into therapeutic plans, contributing to the development of the desired competences, and showed the positive impact of spiritual care on the dignity, comfort and quality of life of people and families in a palliative situation.
The spirituality of the person in a palliative situation plays a decisive role in palliative care, due to its influence on quality of life, resilience and response to suffering. Evidence and ethical standards highlight the importance of spiritual care as part of a holistic, person-centred approach, which is crucial to the quality of care aimed at the comfort and well-being of this population. Spiritual care, as part of nursing intervention, includes valuing and integrating this dimension, identifying spiritual needs and contributing to their fulfilment, in an integrated way in therapeutic plans. This report describes the training undertaken to acquire the competencies required for the practice of Specialised Nursing and the Master's Degree in Medical-Surgical Nursing in the area of Palliative Care Nursing. The training project to acquire these competences, based on the Project Work Methodology, was developed over the course of two internships, carried out in a complementary way in specialised palliative care contexts. During the first internship in the Palliative Care Unit, learning needs were identified for the practice of spiritual care, which motivated the development of the Training Project. This project was implemented during the second internship, in a Community Palliative Care Support Team. The activities carried out included the acquisition and deepening of theoretical and scientific knowledge, interpersonal skills training and reflective practice during the provision of comprehensive care to people being monitored by the team, supported by Pamela Reed's theoretical framework of Self-Transcendence. These practices resulted in the integration of spiritual care into therapeutic plans, contributing to the development of the desired competences, and showed the positive impact of spiritual care on the dignity, comfort and quality of life of people and families in a palliative situation.
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Enfermagem de cuidados paliativos Cuidados paliativos Espiritualidade Cuidados de enfermagem Autotranscendência