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Avaliação e Intervenção em Famílias Nucleares com um dos Elementos do Subsistema Conjugal Portador de Diabetes Mellitus Tipo 2 - Projeto de desenvolvimento de competências clínicas especializadas na área de Enfermagem de Saúde Familiar
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Advisor(s)
Abstract(s)
Pretendeu-se retratar neste relatório a expansão e consolidação da consciência profissional
sobre o papel do Enfermeiro Especialista em Enfermagem Comunitária na área de
Enfermagem de Saúde Familiar, assim como as competências adquiridas durante o processo
de aprendizagem, com vista ao exercício profissional especializado, durante a frequência
dos estágios do Curso de Mestrado na área referida, numa Unidade de Saúde Familiar. Em
consonância com estas competências, definidas em regulamento próprio, foram
estabelecidos dois objetivos gerais para o desenvolvimento da componente clínica: Cuidar
da família, enquanto unidade de cuidados, e de cada um dos seus membros, ao longo do
ciclo vital e aos diferentes níveis de prevenção e Liderar e colaborar nos processos de
intervenção no âmbito da Enfermagem de Saúde Familiar. No estágio Módulo I analisou-se
uma amostra de utentes do ficheiro enfermeira tutora, que evidenciou características
comuns: famílias nucleares com 2 membros pertencentes ao subsistema conjugal, em que
um deles tinha Diabetes Mellitus tipo 2. Identificaram-se 7 famílias a que se prestaram
cuidados no Módulo II. A Teoria das Transições subsidiou a avaliação e intervenção
individual. Na avaliação e intervenção familiar foi utilizado o Modelo Dinâmico de Avaliação
e Intervenção Familiar. A família figurou como unidade de avaliação, intervenção e
obtiveram-se ganhos em saúde no sistema familiar como um todo, destacando-se a Gestão
do Regime Terapêutico na Diabetes Mellitus tipo 2 no subsistema individual. Após a
realização das intervenções, verificou-se uma modificação positiva em todos os 30
diagnósticos definidos, representando uma variação de 100% no total dos estados dos
diagnósticos. Foi ainda realizado um processo formativo aos enfermeiros da unidade do local
de estágio, com a realização da ação de formação “Documentação dos Cuidados, no âmbito
da dimensão estrutural, no Programa de Saúde da Família do SClinico®” e com
acompanhamento individualizado na documentação dos cuidados, através da supervisão
clínica de pares a cada enfermeiro da equipa, durante 4 semanas. Constatou-se que os
enfermeiros aumentaram os seus conhecimentos, melhoraram a perceção de competência
neste âmbito e mudaram as suas práticas na documentação dos cuidados. Com as atividades
desenvolvidas ocorreu aquisição de competências específicas do enfermeiro especialista em
Enfermagem Comunitária na área de Enfermagem de Saúde Familiar: na colheita de dados
através da entrevista familiar sistémica e de instrumentos validados, de juízo crítico e
tomada de decisão, de planeamento dos cuidados em negociação com os membros das
famílias, de intervenção com recurso a técnicas de intervenção sistémica e de avaliação dos
cuidados.
The aim of this report was to portray the expansion and consolidation of professional awareness about the role of the Specialist Nurse in Community Nursing in the area of Family Health Nursing, as well as the skills acquired during the learning process, with a view to specialized professional practice, during attendance of the Master's Course internships in the aforementioned area, in a Family Health Unit. In line with these competencies, defined in specific regulations, two general objectives were established for the development of the clinical component: Caring for the family, as a care unit, and for each of its members, throughout the life cycle and at different levels of prevention and Lead and collaborate in intervention processes within the scope of Family Health Nursing. In the Module I stage, a sample of users from the nurse tutor file was analyzed, which highlighted common characteristics: nuclear families with 2 members belonging to the marital subsystem, in which one of them had type 2 Diabetes Mellitus. care in Module II. The Transitions Theory supported individual assessment and intervention. In family assessment and intervention, the Dynamic Family Assessment and Intervention Model was used. The family served as the unit of assessment, intervention and health gains were obtained in the family system as a whole, highlighting the Management of the Therapeutic Regimen in type 2 Diabetes Mellitus in the individual subsystem. After carrying out the interventions, there was a positive change in all 30 defined diagnoses, representing a 100% variation in the total status of the diagnoses. A training process was also carried out for nurses from the unit at the internship location, with the training action “Documentation of Care, within the scope of the structural dimension, in the SClinico® Family Health Program” and with individualized monitoring in the documentation of care, through peer clinical supervision of each nurse on the team, for 4 weeks. It was found that nurses increased their knowledge, improved their perception of competence in this area and changed their practices in documenting care. With the activities developed, specific skills were acquired for nurses specializing in Community Nursing in the area of Family Health Nursing: data collection through systemic family interviews and validated instruments, critical judgment and decision-making, care planning in negotiation with family members, intervention using systemic intervention techniques and care assessment.
The aim of this report was to portray the expansion and consolidation of professional awareness about the role of the Specialist Nurse in Community Nursing in the area of Family Health Nursing, as well as the skills acquired during the learning process, with a view to specialized professional practice, during attendance of the Master's Course internships in the aforementioned area, in a Family Health Unit. In line with these competencies, defined in specific regulations, two general objectives were established for the development of the clinical component: Caring for the family, as a care unit, and for each of its members, throughout the life cycle and at different levels of prevention and Lead and collaborate in intervention processes within the scope of Family Health Nursing. In the Module I stage, a sample of users from the nurse tutor file was analyzed, which highlighted common characteristics: nuclear families with 2 members belonging to the marital subsystem, in which one of them had type 2 Diabetes Mellitus. care in Module II. The Transitions Theory supported individual assessment and intervention. In family assessment and intervention, the Dynamic Family Assessment and Intervention Model was used. The family served as the unit of assessment, intervention and health gains were obtained in the family system as a whole, highlighting the Management of the Therapeutic Regimen in type 2 Diabetes Mellitus in the individual subsystem. After carrying out the interventions, there was a positive change in all 30 defined diagnoses, representing a 100% variation in the total status of the diagnoses. A training process was also carried out for nurses from the unit at the internship location, with the training action “Documentation of Care, within the scope of the structural dimension, in the SClinico® Family Health Program” and with individualized monitoring in the documentation of care, through peer clinical supervision of each nurse on the team, for 4 weeks. It was found that nurses increased their knowledge, improved their perception of competence in this area and changed their practices in documenting care. With the activities developed, specific skills were acquired for nurses specializing in Community Nursing in the area of Family Health Nursing: data collection through systemic family interviews and validated instruments, critical judgment and decision-making, care planning in negotiation with family members, intervention using systemic intervention techniques and care assessment.
Description
Keywords
Especialista em Enfermagem Comunitária em Enfermagem de Saúde Familiar Modelo Dinâmico de Avaliação e Intervenção Familiar Diabetes Mellitus tipo 2 Gestão do Regime Terapêutico Competências Relatório de estágio