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Promoção do sono no recém-nascido: Projeto de desenvolvimento de competências clínicas especializadas na área de Enfermagem de Saúde Infantil e Pediátrica
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Do “Estágio de Natureza Profissional com Relatório – Módulo II” recorrente do Mestrado em
Enfermagem de Saúde Infantil e Pediátrica da Escola Superior de Enfermagem do Porto surgiu o
presente relatório de estágio, que visa descrever o percurso de aquisição e desenvolvimento
das competências comuns e específicas inerentes ao Enfermeiro Especialista em Saúde Infantil
e Pediátrica (EESIP).
Este percurso teve como foco a promoção do sono do Recém-Nascido (RN), desenvolvido
enquanto área de intervenção no âmbito do EESIP e como área de aprofundamento teórico. Este
tema emergiu da necessidade de integrar o sono enquanto prioridade nos cuidados de
enfermagem, reconhecendo o seu impacto no desenvolvimento infantil e papel parental.
A pertinência e transversalidade do tema evidenciaram-se nos diferentes contextos do estágio,
nomeadamente: Internamento de Pediatria Médica, Unidade de Cuidados na Comunidade,
Serviço de Urgência Pediátrica e Unidade de Neonatologia.
O relatório foi concretizado com recurso à plataforma educativa da ESEP, E4nursing, apoiada na
ontologia de enfermagem, através de uma metodologia descritiva e reflexiva, aliada a uma
pesquisa bibliográfica e ao enquadramento legal da profissão.
Pela equidade das temáticas, ao longo do relatório, destacam-se a teoria das transições de
Meleis, com enfoque, na tipologia desenvolvimental, as teorias de desenvolvimento infantil,
permitindo uma compreensão mais aprofundada e diferenciada das particularidades do
crescimento e evolução da criança e o modelo de parceria de cuidados pela promoção do
envolvimento dos pais na saúde da criança/jovem, em função dos seus conhecimentos e das
suas capacidades.
O desenvolvimento das competências especializadas, como a conceção de planos de cuidados
individualizados e a articulação entre teoria e prática estão demostrados por dois casos clínicos,
onde foi destacado o papel do EESIP como principal agente de educação para a saúde e
facilitador de processos de transição.
Por forma a demonstrar o processo de aquisição das competências comuns e específicas do
EESIP, considerando os domínios e unidades de competência, procedeu-se à explanação
reflexiva dos contributos resultantes dos vários ensinos clínicos e da componente teórica do
mestrado.
This internship report arises from the “Professional Internship with Report – Module II” of the Master’s Degree in Child and Pediatric Health Nursing at the Escola Superior de Enfermagem do Porto. Its primary objective is to describe the process of acquiring and developing both general and specific competencies required of the Child and Pediatric Health Nurse Specialist (CPHNS). This learning journey focused on the promotion of sleep in the Newborn (NB), which was developed as both an area of intervention within the scope of the CPHNS role and a subject of theoretical deepening. This topic emerged from the recognized need to prioritize sleep within nursing care, acknowledging its impact on child development and on parenting roles. The relevance and cross-cutting nature of this theme became evident across various internship settings, namely: Pediatric Medical Inpatient Unit, Community Care Unit, Pediatric Emergency Department, and Neonatology Unit. The report was developed using ESEP’s educational platform, E4nursing, underpinned by nursing ontology and supported by a descriptive and reflective methodology, bibliographic research, and the legal framework governing the nursing profession. Due to the thematic coherence throughout the report, particular emphasis is given to Meleis’s Theory of Transitions, focusing on the developmental typology, theories of child development, which allow for a deeper and more nuanced understanding of the particularities of growth and development in children, and the partnership-in-care model, which promotes parental involvement in the child’s or young person’s health, in accordance with their knowledge and capacities. The development of specialized competencies, such as the design of individualized care plans and the articulation between theory and practice, is illustrated through two clinical case studies, in which the CPHNS is highlighted as a key health educator and facilitator of transitional processes. In order to demonstrate the acquisition process of both general and specific competencies of the CPHNS, and in accordance with the defined domains and units of competence, a reflective analysis is provided, integrating the contributions from the various clinical training placements and the theoretical component of the Master's program.
This internship report arises from the “Professional Internship with Report – Module II” of the Master’s Degree in Child and Pediatric Health Nursing at the Escola Superior de Enfermagem do Porto. Its primary objective is to describe the process of acquiring and developing both general and specific competencies required of the Child and Pediatric Health Nurse Specialist (CPHNS). This learning journey focused on the promotion of sleep in the Newborn (NB), which was developed as both an area of intervention within the scope of the CPHNS role and a subject of theoretical deepening. This topic emerged from the recognized need to prioritize sleep within nursing care, acknowledging its impact on child development and on parenting roles. The relevance and cross-cutting nature of this theme became evident across various internship settings, namely: Pediatric Medical Inpatient Unit, Community Care Unit, Pediatric Emergency Department, and Neonatology Unit. The report was developed using ESEP’s educational platform, E4nursing, underpinned by nursing ontology and supported by a descriptive and reflective methodology, bibliographic research, and the legal framework governing the nursing profession. Due to the thematic coherence throughout the report, particular emphasis is given to Meleis’s Theory of Transitions, focusing on the developmental typology, theories of child development, which allow for a deeper and more nuanced understanding of the particularities of growth and development in children, and the partnership-in-care model, which promotes parental involvement in the child’s or young person’s health, in accordance with their knowledge and capacities. The development of specialized competencies, such as the design of individualized care plans and the articulation between theory and practice, is illustrated through two clinical case studies, in which the CPHNS is highlighted as a key health educator and facilitator of transitional processes. In order to demonstrate the acquisition process of both general and specific competencies of the CPHNS, and in accordance with the defined domains and units of competence, a reflective analysis is provided, integrating the contributions from the various clinical training placements and the theoretical component of the Master's program.
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Palavras-chave
Sono Recém-nascido Enfermagem Enfermeiro Especialista em Saúde Infantil e Pediátrico