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Desenvolvimento das competências do enfermeiro especialista em saúde infantil e pediátrica: Mindfulness na adolescência
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Introdução: No cuidado especializado à criança/jovem e família, o Mestrado em Enfermagem de Saúde Infantil e Pediátrica permite desenvolver e consolidar competências na diferenciação da prática clínica. As intervenções de Enfermagem com recurso a estratégias de mindfulness em diversos contextos de atuação do Enfermeiro Especialista em Saúde Infantil e Pediátrica destacam-se como centrais no processo formativo e de investigação.
Objetivos: Analisar de forma crítico-reflexiva as competências desenvolvidas de Enfermeira Mestre e Especialista: comuns e específicas de Saúde Infantil e Pediátrica constantemente aliadas à evidência científica; desenvolver uma revisão da literatura para mapear e sintetizar a evidência sobre as intervenções de Enfermagem baseadas no mindfulness para adolescentes.
Metodologia: No primeiro capítulo efetuou-se uma análise crítico-reflexiva. O segundo capítulo concentrou-se numa Scoping Review com critérios de Joanna Briggs Institute, em seis bases de dados com estratégia de pesquisa, descritores MeSH e linguagem natural, com critérios de elegibilidade.
Resultados: O percurso formativo, o pensamento crítico e a pesquisa de evidência científica, permitiram desenvolver competências de Enfermeiro Mestre e Especialista em Saúde Infantil e Pediátrica. A revisão permitiu identificar contextos de ação: comunidade, serviços hospitalares e unidades de saúde gerais, sendo os Enfermeiros agentes promotores, incluindo o Especialista em Saúde Infantil e Pediátrica, que recorreram ao mindfulness como estratégia de intervenção com programas, aplicações móveis, sessões adaptadas e realidade virtual. Foi demonstrado impacto na saúde do adolescente, como gerir a dor e emoções; minimizar ansiedade e stress, diminuir comportamentos de risco, sintomas depressivos, fadiga; e promover o relaxamento e bem-estar, saúde mental, autoestima, confiança, sono, concentração, compaixão, resiliência e hábitos alimentares.
Conclusão: As competências diferenciadas permitiram ampliar a conceção de cuidados e tomada de decisão baseada na evidência, respondendo às necessidades da criança/jovem e família/pessoa significativa, sendo o mindfulness, mediante capacitação do Enfermeiro nesta estratégia, um meio de intervenção diferenciada no adolescente.
Introduction: In specialized care to children/adolescents, and their families, the Master's program in Pediatric and Child Health Nursing enable the development and consolidation of competencies for differentiated clinical practice. Nursing interventions using mindfulness strategies in various contexts of the Pediatric and Child Health Nurse Specialist's practice stand out as central elements in both training and research processes. Objectives: To critically and reflectively analyze the competencies developed as Master and Specialist Nurse, focusing on both common and specific aspects of Child and Pediatric Health, consistently grounded in scientific evidence; and to conduct a literature review to map and synthesize the evidence regarding mindfulness-based nursing interventions for adolescents. Methodology: In the first chapter, a critical-reflective analysis was conducted. The second chapter focused on a Scoping Review following Joanna Briggs Institute criteria, conducted across six databases with a research strategy using MeSH descriptors and natural language, applying specific eligibility criteria. Results: The training process, critical thinking, and evidence-based research facilitated the development of competencies as a Master's-level and Pediatric and Child Health Nursing Specialist. The review identified contexts of action: community, hospital services, and general health units, with nurses, including Pediatric and Child Health Specialists, as promoting agents, utilizing mindfulness as an intervention strategy through programs, mobile applications, adapted sessions, and virtual reality. Positive impacts on adolescent health were demonstrated, such as improved pain and emotional management; reduced anxiety, stress, risk behaviors, depressive symptoms, and fatigue; and promotion of relaxation, well-being, mental health, self-esteem, confidence, sleep, concentration, compassion, resilience, and healthy eating habits. Conclusion: The differentiated competencies acquired enabled an expanded approach to care delivery and evidence-based decision-making, addressing the needs of children, adolescents, and their families/significant others, with mindfulness serving, through training the Nurse in this strategy, a means of differentiated intervention in adolescent.
Introduction: In specialized care to children/adolescents, and their families, the Master's program in Pediatric and Child Health Nursing enable the development and consolidation of competencies for differentiated clinical practice. Nursing interventions using mindfulness strategies in various contexts of the Pediatric and Child Health Nurse Specialist's practice stand out as central elements in both training and research processes. Objectives: To critically and reflectively analyze the competencies developed as Master and Specialist Nurse, focusing on both common and specific aspects of Child and Pediatric Health, consistently grounded in scientific evidence; and to conduct a literature review to map and synthesize the evidence regarding mindfulness-based nursing interventions for adolescents. Methodology: In the first chapter, a critical-reflective analysis was conducted. The second chapter focused on a Scoping Review following Joanna Briggs Institute criteria, conducted across six databases with a research strategy using MeSH descriptors and natural language, applying specific eligibility criteria. Results: The training process, critical thinking, and evidence-based research facilitated the development of competencies as a Master's-level and Pediatric and Child Health Nursing Specialist. The review identified contexts of action: community, hospital services, and general health units, with nurses, including Pediatric and Child Health Specialists, as promoting agents, utilizing mindfulness as an intervention strategy through programs, mobile applications, adapted sessions, and virtual reality. Positive impacts on adolescent health were demonstrated, such as improved pain and emotional management; reduced anxiety, stress, risk behaviors, depressive symptoms, and fatigue; and promotion of relaxation, well-being, mental health, self-esteem, confidence, sleep, concentration, compassion, resilience, and healthy eating habits. Conclusion: The differentiated competencies acquired enabled an expanded approach to care delivery and evidence-based decision-making, addressing the needs of children, adolescents, and their families/significant others, with mindfulness serving, through training the Nurse in this strategy, a means of differentiated intervention in adolescent.
Descrição
Curso de Mestrado ministrado em parceria com a Escola Superior de Enfermagem S. José de Cluny.
Palavras-chave
Competências Enfermagem Pediátrica Adolescente Mindfulness Competencies Pediatric Nurse Adolescent