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Avaliação e intervenção em famílias nucleares com membros idosos: Projeto de Desenvolvimento de Competências Clínicas Especializadas na área de Enfermagem de Saúde Familiar
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| 6.63 MB | Adobe PDF |
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Abstract(s)
A família é caracterizada por ser um sistema cujo resultado é superior à soma de todas as suas partes, efeito de relações dinâmicas, complexas e contextuais, em interação com o meio. A transição para o envelhecimento assume-se como um desafio para as famílias, relativamente ao padrão de comportamentos, aquisição de conhecimento e capacidades e transformação de relações, bem como no risco de queda. No âmbito das Unidades Curriculares Estágio de Natureza Profissional com Relatório – Módulo I e Estágio de Natureza Profissional com Relatório
– Módulo II, do Curso de Mestrado em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar da Escola Superior de Enfermagem do Porto, delinearam-se objetivos a fim de prestar cuidados a famílias nucleares com membros idosos, enquanto unidade de cuidados, bem como aos seus membros, ao longo do ciclo vital e aos diferentes níveis de prevenção, e promover a liderança e a colaboração em processos de intervenção, no âmbito da Enfermagem de Saúde Familiar, segundo o Regulamento nº 428/2018 da Ordem dos Enfermeiros. O desenvolvimento do processo de aprendizagem baseou-se no Modelo Calgary de Avaliação da Família, Modelo Calgary de Intervenção na Família, Modelo Dinâmico de Avaliação e Intervenção Familiar e Teoria das Transições. Assente no processo de enfermagem, foram desenvolvidas consultas no âmbito da Enfermagem de Saúde Familiar a quatro famílias nucleares com membros idosos e aos seus membros, individualmente. As intervenções concretizadas, em parceria com os clientes, culminaram em ganhos em saúde para as famílias e para os indivíduos, nomeadamente, para as famílias, nas áreas da Precaução de Segurança, Satisfação Conjugal, Processo Familiar e Papel do Prestador de Cuidados, e, para os membros das famílias, nos focos Adesão ao Regime de Exercício, Gestão do Regime de Exercício, Preocupação, Adesão à Vacinação e Conhecimento sobre diabetes. Foram geridos, articulados e mobilizados recursos para a prestação de cuidados, através: da pesquisa em evidência científica; do processo formativo, promotor de uma cultura de formação e prática, com vista à melhoria dos resultados dos cuidados em enfermagem de saúde familiar; da referenciação para outros profissionais; e do complemento sugerido ao Modelo Dinâmico de Avaliação e Intervenção Familiar. O contributo do processo de aprendizagem para o desenvolvimento de competências, comuns e específicas, centrou-se na capacidade de reflexão sobre a prática que garante a prestação de cuidados de qualidade às famílias e aos seus membros.
The family is characterized as a system whose outcome is greater than the sum of all its parts, a result of dynamic, complex, and contextual relationships, interacting with the environment. The transition to ageing is assumed as a challenge for families, regarding behaviour patterns, acquisition of knowledge and skills, transformation of relationships, as well as the risk of fall. Within the Curricular Units of Professional Nature Internship with Report - Module I and Internship with Report - Module II, of the Master's Degree Course in Community Nursing in the area of Family Health Nursing at the Porto Nursing School, objectives were outlined in order to provide care to nuclear families with elderly members, as a care unit, as well as to their members, throughout the life cycle and at different levels of prevention, and to promote leadership and collaboration in intervention processes, within the scope of Family Health Nursing, according to Regulation no. 428/2018 of the Order of Nurses. The development of the learning process was based on the Calgary Family Assessment Model, Calgary Family Intervention Model, Dynamic Model of Family Assessment and Intervention, and Theory of Transitions. Based on the nursing process, Family Health Nursing sessions were given to four nuclear families with elderly members and to their members individually. The interventions carried out, in partnership with the clients, resulted in health gains for families and individuals, namely, for families, in the areas of Safety Precaution, Marital Satisfaction, Family Process, and Caregiver Role, and for family members, in the focuses of Exercise Regimen Adherence, Exercise Regimen Management, Concern, Vaccination Adherence, and Knowledge about diabetes. Resources were managed, coordinated, and mobilized for care provision, through: research in scientific evidence; the training process, promoting a culture of training and practice, aimed at improving the results of family health nursing care; referral to other professionals; and the suggested complement to the Dynamic Model of Family Assessment and Intervention. The contribution of the learning process to the development of competencies, both common and specific, focused on the ability to reflect on practice, ensuring the provision of quality care to families and their members.
The family is characterized as a system whose outcome is greater than the sum of all its parts, a result of dynamic, complex, and contextual relationships, interacting with the environment. The transition to ageing is assumed as a challenge for families, regarding behaviour patterns, acquisition of knowledge and skills, transformation of relationships, as well as the risk of fall. Within the Curricular Units of Professional Nature Internship with Report - Module I and Internship with Report - Module II, of the Master's Degree Course in Community Nursing in the area of Family Health Nursing at the Porto Nursing School, objectives were outlined in order to provide care to nuclear families with elderly members, as a care unit, as well as to their members, throughout the life cycle and at different levels of prevention, and to promote leadership and collaboration in intervention processes, within the scope of Family Health Nursing, according to Regulation no. 428/2018 of the Order of Nurses. The development of the learning process was based on the Calgary Family Assessment Model, Calgary Family Intervention Model, Dynamic Model of Family Assessment and Intervention, and Theory of Transitions. Based on the nursing process, Family Health Nursing sessions were given to four nuclear families with elderly members and to their members individually. The interventions carried out, in partnership with the clients, resulted in health gains for families and individuals, namely, for families, in the areas of Safety Precaution, Marital Satisfaction, Family Process, and Caregiver Role, and for family members, in the focuses of Exercise Regimen Adherence, Exercise Regimen Management, Concern, Vaccination Adherence, and Knowledge about diabetes. Resources were managed, coordinated, and mobilized for care provision, through: research in scientific evidence; the training process, promoting a culture of training and practice, aimed at improving the results of family health nursing care; referral to other professionals; and the suggested complement to the Dynamic Model of Family Assessment and Intervention. The contribution of the learning process to the development of competencies, both common and specific, focused on the ability to reflect on practice, ensuring the provision of quality care to families and their members.
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Keywords
Cuidados de Saúde Primários Enfermagem de Saúde Familiar Família Envelhecimento Queda Relatório de estágio