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A Visita Domiciliária como estratégia facilitadora do regresso a casa precoce
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Abstract(s)
No âmbito do Mestrado em Enfermagem de Saúde Materna e Obstétrica, da Escola Superior de
Enfermagem do Porto, surge o desenvolvimento deste relatório de estágio de natureza
profissional.
O objetivo deste relatório, consiste na análise e descrição de todo o processo de
desenvolvimento de competências comuns e específicas do Enfermeiro Especialista em
Enfermagem de Saúde Materna e Obstétrica (EEESMO), tendo por base o Regulamento
nº140/2019 e Regulamento nº 391/2019 da Ordem dos Enfermeiros.
Para demonstrar o desenvolvimento das competências específicas, foram desenvolvidos seis
casos clínicos correspondentes ao Estágio de Natureza Profissional, um caso clínico no âmbito
da gravidez com complicações; quatro casos clínicos sobre a assistência à mulher em trabalho
de parto e um caso clínico na assistência à mulher e ao recém-nascido no puerpério.
No decorrer dos estágios, nomeadamente do estágio do puerpério, surgiu o meu interesse em
desenvolver uma revisão integrativa da literatura sobre o tema: "A visita domiciliária do
EEESMO, como estratégia facilitadora para o regresso a casa precoce". Segundo a minha
observação, grande parte das puérperas que vivenciaram o parto eutócico, ao fim de 24 horas,
verbalizavam a vontade de regressar a casa, algo que atualmente só está preconizado ao final
de 48 horas de internamento. Considerei interessante explorar esta temática e tentar perceber
de que modo o EEESMO pode atuar para contribuir ao regresso a casa mais cedo. A visita
domiciliária do EEESMO, poderá proporcionar uma transição para casa mais segura e ao mesmo
tempo prestar cuidados especializados à puérpera e recém-nascido.
As part of the Master's programme in Maternal and Obstetric Health Nursing at the Escola Superior de Enfermagem do Porto, this professional internship report was developed. The aim of this report is to analyse and describe the entire process of developing the common and specific competences of the Specialist Nurse in Maternal and Obstetric Health Nursing, based on Regulation no. 140/2019 and Regulation no. 391/2019 of the Order of Nurses. To demonstrate the development of specific competences, six clinical cases were developed corresponding to the Professional Internship, one clinical case on pregnancy with complications; four clinical cases on assisting women in labour and one clinical case on assisting women and newborns in the puerperium. During my internships, particularly the puerperium internship, I became interested in developing an integrative literature review on the topic: ‘The home visit by the Specialist Nurse in Maternal and Obstetric Health Nursing as a facilitating strategy for early return home’. According to my observation, most of the puerperal women who experienced eutocic delivery verbalised their desire to return home after 24 hours, something that is currently only recommended after 48 hours of hospitalisation. I thought it would be interesting to explore this issue and try to understand how the can help to bring about an earlier return home. The EHESMO's home visit could provide a safer transition home and at the same time provide specialised care for the puerperal woman and her newborn.
As part of the Master's programme in Maternal and Obstetric Health Nursing at the Escola Superior de Enfermagem do Porto, this professional internship report was developed. The aim of this report is to analyse and describe the entire process of developing the common and specific competences of the Specialist Nurse in Maternal and Obstetric Health Nursing, based on Regulation no. 140/2019 and Regulation no. 391/2019 of the Order of Nurses. To demonstrate the development of specific competences, six clinical cases were developed corresponding to the Professional Internship, one clinical case on pregnancy with complications; four clinical cases on assisting women in labour and one clinical case on assisting women and newborns in the puerperium. During my internships, particularly the puerperium internship, I became interested in developing an integrative literature review on the topic: ‘The home visit by the Specialist Nurse in Maternal and Obstetric Health Nursing as a facilitating strategy for early return home’. According to my observation, most of the puerperal women who experienced eutocic delivery verbalised their desire to return home after 24 hours, something that is currently only recommended after 48 hours of hospitalisation. I thought it would be interesting to explore this issue and try to understand how the can help to bring about an earlier return home. The EHESMO's home visit could provide a safer transition home and at the same time provide specialised care for the puerperal woman and her newborn.
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Keywords
Visita domiciliaria EEESMO regresso a casa