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Como é que os enfermeiros integram a espiritualidade no seu agir profissional?
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Abstract(s)
Neste Relatório de Trabalho de Projeto procura-se estruturar todo o percurso desenvolvido na aquisição das Competências Comuns do Enfermeiro Especialista e das Competências Especificas do Enfermeiro Especialista em Enfermagem em Pessoa em Situação Crítica e Crónica e Paliativa, através de um Projeto de Aprendizagem Clínica (PAC), Projeto de Desenvolvimento Académico (PDA), tendo como referencial teórico de enfermagem a Teoria da Auto-transcendência de Pamela Reed, bem como uma reflexão acerca das competências de Mestre.
A área do Projeto de Desenvolvimento Académico incidiu na resposta a uma pergunta de investigação: “Como é que os enfermeiros integram a Espiritualidade na práxis de enfermagem?”. Realizou-se uma Revisão Integrativa de Literatura, que visou sistematizar o conhecimento relativo à questão levantada, passando previamente por um processo de seleção de estudos, com posterior discussão e análise de dados, tendo por base a Metodologia de Trabalho de Projeto.
Este trabalho está estruturado numa sequência de enquadrar o PDA e o PAC sob o ponto de vista concetual e teórico; contextualizar a Teoria da Auto-transcendência; introduzir o tema da “Espiritualidade em Enfermagem” como uma dimensão do cuidar; analisar e refletir sobre a práxis de enfermagem desenvolvida à luz das Competências Comuns do Enfermeiro Especialista e das Competências Especificas do Enfermeiro Especialista em Enfermagem em Pessoa em Situação Critica, Crónica e Paliativa, assim como a reflexão das competências de Mestre em Enfermagem Médico-Cirúrgica. E finaliza-se com as considerações finais relativas ao desenvolvimento do presente relatório.
A espiritualidade e os cuidados espirituais são essenciais na prestação de cuidados holísticos, tendo contribuição direta na qualidade dos cuidados. A pouca uniformização conceptual sobre espiritualidade, e até mesmo a pouca formação base sobre este esta dimensão transcendente do cuidar, pode contribuir em parte para que o enfermeiro não saiba ou tenha dificuldade em integrá-la na sua práxis.
This Project Work Report seeks to structure the pathway developed during the acquisition of General Competencies as a Specialist Nurse, and of Specific Competencies as a Specialist Nurse in caring for the Person in the Critical and Chronic Situation, and in the Palliative contexts. This pathway was achieved through the development of a Clinical Learning Project (CLP), a reflective report on Mastery skills, and an Academic Development Project (ADP) based on the theoretical framework of Pamela Reed – the Theory of Self-Transcendence. The content of the Academic Development Project focuses on the attempt to answer the investigation question: “How do nurses integrate Spirituality in the nursing praxis?”. An Integrated Literature Revision was conducted, followed by the selection and systematization of relevant information from previous studies, and with posterior analysis and discussion of data related to the investigation question, based on the Work Project Methodology. This work project is structured sequentially to incorporate the ADP and the CLP as a framework from a concept and theoretical perspective; to contextualize the Theory of Self – Transcendence; to introduce the theme of “Spirituality in Nursing” as a dimension for care; to analyze and reflect about the practical component in nursing (praxis) under the General Competencies of the Specialist Nurse, and the Specific Competencies of the Specialist Nurse for the Person in the Critical and Chronic Situation, and in the Palliative contexts; and through the reflection on Mastery competencies in Medical-Surgical nursing. Final considerations are included, relatively to the development of the actual report. Spirituality and spiritual care are essential in providing holistic care, while contributing directly to the overall care quality. The lack of a more uniformized concept for spirituality, including the scarce information and nurse training in the dimension of transcendence, may contribute partially to the inability or difficulty for nurses in integrating spiritual care in the praxis context.
This Project Work Report seeks to structure the pathway developed during the acquisition of General Competencies as a Specialist Nurse, and of Specific Competencies as a Specialist Nurse in caring for the Person in the Critical and Chronic Situation, and in the Palliative contexts. This pathway was achieved through the development of a Clinical Learning Project (CLP), a reflective report on Mastery skills, and an Academic Development Project (ADP) based on the theoretical framework of Pamela Reed – the Theory of Self-Transcendence. The content of the Academic Development Project focuses on the attempt to answer the investigation question: “How do nurses integrate Spirituality in the nursing praxis?”. An Integrated Literature Revision was conducted, followed by the selection and systematization of relevant information from previous studies, and with posterior analysis and discussion of data related to the investigation question, based on the Work Project Methodology. This work project is structured sequentially to incorporate the ADP and the CLP as a framework from a concept and theoretical perspective; to contextualize the Theory of Self – Transcendence; to introduce the theme of “Spirituality in Nursing” as a dimension for care; to analyze and reflect about the practical component in nursing (praxis) under the General Competencies of the Specialist Nurse, and the Specific Competencies of the Specialist Nurse for the Person in the Critical and Chronic Situation, and in the Palliative contexts; and through the reflection on Mastery competencies in Medical-Surgical nursing. Final considerations are included, relatively to the development of the actual report. Spirituality and spiritual care are essential in providing holistic care, while contributing directly to the overall care quality. The lack of a more uniformized concept for spirituality, including the scarce information and nurse training in the dimension of transcendence, may contribute partially to the inability or difficulty for nurses in integrating spiritual care in the praxis context.
Description
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-Cirúrgica
Keywords
Enfermagem Médico-cirúrgica Competências Metodologia de Trabalho de Projeto Espiritualidade Cuidados Espirituais Medical-Surgical Nursing Competencies Project Work Methodology Spirituality Spiritual Care
Pedagogical Context
Citation
Publisher
Instituto Politécnico de Setúbal. Escola Superior de Saúde