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Publication
Promoção do conhecimento e da literacia em saúde na pessoa com doença respiratória crónica: contributos da enfermagem de reabilitação
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Abstract(s)
A doença respiratória crónica (DRC) tem um grande impacte na mortalidade e
morbilidade afetando milhões de pessoas, acarretando um peso significativo para a pessoa
e para a sociedade.
Ademais, a Reabilitação Respiratória, na qual o Enfermeiro Especialista em
Enfermagem de Reabilitação tem um papel preponderante, encontra-se na primeira linha
de intervenção não farmacológica da DRC sendo encarada como uma intervenção
abrangente, que inclui o treino de exercício, exercícios respiratórios, a educação e a
mudança de comportamentos. O conhecimento e a Literacia em Saúde (LS) são
determinantes associados ao controlo e gestão da doença, constituindo-se como uma
prioridade de intervenção.
Assim, a promoção do conhecimento e da LS na pessoa com DRC será o tema
explorado. Os objetivos deste documento consistem em demonstrar a aquisição de
competências no âmbito da Enfermagem de Reabilitação e contribuir para a melhoria
contínua da qualidade pela identificação das estratégias mais eficazes na capacitação da
pessoa.
O presente relatório utiliza como metodologia para a construção do projeto de
melhoria continua da qualidade, as guidelines Standards for Quality Improvmente
Reports Excellence, onde se optou pela realização de uma Revisão Integrativa da
Literatura na identificação das estratégias supracitadas e uma análise crítico-reflexiva das
competências comuns do Enfermeiro Especialista, das competências específicas do
Enfermeiro Especialista em Enfermagem de Reabilitação e as de Mestre desenvolvidas e
consolidadas em estágio.
O conhecimento adquirido no contexto da prática clínica foi crucial para a
cimentação das competências mencionadas. Do trabalho desenvolvido, como sugestão de
melhoria denota-se a criação de um programa de reabilitação respiratória que englobe a
criação de um plano de ação individualizado, com a existência de um gestor de caso e
recorrendo a programas digitais que potenciam o conhecimento, a LS e a autogestão da
pessoa com DRC.
Chronic respiratory disease (CRD) has a major impact on mortality and morbidity, affecting millions of people, placing a significant burden on individuals and society. Furthermore, Respiratory Rehabilitation, in which the Specialist Nurse in Rehabilitation Nursing has a leading role, is in the first line of non-pharmacological intervention for CRD and is seen as a comprehensive intervention, which includes exercise training, breathing exercises, education and behavior change. Knowledge and Health Literacy (HL) are determinants associated with the control and management of the disease, constituting a priority intervention. Thus, the promotion of knowledge and HL in people with CRD will be the theme explored. The objectives of this document are to demonstrate the acquisition of competences within the scope of Rehabilitation Nursing and to contribute to the continuous improvement of quality by identifying the most effective strategies in empowering the person. The present report uses as a methodology the continuous quality improvement project, based on the Standards for Quality Improvement Reports Excellence guidelines, where for its implementation it was decided to carry out an Integrative Literature Review in the identification of the aforementioned strategies and a critical-reflective analysis of the common competences of the Specialist Nurse, of the specific competences of the Specialist Nurse in Rehabilitation Nursing and those of the Master developed and consolidated in the internship. The knowledge acquired in the context of selected clinical practice was crucial for cementing the aforementioned skills. From the work carried out, as a suggestion for improvement, it is noted that the creation of a respiratory rehabilitation program that encompasses the creation of an individualized action plan, with the existence of a case manager and using digital programs, enhance knowledge, HL and self-management of people with CRD.
Chronic respiratory disease (CRD) has a major impact on mortality and morbidity, affecting millions of people, placing a significant burden on individuals and society. Furthermore, Respiratory Rehabilitation, in which the Specialist Nurse in Rehabilitation Nursing has a leading role, is in the first line of non-pharmacological intervention for CRD and is seen as a comprehensive intervention, which includes exercise training, breathing exercises, education and behavior change. Knowledge and Health Literacy (HL) are determinants associated with the control and management of the disease, constituting a priority intervention. Thus, the promotion of knowledge and HL in people with CRD will be the theme explored. The objectives of this document are to demonstrate the acquisition of competences within the scope of Rehabilitation Nursing and to contribute to the continuous improvement of quality by identifying the most effective strategies in empowering the person. The present report uses as a methodology the continuous quality improvement project, based on the Standards for Quality Improvement Reports Excellence guidelines, where for its implementation it was decided to carry out an Integrative Literature Review in the identification of the aforementioned strategies and a critical-reflective analysis of the common competences of the Specialist Nurse, of the specific competences of the Specialist Nurse in Rehabilitation Nursing and those of the Master developed and consolidated in the internship. The knowledge acquired in the context of selected clinical practice was crucial for cementing the aforementioned skills. From the work carried out, as a suggestion for improvement, it is noted that the creation of a respiratory rehabilitation program that encompasses the creation of an individualized action plan, with the existence of a case manager and using digital programs, enhance knowledge, HL and self-management of people with CRD.
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny e Escola Superior de Enfermagem Dr. José Timóteo Montalvão Machado
Keywords
Enfermagem em Reabilitação Literacia em Saúde Autogestão Educação em Saúde