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O enfermeiro como promotor do “empowerment” parental nos cuidados à criança com ostomia intestinal
| Name: | Description: | Size: | Format: | |
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| 14.65 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Os avanços da ciência na área da saúde, conduziram a um crescimento de
crianças portadoras de doença crónica, com necessidades de cuidados de
saúde diferenciados, como é o caso da presença de ostomia intestinal. Nestes
casos, a família assume a responsabilidade pela manutenção dos cuidados
necessários, muitos deles especializados. A preparação da alta deve ser um
processo precoce, envolvendo a criança e família no planeamento e execução
dos cuidados, promovendo a continuidade dos mesmos no domicílio. Torna-se,
um desafio para o Enfermeiro Especialista em Enfermagem de Saúde Infantil e
Pediátrica (EEESIP) em corresponder com cuidados efetivos, através de
intervenções direcionadas para a participação e capacitação, possibilitando
momentos de educação para a saúde com a família, estimulando o
empowerment parental, conceito tão importante na adaptação à ostomia
intestinal.
A necessidade da existência de intervenções de enfermagem adequadas e
individualizadas à criança com ostomia intestinal, com foco na promoção do
empowerment parental, surge como a problemática de enfermagem
desenvolvida neste relatório. Este relatório retrata um percurso formativo
operacionalizado em diferentes contextos de cuidados, abrangendo diferentes
áreas de intervenção à criança e família, incorporando o paradigma em prática
na enfermagem, que é o da transformação. A filosofia dos cuidados centrados
na família, isto é, cuidado holístico e humanizado, são conceitos do cuidar em
enfermagem pediátrica integrados neste relatório. Os referenciais teóricos que
sustentam este percurso formativo são a Teoria do Cuidar de Jean Watson e o
Modelo de empowerment para a enfermagem de Gibson. Para cada contexto de
estágio foram desenvolvidas atividades que contribuíssem para o saber
avançado da disciplina de Enfermagem, sustentada numa prática reflexiva.
Advances in health science have led to an increase in the number of children with chronic illnesses, with different health care needs, such as the presence of an intestinal ostomy. In these cases, the family takes on the responsibility for maintaining the necessary care, many of which are specialized. Preparing for discharge should be an early process, involving the child and family in the planning and execution of care, promoting their continuity at home. It becomes a challenge for the Specialist Nurse in Child and Pediatric Health Nursing (SNCPHN) to provide effective care, through interventions aimed at participation and training, enabling moments of health education with the family, stimulating empowerment parenting, which is an important concept in adapting to intestinal ostomy. The topic developed in this report is the need for adequate and individualized nursing interventions for children with an intestinal ostomy, with a focus on promoting parental empowerment. This report portrays a training path operationalized in different contexts of care, covering different areas of intervention for children and families, incorporating in practice the paradigm of transformation in nursing. The philosophy of family-centered care, i.e. holistic and humanized care, are concepts of care in pediatric nursing integrated in this report. The theoretical references that support this training course are Jean Watson's Theory of Caring and Gibson's Model of Empowerment for Nursing. For each internship context, activities were developed that contributed to the advanced knowledge of the Nursing discipline, supported by a reflective practice.
Advances in health science have led to an increase in the number of children with chronic illnesses, with different health care needs, such as the presence of an intestinal ostomy. In these cases, the family takes on the responsibility for maintaining the necessary care, many of which are specialized. Preparing for discharge should be an early process, involving the child and family in the planning and execution of care, promoting their continuity at home. It becomes a challenge for the Specialist Nurse in Child and Pediatric Health Nursing (SNCPHN) to provide effective care, through interventions aimed at participation and training, enabling moments of health education with the family, stimulating empowerment parenting, which is an important concept in adapting to intestinal ostomy. The topic developed in this report is the need for adequate and individualized nursing interventions for children with an intestinal ostomy, with a focus on promoting parental empowerment. This report portrays a training path operationalized in different contexts of care, covering different areas of intervention for children and families, incorporating in practice the paradigm of transformation in nursing. The philosophy of family-centered care, i.e. holistic and humanized care, are concepts of care in pediatric nursing integrated in this report. The theoretical references that support this training course are Jean Watson's Theory of Caring and Gibson's Model of Empowerment for Nursing. For each internship context, activities were developed that contributed to the advanced knowledge of the Nursing discipline, supported by a reflective practice.
Description
Keywords
Enfermagem pediátrica Estomia Família Empoderamento Educação em saúde