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Publication
Cuidar multiculturalmente competente em saúde infantil e pediatria :
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| 4.21 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Atualmente as fronteiras entre os países são cada vez mais permeáveis,
existindo um maior contacto entre culturas do que outrora, devido à facilidade de
mobilidade indivíduos e famílias. Deste modo, observam-se cada vez mais mutações
profundas ao nível cultural, social e tecnológico, tornando as sociedades cada vez
multiculturais, sendo que, a realidade portuguesa não é exceção.
Nos últimos anos têm-se observado um aumento considerável de imigrantes
em Portugal, oriundos de países como o Brasil, países africanos de língua portuguesa
e países asiáticos como é o Paquistão, o Nepal e Bangladesh. Independentemente
da sua proveniência a pessoa é e sempre será o centro dos cuidados de enfermagem,
no entanto, as diferenças que a diversidade cultural transporta, mais do que as
semelhanças, têm implicações significativas no que concerne à relação entre o
enfermeiro e o cliente, podendo colocar em causa a qualidade dos cuidados
prestados. Desta realidade, emerge a necessidade de desenvolver esforços no
sentido da compreensão das diferenças culturais, de forma que promover cuidados
culturalmente sensíveis, respeitando a identidade cultural da criança/jovem e família.
A formação avançada constitui uma ferramenta essencial para a
compreensão da complexidade associada à multiculturalidade e à interculturalidade,
contribuindo assim para o cuidado de enfermagem culturalmente competente. Deste
modo, no decorrer deste relatório procurou-se, com base no processo de
enfermagem, prestar cuidados culturalmente competentes a clientes pediátricos em
diferentes processos de saúde/doença, sustentados pela Teoria da Diversidade e
Universalidade do Cuidado Cultural de Madeleine Leininger, pelo Modelo do Cuidado
Culturalmente Competente de Campinha-Bacote e, também, pela Filosofia de
Cuidados Centrados na Família.
O presente relatório reflete o desenvolvimento de competências específicas e
comuns de EEESIP, recorrendo a uma metodologia reflexiva, com os seguintes
objetivos gerais: 1) Desenvolver competências comuns e específicas de EEESIP que
possibilitem a prestação de cuidados à criança, jovem e família nos processos de
saúde e de doença, nas suas diferentes fases de desenvolvimento como nos mais
diversos contextos de cuidados pediátricos; 2) Desenvolver a competência cultural no
cuidar da criança/jovem e família imigrante, nos diferentes contextos pediátricos.
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A análise critica e reflexiva foi uma constante em todas atividades realizadas
nos diferentes contextos de estágio, tendo-se evidenciando o desenvolvimento de
competências, a contribuição de saberes e de estratégias no âmbito da enfermagem
no que concerne a temática central do presente relatório e, por conseguinte, o
desenvolvimento da enfermagem
Nowadays, the borders between countries are more and more permeable and there is a great contact between different cultures due to the mobility of families. In this way, profound cultural, social, and technological mutations are increasingly being observed, leading to more and more varied societies at cultural level, and the Portuguese reality is no exception. In recent years there has been a considerable increase of immigrants in Portugal, coming from countries such as Brazil, Portuguese speaking African countries and Asian countries such as Pakistan and Nepal. However, the differences brought by cultural diversity, more than the similarities, have significant implications regarding the relationship between the nurse, the child and his/her family, and may jeopardise the quality of care. Thus, efforts should be made to understand the cultural differences to reduce the possible cultural shock, while maintaining and respecting the families' cultural identity. The constant and in-depth training constitutes an essential tool for understanding the complexity associated with multiculturalism and interculturalism, thus contributing to a culturally competent nursing care, integrated into the philosophy of care offered by the Campinha-Bacote's Model of Culturally Competent Care, Madeleine Leininger's Theory of the Diversity and Universality of Cultural Care and also the Philosophy of Family Centred Care. The present report presents the entire pathway for the development of specific and common competencies of the EEESIP, using a reflective methodology, with the following objectives 1) Development of common and specific competencies of the EEESIP which enable the provision of care to children and young people as well as their families in health and disease processes, in their different developmental stages as well as in the most diverse paediatric care settings; 2) Development of multiculturally competent care to migrant children and young people and their families, in the different paediatric settings. The critical and reflective analysis was a constant factor in all activities carried out in the different internship contexts, thus highlighting the development of skills and the contribution of the best strategies in nursing about the main topic of this report.
Nowadays, the borders between countries are more and more permeable and there is a great contact between different cultures due to the mobility of families. In this way, profound cultural, social, and technological mutations are increasingly being observed, leading to more and more varied societies at cultural level, and the Portuguese reality is no exception. In recent years there has been a considerable increase of immigrants in Portugal, coming from countries such as Brazil, Portuguese speaking African countries and Asian countries such as Pakistan and Nepal. However, the differences brought by cultural diversity, more than the similarities, have significant implications regarding the relationship between the nurse, the child and his/her family, and may jeopardise the quality of care. Thus, efforts should be made to understand the cultural differences to reduce the possible cultural shock, while maintaining and respecting the families' cultural identity. The constant and in-depth training constitutes an essential tool for understanding the complexity associated with multiculturalism and interculturalism, thus contributing to a culturally competent nursing care, integrated into the philosophy of care offered by the Campinha-Bacote's Model of Culturally Competent Care, Madeleine Leininger's Theory of the Diversity and Universality of Cultural Care and also the Philosophy of Family Centred Care. The present report presents the entire pathway for the development of specific and common competencies of the EEESIP, using a reflective methodology, with the following objectives 1) Development of common and specific competencies of the EEESIP which enable the provision of care to children and young people as well as their families in health and disease processes, in their different developmental stages as well as in the most diverse paediatric care settings; 2) Development of multiculturally competent care to migrant children and young people and their families, in the different paediatric settings. The critical and reflective analysis was a constant factor in all activities carried out in the different internship contexts, thus highlighting the development of skills and the contribution of the best strategies in nursing about the main topic of this report.
Description
Keywords
Enfermagem pediátrica Criança Família Competência cultural Enfermagem transcultural Assistência à saúde culturalmente competente