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Abstract(s)
Introdução - O presente relatório foi concebido no âmbito da unidade curricular “Estágio Final e Relatório do Mestrado em Enfermagem, com especialização em Enfermagem Comunitária, na área de Saúde Comunitária e Saúde Pública, lecionada no Instituto de Ciências da Saúde do Porto da Universidade Católica. O estágio realizou-se numa Unidade de Saúde Pública (USP) de um Agrupamento de Centros de Saúde (ACeS) integrado numa Unidade Local de Saúde (ULS), num âmbito de aprendizagem, desenvolvimento e integração de conhecimento para a assistência em Enfermagem avançada a uma comunidade e população. O fenómeno em estudo concerne à Vigilância Epidemiológica dos Diagnósticos de Enfermagem (VEDE) na área da doença crónica (na continuidade de outros estudos realizados nessa USP), enquadrado na integração de cuidados numa das suas dimensões – Sistemas de Informação (e respetiva partilha) e Empoderamento Comunitário de Enfermagem para a tradução de ganhos em saúde mensuráveis. Metodologia - A análise do estudo teve como enfoque a utilização de Planeamento em Saúde, integrando no Projeto a matriz de decisão clínica - Modelo de Avaliação, Intervenção e Empoderamento Comunitário (MAIEC) e no Observatório de Diagnósticos de Enfermagem (ODE) do ACeS onde se realizou o Estágio Final. Utilizou-se como instrumento de colheita de dados um questionário, aplicado a uma amostra intencional determinada em consenso de peritos. Resultados - Identificou-se como problemas alvo de intervenção prioritária a necessidade de melhorar a comunicação da estrutura organizativa para a gestão de doença crónica, efetivando o conhecimento sobre Sistemas de Informação e atividade da VEDE do ODE. Constatou-se necessidades a nível formativo nos líderes da comunidade de Enfermagem, na área de doença crónica para documentação clínica de enfermagem em Sistemas de Informação de Enfermagem (SIE).
Introduction - This report was designed in the scope of the “Final Internship and Report” Curricular Unit of the Master’s in Nursing, with specialization in Community Nursing – Community Health and Public Health at the Institute of Health Sciences, Porto, Universidade Católica. The internship occurred in a Public Health Unit of a Health Center Group integrated in a Local Health Unit. It was carried out in a learning, development, and knowledge integration scope for advanced nursing care to a community and to a population. The phenomenon under study concerns the Epidemiological Surveillance of Nursing Diagnoses in chronic disease (in the continuity of other studies carried out in that Public Health Unit), framed in the integration of care in one of its dimensions – Information Systems (and respective sharing) and Community Nursing Empowerment for the translation of measurable gains. Methodology - The analysis of the study focused on the use of Health Planning, integrating in the Project the clinical decision matrix – Model of Assessment, Intervention and Community Empowerment and in the Nursing Diagnosis Observatory of the Health Center Group where the Final Internship was carried out. A questionnaire was used as data collection instrument, applied to a determined intentional sample in agreement with experts. Results - It was identified as priority intervention target problems the need to improve the communication of the organizational structure for the management of chronic disease, effectively knowing about Information Systems and the activity of Epidemiological Surveillance of Nursing Diagnoses of the Nursing Diagnosis Observatory of the Health Center Group. It was found that there are training needs in the community nursing leaders in chronic disease for clinical nursing documentation in Nursing Information Systems.
Introduction - This report was designed in the scope of the “Final Internship and Report” Curricular Unit of the Master’s in Nursing, with specialization in Community Nursing – Community Health and Public Health at the Institute of Health Sciences, Porto, Universidade Católica. The internship occurred in a Public Health Unit of a Health Center Group integrated in a Local Health Unit. It was carried out in a learning, development, and knowledge integration scope for advanced nursing care to a community and to a population. The phenomenon under study concerns the Epidemiological Surveillance of Nursing Diagnoses in chronic disease (in the continuity of other studies carried out in that Public Health Unit), framed in the integration of care in one of its dimensions – Information Systems (and respective sharing) and Community Nursing Empowerment for the translation of measurable gains. Methodology - The analysis of the study focused on the use of Health Planning, integrating in the Project the clinical decision matrix – Model of Assessment, Intervention and Community Empowerment and in the Nursing Diagnosis Observatory of the Health Center Group where the Final Internship was carried out. A questionnaire was used as data collection instrument, applied to a determined intentional sample in agreement with experts. Results - It was identified as priority intervention target problems the need to improve the communication of the organizational structure for the management of chronic disease, effectively knowing about Information Systems and the activity of Epidemiological Surveillance of Nursing Diagnoses of the Nursing Diagnosis Observatory of the Health Center Group. It was found that there are training needs in the community nursing leaders in chronic disease for clinical nursing documentation in Nursing Information Systems.
Description
Keywords
Enfermagem comunitária Integração de cuidados de saúde Sistemas de informação Doença crónica Vigilância epidemiológica Empoderamento comunitário Community nursing Health care integration Information systems Chronic disease Epidemiological surveillance Community empowerment