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Abstract(s)
O presente relatório foi realizado no âmbito do Curso de Mestrado em Enfermagem, na Área de Especialização de Enfermagem de Saúde Infantil e Pediátrica, tendo como objetivo analisar de forma crítica e reflexiva todo o percurso realizado ao longo dos estágios e que conduziu à aquisição de competências pessoais e específicas do Enfermeiro Especialista em Enfermagem de Saúde Infantil e Pediátrica. Foi selecionado como tema transversal a todo este percurso “A Promoção do Conforto da Criança e da Família”, sendo o referencial teórico escolhido para fundamentação deste tema a Teoria do Conforto de Katharine Kolcaba. Os cuidados em enfermagem pediátrica têm vindo a sofrer diversas transformações, nomeadamente na resposta às necessidades especificas da criança e da sua família. Esta evolução deve-se à investigação, que revela que os processos de saúde-doença representam para a criança uma situação de crise, geradora de medo, ansiedade e sofrimento. Os cuidados à criança têm como premissas fundamentais não serem traumáticos e serem centrados na família. O conforto como intencionalidade terapêutica no cuidado de enfermagem deve ser implementado em todos os contextos do cuidar, sendo fundamental refletir sobre a importância da promoção do conforto da criança e da sua família nas suas diversas etapas de desenvolvimento e em diferentes contextos do cuidar. Ao longo deste relatório são apresentados e descritos de forma reflexiva os objetivos delineados e as atividades realizadas nos diferentes locais de estágio. No estágio realizado em contexto de Cuidados de Saúde Primários foi possível abordar a problemática da dor na criança submetida à vacinação, nomeadamente a utilização de medidas não-farmacológicas no alívio desta. Como atividades destacam-se a realização de uma sessão de formação junto da equipa multidisciplinar sobre este tema e a elaboração de uma norma de procedimento sobre a utilização da glicose a 30% como medida não farmacológica de alívio da dor. No estágio realizado numa Unidade de Cuidados Intensivos Neonatais foi desenvolvida a dimensão física do conforto, através de uma sessão de formação junto da equipa sobre o correto posicionamento do RN como medida de promoção de conforto e de alívio da dor. No estágio decorrido numa Unidade de Cuidados Especiais Nutricionais e Respiratórios, destacou-se a elaboração de dois kits, o “Kit da Brincadeira” e o “Kit das Medidas Não Farmacológicas”, como instrumentos facilitadores para a equipa de enfermagem no alívio da dor e na promoção do conforto das crianças. Por último, no estágio que decorreu numa Urgência Pediátrica foi abordada a técnica de contenção física correta como medida de alívio da dor na criança face a procedimentos dolorosos, tendo sido realizado um desdobrável para a equipa de enfermagem. Para cada local de estágio, foram descritas as competências de Enfermeiro Especialista desenvolvidas na área da prestação de cuidados de enfermagem à criança/ao jovem e à sua família. A reflexão sobre a prática e a partilha de experiências e conhecimentos contribuíram para a aquisição e para o aprofundamento de competências técnicas, éticas e relacionais, sendo isto fundamental para reforçar a importância do papel do enfermeiro especialista na promoção do conforto da criança/do jovem e da sua família.
This report was carried out as part of the Master Course in Nursing, in the area of Specialization in Child and Pediatric Health Nursing, aiming at a critical and reflexive analysis of the entire path given by the courses, that led to the acquisition of personal and specific skills of a Specialist Nurse in Child and Pediatric Health Nursing. The theme selected to be analyzed throughout this work is "The Promotion of Comfort of the Child and Family". The theoretical reference chosen to support this theme is Katharine Kolcaba's Theory of Comfort. Pediatric nursing care has undergone several transformations, namely in response to the specific needs of the child and his/her family. This evolution is due to research, which reveals that the health-disease processes represent a crisis situation for the child, which generates fear, anxiety and suffering. Child care has as its main premises being non-traumatic and family-centered. Comfort as therapeutic intentionality in nursing care should be implemented in all contexts of care, and it is fundamental to reflect on the importance of promoting the comfort of the child and his/her family in their various stages of development and in different care contexts. Throughout this report, the objectives outlined and the activities carried out at the different internship sites are presented and described in a reflective manner. In the internship carried out at Primary Healthcare Unit, it was possible to address the problem of pain in the child submitted to vaccination, namely the use of non pharmacological measures in the relief of it. These activities included a training session for the multidisciplinary team on the subject and the elaboration of a procedure rule on the use of glucose at 30% as a non-pharmacological measure of pain relief. In the internship at a Neonatal Intensive Care Unit the physical dimension of comfort was developed through a training session to the team about the correct positioning of the newborn as a measure of comfort promotion and pain relief. In the internship at a Special Nutrition and Respiratory Care Unit, two kits were elaborated, the “Playing kit" and the “Non-pharmacological measures kit", as instruments to facilitate the work of the nursing team in pain relief and promotion of children's comfort. Finally, in the internship at Pediatric Emergency, the technique of correct physical restraint was approached as a measure of pain relief in the child in response to painful procedures, and a leaflet was made for the nursing team. According to each place of internship, the skills developed by the specialist nurse in the area of nursing care to the child/youngster and their family were described. The reflection on practice and the sharing of experiences and knowledge contributed to the acquisition and deepening of technical, ethical and relational skills, being fundamental to reinforce the importance of the role of the specialist nurse in the promotion of child/youngster and their family comfort.
This report was carried out as part of the Master Course in Nursing, in the area of Specialization in Child and Pediatric Health Nursing, aiming at a critical and reflexive analysis of the entire path given by the courses, that led to the acquisition of personal and specific skills of a Specialist Nurse in Child and Pediatric Health Nursing. The theme selected to be analyzed throughout this work is "The Promotion of Comfort of the Child and Family". The theoretical reference chosen to support this theme is Katharine Kolcaba's Theory of Comfort. Pediatric nursing care has undergone several transformations, namely in response to the specific needs of the child and his/her family. This evolution is due to research, which reveals that the health-disease processes represent a crisis situation for the child, which generates fear, anxiety and suffering. Child care has as its main premises being non-traumatic and family-centered. Comfort as therapeutic intentionality in nursing care should be implemented in all contexts of care, and it is fundamental to reflect on the importance of promoting the comfort of the child and his/her family in their various stages of development and in different care contexts. Throughout this report, the objectives outlined and the activities carried out at the different internship sites are presented and described in a reflective manner. In the internship carried out at Primary Healthcare Unit, it was possible to address the problem of pain in the child submitted to vaccination, namely the use of non pharmacological measures in the relief of it. These activities included a training session for the multidisciplinary team on the subject and the elaboration of a procedure rule on the use of glucose at 30% as a non-pharmacological measure of pain relief. In the internship at a Neonatal Intensive Care Unit the physical dimension of comfort was developed through a training session to the team about the correct positioning of the newborn as a measure of comfort promotion and pain relief. In the internship at a Special Nutrition and Respiratory Care Unit, two kits were elaborated, the “Playing kit" and the “Non-pharmacological measures kit", as instruments to facilitate the work of the nursing team in pain relief and promotion of children's comfort. Finally, in the internship at Pediatric Emergency, the technique of correct physical restraint was approached as a measure of pain relief in the child in response to painful procedures, and a leaflet was made for the nursing team. According to each place of internship, the skills developed by the specialist nurse in the area of nursing care to the child/youngster and their family were described. The reflection on practice and the sharing of experiences and knowledge contributed to the acquisition and deepening of technical, ethical and relational skills, being fundamental to reinforce the importance of the role of the specialist nurse in the promotion of child/youngster and their family comfort.
Description
Keywords
Enfermagem Criança Família Conforto Nursing Child Family Comfort