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Abstract(s)
Introdução: Este estudo tem, como objectivo, descrever e compreender a perceção da
autoeficácia dos médicos e enfermeiros, a trabalhar em equipas de Cuidados Paliativos
(CP), relativamente à elaboração e implementação dos Planos Avançados de Cuidados
(PAC). O PAC é um “roteiro” que deve acompanhar o doente ao longo da trajetória da
doença: integrando, em cada etapa, as melhores estratégias para lidar com obstáculos
e prosseguir rumo aos objetivos consentânea e sucessivamente traçados; suportando a
decisão em cada mudança de planos; promovendo a Dignidade e a Esperança. Ajudar o
doente a reescrever a sua história, ao longo deste caminho partilhado, exige, dos
profissionais de saúde (PS), o domínio de técnicas, saberes, competências e
autoconhecimento, que os habilitem a esta missão, que desafia os seus próprios limites.
Sendo promotores da qualidade dos cuidados em fim de vida, a sua implementação é,
no entanto, baixa. Dar suporte aos PS neste processo exige conhecer as razões que
constroem a perceção da sua autoeficácia. Queremos ouvir a voz individual e a coletiva
daqueles que trabalham um material tão precioso quanto frágil, quotidianamente
interpelados por ponderações éticas. Metodologia: estudo misto, observacional,
descritivo e transversal. Aplicação de Escala ACP-SE1 e entrevista narrativa com Guião
semiestruturado, a médicos e enfermeiros em equipas de CP. Dados quantitativos
tratados com estatística descritiva e qualitativos com análise de conteúdo (Medicina
Narrativa- (MN)). Limitações: Ausência de dados relativos ao contexto de produção das
narrativas. Sobrecarga dos PS em CP, insuficientes competências narrativas e receio de
repercussões organizacionais como eventuais limitadores do número de respostas.
Finalidade: contribuir para o desenvolvimento de ações que promovam as
competências ao nível dos PAC. Implicações esperadas: promoção da qualidade dos CP2
pelo aumento da implementação de PAC e recurso à MN3
Introduction: The purpose of this study is to define and understand the perception of self-efficacy of doctors and nurses working in Palliative Care (PC) teams, regarding the conception and implementation of Advanced Care Planning (ACP). The ACP is an “itinerary” designed to follow the patient throughout the disease path: integrating, in each phase, the best strategies to overcome obstacles and move forward so as to approach the goals compliant and successfully set; supporting the decision in each change of plans; promoting Dignity and Hope. Helping the patient rewrite its story, along this shared journey, demands, from Health Professionals (HP), mastery of techniques, knowledge, skills and self-awareness, enabling them for this mission, challenging their own limits. Albeit ACP promotes of end-of-life care, its implementation is low. Supporting HP in this process requires knowing the reasons behind the perception of their efficacy. We want to hear the individual and collective voice of those working a matter just as precious as fragile, daily challenged by ethical considerations. Methodology: mixed study, observational, descriptive and transversal. Application of the ACP-SE1 Scale and narrative interview following a semi-structured script, to doctors and nurses in PC teams. Quantitative data processed with descriptive statistics, qualitative data with content analysis (Narrative Medicine- (NM)). Limitations: Absence of production-related context data for narrative analysis. Overload of HP in PC, lacking narrative skills and fear of organizational repercussions as limiters of the number of answers. Purpose: contributing to the development of actions promoting the ACPrelated competences. Expected implications: Promoting the PC quality through the increased implementation of ACP and resorting to NM.
Introduction: The purpose of this study is to define and understand the perception of self-efficacy of doctors and nurses working in Palliative Care (PC) teams, regarding the conception and implementation of Advanced Care Planning (ACP). The ACP is an “itinerary” designed to follow the patient throughout the disease path: integrating, in each phase, the best strategies to overcome obstacles and move forward so as to approach the goals compliant and successfully set; supporting the decision in each change of plans; promoting Dignity and Hope. Helping the patient rewrite its story, along this shared journey, demands, from Health Professionals (HP), mastery of techniques, knowledge, skills and self-awareness, enabling them for this mission, challenging their own limits. Albeit ACP promotes of end-of-life care, its implementation is low. Supporting HP in this process requires knowing the reasons behind the perception of their efficacy. We want to hear the individual and collective voice of those working a matter just as precious as fragile, daily challenged by ethical considerations. Methodology: mixed study, observational, descriptive and transversal. Application of the ACP-SE1 Scale and narrative interview following a semi-structured script, to doctors and nurses in PC teams. Quantitative data processed with descriptive statistics, qualitative data with content analysis (Narrative Medicine- (NM)). Limitations: Absence of production-related context data for narrative analysis. Overload of HP in PC, lacking narrative skills and fear of organizational repercussions as limiters of the number of answers. Purpose: contributing to the development of actions promoting the ACPrelated competences. Expected implications: Promoting the PC quality through the increased implementation of ACP and resorting to NM.
Description
Keywords
Cuidados paliativos Medicina narrativa Plano avançado de cuidados Autoeficácia Métodos mistos Palliative care Narrative medicine Advanced care planning Self efficacy Mixed methods approach