| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 5.3 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Introdução| Este relatório resulta do estágio final realizado numa USP de um ACeS da região Norte, no âmbito do Mestrado em Enfermagem com Especialização em Enfermagem Comunitária, na área de Enfermagem de Saúde Comunitária e de Saúde Pública desenvolvido na Universidade Católica Portuguesa, Instituto de Ciências da Saúde. A problemática do projeto desenvolvido foi a vigilância epidemiológica dos fenómenos de enfermagem, no contexto da Tuberculose (TB), utilizando-se o Modelo de Avaliação, Intervenção e Empoderamento Comunitário (MAIEC) e integrando uma análise do padrão de documentação no sistema de informação SClínico®|CSP,que permite assegurar a continuidade dos cuidados ao utente, família e comunidade, assim como a obtenção de indicadores em saúde. Metodologia| A etapa diagnóstica foi de natureza mista, primeiro de natureza qualitativa, através da aplicação de um questionário aos enfermeiros do ACeS, peritos em TB, construído a partir da matriz de decisão clínica do MAIEC e da aplicação de uma Escala de Avaliação do Empoderamento Comunitário. A segunda dimensão foi de natureza quantitativa, identificando se as taxas de documentação dos focos de enfermagem, os diagnósticos de enfermagem, o tipo de contato realizado e a medicação administrada. Resultados| Foram identificadas taxas de documentação baixas no SClínico®|CSP nos focos Gestão do Regime Terapêutico, Autocontrolo da Infeção e no Comportamento de Adesão. Foi ainda identificada uma gestão comunitária ineficaz para a promoção da vigilância epidemiológica destes fenómenos de enfermagem. A partir dos diagnósticos identificados e da sua priorização foram determinados os objetivos, as metas e desenvolvida a possível intervenção para lhes dar resposta (como a promoção da gestão comunitária), através de intervenções de domínio cognitivo e organizacional, considerando a necessidade de desenvolver uma norma de orientação clínica em TB. Discussão| Ainda que em contexto pandémico, foi possível obter resultados positivos na promoção do empoderamento comunitário do ACeS para a vigilância epidemiológica dos fenómenos de enfermagem no contexto da tuberculose e desenvolver competências académicas para a aquisição do grau de Mestre em Enfermagem, alicerçadas no exercício profissional especializado.
Introduction| This report intends to describe, and reflect a project held in a Public Health Unit of a ACeS in the North region of Portugal, of the course of Master in Nursing with Specialization in CommunityHealthNursing, in the area of Community Health and Public Health Nursing developed at Universidade Católica Portuguesa, Institute of Health Sciences. The project aimed at epidemiological surveillance of nursing phenomena in Tuberculosis, using the Community Assessment, Intervention and Empowerment Model (MAIEC). An analysis of the documentation records made in SClínico® was made, because this health information system is the main instrument for registration and communication between health professionals, and the information allows and guarantees the continuity of care for the patients, family and community, and also allows to know health indicators. Methodology| The diagnostic stage was of a mixed nature, first of a qualitative nature, through the application of a questionnaire to the ACeS nurses who are experts in TB, built from the MAIEC clinical decision matrix and the application of a Community Empowerment Assessment Scale. The second dimension was of a quantitative nature, identifying the documentation rates of nursing focuses, nursing diagnoses, the type of contact performed and medication administered. Results| Low documentation rates were identified in SClínico®|CSP for nursing phenomena: Management of Therapeutic Regimen, Self¬Control of the Infection and Adherence Behaviour. An Ineffective community management was also identified in promoting epidemiological surveillance of these nursing phenomena. Based on the identified diagnoses and their prioritization, objectives and goals were determined and a possible intervention was developed to respond to them (such as the promotion of community management), through cognitive and organizational interventions, and it was concluded that standards and procedures for clinical registration in tuberculosis should be created. Discussion| Although in a pandemic context, it was possible to obtain positive results in the promotion of community empowerment of the ACeS for the epidemiological surveillance of nursing phenomena in the context of tuberculosis. Simultaneously, it allowed the development of competences for the academic degree of Master in Nursing.
Introduction| This report intends to describe, and reflect a project held in a Public Health Unit of a ACeS in the North region of Portugal, of the course of Master in Nursing with Specialization in CommunityHealthNursing, in the area of Community Health and Public Health Nursing developed at Universidade Católica Portuguesa, Institute of Health Sciences. The project aimed at epidemiological surveillance of nursing phenomena in Tuberculosis, using the Community Assessment, Intervention and Empowerment Model (MAIEC). An analysis of the documentation records made in SClínico® was made, because this health information system is the main instrument for registration and communication between health professionals, and the information allows and guarantees the continuity of care for the patients, family and community, and also allows to know health indicators. Methodology| The diagnostic stage was of a mixed nature, first of a qualitative nature, through the application of a questionnaire to the ACeS nurses who are experts in TB, built from the MAIEC clinical decision matrix and the application of a Community Empowerment Assessment Scale. The second dimension was of a quantitative nature, identifying the documentation rates of nursing focuses, nursing diagnoses, the type of contact performed and medication administered. Results| Low documentation rates were identified in SClínico®|CSP for nursing phenomena: Management of Therapeutic Regimen, Self¬Control of the Infection and Adherence Behaviour. An Ineffective community management was also identified in promoting epidemiological surveillance of these nursing phenomena. Based on the identified diagnoses and their prioritization, objectives and goals were determined and a possible intervention was developed to respond to them (such as the promotion of community management), through cognitive and organizational interventions, and it was concluded that standards and procedures for clinical registration in tuberculosis should be created. Discussion| Although in a pandemic context, it was possible to obtain positive results in the promotion of community empowerment of the ACeS for the epidemiological surveillance of nursing phenomena in the context of tuberculosis. Simultaneously, it allowed the development of competences for the academic degree of Master in Nursing.
Descrição
Palavras-chave
Enfermagem comunitária Tuberculose Diagnósticos de enfermagem Toma observada direta Enfermagem de saúde pública Vigilância epidemiológica Empoderamento comunitário Community nursing Tuberculosis Nursing diagnoses Direct observed outtake Public health nursing Epidemiological surveillance Community empowerment