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Abstract(s)
Sabe-se hoje que a necessidade de hospitalização da criança, seja por que motivo for,
é um dos fatores de stress capazes de interferir com a saúde física e emocional da
família provocando sentimentos negativos. Considerando a família, como um sistema
dinâmico, de funcionamento complexo e com múltiplas necessidades individuais,
sobretudo em situações de saúde-doença é grande a importância da intervenção do
enfermeiro especialista na gestão desses sentimentos e na promoção do bem-estar
psicológico da família, na pessoa dos pais e cuidadores da criança.
Assente nos pressupostos acima enunciados a promoção da saúde tem-se tornado
relevante no cuidado de enfermagem à criança e família no âmbito da
responsabilidade profissional do Enfermeiro Especialista em Saúde Infantil e
Pediátrica.
A realização deste relatório, que surge no âmbito do Curso de Mestrado em
Enfermagem na área de Especialização de Saúde Infantil e Pediátrica do Instituto de
Ciências da Saúde da Universidade Católica Portuguesa seguindo uma metodologia
analítica, descritiva e reflexiva, descreve o percurso de desenvolvimento de
competências pessoais e profissionais enquanto futura Enfermeira Especialista no
âmbito do papel da enfermagem especializada na promoção da saúde mental dos
pais/cuidadores da criança com necessidade de hospitalização.
Como estrutura conceptual orientadora da prestação de cuidados adotou-se o Modelo
de Enfermagem de McGill de Moyra Allen, este descreve o papel do enfermeiro na
promoção da saúde da família num contexto de saúde/doença. Foi ainda realizada
uma revisão scoping com o objetivo de perceber qual o impacto na saúde mental dos
pais e cuidadores no contexto da hospitalização da criança e assim direcionar as
intervenções a desenvolver.
O estágio desenvolveu-se em três contextos de cuidados: numa unidade de
neonatologia, num serviço de internamento de pediatria e num serviço de urgência
pediátrica. Assumindo-se como objetivo transversal a todos os contextos de estágio
“desenvolver competências de EESIP no âmbito da promoção da saúde mental dos
pais/cuidadores da criança com necessidade de hospitalização”. Posteriormente,
considerando o diagnóstico de situação referente a cada contexto foram definidos
objetivos específicos.
Após este percurso, tornou-se óbvio que promover a saúde mental enquanto bemestar psicológico dos pais e cuidadores implica promover e reforçar os recursos
internos de cada elemento e do sistema familiar e consequentemente contribuir para a
melhoria da predisposição no cuidado à criança com o fim último de melhorar a sua
vivência da doença. Definiu-se a comunicação como a estratégia base da intervenção
de enfermagem que gera uma relação promotora de confiança e segurança.
It is common knowledge, nowadays, that the hospitalization of a child, whatever the reason may be, is one of the stressful factors with the potential to interfere with physical and emotional health of the family, causing negative feelings. Viewing the family as a dynamic system, with an intricate functioning and multiple individual needs, in particular in relation to health-illness situations, it is of great importance the assistance of the specialist nurse within the management of those feelings and promotion of the psychological well-being of the family, namely that of the child’s parents and caregivers. Based upon the assumptions outlined above, the promotion of health has become relevant in which concerns nurse care to the child and family and within the professional responsibility of the Infant The drafting of this report, arising within the Masters Nursing Program in the Infant and Paediatric Health Specialisation area, in the Institute of Health Sciences of Catholic University of Lisbon, using an analytical, descriptive and reflexive methodology, describes the path to acquire and develop personal and professional skills as a future Specialist Nurse, particularly related to the role of specialized nursing on promoting mental health of parents/caregivers of children needing hospitalization. Moyra Allen’s McGill Model of Nursing was adopted as the guiding conceptual framework for the healthcare provision, as it describes the role of nurses in the promotion of family health within a health/illness context. A scoping review was also conducted in order to determine the impact on parents and caregivers’ mental health in the context of the child’s hospitalization, so that the most proper interventions would be applied. The internship was developed in three distinctive care provision environments: in a neonatology unit, in a paediatric in-patient service and in a paediatric emergency service. The cross-sectional aim to all internship contexts was to “develop infant and paediatric health specialist nurse skills within the promotion of mental health of parents/caregivers of the child needing hospitalization”. More specific objectives were defined afterwards, considering the situation diagnosis for each environment. Coming to the end of this path, it has become obvious that promoting mental health, in order to achieve the psychological well-being of parents and caregivers, requires the promotion and reinforcement of the family system inner resources and those of each of its members and, consequently, contributing to the improvement of willingness for caregiving to the child, being the ultimate purpose to improve his’ or hers’ disease life experience. Communication was defined as the basic strategy of nursing action, which will lead to a safety and confidence-building relationship.
It is common knowledge, nowadays, that the hospitalization of a child, whatever the reason may be, is one of the stressful factors with the potential to interfere with physical and emotional health of the family, causing negative feelings. Viewing the family as a dynamic system, with an intricate functioning and multiple individual needs, in particular in relation to health-illness situations, it is of great importance the assistance of the specialist nurse within the management of those feelings and promotion of the psychological well-being of the family, namely that of the child’s parents and caregivers. Based upon the assumptions outlined above, the promotion of health has become relevant in which concerns nurse care to the child and family and within the professional responsibility of the Infant The drafting of this report, arising within the Masters Nursing Program in the Infant and Paediatric Health Specialisation area, in the Institute of Health Sciences of Catholic University of Lisbon, using an analytical, descriptive and reflexive methodology, describes the path to acquire and develop personal and professional skills as a future Specialist Nurse, particularly related to the role of specialized nursing on promoting mental health of parents/caregivers of children needing hospitalization. Moyra Allen’s McGill Model of Nursing was adopted as the guiding conceptual framework for the healthcare provision, as it describes the role of nurses in the promotion of family health within a health/illness context. A scoping review was also conducted in order to determine the impact on parents and caregivers’ mental health in the context of the child’s hospitalization, so that the most proper interventions would be applied. The internship was developed in three distinctive care provision environments: in a neonatology unit, in a paediatric in-patient service and in a paediatric emergency service. The cross-sectional aim to all internship contexts was to “develop infant and paediatric health specialist nurse skills within the promotion of mental health of parents/caregivers of the child needing hospitalization”. More specific objectives were defined afterwards, considering the situation diagnosis for each environment. Coming to the end of this path, it has become obvious that promoting mental health, in order to achieve the psychological well-being of parents and caregivers, requires the promotion and reinforcement of the family system inner resources and those of each of its members and, consequently, contributing to the improvement of willingness for caregiving to the child, being the ultimate purpose to improve his’ or hers’ disease life experience. Communication was defined as the basic strategy of nursing action, which will lead to a safety and confidence-building relationship.
Description
Keywords
Saúde mental Pais/cuidadores Criança hospitalizada Promoção da saúde Enfermagem pediátrica Mental health Parents/caregivers Hospitalized child Health promotion Paediatric nursing