| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 8.83 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: A tomada de decisão do enfermeiro que orienta o exercício profissional autónomo implica uma abordagem sistémica e sistemática, centrada na comunidade como a sua unidade de cuidados. Quando orientada para o empoderamento comunitário, a tomada de decisão clínica em Enfermagem, exige um processo consciente e deliberado de diagnóstico e intervenção para aumentar o poder das comunidades. No Modelo de Avaliação, Intervenção e Empoderamento Comunitário, o empoderamento é o processo e o resultado das intervenções dos enfermeiros. A Vigilância Epidemiológica sustenta a perceção dos ganhos em saúde alcançados pelos programas e projetos e por sua vez, o desenvolvimento destes programas e projetos estruturam o processo da Vigilância Epidemiológica. Métodos: Neste projeto de intervenção comunitária com epicentro numa Unidade de Saúde Pública de um ACES, da região Norte de Portugal foi utilizado, como metodologia, o Planeamento em Saúde, O projeto está dividido em duas partes: na primeira, através da técnica do grupo focal, foi avaliado o nível de empoderamento comunitário do ACES e na segunda etapa foi desenvolvido um estudo quási-experimental com avaliação em dois momentos, antes e após, a aplicação do MAIEC no impacto no nível de empoderamento comunitário. Em paralelo foram avaliadas as taxas de documentação do ACES para os diagnósticos considerados prioritários para Vigilância Epidemiológica. Utilizando como método o estudo de caso, através de outras experiências quer no curso de Mestrado em Enfermagem, quer no outro estágio desenvolvido, refletimos sobre as competências desenvolvidas e previstas para este percurso formativo. Resultados: Foi identificado o nível de empoderamento do ACES e a área de atenção ou foco central (CIPE): a Gestão Comunitária, nas suas três dimensões de diagnóstico: processo comunitário, a participação comunitária e a liderança comunitária. Foram desenvolvidas as competências comuns dos enfermeiros especialistas, as específicas do Enfermeiro Especialista em Enfermagem de Saúde Comunitária e de Saúde Pública e as do grau de Mestre em Enfermagem. Discussão e conclusão: As nossas intervenções não são desprendidas de todas os processos que envolvem a Pessoa sendo necessário um compromisso consistente com o princípio da saúde para todos, e políticas e ações consistentes .A participação da comunidade é, cada vez mais, reconhecida como fundamental para melhorar e manter as intervenções que melhoram os resultados de saúde.
Introduction: Decision-making by the nurse, which guides an autonomous professional practice, entails a systemic and systematic approach, centred on the community as its care unit. When oriented towards community empowerment, clinical decision-making in the field of Nursing requires a conscious and deliberate diagnosis and intervention process in order to amplify the power of communities. According to the MAIEC model, empowerment is both the process and the result of interventions. Epidemiological Surveillance sustains the perceived gains in health status attained by the programmes and projects, the development of which, in turn, structures the process of Epidemiological Surveillance. Methods: In this community intervention project, based in a Public Health Unit of an ACES (group of health centres) in the Northern region of Portugal, the methodology of Planning in Healthcare was used. The project is divided into two parts: the first one involves assessing, through focus groups, the level of community empowerment at the ACES and, during the second stage, a quasi-experimental study was developed, carrying out an assessment, on two occasions, both before and after applying the MAIEC, of the impact on the level of community empowerment. Concurrently, the ACES’ documentation rates were assessed for diagnoses considered priorities for Epidemiological Surveillance. Using a case study method were analyzed the competences developd among the Master Course in Nursing and the other internship and experiences along the course. Outcomes: The ACES’ level of empowerment was identified, in addition to the area of attention or focus (ICNP) — Community Management, in its three dimensions of diagnosis: community process, community engagement and community leadership. The common skills of specialist nurses were developed, such as the specific skills of the Specialist in Community Health and Public Health Nursing and those of the Master of Nursing degree. Discussion and conclusion: Our interventions are not detached from all processes that involve the Person and there is a need for a consistent commitment to the principle of healthcare for all, as well as consistent policies and actions. Community engagement is increasingly recognized as fundamental for improving and maintaining interventions that enhance health outcomes.
Introduction: Decision-making by the nurse, which guides an autonomous professional practice, entails a systemic and systematic approach, centred on the community as its care unit. When oriented towards community empowerment, clinical decision-making in the field of Nursing requires a conscious and deliberate diagnosis and intervention process in order to amplify the power of communities. According to the MAIEC model, empowerment is both the process and the result of interventions. Epidemiological Surveillance sustains the perceived gains in health status attained by the programmes and projects, the development of which, in turn, structures the process of Epidemiological Surveillance. Methods: In this community intervention project, based in a Public Health Unit of an ACES (group of health centres) in the Northern region of Portugal, the methodology of Planning in Healthcare was used. The project is divided into two parts: the first one involves assessing, through focus groups, the level of community empowerment at the ACES and, during the second stage, a quasi-experimental study was developed, carrying out an assessment, on two occasions, both before and after applying the MAIEC, of the impact on the level of community empowerment. Concurrently, the ACES’ documentation rates were assessed for diagnoses considered priorities for Epidemiological Surveillance. Using a case study method were analyzed the competences developd among the Master Course in Nursing and the other internship and experiences along the course. Outcomes: The ACES’ level of empowerment was identified, in addition to the area of attention or focus (ICNP) — Community Management, in its three dimensions of diagnosis: community process, community engagement and community leadership. The common skills of specialist nurses were developed, such as the specific skills of the Specialist in Community Health and Public Health Nursing and those of the Master of Nursing degree. Discussion and conclusion: Our interventions are not detached from all processes that involve the Person and there is a need for a consistent commitment to the principle of healthcare for all, as well as consistent policies and actions. Community engagement is increasingly recognized as fundamental for improving and maintaining interventions that enhance health outcomes.
Description
Keywords
Diagnósticos de enfermagem Vigilância epidemiológica Empoderamento Nursing diagnoses Epidemiological surveillance Empowerment