Orientador(es)
Resumo(s)
A introdução do brincar no atendimento à criança nos serviços de saúde é um importante
instrumento terapêutico, possibilitando a reorganização da perceção da criança, ao permitir
a expressão dos seus sentimentos e emoções. Ajuda-a, igualmente, a enfrentar, com
segurança, a ansiedade provocada pelo enfrentar de uma situação potencialmente
traumática. Quando pensamos no cuidado à criança, numa perspetiva de atenção integral,
não podemos limitar-nos às intervenções medicamentosas, ou às técnicas de reabilitação. A
criança precisa de ter ao seu dispor recursos, que sejam do seu domínio, para se expressar e
vivenciar a experiência da ida ao hospital, ou centro de saúde. Nessa perspetiva, vários
estudos apontam para a importância da presença do brincar, durante o período de doença e
internamento hospitalar. O Enfermeiro Especialista em Saúde Infantil e Pediátrica, pelo seu
papel na prestação de cuidados especializados à criança/família, tem um papel
preponderante na aplicação do brinquedo terapêutico, como promotor de saúde.
O presente Relatório de Estágio apresenta-se como uma reflexão crítica das atividades
desenvolvidas, face à produção científica existente sobre a utilização do brinquedo
terapêutico em cuidados de saúde primários e hospitalares, tendo em atenção o papel do
enfermeiro especialista, como principal promotor da sua utilização. O objetivo transversal a
este percurso de estágio foi desenvolver competências como Enfermeira Especialista de
Saúde Infantil e Pediátrica, no âmbito da promoção do brincar, enquanto instrumento
terapêutico. O Módulo I decorreu no Centro Saúde dos Olivais, tendo por objetivo a
promoção da saúde através da prevenção e formação dos pais das crianças que recorrem ao
serviço. O Módulo II decorreu no Serviço de Internamento Pediátrico do Hospital da Luz e
permitiu desenvolver intervenções de aplicação do brinquedo terapêutico. O Módulo III
dividiu-se entre o Serviço de Neonatologia do Hospital da Luz, que permitiu identificar a
necessidade de formação contínua dos enfermeiros para sensibilizarem os pais de recémnascidos
prematuros sobre a interação com o bebé e o seu desenvolvimento, e o Serviço de
Urgência Pediátrica do Hospital de Santa Maria, onde se aplicou o brinquedo terapêutico,
no sentido de diminuir as consequências negativas da hospitalização, promovendo uma
relação empática com a criança.
The introduction of play in the paediatric health care is an important therapeutic tool allowing the children to reorganize its perception through the expression of his feelings and emotions to cope with security the anxiety caused while facing a potential traumatic situation. When we think of child care in a holistic view we cannot limit ourselves to drug interventions or rehabilitation techniques. The child needs resources in its own domain to express and live the experience of going to a health care facility (hospital or primary care). In that perspective, several studies point to the importance of play during illness or hospitalization. The paediatric nurse who plays a role in the specialized care of children and their families has a fundamental role in the application of therapeutic play as health promotion. This internship report presents itself as a critical reflexion on the activities developed facing the current literature on therapeutic play in primary and hospital care, having in mind the role of the paediatric nurse as the main prosecutor of its use. This path was ruled by one main goal, to develop competences as a paediatric nurse in promoting play as a therapeutic instrument. The first stage took place in Centro Saúde dos Olivais, where the main objetive was to promote health through prevention and teaching. The second stage was developed in Serviço de Internamento Pediátrico do Hospital da Luz where several interventions in the application of therapeutic play were developed. The third stage was divided between Serviço de Neonatologia do Hospital da Luz, where the need for continuous professional development of nurses to teach premature babies parents was identified, and Serviço de Urgência Pediátrica do Hospital de Santa Maria where therapeutic play was applied to diminish the negative consequences of hospitalization promoting an empathic relationship between nurse and child
The introduction of play in the paediatric health care is an important therapeutic tool allowing the children to reorganize its perception through the expression of his feelings and emotions to cope with security the anxiety caused while facing a potential traumatic situation. When we think of child care in a holistic view we cannot limit ourselves to drug interventions or rehabilitation techniques. The child needs resources in its own domain to express and live the experience of going to a health care facility (hospital or primary care). In that perspective, several studies point to the importance of play during illness or hospitalization. The paediatric nurse who plays a role in the specialized care of children and their families has a fundamental role in the application of therapeutic play as health promotion. This internship report presents itself as a critical reflexion on the activities developed facing the current literature on therapeutic play in primary and hospital care, having in mind the role of the paediatric nurse as the main prosecutor of its use. This path was ruled by one main goal, to develop competences as a paediatric nurse in promoting play as a therapeutic instrument. The first stage took place in Centro Saúde dos Olivais, where the main objetive was to promote health through prevention and teaching. The second stage was developed in Serviço de Internamento Pediátrico do Hospital da Luz where several interventions in the application of therapeutic play were developed. The third stage was divided between Serviço de Neonatologia do Hospital da Luz, where the need for continuous professional development of nurses to teach premature babies parents was identified, and Serviço de Urgência Pediátrica do Hospital de Santa Maria where therapeutic play was applied to diminish the negative consequences of hospitalization promoting an empathic relationship between nurse and child
Descrição
Palavras-chave
Criança/família Brincar terapêutico Enfermeiro Especialista em Saúde Infantil e Pediátrica Child/family Therapeutic play Paediatric nurse