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Publication
Otimização de informação clínica da pessoa com tuberculose : intervenção comunitária a grupo de enfermeiros
| Name: | Description: | Size: | Format: | |
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| 4.37 MB | Adobe PDF |
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Abstract(s)
A tuberculose é uma doença transmissível sendo a principal causa de morte de um único agente infecioso, ainda acima do Vírus da Imunodeficiência Humana (VIH). A pandemia por SARS-CoV-2 teve efeitos em todos os aspetos da saúde global, mas os cuidados aos doentes com tuberculose foram afetados desproporcionalmente. Este impacto pode afetar a saúde pública, diminuindo a eficácia das medidas em curso. As alterações no contexto de trabalho impostas pela pandemia originam constrangimentos na persecução das atividades planeadas e pressão sobre os profissionais. A informação disponível relativa à situação de saúde das pessoas com tuberculose, não tem dado resposta adequada às necessidades sentidas pelos enfermeiros, podendo decorrer repercussão na tomada de decisão e continuidade de cuidados. Os aspetos referidos podem originar incertezas sobre a evolução desta doença e do estado de saúde da população. Com base nestas preocupações surgiu o presente projeto de intervenção comunitária ancorado na Teoria das Transições de Afaf Meleis e estruturado na metodologia de Planeamento em Saúde de acordo com Tavares (1990), tendo como foco um grupo de enfermeiros. Através da sua implementação pretendeu-se contribuir para a delineação de uma estratégia sustentada que auxilie a partilha de informação de saúde relevante sobre as pessoas com tuberculose ativa, e que fosse ao encontro das necessidades identificadas pelo grupo de enfermeiros envolvidos no Programa da Tuberculose. Adotou-se uma abordagem qualitativa, alicerçada num paradigma interpretativo, com realização de entrevistas, o que permitiu identificar os diagnósticos de enfermagem, que foram priorizados com o método de grelha de análise. Foram selecionadas as estratégias mais adequadas, que envolveram a equipa da unidade, para os objetivos definidos. A operacionalização do projeto resultou no ganho de disponibilização e organização informacional. Os objetivos propostos foram na sua globalidade conseguidos, sendo indiscutível que este projeto veio reforçar e valorizar o trabalho que a equipa desenvolve, perspetivando um novo rumo. O projeto permitiu o desenvolvimento de competências como mestre e especialista, em enfermagem de saúde comunitária e saúde pública.
Tuberculosis is a communicable disease being the main cause of death of a single infectious agent, even above the Human Immunodeficiency Virus (HIV). The SARS-CoV 2 pandemic has had effects on all aspects of global health, but care for TB patients has been disproportionately affected. This impact can affect public health, reducing the effectiveness of ongoing measures. The changes in the work context imposed by the pandemic create constraints in the pursuit of planned activities and pressure on professionals. The available information on the health situation of people with tuberculosis has not adequately responded to the needs felt by nurses, which may have repercussions on decision-making and continuity of care. The aforementioned aspects may give rise to uncertainties about the evolution of this disease and the health status of the population. Based on these concerns, the present community intervention project emerged, anchored in Afaf Meleis' Theory of Transitions and structured in the Health Planning methodology according to Tavares (1990), focusing on a group of nurses. Through its implementation, it was intended to contribute to the design of a sustained strategy that helps the sharing of relevant health information about people with active tuberculosis, and that would meet the needs identified by the group of nurses involved in the Tuberculosis Program. A qualitative approach was adopted, based on an interpretive paradigm, with interviews, which allowed the identification of nursing diagnoses, which were prioritized using the grid analysis method. The most appropriate strategies were selected, which involved the unit's team, for the defined objectives. The operationalization of the project resulted in the gain of information availability and organization. The proposed objectives were in their entirety achieved, and it is indisputable that this project has reinforced and valued the work that the team develops, envisioning a new direction. The project allowed the development of skills as a master and specialist in community health and public health nursing.
Tuberculosis is a communicable disease being the main cause of death of a single infectious agent, even above the Human Immunodeficiency Virus (HIV). The SARS-CoV 2 pandemic has had effects on all aspects of global health, but care for TB patients has been disproportionately affected. This impact can affect public health, reducing the effectiveness of ongoing measures. The changes in the work context imposed by the pandemic create constraints in the pursuit of planned activities and pressure on professionals. The available information on the health situation of people with tuberculosis has not adequately responded to the needs felt by nurses, which may have repercussions on decision-making and continuity of care. The aforementioned aspects may give rise to uncertainties about the evolution of this disease and the health status of the population. Based on these concerns, the present community intervention project emerged, anchored in Afaf Meleis' Theory of Transitions and structured in the Health Planning methodology according to Tavares (1990), focusing on a group of nurses. Through its implementation, it was intended to contribute to the design of a sustained strategy that helps the sharing of relevant health information about people with active tuberculosis, and that would meet the needs identified by the group of nurses involved in the Tuberculosis Program. A qualitative approach was adopted, based on an interpretive paradigm, with interviews, which allowed the identification of nursing diagnoses, which were prioritized using the grid analysis method. The most appropriate strategies were selected, which involved the unit's team, for the defined objectives. The operationalization of the project resulted in the gain of information availability and organization. The proposed objectives were in their entirety achieved, and it is indisputable that this project has reinforced and valued the work that the team develops, envisioning a new direction. The project allowed the development of skills as a master and specialist in community health and public health nursing.
Description
Keywords
Tuberculose Enfermagem comunitária Saúde pública Informação de saúde Tuberculosis Community nursing Public health Health information