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Cuidar com saber intervenção de enfermagem comunitária com ajudantes de ação direta
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O envelhecimento demográfico é uma realidade efetiva em Portugal e o aumento da proporção de pessoas idosas determina a crescente sobrecarga dos serviços de saúde, tendo por base o incremento do risco de dependência funcional e a prevalência de doenças crónicas. Em Portugal, as respostas sociais às pessoas idosas residem de forma significativa na sua institucionalização, onde as estruturas residenciais assumem um papel preponderante. No seio destes equipamentos, as ajudantes de ação direta constituem o âmago da prestação de cuidados às pessoas idosas em situação de dependência, procurando responder à satisfação das suas necessidades. Assim, a preocupação com a formação destas profissionais, tendo por finalidade última a melhoria contínua dos cuidados prestados à população idosa, assume-se como prioritária. No enquadramento das competências detidas pelo Enfermeiro Especialista em Enfermagem Comunitária e enquanto meio promotor do seu desenvolvimento, foi desenvolvido um projeto de intervenção que visou contribuir para a capacitação das ajudantes de ação direta de três estruturas residenciais para pessoas idosas da área de influência de uma Unidade de Saúde Pública, integrante de uma Unidade Local de Saúde, da Área Metropolitana de Lisboa. O projeto foi desenvolvido em concordância com a Metodologia do Planeamento da Saúde proposta por Imperatori e Giraldes (1993) e suportado teoricamente no Modelo de Sistemas de Betty Neuman (Neuman, 1995). O diagnóstico da situação foi realizado com recurso a informadores-chave, ao qual se associou a aplicação de um questionário de avaliação das necessidades de formação a 53 ajudantes de ação direta das instituições selecionadas. Concluída esta etapa, foi realizada a priorização dos problemas identificados, fixados objetivos, selecionadas estratégias e elaborado e executado o projeto, culminando na sua avaliação com base em indicadores definidos. A intervenção residiu no nível de prevenção primária, tendo a formação em serviço assumido o lugar de estratégia central, procurando promover a melhoria contínua e segurança dos ambientes nos quais a prestação de cuidados ocorre.
Demographic aging is a tangible reality in Portugal, and the increasing proportion of elderly people leads to a growing burden on health services, primarily due to the heightened risk of functional dependency and prevalence of chronic diseases. In Portugal, social responses to elderly individuals are significantly based on their institutionalization, with residential structures playing a predominant role. Within these facilities, direct care assistants form the core of care provision for dependent elderly individuals, aiming to meet their needs. As a result, enhancing their skills, ultimately aiming to the continuous improvement of care provided to the elderly population, becomes a priority. Within the framework of competencies held by the Community Nurse Specialist, and as a strategy to promote professional development, an intervention project was developed aiming to contribute to the training of direct care assistants in three residential structures within the influence area of a Public Health Unit, which is part of a Local Health Unit, in the Lisbon Metropolitan Area. The project was developed in accordance with the Health Planning Methodology proposed by Imperatori and Giraldes (1993) and theoretically supported by Betty Neuman's Systems Model (Neuman, 1995). The situation diagnosis was conducted using a key informant approach, combined with the application of a training needs assessment questionnaire to 53 direct care assistants from the selected institutions. Upon completion of this phase, the identified problems were prioritized, objectives were set, strategies were selected, and the project was designed and implemented, culminating in its evaluation based on defined indicators. The intervention was situated at the level of primary prevention, with in-service training adopted as the central strategic approach, aiming to promote the continuous improvement and safety of care environments.
Demographic aging is a tangible reality in Portugal, and the increasing proportion of elderly people leads to a growing burden on health services, primarily due to the heightened risk of functional dependency and prevalence of chronic diseases. In Portugal, social responses to elderly individuals are significantly based on their institutionalization, with residential structures playing a predominant role. Within these facilities, direct care assistants form the core of care provision for dependent elderly individuals, aiming to meet their needs. As a result, enhancing their skills, ultimately aiming to the continuous improvement of care provided to the elderly population, becomes a priority. Within the framework of competencies held by the Community Nurse Specialist, and as a strategy to promote professional development, an intervention project was developed aiming to contribute to the training of direct care assistants in three residential structures within the influence area of a Public Health Unit, which is part of a Local Health Unit, in the Lisbon Metropolitan Area. The project was developed in accordance with the Health Planning Methodology proposed by Imperatori and Giraldes (1993) and theoretically supported by Betty Neuman's Systems Model (Neuman, 1995). The situation diagnosis was conducted using a key informant approach, combined with the application of a training needs assessment questionnaire to 53 direct care assistants from the selected institutions. Upon completion of this phase, the identified problems were prioritized, objectives were set, strategies were selected, and the project was designed and implemented, culminating in its evaluation based on defined indicators. The intervention was situated at the level of primary prevention, with in-service training adopted as the central strategic approach, aiming to promote the continuous improvement and safety of care environments.
Descrição
Palavras-chave
Intervenção comunitária Ajudante de ação direta Formação Enfermagem População idosa Community intervention Direct care assistant In-service training Elderly population
Contexto Educativo
Citação
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Licença CC
Sem licença CC