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O papel do enfermeiro especialista na melhoria contínua da qualidade no âmbito da vacinação
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| 4.15 MB | Adobe PDF |
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Abstract(s)
A vacinação patenteia uma das mais emblemáticas histórias de sucesso ao nível da saúde pública, uma vez que confere proteção individual e populacional e previne doenças infeciosas. O Plano Nacional de Saúde 2021-2030, alinha-se com o terceiro Objetivo de Desenvolvimento Sustentável, a Saúde de Qualidade, e nomeia as doenças evitáveis pela vacinação como um problema de Saúde Pública de baixa magnitude, mas com elevado potencial de risco, dado que a diminuição no investimento da qualidade e efetividade das estratégias de intervenção que controlam e/ou previnem estas doenças pode manifestar-se no seu reaparecimento. Urge, a nível mundial, o reforço das estratégias de intervenção que visam assegurar o acesso equitativo a vacinas seguras, eficazes e de qualidade. O presente relatório foi efetivado, para aquisição das competências alusivas ao Mestrado em Enfermagem com Especialização em Enfermagem Comunitária, na área de Enfermagem de Saúde Comunitária e de Saúde Pública, numa Unidade de Saúde Pública da Região Norte de Portugal. A problemática do projeto de intervenção, ancorado na metodologia do Planeamento em Saúde, objetivou identificar as necessidades em saúde emergentes na área da qualidade em saúde no âmbito da vacinação e propor uma estratégia de intervenção inerente ao papel do Enfermeiro Especialista em Saúde Comunitária e Saúde Pública face à necessidade emergente previamente priorizada. Face à extrema necessidade do reforço das estratégias que fomentam a qualidade dos serviços de vacinação, discriminada pelas Entidades Reguladoras da Saúde, elaborou-se o diagnóstico de saúde do qual emergiram oito necessidades em saúde. O processo de priorização, em anuência com os peritos, destacou a área da rede de frio como prioritária, constituindo a temática major do projeto, na qual alicerçam-se os objetivos delineadas, as propostas de intervenção elaboradas e os respetivos indicadores. O projeto fomentou a melhoria contínua da qualidade, através de propostas de intervenção, que visam garantir a efetiva segurança na administração de vacinas pela adequada manutenção das condições da rede de frio o que, em consequência, culmina em ganhos efetivos na saúde pública.
Vaccination is one of the most emblematic success stories in public health, as it provides individual and population protection and prevents infectious diseases. The National Health Plan 2021-2030 is aligned with the third Sustainable Development Goal, Quality Health, and names vaccine-preventable diseases as a Public Health problem of low magnitude, but with high risk potential, given that a decrease in investment in the quality and effectiveness of intervention strategies that control and/or prevent these diseases can manifest itself in their reappearance. There is an urgent need worldwide to strengthen intervention strategies aimed at ensuring equitable access to safe, effective and quality vaccines. This report was carried out in order to acquire the skills required for the Master's Degree in Nursing with a Specialisation in Community Nursing, in the area of Community Health and Public Health Nursing, in a Public Health Unit in the Northern Region of Portugal. The problem of the intervention project, anchored in the methodology of Health Planning, aimed to identify emerging health needs in the area of health quality within the scope of vaccination and to propose an intervention strategy inherent to the role of the Specialist Nurse in Community Health and Public Health in the face of the previously prioritised emerging need. In view of the extreme need to strengthen the strategies that promote the quality of vaccination services, as identified by the Health Regulatory Authorities, a health diagnosis was drawn up, from which eight health needs emerged. The prioritisation process, in agreement with the experts, highlighted the area of the cold chain as a priority, making it the main theme of the project, on which the objectives outlined, the intervention proposals drawn up and the respective indicators are based. The project has fostered continuous quality improvement through intervention proposals aimed at guaranteeing effective safety in the administration of vaccines by properly maintaining the conditions of the cold chain, which consequently leads to effective gains in public health.
Vaccination is one of the most emblematic success stories in public health, as it provides individual and population protection and prevents infectious diseases. The National Health Plan 2021-2030 is aligned with the third Sustainable Development Goal, Quality Health, and names vaccine-preventable diseases as a Public Health problem of low magnitude, but with high risk potential, given that a decrease in investment in the quality and effectiveness of intervention strategies that control and/or prevent these diseases can manifest itself in their reappearance. There is an urgent need worldwide to strengthen intervention strategies aimed at ensuring equitable access to safe, effective and quality vaccines. This report was carried out in order to acquire the skills required for the Master's Degree in Nursing with a Specialisation in Community Nursing, in the area of Community Health and Public Health Nursing, in a Public Health Unit in the Northern Region of Portugal. The problem of the intervention project, anchored in the methodology of Health Planning, aimed to identify emerging health needs in the area of health quality within the scope of vaccination and to propose an intervention strategy inherent to the role of the Specialist Nurse in Community Health and Public Health in the face of the previously prioritised emerging need. In view of the extreme need to strengthen the strategies that promote the quality of vaccination services, as identified by the Health Regulatory Authorities, a health diagnosis was drawn up, from which eight health needs emerged. The prioritisation process, in agreement with the experts, highlighted the area of the cold chain as a priority, making it the main theme of the project, on which the objectives outlined, the intervention proposals drawn up and the respective indicators are based. The project has fostered continuous quality improvement through intervention proposals aimed at guaranteeing effective safety in the administration of vaccines by properly maintaining the conditions of the cold chain, which consequently leads to effective gains in public health.
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Qualidade em saúde Vacinação Rede de frio Saúde pública Enfermagem Quality in healthcare Vaccination Cold chain Public health Nursing
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Without CC licence