| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 7.79 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O Especialista em Enfermagem de Saúde Infantil e Pediátrica -EESIP no exercício da prática especializada reconhece a família como principal agente de cuidados à criança, implementando planos de saúde em colaboração e parceria com estes, na procura de respostas de enfermagem inovadoras que permitam reais cuidados centrados na criança e família. Neste paradigma, a participação dos avós no cuidado às crianças e os resultados que se obtêm desta participação são desejáveis, atendendo também à configuração sociodemográfica atual. Na literatura de enfermagem em saúde infantil e pediátrica pesquisada, observou-se o seu envolvimento direto nos cuidados à criança, a sua influência na tomada de decisão dos pais, o apoio dado na parentalidade, bem como, o apoio social fornecido nas situações de doença crónica dos netos, mostrando os vários âmbitos do cuidado à criança nos quais os avós participam. A revisão de literatura efetuada suporta a importância e pertinência de incluir os avós nos cuidados, com vista ao bem-estar das crianças e aos ganhos em saúde daí decorrentes. Contudo, a translação deste conhecimento realizou-se em contexto académico, não sendo pertinente a articulação em estágio mediante os elevados níveis de stress e ansiedade parental e dos profissionais de saúde em contexto pandémico e as restrições de visitação, e porque durante este período pandémico a faixa etária dos “avós” foi a que maior taxa mortalidade apresentou. Este percurso foi norteado pela Teoria das Transições de Afaf Meleis e nas intervenções do EESIP promotoras e facilitadoras das transições para um cuidado holístico da criança/família. Os cuidados paliativos pediátricos representam em si transições, do paradigma curativo para o paliativo, exigindo incorporação de novas filosofias de cuidados e mudanças no foco das intervenções dos enfermeiros. Para se proverem CPP com qualidade com qualidade, é necessária formação nesta área e sensibilização dos profissionais para reconhecerem, intervirem e referenciarem as crianças/famílias com estas necessidades. O documento traduz as competências adquiridas e desenvolvidas através da metodologia descritiva, analítica e reflexiva, e os objetivos traçados e atividades realizadas nos diversos locais de estágio, sustentadas na evidência científica e referenciais teóricos antes mencionados, e contribuíram para o desenvolvimento profissional e pessoal necessário à concretização do Mestrado em Enfermagem.
The Pediatric Nurse recognizes the family as the main childcare provider, implementing health plans in collaboration and partnership, searching for innovative nursing responses that allow real care, centered on the child and family. In this paradigm, and considering the current sociodemographic configuration, the participation of grandparents in childcare and the results obtained from this participation are desirable and needed to be clarified. The search in the child and pediatric health nursing literature found that grandparents have direct involvement in childcare, influence parents' decision-making, support in parenting, as well as the social support provided in situations of chronic disease of grandchildren, disclosing many different areas of childcare in which grandparents participate. The literature review that was conducted supports the importance of including grandparents in care, aiming at achieving children's well-being and health positive outcomes. However, the translation of this knowledge took place in an academic context, and the articulation in clinical settings was not totally concluded due to the levels of stress and anxiety of both parents and health professionals in the pandemic context, characterized by visitation restrictions and the risk of elderly (“grandparents”) that had the highest mortality rate. This academic journey was guided by the Theory of Transitions and pediatric nurse interventions, which promote and facilitate transitions towards a holistic child/family care. Pediatric palliative care (PPC) itself represents a transition from the curative to palliative paradigm, as well as changes in the focus of nurses' interventions and incorporation of new care philosophies. To provide PPC with quality, training in this area and awareness of professionals is necessary to recognize, intervene and refer children/families with these needs. The document, through descriptive, analytical, and reflective methodology, reflects the skills acquired and developed, and the outlined objectives and activities carried out in the various internship locations, supported by the scientific evidence and theoretical references mentioned above, which contributed to professional and personal development necessary for the completion of the Master's in Nursing.
The Pediatric Nurse recognizes the family as the main childcare provider, implementing health plans in collaboration and partnership, searching for innovative nursing responses that allow real care, centered on the child and family. In this paradigm, and considering the current sociodemographic configuration, the participation of grandparents in childcare and the results obtained from this participation are desirable and needed to be clarified. The search in the child and pediatric health nursing literature found that grandparents have direct involvement in childcare, influence parents' decision-making, support in parenting, as well as the social support provided in situations of chronic disease of grandchildren, disclosing many different areas of childcare in which grandparents participate. The literature review that was conducted supports the importance of including grandparents in care, aiming at achieving children's well-being and health positive outcomes. However, the translation of this knowledge took place in an academic context, and the articulation in clinical settings was not totally concluded due to the levels of stress and anxiety of both parents and health professionals in the pandemic context, characterized by visitation restrictions and the risk of elderly (“grandparents”) that had the highest mortality rate. This academic journey was guided by the Theory of Transitions and pediatric nurse interventions, which promote and facilitate transitions towards a holistic child/family care. Pediatric palliative care (PPC) itself represents a transition from the curative to palliative paradigm, as well as changes in the focus of nurses' interventions and incorporation of new care philosophies. To provide PPC with quality, training in this area and awareness of professionals is necessary to recognize, intervene and refer children/families with these needs. The document, through descriptive, analytical, and reflective methodology, reflects the skills acquired and developed, and the outlined objectives and activities carried out in the various internship locations, supported by the scientific evidence and theoretical references mentioned above, which contributed to professional and personal development necessary for the completion of the Master's in Nursing.
Description
Keywords
Transições Família/avós Criança Enfermagem Transitions Palliative care Family/grandparents Child Nursing