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Abstract(s)
O presente relatório pretende explanar as experiências vivenciadas no decorrer do estágio final do Mestrado em Enfermagem com Especialização em Enfermagem Comunitária, que decorreu numa Unidade de Saúde Pública da região norte do país. O sentido da aquisição das competências especializadas alicerçou-se no desenvolvimento, durante o estágio, de um projeto centrado numa comunidade como alvo dos cuidados e relacionado com a vigilância epidemiológica de diagnósticos de enfermagem numa comunidade Agrupamento de Centros de Saúde (ACeS), tendo os profissionais enfermeiros como alvo de atenção. Esta problemática é ainda nova e pouco estudada, sendo o projeto inovador pelo cariz da intervenção, atuar sobre os profissionais, como pelos resultados que se pretendem obter. Procurou-se capacitar os enfermeiros de uma comunidade ACeS para a vigilância epidemiológica dos diagnósticos de enfermagem, com recurso ao empoderamento comunitário como processo e como resultado, alicerçando a decisão clínica na matriz do Modelo de Avaliação, Intervenção e Empoderamento Comunitário (MAIEC). Para expor o percurso realizado apresenta-se no primeiro capítulo deste relatório um enquadramento relativo ao local onde decorreu o estágio, bem como ao projeto a instituir e o seu alinhamento com os problemas identificados no ACeS em causa. Apresenta-se ainda um enquadramento teórico que engloba o modelo teórico de referência, MAIEC, e o Empoderamento Comunitário e faz-se uma breve revisão da literatura sobre a vigilância epidemiológica e os focos de enfermagem em estudo. Para finalizar faz-se uma reflexão sobre os procedimentos metodológicos inerentes à consecução do projeto, incluindo os procedimentos éticos e deontológicos a considerar. No segundo capítulo apresenta-se toda a concretização do projeto. Faz-se a descrição do diagnóstico de situação, em que se apresentam os resultados da colheita de dados realizada por questionários e técnica de grupo focal. Em seguida apresentam-se as etapas de planificação (os critérios de priorização, os objetivos delineados para o atingimento das metas definidas, atividades planeadas e respetivos indicadores de processo e resultado) e execução da intervenção. Por fim faz-se uma análise reflexiva sobre os resultados obtidos. Foi também um propósito a aquisição das competências específicas da área de especialidade, aplicando o planeamento em saúde à problemática em estudo, promovendo a capacitação e gestão de projetos integrados nos programas de saúde em vigor, pelo que no último capítulo se faz uma reflexão sobre todas as competências específicas do Enfermeiro Especialista em Enfermagem Comunitária (EEEC) e como o percurso realizado contribuiu para a sua aquisição. Pretende-se evidenciar o desenvolvimento das competências para potenciar uma prática profissional especializada, fundamentada pela evidência científica, que promova ganhos em saúde na população, pela atuação sobre os determinantes de saúde, para melhoria de problemas existentes e prevenção de complicações futuras, numa intervenção centrada na comunidade como cliente do enfermeiro.
The present report intents to describe the experiences gathered during the final nursing placement of the Nursing Master’s, with specialisation on Community Nursing, that took place on a Public Health unit on the northern area of the country. In order to achieve specialised competences we based on the development, during the placement, of a project focused on a community as care target and related with the epidemiological surveillance of nursing diagnoses in a grouping of health centers (ACeS) community, having nursing professionals as main focus of attention. This problematic is still new and not deeply studied, being an innovative project for the intervention nature, taking action in the professionals, as by the results that are desired to obtain. It was intended to empower the nurses of an ACeS community for the epidemiological surveillance of nursing diagnoses, with resource to community empowerment as a process and outcome, grounded as a clinical decision in the Community Assessment Intervention Empowerment Model (MAIEC). In order to describe the realized process it is presented, in the first chapter of this report, a framework where the placement took place, as well as the project to be instituted and his alignment with the identified problems in ACeS in cause. It is also presented a theoretical framework that englobes the theoretical reference model, MAIEC, and the community empowerment, besides, we perform a brief literature revision about the epidemiological surveillance, as well as the nursing focus in study. Finally, a reflection is made on the methodological procedures inherent to the project, including the ethical and deontological procedures to be considered. In the second chapter it is presented all the project achievements. It was described the situation diagnosis, in which are presented the results by the facts collected with questionnaires and focal groups technique. Subsequently it is introduced the planification stages (prioritising the parameters, the designed goals in order to reach the defined objectives, planned activities and the respective process and result indicators) and the executed intervention. Lastly, it was performed a reflective analysis about the obtained results. Also, it was a purpose acquire specific competences within the specialised area, applying the health planning to the question in study, promoting capacity and project management integrated on the current health programs, therefore, on the last chapter there is a reflection about all the specific competences of the specialist nurse in community health as well as the pathway that has contributed to its accomplishment. We pretend to highlight the development of competences that strengths the specialised clinical practice, based on scientific evidence, that promotes beneficial health outcomes to the population, acting through the health determinants, contributing to the improvement of existing problems to prevent future complications, on fundamental interventions within the community as a nurse client.
The present report intents to describe the experiences gathered during the final nursing placement of the Nursing Master’s, with specialisation on Community Nursing, that took place on a Public Health unit on the northern area of the country. In order to achieve specialised competences we based on the development, during the placement, of a project focused on a community as care target and related with the epidemiological surveillance of nursing diagnoses in a grouping of health centers (ACeS) community, having nursing professionals as main focus of attention. This problematic is still new and not deeply studied, being an innovative project for the intervention nature, taking action in the professionals, as by the results that are desired to obtain. It was intended to empower the nurses of an ACeS community for the epidemiological surveillance of nursing diagnoses, with resource to community empowerment as a process and outcome, grounded as a clinical decision in the Community Assessment Intervention Empowerment Model (MAIEC). In order to describe the realized process it is presented, in the first chapter of this report, a framework where the placement took place, as well as the project to be instituted and his alignment with the identified problems in ACeS in cause. It is also presented a theoretical framework that englobes the theoretical reference model, MAIEC, and the community empowerment, besides, we perform a brief literature revision about the epidemiological surveillance, as well as the nursing focus in study. Finally, a reflection is made on the methodological procedures inherent to the project, including the ethical and deontological procedures to be considered. In the second chapter it is presented all the project achievements. It was described the situation diagnosis, in which are presented the results by the facts collected with questionnaires and focal groups technique. Subsequently it is introduced the planification stages (prioritising the parameters, the designed goals in order to reach the defined objectives, planned activities and the respective process and result indicators) and the executed intervention. Lastly, it was performed a reflective analysis about the obtained results. Also, it was a purpose acquire specific competences within the specialised area, applying the health planning to the question in study, promoting capacity and project management integrated on the current health programs, therefore, on the last chapter there is a reflection about all the specific competences of the specialist nurse in community health as well as the pathway that has contributed to its accomplishment. We pretend to highlight the development of competences that strengths the specialised clinical practice, based on scientific evidence, that promotes beneficial health outcomes to the population, acting through the health determinants, contributing to the improvement of existing problems to prevent future complications, on fundamental interventions within the community as a nurse client.
Description
Keywords
Enfermagem de Saúde Comunitária Vigilância Epidemiológica Empoderamento Competências especializadas Community health nursing Epidemiological surveillance Empowerment Specialized skills