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Promover um ambiente seguro à criança e jovem : intervenção de enfermagem especializada
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| 8.6 MB | Adobe PDF |
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Abstract(s)
A preocupação com a segurança do doente e, por consequência, com a qualidade dos cuidados prestados tem crescido ao longo dos últimos anos. O erro de medicação em contexto pediátrico é uma grande preocupação dos enfermeiros, dada a vulnerabilidade acrescida dessa população. Assim, é fundamental a intervenção do Enfermeiro na promoção de estratégias de prevenção do erro na administração do medicamento à criança. O presente relatório surge, no âmbito do Curso de Mestrado em Enfermagem, na área de especialização em Enfermagem de Saúde Infantil e Pediátrica, com o intuito de descrever e refletir criticamente sobre o caminho formativo desenvolvido na aquisição de competências de Enfermeira Especialista em Enfermagem de Saúde Infantil e Pediátrica. De forma a fortalecer teoricamente a problemática e a fundamentar qualquer tomada de decisão, recorreu-se ao Modelo Qualidade-Cuidado© de Joanne Duffy e Lois Hoskins. Como objetivo transversal aos diferentes estágios delineou-se “Desenvolver competências de Enfermeiro Especialista em Saúde Infantil e Pediátrica na prestação de cuidados nos diversos contextos da prática com enfoque na promoção da qualidade e segurança dos mesmos”. Assim, com enfoque nas necessidades formativas e após o diagnóstico situacional, foram planeados objetivos específicos em cada contexto de estágio e desenvolvidas atividades com o intuito de adquirir competências comuns de Enfermeiro Especialista e competências específicas de Enfermeiro Especialista em Saúde Infantil e Pediátrica, bem como competências de Mestre. No contexto de Internamento de Pediatria destaca-se, entre as diversas atividades realizadas, a elaboração de uma norma de procedimentos sobre a dupla verificação da terapêutica, bem como a realização de uma sessão formativa à equipa de enfermagem. Além disso, salienta-se a realização de um poster formativo sobre o uso seguro do medicamento. Por sua vez, numa Unidade de Saúde Familiar salienta-se a elaboração de um fluxograma de atuação numa reação anafilática após a vacinação e, respetivamente, uma sessão formativa à equipa de enfermagem. Também foram elaborados folhetos informativos para os pais sobre a segurança da criança. Por último, no contexto de Urgência Pediátrica, as atividades direcionaram-se para a implementação de estratégias de prevenção no erro terapêutico à criança, através da elaboração de tabelas com toda a informação importante da terapêutica utilizada nesse contexto.
The concern about patient safety and, consequently, the quality of care provided, has grown over the last few years. Medication errors in the pediatric context are a major concern of nurses, given the increased vulnerability of this population. Thus, the Nurse’s intervention in promoting error prevention strategies in the administration of medication to the child is essential. The following report arises within the Master’s Degree in Nursing, in the area of specialization in Child and Pediatric Health Nursing, in order to describe and critically reflect on the training path developed in the acquisition of skills of Specialist Nurse in Child and Pediatric Health Nursing. To theoretically strengthen the problem and to base any decision making, the Quality-Care Model© by Joanne Duffy and Lois Hoskins was used. “To develop competencies as a Specialist Nurse in Child and Pediatric Health in the provision of care in the different contexts of practice with a focus on promoting their quality and safety” was outlined as the objective throughout the different stages. Thus, with a focus on training needs and after the situational diagnosis, specific objectives were planned in each context of the internship and activities were developed with the aim of acquiring common skills of a Specialist Nurse and specific skills of a Specialist Nurse in Child and Pediatric Health, as well as a master’s skills. In the context of Inpatient Pediatrics, among the various activities carried out, the elaboration of a procedures’ guideline on the double verification of therapy stands out, as well as the holding of a training session for the nursing team. In addition, a training poster on the safe use of the medication was also made. In the context of a Family Health Unit, the development of a flowchart outlining the course of action in an anaphylactic reaction after vaccination and, respectively, a training session for the nursing team. Information leaflets for parents on child safety have also been developed. Lastly, in the context of Pediatric Urgency, the activities were directed towards the implementation of prevention strategies of the therapeutic error towards the child, through the elaboration of tables with all the important information of the therapy used in that context.
The concern about patient safety and, consequently, the quality of care provided, has grown over the last few years. Medication errors in the pediatric context are a major concern of nurses, given the increased vulnerability of this population. Thus, the Nurse’s intervention in promoting error prevention strategies in the administration of medication to the child is essential. The following report arises within the Master’s Degree in Nursing, in the area of specialization in Child and Pediatric Health Nursing, in order to describe and critically reflect on the training path developed in the acquisition of skills of Specialist Nurse in Child and Pediatric Health Nursing. To theoretically strengthen the problem and to base any decision making, the Quality-Care Model© by Joanne Duffy and Lois Hoskins was used. “To develop competencies as a Specialist Nurse in Child and Pediatric Health in the provision of care in the different contexts of practice with a focus on promoting their quality and safety” was outlined as the objective throughout the different stages. Thus, with a focus on training needs and after the situational diagnosis, specific objectives were planned in each context of the internship and activities were developed with the aim of acquiring common skills of a Specialist Nurse and specific skills of a Specialist Nurse in Child and Pediatric Health, as well as a master’s skills. In the context of Inpatient Pediatrics, among the various activities carried out, the elaboration of a procedures’ guideline on the double verification of therapy stands out, as well as the holding of a training session for the nursing team. In addition, a training poster on the safe use of the medication was also made. In the context of a Family Health Unit, the development of a flowchart outlining the course of action in an anaphylactic reaction after vaccination and, respectively, a training session for the nursing team. Information leaflets for parents on child safety have also been developed. Lastly, in the context of Pediatric Urgency, the activities were directed towards the implementation of prevention strategies of the therapeutic error towards the child, through the elaboration of tables with all the important information of the therapy used in that context.
Description
Keywords
Enfermagem pediátrica Segurança do doente Estratégias de prevenção Erros de Medicação Pediatric nursing Patient safety Prevention strategies Medication Errors