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Abstract(s)
A Rede Nacional de Cuidados Continuados Integrados (RNCCI) constitui o terceiro nível de cuidados do Sistema Nacional de Saúde e a dependência no autocuidado emerge como principal motivo de admissão nas diversas Unidades Funcionais. Sendo este fenómeno central à disciplina de enfermagem e uma das áreas onde comprovadamente os enfermeiros tomam decisões que influenciam positivamente a saúde das pessoas, faz sentido considerar como imprescindível a sua correta avaliação, seguida de uma operacionalização racional do processo de enfermagem, focada na promoção salutar dos projetos de vida individuais, vulgarmente interrompidos por situações de dependência, súbita ou progressiva, no autocuidado. É da junção destes factos que emerge a principal motivação para o estudo, uma vez que a investigadora principal, sendo enfermeira que detém particular interesse pelos assuntos relacionados com a promoção do autocuidado, exerce funções num serviço pertencente à RNCCI, pelo que surgiu a seguinte inquietação – é possível identificar, na bibliografia de carater científico, o contributo dos enfermeiros que trabalham nas diferentes unidades funcionais de internamento da RNCCI, para a promoção do autocuidado tomar banho, vestir-se e despir-se e arranjar-se? No sentido de mapear o conhecimento disponível optou-se por utilizar a metodologia desenvolvida pelo Joanna Briggs Institute, para a concretização de uma Scoping Review. Foram obtidos para análise integral 15 artigos, verificando-se que os enfermeiros prescrevem cuidados que englobam ensinar, instruir, treinar, orientar, informar, avaliar, apoiar e referenciar, assumindo-se como um importante recurso para a promoção da autonomia e independência dos seus clientes. Apesar de ser evidente a centralidade da ação dos enfermeiros no domínio da promoção do autocuidado, faltam ainda estudos capazes de mensurar de forma clara, os ganhos em saúde atribuíveis à ação destes profissionais nas Unidades Funcionais de Internamento da RNCCI.
The National Network of Integrated Continuing Care (RNCCI) is the third level of care in the National Health System and dependence on self-care emerges as the main reason for admission to the various Functional Units. As this phenomenon is central to the discipline of nursing and one of the areas where nurses have been shown to make decisions that positively influence people's health, it makes sense to consider its correct assessment as essential, followed by a rational operationalization of the nursing process, focused on the healthy promotion of individual life projects, commonly interrupted by situations of sudden or progressive self-care dependence. It is from the combination of these facts that emerges the main motivation for this study, since the main researcher, as a nurse with a particular interest in issues related to the promotion of self-care, works in a service belonging to the RNCCI, and so the following question arose - is it possible to identify, in the scientific literature, the contribution of nurses working in the different functional units of the RNCCI inpatient unit to the promotion of self-care - bathing, dressing and undressing, and grooming? In order to map the available knowledge, we chose to use the methodology developed by the Joanna Briggs Institute to conduct a Scoping Review. We obtained 15 articles for full analysis, and found that nurses prescribe care that encompasses teaching, instructing, training, orienting, informing, assessing, supporting, and referring, assuming themselves as an important resource for the promotion of their clients' autonomy and independence. Although the centrality of nurses' action in promoting self-care is evident, there is still a lack of studies capable of clearly measuring the health gains attributable to the action of these professionals in the Functional Units of the RNCCI.
The National Network of Integrated Continuing Care (RNCCI) is the third level of care in the National Health System and dependence on self-care emerges as the main reason for admission to the various Functional Units. As this phenomenon is central to the discipline of nursing and one of the areas where nurses have been shown to make decisions that positively influence people's health, it makes sense to consider its correct assessment as essential, followed by a rational operationalization of the nursing process, focused on the healthy promotion of individual life projects, commonly interrupted by situations of sudden or progressive self-care dependence. It is from the combination of these facts that emerges the main motivation for this study, since the main researcher, as a nurse with a particular interest in issues related to the promotion of self-care, works in a service belonging to the RNCCI, and so the following question arose - is it possible to identify, in the scientific literature, the contribution of nurses working in the different functional units of the RNCCI inpatient unit to the promotion of self-care - bathing, dressing and undressing, and grooming? In order to map the available knowledge, we chose to use the methodology developed by the Joanna Briggs Institute to conduct a Scoping Review. We obtained 15 articles for full analysis, and found that nurses prescribe care that encompasses teaching, instructing, training, orienting, informing, assessing, supporting, and referring, assuming themselves as an important resource for the promotion of their clients' autonomy and independence. Although the centrality of nurses' action in promoting self-care is evident, there is still a lack of studies capable of clearly measuring the health gains attributable to the action of these professionals in the Functional Units of the RNCCI.
Description
Keywords
Rede Nacional de Cuidados Continuados Integrados Enfermagem Dependência para o autocuidado National network for integrated continuous care Nursing Dependence for self-care