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Advisor(s)
Abstract(s)
Introdução: Os médicos especialistas em Medicina Geral e Familiar encontram-se numa posição privilegiada para prestar cuidados paliativos na comunidade. Não existe evidência de quais as competências que os Médicos de Família em Portugal deverão possuir para essa prestação de cuidados. Com a presente revisão, pretende-se identificar as competências em cuidados paliativos, nos domínios de princípios dos cuidados paliativos, aspetos psicossociais e espirituais, comunicação, trabalho em equipa e autoconhecimento, que os Médicos de Medicina Geral e Familiar devem possuir. Metodologia: “scoping review” segundo a metodologia JBI. A pesquisa utilizou as bases de dados internacionais MEDLINE/PUBMED e CINAHL Complete (by EBSCO) usando como principais descritores physicians, general practitioners, family physicians, primary care physicians, competencies, skills, clinical competences, professional competence, palliative care, terminal care, end-of-life care, generalist palliative care, palliative care approach, advance care planning, em línguas inglesa, portuguesa, francesa e espanhola, sem limite de tempo, com descrição clara, ou passível de inferência, das competências. Também foi realizada pesquisa de literatura cinzenta, usando o descritor “palliative care competencies”. Resultados: Após remoção dos duplicados, obtiveram-se 4755 artigos dos quais 11 artigos foram selecionados. Obtiveram-se 437 competências em cuidados paliativos para Médicos especialistas em Medicina Geral e Familiar nos domínios de princípios de cuidados paliativos (n=67), aspetos psicossociais e espirituais (n= 101), comunicação (n=129), trabalho de equipa (n= 93) e autoconhecimento (n= 47). Conclusões: Através do presente “scoping review”, elencaram-se as competências em cuidados paliativos que os médicos especialistas em Medicina Geral e Familiar deverão possuir. A presente revisão pode facilitar a realização de mais estudos sobre este tema.
Introduction: Family Doctors are in a privileged position to provide palliative care in the community they serve. There is no evidence about which competencies Family Doctors in Portugal should have to provide such care. The purpose of this review is to identify Family Doctors competencies in Palliative Care, in the dominions of palliative care principles, psychosocial and spiritual care, communication, teamwork and self- knowledge. Methods: This scoping review was conducted according to JBI methodology. Research was conducted through international databases MEDLINE/PUBMED e CINAHL Complete (by EBSCO) using the terms physicians, general practitioners, family physicians, primary care physicians, competencies, skills, clinical competences, professional competence, palliative care, terminal care, end-of-life care, generalist palliative care, palliative care approach, advance care planning in English, Portuguese, French and Spanish languages, with no time limit, and with a clear description, or with a description through which competencies could be inferred. Gray literature research was also conducted, using the term “palliative care competencies”. Results: After duplicate removal 4755 articles where obtained, 11 of which were selected. 437 competencies in Palliative care for Family Doctors were listed in the dominions of palliative care principles (n=67), psychosocial and spiritual care (n=101), communication (n=129), teamwork (n=93) and self-knowledge (n=47). Conclusions: Through this scoping review, competencies in Palliative Care for Family Doctors were identified and listed. This study may facilitate more studies on the subject, in Portugal.
Introduction: Family Doctors are in a privileged position to provide palliative care in the community they serve. There is no evidence about which competencies Family Doctors in Portugal should have to provide such care. The purpose of this review is to identify Family Doctors competencies in Palliative Care, in the dominions of palliative care principles, psychosocial and spiritual care, communication, teamwork and self- knowledge. Methods: This scoping review was conducted according to JBI methodology. Research was conducted through international databases MEDLINE/PUBMED e CINAHL Complete (by EBSCO) using the terms physicians, general practitioners, family physicians, primary care physicians, competencies, skills, clinical competences, professional competence, palliative care, terminal care, end-of-life care, generalist palliative care, palliative care approach, advance care planning in English, Portuguese, French and Spanish languages, with no time limit, and with a clear description, or with a description through which competencies could be inferred. Gray literature research was also conducted, using the term “palliative care competencies”. Results: After duplicate removal 4755 articles where obtained, 11 of which were selected. 437 competencies in Palliative care for Family Doctors were listed in the dominions of palliative care principles (n=67), psychosocial and spiritual care (n=101), communication (n=129), teamwork (n=93) and self-knowledge (n=47). Conclusions: Through this scoping review, competencies in Palliative Care for Family Doctors were identified and listed. This study may facilitate more studies on the subject, in Portugal.
Description
Keywords
Competência Médico de família Médico generalista Cuidados paliativos Cuidados de saúde primários Competence Family physician General practitioner Palliative care Primary care