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Abstract(s)
A participação da criança nos processos de cuidados é fulcral para a sua adesão, o que se traduz em cuidados de qualidade. Quando se encontram nos diversos contextos de cuidados de saúde, as crianças manifestam o desejo de participarem nos processos de tomada de decisão sobre os cuidados e procedimentos de tratamento, porém, esta é ainda uma realidade pouco integrada no planeamento dos cuidados. Assim, é fundamental a intervenção do Enfermeiro Especialista em Enfermagem de Saúde Infantil e Pediátrica na implementação de estratégias que promovam e facilitem a sua aplicação na prática, visando a satisfação da criança e família com os cuidados prestados.
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 objetivo de descrever de forma analítica, crítica e reflexiva o percurso desenvolvido no caminho de aquisição de competências inerentes ao título de Enfermeiro Especialista em Enfermagem de Saúde Infantil e Pediátrica (EEESIP).
O modelo Qualidade-Cuidado© que integra o conceito de satisfação enquanto resultado sensível aos cuidados de enfermagem, foi norteador do percurso formativo bem como as estratégias promotoras da participação da criança na tomada de decisão nos cuidados de saúde mapeadas através da realização de uma scoping review.
Em cada um dos contextos de estágio, após a realização do diagnóstico de situação, e em consonância com o objetivo geral previamente definido “desenvolver competências enquanto EEESIP na prestação de cuidados especializados à criança/jovem e família nos diferentes contextos de intervenção, com enfoque na participação da criança nos cuidados”, foram delineados objetivos específicos e realizadas atividades que permitiram o desenvolvimento de inúmeras competências, no que respeita ao perfil de Competências Comuns dos Enfermeiros Especialistas, ao perfil de Competências dos Enfermeiros Especialistas em Saúde Infantil e Pediátrica, assim como às competências de Mestre.
No contexto de cuidados saúde primários destaco, de entre as atividades realizadas, a elaboração de propostas de procedimentos e fluxogramas de atuação do NACJR; no contexto de internamento de pediatria, a realização de uma sessão formativa à equipa sobre a participação da criança nos cuidados e a comunicação em tempos de pandemia assim como, a realização de um mural de fotos com os elementos da equipa multidisciplinar sem máscara; e por fim a elaboração de uma análise crítica reflexiva sobre a implementação das estratégias promotoras da participação da criança em contexto de urgência. Destaco ainda a realização de um poster apresentado no 3º Seminário Internacional do Mestrado em Enfermagem com o título “Estratégias promotoras da participação da criança na tomada de decisão nos cuidados de saúde: scoping review” e a realização de uma carta ao editor publicada na revista Journal of Pediatric Nursing.
Com o desenvolvimento deste percurso formativo e após a análise e reflexão sobre as diversas competências adquiridas e desenvolvidas, foi possível alcançar uma nova perspetiva da relação do cuidar pautada por uma dimensão crítica, especializada e fundamentada, contribuindo assim para a melhoria da qualidade dos cuidados.
The child's participation in the care processes is central to their adherence, which translates into quality care. When they are involved in the different health care contexts, children express their desire to participate in decision-making processes about care and treatment procedures; however, this is still a poorly integrated reality in healthcare planning. Thus, pediatric nurse specialist intervention on the child is essential to the implementation of strategies that promote and facilitate its practical application, aiming at child and family’s satisfaction with the care provided. This report appears in the context of a Master's Degree in Nursing, in the specialization area of Child and Pediatric Health Nursing with the aim of describing in an analytical, critical and reflective way the path developed in skills acquisition inherent to the title of Nurse Specialist in Child and Pediatric Health Nursing (NSCPHN). The formative path was guided by Quality-Care © model, which integrates the concept of satisfaction as an accurate end-result of nurse caring, together with scoping review mapped strategies on children’s participation in decision-making on healthcare. In each internship context, after performing the situation diagnosis and in line with the previously defined general objective - “to develop skills as NSCPHN in providing specialized care to the child / youth and family in the different intervention contexts, with a focus on child participation in care ” -, specific objectives were outlined and activities were carried out in order to develop innumerable competences in both Common Skills of Specialist Nurses and Specialist Nurses in Child and Pediatric Health profiles as well as Master’s skills. In the context of primary health care I highlight, among other activities carried out, the elaboration of procedures and flowcharts of action of the NACJR, subject to approval; in the context of inpatient pediatrics, directed a team training session on the child's participation in care and communication in times of pandemic, and created a photo mural with the elements of the multidisciplinary team without a face mask; and finally, in the context of urgency, the elaboration of a reflexive critical analysis on the implementation of strategies that promote child participation in an emergency context. I also highlight the realization of a poster presented at the 3rd International Seminar of the Master of Nursing titled “Strategies that promote the participation of children in decision-making in health care: scoping review” and the writing of a letter to the editor published in the Journal of Pediatric Nursing. With the development of this training path and after analyzing and reflecting on the various skills acquired and developed, it was possible to obtain a new perspective on the relationship of care based on a critical, specialized and well-founded dimension, thus contributing to the improvement of the quality of care.
The child's participation in the care processes is central to their adherence, which translates into quality care. When they are involved in the different health care contexts, children express their desire to participate in decision-making processes about care and treatment procedures; however, this is still a poorly integrated reality in healthcare planning. Thus, pediatric nurse specialist intervention on the child is essential to the implementation of strategies that promote and facilitate its practical application, aiming at child and family’s satisfaction with the care provided. This report appears in the context of a Master's Degree in Nursing, in the specialization area of Child and Pediatric Health Nursing with the aim of describing in an analytical, critical and reflective way the path developed in skills acquisition inherent to the title of Nurse Specialist in Child and Pediatric Health Nursing (NSCPHN). The formative path was guided by Quality-Care © model, which integrates the concept of satisfaction as an accurate end-result of nurse caring, together with scoping review mapped strategies on children’s participation in decision-making on healthcare. In each internship context, after performing the situation diagnosis and in line with the previously defined general objective - “to develop skills as NSCPHN in providing specialized care to the child / youth and family in the different intervention contexts, with a focus on child participation in care ” -, specific objectives were outlined and activities were carried out in order to develop innumerable competences in both Common Skills of Specialist Nurses and Specialist Nurses in Child and Pediatric Health profiles as well as Master’s skills. In the context of primary health care I highlight, among other activities carried out, the elaboration of procedures and flowcharts of action of the NACJR, subject to approval; in the context of inpatient pediatrics, directed a team training session on the child's participation in care and communication in times of pandemic, and created a photo mural with the elements of the multidisciplinary team without a face mask; and finally, in the context of urgency, the elaboration of a reflexive critical analysis on the implementation of strategies that promote child participation in an emergency context. I also highlight the realization of a poster presented at the 3rd International Seminar of the Master of Nursing titled “Strategies that promote the participation of children in decision-making in health care: scoping review” and the writing of a letter to the editor published in the Journal of Pediatric Nursing. With the development of this training path and after analyzing and reflecting on the various skills acquired and developed, it was possible to obtain a new perspective on the relationship of care based on a critical, specialized and well-founded dimension, thus contributing to the improvement of the quality of care.
Description
Keywords
Enfermagem Criança Participação Nursing Child Participation