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Promoção da parentalidade nos pais de recém-nascidos
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Este relatório aborda de maneira crítica e reflexiva os conhecimentos e competências adquiridos durante o estágio de Enfermagem de Saúde Infantil e Pediátrica, realizado como parte do 15º curso do mestrado no Instituto de Ciências da Saúde da Universidade Católica Portuguesa. O tema escolhido recai na Promoção da Parentalidade nos pais de RN cumprindo as expetativas para o MESIP e sendo uma importante ferramenta para o EESIP na prestação de cuidados ao RN criança e à sua famí lia. Ao enfermeiro especialista é acrescida a responsabilidade de preparar os pais para o processo de Parentalidade, acompanhando-os em todo o processo, apoiando-os nas suas decisões, desvanecendo receios, transmitindo conhecimentos de uma forma serena e convicta, utilizando estratégias de comunicação simples e objetivas. Só assim é possível prestar cuidados de excelência produzindo ganhos em saúde. Os objetivos gerais do estágio foram adquirir competências de EESIP em diferentes contextos de cuidados de saúde e desenvolver competências mais complexas que promovessem a parentalidade nos processos de saúde-doença. Durante o estágio na Unidade de Cuidados Intensivos, desenvolveu-se competências no cuidado ao RN pré-termo com necessidades de enfermagem complexas, promovendo a parentalidade por meio dos cuidados prestados. Perante cenários de maior complexidade, os pais relatam sentimentos como ansiedade e medo, por estarem perante cenários desconhecidos. Neste contexto qualquer alteração pode ser prejudicial para cada conquista tida até ao momento, por isso tornou-se importante a realização de um panfleto que, pelo menos no momento de transferência para outro serviço, apresentasse o novo local onde o recém-nascido iria permanecer. Na Urgência Pediátrica, foi possível cuidar de crianças em situações de urgência e emergência, adaptando os cuidados a cada momento. Embora nem sempre houvesse desfechos positivos, essas experiências foram valiosas e positivas. Nos cuidados centrados na família os pais desempenham um papel fundamental como cuidadores principais, pois conhecem melhor as necessidades individuais dos seus filhos. Para garantir o crescimento e desenvolvimento saudável das crianças, é essencial fornecer cuidados adequados. Portanto, a realização de ensinos torna-se crucial, visando o empoderamento parental. Desenvolveu-se atividades que fomentassem a capacidade de desenvolvimento de autonomia na parentalidade, disponibilizando vários recursos para uma prestação de cuidados seguros e de qualidade. Destaca-se a realização de ensinos e treinos consolidados por meio de panfletos, proporcionando maior autonomia no cuidado. Por fim, na Unidade de Cuidados na Comunidade, tornou-se necessário demonstrar resiliência diante determinados imprevistos, adaptando as intervenções à realidade do local. Embora não tenha sido possível abordar diretamente a promoção da parentalidade em RN, foram adquiridas competências de EESIP na área de jovens/adolescentes, intervindo em doenças comuns e em situações de risco que poderiam vir a afetar negativamente a qualidade de vida da criança/jovem (E1.2.). Destaca-se a possibilidade de participar em projetos já instituídos na UCC, como o dos jovens promotores que de certa forma, permite a passagem de informação para uma população mais jovem, capacitando-os.
This report critically and reflectively addresses the knowledge and competences acquired during the internship in Child and Pediatric Health Nursing as a part of 15th master's degree program at the Institute of Health Sciences of the Portuguese Catholic University. The chosen theme focuses on the Promotion of Parenting in parents of newborns, fulfilling the expectations for the master’s degree in nursing with a specialization in Pediatric Nursing and serving as an important tool for specialist nurse in child health and pediatrics in providing care to the NB and their family. The specialist nurse has the added responsibility of preparing parents for the process of parenting, accompanying them throughout the process, supporting them in their decisions, alleviating fears, and imparting knowledge in a calm and confident manner, using simple and objective communication strategies. Only in this way is it possible to provide excellent care and produce health gains. The general objectives of the internship were to acquire competencies in specialist nurse in child health and pediatrics in different healthcare contexts and develop more complex competencies that promote parenting in health-disease processes. During the internship in the Intensive Care Unit, competencies were developed in caring for preterm newborns with complex nursing needs, promoting parenting through the care provided. In the face of more complex scenarios, parents report feelings of anxiety and fear due to being in unfamiliar situations. In this context, any changes can be detrimental to the progress made so far, which is why it became important to create a pamphlet that would at least present the new location where the newborn would be staying during the transfer to another service. In the Pediatric Emergency Department, it was possible to care for children in urgent and emergency situations, adapting the care to each moment. Although positive outcomes were not always achieved, these experiences were valuable and positive. In familycentered care, parents play a crucial role as primary caregivers because they have the best understanding of their children's individual needs. To ensure the healthy growth and development of children, it is essential to provide appropriate care. Therefore, the implementation of teachings becomes crucial, aiming for parental empowerment. Activities were developed to foster the capacity for autonomy in parenting, providing various resources for safe and quality care. The implementation of teachings and training, consolidated through pamphlets, stands out in promoting greater autonomy in care. Finally, in the Community Care Unit, it was necessary to demonstrate resilience in the face of unexpected events, adapting interventions to the local reality. Although it was not possible to directly address the promotion of parenting in newborns, competencies were acquired in the area of youth/adolescents in terms of specialization in Pediatric Nursing, intervening in common diseases and situations of risk that could negatively affect the quality of life of the child/youth (E1.2). The opportunity to participate in established projects in the Community Care Unit, such as the youth promoters, stands out as a means of passing information to a younger population, empowering them.
This report critically and reflectively addresses the knowledge and competences acquired during the internship in Child and Pediatric Health Nursing as a part of 15th master's degree program at the Institute of Health Sciences of the Portuguese Catholic University. The chosen theme focuses on the Promotion of Parenting in parents of newborns, fulfilling the expectations for the master’s degree in nursing with a specialization in Pediatric Nursing and serving as an important tool for specialist nurse in child health and pediatrics in providing care to the NB and their family. The specialist nurse has the added responsibility of preparing parents for the process of parenting, accompanying them throughout the process, supporting them in their decisions, alleviating fears, and imparting knowledge in a calm and confident manner, using simple and objective communication strategies. Only in this way is it possible to provide excellent care and produce health gains. The general objectives of the internship were to acquire competencies in specialist nurse in child health and pediatrics in different healthcare contexts and develop more complex competencies that promote parenting in health-disease processes. During the internship in the Intensive Care Unit, competencies were developed in caring for preterm newborns with complex nursing needs, promoting parenting through the care provided. In the face of more complex scenarios, parents report feelings of anxiety and fear due to being in unfamiliar situations. In this context, any changes can be detrimental to the progress made so far, which is why it became important to create a pamphlet that would at least present the new location where the newborn would be staying during the transfer to another service. In the Pediatric Emergency Department, it was possible to care for children in urgent and emergency situations, adapting the care to each moment. Although positive outcomes were not always achieved, these experiences were valuable and positive. In familycentered care, parents play a crucial role as primary caregivers because they have the best understanding of their children's individual needs. To ensure the healthy growth and development of children, it is essential to provide appropriate care. Therefore, the implementation of teachings becomes crucial, aiming for parental empowerment. Activities were developed to foster the capacity for autonomy in parenting, providing various resources for safe and quality care. The implementation of teachings and training, consolidated through pamphlets, stands out in promoting greater autonomy in care. Finally, in the Community Care Unit, it was necessary to demonstrate resilience in the face of unexpected events, adapting interventions to the local reality. Although it was not possible to directly address the promotion of parenting in newborns, competencies were acquired in the area of youth/adolescents in terms of specialization in Pediatric Nursing, intervening in common diseases and situations of risk that could negatively affect the quality of life of the child/youth (E1.2). The opportunity to participate in established projects in the Community Care Unit, such as the youth promoters, stands out as a means of passing information to a younger population, empowering them.
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Pais Parentalidade Recém-nascido Enfermagem Cuidados centrados na família Parents Parenting Newborn Nursing Family-centered care