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Advisor(s)
Abstract(s)
Introdução: O estágio de natureza profissional resultou no presente relatório cuja finalidade consistiu
no desenvolvimento de conhecimentos e aquisição de competências para a obtenção do título de
enfermeiro especialista e o grau de mestre em Saúde Materna, Obstétrica e Ginecológica. Na
componente de investigação compreendeu-se o significado atribuído por enfermeiros especialistas
em enfermagem de saúde materna e obstétrica ao cuidar casais com perda gestacional.
Objetivos: Analisar crítica e reflexivamente as atividades que se concretizaram nos seis estágios
para adquirir competências de Enfermeiro Especialista em Enfermagem de Saúde Materna e
Obstétrica; Compreender o significado atribuído por enfermeiros especialistas em enfermagem de
saúde materna e obstétrica ao cuidar casais com perda gestacional.
Participantes e métodos: No âmbito do relatório do estágio de natureza profissional, seguiu-se uma
metodologia descritiva, com consequente análise crítico-reflexiva das atividades que concretizaram
os objetivos propostos para cada um dos estágios, tendo como padrão o perfil de competências do
Enfermeiro Especialista em Enfermagem de Saúde Materna e Obstétrica e os padrões de qualidade
em Enfermagem de Saúde Materna e Obstétrica, bem como evidências científicas. Na componente
investigativa, foi realizado um estudo qualitativo, fenomenológico-hermenêutico, tendo por base os
pressupostos de Max Van Manen, estudo com aprovação da Comissão de Ética. Com recurso ao tipo
de amostra por conveniente, em bola de neve, obtiveram-se 14 participantes, para entrevista
semiestruturada. Os dados coligidos foram analisados fenomenologicamente, recorrendo ao software
MAXQDA 24.
Resultados: Este relatório destaca a evolução das competências comuns e específicas da
Enfermagem de Saúde Materna e Obstétrica, no contexto do mestrado em Enfermagem de Saúde
Materna e Obstétrica, contribuindo para a formação de profissionais altamente qualificados nessa
área especializada. Com a realização dos estágios, aprimorou-se consecutivamente as competências
especializadas no cuidado à mulher inserida na família e comunidade, com foco no respeito pela sua
individualidade e respeito pela sua vontade expressa, em consonância com as práticas atuais do
Enfermeiro Obstetra. Nesse contexto, a promoção de uma enfermagem especializada e baseada na
evidência científica, juntamente com a aquisição de competências de grau mestre, torna-se
necessário para o avanço e excelência na prática profissional. Como resultado da investigação
realizada, a análise dos testemunhos dos 14 Enfermeiros Especialistas em Enfermagem de Saúde
Materna e Obstétrica permitiu desocultar as seguintes categorias: “Melhorias propostas pelo
Enfermeiro Obstetra no cuidar casais com perda gestacional”, “Atitudes do Enfermeiro Obstetra no
momento em que o casal recebe a notícia de perda gestacional”, “Constrangimentos do Enfermeiro
Obstetra no cuidar casais com perda gestacional”, “Estratégias do Enfermeiro Obstetra para
ultrapassar os constrangimentos no cuidar casais com perda gestacional”, “Sentimentos vivenciados
pelo Enfermeiro Obstetra no cuidar casais com perda gestacional”.
Conclusão: A prestação de cuidados maternos e obstétricos especializados reduz o risco de
mortalidade e morbilidade materna e neonatal. O compromisso com a excelência em enfermagem
está intrinsecamente ligado ao desenvolvimento profissional contínuo, um aspeto central da
aprendizagem/formação ao longo da vida dos enfermeiros. Este desenvolvimento é vital para manter
conhecimentos e competências atualizados, essenciais no setor dos cuidados de saúde em constante
evolução. As evidências da investigação realizada sugerem uma necessidade emergente de
melhorias no cuidar casais com perda gestacional quer a nível desenvolvimental do Enfermeiro
Obstetra, funcional, como uniformizar procedimentos no cuidar casais com perda gestacional
respeitando as suas singularidades, quer estruturais, sendo exemplo a adequação do cuidado em
função do feedback do casal. Estas poderão ser estratégias possíveis para que o Enfermeiro
Obstetra possa ultrapassar os constrangimentos no cuidar casais com perda gestacional e garantir lhes cuidados de excelência.
Palavras-chave: Enfermeiro Obstetra; Gravidez; Luto; Cuidados de Enfermagem.
Abstract Introduction: The professional internship resulted in this report, the purpose of which was to develop knowledge and acquire skills to obtain the title of specialist nurse and a master's degree in Maternal, Obstetric and Gynecological Health. The research component aimed to understand the meaning attributed by nurses specializing in maternal and obstetric health nursing to caring for couples with a pregnancy loss. Objectives: To critically and reflectively analyze the activities that took place during the six internships in order to acquire competencies as a Maternal and Obstetric Health Nursing Specialist; To understand the meaning attributed by maternal and obstetric health nursing specialists to caring for couples with a pregnancy loss. Participants and methods: Within the scope of the professional internship report, a descriptive methodology was followed, with a consequent critical-reflective analysis of the activities that achieved the objectives proposed for each of the internships, taking as a standard the competency profile of the Maternal and Obstetric Health Nursing Specialist and the quality standards in Maternal and Obstetric Health Nursing, as well as scientific evidence. As for the research component, a qualitative, phenomenological-hermeneutic study was carried out, based on Max Van Manen's assumptions, and approved by the Ethics Committee. Using snowball sampling, 14 participants were selected for semi structured interviews. The data collected was analyzed phenomenologically using MAXQDA 24 software. Results: This report highlights the evolution of common and specific competencies in Maternal and Obstetric Health Nursing, in the context of the Master's Degree in Maternal and Obstetric Health Nursing, contributing to the training of highly qualified professionals in this specialized area. Through the internships, the specialized skills in caring for women within the family and community were consecutively improved, with a focus on respect for their individuality and respect for their expressed wishes, in line with the current practices of Obstetric Nurses. In this context, the promotion of specialized nursing based on scientific evidence, together with the acquisition of master's degree competencies, becomes necessary for advancement and excellence in professional practice. As a result of the research carried out, the analysis of the testimonies of the 14 Specialist Nurses in Maternal and Obstetric Health Nursing revealed the following categories: "Improvements proposed by the Obstetric Nurse when caring for couples with gestational loss", "Attitudes of the Obstetric Nurse when the couple receives the news of gestational loss", "Constraints of the Obstetric Nurse when caring for couples with gestational loss", "Strategies of the Obstetric Nurse to overcome the constraints when caring for couples with gestational loss", "Feelings experienced by the Obstetric Nurse when caring for couples with gestational loss". Conclusion: The provision of specialized maternal and obstetric care reduces the risk of maternal and neonatal mortality and morbidity. Commitment to excellence in nursing is intrinsically linked to continuous professional development, a central aspect of nurses' lifelong learning/training. This development is vital for maintaining up-to-date knowledge and skills, essential in the ever-evolving healthcare sector. The evidence from the research suggests that there is an emerging need for improvements in caring for couples with a pregnancy loss, both at the developmental level of the obstetric nurse, functionally, such as standardizing procedures in caring for couples with a pregnancy loss while respecting their singularities, and structurally, such as adapting care according to the couple's feedback. These could be possible strategies for obstetric nurses to overcome the constraints of caring for couples with a pregnancy loss and guarantee them excellent care. Keywords: Obstetric Nurse; Pregnancy; Bereavement; Nursing Care.
Abstract Introduction: The professional internship resulted in this report, the purpose of which was to develop knowledge and acquire skills to obtain the title of specialist nurse and a master's degree in Maternal, Obstetric and Gynecological Health. The research component aimed to understand the meaning attributed by nurses specializing in maternal and obstetric health nursing to caring for couples with a pregnancy loss. Objectives: To critically and reflectively analyze the activities that took place during the six internships in order to acquire competencies as a Maternal and Obstetric Health Nursing Specialist; To understand the meaning attributed by maternal and obstetric health nursing specialists to caring for couples with a pregnancy loss. Participants and methods: Within the scope of the professional internship report, a descriptive methodology was followed, with a consequent critical-reflective analysis of the activities that achieved the objectives proposed for each of the internships, taking as a standard the competency profile of the Maternal and Obstetric Health Nursing Specialist and the quality standards in Maternal and Obstetric Health Nursing, as well as scientific evidence. As for the research component, a qualitative, phenomenological-hermeneutic study was carried out, based on Max Van Manen's assumptions, and approved by the Ethics Committee. Using snowball sampling, 14 participants were selected for semi structured interviews. The data collected was analyzed phenomenologically using MAXQDA 24 software. Results: This report highlights the evolution of common and specific competencies in Maternal and Obstetric Health Nursing, in the context of the Master's Degree in Maternal and Obstetric Health Nursing, contributing to the training of highly qualified professionals in this specialized area. Through the internships, the specialized skills in caring for women within the family and community were consecutively improved, with a focus on respect for their individuality and respect for their expressed wishes, in line with the current practices of Obstetric Nurses. In this context, the promotion of specialized nursing based on scientific evidence, together with the acquisition of master's degree competencies, becomes necessary for advancement and excellence in professional practice. As a result of the research carried out, the analysis of the testimonies of the 14 Specialist Nurses in Maternal and Obstetric Health Nursing revealed the following categories: "Improvements proposed by the Obstetric Nurse when caring for couples with gestational loss", "Attitudes of the Obstetric Nurse when the couple receives the news of gestational loss", "Constraints of the Obstetric Nurse when caring for couples with gestational loss", "Strategies of the Obstetric Nurse to overcome the constraints when caring for couples with gestational loss", "Feelings experienced by the Obstetric Nurse when caring for couples with gestational loss". Conclusion: The provision of specialized maternal and obstetric care reduces the risk of maternal and neonatal mortality and morbidity. Commitment to excellence in nursing is intrinsically linked to continuous professional development, a central aspect of nurses' lifelong learning/training. This development is vital for maintaining up-to-date knowledge and skills, essential in the ever-evolving healthcare sector. The evidence from the research suggests that there is an emerging need for improvements in caring for couples with a pregnancy loss, both at the developmental level of the obstetric nurse, functionally, such as standardizing procedures in caring for couples with a pregnancy loss while respecting their singularities, and structurally, such as adapting care according to the couple's feedback. These could be possible strategies for obstetric nurses to overcome the constraints of caring for couples with a pregnancy loss and guarantee them excellent care. Keywords: Obstetric Nurse; Pregnancy; Bereavement; Nursing Care.
Description
Keywords
Competência clínica Competência profissional Cuidados de enfermagem Enfermagem obstétrica Enfermeiros obstetras Gravidez Luto Morte fetal Puerpério Trabalho de parto Bereavement Clinical competence Fetal death Labor, obstetric Nurse midwives Nursing care Obstetric nursing Postpartum period Pregnancy Professional competence