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Abstract(s)
Enquadramento: No âmbito dos sistemas e organizações de saúde é primordial refletir sobre
as práticas de cuidados tendo por base a qualidade e segurança dos cuidados. Devido à dotação
desconhecida de Enfermeiros Especialistas em Enfermagem de Reabilitação e à carência de
estudos que contradigam este paradigma, tornou-se imperioso conhecer a realidade destes
profissionais. Assim, o objetivo central consiste em conhecer as dotações em Enfermagem de
Reabilitação, bem como os seus determinantes, nos Cuidados de Saúde Primários, Cuidados de
Saúde Hospitalares e Cuidados Continuados Integrados.
Métodos: Estudo de natureza quantitativa do tipo descritivo-correlacional e exploratório, com
recurso a uma amostra não probabilística por conveniência, constituída por 530 Enfermeiros
Especialistas em Enfermagem de Reabilitação, maioritariamente do género feminino (73.6%),
com uma média de idades de 39.35 anos. A recolha de dados foi realizada no período de 10 de
janeiro a 28 de fevereiro de 2018, por meio de questionário on-line de autopreenchimento
construído para o efeito.
Resultados: Constatámos que, embora a maioria dos profissionais (69.8%) exerça funções
especializadas, 58.9% executam-nas a tempo integral e 53.3% a tempo parcial. Quanto ao
tempo ideal e real para a prestação de cuidados, observámos que existem diferenças
estatisticamente significativas na maioria dos serviços/unidades analisados e, portanto,
diferenças entre o rácio real e percebido, nomeadamente na Equipa de Cuidados Continuados
Integrados, Unidade de Cuidados Intensivos, Outras Especialidades Médicas, Neurocirurgia e
Medicina Física e Reabilitação, assim como nas instituições de Cuidados de Saúde Primários e
Hospitalares. Verificámos, ainda, que o aumento do tempo de experiência e de especialização
tende a estar associado com a perceção de rácio inferior, sendo este aspeto mais notório no
tempo de experiência profissional.
Conclusões: Os resultados evidenciaram que o aumento do tempo de cuidados e,
consequentemente, a redução do rácio de utentes traduzem a necessidade de dotar a tempo
integral as instituições com Enfermeiros Especialistas em Enfermagem de Reabilitação,
quantitativa e qualitativamente. Desta premissa resulta consequências diretas na melhoria
funcional e na satisfação do utente, bem como uma redução e antecipação de complicações face
a uma alta precoce.
Abstract Background: Within the health system and its organizations, it is essential to reflect on health care practices based on quality and safety of care. Due to the appropriation of nurses who specialise in Rehabilitation Nursing being unknown and a lack of studies which contradict this paradigm, it has become imperative to investigate the reality of these professionals. Thus, the central objective of this study is to investigate the appropriation within Rehabilitation Nursing as well as its determinants, in the Primary Health Care, Hospital Health Care and Integrated Continuous Care Systems. Methods: A descriptive-correlational and exploratory quantitative study using a nonprobabilistic sample for convenience. The study consists of 530 nurses with a specialisation in Rehabilitation Nursing, mostly female (73.6%), with an average age of 39.35. Data collection was carried out from January 10 to February 28, 2018, through an online self-completion questionnaire developed for this purpose. Results: It was found that, although the majority of professionals (69.8%) performed specialized functions, 58.9% performed these specialized functions in a full-time capacity while for 53.3% it was in a part-time capacity. Regarding the discrepancies between ideal and real time for care delivery, it was observed that there are statistically significant differences in most services/units analyzed and, therefore, differences between the actual and perceived ratio; namely within the Integrated Continuing Care Unit, Intensive Care Unit, Other Medical Specialties, Neurosurgery and Physical Medicine and Rehabilitation, as well as in Primary and Hospital Health Care institutions. It was also verified that the increase of time of experience and specialisation tends to be associated with the perception of an inferior ratio; this aspect being more noticeable in the time of professional experience. Conclusions: The findings indicated that the increase of care time and, consequently, the reduction of the patients' ratio reflects the need to provide institutions with full-time Specialist Nurses in Rehabilitation Nursing, both quantitatively and qualitatively. This finding has direct consequences on the functional improvement and the satisfaction of the patient, as well as a reduction of and the anticipation of complications in the face of an early discharge.
Abstract Background: Within the health system and its organizations, it is essential to reflect on health care practices based on quality and safety of care. Due to the appropriation of nurses who specialise in Rehabilitation Nursing being unknown and a lack of studies which contradict this paradigm, it has become imperative to investigate the reality of these professionals. Thus, the central objective of this study is to investigate the appropriation within Rehabilitation Nursing as well as its determinants, in the Primary Health Care, Hospital Health Care and Integrated Continuous Care Systems. Methods: A descriptive-correlational and exploratory quantitative study using a nonprobabilistic sample for convenience. The study consists of 530 nurses with a specialisation in Rehabilitation Nursing, mostly female (73.6%), with an average age of 39.35. Data collection was carried out from January 10 to February 28, 2018, through an online self-completion questionnaire developed for this purpose. Results: It was found that, although the majority of professionals (69.8%) performed specialized functions, 58.9% performed these specialized functions in a full-time capacity while for 53.3% it was in a part-time capacity. Regarding the discrepancies between ideal and real time for care delivery, it was observed that there are statistically significant differences in most services/units analyzed and, therefore, differences between the actual and perceived ratio; namely within the Integrated Continuing Care Unit, Intensive Care Unit, Other Medical Specialties, Neurosurgery and Physical Medicine and Rehabilitation, as well as in Primary and Hospital Health Care institutions. It was also verified that the increase of time of experience and specialisation tends to be associated with the perception of an inferior ratio; this aspect being more noticeable in the time of professional experience. Conclusions: The findings indicated that the increase of care time and, consequently, the reduction of the patients' ratio reflects the need to provide institutions with full-time Specialist Nurses in Rehabilitation Nursing, both quantitatively and qualitatively. This finding has direct consequences on the functional improvement and the satisfaction of the patient, as well as a reduction of and the anticipation of complications in the face of an early discharge.
Description
Keywords
Enfermagem de reabilitação Gestão de pessoal em hospitais Portugal Cuidados primários de saúde Continuidade de cuidados ao doente Prestação integrada de cuidados de saúde Continuity of patient care Delivery of health care, integrated Personnel administration, hospital Personnel management Primary health care Rehabilitation nursing