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Authors
Advisor(s)
Abstract(s)
Enquadramento: A Enfermagem, enquanto ciência, requer o desenvolvimento contínuo de
competências, tanto profissionais como de investigação, de forma a conceber um corpo de
conhecimentos sólido sobre o qual assente a qualidade nos cuidados prestados à
criança/jovem e sua família. Desta forma, tanto os diversos estágios como o método
investigativo contribuíram para o sucesso do processo formativo.
Objetivos: Evidenciar a aquisição de competências comuns e específicas do Enfermeiro
Especialista em Enfermagem de Saúde Infantil e Pediátrica (EEESIP), refletindo sobre o
percurso formativo realizado nos estágios; desenvolver uma investigação sobre a
experiência dos pais relativamente à readmissão da criança/jovem no Serviço de Urgência
Pediátrica (SUP) da Unidade Local de Saúde de Castelo Branco - Hospital Amato Lusitano
(ULSCB-HAL).
Metodologia: Explanação e reflexão crítica sobre as competências desenvolvidas ao longo
dos estágios de Pediatria, Neonatologia e Saúde Infantil e Familiar, sustentada em pesquisa
bibliográfica e em evidência científica, dando robustez às aprendizagens adquiridas ao longo
dos estágios. Apresentação de um estudo qualitativo, descritivo de caráter fenomenológico
sobre a experiência dos pais relativamente à readmissão da criança/jovem no SUP da
ULSCB-HAL, através da realização de entrevistas aos pais das crianças/jovens que
apresentaram episódios de readmissão nos meses de novembro e dezembro de 2022.
Resultados: O percurso formativo em contexto dos estágios foi sustentado numa prática
reflexiva e evidência científica, e possibilitou o desenvolvimento e aperfeiçoamento de
competências comuns do Enfermeiro Especialista e competências específicas do EEESIP.
Relativamente aos resultados da investigação, estes indicam que a experiência dos pais
relativamente à readmissão da criança/jovem no SUP da ULSCB-HAL ocorre
maioritariamente devido à crença de que a situação clínica do filho não está a melhorar, ou
seja, à preocupação pelo estado de saúde do filho e consequente ansiedade. Destaca-se
uma opinião positiva relativamente ao atendimento pelos profissionais de saúde do respetivo
serviço, considerando-se os mesmos atenciosos e dedicados, ocorrendo confiança nos
cuidados prestados.
Conclusão: A intervenção do EEESIP na prestação de cuidados à criança/jovem e sua
família, utilizando um modelo conceptual centrado na criança/jovem e família, traduz-se na
prestação de cuidados ao nível avançado, com segurança, competência e satisfação. Nesse
sentido, foi fundamental definir objetivos e planear atividades para os respetivos estágios, e
incorporar competências conducentes à prática especializada. A investigação permitiu inferir
que a intervenção direcionada à redução das taxas de readmissão no SUP é bastante
complexa, uma vez que existem múltiplos fatores que estimulam ao inadequado uso do
SUP.
Palavras-chave: perfil de competências de enfermeiros; estágio; experiência de vida;
medicina de emergência pediátrica; enfermagem pediátrica.
Abstract Background: Nursing, as a science, requires the continuous development of skills, both professional and investigation, in order to conceive a solid body of knowledge on which to base the quality of care provided to children/adolescent and their families. In this way, both the different internships and the investigative method contributed to the success of the formative process. Objectives: Evidence of the acquisition of common and specific skills of the Child and Pediatric Health Specialist Nurse, reflecting on the training course carried out in the internships; to develop an investigation on the parents' experience about the readmission of the child/adolescent in the Pediatric Emergency Service of the Local Health Unit of Castelo Branco - Amato Lusitano Hospital. Methodology: Explanation and critical reflection on the competences developed during the internships in Pediatrics, Neonatology and Child and Family Health, supported by bibliographical research and scientific evidence, giving strength to the learning acquired during the internships. Presentation of a qualitative, descriptive and phenomenological study on the experience of parents about the readmission of the child/adolescent in the Pediatric Emergency Service of the Local Health Unit of Castelo Branco - Amato Lusitano Hospital, through interviews with the parents of children/adolescent who had readmission episodes in november and december 2022. Results: The formative process in the context of internships was based on reflective practice and scientific evidence and allowed the development and improvement of common skills of the Specialist Nurse and specific skills of the Child and Pediatric Health Specialist Nurse. Concerning the results of the investigation, these indicate that the parents' experience about the readmission of the child/adolescent in the Pediatric Emergency Service of the Local Health Unit of Castelo Branco - Amato Lusitano Hospital is mainly due to the belief that the child's clinical situation is not improving, that is, to the concern for the state of the child's health and consequent anxiety. A positive opinion stands out about the care provided by the health professionals of the respective service, considering them caring and dedicated, giving confidence in the care provided. Conclusion: Child and Pediatric Health Specialist Nurse intervention in providing care to children/adolescent and their families, using a conceptual model centered on children/adolescent and their families, translates into providing care at an advanced level, with safety, competence and satisfaction. In this sense, it was essential to define objectives and plan activities for the respective internships, and to incorporate skills conducive to specialized practice. The investigation allowed to infer that the intervention aimed at reducing Pediatric Emergency Service readmission rates is quite complex, since there are multiple factors that encourage the inappropriate use. Keywords: nurse's role; internship; life change events; pediatric emergency medicine; pediatric nursing.
Abstract Background: Nursing, as a science, requires the continuous development of skills, both professional and investigation, in order to conceive a solid body of knowledge on which to base the quality of care provided to children/adolescent and their families. In this way, both the different internships and the investigative method contributed to the success of the formative process. Objectives: Evidence of the acquisition of common and specific skills of the Child and Pediatric Health Specialist Nurse, reflecting on the training course carried out in the internships; to develop an investigation on the parents' experience about the readmission of the child/adolescent in the Pediatric Emergency Service of the Local Health Unit of Castelo Branco - Amato Lusitano Hospital. Methodology: Explanation and critical reflection on the competences developed during the internships in Pediatrics, Neonatology and Child and Family Health, supported by bibliographical research and scientific evidence, giving strength to the learning acquired during the internships. Presentation of a qualitative, descriptive and phenomenological study on the experience of parents about the readmission of the child/adolescent in the Pediatric Emergency Service of the Local Health Unit of Castelo Branco - Amato Lusitano Hospital, through interviews with the parents of children/adolescent who had readmission episodes in november and december 2022. Results: The formative process in the context of internships was based on reflective practice and scientific evidence and allowed the development and improvement of common skills of the Specialist Nurse and specific skills of the Child and Pediatric Health Specialist Nurse. Concerning the results of the investigation, these indicate that the parents' experience about the readmission of the child/adolescent in the Pediatric Emergency Service of the Local Health Unit of Castelo Branco - Amato Lusitano Hospital is mainly due to the belief that the child's clinical situation is not improving, that is, to the concern for the state of the child's health and consequent anxiety. A positive opinion stands out about the care provided by the health professionals of the respective service, considering them caring and dedicated, giving confidence in the care provided. Conclusion: Child and Pediatric Health Specialist Nurse intervention in providing care to children/adolescent and their families, using a conceptual model centered on children/adolescent and their families, translates into providing care at an advanced level, with safety, competence and satisfaction. In this sense, it was essential to define objectives and plan activities for the respective internships, and to incorporate skills conducive to specialized practice. The investigation allowed to infer that the intervention aimed at reducing Pediatric Emergency Service readmission rates is quite complex, since there are multiple factors that encourage the inappropriate use. Keywords: nurse's role; internship; life change events; pediatric emergency medicine; pediatric nursing.
Description
Keywords
Adolescente Conhecimentos, atitudes e prática em saúde Criança Enfermagem pediátrica Hospitais Pais Readmissão do doente Serviço de urgência hospitalar Adolescent Child Emergency service, hospital Health knowledge, attitudes, practice Hospitals Parents Patient readmission Pediatric nursing Castelo Branco Portugal