| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 6.19 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: A diferenciação e especialização por parte dos profissionais de
Enfermagem é cada vez mais importante em virtude da crescente exigência técnica e
científica dos cuidados de saúde. A ação do enfermeiro especialista ESIP deve dar resposta
às necessidades das crianças e famílias, com cuidados de nível avançado e promotores da
sua satisfação. Estes cuidados de nível avançado exigem do enfermeiro especialista
competências diferenciadas das do enfermeiro generalista.
Objetivos: Descrever e refletir sobre as atividades que conduziram à aquisição e/ou ao
desenvolvimento de competências na área de especialização em enfermagem de saúde
infantil e pediátrica. Conhecer, do ponto de vista dos enfermeiros especialistas, quais as
características e competências que possuem que os distinguem enquanto especialistas no
seu exercício profissional: i) descrever a perspetiva dos Enfermeiros Especialistas em
Enfermagem de Saúde Infantil e Pediátrica sobre as competências que distinguem o seu
exercício profissional especializado, ii) compreender o processo de desenvolvimento e
mobilização de competências específicas dos Enfermeiros Especialistas em Enfermagem de
Saúde Infantil e Pediátrica, que lhes permitem atuar de forma diferenciada, iii) refletir sobre a
valorização da prática clínica/profissional especializada.
Metodologia: Descritiva e reflexiva sobre o percurso de formação desenvolvido em
contexto de estágio. Para desenvolvimento do tema central foi realizada uma investigação de
análise qualitativa do tipo exploratório, com recurso a entrevistas em focus group numa
amostra não probabilística de dois grupos de 5 e 7 enfermeiros especialistas em ESIP, com
diferentes anos de serviço na área, tendo como suporte um guião. A análise dos discursos foi
efetuada por análise de conteúdo segundo a técnica de Bardin (2001).
Resultados: Da análise dos discursos foram identificadas três categorias principais:
“características diferenciadoras pela prática”, das quais emergiram, pelos discursos,
subcategorias enquadradas no domínio cognitivo, psicomotor e afetivo; “desenvolvimento de
competências específicas”, de onde sobressaíram subcategorias ligadas à experiência
profissional, à formação e características pessoais; da categoria “reconhecimento da prática
especializada”, emergiram sentimentos de valorização profissional sobretudo do ponto de
vista pessoal e da equipa e de desvalorização enquanto especialistas em ESIP,
especialmente associados ao aparente desconhecimento da categoria profissional pelos pais
e crianças.
Conclusão: O estudo permitiu conhecer algumas competências que os enfermeiros
especialistas consideram ser diferenciadoras, sobretudo associadas à formação formal
especializada e à experiência prática. Permitiu ainda perceber que estas competências são
valorizadas pelos próprios enfermeiros especialistas e pela equipa de enfermagem que
integram, sendo importante dar-lhes visibilidade também perante os pais e crianças.
Palavras-chave: Perfil de Competências de Enfermeiros; Competência Profissional;
Especialista; Enfermagem Pediátrica.
Abstract Background: The increasing scientific and technical demands of nursing care requires differentiation and specialisation of the nursing staff. The action of the paediatric clinical nurse specialist should be taken to meet the needs of the child and their family, through provision of high quality and satisfactory care. Providing such level of care requires from the specialist nurse different skills to those of a staff nurse. Aims and objectives: To outline and contemplate the activities that led to the acquisition and/or development of specialised paediatric skills. To understand, from the nurses' point of view, which skills and competencies distinguish them as specialists in their clinical practice: i) describe the specific competencies and skills which differentiate the specialist nurses; ii) understand how these specialized competencies and skills are acquired and applied for a distinct clinical practice; iii) reflect on the feelings of professional recognition which result from a specialised clinical practice. Methods: Descriptive and reflective essay of the learning gained from practical experience during clinical internship. A qualitative exploratory research was further conducted for data collection, resorting to focus group interview using a non-probabilistic sample of two groups of 5 to 7 paediatric specialist nurses with different years of experience, moderated by planned discussion questions and prompts. Bardin (2001) technique was used for content analysis. Results: Three distinctive categories were outlined following data analysis from the group discussions: first category relates to the differential features of the specialised practice, namely within the cognitive, psychomotor and affective domains; second category relates to the development of specific skills, from which subcategories related to professional experience, training and personal characteristics stood out; and the third category relates to professional recognition of the specialised practice, highlighting feelings of professional appreciation, mainly at a personal, familiar and teamwork level, but also feelings of devaluation associated with the apparent lack of knowledge of this professional speciality by parents and children. Conclusion: This study has outlined some specialised nursing competencies and skills acquired mainly through formal training and practical experience, which are considered by the paediatric specialist nurses as differentiators in clinical practice. It has also allowed a deeper understanding of how these competencies and skills are valued by the specialist nurses and the teams they integrate, highlighting however the further need of acknowledgement by parents and children. Keywords: Practice Nurse's Scopes; Professional Competence; Specialist, Pediatric Nursing.
Abstract Background: The increasing scientific and technical demands of nursing care requires differentiation and specialisation of the nursing staff. The action of the paediatric clinical nurse specialist should be taken to meet the needs of the child and their family, through provision of high quality and satisfactory care. Providing such level of care requires from the specialist nurse different skills to those of a staff nurse. Aims and objectives: To outline and contemplate the activities that led to the acquisition and/or development of specialised paediatric skills. To understand, from the nurses' point of view, which skills and competencies distinguish them as specialists in their clinical practice: i) describe the specific competencies and skills which differentiate the specialist nurses; ii) understand how these specialized competencies and skills are acquired and applied for a distinct clinical practice; iii) reflect on the feelings of professional recognition which result from a specialised clinical practice. Methods: Descriptive and reflective essay of the learning gained from practical experience during clinical internship. A qualitative exploratory research was further conducted for data collection, resorting to focus group interview using a non-probabilistic sample of two groups of 5 to 7 paediatric specialist nurses with different years of experience, moderated by planned discussion questions and prompts. Bardin (2001) technique was used for content analysis. Results: Three distinctive categories were outlined following data analysis from the group discussions: first category relates to the differential features of the specialised practice, namely within the cognitive, psychomotor and affective domains; second category relates to the development of specific skills, from which subcategories related to professional experience, training and personal characteristics stood out; and the third category relates to professional recognition of the specialised practice, highlighting feelings of professional appreciation, mainly at a personal, familiar and teamwork level, but also feelings of devaluation associated with the apparent lack of knowledge of this professional speciality by parents and children. Conclusion: This study has outlined some specialised nursing competencies and skills acquired mainly through formal training and practical experience, which are considered by the paediatric specialist nurses as differentiators in clinical practice. It has also allowed a deeper understanding of how these competencies and skills are valued by the specialist nurses and the teams they integrate, highlighting however the further need of acknowledgement by parents and children. Keywords: Practice Nurse's Scopes; Professional Competence; Specialist, Pediatric Nursing.
Description
Keywords
Competência clínica Competência Profissional Enfermagem pediátrica Clinical competence Pediatric nursing Professional competence