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Authors
Advisor(s)
Abstract(s)
Introdução: A qualidade do sono é essencial para o bem-estar da criança e influenciador na
recuperação e funcionamento do organismo. A nível hospitalar, é reconhecido o impacto que o
internamento tem na criança/adolescente e família e num conjunto de atividades de vida,
nomeadamente no sono. Durante a hospitalização da criança, um elevado número de fatores
que interrompem o sono surge de causas externas que são potencialmente modificáveis. E como
tal, durante o percurso formativo, foi imperioso pesquisar medidas que sejam adotadas no
sentido de minimizar este impacto.
Objetivos: Descrever as atividades realizadas nos diversos contextos de estágio; refletir sobre
as práticas com vista ao desenvolvimento de competências comuns e específicas de enfermeiro
especialista em saúde infantil e pediátrica e mapear as intervenções não farmacológicas
realizadas para a promoção do sono em crianças hospitalizadas com recurso a uma revisão
scoping
Metodologia: Os contextos de estágio e a aquisição de competências do EESIP são
apresentadas sobre o método descritivo e reflexivo. Por outro lado, e no sentido de mapear os
estudos existente sobre a promoção do sono da criança hospitalizada, foi realizada uma revisão
scoping através do método proposto pela Joanna Briggs Institute, com pesquisa em bases de
dados Pubmed, CINAHL e B-on e respeitando os critérios de inclusão e exclusão previamente
definidos. A seleção dos estudos, a extração e síntese dos dados foram realizadas por dois
revisores independentes.
Resultados: O estudo revela que as intervenções não farmacológicas para a promoção do sono
nas crianças hospitalizadas foram a massagem, a musicoterapia e o conto de histórias. A
massagem aumentou número de minutos de sono nos adolescentes que a receberam. A
aplicação de musica clássica aumentou a duração do sono diária e promoveu a indução do sono
das crianças. A musicoterapia e o conto de histórias foram efetivos no tratamento de distúrbios
do sono em crianças hospitalizadas. Nos cinco estudos incluídos na revisão ainda se apontaram
os fatores que provocam distúrbios do sono, nomeadamente, o ruído, a luminosidade e prestação
de cuidados pelos profissionais de saúde.
Conclusão: A alteração que o sono apresenta é, portanto, uma problemática no contexto da
criança hospitalizada e, este problema, exige a implementação de medidas que o minimizem.
Os resultados revelaram que as intervenções não farmacológicas mostraram benefícios na
minimização de distúrbios de sono aquando a hospitalização da criança. Estes resultados têm
implicações clínicas prováveis, pelo que as instituições e os Enfermeiros Especialistas em
Saúde Infantil e Pediátrica devem adotar medidas nas suas práticas e rotinas que promovam o
sono e, consequentemente, o bem-estar e a recuperação destas crianças.
Palavras-Chave: Criança, sono, estratégia não farmacológica, hospitalização.
Abstratct Introduction: The quality of sleep is essential for the child's well-being and influences the body's recovery and functioning. At hospital level, it is recognised the impact that hospitalisation has in the child/adolescent and family and on a set of life activities, namely the slumber. During the child's hospitalisation, a huge number of factors that interrupt sleep arise from external causes that are potentially changeable. Thus, during the formative journey, it was imperative to research which measures could be adopted to minimize this impact. Objectives: To describe the activities carried out in the different internship settings; to reflect on the practices with a view to the development of common and specific skills of specialist nurses in child health and pediatrics and to map the non-pharmacological interventions performed for the promotion of sleep in hospitalized children using a scoping review. Methodology: Descriptive and reflective of the activities accomplished in the different clinical training contexts; to reflect on the practices aimed at developing common and specific skills of nurse specialist in child and paediatric health on the course developed within the Specialized practice and scoping review according to the Joanna Briggs Institute’s method. An initial research will be conducted in PubMed, CINAHL e B-on, followed by a second research for published and unpublished studies from 2015 to 2021 in the main electronic databases related to healthcare, according to the previously defined inclusion criteria. Study selection, data extraction, and data synthesis were performed by two independent reviewers. Results: The study reveals that the non-pharmacological interventions for promoting sleep in hospitalized children were massage, music therapy, and storytelling. Massage increased the number of minutes of sleep in the adolescents who received it. The application of classical music increased daily sleep duration and promoted sleep induction in children. Music therapy and storytelling were effective in treating sleep disorders in hospitalized children. The five studies included in the review also pointed out the factors that cause sleep disorders, namely noise, luminosity and care provided by health professionals. Conclusion: Sleep disturbances are, therefore, a problematic issue in the context of hospitalized children, and this problem requires the implementation of measures to minimize them. The results revealed that non-pharmacological interventions showed benefits in minimizing sleep disturbances during the child's hospitalization. These results have probable clinical implications, so institutions and Nurse Specialists in Child Health and Paediatrics should adopt measures in their practices and routines that promote sleep and, consequently, the well-being and recovery of these children. Keywords: child, sleep, non-pharmacological strategy, hospitalisation.
Abstratct Introduction: The quality of sleep is essential for the child's well-being and influences the body's recovery and functioning. At hospital level, it is recognised the impact that hospitalisation has in the child/adolescent and family and on a set of life activities, namely the slumber. During the child's hospitalisation, a huge number of factors that interrupt sleep arise from external causes that are potentially changeable. Thus, during the formative journey, it was imperative to research which measures could be adopted to minimize this impact. Objectives: To describe the activities carried out in the different internship settings; to reflect on the practices with a view to the development of common and specific skills of specialist nurses in child health and pediatrics and to map the non-pharmacological interventions performed for the promotion of sleep in hospitalized children using a scoping review. Methodology: Descriptive and reflective of the activities accomplished in the different clinical training contexts; to reflect on the practices aimed at developing common and specific skills of nurse specialist in child and paediatric health on the course developed within the Specialized practice and scoping review according to the Joanna Briggs Institute’s method. An initial research will be conducted in PubMed, CINAHL e B-on, followed by a second research for published and unpublished studies from 2015 to 2021 in the main electronic databases related to healthcare, according to the previously defined inclusion criteria. Study selection, data extraction, and data synthesis were performed by two independent reviewers. Results: The study reveals that the non-pharmacological interventions for promoting sleep in hospitalized children were massage, music therapy, and storytelling. Massage increased the number of minutes of sleep in the adolescents who received it. The application of classical music increased daily sleep duration and promoted sleep induction in children. Music therapy and storytelling were effective in treating sleep disorders in hospitalized children. The five studies included in the review also pointed out the factors that cause sleep disorders, namely noise, luminosity and care provided by health professionals. Conclusion: Sleep disturbances are, therefore, a problematic issue in the context of hospitalized children, and this problem requires the implementation of measures to minimize them. The results revealed that non-pharmacological interventions showed benefits in minimizing sleep disturbances during the child's hospitalization. These results have probable clinical implications, so institutions and Nurse Specialists in Child Health and Paediatrics should adopt measures in their practices and routines that promote sleep and, consequently, the well-being and recovery of these children. Keywords: child, sleep, non-pharmacological strategy, hospitalisation.
Description
Keywords
Competência clínica Competência profissional Criança Enfermagem pediátrica Hospitalização Revisão Sono Child Clinical competence Hospitalization Pediatric nursing Professional competence Review Sleep