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Perceção dos enfermeiros sobre a presença dos pais durante a prestação de cuidados invasivos à criança
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Introdução: Este relatório integra a experiência prática e teórica desenvolvida ao longo do Mestrado em Enfermagem de Saúde Infantil e Pediátrica, contemplando três contextos clínicos diferenciados: neonatologia, internamento cirúrgico e cuidados intensivos pediátricos; e uma componente de investigação centrada na perceção dos enfermeiros sobre a presença dos pais durante a prestação de cuidados invasivos à criança.
Objetivos: Descrever os contextos da prática clínica e as atividades realizadas nos estágios, refletir criticamente sobre o contributo dessas experiências no desenvolvimento de
competências comuns e específicas do enfermeiro especialista em Saúde Infantil e Pediátrica, e identificar as perceções dos enfermeiros relativamente à presença parental em procedimentos invasivos.
Metodologia: Foi desenvolvido um estudo qualitativo, de caráter descritivo e exploratório, baseado na realização de um grupo focal com seis enfermeiros. A análise de conteúdo, segundo Bardin, permitiu identificar quatro categorias principais: a presença dos pais durante a prestação de cuidados invasivos, os elementos condicionantes dessa presença, os benefícios percecionados e as estratégias de apoio que favorecem a sua inclusão no processo de cuidar.
Resultados: Embora existam condicionantes organizacionais e emocionais, a presença dos pais pode representar um benefício para a criança e para a própria prática de enfermagem, desde que acompanhada por estratégias adequadas de suporte.
Conclusão: A uniformização de práticas, a formação contínua dos profissionais, a adaptação estrutural e cultural dos contextos de cuidados e a adequação dos rácios de enfermeiros
constituem recomendações fundamentais para promover um cuidado mais humanizado, colaborativo e centrado na família.
Palavras-chave: procedimentos invasivos, enfermagem pediátrica, pais, cuidados de enfermagem, cuidado da criança
Abstract Introduction: This report integrates the theoretical and practical experience acquired throughout the Master's in Child and Pediatric Health Nursing. covering three different clinical contexts: neonatology, surgical inpatient care, and pediatric intensive care; and a research component focused on nurses' perceptions regarding the parents presence during the provision of invasive care to children. Objectives: describe the context of the clinical practice and the activities carried out during the internships; critically reflect on the contribution of these experiences to the development of the common and specific competencies of the specialist nurse in Child and Pediatric Health; and identify nurses' perceptions regarding parental presence during invasive procedures. Methodology: A qualitative, descriptive and exploratory study was developed, based on conducting a focus group with six nurses. The content analysis, as per Bardin's method, allowed the identification of four main categories: the parents presence during the provision of invasive care, the conditioning factors of their presence, the perceived benefits, and the support strategies that favor their inclusion in the care process. Results: Although organizational and emotional constraints exist, the parents presence can represent a benefit for the child and also for nursing practice itself, as long as it is accompanied by adequate support strategies. Conclusion: The standardization of practices, the continuous professional training, the structural and cultural adaptation of care settings, and the adequacy of nurse-to-patient ratios are fundamental recommendations for promoting more humanized, collaborative, and familycentered care Keywords: invasive procedures, pediatric nursing, parents, nursing care, child care.
Abstract Introduction: This report integrates the theoretical and practical experience acquired throughout the Master's in Child and Pediatric Health Nursing. covering three different clinical contexts: neonatology, surgical inpatient care, and pediatric intensive care; and a research component focused on nurses' perceptions regarding the parents presence during the provision of invasive care to children. Objectives: describe the context of the clinical practice and the activities carried out during the internships; critically reflect on the contribution of these experiences to the development of the common and specific competencies of the specialist nurse in Child and Pediatric Health; and identify nurses' perceptions regarding parental presence during invasive procedures. Methodology: A qualitative, descriptive and exploratory study was developed, based on conducting a focus group with six nurses. The content analysis, as per Bardin's method, allowed the identification of four main categories: the parents presence during the provision of invasive care, the conditioning factors of their presence, the perceived benefits, and the support strategies that favor their inclusion in the care process. Results: Although organizational and emotional constraints exist, the parents presence can represent a benefit for the child and also for nursing practice itself, as long as it is accompanied by adequate support strategies. Conclusion: The standardization of practices, the continuous professional training, the structural and cultural adaptation of care settings, and the adequacy of nurse-to-patient ratios are fundamental recommendations for promoting more humanized, collaborative, and familycentered care Keywords: invasive procedures, pediatric nursing, parents, nursing care, child care.
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Atitude do pessoal de saúde Criança Cuidados de enfermagem Enfermagem pediátrica Enfermeiros Pais Attitude of health personnel Child Nurses Nursing care Parents Pediatric nursing
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