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Abstract(s)
Introdução: Os estágios são parte integrante dos cursos de pós-licenciatura de especialização em enfermagem e mestrado em enfermagem. A investigação constitui-se também como uma componente fundamental, ambas contribuindo para o desenvolvimento das competências inerentes à profissão. Desta forma, apresenta-se o percurso de formação nos estágios de Pediatria, Saúde Infantil e Familiar e de Neonatologia, e também todo o processo investigativo realizado.
Objetivos: Descrever e refletir sobre as atividades realizadas durante os estágios e aquisição de competências comuns e específicas, tendo por base os objetivos definidos; descrever e discutir os motivos que levam os adolescentes com perturbações mentais ao serviço de urgência e taxas de prevalência, com base na produção científica.
Metodologia: Na primeira parte do trabalho realizamos uma reflexão critica sobre as atividades desenvolvidas nos estágios para o desenvolvimento de competências especializadas e suportada na evidência científica. Na segunda parte apresentação de uma revisão narrativa cujo objetivo consistiu em verificar os motivos que levam os adolescentes com perturbações mentais ao serviço de urgência e taxas de prevalência.
Resultados: O percurso de formação realizado nos estágios em contexto de cuidados de saúde primários, na área da saúde infanto-juvenil e nos cuidados de saúde diferenciados, na área do internamento de pediatria e neonatologia, foi fundamental para a aquisição de conhecimentos, aptidões e competências do enfermeiro especialista em enfermagem de saúde infantil e pediátrica e mestre. Destacamos o aprimorar das competências para prestar cuidados de excelência ao recém-nascido/criança/jovem e família. Os resultados da revisão narrativa demonstram um claro aumento do recurso aos serviços de urgência por parte de adolescentes com problemas de saúde mental, nomeadamente: transtornos alimentares, depressão, perturbação obsessivo-compulsiva, ansiedade, trauma, elevados níveis de stresse e perturbações do humor. Estas evidências representam um desafio significativo para os serviços de urgência que têm de responder a uma procura crescente por parte desta população pediátrica, havendo a necessidade de uma maior coordenação entre a assistência social, os serviços de saúde mental dos adolescentes e os serviços de urgência.
Conclusão: Foi possível com este trabalho responder aos objetivos propostos e desenvolver com sucesso as competências previstas. Neste relatório reflete-se também as implicações deste percurso formativo para a prática profissional. A investigação permitiu um conhecimento baseado em evidências, que ajudam a planear e implementar intervenções personalizadas para cada adolescente, auxiliando-o numa fase da sua vida, por si só, tão complexa.
Palavras-chave: adolescentes; transtornos mentais; serviço de urgência; enfermagem.
Abstract Introduction: Internships are an integral part of postgraduate specialization courses in nursing and master's degrees in nursing. Research is also a fundamental component, both of which contribute to the development of skills inherent to the profession. In this way, we present the training pathway in the Pediatrics, Child and Family Health and Neonatology internships, as well as the entire research process carried out. Objectives: To describe and reflect on the activities carried out during the internships and the acquisition of common and specific skills, based on the defined objectives; to describe and discuss the reasons that lead adolescents with mental disorders to the emergency department and prevalence rates, based on scientific production. Methodology: In the first part of the paper, we critically reflect on the activities carried out during the internships to develop specialized skills, supported by scientific evidence. In the second part, we presented a narrative review whose objective was to verify the reasons that lead adolescents with mental disorders to the emergency department and prevalence rates. Results: The training carried out in primary health care, in the area of child and adolescent health, and in differentiated health care, in the area of pediatrics and neonatology, was fundamental for the acquisition of knowledge, skills and competences of the specialist nurse in child and pediatric health nursing and master. We highlight the improvement of skills to provide excellent care to the newborn/child/young person and family. The results of the narrative review show a clear increase in the use of emergency services by adolescents with mental health problems, namely eating disorders, depression, obsessive compulsive disorder, anxiety, trauma, high levels of stress and mood disorders. This evidence represents a significant challenge for emergency services which have to respond to the growing demand from this pediatric population, and there is a need for greater coordination between social care, adolescent mental health services and emergency services. Conclusion: It was possible with this work to meet the proposed objectives and successfully develop the expected competencies. This report also reflects the implications of this training course for professional practice. The research has provided knowledge based on evidence, which helps to plan and implement personalized interventions for each adolescent, helping them in a phase of their life that is in it so complexe. Keywords: adolescents ; mental disorders; emergency department ; nursing
Abstract Introduction: Internships are an integral part of postgraduate specialization courses in nursing and master's degrees in nursing. Research is also a fundamental component, both of which contribute to the development of skills inherent to the profession. In this way, we present the training pathway in the Pediatrics, Child and Family Health and Neonatology internships, as well as the entire research process carried out. Objectives: To describe and reflect on the activities carried out during the internships and the acquisition of common and specific skills, based on the defined objectives; to describe and discuss the reasons that lead adolescents with mental disorders to the emergency department and prevalence rates, based on scientific production. Methodology: In the first part of the paper, we critically reflect on the activities carried out during the internships to develop specialized skills, supported by scientific evidence. In the second part, we presented a narrative review whose objective was to verify the reasons that lead adolescents with mental disorders to the emergency department and prevalence rates. Results: The training carried out in primary health care, in the area of child and adolescent health, and in differentiated health care, in the area of pediatrics and neonatology, was fundamental for the acquisition of knowledge, skills and competences of the specialist nurse in child and pediatric health nursing and master. We highlight the improvement of skills to provide excellent care to the newborn/child/young person and family. The results of the narrative review show a clear increase in the use of emergency services by adolescents with mental health problems, namely eating disorders, depression, obsessive compulsive disorder, anxiety, trauma, high levels of stress and mood disorders. This evidence represents a significant challenge for emergency services which have to respond to the growing demand from this pediatric population, and there is a need for greater coordination between social care, adolescent mental health services and emergency services. Conclusion: It was possible with this work to meet the proposed objectives and successfully develop the expected competencies. This report also reflects the implications of this training course for professional practice. The research has provided knowledge based on evidence, which helps to plan and implement personalized interventions for each adolescent, helping them in a phase of their life that is in it so complexe. Keywords: adolescents ; mental disorders; emergency department ; nursing
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Keywords
Adolescente Enfermagem pediátrica Perturbações mentais Revisão Saúde mental Serviço de urgência hospitalar Adolescent Emergency service, hospital Mental disorders Mental health Pediatric nursing Review