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Advisor(s)
Abstract(s)
O presente relatório surge no âmbito da Unidade Curricular “Estágio com Relatório
Final em Contexto de Urgência e em contexto de Cuidados Intensivos inserida no plano de
estudos do Curso de Mestrado e Pós-Licenciatura de Especialização em Enfermagem
Médico-Cirúrgica da Escola Superior de Saúde de Viseu. Ao longo do mesmo foi
sistematizado o percurso desenvolvido durante este período na aquisição de Competências
Comuns e Específicas do Enfermeiro Especialista em Enfermagem Médico Cirúrgica. No
contexto do percurso académico, além das diferentes unidades curriculares teóricas, tive a
oportunidade de realizar um conjunto experiências em dois contextos de estágio distintos,
essenciais para o desenvolvimento de competências especializadas, conjugadas com a
minha experiência prévia nesta área de intervenção. O primeiro estágio ocorreu no Serviço
de Urgência Geral e o segundo na Unidade de Cuidados Intensivos do CHTV.
A reflexão acerca das competências comuns e especificas, que se encontram
descritas, demonstrou ser muito construtiva e enriquecedora, contribuindo para a perceção
das minhas capacidades enquanto futura Enfermeira Especialista.
Os objetivos definidos em cada um dos estágios foram atingidos, e as atividades
desenvolvidas para a sua concretização foram adequadas. Os estágios foram uma
oportunidade para a aquisição de novos conhecimentos e competências.
A investigação desenvolvida que culminou na elaboração de um artigo com o tema
Níveis de Literacia em Saúde nos Doentes Renais Crónicos em estadio 4 e 5 e seus
preditores, a escolha recaiu na área nefrologia /Diálise à qual me dedico nos últimos 20
anos.
Introdução: A literacia em saúde melhora a saúde das populações e permite uma
melhor utilização dos serviços. Esta dimensão dos resultados em saúde assume particular
relevo quando aplicada à gestão da doença crónica, pelo potencial de impacto que a mesma
tem na morbimortalidade e na qualidade de vida.
Objetivos: Descrever os níveis e determinar os preditores de literacia em saúde nos
doentes com doença renal crónica.
Métodos: Estudo não-experimental, quantitativo, transversal e de caráter descritivocorrelacional,
realizado na Consulta de Esclarecimento da Unidade de Diálise do Centro
Hospitalar Tondela Viseu. A análise dos dados teve por base estatística descritiva e foi
realizado um modelo de regressão linear multivariado com recurso ao método Forward.
Resultados: Foram incluídos 125 doentes, maioritariamente do género masculino
(65,4%), com uma idade média de 63,46 anos (±14,64 anos). Prevalecem os doentes com
literacia em saúde problemática (35,5%), seguindo-se os que revelam literacia em saúde
inadequada (31,5%). Nas mulheres prevalecem níveis mais elevados de literacia em saúde
inadequada (36,4%) e, nos homens, de literacia em saúde problemática (36,2%). As
habilitações literárias e o género são preditores da literacia em saúde com efeitos positivos
moderados a baixos (β=0,47 e β=0,13, respetivamente) e a idade com efeitos negativos
baixos (β=-0,20).
Conclusões: Considera-se imprescindível a implementação de estratégias que
promovam mais literacia em saúde em pessoas com doença renal crónica, para que adotem
comportamentos de adesão e de tratamento com resultados positivos na sua saúde.
Palavras-chave: Enfermeiro Especialista, Desenvolvimento de Competências;
Cuidados de enfermagem especializados; Pessoa em Situação Crítica.
Abstract This report comes within the scope of the Curricular Unit “Internship with Final Report in an Emergency Context and in the context of Intensive Care, inserted in the syllabus of the master’s degree and Post-Licentiate Specialization Course in Medical-Surgical Nursing at the Superior School of Health of Viseu. During the course, the path developed during this period in the acquisition of Common and Specific Skills of the Specialist Nurse in Medical- Surgical Nursing was systematized. Along this academic path, in addition to the different theoretical curricular units, I had the opportunity to carry out a set of experiences in two distinct internship contexts, essential for the development of specialized skills, combined with my previous experience in this area of intervention. The first stage took place at the General Emergency Service and the second at the Intensive Care Unit of CHTV. The reflection about the common and specific competences, which are described, proves to be very constructive and enriching, contributing to the perception of my abilities as a future Specialist Nurse. The objectives defined in each of the stages were achieved, and the activities developed to achieve them were adequate. The internships were an opportunity to acquire new knowledge and skills. The research developed that culminated in the elaboration of an article, the theme Health Literacy levels in stage 4 and 5 Chronic Kidney Disease patients and their preditors. The Theme chosen was in the area of nephrology/dialysis to which I have been dedicated for the last 20 years. Introduction: Health literacy improves population health and enables better use of services. This dimension of health outcomes is particularly relevant when applied to chronic disease management, due to its potential impact on morbidity and mortality and quality of life. Objetives: To describe the levels and determine the predictors of health literacy in patients with chronic kidney disease. Methods: A non-experimental, quantitative, cross-sectional descriptive-correlational study was conducted at the Clarification Consultation of the Dialysis Unit of the Centro Hospitalar Tondela Viseu. Data analysis was based on descriptive statistics and a multivariate linear regression model was performed using the Forward method. Results: We included 125 patients, mostly males (65.4%), with a mean age of 63.46 years (±14.64 years). Problematic health literacy prevails (35.5%), followed by inadequate health literacy (31.5%). Higher levels of inadequate health literacy (36.4%) prevail among females, and problematic health literacy (36.2%) among males. Education and gender are predictors of health literacy with moderate to low positive effects (β=0.47 and β=0.13, respectively) and age with low negative effects (β=-0.20). Conclusion: The implementation of strategies to promote more health literacy in people with chronic kidney disease is essential for them to adopt adherence and treatment behaviours with positive health outcomes. Keywords: Specialist Nurse, Skills development; Specialized nursing care; Person in Critical Situation.
Abstract This report comes within the scope of the Curricular Unit “Internship with Final Report in an Emergency Context and in the context of Intensive Care, inserted in the syllabus of the master’s degree and Post-Licentiate Specialization Course in Medical-Surgical Nursing at the Superior School of Health of Viseu. During the course, the path developed during this period in the acquisition of Common and Specific Skills of the Specialist Nurse in Medical- Surgical Nursing was systematized. Along this academic path, in addition to the different theoretical curricular units, I had the opportunity to carry out a set of experiences in two distinct internship contexts, essential for the development of specialized skills, combined with my previous experience in this area of intervention. The first stage took place at the General Emergency Service and the second at the Intensive Care Unit of CHTV. The reflection about the common and specific competences, which are described, proves to be very constructive and enriching, contributing to the perception of my abilities as a future Specialist Nurse. The objectives defined in each of the stages were achieved, and the activities developed to achieve them were adequate. The internships were an opportunity to acquire new knowledge and skills. The research developed that culminated in the elaboration of an article, the theme Health Literacy levels in stage 4 and 5 Chronic Kidney Disease patients and their preditors. The Theme chosen was in the area of nephrology/dialysis to which I have been dedicated for the last 20 years. Introduction: Health literacy improves population health and enables better use of services. This dimension of health outcomes is particularly relevant when applied to chronic disease management, due to its potential impact on morbidity and mortality and quality of life. Objetives: To describe the levels and determine the predictors of health literacy in patients with chronic kidney disease. Methods: A non-experimental, quantitative, cross-sectional descriptive-correlational study was conducted at the Clarification Consultation of the Dialysis Unit of the Centro Hospitalar Tondela Viseu. Data analysis was based on descriptive statistics and a multivariate linear regression model was performed using the Forward method. Results: We included 125 patients, mostly males (65.4%), with a mean age of 63.46 years (±14.64 years). Problematic health literacy prevails (35.5%), followed by inadequate health literacy (31.5%). Higher levels of inadequate health literacy (36.4%) prevail among females, and problematic health literacy (36.2%) among males. Education and gender are predictors of health literacy with moderate to low positive effects (β=0.47 and β=0.13, respectively) and age with low negative effects (β=-0.20). Conclusion: The implementation of strategies to promote more health literacy in people with chronic kidney disease is essential for them to adopt adherence and treatment behaviours with positive health outcomes. Keywords: Specialist Nurse, Skills development; Specialized nursing care; Person in Critical Situation.
Description
Keywords
Competência clínica Protocolos clínicos Revisão Sépsis Serviço de urgência hospitalar Unidades de cuidados intensivos Clinical competence Clinical protocols Emergency service, hospital Intensive care, units Review Sepsis