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Abstract(s)
Introdução: Para que os utentes possam integrar na Rede Nacional de Cuidados Continuados
Integrados (RNCCI), implica a concretização do processo de referenciação, para o que muito
contribui um trabalho em equipa multidisciplinar, na qual cada elemento desempenha funƧƵes e
competências diferenciadas, para que se consiga alcançar a qualidade dos cuidados à pessoa, numa
dimensĆ£o holĆstica. Objetivos: Identificar os nĆveis de conhecimento dos Enfermeiros das Unidades
de Cuidados Continuados Integrados sobre o processo de referenciação para outras unidades da
Rede Nacional de Cuidados Continuados Integrados e identificar as variƔveis que interferem com
esses conhecimentos. MƩtodos: Estudo quantitativo, de natureza transversal, descritivocorrelacional.
Foram inquiridos 49 enfermeiros a exercer funƧƵes nas Unidades de Cuidados
Continuados Integrados, com uma idade média de 28 anos (±6,942). Para a recolha de dados
utilizou-se um protocolo constituĆdo por questƵes de caracterização sociodemogrĆ”fica e profissional
relativas à formação dos enfermeiros sobre Cuidados Continuados Integrados e a importância que
atribuem aos mesmos. Foram construĆdas questƵes dicotómicas (verdadeiro/ falso) para avaliar
conhecimentos sobre a RNCCI. Utlizada āEscala Multi-Factorial de Motivação no Trabalhoā (Ferreira
et al., 2006) que permite medir as vÔrias dimensões de motivação no local de trabalho. Em todo o
procedimento foram consideradas as questƵes Ć©ticas. Resultados: PrevalĆŖncia de um nĆvel de
razoÔveis conhecimentos sobre a referenciação na RNCCI (34,7%), seguindo-se os enfermeiros com
fracos e bons conhecimentos, com idĆŖntico valor percentual (32,7%, respetivamente). Os resultados
mostram que os enfermeiros reconhecem a importância do papel por eles desempenhado, com
apenas 34,7% que jÔ realizaram formação nesta Ôrea. Os enfermeiros que exercem funções numa
Unidade de ConvalescenƧa revelam mais conhecimentos acerca dos conceitos gerais sobre a
RNCCI, os que exercem funções numa Unidades de Média Duração e Reabilitação possuem mais
conhecimentos sobre as equipas e unidade de prestação de cuidados e acerca do processo
de referenciação de utentes na RNCCI, com diferença estatisticamente significativa nos
conhecimentos relativos às equipas e unidade de prestação de cuidados (p=0,010). Conclusão: A
prĆ”tica clĆnica especializada bem como a investigação na Ć”rea de enfermagem permitem o
desenvolvimento de competĆŖncias. O enfermeiro especialista deve possuir um nĆvel de
conhecimentos especĆficos para fazer face Ć s situaƧƵes de maior complexidade e dando resposta Ć s
necessidades dos utentes, nomeadamente a referenciação.
Palavras-chave: Rede Nacional de Cuidados Continuados Integrados; Unidade de Cuidados
Continuados Integrados; Enfermagem ComunitƔria; Conhecimentos; Enfermeiros
Abstract Introduction: In order for users to be integrated into the National Network for Continuous Care (RNCCI), the referral process must be carried out. Multidisciplinary teamwork, in which each member has differentiated functions and skills, contributes to achieving the quality of care to the person, within a holistic dimension. Objectives: To identify the levels of knowledge of nurses working in Integrated Long-term Care Units about the referral process to other units of the National Network for Integrated Long-term Care and identify the variables that interfere with this knowledge. Methods: Quantitative, cross-sectional, descriptive-correlational study. Forty-nine nurses working in Integrated Long Term Care Units were surveyed, with a average age of 28 years (±6.942). For data collection, we used a protocol composed of questions on sociodemographic and professional characterization regarding nurses' training on Integrated Long-term Care and the importance they assign to it. Dichotomous questions (true/false) were constructed to assess knowledge about the RNCCI. The "Multi-Factorial Work Motivation Scale" (Ferreira et al., 2006) was used to measure the various dimensions of motivation in the workplace. Ethical issues were considered throughout the procedure. Results: Prevalence of a reasonable level of knowledge about RNCCI referral (34.7%), followed by nurses with poor and good knowledge, with the same percentage value (32.7%, respectively). The results show that nurses recognize the importance of the role they play, with only 34.7% who have already undergone training in this area. The nurses who work in a Convalescence Unit have more knowledge about the general concepts of the RNCCI, while those who work in a Medium-Duration and Rehabilitation Unit have more knowledge about the teams and care unit and about the referral process of users in the RNCCI, with a statistically significant difference in the knowledge about the teams and care unit (p=0.010). Conclusion: Specialized clinical practice and research in nursing allow for the development of specialized skills. The specialist nurse must have a specific level of knowledge to deal with more complex situations and respond to the needs of users, including referral. Keywords: National Network for Integrated Continuous Care; Integrated Continuous Care Unit; Community Nursing; Knowledge; Nurses.
Abstract Introduction: In order for users to be integrated into the National Network for Continuous Care (RNCCI), the referral process must be carried out. Multidisciplinary teamwork, in which each member has differentiated functions and skills, contributes to achieving the quality of care to the person, within a holistic dimension. Objectives: To identify the levels of knowledge of nurses working in Integrated Long-term Care Units about the referral process to other units of the National Network for Integrated Long-term Care and identify the variables that interfere with this knowledge. Methods: Quantitative, cross-sectional, descriptive-correlational study. Forty-nine nurses working in Integrated Long Term Care Units were surveyed, with a average age of 28 years (±6.942). For data collection, we used a protocol composed of questions on sociodemographic and professional characterization regarding nurses' training on Integrated Long-term Care and the importance they assign to it. Dichotomous questions (true/false) were constructed to assess knowledge about the RNCCI. The "Multi-Factorial Work Motivation Scale" (Ferreira et al., 2006) was used to measure the various dimensions of motivation in the workplace. Ethical issues were considered throughout the procedure. Results: Prevalence of a reasonable level of knowledge about RNCCI referral (34.7%), followed by nurses with poor and good knowledge, with the same percentage value (32.7%, respectively). The results show that nurses recognize the importance of the role they play, with only 34.7% who have already undergone training in this area. The nurses who work in a Convalescence Unit have more knowledge about the general concepts of the RNCCI, while those who work in a Medium-Duration and Rehabilitation Unit have more knowledge about the teams and care unit and about the referral process of users in the RNCCI, with a statistically significant difference in the knowledge about the teams and care unit (p=0.010). Conclusion: Specialized clinical practice and research in nursing allow for the development of specialized skills. The specialist nurse must have a specific level of knowledge to deal with more complex situations and respond to the needs of users, including referral. Keywords: National Network for Integrated Continuous Care; Integrated Continuous Care Unit; Community Nursing; Knowledge; Nurses.
Description
Keywords
Competência profissional Conhecimentos, atitudes e prÔtica em saúde Enfermagem de saúde comunitÔria Enfermeiros Prestação integrada de cuidados de saúde Programas nacionais de saúde Referência e consulta Portugal Community health nursing Delivery of health care, integrated Health knowledge, attitudes, practice National health programs Nurses Professional competence Referral and consultation