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O enfermeiro de ambulância de suporte imediato de vida : Relação das competências com o ambiente da prática de cuidados e o nível do stresse
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| 1.87 MB | Adobe PDF |
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Abstract(s)
Introdução: O presente relatório expõe, em primeiro lugar, as competências adquiridas e atividades realizadas nos estágios; em segundo lugar, o trabalho de investigação.
Objetivo: Verificar se existe relação entre as competências, o ambiente da prática de cuidados e o nível de stresse vivenciado pelo enfermeiro de Ambulância de Suporte Imediato de Vida (SIV).
Metodologia: Estudo de natureza quantitativa, descritiva e correlacional em coorte transversal. Amostra de 57 enfermeiros de ambulância SIV em Portugal Continental, maioritariamente masculina (63,2%) e com média de 39,56±6,24 anos de idade. Neste estudo foram utilizadas três escalas: i) Escala Competências de Enfermeiro de Ambulância, adaptação por Camelo e Martins, 2022; ii) Escala de Ansiedade, Depressão e Stress (EADS) de 21 itens de Lovibond e Lovibond; e iii) Escala “Indicadores de Qualidade do Ambiente da Prática de Enfermagem (IQN-WE-PT)”, adaptação por Sousa, 2021.
Resultados: As Situações de emergência médica, acidente, crise e exceção obteve o maior score (84,83%), refletindo a maior competência percebida pelos enfermeiros de ambulância SIV nesta área. Em contrapartida, a Investigação e desenvolvimento profissional teve o menor score; nível médio mais elevado de stresse (3,37±2,57). O indicador com maior valor foi “Suporte à equipa e desenvolvimento profissional” (42,77±7,97) e o mais baixo “Ambiente de trabalho seguro em enfermagem” (15,30±4,30).
Conclusão: O estudo mostra que o apoio organizacional surge como um fator chave para a autoperceção positiva das competências em ambulância SIV. Os sistemas de trabalho eficazes e remuneração adequada são preditores de bem-estar e desempenho profissional dos enfermeiros.
Palavras-chave: Enfermeiro; Ambulância; Competências; Stresse; Enfermagem Médico-Cirúrgica.
Abstract Introduction: This report sets out, firstly, the skills acquired and activities carried out during the internships and, secondly, the research report. Objective: To evaluate whether there is a relationship between competences the care practice environment and the level of stress experienced by Immediate Life Support (ILS) ambulance nurses. Methodology: Quantitative, descriptive and correlational cross-sectional cohort study. Sample of 57 SIV ambulance nurses in mainland Portugal, mostly male (63.2%) and with an average age of 39.56±6.24 years. Three scales were used in this study: i) the Ambulance Nurse Competencies (ANC) Scale, adapted by Camelo and Martins, 2022; ii) the 21-item Anxiety, Depression and Stress Scale (EADS) by Lovibond and Lovibond; and iii) the ‘Quality Indicators of the Nursing Practice Environment (IQN-WE-PT)’ scale, adapted by Sousa, 2021. Results: Medical emergency, accident, crisis and exception situations obtained the highest score (84.83%), reflecting the greater competence perceived by ILS ambulance nurses in this area. In contrast, Research and professional development had the lowest score; a higher average level of stress (3.37±2.57). The indicator with the highest value was ‘Team support and professional development’ (42.77±7.97) and the lowest ‘Safe working environment in nursing’ (15.30±4.30). Conclusion: The study shows that organisational support emerges as a key factor in the positive self-perception of ILS ambulance competences. Effective work systems and adequate remuneration were predictors of nurses' well-being and professional performance. Keywords: Nurse; Ambulance; Competences; Stress; Medical-Surgical Nursing.
Abstract Introduction: This report sets out, firstly, the skills acquired and activities carried out during the internships and, secondly, the research report. Objective: To evaluate whether there is a relationship between competences the care practice environment and the level of stress experienced by Immediate Life Support (ILS) ambulance nurses. Methodology: Quantitative, descriptive and correlational cross-sectional cohort study. Sample of 57 SIV ambulance nurses in mainland Portugal, mostly male (63.2%) and with an average age of 39.56±6.24 years. Three scales were used in this study: i) the Ambulance Nurse Competencies (ANC) Scale, adapted by Camelo and Martins, 2022; ii) the 21-item Anxiety, Depression and Stress Scale (EADS) by Lovibond and Lovibond; and iii) the ‘Quality Indicators of the Nursing Practice Environment (IQN-WE-PT)’ scale, adapted by Sousa, 2021. Results: Medical emergency, accident, crisis and exception situations obtained the highest score (84.83%), reflecting the greater competence perceived by ILS ambulance nurses in this area. In contrast, Research and professional development had the lowest score; a higher average level of stress (3.37±2.57). The indicator with the highest value was ‘Team support and professional development’ (42.77±7.97) and the lowest ‘Safe working environment in nursing’ (15.30±4.30). Conclusion: The study shows that organisational support emerges as a key factor in the positive self-perception of ILS ambulance competences. Effective work systems and adequate remuneration were predictors of nurses' well-being and professional performance. Keywords: Nurse; Ambulance; Competences; Stress; Medical-Surgical Nursing.
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Ambulâncias Competência profissional Enfermagem de cuidados críticos Enfermagem médico cirúrgica Serviços médicos de urgência Stresse psicológico Ambulances Critical care nursing Emergency medical services Medical surgical nursing Professional competence Stress psychological
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