Advisor(s)
Abstract(s)
O Mestrado de Enfermagem, com especialização em Enfermagem Comunitária, visa a aquisição e desenvolvimento de competências para o exercício autónomo, autorrefletido e com
poder de ajuizamento crítico sobre os cuidados prestados e a sua qualidade ao nível dos cinco níveis de prevenção do cliente comunidade. O presente relatório, realizado no âmbito da unidade curricular de Estágio, visa descrever de forma sucinta, clara e reflexiva o percurso da construção de competências específicas para a intervenção especializada em Enfermagem
Comunitária. Ele propõe-se a sintetizar as etapas de crescimento pessoal e profissional que permitem uma melhoria da qualidade dos cuidados prestados, um maior desenvolvimento
profissional e a melhoria da satisfação dos grupos e comunidades em que intervim. Nele se
demonstram as competências desenvolvidas e que entroncam nos objetivos académicos
definidos por este Mestrado, bem como no perfil de competências preconizado pela Ordem dos Enfermeiros para o desempenho autónomo de cuidados especializados de Enfermagem a grupos e comunidades. Desde a realização do Diagnóstico de Saúde, realizado no módulo I, que permitiu conhecer a realidade dos cuidadores familiares de idosos dependentes, identificando as principais necessidades em saúde, tantas vezes negligenciadas em detrimento
da atenção dispensada ao idoso dependente, em particular em relação ao impacto negativo
decorrente da tarefa de Cuidar (ao nível da sobrecarga e funcionalidade familiar). Após a
identificação dos problemas, surgiu a necessidade de intervir ativamente e numa lógica multidisciplinar e de proximidade, envolvendo outros profissionais e indo ao encontro das necessidades detetadas nos cuidadores, inclusive no seu domicílio. Assim desenvolvi o projeto de intervenção comunitária: “Cuidar do Cuidador”, que teve como objetivo geral reduzir o impacto do cuidado informal nos cuidadores familiares, por intermédio da intervenção em prol
da adesão e desempenho adequado do papel de prestador de cuidados, prevenindo a
exaustão do cuidador e, empoderando-o, promovendo as competências para o cuidado
informal. Contribuiu-se assim para um exercício mais equilibrado e sustentado do papel de prestador de cuidados. Para isso recorri a diversas estratégias e atividades, de onde se destacam as sessões de empoderamento e educação para a saúde, o grupo de ajuda e a intervenção domiciliária, para além da mobilização de diversas parcerias estratégicas, sem as
quais o sucesso, repercutido em ganhos em saúde, não seria possível. Tornou-se exequível avaliar o impacto deste projeto por intermédio de um conjunto de indicadores de desempenho, que demonstraram a sua eficácia e significativa importância na melhoria da qualidade de vida
dos cuidadores familiares, demonstrando clara e inequivocamente ganhos em saúde pela
intervenção especializada do enfermeiro ao nível comunitário, particularmente ao nível da aquisição de conhecimentos, redução da sobrecarga do cuidador e promoção da adesão ao papel de prestador de cuidados.
The Master in Nursing, with a specialization in Community Nursing, seeks to provide de acquisition and development of skills for autonomous, self-reflected and decision-based nursing performance, on the five levels of prevention, on a group/community level. This report aims to describe succinctly and clearly the route towards building skills for the specialized intervention in Community Nursing. Thus, it proposes to summarize the stages of personal and professional growth that can considerably enhance the quality of care, increase professional development and improves the satisfaction of the groups and communities in which I intervened. It demonstrates the skills developed and which converge in the recommended by Ordem dos Enfermeiros to perform specialized nursing actions in groups and communities. From the completion of Diagnostic Health, which helped identify the reality of family caregivers of frail older adults, identifying the main real, potential and latent health needs of this group, so often neglected by nurses at the expense the attention given to dependent elderly, particularly what concerns to the negative impact arising from the task of caring (the level of burden, functionality, and family dynamics). Following the identification of health problems, the need to intervene actively and in a multidisciplinary and proximity way, was a reality. Thus was born the Community Intervention Project: "Caring for the Caregiver," which aims to generally reduce the impact on family caregivers, through the intervention in favor of adherence and adequate performance of the role of provider of care, preventing the burnout of the caregiver and empowering it, promoting the acquisition and development of skills for care giving, contributing that way to a more balanced and sustained exercise the role of carer. This project was based on a multidisciplinary and outreach approach, involving other health professionals and intervening even on the caregivers home, promoting adherence and proper performance of the role of carer. To achieve this the project ran various activities, which highlight the empowerment and health education group sessions and psychological support group, in addition to the mobilization of several strategic partnerships without which the success reflected in measurable gains in health, would not be possible. It became possible to evaluate the impact of this project through a set of performance indicators that have proved the effective and meaningful role of a specialized nurse at Community level in improving the quality of life of family caregivers through the reduction of the negative impact associated with the task of caring, demonstrating clearly and unequivocally health gains by their intervention.
The Master in Nursing, with a specialization in Community Nursing, seeks to provide de acquisition and development of skills for autonomous, self-reflected and decision-based nursing performance, on the five levels of prevention, on a group/community level. This report aims to describe succinctly and clearly the route towards building skills for the specialized intervention in Community Nursing. Thus, it proposes to summarize the stages of personal and professional growth that can considerably enhance the quality of care, increase professional development and improves the satisfaction of the groups and communities in which I intervened. It demonstrates the skills developed and which converge in the recommended by Ordem dos Enfermeiros to perform specialized nursing actions in groups and communities. From the completion of Diagnostic Health, which helped identify the reality of family caregivers of frail older adults, identifying the main real, potential and latent health needs of this group, so often neglected by nurses at the expense the attention given to dependent elderly, particularly what concerns to the negative impact arising from the task of caring (the level of burden, functionality, and family dynamics). Following the identification of health problems, the need to intervene actively and in a multidisciplinary and proximity way, was a reality. Thus was born the Community Intervention Project: "Caring for the Caregiver," which aims to generally reduce the impact on family caregivers, through the intervention in favor of adherence and adequate performance of the role of provider of care, preventing the burnout of the caregiver and empowering it, promoting the acquisition and development of skills for care giving, contributing that way to a more balanced and sustained exercise the role of carer. This project was based on a multidisciplinary and outreach approach, involving other health professionals and intervening even on the caregivers home, promoting adherence and proper performance of the role of carer. To achieve this the project ran various activities, which highlight the empowerment and health education group sessions and psychological support group, in addition to the mobilization of several strategic partnerships without which the success reflected in measurable gains in health, would not be possible. It became possible to evaluate the impact of this project through a set of performance indicators that have proved the effective and meaningful role of a specialized nurse at Community level in improving the quality of life of family caregivers through the reduction of the negative impact associated with the task of caring, demonstrating clearly and unequivocally health gains by their intervention.
Description
Keywords
Enfermagem comunitária Prestador de cuidados Empoderamento Adesão ao papel de prestador de cuidados Stress do prestador de cuidados Community nursing Caregiver Empowerment Caregiver burnout Caregiver role adherence