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PROMOÇÃO DA ESPERANÇA NA PESSOA COM TENTATIVA DE SUÍCIDIO: INTERVENÇÃO ESPECIALIZADA DE ENFERMAGEM DE SAÚDE MENTAL E PSIQUIÁTRICA
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Orientador(es)
Resumo(s)
O presente relatório, foi realizado no âmbito do Mestrado em Enfermagem de Saúde Mental
e Psiquiátrica e pretende apresentar, numa análise crítico-reflexiva, o desenvolvimento e
consolidação de competências de prática especializada e de mestre nesta área.
Na primeira parte, apresentam-se os contextos de estágio e o seu contributo para o
desenvolvimento de competências. Segue-se a reflexão crítica sobre os processos de
aprendizagem e o desenvolvimento profissional, assentes no referencial de competências
comuns e específicas do enfermeiro especialista em Enfermagem de Saúde Mental e
Psiquiátrica e nas competências de mestre. Na terceira parte apresenta-se o Projeto de
Melhoria Contínua da Qualidade dos Cuidados de Enfermagem estruturado a partir de um
problema experienciado na prática clínica e em contexto de estágio.
O suicídio é um problema complexo, que afeta a nossa sociedade, não se cingindo o seu
impacto às vidas perdidas, mas também ao sofrimento que provoca, nas pessoas que o tentam
ou pensam e em quem as rodeia.
A promoção da esperança, foi encarada como uma intervenção protetora do sofrimento das
pessoas com tentativa de suicídio. Foi estruturado um programa de intervenção
psicoterapêutica, com um conjunto de atividades promotoras de esperança, cientificamente
testadas, dirigidas ao risco de suicídio, avaliado sistematicamente durante o internamento e
uma semana após a alta.
Da implementação do projeto, apresenta-se um estudo de caso múltiplo, com evidência de
resultados em termos de aumento da esperança e redução do risco de suicídio.
Conclui-se que, o percurso realizado permite sustentar uma prática especializada de
enfermagem, suportada em evidência científica e no contínuo desenvolvimento de
competências especializadas, assentes nos referenciais de Enfermagem de Saúde Mental e
Psiquiátrica, capazes de assegurar uma prática de segurança e qualidade dos cuidados de
enfermagem.
This report was developed within the scope of the Master's Degree in Mental Health and Psychiatric Nursing and aims to present, through a critical and reflective analysis, the development and consolidation of specialized nursing and master's level competencies in this field. The first part outlines the internship contexts and their contribution to competency development. This is followed by a critical reflection on learning processes and professional development, based on the framework of common and specific competencies for the specialist nurse in Mental Health and Psychiatric Nursing, as well as master's level competencies. The third part presents a Continuous Quality Improvement Project in Nursing Care, structured around a problem experienced in clinical practice and during the internship. Suicide is a complex issue affecting our society, whose impact extends beyond the lives lost to include the profound suffering experienced by those who attempt or contemplate it, as well as by those around them. The promotion of hope was approached as a protective intervention against the suffering of individuals who have attempted suicide. A psychotherapeutic intervention programme was structured, consisting of a set of hope-promoting activities, scientifically tested and directed at suicide risk, which was systematically assessed during hospitalization and one week after discharge. From the implementation of the project, a multiple case study is presented, providing evidence of increased hope and reduced suicide risk. It is concluded that this pathway supports a specialized nursing practice grounded in scientific evidence and in the continuous development of advanced competencies, based on the frameworks of Mental Health and Psychiatric Nursing, capable of ensuring safe and highquality nursing care.
This report was developed within the scope of the Master's Degree in Mental Health and Psychiatric Nursing and aims to present, through a critical and reflective analysis, the development and consolidation of specialized nursing and master's level competencies in this field. The first part outlines the internship contexts and their contribution to competency development. This is followed by a critical reflection on learning processes and professional development, based on the framework of common and specific competencies for the specialist nurse in Mental Health and Psychiatric Nursing, as well as master's level competencies. The third part presents a Continuous Quality Improvement Project in Nursing Care, structured around a problem experienced in clinical practice and during the internship. Suicide is a complex issue affecting our society, whose impact extends beyond the lives lost to include the profound suffering experienced by those who attempt or contemplate it, as well as by those around them. The promotion of hope was approached as a protective intervention against the suffering of individuals who have attempted suicide. A psychotherapeutic intervention programme was structured, consisting of a set of hope-promoting activities, scientifically tested and directed at suicide risk, which was systematically assessed during hospitalization and one week after discharge. From the implementation of the project, a multiple case study is presented, providing evidence of increased hope and reduced suicide risk. It is concluded that this pathway supports a specialized nursing practice grounded in scientific evidence and in the continuous development of advanced competencies, based on the frameworks of Mental Health and Psychiatric Nursing, capable of ensuring safe and highquality nursing care.
Descrição
Palavras-chave
Enfermagem de Saúde Mental e Psiquiátrica Intervenção psicoterapêutica Suicídio Risco suicídio Tentativa de suicídio