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Pretendeu-se neste relatório demonstrar a aquisição e consolidação da consciência profissional sobre o papel do enfermeiro especialista em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar, assim como as competências adquiridas durante o processo de aprendizagem, visando a obtenção do exercício profissional especializado, durante a frequência dos estágios do curso de mestrado na área referida, numa unidade de saúde familiar. Em consonância com estas competências, definidas em regulamento próprio, foram estabelecidos dois objetivos gerais para o desenvolvimento da componente clínica: cuidar da família, enquanto unidade de cuidados, de cada um dos seus membros, ao longo do ciclo vital, aos diferentes níveis de prevenção, liderar e colaborar nos processos de intervenção no âmbito da enfermagem de saúde familiar. Foi ainda realizado dois processos formativos às enfermeiras da unidade do local de estágio, com a realização da ação de formação sobre “Ciclo vital da família” e “Documentação dos Cuidados, no âmbito da dimensão estrutural, no Programa de Saúde da Família do SClinico®” e com acompanhamento individualizado na documentação dos cuidados, através da supervisão clínica de pares a cada enfermeiro da equipa durante 4 semanas. Constatou-se que os enfermeiros aumentaram os seus conhecimentos, melhoraram a perceção de competência neste âmbito e mudaram as suas práticas na documentação dos cuidados.
Realizou-se um estudo académico sobre a adesão ao regime medicamentoso ao utente portador de diabetes tipo 2, no sentido de promover a adesão ao regime terapêutico dos utentes desta unidade.
Os objetivos do estudo são conhecer as características sociodemográficas dos utentes da amostra, caracterizar suas atitudes em relação ao regime medicamentoso e relacionar essas características com a adesão terapêutica. A metodologia envolve um estudo quantitativo, descritivo, analítico, correlacional e transversal, com uma amostra não probabilística por conveniência de utentes da unidade de saúde familiar B que são acompanhados nas consultas de diabetes. Os dados foram coletados online, aplicados online, questionários sociodemográficos e pela aplicação da escala de Medida de Adesão Terapêutica validada para a população portuguesa.
Os resultados demonstram que a maioria dos utentes seguidos nas consultas de diabetes são idosos, do género feminino com baixa escolaridade e polimedicados. No entanto, existe uma melhoria significativa na adesão ao regime medicamentoso em comparação com outros estudos internacionais. Importa ainda salientar que a conjugalidade, em que ambos são portadores de diabetes mellitus tipo 2, parece contribuir positivamente para a adesão ao tratamento. A conclusão destaca a importância da educação terapêutica, formando subsídios para a prática da enfermagem familiar, promovendo a aquisição e mobilização de conhecimentos e competências resultando na melhoria da literacia em saúde e ganhos para a saúde das famílias e indivíduos. A formação proporciona uma visão mais ampla da saúde, foco na promoção de estilos de vida saudáveis e na prevenção das complicações da diabetes, com o intuito da melhoria da qualidade de vida das famílias e comunidades. Isso complementa o trabalho do enfermeiro de família, que não se limita ao tratamento, mas também à prevenção e à educação em saúde, o que é essencial para intervenções mais eficazes e para o acompanhamento contínuo da saúde dos indivíduos ao longo do ciclo de vida.
As atividades desenvolvidas possibilitaram a aquisição de competências específicas do enfermeiro especialista em Enfermagem Comunitária na área de Enfermagem de Saúde Familiar, como a colheita de dados por meio de entrevista familiar sistémica e de instrumentos validados, o desenvolvimento de juízo crítico e da tomada de decisão, o planeamento dos cuidados em negociação com os membros das famílias, a intervenção com recurso a técnicas de intervenção sistémica e a avaliação dos cuidados.
This report aims to demonstrate the acquisition and consolidation of professional awareness regarding the role of the Specialist Nurse in Community Nursing in the area of Family Health Nursing, as well as the competencies acquired during the learning process, with a view to obtaining specialized professional practice during the clinical placements of the master’s Course in the mentioned area, in a Family Health Unit. In line with these competencies, defined by specific regulations, two general objectives were established for the development of the clinical component: to care for the family as a unit of care, and for each of its members, throughout the life cycle and at different levels of prevention, as well as to lead and collaborate in intervention processes within the scope of Family Health Nursing. Two training processes were also conducted with the nurses of the unit where the internship took place, including a training session on the “Family Life Cycle” and “Care Documentation within the Structural Dimension, in the Family Health Program of the SClinico®”, and individualized support on care documentation through peer clinical supervision for each nurse on the team, over a period of 4 weeks. It was found that nurses increased their knowledge, improved their perception of competence in this field, and changed their practices regarding care documentation. An academic study was conducted on medication adherence in patients with Type 2 Diabetes, aiming to promote adherence to the therapeutic regimen of the patients in this unit. The objectives of the study were to understand the sociodemographic characteristics of the sample patients, to characterize their attitudes towards the medication regimen, and to relate these characteristics to therapeutic adherence. The methodology involved a quantitative, descriptive, analytical, correlational, and cross-section study, with a non-probability convenience sample of patients from the B Family Health Unit who are followed in diabetes consultations in Primary Health Care. Data were collected online through sociodemographic questionnaires and the application of the Medication Adherence Measure scale, validated for the Portuguese population. The results show that most patients followed in the diabetes consultations are elderly, female with low education levels, and are polymedicated. However, there is a significant improvement in medication adherence compared to other international studies. It is also worth noting that conjugal relationships, where both partners are diabetic, appear as a positive factor in adherence to treatment. The conclusion emphasizes the importance of Therapeutic Education, providing support for family nursing practice, fostering the acquisition and mobilization of knowledge and skills, resulting in the improvement of health literacy and health gains for families and individuals. The training provides a broader view of health, focusing on the promotion of healthy lifestyles and the prevention of diabetes complications, aiming at improving the quality of life for families and communities. This complements the work of the family nurse, whose role is not limited to treatment, but also includes prevention and health education, which are essential for more effective interventions and continuous monitoring of individuals health throughout the life cycle. Through the developed activities, specific competencies of the Specialist Nurse In Community Nursing in the area of Family Health Nursing were acquired: in data colletion through systemic family interviews and validated instruments, in critical judgment and decision-making, in planning care in negotiation with family members, in intervation using systemic intervention techniques, and in evaluating care provided.
This report aims to demonstrate the acquisition and consolidation of professional awareness regarding the role of the Specialist Nurse in Community Nursing in the area of Family Health Nursing, as well as the competencies acquired during the learning process, with a view to obtaining specialized professional practice during the clinical placements of the master’s Course in the mentioned area, in a Family Health Unit. In line with these competencies, defined by specific regulations, two general objectives were established for the development of the clinical component: to care for the family as a unit of care, and for each of its members, throughout the life cycle and at different levels of prevention, as well as to lead and collaborate in intervention processes within the scope of Family Health Nursing. Two training processes were also conducted with the nurses of the unit where the internship took place, including a training session on the “Family Life Cycle” and “Care Documentation within the Structural Dimension, in the Family Health Program of the SClinico®”, and individualized support on care documentation through peer clinical supervision for each nurse on the team, over a period of 4 weeks. It was found that nurses increased their knowledge, improved their perception of competence in this field, and changed their practices regarding care documentation. An academic study was conducted on medication adherence in patients with Type 2 Diabetes, aiming to promote adherence to the therapeutic regimen of the patients in this unit. The objectives of the study were to understand the sociodemographic characteristics of the sample patients, to characterize their attitudes towards the medication regimen, and to relate these characteristics to therapeutic adherence. The methodology involved a quantitative, descriptive, analytical, correlational, and cross-section study, with a non-probability convenience sample of patients from the B Family Health Unit who are followed in diabetes consultations in Primary Health Care. Data were collected online through sociodemographic questionnaires and the application of the Medication Adherence Measure scale, validated for the Portuguese population. The results show that most patients followed in the diabetes consultations are elderly, female with low education levels, and are polymedicated. However, there is a significant improvement in medication adherence compared to other international studies. It is also worth noting that conjugal relationships, where both partners are diabetic, appear as a positive factor in adherence to treatment. The conclusion emphasizes the importance of Therapeutic Education, providing support for family nursing practice, fostering the acquisition and mobilization of knowledge and skills, resulting in the improvement of health literacy and health gains for families and individuals. The training provides a broader view of health, focusing on the promotion of healthy lifestyles and the prevention of diabetes complications, aiming at improving the quality of life for families and communities. This complements the work of the family nurse, whose role is not limited to treatment, but also includes prevention and health education, which are essential for more effective interventions and continuous monitoring of individuals health throughout the life cycle. Through the developed activities, specific competencies of the Specialist Nurse In Community Nursing in the area of Family Health Nursing were acquired: in data colletion through systemic family interviews and validated instruments, in critical judgment and decision-making, in planning care in negotiation with family members, in intervation using systemic intervention techniques, and in evaluating care provided.
Description
Keywords
Especialista em enfermagem comunitária em enfermagem de saúde familiar Modelo calgary de avaliação e intervenção familiar Diabetes Mellitus tipo 2 Adesão ao regime terapêutico Competências