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Promoção da Parentalidade Positiva em Casais Grávidos
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O presente relatório foi elaborado no âmbito do Mestrado em Enfermagem de Saúde Mental e Psiquiátrica,
da Escola Superior de Saúde de Leiria e tem como finalidade descrever, analisar e refler cricamente sobre o
percurso de desenvolvimento de competências comuns do Enfermeiro Especialista e as competências
específicas do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica, ao longo dos vários
estágios realizados em contexto de internamento, comunidade e respostas diferenciadas. O percurso
formavo foi sustentado em metodologia cienfica, em modelos teóricos de enfermagem, tendo por base os
Padrões de Qualidade dos Cuidados de Enfermagem de Saúde Mental, no Regulamento de Competências
Comuns do Enfermeiro Especialista, no Regulamento de Competências Especificas do Enfermeiro Especialista
em Saúde Mental e Psiquiátrica, assente na idenficação das necessidades/elaboração de diagnóscos, no
planeamento e implementação de intervenções especializadas e na avaliação das mesmas, com o objevo de
obter ganhos em saúde mental, com recurso ao Ciclo Reflexivo de Gibbs, o que permiu integrar
conhecimentos teóricos, experiência clínica e desenvolvimento pessoal e profissional.
Ao longo dos diferentes contextos de aprendizagem foram desenvolvidas competências no domínio da
responsabilidade profissional, éca e legal, da melhoria connua da qualidade, da gestão dos cuidados e do
desenvolvimento das aprendizagens profissionais, bem como competências específicas relacionadas com a
autoconhecimento e autoconsciência, a omização da saúde mental, a recuperação da saúde mental e a
implementação de cuidados psicoterapêucos, socioterapêucos, psicossociais e psicoeducacionais. A
experiência clínica permiu consolidar o papel diferenciador do enfermeiro especialista em saúde mental junto
da pessoa, família, grupos e comunidade, com destaque para a importância da relação terapêuca, da práca
baseada na evidência e da individualização dos cuidados.
Este relatório integra ainda um Projeto de Melhoria Connua da Qualidade dos Cuidados de Enfermagem,
intulado Promoção da Parentalidade Posiva em Casais Grávidos, desenvolvido numa Unidade de Cuidados
na Comunidade. O projeto teve como objevos promover a parentalidade posiva, avaliar a vinculação
materna e paterna nos períodos pré e pós-parto e analisar os níveis de saúde mental dos casais grávidos nesses
dois momentos. Os resultados evidenciaram níveis globalmente elevados de vinculação parental no pré e no
pós-parto, com uma subida da pontuação global da vinculação paterna no período pós-parto, valores médios
elevados de parentalidade posiva e trajetórias individuais disntas ao nível da saúde mental. Embora os
resultados não tenham permido demonstrar benecios estascamente significavos em todas as variáveis
estudadas, a sua análise revelou pernência clínica e assistencial, bem como a importância da intervenção
especializada do enfermeiro especialista em saúde mental e psiquiátrica. O projeto permiu ainda idenficar
necessidades de melhoria, designadamente ao nível do alargamento da amostra, da connuidade do
acompanhamento no pós-parto e do aperfeiçoamento dos modelos de avaliação.
This report was prepared as part of the Master’s Degree in Mental Health and Psychiatric Nursing at the Leiria School of Health and aims to describe, analyse and crically reflect on the process of developing the core competencies of the Specialist Nurse and the specific competencies of the Specialist Nurse in Mental Health and Psychiatric Nursing, throughout the various placements undertaken in inpaent, community and specialist care sengs. The training pathway was grounded in scienfic methodology and theorecal nursing models, based on the Quality Standards for Mental Health Nursing Care, the Regulaons on Common Competencies for Specialist Nurses, and the Regulaons on Specific Competencies for Specialist Nurses in Mental Health and Psychiatric Nursing, centred on the idenficaon of needs and the formulaon of diagnoses, the planning and implementaon of specialised intervenons, and the evaluaon of these, with the aim of achieving improvements in mental health, using Gibbs’ Reflecve Cycle, which enabled the integraon of theorecal knowledge, clinical experience, and personal and professional development. Throughout the various learning contexts, skills were developed in the areas of professional, ethical and legal responsibility, connuous quality improvement, care management and professional learning development, as well as specific skills related to self-knowledge and self-awareness, the opmisaon of mental health, mental health recovery, and the implementaon of psychotherapeuc, sociotherapeuc, psychosocial and psychoeducaonal care. Clinical experience enabled the consolidaon of the disncve role of the specialist mental health nurse in relaon to the individual, family, groups and community, with parcular emphasis on the importance of the therapeuc relaonship, evidence-based pracce and the individualisaon of care. This report also includes a Connuous Improvement Project for the Quality of Nursing Care, tled “Promong Posive Parenng Among Expectant Couples,” which was carried out at a community care unit. The project aimed to promote posive parenng, assess maternal and paternal bonding during the pre- and postpartum periods, and analyze the mental health levels of pregnant couples at these two stages. The results showed overall high levels of parental bonding in the pre- and postpartum periods, with an increase in the overall score for paternal bonding in the postpartum period, high average values for posive parenng, and disnct individual trajectories in terms of mental health. Although the results did not demonstrate stascally significant benefits across all variables studied, their analysis revealed clinical and care-related relevance, as well as the importance of specialized intervenon by nurses specializing in mental health and psychiatry. The project also idenfied areas for improvement, specifically regarding sample expansion, connuity of postpartum follow-up, and refinement of assessment models
This report was prepared as part of the Master’s Degree in Mental Health and Psychiatric Nursing at the Leiria School of Health and aims to describe, analyse and crically reflect on the process of developing the core competencies of the Specialist Nurse and the specific competencies of the Specialist Nurse in Mental Health and Psychiatric Nursing, throughout the various placements undertaken in inpaent, community and specialist care sengs. The training pathway was grounded in scienfic methodology and theorecal nursing models, based on the Quality Standards for Mental Health Nursing Care, the Regulaons on Common Competencies for Specialist Nurses, and the Regulaons on Specific Competencies for Specialist Nurses in Mental Health and Psychiatric Nursing, centred on the idenficaon of needs and the formulaon of diagnoses, the planning and implementaon of specialised intervenons, and the evaluaon of these, with the aim of achieving improvements in mental health, using Gibbs’ Reflecve Cycle, which enabled the integraon of theorecal knowledge, clinical experience, and personal and professional development. Throughout the various learning contexts, skills were developed in the areas of professional, ethical and legal responsibility, connuous quality improvement, care management and professional learning development, as well as specific skills related to self-knowledge and self-awareness, the opmisaon of mental health, mental health recovery, and the implementaon of psychotherapeuc, sociotherapeuc, psychosocial and psychoeducaonal care. Clinical experience enabled the consolidaon of the disncve role of the specialist mental health nurse in relaon to the individual, family, groups and community, with parcular emphasis on the importance of the therapeuc relaonship, evidence-based pracce and the individualisaon of care. This report also includes a Connuous Improvement Project for the Quality of Nursing Care, tled “Promong Posive Parenng Among Expectant Couples,” which was carried out at a community care unit. The project aimed to promote posive parenng, assess maternal and paternal bonding during the pre- and postpartum periods, and analyze the mental health levels of pregnant couples at these two stages. The results showed overall high levels of parental bonding in the pre- and postpartum periods, with an increase in the overall score for paternal bonding in the postpartum period, high average values for posive parenng, and disnct individual trajectories in terms of mental health. Although the results did not demonstrate stascally significant benefits across all variables studied, their analysis revealed clinical and care-related relevance, as well as the importance of specialized intervenon by nurses specializing in mental health and psychiatry. The project also idenfied areas for improvement, specifically regarding sample expansion, connuity of postpartum follow-up, and refinement of assessment models
Descrição
Palavras-chave
Enfermagem Saúde mental Enfermagem de saúde mental e psiquiátrica Parentalidade positiva Vinculação parental Saúde mental perinatal
Contexto Educativo
Citação
Editora
Licença CC
Sem licença CC