A gestão da tuberculose e a enfermagem de saúde pública

: da especialidade à mestria

Abstract

Introduction| This report intends to describe, and reflect a project held in a Public Health Unit of a ACeS in the North region of Portugal, of the course of Master in Nursing with Specialization in CommunityHealthNursing, in the area of Community Health and Public Health Nursing developed at Universidade Católica Portuguesa, Institute of Health Sciences. The project aimed at epidemiological surveillance of nursing phenomena in Tuberculosis, using the Community Assessment, Intervention and Empowerment Model (MAIEC). An analysis of the documentation records made in SClínico® was made, because this health information system is the main instrument for registration and communication between health professionals, and the information allows and guarantees the continuity of care for the patients, family and community, and also allows to know health indicators. Methodology| The diagnostic stage was of a mixed nature, first of a qualitative nature, through the application of a questionnaire to the ACeS nurses who are experts in TB, built from the MAIEC clinical decision matrix and the application of a Community Empowerment Assessment Scale. The second dimension was of a quantitative nature, identifying the documentation rates of nursing focuses, nursing diagnoses, the type of contact performed and medication administered. Results| Low documentation rates were identified in SClínico®|CSP for nursing phenomena: Management of Therapeutic Regimen, Self¬Control of the Infection and Adherence Behaviour. An Ineffective community management was also identified in promoting epidemiological surveillance of these nursing phenomena. Based on the identified diagnoses and their prioritization, objectives and goals were determined and a possible intervention was developed to respond to them (such as the promotion of community management), through cognitive and organizational interventions, and it was concluded that standards and procedures for clinical registration in tuberculosis should be created. Discussion| Although in a pandemic context, it was possible to obtain positive results in the promotion of community empowerment of the ACeS for the epidemiological surveillance of nursing phenomena in the context of tuberculosis. Simultaneously, it allowed the development of competences for the academic degree of Master in Nursing.

Date of Award	28 Jun 2022
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Pedro Miguel Almeida Melo (Supervisor)