Autoeficácia dos médicos e enfermeiros a trabalhar em equipas de cuidados paliativos, face ao desenvolvimento e implementação do plano avançado de cuidados

Abstract

Introduction: The purpose of this study is to define and understand the perception ofself-efficacy of doctors and nurses working in Palliative Care (PC) teams, regarding theconception and implementation of Advanced Care Planning (ACP). The ACP is an“itinerary” designed to follow the patient throughout the disease path: integrating, ineach phase, the best strategies to overcome obstacles and move forward so as toapproach the goals compliant and successfully set; supporting the decision in eachchange of plans; promoting Dignity and Hope. Helping the patient rewrite its story, alongthis shared journey, demands, from Health Professionals (HP), mastery of techniques,knowledge, skills and self-awareness, enabling them for this mission, challenging theirown limits. Albeit ACP promotes of end-of-life care, its implementation is low.Supporting HP in this process requires knowing the reasons behind the perception oftheir efficacy. We want to hear the individual and collective voice of those working amatter just as precious as fragile, daily challenged by ethical considerations.Methodology: mixed study, observational, descriptive and transversal. Application ofthe ACP-SE1 Scale and narrative interview following a semi-structured script, to doctorsand nurses in PC teams. Quantitative data processed with descriptive statistics, qualitative data with content analysis (Narrative Medicine- (NM)). Limitations: Absence of production-related context data for narrative analysis. Overload of HP in PC, lacking narrative skills and fear of organizational repercussions as limiters of the number of answers. Purpose: contributing to the development of actions promoting the ACP related competences. Expected implications: Promoting the PC quality through the increased implementation of ACP and resorting to NM.

Date of Award	4 Aug 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Manuel Luís Capelas (Supervisor) & Susana Magalhães (Co-Supervisor)