O enfermeiro e a promoção do autocuidado na Rede Nacional de Cuidados Continuados

: uma scoping review

Abstract

The National Network of Integrated Continuing Care (RNCCI) is the third level of care in the National Health System and dependence on self-care emerges as the main reason for admission to the various Functional Units. As this phenomenon is central to the discipline of nursing and one of the areas where nurses have been shown to make decisions that positively influence people's health, it makes sense to consider its correct assessment as essential, followed by a rational operationalization of the nursing process, focused on the healthy promotion of individual life projects, commonly interrupted by situations of sudden or progressive self-care dependence. It is from the combination of these facts that emerges the main motivation for this study, since the main researcher, as a nurse with a particular interest in issues related to the promotion of self-care, works in a service belonging to the RNCCI, and so the following question arose - is it possible to identify, in the scientific literature, the contribution of nurses working in the different functional units of the RNCCI inpatient unit to the promotion of self-care - bathing, dressing and undressing, and grooming? In order to map the available knowledge, we chose to use the methodology developed by the Joanna Briggs Institute to conduct a Scoping Review. We obtained 15 articles for full analysis, and found that nurses prescribe care that encompasses teaching, instructing, training, orienting, informing, assessing, supporting, and referring, assuming themselves as an important resource for the promotion of their clients' autonomy and independence. Although the centrality of nurses' action in promoting self-care is evident, there is still a lack of studies capable of clearly measuring the health gains attributable to the action of these professionals in the Functional Units of the RNCCI.

Date of Award	18 May 2022
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Armando Almeida (Supervisor)