Promoção da segurança na medicação em pediatria

: contributos do enfermeiro especialista

Abstract

The present report is part of the Master’s in Nursing with Specialization in Nursing of Children’s’ Health and Pediatrics, from Católica Portuguese University. This document is a result of the entire course; therefore, it is intended to make a critical reflection about the wide different range of knowledges acquired during this process, which result from the clinical learning and applied investigation. Its objective is to present the developed projects and activities, considering each background of clinical learning and identifying the competences which were developed and acquired in terms of the work of the Nurse Specialized in Children’s’ Health and Pediatrics. There were four different backgrounds of clinical learning, and those represent the different practical areas of the Specialist Nurse in Children’s Health and Pediatrics, being his/her main competence to provide the best health level, both in children and youngsters. Therefore, the Theoretical Reference that oriented the entire process was the Health Promotion Model, proposed by Nola Pender. In a most specific way, throughout the four contexts it was possible to develop activities concerning the promotion of safety in medicating the patient in pediatric age, having in mind the needs of each location. In the Primary Health Care internship, after the elaboration of the situation diagnosis, three sessions of health education were made, with different targets: the first, “Affections and Sexuality in Adolescence - Contraceptive Methods”; other within the scope of course preparation for labor, about “Breast Feeding”; and the third, “Developing While Playing”. For this one, an informative flyer was created. In the context of Neonatology, it arose the need and possibility to develop a Technical Orientation about Medication Preparation and Administration, and, in a later phase, the creation of two tables for quick reference: one about the most used medication and the other about urgent medication. Based on the Scoping Review made during the Master Course, it was also made and presented a training session directed to the multidisciplinary team, presenting the “Main Strategies to Prevent the Medication Mistakes in Pediatrics”. In Pediatric Service, within the scope of the promotion of safety in medication, the creation of a guide for application in nursing teams’ auditions was required. In this context, a training session about "Strategies to Prevent Medication Mistakes in Pediatrics" was also made and presented, to reinforce the importance of double confirmation. With the main purpose of summarizing all the information, an informative poster about double confirmation was also created. Finally, during the internship in the Pediatric Urgency, it was identified as a priority creating a document, with scientific grounds, that justified the acquisition of specific material for enteric administration. Still in this basis, an informative flyer was made, to be delivered to parents/responsibles. According to the activities previously mentioned, all of the context allowed the collaboration and provision of care to the children/youngsters and the family, and therefore we consider the range of developed activities was fundamental to the acquisition and development of competencies within the scope of the Master’s Degree with Specialization in Nursing of Children's Health and Pediatrics.

Date of Award	19 Jul 2019
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Margarida Maria de Sousa Lourenço Quitério (Supervisor)