Promoção de cuidados atraumáticos

: intervenção do enfermeiro especialista em saúde infantil e pediátrica

Abstract

The present work, developed in the scope of the Master Course in Nursing with specialization in Child and Pediatric Health Nursing, intends to describe, in an analytical and reflexive way, the training course carried out that led to the development and acquisition of personal skills and competencies of the Specialist Nurse, in particular the Specialist Nurse in Child and Pediatric Health. I held my decision-making based on the K Comfort, Partnership in Care Model, and my own scoping review. The use of health care by the child/youth is often a time of stress and anxiety, experienced in a negative and disturbing way, with repercussions on their healthy growth and development. In this context, the nurse must adapt his/her interventions in order to help the child/youth to manage their negative emotions, to optimize their comfort and well-being, and to provide them with the least traumatic experience. The child has to meet all their needs, fully and completely. This report focuses on the promotion of atraumatic care, considering it fundamental for the provision of quality care to the child/youth and family and recognizing their crosscutting nature at all levels of care (primary, secondary whether or not involving hospitalization and tertiary care). Accordingly, I developed activities directly related with this theme throughout the four internships that composed this course, namely, in a personalized health care unit, in a neonatal intensive care unit, in a pediatric inpatient service and, finally, in a pediatric emergency department. In each one of these contexts, objectives were defined in accordance with my individual learning project. The objectives were achieved through the accomplishment of activities in which I tried to attend to the pillars of child and pediatric health, providing atraumatic care and enhancing the involvement of the family as a source of security and tranquility to the child/youth, recognizing the importance of care partnership. Under the internship in the personalized health care unit, I highlight: health education sessions directed to caregivers; the preparation of medals and diplomas of good behavior. Regarding the activities carried out in the neonatal intensive care unit, I underline the creation of a plan of care with emphasis on the comfort of the newborn, as well as the preparation of an information leaflet to promote strategies aimed at minimizing the trauma experienced by the father-baby dyad. In the pediatric inpatient service, I emphasize the training session to the nursing team about the use of non-pharmacological strategies to control the pain. In the context of the pediatric emergency department, I highlight the constant use of the “painless kit”, along with the preparation of a standard procedure about it. I believe that this journey had an enriching role in both my personal and professional development, making possible the consolidation of relational, technical-scientific and ethical-legal competences, developed based on the sharing and reflection about the role of the specialist nurse in the management and implementation of complex nurse interventions (with the use of critical thinking and informed decision-making based on current scientific evidence).

Date of Award	16 Oct 2019
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Margarida Maria de Sousa Lourenço Lourenço (Supervisor)