Promoção do autocuidado na criança com necessidades especiais de saúde

: intervenção do enfermeiro especialista

Abstract

In the scope of the Master's Degree in Nursing in the area of specialization in Child and Pediatric Health Nursing of the Catholic University of Portugal, this report aims to analyze critically-reflexively the development of competencies arising from the training process. Considering that the specialized intervention for the child/youth and family aims at the promotion of health, prevention of illness and self-care, at all contexts of Nursing care (Nurses' Order, 2011), Promotion of Self-Care of the child/youth focusing on the child with special health needs was defined as the main theme. The definition was based on the interest in deepening knowledge and developing skills in this field and also the recognition of Orem's theoretical framework (1985) as an excellent guide to professional practice, considering self-care as a result sensitive to Nursing care. A scoping review was developed according to the Joanna Briggs Institute methodology (2014), to answer the review question "What are the nursing interventions that promote the self-care of children with special health needs?" Research at the databases sciELO, CINAHL (via EBSCO) and MEDLINE (via EBSCO) was made, including articles from 2013 to 2018, representatives of recent scientific evidence. The literature review evidenced four areas of Nursing intervention promoting child/youth self-care: the assessment of needs and demands for self-care; health education for the prevention of complications, clarification about therapeutic options and strategies for managing the disease/special need; instruction and training of abilities related to the self-care and, transversal to the previous interventions, the emotional support. Considering the areas of intervention identified and the theoretical reference of Orem (1985), activities were planned for each stage context, according to the project methodology (Nunes, Ruivo & Ferrito, 2010). In the Primary Health Care internship, activities were developed in early childhood intervention, prevention and surveillance of child maltreatment and collaboration in the Infant Massage Course. The dynamized activities in Pediatric Emergency focused the direct provision of care to the child/youth and family, considering the intervention in situation of acute illness, the maximization of health and the promotion of self-care. Based on the theoretical reference in application, a plan of care directed to the adolescent with Type 1 Diabetes Mellitus was inaugurated. At the Neonatal Intermediate Care Unit, along with the provision of care for the newborn, a guide for parents was developed, guiding the care of the newborn in the hospital, aiming at the care partnership. At the Neonatal and Pediatric Intensive Care Unit, activities included provision of care to the child/youth experiencing a complex health situation and we developed a care plan based on Orem's Theory (1985) to a child with congenital myopathy. The training course allowed the development of skills of Specialist Nurse, with a greater focus on the specific competences of the Child and Pediatric Health Specialist Nurse, which highlights the deepening of knowledge about the health-illness phenomena in the child/youth, the identification of needs, the promotion of self-care and the care partnership. Transversally, it also enabled the development and competencies required for the attribution of the Master degree.

Date of Award	16 Oct 2019
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Zaida Charepe (Supervisor)