Relatório de estágio

: um percurso da comunidade para o hospital

Abstract

This document is intended to present a sustained, insightful report of the work performed during training, divided into three modules, which was developed within the Professional Master’s Course (2009-2011) in order to develop Community Nursing Specialist skills. In module I, we performed a situation diagnosis of Santa Casa Castelo Healthcare Unit (USSCC) and identified two problematic areas susceptible to intervention: pharmacy and warehouse Material Management, and Diabetes Management – Empowerment. Additionally, we elaborated a restructuring plan for the healthcare unit material management in accordance to institutional needs. In module II, we developed a plan to create and structure Nursing Visits to patients with diabetes at USSCC in order to improve health and nursing care supply to the population and to turn the professionals more autonomous and prominent. In module III, we diagnosed the need for establishing partnerships between the Central Lisbon Hospital Centre’s Home Based Care Team and the community resources. This focused on articulating a Healthcare Centre from the hospital’s influence area with a Santa Casa Healthcare Unit. In this case, the transition from hospital to home would become an easier, better supported process which would immediately involve the patient and his/her family. Regarding management, we were able to respond to all explicit and diagnosed needs, whether by following ethical and citizenship duties or by developing Nursing Specialist skills, namely team management and leadership, change process management and leadership, and knowledge resource and mobilization based on professional and life experience and specialized technical guidelines. We would like to highlight that the work performed regarding materials management renders future management efforts, especially those of the Healthcare Unit Coordinating Nurse, easier to improve resource efficiency and decrease waste. Also, by involving the nursing team and delegating materials forecasting, management and spending responsibilities to its members, within the Healthcare Unit, would enable the Coordinating Nurse to be more available to invest in other areas. Nurses are in a strategic and privileged position regarding the multidisciplinary team that follows the diabetic patient and his/her family throughout the entire therapeutic process. It is at this moment that the relevance of managing and perfecting the Nurse’s approach to diabetic patients during Nursing Visits becomes clear and unequivocally important for the control of this pandemic. The concept of partnerships is up-to-date and it responds to the identified needs of the Hospital’s home based care team as it mobilizes resources and it articulates itself effectively with Healthcare Centers and Santa Casa da Misericórdia de Lisboa (SCML) Healthcare Units (it is deemed a community health resource). As so, it is senseful, following this developed pathway from the community to the hospital, to explore this concept regarding Community Nursing intervention.

Date of Award	Mar 2011
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Ana Resende (Supervisor)