The Internship in Community Nursing enabled the acquisition of skills within the Specialty in Community Nursing and took place in Lagos’s Health Centre. In addition to the covered areas in the common skills of specialist nurses, enabled the acquisition of specific skills, particularly in the health’s planning process. It were also acquired skills in management. In all of these areas were addressed aspects of professional responsibility, ethics and the legal profession. It was considered relevant and urgent the intervention on the registered users with diabetes once that 79% of the registered users doesn’t have family doctor, an important and responsibility fator of the nursing team. It was studied the entire population registered in the Lagos’s Health Centre with diabetes, were identified over 1600 users. For a correct characterization, were used listings from SINUS and SAPE programs, having been developed a database of all users identified with diabetes. It was concluded that only 56% of users with diabetes were identified in those two programs, 22% are identified only in the SAPE program and the remaining 22% only in the SINUS program. From the Diagnostic Situation resulted a list of the problems to intervene and it was detected a great need for standardization of procedures in nursing appointment for users with diabetes, resulting in the proposed project design A Challenge in Diabetes. With the development of the project, it became clear the need of distinguish several projects with different deadlines for action. So, the Good Practicing Project for Diabetes Consultation was implemented and evaluated during the internship period. From the developed activities to implement the proposed strategies, the most important were the formation for the project presentation Good Practicing for Diabetes Consultation, Good Practicing Manual and Pocket Guide for fast consultation. The evaluation of the strategies and activities designed was based on the evaluation of the formation and its impact on nursing staff, particularly in terms of registers. Overall, the goals have been achieved, however appear representative indicators of the need for new awareness and enhancing the level of nursing records and the importance of an adequate surveillance of users with diabetes. It is considered that with regular meetings, planned in medium term, it’s possible to overcome some of the resulting difficulties. In this whole process is to highlight the large membership of the nursing team in the development and participation in the activities. Considering the time dispensed in the internship for intervention, it wasn´t possible to intervene on all issues identified in the diagnostic phase. Some suggestions remain for development of new intervention projects framed in project A Challenge in Diabetes.
|Date of Award
|28 Mar 2014
- Universidade Católica Portuguesa
|Paulo Alves (Supervisor)