Risco de queda em crianças

: contributos para a decisão clínica do enfermeiro especialista em saúde infantil e pediátrica

Abstract

This document, as part of the XVI Master's degree in Pediatric Nursing, reports the journey that began in October 2022, aiming to reflect on and solidify the learning process and the competencies throughout the internship. The main topic is the risk and prevention of falls in the pediatric hospital environment, which is not often explored in the internship, highlighting patient safety as essential in health, as emphasized by the National Plan for Child and Youth Health and the National Plan for Patient Safety 2021-2026. Due to their development stage, children are more susceptible for falls, and the hospital environment represents an added risk factor for this type of event. Hospitals are responsible for ensuring a safe environment for pediatric patients, decreasing risks through recognizing specific factors, and developing interventions to reduce falls, fulfilling their moral and legal duty. The inclusion of the " Risk for Fall" diagnosis in the ICNP and NANDA-I classifications underlines the importance of this phenomenon within the scope of nursing, reflecting the universal recognition that falls constitute a significant health risk, particularly in vulnerable populations, such as children. This report aims to reflect on the journey and the competencies through the experiences lived and the work developed in each internship context. It also highlights the importance of clinical reasoning in nursing, a dynamic and complex process that involves applying knowledge and experience to assess and respond to clinical situations, essential for the effective identification and management of patients at risk. This process integrates critical thinking, problem-solving, and decision-making, being fundamental for competent practice and preventing risks and damages in healthcare.

Date of Award	21 Jun 2024
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Sílvia Caldeira (Supervisor)