Competências do enfermeiro para o cuidado paliativo na atenção domiciliar

Abstract

Objective: To identify the competencies of nurses for palliative care in home care. Methods: An exploratory study using the Delphi method to identify the consensus of nurses working in home care regarding 43 competencies listed in a questionnaire, with the inclusion of a five-point Likert scale. Results: In the sample of 20 nurses, there was consensus about 18 general competencies and 25 specific competencies, with agreement above 75%, and Cronbach's alpha coefficient of 0.7 for all the listed competencies. The favorable consensus about the proposed competencies indicates the recognition of palliative care as a nursing care practice in home care. Conclusion: The list of competencies presented internal reliability and provides assertive statements about the work of nurses in palliative care in home care. ResumoObjetivo: Identificar competências do enfermeiro para o cuidado paliativo na atenção domiciliar. Métodos: Estudo exploratório que utilizou o método Delphi para identificar o consenso de enfermeiros que atuam na atenção domiciliar para com 43 competências elencadas em um questionário, com inclusão de escala de Likert de cinco pontos. Resultados: Na amostra de 20 enfermeiros, houve consenso para 18 competências gerais e 25 específicas com percentuais acima de 75% de concordância, e coeficiente alfa de Cronbach de 0,7 para todas as competências elencadas. O consenso favorável às competências propostas indica o reconhecimento do cuidado paliativo como prática assistencial de enfermagem na atenção domiciliar. Conclusão: O elenco de competências apresentou confiabilidade interna e fornece afirmações assertivas sobre a atuação do enfermeiro em cuidado paliativo na atenção domiciliar.

Competências do enfermeiro para o cuidado paliativo em cardiologia

“…21 The lack of reports regarding category 4 of social needs is of concern, since among the most common symptoms in HF patients are the loss of independence in daily living activities and isolation, both closely related to the issue In addition, the inpatient palliative care patient has concerns about external issues and therefore professionals should assess the patient's and family's social context, provide information about benefits and rights to health and social care when needed, and to enable these patients to manage their own personal affairs where possible. 9 This lack of reporting may result from the understanding that this is not a competence of the nurse practitioner and, rather, of the social worker, which it is. However, it is evaluated that social, psychological, spiritual and physical factors are part of the integral care and the nurse, respecting the specific competence of each professional area, frequently receives the demands and needs of the patient and family and has, as competence, which understand the social context and refer to specialized help.…”

“…8 In order to manage these complex situations, nurses need to use skills that imply the ability to mobilize, integrate and utilize resources, knowledge and skills in the professional environment. 9 Based on these reflections, the following question was raised: what are the professional competencies of the nurse to work with palliative care in a Cardiological Intensive Care Unit (ICU)?…”

“…This is a descriptive, exploratory, qualitative study, based on the theoretical framework of the Central Skills in Palliative Care. 9 The study was carried out in the Clinical ICU of a public cardiological hospital, after three months of the implementation of a palliative care service, with nurses who worked in the care of patients with cardiovascular diseases.…”

The development of competency frameworks in healthcare professions: a scoping review

“…Consensus methods included (a) Delphi method (Cappiello et al 2016;Sousa and Alves 2015), (b) group priority sort (Ling et al 2017) and, (c) nominal group technique (Kirk et al 2014;Landzaat et al 2017 Ling et al (2017) was the only study to utilise group priority sort method. While consensus is a worthwhile strategy that aligns with previous guidance, the rationale for a given approach over another, the sequence, or application was often unclear, and this poses a challenge when we attempt to examine alignment.…”

Conhecimento e autoeficácia em cuidados paliativos dos enfermeiros da Atenção Primária à Saúde

“…Na APS a interação entre a Enfermagem, os pacientes e as famílias ocorre por meio do contato direto e frequente e possibilita o desenvolvimento da autonomia do paciente, mediante o aconselhamento e a participação nos processos de tomada de decisão, aspectos que integram os princípios filosóficos dos CP. Nesse sentido, pode-se afirmar que a Enfermagem, como integrante da equipe multiprofissional de saúde, está na linha de frente na prestação de CP na APS (Souza, Alves, 2015).…”