Atribuições do enfermeiro em serviço de acolhimento institucional de crianças e adolescentes: Um estudo Delphi

Abstract

Background: Institutional foster care is a protective strategy for children/adolescents at risk in which nurses are responsible for health education, health promotion, and health care. Objective: To validate a protocol of nurses' responsibilities in institutional foster care settings for children and adolescents. Methodology: Delphi study with two rounds for validation of the protocol that was built after a literature review and field research. A Delphi survey was used to validate the protocol by 12 international experts with experience in clinical practice, teaching, and research. The minimum agreement rate of 80% was considered. The modified Guidance on Conducting and REporting DElphi studies (CREDES) was used. Results:The protocol was validated, with an agreement rate of 90% in the second round, after expert consensus on the items related to the managerial, care, educational, and sociopolitical categories of nurses' responsibilities. Conclusion:The protocol had content and face validity and will be used to define nurses' responsibilities in institutional foster care settings for children/adolescents.

Potentialities and Challenges for Care in the Primary Health Care Context

“…Welcoming in PHC has favored the Clinical Nursing practice and teamwork, as well as improved access 3 . In addition to that, it facilitates the development of health promotion actions, as pointed out in this study, as it improves the relationship between professionals and users 12 . However, the high demand, the scarce training of professionals and the difficulty reorganizing work in a democratic way can limit the benefits of this guideline 3 .…”

Potencialidades E Desafios Para a Assistência No Contexto Da Atenção Primária À Saúde

“…O acolhimento na APS tem favorecido a prática clínica da enfermagem, o trabalho em equipe, bem como a melhoria no acesso 3 . Além disso, oportuniza o desenvolvimento das ações promotoras de saúde, como apontado neste estudo, visto que melhora a relação entre os profissionais e os usuários 12 . No entanto, a elevada demanda, a escassa capacitação dos profissionais e a dificuldade de reorganizar o trabalho de modo democrático, podem limitar os benefícios dessa diretriz 3 .…”