Keywords
Rehabilitation Nursing
Nurses
Nurse's Role
How to Cite
Citações
Dimensions
Abstract
Introduction: The profession's regulatory instruments declare the need to include in the emergency services rehabilitation nurses. In this context, an attempt was made to understand the relevance of the contribution of rehabilitation nurses in the current context in emergency services.
Methodology: Qualitative, exploratory and descriptive study, using a focus group as a data collection technique, in an intentional sample of eight expert nurses, four of them in the urgency area and four rehabilitation nurses.
Results: Two categories emerge: organization of care, with greater relevance attributed to the subcategories teams and organization of the emergency services, with a weight of 18.0% and 12.8%, respectively, in the totality of the discourse; and provision of care, with greater relevance attributed to the subcategories prevention of complications and training of the person / caregiver for discharge, with a weight of 11.9% and 11.6%, respectively.
Discussion: Corroborating the findings of this study, evidence highlights the relevance of rehabilitation nursing in the domains of leadership and interprofessional care, with gains also perceived at respiratory and motor levels.
Conclusion: The participants identify gains from the integration of rehabilitation nurses in emergency services in the organization of the service and in the provision of care, highlighting the complementarity of common and specific competences, thus meeting the profession's references on the need to provide these contexts for these professionals.
References
1. Ordem dos Enfermeiros. Regulamento n.º 392/2019 de 3 de maio de 2019. D R [Internet]. 2019 maio 3 [cited em 2020 jan 23]; II Série(85):13565-8. Available from: https://dre.pt/web/guest/pesquisa/-/search/122216893/details/normal?l=1
2. Dornelles SS, Martins MM, Ribeiro I, Souza Lima DK, Itayra Padilha M, Pereira Gomes B. Breve panorama mundial da enfermagem de reabilitação. Rev Port Enf Reab [Internet]. 2018 jun 23 [cited 18 de janeiro de 2021];1(1):6-12. Available from: https://rper.aper.pt/index.php/rper/article/view/11
3. Association of Rehabilitation Nurses. Rehabilitation Nurses Play a Variety of Roles. [Internet]. Chicago: Association of Rehabilitation Nurses; s.d. [cited 2020 fev 15]. Available from: https://rehabnurse.org/about/roles-of-the-rehab-nurse
4. Ordem dos Enfermeiros. História da Enfermagem de Reabilitação em Portugal. Revista da Ordem dos Enfermeiros 2003;(9): 12-13.
5. Ordem dos Enfermeiros. Padrões de Qualidade dos Cuidados Especializados em Enfermagem de Reabilitação. [Internet]. Lisboa: Ordem dos Enfermeiros; 2018 jan [cited 2019 nov 28]. Available from: https://www.ordemenfermeiros.pt/media/8192/ponto-4_regulamento-dos-padr%C3%B5es-qualidade-ceer-1.pdf
6. Direção Geral da Saúde. Direção de Serviços de Planeamento. Rede Hospitalar de Urgência/Emergência. [Internet]. Lisboa: Direção-Geral da Saúde; 2001 nov 14 [cited 2019 dez 19]. Available from: https://www.dgs.pt/planeamento-de-saude/hospitais/redes-referenciacao-hospitalar/rede-de-referenciacao-hospitalar-de-urgenciaemergencia-pdf.aspx
7. Regulamento da Norma para Cálculo de Dotações Seguras dos Cuidados de Enfermagem. Regulamento n.º 743/2019 de 22 de setembro. D R [Internet]. 2019 set 22 [cited 2020 jan 14]; II Série(184):128-55. Available from: https://dre.pt/home/-/dre/124981040/details/maximized
8. Falé, MJ. Na especificidade, a evidência do impacto das intervenções do enfermeiro especialista em enfermagem de reabilitação no doente com patologia respiratória crónica, no serviço de urgência [Internet]. Portalegre: Escola Superior de Saúde de Portalegre; 2016 [cited 5 nov 2020]. 111p. Available from: https://comum.rcaap.pt/bitstream/10400.26/14591/1/ESSTFC591.pdf
9. World Health Organization. Emergency medical teams: minimum technical standards and recommendations for rehabilitation. [Internet]. Geneve: World Health Organization; 2016 [cited 2019 dez 12]. Available from: https://apps.who.int/iris/bitstream/handle/10665/252809/9789241511728-eng.pdf
10. O'Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. [Internet]. 2014 set [cited 2020 jan 14];89(9):1245-51. Available from: https://journals.lww.com/academicmedicine/fulltext/2014/09000/Standards_for_Reporting_Qualitative_Research__A.21.aspx
11. Silva, I., Veloso, A., & Keating, J. Focus group: Considerações teóricas e metodológicas. Rev Lusófona de Educ. [Internet]. 2014 [cited 5 nov 2020];26(26):175-190. Available from: https://revistas.ulusofona.pt/index.php/rleducacao/article/view/4703
12. Bardin, L. Análise de Conteúdo. Lisboa: Edições Setenta; 2006.
13. Ordem dos Enfermeiros. Regulamento n.º 140/2019 de 6 de fevereiro de 2019. D R [Internet]. 2019 fev 6 [cited 2020 out 10]; II Série(26):4744-50. Available from: https://www.ordemenfermeiros.pt/media/10778/0474404750.pdf
14. Vaughn S, Mauk KL, Jacelon CS, et al. The Competency Model for Professional Rehabilitation Nursing. Rehabil Nurs. [Internet]. 2015 set 25 [cited 2020 fev 27];41(1):33-44. DOI:10.1002/rnj.225
15. Havrilla E. Rehabilitation Concepts for the Acute Care Nurse. Madridge J Nurs. [Internet]. 2017 set 26 [cited 2020 fev 10]; 2(2): 72-75. DOI: 10.18689/mjn-1000113
16. Sousa JP, Santos M. Symptom Management and Hospital Readmission in Heart Failure Patients: A Qualitative Study From Portugal. Crit Care Nurs Q. [Internet]. 2019 jan/mar [cited 2020 fev 9];42(1):81-88. DOI:10.1097/CNQ.0000000000000241
17. Matifat E, Méquignon M, Cunningham C, Blake C, Fennelly O, Desmeules F. Benefits of Musculoskeletal Physical Therapy in Emergency Departments: A Systematic Review. Phys Ther. [Internet]. 2019 ago 24 [cited 2020 fev 12];99(9):1150-1166. DOI:10.1093/ptj/pzz082
18. Kim HS, Strickland KJ, Mullen KA, Lebec MT. Physical therapy in the emergency department: A new opportunity for collaborative care. Am J Emerg Med. [Internet]. 2018 ago [cited 2020 fev 12];36(8):1492-1496. DOI:10.1016/j.ajem.2018.05.053
19. Barrett R, Terry L. Patients' and healthcare professionals' experiences and perceptions of physiotherapy services in the emergency department: a qualitative systematic review. Int J Emerg Med. [Internet]. 2018 out 11 [cited 2020 fev 12];11(1):42. DOI:10.1186/s12245-018-0201-z
20. Pontius EA, Anderson RS Jr. Physical Therapy, Occupational Therapy, and Speech Language Pathology in the Emergency Department: Specialty Consult Services to Enhance the Care of Older Adults. Emerg Med Clin North Am. [Internet]. 2021 maio [cited 2020 fev 12];39(2):419-427. DOI:10.1016/j.emc.2021.01.005
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2021 Portuguese Rehabilitation Nursing Journal
Downloads
| Abstract Views | 1319 |
|---|
| PDF (Português (Portugal)) | 661 |
|---|
| HTML (Português (Portugal)) | 313 |
|---|