Browsing by Author "Silva, Ana Rita Ribeiro"
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- Abordagem à família em processo de doação de órgãos : um cuidado especializadoPublication . Silva, Ana Rita Ribeiro; Fernandes, Filipa Alexandra VeludoThe present report is carried out in the framework of the Medical-Surgical Nursing Specialization and master’s degree in nursing for the Person in Critical Situation, from the Nursing School of Lisbon, a division of the Universidade Católica Portuguesa, and intends to mirror the path taken in the acquisition and development of specialised clinical skills. While serving has a moment of evaluation in the scope of the curricular unit entitled “Final Internship and Report”, this work also aims to awarding of the academic title of Master and Medical-Surgical Specialist Nurse. The main goals of this endeavor are the methodical description and reflective analysis of the skills of a Master and Specialist Nurse, which were acquired and developed along the way, and to share the results obtained during this research. For this critical and reflective analysis, which integrates the theoretical “know how”, a path was carefully outlined that, while contemplating different experiences, ultimately lead to the acquisition of skills that are required for a specialist nurse. For that, three traineeship environments were selected: General Emergency Room, Specialised Intensive Care Unit and the General-purpose Intensive Care Unit. Besides the countless experience and knowledge exchanges during the traineeships, in different multidisciplinary teams, the work carried out allowed, along with the research work, the launch of a Scoping Review, which is, now, under review, with the aim of being submitted to scientific journals and presented in seminars. The research work carried out concerns a Scoping Review, conducted in the context of the needs of the family during organ and tissue donation, which, in turn, relates transversally to many of the traineeship’s scopes. Organ and tissue transplantation is a highly successful procedure due to the strives it witnessed in such a short amount of time. The technical and scientific advancements have allowed the enhancement of therapeutic options and quality of life. During the donation process, the family experiences several challenges that arise from the fear and lack of information that are inherent to it, which makes essential supporting the family while they cope with all the feelings and doubts. The role of the nurse is determinant in the provision of care not only to the donor, but also to the family, resulting in the creation of a therapeutical relationship. The experiences that the family goes through during the entirety of the process have been the target of discussion in many studies, since the acknowledgment of the needs of the family by healthcare professionals allows for a better adaptation of the former to the donation process. For that reason, the authors consider pertinent the conduction of a Scoping Review, based on the proposed methodology, with the goal of mapping the needs of the family during the donation process. By mapping the evidence on the chosen topic, four categories emerged: the need for information, emotional support, material and environmental needs and, finally, the need for follow-up. The theoretical points of reference, which contributed to the development of an excellent specialised care and guided the nursing doctrine behind this journey and work, were the Transitions Theory from Afaf Meleis and the study conducted by Patricia Benner entitled “Novice to expert”.