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Abstract(s)
O Enfermeiro especialista na área de especialização em Enfermagem Médico Cirúrgica tem que possuir competências científicas, éticas, relacionais e técnicas no cuidado à Pessoa em Situação Crítica. Este relatório tem como objetivo relatar um percurso como um fio condutor, possibilitando a qualquer momento a visualização concreta do realizado, no desenvolvimento e afirmação de competências especializadas em Enfermagem Médico Cirúrgica. Foi desenvolvido no contexto de Estágio no Serviço de Urgência e na Clínica de Hemodiálise, integrados no Curso de Mestrado de Enfermagem área de especialização de Enfermagem Médico-cirúrgica na área de enfermagem à pessoa em situação crítica, a decorrer na Escola de Enfermagem de Lisboa do Instituto Ciências da Saúde da Universidade Católica Portuguesa. No que se refere à organização o seguinte trabalho está dividido em duas partes. Na primeira parte é feita uma breve abordagem da enfermagem avançada e da importância das teorias na prática dos enfermeiros. Posteriormente é realizada uma síntese de evidência “A pessoa com doença crónica em situação crítica: Uma Scoping review”. Na segunda do relatório são descritas e afirmadas as competências inerentes ao enfermeiro especialista. O fenómeno em estudo é a pessoa com doença crónica em situação crítica sendo transversal em todos os contextos de estágio realizados. A esperança média de vida tem aumentado nos últimos anos e consequentemente o número de pessoas com doença crónica também (Certo et al., 2016), nascendo a premissa orientadora para o fenómeno em estudo. A segunda parte do trabalho tem como objetivo apresentar o percurso desenvolvido e as competências inerentes ao enfermeiro especialista em médico-cirúrgico, na pessoa em situação crítica, através de objetivos, reflexões críticas com mobilização de conhecimentos das mais diversas áreas do conhecimento. O pensamento em Enfermagem é sustentado na Teoria das Transições de Afaf Meleis.
When caring for a person in critical condition, the medical-surgical nurse must have the necessary scientific, ethical, relational, and technical competencies. This work aims to chart the path followed towards the development of these competencies and to serve as a guide, which, once accessed, will allow its objective visualization as whole. The development and affirmation of the competencies necessary in medical-surgical nursing were gained in the context of an internship at the Emergency Service and Haemodialysis Clinic, integrated in the Medical-Surgical Nursing specialization of the Nursing master’s degree of the Lisbon School of Nursing in the Health Sciences Institute of the Catholic University of Portugal, and through accredited professional experience. The following work is divided into two parts. The first part consits of brief view of advanced nursing and the importance of the thories in a practical setting, followed by an evidence synthesis “The chronically ill person in critical condition: A Scoping Review”. The second part is a report which states and describes the medical-surgical nurse’s inherent competencies. The chosen subject matter, the chronically ill patient in critical condition, was present throughout the full duration of the internship, as well as the accredited professional experience. Life expectancy has seen an increase in the last years, contributing to a rise in the number of people with chronic illness (Certo et al., 2016), this phenomenon serves as the guiding premise for the subject matter at hand. The second part of this work aims to chart steps taken throughout this experience and the inherent competencies of a medical-surgical nurse, when caring for a patient in critical condition, through objectives, and critical reflexions built upon the knowledge of several different fields of study. The structure of this document is based on the Afaf Meleis Theory of Transitions.
When caring for a person in critical condition, the medical-surgical nurse must have the necessary scientific, ethical, relational, and technical competencies. This work aims to chart the path followed towards the development of these competencies and to serve as a guide, which, once accessed, will allow its objective visualization as whole. The development and affirmation of the competencies necessary in medical-surgical nursing were gained in the context of an internship at the Emergency Service and Haemodialysis Clinic, integrated in the Medical-Surgical Nursing specialization of the Nursing master’s degree of the Lisbon School of Nursing in the Health Sciences Institute of the Catholic University of Portugal, and through accredited professional experience. The following work is divided into two parts. The first part consits of brief view of advanced nursing and the importance of the thories in a practical setting, followed by an evidence synthesis “The chronically ill person in critical condition: A Scoping Review”. The second part is a report which states and describes the medical-surgical nurse’s inherent competencies. The chosen subject matter, the chronically ill patient in critical condition, was present throughout the full duration of the internship, as well as the accredited professional experience. Life expectancy has seen an increase in the last years, contributing to a rise in the number of people with chronic illness (Certo et al., 2016), this phenomenon serves as the guiding premise for the subject matter at hand. The second part of this work aims to chart steps taken throughout this experience and the inherent competencies of a medical-surgical nurse, when caring for a patient in critical condition, through objectives, and critical reflexions built upon the knowledge of several different fields of study. The structure of this document is based on the Afaf Meleis Theory of Transitions.
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Keywords
Enfermagem Doença crónica Situação crítica Nursing Chronic illness Critical condition