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Abstract(s)
Este escrito integra a Unidade Curricular “Estágio Final e Relatório” inserida no Curso de Mestrado em Enfermagem de Saúde Infantil e Pediátrica, do Instituto de Ciências da Saúde da Universidade Católica Portuguesa – Porto. Identifica-se, simultaneamente, como um marco de termino de um ciclo pedagógico e como testemunho pessoal de como as aprendizagens que o mesmo incitou se desenvolveram e experienciaram. Tem por objetivo a documentação das experiências, aprendizagens e reflexões que se alimentaram mutuamente ao longo de quatro meses de estágio num Serviço de Internamento Pediátrico e numa Unidade de Cuidados na Comunidade, entre o dia 6 de setembro de 2019 e 4 de Janeiro de 2020, num total de 500 horas, em que 360 foram de contato. O método descritivo-reflexivo utilizado ao longo do documento permite a apresentação dos objetivos específicos traçados na fase preambular do estágio que, para a sua consecução, timonou atividades, reflexões e aprendizagens que atestam o desenvolvimento das competências específicas do enfermeiro especialista em saúde infantil e pediátrica. A organização das competências desenvolvidas por quatro domínio de atuação (prestação de cuidados, gestão de cuidados, formação e investigação) além de estruturar o documento, possibilita o estabelecimento de fronteiras literárias fundamentais para a compreensão de uma realidade clínico formativa que as imiscui. Com base nesta estratégia consegui lidar com situações clínicas de elevada complexidade, desenvolver uma comunicação eficiente com o utente pediátrico e equipa multidisciplinar, atuar de forma critica, criativa e fundamentada cientificamente em todos os contextos pediátricos onde intervi, sempre sob a égide dos princípios éticos e deontológicos inerentes à profissão. Perspetivando um contínuo de produção de saberes e melhoria da qualidade dos cuidados prestados, desenvolvi em cada contexto de estágio atividades singulares que visaram o incremento do nível assistencial, como: - formas de localização de informação e medidas de interação entre a linha SNS 24 e o Serviço de Urgência Pediátrica para uma melhoria na referenciação e priorização de situações urgentes; - induzi ao desenvolvimento de protocolos de sedo analgesia em neonatos entubados no Serviço de Neonatologia; - desenvolvi o protocolo de utilização de midazolam como procedimento pré-anestésico no Serviço de Pediatria, e; - recorri a estratégias pedagógicas alternativas e adaptadas aos diferentes grupos de formandos das ações de educação para a saúde que organizei.
This writing is part of the curricular unit “Final Stage and Report” inserted in the Master's Course in Child and Pediatric Health Nursing, of the Health Sciences Institute of the Universidade Católica Portuguesa - Oporto. It is identified, simultaneously, as a milestone for the end of a pedagogical cycle and as a personal testimony of how the learning that it incited developed and experienced. It aims to document the experiences, learning and reflections that have nourished each other over a four-month internship in a Pediatric Inpatient Service and in a Community Care Unit, between September 6, 2019 and January 4, 2020, in a total of 500 hours, in which 360 were in contact. The descriptive-reflective method used throughout the document allows the presentation of the specific objectives outlined in the preambular stage of the internship, which, for its achievement, led to activities, reflections and learning that attest to the development of the specific skills of the specialist nurse in child and pediatric health . The organization of the skills developed by four areas of expertise (care provision, care management, formation and research), in addition to structuring the document, enables the establishment of fundamental literary boundaries for the understanding of a clinical formative reality that interferes with them. Based on this strategy, i was able to deal with highly complex clinical situations, develop an efficient communication with the pediatric patient and multidisciplinary team, act in a critical, creative and scientifically based way in all pediatric contexts where i intervened, always under the aegis of ethical and deontological aspects inherent to the profession. With a view to a continuous production of knowledge and improvement in the quality of care provided, in each stage context i developed unique activities aimed at increasing the level of assistance, such as: - ways of locating information and measures of interaction between the SNS 24 line and the Pediatric Emergency Service to improve referral and prioritize urgent situations; - induced the development of protocols for the use of analgesia in neonates intubated in the Neonatology Service; - developed the protocol for using midazolam as a pre-anesthetic procedure in the Pediatric Service, and; - i resorted to alternative pedagogical strategies adapted to the different groups of trainees in the health education actions that i organized.
This writing is part of the curricular unit “Final Stage and Report” inserted in the Master's Course in Child and Pediatric Health Nursing, of the Health Sciences Institute of the Universidade Católica Portuguesa - Oporto. It is identified, simultaneously, as a milestone for the end of a pedagogical cycle and as a personal testimony of how the learning that it incited developed and experienced. It aims to document the experiences, learning and reflections that have nourished each other over a four-month internship in a Pediatric Inpatient Service and in a Community Care Unit, between September 6, 2019 and January 4, 2020, in a total of 500 hours, in which 360 were in contact. The descriptive-reflective method used throughout the document allows the presentation of the specific objectives outlined in the preambular stage of the internship, which, for its achievement, led to activities, reflections and learning that attest to the development of the specific skills of the specialist nurse in child and pediatric health . The organization of the skills developed by four areas of expertise (care provision, care management, formation and research), in addition to structuring the document, enables the establishment of fundamental literary boundaries for the understanding of a clinical formative reality that interferes with them. Based on this strategy, i was able to deal with highly complex clinical situations, develop an efficient communication with the pediatric patient and multidisciplinary team, act in a critical, creative and scientifically based way in all pediatric contexts where i intervened, always under the aegis of ethical and deontological aspects inherent to the profession. With a view to a continuous production of knowledge and improvement in the quality of care provided, in each stage context i developed unique activities aimed at increasing the level of assistance, such as: - ways of locating information and measures of interaction between the SNS 24 line and the Pediatric Emergency Service to improve referral and prioritize urgent situations; - induced the development of protocols for the use of analgesia in neonates intubated in the Neonatology Service; - developed the protocol for using midazolam as a pre-anesthetic procedure in the Pediatric Service, and; - i resorted to alternative pedagogical strategies adapted to the different groups of trainees in the health education actions that i organized.
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Keywords
Enfermeiro especialista Pediatria Competências Comunicação Espírito crítico Specialist nurse Pediatrics Skills Communication Critical spirit