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O presente relatório pretende refletir o longo percurso efetuado nos diferentes contextos de estágio, no âmbito do mestrado em enfermagem com especialização em Enfermagem Médico-Cirúrgica na área da pessoa em situação crítica, para aquisição de competências especializadas tendo como foco a segurança dos cuidados à pessoa em situação crítica. O estágio, que se insere na unidade curricular “Estágio final e Relatório”, decorreu em dois contextos diferentes, primeiro na Unidade de Cuidados Intensivos de Cardiologia e o segundo na Unidade de Cuidados Intensivos Polivalente, unidades que permitiram desenvolver e mobilizar habilidades e capacidades para uma prática baseada em evidência, a fim de adquirir competências comuns e específicas do enfermeiro especialista em Enfermagem Médico-cirúrgica à pessoa em situação crítica. Em ambas as unidades, foi possível cuidar do doente crítico tendo sempre presente a cultura de segurança, permitindo cuidados seguros ao doente e a prevenção de infeções. Para explanar sobre o desenvolvimento de competências nesta área é realizado um enquadramento na introdução, seguido de um capítulo referente à aquisição de competências especializadas, enquanto condição para promover a segurança nos cuidados à pessoa em situação crítica. Este, estruturalmente foi subdividido em três subcapítulos. O primeiro descreve o contributo do estágio realizado, no primeiro ano do mestrado, no Serviço de Urgência Polivalente do mesmo hospital em que foi realizado o estágio final. No segundo subcapítulo é feita a caraterização dos contextos do estágio final, sendo esta fundamental para enquadrar toda a complexidade técnica, humana e de tecnologias avançadas nesta área do cuidar. No terceiro subcapítulo é feita a descrição e análise crítico reflexiva das atividades executadas em ambas as unidades para a conceção dos objetivos específicos apresentados desenvolvendo competências especializadas comuns e especificas na área supracitada. Os estágios e a reflexão sobre as intervenções especializadas permitiram o meu desenvolvimento pessoal e profissional, um valioso contributo para a segurança e qualidade dos cuidados prestados na abordagem do doente crítico, rumo à excelência do cuidar.
This report intends to reflect the long journey made in the different internship contexts, within the scope of the master’s in nursing with specialisation in the Medical Surgical in the area of the person in a critical condition for the acquisition of specialised competencies focusing on the safety of the person’s care in critical condition. The internship, which is part of the curricular unit “Final Internship and Report”, took place in two different contexts, first in the Cardiology Intensive Care Unit and the second in the Polyvalent Intensive Care Unit, units that allowed the development and mobilisation of skills and abilities to an evidence based practice, in order to acquire common and specific competencies from the specialist nurse in Medical Surgical Nursing to the person in a critical condition. In both units, it was possible to take care of the critically ill, always bearing in mind the safety culture allowing safe patient care and the prevention of infections. In order to explain about the development of competencies in this area, the introduction is framed, followed by a chapter referring to the acquisition of specialised competencies, as a condition to promote safety in the care of people in critical conditions. This one, structurally, was subdivided into three subchapters. The first describes the contribution of the internship carried out, in the first year of the master’s degree, in the polyvalent Emergency Service of the same hospital where the final internship was carried out. In the second subchapter, the contexts characterisation of the final stage is made, which is fundamental to frame all the technical, human, and advanced technology in this area of care. In the third subchapter, the description and reflective critical analysis of the objectives presented is made, developing common and specific specialised competencies in the aforementioned area. The internships and the reflexion on specialised interventions allowed for my personal and professional development, a valuable contribution to the safety and quality of care provided in the approach to critically ill patients towards excellent care.
This report intends to reflect the long journey made in the different internship contexts, within the scope of the master’s in nursing with specialisation in the Medical Surgical in the area of the person in a critical condition for the acquisition of specialised competencies focusing on the safety of the person’s care in critical condition. The internship, which is part of the curricular unit “Final Internship and Report”, took place in two different contexts, first in the Cardiology Intensive Care Unit and the second in the Polyvalent Intensive Care Unit, units that allowed the development and mobilisation of skills and abilities to an evidence based practice, in order to acquire common and specific competencies from the specialist nurse in Medical Surgical Nursing to the person in a critical condition. In both units, it was possible to take care of the critically ill, always bearing in mind the safety culture allowing safe patient care and the prevention of infections. In order to explain about the development of competencies in this area, the introduction is framed, followed by a chapter referring to the acquisition of specialised competencies, as a condition to promote safety in the care of people in critical conditions. This one, structurally, was subdivided into three subchapters. The first describes the contribution of the internship carried out, in the first year of the master’s degree, in the polyvalent Emergency Service of the same hospital where the final internship was carried out. In the second subchapter, the contexts characterisation of the final stage is made, which is fundamental to frame all the technical, human, and advanced technology in this area of care. In the third subchapter, the description and reflective critical analysis of the objectives presented is made, developing common and specific specialised competencies in the aforementioned area. The internships and the reflexion on specialised interventions allowed for my personal and professional development, a valuable contribution to the safety and quality of care provided in the approach to critically ill patients towards excellent care.
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Enfermagem médico-cirúrgica Enfermeiro especialista Competências Pessoa em situação crítica Segurança nos cuidados Medical-surgical nursing Specialist nurse Competencies Person in critical condition Safety in caring