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O presente relatório insere-se no plano de estudos do curso de Mestrado em Enfermagem,
Especialização em Enfermagem Médico-Cirúrgica, do Instituto de Ciências da Saúde de
Lisboa, da Universidade Católica Portuguesa. O mesmo evidencia os principais
contributos dos estágios realizados para a aquisição e desenvolvimento de competências
de Especialista em Enfermagem Médico-Cirúrgica, na assistência de enfermagem
avançada ao cliente adulto e idoso, e particularmente ao cliente em estado crítico.
O primeiro estágio realizado, referente ao Módulo II, decorreu numa Unidade de
Cuidados Intensivos Cirúrgicos Especiais (UCICRE) de um hospital na periferia de
Lisboa. O estágio referente ao Módulo I foi realizado no Serviço de Urgência Geral de
um hospital de Lisboa. Por último, o estágio do Módulo III (opcional) foi realizado numa
Comissão de Controlo de Infecção Hospitalar.
Com o objectivo de fornecer os dados científicos mais actuais sobre os factores
influenciadores do sono do cliente internado na Unidade de Cuidados Intensivos, bem
como as medidas promotoras do mesmo, foi feita uma revisão integrativa da literatura.
Os seus resultados foram divulgados numa formação de serviço dirigida à equipa
multidisciplinar da UCICRE e constituíram um pilar fundamental na prestação de
cuidados especializados ao cliente vítima de traumatismo crâneo-encefálico, internado na
sala de observações do serviço de urgência. Numa fase posterior, estiveram na base de
um projecto que se encontra a ser desenvolvido na UCICRE, denominado “Sono e
Repouso na UCICRE” e foram apresentados e divulgados no âmbito das Boas Práticas da
Direcção de Enfermagem desse mesmo Hospital.
Este relatório tem como principais objetivos documentar as aprendizagens e as
actividades desenvolvidas em cada estágio de forma a concretizar os objetivos
previamente definidos e refletir sobre situações problema em contexto da prática clínica
e respetiva intervenção.
The present report is included on a Master study plan in Nursing, Medical-Surgical Nursing specialization, lectured by Instituto de Ciências da Saúde - Universidade Católica Portuguesa. This report shows the main contributions of the Internship in the acquisition and development of specialized skills in Medical-Surgical Nursing in advanced nursing care to adult and elderly clients, particularly directed to the client in critical condition. The first internship carried out concerning the second module has occurred in a special surgical intensive care unit on a Hospital on the outskirts of Lisbon. The second module internship was carried out in the General Emergency Service in a Lisbon Hospital. Lastly the third module internship (optional) has occurred in a Hospital Infection Control Commission. With the purpose of providing new scientific data about the factors that influence sleep in the hospitalized client on an Intensive Care Unit as well as the measures to promote it, an integrative literature review was made. The results were released in a training service addressed to the multidisciplinary team of the special surgical intensive care unit and were very important in the specialized care giving to the client with traumatic brain injury hospitalized in observation room of the emergency service. At a later stage the results were the beginning of a project that is being developed in the special surgical intensive care unit named “Sleep and Rest in the Special Surgical Intensive Care Unit” and were presented and disclosed within Good Practices of the Nursing Directing of the same Hospital. This report has as primary purpose to document the learning and the activities developed in each one of the internships as a way to accomplish the purposes defined previously and think about problem situations in the clinic practice context and proper intervention.
The present report is included on a Master study plan in Nursing, Medical-Surgical Nursing specialization, lectured by Instituto de Ciências da Saúde - Universidade Católica Portuguesa. This report shows the main contributions of the Internship in the acquisition and development of specialized skills in Medical-Surgical Nursing in advanced nursing care to adult and elderly clients, particularly directed to the client in critical condition. The first internship carried out concerning the second module has occurred in a special surgical intensive care unit on a Hospital on the outskirts of Lisbon. The second module internship was carried out in the General Emergency Service in a Lisbon Hospital. Lastly the third module internship (optional) has occurred in a Hospital Infection Control Commission. With the purpose of providing new scientific data about the factors that influence sleep in the hospitalized client on an Intensive Care Unit as well as the measures to promote it, an integrative literature review was made. The results were released in a training service addressed to the multidisciplinary team of the special surgical intensive care unit and were very important in the specialized care giving to the client with traumatic brain injury hospitalized in observation room of the emergency service. At a later stage the results were the beginning of a project that is being developed in the special surgical intensive care unit named “Sleep and Rest in the Special Surgical Intensive Care Unit” and were presented and disclosed within Good Practices of the Nursing Directing of the same Hospital. This report has as primary purpose to document the learning and the activities developed in each one of the internships as a way to accomplish the purposes defined previously and think about problem situations in the clinic practice context and proper intervention.