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Abstract(s)
O presente relatório visa retratar as experiências vivenciadas nos diferentes contextos de estágio no âmbito do Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica do Instituto de Ciências da Saúde, Universidade Católica Portuguesa, evidenciando as competências desenvolvidas em dois contextos de estágio: contexto extra-hospitalar e contexto de unidade de cuidados intensivos. O relatório está organizado segundo as competências específicas do enfermeiro especialista em enfermagem médico-cirúrgica, com ênfase nos objetivos definidos em cada domínio bem como a reflexão sobre as atividades desenvolvidas conducentes à aquisição de competências. No domínio de competências cuida da pessoa e família/ cuidadores a vivenciar processos médicos e/ ou cirúrgicos complexos decorrentes de doença aguda ou crónica, foram prestados cuidados complexos e especializados, integrando um processo dinâmico e interativo de mobilização de saberes, sendo necessária a adoção de uma metodologia de trabalho eficaz enfatizando o ato de cuidar e a relação de ajuda. No domínio de competência otimiza o ambiente e os processos terapêuticos na pessoa e família/ cuidadores a vivenciar processos médicos e/ ou cirúrgicos complexos, decorrentes de doença aguda ou crónica, procurei assegurar e otimizar a gestão de recursos de acordo com as necessidades identificadas e os meios disponíveis. De forma a manter o meu processo de desenvolvimento de forma autónoma e contínua, participei numa ação masstraining junto da população escolar. No contexto extra-hospitalar, desenvolvi uma ação de formação para pares, conducente à aquisição de competências de promoção do desenvolvimento pessoal e profissional de outros enfermeiros e incorporação na prática os resultados da investigação relevantes no âmbito da área de especialização. Na UCI, com vista a integrar o projeto de investigação presente neste contexto, desenvolvi uma revisão integrativa subordinada ao tema satisfação familiar, sendo que a comunicação à equipa foi feita sob a forma de artigo. No domínio de competências maximiza a prevenção, intervenção e controlo da infeção e resistência a antimicrobianos perante a pessoa a vivenciar processos médicos e/ ou cirúrgicos complexos, destaco a importância da tomada de consciência e dos contributos que os enfermeiros especialistas podem proporcionar na prevenção e controlo das IACS, colaborando para a segurança do doente e consequentemente a melhoria da qualidade com a garantia de adesão às ‘bundles’ propostas. A qualidade dos cuidados foi uma constante, com o desenvolvimento de atividades de investigação subjacentes ao cumprimento dos padrões de qualidade. No extrahospitalar o tema foi desenvolvido com ênfase na qualidade dos registos e a forma como afetam a segurança do doente e evidenciam a tomada de decisão de enfermagem. Na UCI, a qualidade dos cuidados foi desenvolvida com vista à satisfação do cliente/ família, através de uma revisão integrativa, com ênfase nos pontos em que os níveis em que a satisfação são mais baixos e as estratégias a adotar com vista a aumentar os níveis de satisfação. O grau de Mestre em Enfermagem Médico-Cirúrgica compreende um saber profundo no domínio das competências específicas do âmbito médico-cirúrgico bem como o desenvolvimento de uma prática baseada na evidência e a integração de atividades de investigação nos diferentes contextos.
This report aims to portray the experiences lived in the different internship contexts within the scope of the Master's Course in Nursing with Medical-Surgical Nursing Specialization at the Institute of Health Sciences, Universidade Católica Portuguesa, emphasizing the skills developed in two internship contexts: extrahospital and intensive care unit contexts. The report is organized according to medical-surgical specialized nurse specific skills, with an emphasis on the objectives defined in each domain as well as a reflection on the activities developed leading to skills acquisition. In the domain of competences, the person and family / caregivers experiencing complex medical and / or surgical processes resulting from acute or chronic illness, complex and specialized care was provided, integrating a dynamic and interactive process of knowledge mobilization that required the use of an effective work methodology emphasizing the act of caring and the relationship of help. In the domain of competences, environment and therapeutic processes optimization in the person and family / caregivers experiencing complex medical and / or surgical processes, resulting from acute or chronic disease, I tried to ensure and optimize resources were managed according to the identified needs and the available means. In order to maintain my development process autonomously and continuously, I participated in a masstraining action with the school population. In extra-hospital context, I developed a training action for my peers, leading to skills acquisition to promote the personal and professional development of other nurses and incorporating in practice the relevant research results within the scope of the specialization area. At the ICU, in order to integrate this research project in this context, I developed an integrative review on the family satisfaction theme, and the communication to the team was made in the form of an article. In the domain of competences, maximize prevention, intervention and control of infection and resistance to antimicrobials towards the person experiencing complex medical and / or surgical processes, I highlight the importance of awareness and the contributions that specialist nurses can provide in prevention and control of healthcare related infections, contributing to patient safety and consequently provided care quality improvement with the guarantee of adherence to the proposed bundles. The quality of care was a constant concern, with the development of research activities underlying the fulfillment of quality standards. In the extra-hospital context, the theme was developed with an emphasis on records quality and the way these affect patient safety and evidence nursing decision-making. At the ICU quality of provided care was developed envisaging client/ family satisfaction, through an integrative review, focused on the points that present lower satisfaction levels and the strategies to be adopted in order to increase the levels of satisfaction. The Master degree in Medical-Surgical Nursing comprises deep knowledge in specific competences domains in the medical-surgical scope as well as the development of an evidence-based practice and the integration of research activities in different contexts
This report aims to portray the experiences lived in the different internship contexts within the scope of the Master's Course in Nursing with Medical-Surgical Nursing Specialization at the Institute of Health Sciences, Universidade Católica Portuguesa, emphasizing the skills developed in two internship contexts: extrahospital and intensive care unit contexts. The report is organized according to medical-surgical specialized nurse specific skills, with an emphasis on the objectives defined in each domain as well as a reflection on the activities developed leading to skills acquisition. In the domain of competences, the person and family / caregivers experiencing complex medical and / or surgical processes resulting from acute or chronic illness, complex and specialized care was provided, integrating a dynamic and interactive process of knowledge mobilization that required the use of an effective work methodology emphasizing the act of caring and the relationship of help. In the domain of competences, environment and therapeutic processes optimization in the person and family / caregivers experiencing complex medical and / or surgical processes, resulting from acute or chronic disease, I tried to ensure and optimize resources were managed according to the identified needs and the available means. In order to maintain my development process autonomously and continuously, I participated in a masstraining action with the school population. In extra-hospital context, I developed a training action for my peers, leading to skills acquisition to promote the personal and professional development of other nurses and incorporating in practice the relevant research results within the scope of the specialization area. At the ICU, in order to integrate this research project in this context, I developed an integrative review on the family satisfaction theme, and the communication to the team was made in the form of an article. In the domain of competences, maximize prevention, intervention and control of infection and resistance to antimicrobials towards the person experiencing complex medical and / or surgical processes, I highlight the importance of awareness and the contributions that specialist nurses can provide in prevention and control of healthcare related infections, contributing to patient safety and consequently provided care quality improvement with the guarantee of adherence to the proposed bundles. The quality of care was a constant concern, with the development of research activities underlying the fulfillment of quality standards. In the extra-hospital context, the theme was developed with an emphasis on records quality and the way these affect patient safety and evidence nursing decision-making. At the ICU quality of provided care was developed envisaging client/ family satisfaction, through an integrative review, focused on the points that present lower satisfaction levels and the strategies to be adopted in order to increase the levels of satisfaction. The Master degree in Medical-Surgical Nursing comprises deep knowledge in specific competences domains in the medical-surgical scope as well as the development of an evidence-based practice and the integration of research activities in different contexts
Description
Keywords
Competências Doente crítico Enfermagem médico-cirúrgica Qualidade dos cuidados Satisfação familiar