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Authors
Advisor(s)
Abstract(s)
Existe a necessidade de desenvolver e saber mobilizar competências, aperfeiçoarmo-nos
profissionalmente, através da formação contínua, preferindo sempre o conhecimento
gerado pela investigação e teoria de enfermagem. De modo a cumprir o dever do
aperfeiçoamento profissional, procurei a especialização em enfermagem em médico cirúrgica. Esta especialização que tem como objetivo primordial desenvolver
competências técnicas, cientificas, éticas e relacionais na prestação de cuidados de
Enfermagem especializados à pessoa em situação crítica e sua família bem como à
pessoa em situação crónica e paliativa. Além disso, tendo como tema transversal “A
comunicação como estratégia promotora de conforto”, pretende também sintetizar a
revisão integrativa da literatura e analisar a perceção dos enfermeiros acerca da
temática.
O presente relatório visa descrever, refletir e analisar de que forma foram adquiridas e
desenvolvidas essas competências, utilizando uma metodologia descritiva e analítica,
que servirá de espelho do meu percurso formativo nos três locais de Estágio, tendo
como principais finalidades; identificar as atividades/estratégias para atingir os
objetivos definidos; reconhecer as competências desenvolvidas enquanto Enfermeira na
área de especialização em Enfermagem Médico-Cirúrgica na prestação de cuidados de
saúde à pessoa e sua família de médio e alto risco, bem como na prestação à pessoa em
situação crónica e paliativa; dar a conhecer a análise crítico-reflexiva efetuada sobre as
intervenções desenvolvidas nos Estágios.
No contexto do Hospital de dia de Quimioterapia desenvolvi competências
comunicacionais e relacionais com a pessoa em situação crónica e sua família,
promovendo interação enfermeiro-pessoa-família, estabelecendo atitudes de
sensibilidade e empatia, cooperando para uma assistência humanizada. Na Unidade de
Urgência Médica, mantive o meu agir e a sensibilização dos enfermeiros acerca da
importância da comunicação, principalmente com a pessoa com “barreiras de
comunicação”, assim como com os famíliares. No serviço de urgência, desenvolvi
competências ao nível da gestão de prioridades com vista à estabilidade hemodinâmica
da pessoa em situação crítica, discuti e analisei situações da prática dos enfermeiros que
careceram do recurso a competências especializadas, tendo como premissa um agir
profissional consciente e responsável.
Considerou-se a pertinência de realização de trabalhos individualizados sobre os temas
“Comunicação como estratégia promotora de conforto na pessoa submetida a
7
quimioterapia”, “Comunicação como estratégia promotora de conforto na pessoa
submetida a quimioterapia: perceção dos enfermeiros”, Cuidados de enfermagem à
pessoa com Síndrome de Dificuldade Aguda Respiratória em decúbito ventral.
Uma prática especializada é evidenciada através de uma aprendizagem constante,
pensamento crítico, reflexivo e uma tomada de decisão fundamentada em evidência
científica. Considero, assim, que a articulação destas premissas foi fundamental para a
construção de uma nova identidade profissional, a de Enfermeira Especialista em
Enfermagem Médico-Cirúrgica.
There is a need to develop and know how to mobilize skills, to improve ourselves professionally, through continuous training, always preferring the knowledge generated by nursing research and theory. This is the main reason I chose the specialization in Medical-Surgical Nursing, in order to fulfill the duty of professional improvement. This specialization has its primary objective to develop technical, scientific, ethical and relational skills in the provision of specialized nursing care to the person in crítical situation and his / her family as well as to the person in chronic and palliative situation. In addition, having a cross-cutting theme "Communication as a strategy promoting comfort", it also aims to synthesize the integrative literature review and analyze the nurse’s perceptions about the theme. This report aims at describing, reflecting and analyzing how these competences were acquired and developed, using a descriptive and analytical methodology, which will serve as a mirror of my training course in the three Internship locations, with the main purposes: Identify the activities / strategies to achieve the defined objectives; Recognize the skills developed as a nurse in the area of specialization in Medical-Surgical Nursing in the provision of health care to the person and their family of medium and high risk, as well as in the provision to the person in chronic and palliative situation; To make known the crítical-reflexive analysis made on the interventions developed in the Internships. In the context of the Day Hospital of Chemotherapy, I developed communication and relational skills with the person in chronic situation and his family, promoting nurse person-family interaction, establishing attitudes of sensitivity and empathy, cooperating for a humanized care. At the Medical Emergency Unit, I maintained my way of acting and the awareness of nurses about the importance of communication, especially with the person with "communication barriers", as well as with family members. In the Emergency Department, I developed competencies in the management of priorities for the hemodynamic stability of the person in crítical situation. I discussed and analyzed situations about the practice of nurses who lacked the use of specialized skills, based on a conscious and responsible professional action. It was considered pertinent to perform individualized work on the themes "Communication as a strategy promoting comfort in the person undergoing chemotherapy", "Communication as a strategy promoting comfort in the person 9 undergoing chemotherapy: perception of nurses", Nursing care of the person With Acute Respiratory Difficulty Syndrome in ventral decubitus. A specialized practice is evidenced through constant learning, crítical thinking, reflective thinking and scientific evidence-based decision making. I consider, therefore, that the articulation of these premises was fundamental for the construction of a new professional identity: a Specialist Nurse in Medical-Surgical Nursing.
There is a need to develop and know how to mobilize skills, to improve ourselves professionally, through continuous training, always preferring the knowledge generated by nursing research and theory. This is the main reason I chose the specialization in Medical-Surgical Nursing, in order to fulfill the duty of professional improvement. This specialization has its primary objective to develop technical, scientific, ethical and relational skills in the provision of specialized nursing care to the person in crítical situation and his / her family as well as to the person in chronic and palliative situation. In addition, having a cross-cutting theme "Communication as a strategy promoting comfort", it also aims to synthesize the integrative literature review and analyze the nurse’s perceptions about the theme. This report aims at describing, reflecting and analyzing how these competences were acquired and developed, using a descriptive and analytical methodology, which will serve as a mirror of my training course in the three Internship locations, with the main purposes: Identify the activities / strategies to achieve the defined objectives; Recognize the skills developed as a nurse in the area of specialization in Medical-Surgical Nursing in the provision of health care to the person and their family of medium and high risk, as well as in the provision to the person in chronic and palliative situation; To make known the crítical-reflexive analysis made on the interventions developed in the Internships. In the context of the Day Hospital of Chemotherapy, I developed communication and relational skills with the person in chronic situation and his family, promoting nurse person-family interaction, establishing attitudes of sensitivity and empathy, cooperating for a humanized care. At the Medical Emergency Unit, I maintained my way of acting and the awareness of nurses about the importance of communication, especially with the person with "communication barriers", as well as with family members. In the Emergency Department, I developed competencies in the management of priorities for the hemodynamic stability of the person in crítical situation. I discussed and analyzed situations about the practice of nurses who lacked the use of specialized skills, based on a conscious and responsible professional action. It was considered pertinent to perform individualized work on the themes "Communication as a strategy promoting comfort in the person undergoing chemotherapy", "Communication as a strategy promoting comfort in the person 9 undergoing chemotherapy: perception of nurses", Nursing care of the person With Acute Respiratory Difficulty Syndrome in ventral decubitus. A specialized practice is evidenced through constant learning, crítical thinking, reflective thinking and scientific evidence-based decision making. I consider, therefore, that the articulation of these premises was fundamental for the construction of a new professional identity: a Specialist Nurse in Medical-Surgical Nursing.
Description
Keywords
Enfermagem Enfermeira especialista Competências Conforto Comunicação Nursing Nurse specialist Skills Comfort Communication