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Abstract(s)
O presente Relatório surge após a realização do estágio da unidade Curricular Estágio Final e Relatório, nos contextos de Cuidados Intensivos e Serviço de Urgência de um hospital na zona norte de Portugal.
O Relatório tem como objetivos ilustrar o percurso efetuado no decurso do estágio, descrever e refletir as atividades desenvolvidas durante o estágio, demonstrar as competências desenvolvidas que permitiram a aquisição de conhecimento e prática necessárias, de forma a prestar os cuidados especializados ao doente em estado crítico, tendo por base o Regulamento das Competências Comuns do Enfermeiro Especialista,
para obter o Grau de Mestre em Enfermagem, com Especialização em Enfermagem Médico-Cirúrgica.
As aprendizagens foram inúmeras, na assistência ao doente crítico com falência multiorgânica, na comunicação com o doente e família perante situações complexas e entre a equipa multidisciplinar, na gestão de situações imprevistas urgentes e emergentes, na administração de protocolos, na gestão e controlo da dor, que permitiram promover o desenvolvimento pessoal e dos profissionais. Como contributos ao longo destes contextos traduziram-se em dois trabalhos, denominados de “Qualidade de Vida do Enfermeiro no cuidado ao Doente Crítico – Impacto do Doente portador de ferida no enfermeiro que executa o tratamento” no contexto do Serviço de Cuidados Intensivos que surgiu da partilha entre a equipa de
enfermagem após vivenciar um caso de uma doente com uma ferida complexa que causou grande impacto na mesma; outro trabalho foi desenvolvido no Serviço de Urgência, dando continuidade ao tema central da qualidade de vida dos enfermeiros, com o titulo de “Prevenção de Lesões Músculo-esqueléticas relacionadas com o Trabalho” que no período de estágio verificou-se que devido ao grande fluxo de
doentes ao serviço, muitas das intervenções eram efetuadas por apenas um enfermeiro, sendo que no final de cada turno por adoção de postura incorreta e sobrecarga física, os enfermeiros referiam cansaço e dores osteoarticulares. Com estes dois trabalhos além da aprendizagem e das competências adquiridas pretendemos contribuir com os dados obtidos para a melhoria da qualidade de vida dos enfermeiros.
A elaboração deste Relatório teve como base a metodologia descritiva onde explano, de forma clara mas fundamentada, todo o percurso, demonstrando as vivências experienciadas, as atividades desenvolvidas e as competências adquiridas.
This Report comes after the completion of the internship of the Curricular Unit Final Internship and Report, in the contexts of Intensive Care and Emergency Service of a hospital in the north of Portugal. The purpose of the Report is to illustrate the course taken during the internship, to describe and reflect the activities developed during the internship, to demonstrate the skills developed that allowed the acquisition of necessary knowledge and practice in order to provide specialized care to critically ill patients, based on the Regulation of the Common Skills of the Specialist Nurse, to obtain the Master Degree in Nursing, with Specialization in Medical-Surgical Nursing. The learning has been numerous, in assisting the critically ill patient with multiorgan failure, in communicating with the patient and family in complex situations and among the multidisciplinary team, in managing urgent and emerging unforeseen situations, in administering protocols, in pain management and control, which made it possible to promote personal and professional development. As contributions throughout these contexts, they translated into two works, called “Nurses Quality of Life in Critical Patient Care - Impact of the wounded patient on the nurse who performs the treatment” in the context of the Intensive Care Service that emerged from the sharing among the nursing staff after experiencing a case of a patient with a complex wound that had a major impact on her; Another work was developed at the Emergency Service, continuing the central theme of nurses' quality of life, with the title “Prevention of Work-related Musculoskeletal Injuries” which during the internship period revealed that due to the large flow Of the patients in the service, many of the interventions were performed by only one nurse, and at the end of each shift due to incorrect posture and physical overload, the nurses reported tiredness and osteoarticular pain. With these two works in addition to learning and acquired skills we intend to contribute with the data obtained to improve the quality of life of nurses. The elaboration of this Report was based on the descriptive methodology where I explain, in a clear but grounded way, the whole course, demonstrating the lived experiences, the developed activities and the acquired competences.
This Report comes after the completion of the internship of the Curricular Unit Final Internship and Report, in the contexts of Intensive Care and Emergency Service of a hospital in the north of Portugal. The purpose of the Report is to illustrate the course taken during the internship, to describe and reflect the activities developed during the internship, to demonstrate the skills developed that allowed the acquisition of necessary knowledge and practice in order to provide specialized care to critically ill patients, based on the Regulation of the Common Skills of the Specialist Nurse, to obtain the Master Degree in Nursing, with Specialization in Medical-Surgical Nursing. The learning has been numerous, in assisting the critically ill patient with multiorgan failure, in communicating with the patient and family in complex situations and among the multidisciplinary team, in managing urgent and emerging unforeseen situations, in administering protocols, in pain management and control, which made it possible to promote personal and professional development. As contributions throughout these contexts, they translated into two works, called “Nurses Quality of Life in Critical Patient Care - Impact of the wounded patient on the nurse who performs the treatment” in the context of the Intensive Care Service that emerged from the sharing among the nursing staff after experiencing a case of a patient with a complex wound that had a major impact on her; Another work was developed at the Emergency Service, continuing the central theme of nurses' quality of life, with the title “Prevention of Work-related Musculoskeletal Injuries” which during the internship period revealed that due to the large flow Of the patients in the service, many of the interventions were performed by only one nurse, and at the end of each shift due to incorrect posture and physical overload, the nurses reported tiredness and osteoarticular pain. With these two works in addition to learning and acquired skills we intend to contribute with the data obtained to improve the quality of life of nurses. The elaboration of this Report was based on the descriptive methodology where I explain, in a clear but grounded way, the whole course, demonstrating the lived experiences, the developed activities and the acquired competences.
Description
Keywords
Enfermeiro Enfermeiro Especialista Doente crítico Qualidade de vida Ferida Nurse Nurse Specialist Critically Ill Quality of life Wounds