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Advisor(s)
Abstract(s)
O presente relatório pretende revelar o percurso na aquisição e desenvolvimento de
competências clínicas especializadas no âmbito do Curso de Mestrado em Enfermagem
Médico-Cirúrgica na Área de Especialização: Pessoa em Situação Crítica, do Instituto de
Ciências da Saúde - Lisboa, da Universidade Católica Portuguesa.
Como linha norteadora do pensamento em Enfermagem, integrei dois referenciais teóricos
no desenvolvimento do cuidado de excelência: a Teoria do Cuidado Humano de Jean
Watson e a Teoria das Transições de Afaf Meleis.
Transversal ao percurso clínico, dinamizei os resultados da investigação no cuidado
abordando o fenómeno da integração do enfermeiro no cuidado à pessoa em situação
crítica. Pelo mapeamento das dificuldades e estratégias na integração, procurei responder a
um desafio complexo da qualidade e segurança no cuidado, face à mobilização e
contratação cada vez mais acelerada de profissionais de enfermagem.
Integrando o saber teórico no cuidado especializado, desenvolvi competências promotoras
de uma atitude profissional de Enfermeira Especialista em dois contextos: Unidade de
Cuidados Intensivos e Serviço de Urgência Central. A par da aquisição das competências
específicas, foi possível identificar áreas de intervenção que permitiram o crescimento
enquanto profissional, realizando atividades como a dinamização de sessões de formação
para a equipa. Na Unidade de Cuidados Intensivos, contribuí para a prevenção e controlo
da infeção associada aos cuidados de saúde através de uma formação integrada no cuidado
relativamente à testagem para pesquisa de SARS-CoV-2, e de uma sessão de formação
sobre a prevenção da infeção nos cateteres intravasculares. No serviço de urgência incidi o
cuidado no setor considerado mais crítico: a sala de reanimação, onde o índice de
gravidade da pessoa e consequente gestão das suas emoções e da sua família são mais
complexas. Sabendo que as falhas na comunicação constituem uma das principais causas
de eventos adversos a nível internacional e ocorrem essencialmente nos momentos de
transição de cuidados, foi realizada uma sessão de formação alertando para a importância
da padronização da comunicação para a continuidade do cuidado.
With this report I intend to express in writing the route to acquiring and developing specialized clinical skills in the Medical-Surgical Nursing Master’s degree in the area of expertise: Person in Critical Condition, from the Institute of Health Sciences - Lisbon, from the Universidade Católica Portuguesa. As a Nursing thought process guiding line, I integrated two theoretical frameworks in the development of excellent care: the Theory of Human Care by Jean Watson and the Theory of Transitions by Afaf Meleis. Alongside the clinical course, I streamlined the results of research in care, addressing the matter of the integration of nurses in the care for people in critical condition. By mapping the integration difficulties and strategies, I sought to respond to a complex challenge of quality and safety in care, given the increasingly accelerated mobilization and hiring of nursing professionals. Integrating theoretical knowledge into specialized care, I developed skills that promote a professional attitude as a Specialized Nurse in two contexts: Intensive Care Service and Central Emergency Service. Along with the acquisition of specific skills, it was possible to identify areas of intervention that allowed growth as a professional, carrying out activities such as the promotion of training sessions for the team. In the Intensive Care Unit, I contribute to the prevention and control of healthcare-associated infection through integrated training in care regarding testing for research for SARS-CoV-2, and a training session on the prevention of infection in intravascular catheters. In the emergency department, care is focused on the sector considered the most critical: the resuscitation room, where the severity scale, the fear and anxiety of the person and its family are more complex. Knowing that communication failures are one of the main causes of adverse events on global scale and that most of them occur in moments of care transition, a training session was held alerting to the importance of standardizing communication for the continuity of care.
With this report I intend to express in writing the route to acquiring and developing specialized clinical skills in the Medical-Surgical Nursing Master’s degree in the area of expertise: Person in Critical Condition, from the Institute of Health Sciences - Lisbon, from the Universidade Católica Portuguesa. As a Nursing thought process guiding line, I integrated two theoretical frameworks in the development of excellent care: the Theory of Human Care by Jean Watson and the Theory of Transitions by Afaf Meleis. Alongside the clinical course, I streamlined the results of research in care, addressing the matter of the integration of nurses in the care for people in critical condition. By mapping the integration difficulties and strategies, I sought to respond to a complex challenge of quality and safety in care, given the increasingly accelerated mobilization and hiring of nursing professionals. Integrating theoretical knowledge into specialized care, I developed skills that promote a professional attitude as a Specialized Nurse in two contexts: Intensive Care Service and Central Emergency Service. Along with the acquisition of specific skills, it was possible to identify areas of intervention that allowed growth as a professional, carrying out activities such as the promotion of training sessions for the team. In the Intensive Care Unit, I contribute to the prevention and control of healthcare-associated infection through integrated training in care regarding testing for research for SARS-CoV-2, and a training session on the prevention of infection in intravascular catheters. In the emergency department, care is focused on the sector considered the most critical: the resuscitation room, where the severity scale, the fear and anxiety of the person and its family are more complex. Knowing that communication failures are one of the main causes of adverse events on global scale and that most of them occur in moments of care transition, a training session was held alerting to the importance of standardizing communication for the continuity of care.
Description
Keywords
Enfermagem Cuidado especializado Qualidade dos cuidados Transições Integração Nursing Specialized care Quality of care Transitions Integration