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Abstract(s)
Este relatório descreve o processo de aquisição de competências especializadas em
Enfermagem Médico-Cirúrgica. Para a prestação de cuidados à Pessoa em Situação
Crítica, o enfermeiro especialista na área de Especialização em Enfermagem Médico-
Cirúrgica detém competências científicas, éticas, relacionais e técnicas, que
operacionaliza nas áreas de prestação de cuidados, de gestão, de formação e de
investigação. Deste modo, é realizada uma descrição pormenorizada das atividades
desenvolvidas e das competências especializadas adquiridas na prática clínica em dois
contextos distintos de cuidado de enfermagem: o Serviço de Urgência Geral e a
Unidade de Cuidados Intensivos do Hospital Garcia de Orta. Foram vivenciadas
situações de elevada criticidade e vulnerabilidade, onde aliada à vigilância e
monitorização constante, ocorreu o desenvolvimento de competências comunicacionais
significativas, promovendo o fortalecimento da relação doente/família/enfermeiro e a
gestão de sentimentos, promoção do conforto e qualidade de vida.
A temática dos indicadores de qualidade de enfermagem surge como eixo transversal a
todo o relatório, devido ao seu potencial de contribuir para a melhoria da qualidade dos
cuidados. Os indicadores de qualidade de enfermagem refletem a forma como os
enfermeiros contribuem para a saúde da população e como planeiam, atuam e avaliam a
sua ação profissional e processo de decisão autónomo. Através de processos de revisão
de literatura foram evidenciados os indicadores de qualidade de enfermagem para os
contextos específicos da UCI e do serviço de urgência. Posteriormente, foram
selecionados alguns indicadores, atendendo às necessidades identificadas nos serviços, e
planeados projetos de operacionalização dos mesmos com contributos reais e efetivos
para a melhoria da qualidade dos cuidados e do sistema de auditoria.
This report describes the process of acquisition of specialized competences in Medical- Surgical Nursing. For taking care of a person in critical condition, the nurse specialized in Medical-Surgical Nursing possesses scientific, ethical, relational and technical competences which are employed in the areas of care, management, formation and investigation. This way a detailed description of the developed activities and specialized competences acquired in the clinical practice is given in two different contexts of nurse care: emergency service and the ICU of Hospital Garcia de Orta. Critical and vulnerable situations were experienced, where constant vigilance and monitoring allied by high technology resulted in the development of significant communication competences, strengthening the patient/family/nurse relation, incentivizing the management of feelings and promoting comfort and life quality. The thematic of nursing quality indicators comes as a transversal topic throughout this report due to its potential of contribution in the care quality improvement. They reflect the unique contribution of nursing care for the population’s health and measure how nurses conceive, act and evaluate their professional action and autonomous decision process. Through literature reviews, specific emergency care and intensive care nursing quality indicators were identified. Subsequently some indicators were selected according to the needs identified in the services and some implementation projects were developed which resulted in real and effective improvements in nursing quality practice and audit services.
This report describes the process of acquisition of specialized competences in Medical- Surgical Nursing. For taking care of a person in critical condition, the nurse specialized in Medical-Surgical Nursing possesses scientific, ethical, relational and technical competences which are employed in the areas of care, management, formation and investigation. This way a detailed description of the developed activities and specialized competences acquired in the clinical practice is given in two different contexts of nurse care: emergency service and the ICU of Hospital Garcia de Orta. Critical and vulnerable situations were experienced, where constant vigilance and monitoring allied by high technology resulted in the development of significant communication competences, strengthening the patient/family/nurse relation, incentivizing the management of feelings and promoting comfort and life quality. The thematic of nursing quality indicators comes as a transversal topic throughout this report due to its potential of contribution in the care quality improvement. They reflect the unique contribution of nursing care for the population’s health and measure how nurses conceive, act and evaluate their professional action and autonomous decision process. Through literature reviews, specific emergency care and intensive care nursing quality indicators were identified. Subsequently some indicators were selected according to the needs identified in the services and some implementation projects were developed which resulted in real and effective improvements in nursing quality practice and audit services.