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Eficácia das intervenções não farmacológicas promotoras do sono na pessoa em situação crítica
| Name: | Description: | Size: | Format: | |
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| 3.02 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O presente relatório surge na sequência do 13º Mestrado em enfermagem com especialização em enfermagem médico-cirúrgica: vertente pessoa em situação crítica da Universidade Católica Portuguesa. Este trabalho visa apresentar uma análise critico-reflexiva do processo de aquisição de competências baseado no modelo de Dreyfus adaptado por Benner (2001) para a prática de enfermagem, no qual a experiência tem particular relevância, tendo sido realizado estágio de 180 horas no serviço de urgência e 360 horas em unidade de cuidados intensivos. O modelo teórico que orientou a prática clínica foi “Technological Competency as Caring in Nursing”. Esta teoria de médio alcance desenvolvida por Locsin em 2010 pressupõe a existência de uma relação harmoniosa entre os avanços tecnológicos em saúde e os cuidados em enfermagem. A sua pertinência justifica-se uma vez que a pessoa em situação crítica, pela sua condição, carece de suporte tecnológico de forma contínua para tratamento e monitorização. O fenómeno escolhido para estudo foi o sono. A pessoa em situação crítica sofre frequentemente de perturbações do sono que podem comprometer a sua recuperação, sabe-se que as pessoas internadas em unidades de cuidados intensivos apresentam sono fragmentado, pouco eficiente, com aumento do sono leve e diminuição do sono. Por meio de revisão sistemática da literatura de eficácia estudaram-se as estratégias não farmacológicas promotoras do sono. Através deste método pude desenvolver competências no âmbito da investigação em enfermagem que conferem o grau de mestre. Vários foram os trabalhos desenvolvidos, nesta jornada, que impulsionaram o desenvolvimento das competências especializadas, como a elaboração de um estudo de caso, a construção de uma norma de procedimento relativa ao posicionamento em decúbito ventral da pessoa com síndrome de dificuldade respiratória aguda.
This report emerges from the 13th Master's Degree in Nursing with a specialization in medical-surgical nursing strand at Universidade Católica Portuguesa. This report aims to present a critical-reflective analysis on the acquisition of skills in critical care based on the Dreyfus model adapted by Benner (2001) for nursing practice, in which experience is particularly relevant. For the development of specialized skills, an internship of 180 hours in the emergency department and 360 hours in an intensive care unit took place. The theoretical model that guided the clinical practice in this journey was “Technological Competency as Caring in Nursing”. This mid-range theory developed by Locsin in 2010 presupposes the existence of a harmonious relationship between technological advances in health and nursing care, and it is relevant because critical ill patients, due to their condition, require continuous technological support for treatment and monitoring. The phenomenon chosen for further study was sleep. Critical ill patients often suffer from sleep disturbances that can compromise their recovery, it is known that people hospitalized in intensive care units have fragmented and inefficient sleep, with increased light sleep and a decreased sleep time. Several non-pharmacological interventions have been validated from an experimental point of view. The non pharmacological strategies that promote sleep were studied through a systematic review of literature. With this method I was able to develop skills in nursing research that confer a master's degree. Several works were developed, in this journey, promoting the development of specialized skills, such as the elaboration of a case study, the development of a standardized procedure regarding the prone position on patients with acute respiratory distress syndrome.
This report emerges from the 13th Master's Degree in Nursing with a specialization in medical-surgical nursing strand at Universidade Católica Portuguesa. This report aims to present a critical-reflective analysis on the acquisition of skills in critical care based on the Dreyfus model adapted by Benner (2001) for nursing practice, in which experience is particularly relevant. For the development of specialized skills, an internship of 180 hours in the emergency department and 360 hours in an intensive care unit took place. The theoretical model that guided the clinical practice in this journey was “Technological Competency as Caring in Nursing”. This mid-range theory developed by Locsin in 2010 presupposes the existence of a harmonious relationship between technological advances in health and nursing care, and it is relevant because critical ill patients, due to their condition, require continuous technological support for treatment and monitoring. The phenomenon chosen for further study was sleep. Critical ill patients often suffer from sleep disturbances that can compromise their recovery, it is known that people hospitalized in intensive care units have fragmented and inefficient sleep, with increased light sleep and a decreased sleep time. Several non-pharmacological interventions have been validated from an experimental point of view. The non pharmacological strategies that promote sleep were studied through a systematic review of literature. With this method I was able to develop skills in nursing research that confer a master's degree. Several works were developed, in this journey, promoting the development of specialized skills, such as the elaboration of a case study, the development of a standardized procedure regarding the prone position on patients with acute respiratory distress syndrome.
Description
Keywords
Pessoa em situação crítica Sono Intervenções não farmacológicas Cuidados intensivos Serviço de urgência Competências especializadas Critically ill patient Sleep Non-pharmacological interventions Intensive care Emergency room Specialized skills