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Abstract(s)
O presente relatório foi desenvolvido no âmbito da Unidade Curricular “Estágio Final e Relatório” do 16º Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica na Área de Enfermagem à Pessoa em Situação Crítica, no Instituto de Ciências da Saúde da Universidade Católica Portuguesa. Através dele demonstra-se o percurso efetuado durante esta Unidade Curricular, realçando a aquisição de competências na formação do Enfermeiro Especialista e Mestre e o seu impacto no exercício profissional. Este processo de aprendizagem e de aquisição de competências decorreu e foi consolidado nos estágios realizados num Serviço de Urgência Polivalente e num Serviço de Medicina Intensiva de um Centro Hospitalar e Universitário. Utilizei uma metodologia descritiva e expositiva, efetuei uma reflexão crítica sobre a prática, sobre os objetivos delineados e as atividades desenvolvidas. A fundamentação da aquisição de competências é efetuada de acordo com as competências comuns e as específicas, sendo que nas competências comuns a análise é efetuada de forma mais individualizada e as específicas combinando a complementaridade que apresentam. Evidenciei as atividades desenvolvidas no contributo ao desenvolvimento de projetos de melhoria contínua da qualidade, que representa uma das competências comuns cruciais, do Enfermeiro Especialista, no desenvolvimento das aprendizagens profissionais e na prestação de cuidados especializados. Destaquei a importância da tomada de decisão baseada na melhor evidência científica disponível, dentro da equipa multidisciplinar para práticas seguras e fundamentadas. A prestação de cuidados ao doente crítico pressupõe uma base de conhecimento que permita uma tomada de decisão sustentada e baseada na evidência, dentro da equipa multidisciplinar. Nesta área a intervenção do Enfermeiro Especialista é diferenciadora, quer pela forma como efetua uma avaliação holística do doente e família, antecipando situações de instabilidade, quer como aplica o conhecimento especializado na sua prática clínica. Contribui para o desenvolvimento de novo conhecimento na sua área de intervenção, participa em processo de melhoria contínua e promove a qualidade nos cuidados. É fundamental que se promova o crescimento da Enfermagem enquanto ciência, como fonte de conhecimento nas diversas áreas de intervenção, que é a maior motivação resultante no final deste percurso de aprendizagem.
This report was developed within the scope of the Curricular Unit “Final Internship and Report” of the 16th Master's Degree in Nursing with Specialization in Medical-Surgical Nursing in the Area of Nursing for Critically Ill Patients, at the Instituto das Ciências da Saúde of the Universidade Católica Portuguesa. Through it, the path taken during this Curricular Unit is revealed, emphasizing the acquisition of skills necessary for the role of Specialist Nurse and Master’s level practice. This process of learning and acquiring skills took place and was consolidated during internships carried out in an Emergency Department and in an Intensive Care Unit of a University Hospital. I used a descriptive and expository methodology, carrying out a critical reflection on the practice, on the objectives outlined and the activities developed. The fundament for the acquisition of skills is carried out according to common and specific skills, with commons being analyzed in a more individualized way and the specific combining the complementarity they present. The activities elaborate to contribute to the development of continuous quality improvement projects are highlighted, which represents one of the crucial common skills of the Specialist Nurse, in the development of professional learning and the provision of specialized care. The importance of decision-making based on the best scientific evidence available, within the multidisciplinary team for safe and well-founded practices, is highlighted. Providing care to critically ill patients require a knowledge base that allows an evidence-based decision-making within the multidisciplinary team. In this area, the intervention of the Specialist Nurse is differentiating, both in the way they carry out a holistic assessment of the patient and family, anticipating situations of instability, and in how they apply specialized knowledge in their clinical practice. It contributes to the development of new knowledge in its intervention area, participates in a process of continuous improvement and promotes quality in care. It is essential to promote the growth of Nursing as a science, as a source of knowledge in the different areas of intervention, which is the greatest motivation resulting at the end of this learning path.
This report was developed within the scope of the Curricular Unit “Final Internship and Report” of the 16th Master's Degree in Nursing with Specialization in Medical-Surgical Nursing in the Area of Nursing for Critically Ill Patients, at the Instituto das Ciências da Saúde of the Universidade Católica Portuguesa. Through it, the path taken during this Curricular Unit is revealed, emphasizing the acquisition of skills necessary for the role of Specialist Nurse and Master’s level practice. This process of learning and acquiring skills took place and was consolidated during internships carried out in an Emergency Department and in an Intensive Care Unit of a University Hospital. I used a descriptive and expository methodology, carrying out a critical reflection on the practice, on the objectives outlined and the activities developed. The fundament for the acquisition of skills is carried out according to common and specific skills, with commons being analyzed in a more individualized way and the specific combining the complementarity they present. The activities elaborate to contribute to the development of continuous quality improvement projects are highlighted, which represents one of the crucial common skills of the Specialist Nurse, in the development of professional learning and the provision of specialized care. The importance of decision-making based on the best scientific evidence available, within the multidisciplinary team for safe and well-founded practices, is highlighted. Providing care to critically ill patients require a knowledge base that allows an evidence-based decision-making within the multidisciplinary team. In this area, the intervention of the Specialist Nurse is differentiating, both in the way they carry out a holistic assessment of the patient and family, anticipating situations of instability, and in how they apply specialized knowledge in their clinical practice. It contributes to the development of new knowledge in its intervention area, participates in a process of continuous improvement and promotes quality in care. It is essential to promote the growth of Nursing as a science, as a source of knowledge in the different areas of intervention, which is the greatest motivation resulting at the end of this learning path.
Description
Keywords
Enfermeiro especialista Doente crítico Competências Prática baseada em evidência Melhoria contínua da qualidade Specialist nurse Critical ill patient Skills Evidence-based practice Continuous improvement