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Cuidados de enfermagem especializados à pessoa em situação crítica com patologia cardíaca
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| 28.13 MB | Adobe PDF |
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Abstract(s)
O presente relatório foi desenvolvido no âmbito do curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico‐Cirúrgica na área de Enfermagem à Pessoa em Situação Crítica, tendo como finalidade ilustrar, de forma crítica e reflexiva, as atividades desenvolvidas e as competências adquiridas nos estágios realizados. Os estágios inserem-se no âmbito da unidade curricular de “Estágio Final e Relatório”, uma vez que obtive equivalência à unidade curricular “A Pessoa em Situação Crítica e Família – Vigilância e Decisão Clínica”. A unidade curricular de “Estágio Final e Relatório” foi desenvolvida em quatro locais de estágio, dando enfoque ao contexto de cuidados intensivos, de urgência e à minha área de predileção, a cardiologia. O primeiro estágio foi realizado numa unidade de cuidados paliativos de insuficiência cardíaca avançada, o segundo estágio, numa unidade de cuidados intensivos médico-cirúrgicos, o terceiro, num bloco operatório de urgência e, por último, o quarto estágio, num bloco de cirurgia cardiotorácica. No primeiro e último estágio foi realizada uma observação participativa, tendo sido realizada uma análise critico reflexiva do contexto. Transversal ao segundo e ao terceiro estágio está a formulação de objetivos gerais e específicos que nortearam os mesmo e que servem de pano de fundo para a reflexão da aquisição do processo de competências. Paralelamente à unidade curricular e com impacto na mesma, foi desenvolvida uma scoping review, em parceria com dois colegas do mestrado, sobre “Cuidados de enfermagem à pessoa em situação crítica com balão intra-aórtico”. Esta temática surge como reflexo das minhas vivências enquanto enfermeira na área da cardiologia, tendo tido também especial impacto no âmbito do quarto estágio, onde divulgamos os resultados obtidos. Ainda neste sentido, e alicerçado pelo meu gosto crescente pela investigação, novamente em parceria com os colegas de mestrado, realizei uma análise de conceito sobre “A escuta no cuidado de enfermagem” à luz do conceito evolucionário de Rodgers. Ambos os trabalhos de investigação estão presentes no relatório, sendo que a scoping review consta do primeiro capítulo do mesmo. Assim sendo, pretendo que este relatório demonstre o caminho realizado no desenvolvimento de aquisição de competências como enfermeira especialista em enfermagem médico-cirúrgica na área da pessoa em situação crítica.
This report was developed within the scope of the Master's Degree in Nursing with Specialization in Medical-Surgical Nursing in the area of Nursing in Critical Care, with the purpose of illustrating, in a critical and reflective way, the activities developed and the skills acquired during the internships. The internships are part of the curricular unit "Final Internship and Report", since I obtained equivalence to the curricular unit "The Critically ill Person and Family - Surveillance and Clinical Decision". The curricular unit "Final Internship and Report" was developed in four internship sites, focusing on intensive care, emergency and my area of preference, cardiology. The first internship was carried out in a palliative care unit for advanced heart failure, the second internship in a medical-surgical intensive care unit, the third in an emergency operating room, and finally the fourth internship in a cardiothoracic surgery block. In the first and last internship a participative observation was carried out, and a critical reflective analysis of the context was performed. Transversal to the second and third internships is the formulation of general and specific objectives that guided them and serve as a backdrop for reflection on the acquisition of competencies process. In parallel with the course unit and with an impact on it, a scoping review was developed, in partnership with two colleagues from the Master's degree, on "Nursing care to critically ill patients with intra-aortic balloon". This theme emerged as a reflection of my experiences as a nurse in cardiology, and also had a special impact on the fourth internship, where we disseminated the results. Still in this sense, and based on my growing taste for research, again in partnership with my master's degree colleagues, I conducted a concept analysis on "Listening in nursing care" in the light of Rodgers' evolutionary concept. Both research papers are present in the report, and the scoping review is in the first chapter of the report. Therefore, I hope that this report demonstrates the path taken in the development of skills acquisition as a specialist nurse in medical-surgical nursing in the area of the critically ill person.
This report was developed within the scope of the Master's Degree in Nursing with Specialization in Medical-Surgical Nursing in the area of Nursing in Critical Care, with the purpose of illustrating, in a critical and reflective way, the activities developed and the skills acquired during the internships. The internships are part of the curricular unit "Final Internship and Report", since I obtained equivalence to the curricular unit "The Critically ill Person and Family - Surveillance and Clinical Decision". The curricular unit "Final Internship and Report" was developed in four internship sites, focusing on intensive care, emergency and my area of preference, cardiology. The first internship was carried out in a palliative care unit for advanced heart failure, the second internship in a medical-surgical intensive care unit, the third in an emergency operating room, and finally the fourth internship in a cardiothoracic surgery block. In the first and last internship a participative observation was carried out, and a critical reflective analysis of the context was performed. Transversal to the second and third internships is the formulation of general and specific objectives that guided them and serve as a backdrop for reflection on the acquisition of competencies process. In parallel with the course unit and with an impact on it, a scoping review was developed, in partnership with two colleagues from the Master's degree, on "Nursing care to critically ill patients with intra-aortic balloon". This theme emerged as a reflection of my experiences as a nurse in cardiology, and also had a special impact on the fourth internship, where we disseminated the results. Still in this sense, and based on my growing taste for research, again in partnership with my master's degree colleagues, I conducted a concept analysis on "Listening in nursing care" in the light of Rodgers' evolutionary concept. Both research papers are present in the report, and the scoping review is in the first chapter of the report. Therefore, I hope that this report demonstrates the path taken in the development of skills acquisition as a specialist nurse in medical-surgical nursing in the area of the critically ill person.
Description
Keywords
Cuidados de enfermagem Pessoa em situação crítica Balão intra-aórtico Escuta Nursing care Critical care Intra-aortic balloon Listening