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O presente relatório surge como resultado da última fase do Curso de Mestrado em
Enfermagem com Especialização em Enfermagem Médico-Cirúrgica, com o intuito de
desenvolver competências na prestação de cuidados especializados à pessoa em situação
crítica e sua família, que culmina na obtenção do título de Mestre em Enfermagem.
Neste documento é feita uma análise crítico-construtiva e reflexiva do percurso
desenvolvido, das atividades realizadas e das competências adquiridas e desenvolvidas nos
diferentes estágios. Assim, a unidade curricular Estágio foi composta por três estágios onde
foram desenvolvidas competências técnico-científicas, relacionais e éticas no cuidado
especializado ao doente crítico e sua família.
O primeiro estágio foi realizado no Serviço de Urgência Central num hospital da
área metropolitana de Lisboa, que se pautou pela elaboração de um guia de acolhimento
destinado às famílias dos doentes internados no serviço de observação. Esta intervenção
visou o incremento da qualidade e continuidade dos cuidados.
Do segundo estágio, decorrido na Unidade de Cuidados Intensivos/Intermédios
polivalente num hospital com parceria público-privada nos arredores de Lisboa, e na
sequência do diagnóstico de situação foi realizada uma revisão sistemática da literatura que
visou identificar as intervenções de enfermagem no controlo do delirium do doente
internado na unidade de cuidados intensivos, promovendo uma melhor qualidade dos
cuidados prestados através de evidência científica atual.
No que se refere ao último estágio – opcional, este ocorreu numa Unidade de
Cuidados Paliativos, num hospital privado situado também na área metropolitana de
Lisboa, onde se evidencia a realização de uma revisão integrativa da literatura sobre as
intervenções de enfermagem no controlo do delirium no doente, agora internado na
unidade de cuidados paliativos e, através da partilha de conhecimentos, esta possibilitou a
reflexão conjunta da equipa sobre a tomada de decisão e intervenções de enfermagem que
poderiam ser implementadas no controlo do delirium do doente.
Neste percurso formativo houve sempre uma procura constante em maximizar o
processo de aprendizagem, fortalecendo e contribuindo para uma prática de qualidade,
competente, segura, científica e humana, visando o desenvolvimento de competências para
uma prática especializada.
This report appears as a result from the last stage of the Nursing Master’s Degree Specialization in the area of Medical-Surgical Nursing and pretends to develop competences in the specialized care to the person in critical situation and respective family, ending with the title of Nursing Master. This document pretends to make a critical, constructive and reflexive analysis of the achieved activities, as well as the acquired and developed competences in the different stages. Thus, the curricular stage unity was composed by three stages where technical, scientific, relational and ethic competences were developed regarding specialized care to the critical patient and family. The first stage was carried out in the Central Emergency Service of a hospital of the district of Lisbon, standing out the making of a foster guide to deliver to the families of the patients admitted in the observation room in order to increase the quality and continuity of care. The second stage elapsed in the Intensive/Intermediate Unit Care of a hospital of public-private partnership on the outskirts of Lisbon and as sequence of the situation diagnosis, was carried out a systematic literature review about nursing interventions on the control of the delirium in patients admitted in the intensive care unit in order to obtain a better quality in specialized care through actual scientific evidence. Regarding the last stage – optional, occurred in a Palliative Care Unit of a private hospital in the district of Lisbon, standing out the making of an integrative literature review about nursing interventions on the control of delirium in patients admitted in the palliative care unit, through knowledge sharing, it was possible to realize a team reflection about taking decisions and nursing interventions, which could be implemented in the control of patient delirium. Along this formative course there was always a constant attempt to enhance the learning process, in order to acquire a quality, competent, safe, scientific and human practice toward the development of competences for a specialized practice.
This report appears as a result from the last stage of the Nursing Master’s Degree Specialization in the area of Medical-Surgical Nursing and pretends to develop competences in the specialized care to the person in critical situation and respective family, ending with the title of Nursing Master. This document pretends to make a critical, constructive and reflexive analysis of the achieved activities, as well as the acquired and developed competences in the different stages. Thus, the curricular stage unity was composed by three stages where technical, scientific, relational and ethic competences were developed regarding specialized care to the critical patient and family. The first stage was carried out in the Central Emergency Service of a hospital of the district of Lisbon, standing out the making of a foster guide to deliver to the families of the patients admitted in the observation room in order to increase the quality and continuity of care. The second stage elapsed in the Intensive/Intermediate Unit Care of a hospital of public-private partnership on the outskirts of Lisbon and as sequence of the situation diagnosis, was carried out a systematic literature review about nursing interventions on the control of the delirium in patients admitted in the intensive care unit in order to obtain a better quality in specialized care through actual scientific evidence. Regarding the last stage – optional, occurred in a Palliative Care Unit of a private hospital in the district of Lisbon, standing out the making of an integrative literature review about nursing interventions on the control of delirium in patients admitted in the palliative care unit, through knowledge sharing, it was possible to realize a team reflection about taking decisions and nursing interventions, which could be implemented in the control of patient delirium. Along this formative course there was always a constant attempt to enhance the learning process, in order to acquire a quality, competent, safe, scientific and human practice toward the development of competences for a specialized practice.
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Enfermeiro especialista Enfermagem médico-cirúrgica Competências especializadas de enfermagem Specialized nurse Medical-surgical nursing Specialized nursing competences