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No âmbito da Unidade Curricular de Estágio Final e Relatório surge o presente Relatório de Estágio, encontrando-se inserido no Curso de Mestrado em Enfermagem – Especialização em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Crítica do Instituto de Ciências da Saúde da Universidade Católica Portuguesa Lisboa. Inicialmente este percurso foi composto pelo desenvolvimento de competências durante a componente teórica integrada no curso. Posteriormente, foi desenvolvida a componente prática que se pretende expor neste documento, tendo representado um processo dinâmico e contínuo na aquisição das Competências Específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica – Pessoa em Situação Crítica. Este documento tem como objetivos descrever o meu percurso de aprendizagem em ambiente clínico e demonstrar a aquisição de competências durante este percurso académico. Será implícita uma análise critica e reflexiva sob forma de fundamentar a obtenção do título de Enfermeiro Especialista em dois contextos distintos da prática: Módulo I – Viatura Médica de Emergência e Reanimação e Módulo II – Unidade de Cuidados Intensivos. Estes dois contextos foram orientados com o objetivo de desenvolver competências científicas, técnicas, éticas e relacionais no cuidado especializado em Enfermagem Médico-Cirúrgica à pessoa em situação crítica. Para o desenvolvimento de competências de mestre e promoção de uma cultura científica e de inovação, elaborei uma Scoping Review sobre a temática transversal a todos os meus contextos clínicos “Intervenções de Enfermagem de Apoio ao Luto da Família da Pessoa em Contexto de Cuidados Críticos”. O contexto de morte inesperada necessita da implementação de cuidados de Enfermagem sensíveis e intervenções direcionadas para a família presente, que é confrontada com a morte do seu familiar e inicia o seu processo de luto. Estas intervenções são essenciais para a recuperação e promoção de um processo de luto saudável.
During the Final Placement and Report subject of the Specialisation in Medical Surgical Nursing Masters’ Degree of the Lisbon Portuguese Catholic University, a report was developed. This report pretends to expose the dynamic continuous acquisition, development and consolidation of the competencies specific of a Specialist Medical Surgical Nurse for the Person in Critical Situation, which were acquired during the practical component of the Master Degree and through the completion of two professional placements (internships). However, the acquisition of these practical competencies were only possible after initially acquiring knowledge and competencies through theoretical pathway of the Master Degree. This critical analysis will fundament the acquirement of Specialist Nurse title in these contexts as these experiences were lived with the objective of developing and consolidating scientific, technique, ethical and relational competencies essential for the Specialised Medical Surgical Nursing care of the Person in Critical Situation. To support the acquisition and development of competencies at a master’s level and for the promotion of innovation and evidence-based practice in Nursing a Scoping Review regarding “Nursing Interventions to Support the Bereavement of the Family in the Critical Care Context” was completed, as this is a traversal thematic to both Clinical Placement (internship) contexts. The unexpected death of a relative confronts its family with a sudden loss and family centred, prompt, sensible and efficient implementation of nursing interventions is essential for the promotion of a healthy grieving process and for adequate family recovery.
During the Final Placement and Report subject of the Specialisation in Medical Surgical Nursing Masters’ Degree of the Lisbon Portuguese Catholic University, a report was developed. This report pretends to expose the dynamic continuous acquisition, development and consolidation of the competencies specific of a Specialist Medical Surgical Nurse for the Person in Critical Situation, which were acquired during the practical component of the Master Degree and through the completion of two professional placements (internships). However, the acquisition of these practical competencies were only possible after initially acquiring knowledge and competencies through theoretical pathway of the Master Degree. This critical analysis will fundament the acquirement of Specialist Nurse title in these contexts as these experiences were lived with the objective of developing and consolidating scientific, technique, ethical and relational competencies essential for the Specialised Medical Surgical Nursing care of the Person in Critical Situation. To support the acquisition and development of competencies at a master’s level and for the promotion of innovation and evidence-based practice in Nursing a Scoping Review regarding “Nursing Interventions to Support the Bereavement of the Family in the Critical Care Context” was completed, as this is a traversal thematic to both Clinical Placement (internship) contexts. The unexpected death of a relative confronts its family with a sudden loss and family centred, prompt, sensible and efficient implementation of nursing interventions is essential for the promotion of a healthy grieving process and for adequate family recovery.
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Enfermeiro especialista Competências de enfermagem Pessoa em situação crítica Luto Família Specialist nurse Nurse skills Critical care Bereavement Family
