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A comunicação como pilar do cuidado à pessoa em situação crítica
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Este Relatório de Estágio foi elaborado no âmbito do 17º edição do Mestrado em Enfermagem, com especialização em Enfermagem Médico-Cirúrgica na área de Enfermagem à Pessoa em Situação Crítica, da Universidade Católica Portuguesa. O estágio decorreu numa Unidade de Cuidados Intensivos da região Norte e em meio de emergência extra-hospitalar também da região Norte, refletindo-se sobre o desenvolvimento de competências comuns e específicas do enfermeiro especialista. A comunicação revelou-se um elemento central no processo de prestação de cuidados, tanto na interação com a equipa como no apoio à família da Pessoa em Situação Crítica. A capacidade de transmitir informações de forma clara e empática demonstrou ser essencial para reduzir a ansiedade dos familiares, fortalecer a confiança na equipa e garantir uma abordagem humanizada no cuidado à pessoa. Para além disso, ao longo do estágio, foram realizadas atividades complementares que enriqueceram a formação prática. Dentro destas, destaca-se a Via Verde Trauma, uma pesquisa bibliográfica sobre as melhores práticas nesse campo, bem como uma formação sobre a metodologia ISBAR (Identificação, Situação, Background, Avaliação e Recomendação) destinada ao INEM, focada na melhoria da comunicação e eficácia na qualidade dos cuidados prestados em situações de emergência. Foi também realizada uma revisão da literatura sobre comunicação, enfatizando a sua importância nas interações com a equipa e familiares, além da sua aplicação no contexto de cuidados intensivos. Este relatório evidência a relevância da comunicação, da gestão eficaz e da liderança para a prestação de cuidados humanizados e de qualidade à Pessoa em Situação Crítica respeitando sempre os princípios éticos e legais, reforçando o papel do enfermeiro especialista em promover cuidados seguros e centrados na pessoa, através do desenvolvimento contínuo das suas competências.
This Internship Report was prepared within the scope of the 17th edition of the Master's Degree in Nursing, specializing in Medical-Surgical Nursing in the field of Nursing for the Critically Ill Person, at the Universidade Católica Portuguesa. The internship took place in an Intensive Care Unit in the northern region and in an out-of-hospital emergency setting, also in the northern region, reflecting on the development of both common and specific competencies of the specialist nurse. Communication proved to be a central element in the care delivery process, both in interaction with the team and in supporting the family of the Critically Ill Person. The ability to convey information clearly and empathetically was shown to be essential in reducing family anxiety, strengthening trust in the team, and ensuring a humanized approach to patient care. Furthermore, throughout the internship, complementary activities were carried out to enrich practical training. Among these, the Trauma Green Path stands out, which involved bibliographic research on best practices in this field, as well as training on the ISBAR methodology (Identification, Situation, Background, Assessment, and Recommendation) for INEM, focusing on improving communication and effectiveness in the quality of care provided in emergency situations. A literature review on communication was also conducted, emphasizing its importance in interactions with both the team and family members, as well as its application in the intensive care context. This report highlights the importance of communication, effective management, and leadership in delivering humanized and quality care to the Person in Critical Condition, always respecting ethical and legal principles. It reinforces the role of the specialist nurse in promoting safe, person-centered care through the continuous development of their competencies.
This Internship Report was prepared within the scope of the 17th edition of the Master's Degree in Nursing, specializing in Medical-Surgical Nursing in the field of Nursing for the Critically Ill Person, at the Universidade Católica Portuguesa. The internship took place in an Intensive Care Unit in the northern region and in an out-of-hospital emergency setting, also in the northern region, reflecting on the development of both common and specific competencies of the specialist nurse. Communication proved to be a central element in the care delivery process, both in interaction with the team and in supporting the family of the Critically Ill Person. The ability to convey information clearly and empathetically was shown to be essential in reducing family anxiety, strengthening trust in the team, and ensuring a humanized approach to patient care. Furthermore, throughout the internship, complementary activities were carried out to enrich practical training. Among these, the Trauma Green Path stands out, which involved bibliographic research on best practices in this field, as well as training on the ISBAR methodology (Identification, Situation, Background, Assessment, and Recommendation) for INEM, focusing on improving communication and effectiveness in the quality of care provided in emergency situations. A literature review on communication was also conducted, emphasizing its importance in interactions with both the team and family members, as well as its application in the intensive care context. This report highlights the importance of communication, effective management, and leadership in delivering humanized and quality care to the Person in Critical Condition, always respecting ethical and legal principles. It reinforces the role of the specialist nurse in promoting safe, person-centered care through the continuous development of their competencies.
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Enfermeiro Enfermeiro especialista Pessoa em situação crítica Unidade de cuidados intensivos Emergência extra-hospitalar Comunicação Nurse Specialist nurse Person in critical condition Intensive care unit Out-of-hospital emergency Communication
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