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O relatório relata o percurso ao longo dos Estágios numa Unidade de Cuidados Intensivos Polivalente e numa Unidade de Cuidados Intensivos Especializados. Está organizado segundo os domínios de competências comuns dos Enfermeiros especialistas entrecruzando-se com as competências específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica, mais concretamente na assistência à pessoa em situação critica. Utilizou-se uma metodologia crítico-reflexiva na análise das atividades desenvolvidas, fundamentando-se o agir do Enfermeiro Especialista à luz do quadro legal, moral e deontológico, abordando as questões da diferenciação do mesmo, do valor acrescentado e do seu enquadramento com a excelência. Os focos de maior atenção em contributos e aprendizagens foram os aspetos organizacionais de apoio à gestão de cuidados e melhoria contínua da qualidade, através da reflexão, em forma de artigo, do uso da Escala de Carga de Trabalho Nursing Activities Score na prática clínica, em contexto de Cuidados Intensivos Polivalente; propostas de melhoria da usabilidade dos sistemas de informação em Enfermagem; elaboração de projeto de implementação de um diário do doente em cuidados intensivos, elaboração de um estudo de caso, em contexto de cuidados intensivos monovalente – oncológica, sobre um doente submetido a uma Esofagectomia e participação em atividades de melhoria contínua da qualidade como auditorias no âmbito do projeto Stop Infeção. A potenciação de um maior aproveitamento das capacidades, competências e informação produzida pelos enfermeiros especialistas, pelo seu impacto na qualidade dos cuidados ao doente, inovação e espírito crítico pode contribuir, num futuro mais alargado, num maior reconhecimento da especialidade em Enfermagem Médico-cirúrgica, rumo à excelência nos cuidados.
This report describes the course through the Internships in a General Intensive Care Unit and a specialized Intensive Care Unit. It is organized according to the common competency domains of specialist nurses intersecting with the specific competencies of the Specialist Nurse in Medical- Surgical Nursing, more specifically in assisting the person in critical condition. A critical-reflexive methodology was used in the analysis of the activities performed, based on the actions of the Specialist Nurse, addressing the legal, moral and deontological framework, the issues of differentiation, value added and excellence. The focus was given to the organizational aspects to support care management and continuous improvement of quality, with the reflection, in an article, of the use of the Nursing Activities Score Scale in Intensive Care clinical practice; proposals for improving the usability of Nursing information systems; planning of a project to implement a patient 's diary in intensive care, execution of a case study in the context of oncologic intensive care on a patient undergoing esophagectomy and participation in continuous quality improvement activities such as audits in the scope of the Stop Infeção project. We believe that in the short and medium term, those activities will impact beyond the period of the specialty internship, obtaining the benefits of participating in training activities, thus the clinical settings taking advantage of the trainees' contribution. The potential for greater use of the skills, competencies and information produced by specialist nurses, their impact on the quality of patient care, innovation and critical thinking can contribute to a broader recognition of the specialty in Medical- Surgical Nursing, toward excellence in care.
This report describes the course through the Internships in a General Intensive Care Unit and a specialized Intensive Care Unit. It is organized according to the common competency domains of specialist nurses intersecting with the specific competencies of the Specialist Nurse in Medical- Surgical Nursing, more specifically in assisting the person in critical condition. A critical-reflexive methodology was used in the analysis of the activities performed, based on the actions of the Specialist Nurse, addressing the legal, moral and deontological framework, the issues of differentiation, value added and excellence. The focus was given to the organizational aspects to support care management and continuous improvement of quality, with the reflection, in an article, of the use of the Nursing Activities Score Scale in Intensive Care clinical practice; proposals for improving the usability of Nursing information systems; planning of a project to implement a patient 's diary in intensive care, execution of a case study in the context of oncologic intensive care on a patient undergoing esophagectomy and participation in continuous quality improvement activities such as audits in the scope of the Stop Infeção project. We believe that in the short and medium term, those activities will impact beyond the period of the specialty internship, obtaining the benefits of participating in training activities, thus the clinical settings taking advantage of the trainees' contribution. The potential for greater use of the skills, competencies and information produced by specialist nurses, their impact on the quality of patient care, innovation and critical thinking can contribute to a broader recognition of the specialty in Medical- Surgical Nursing, toward excellence in care.
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Enfermeiro especialista Enfermagem Médico-Cirúrgica Doente crítico Unidade de Cuidados Intensivos Specialist nurse Nursing Critical care patient Intensive care unit Medical-surgical Person in critical condition