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Abstract(s)
Este relatório surge no âmbito do Curso Pós-Licenciatura em Enfermagem e reflete
o desenvolvimento, a aquisição e a integração de saberes para a prestação de cuidados
especializados na área de Enfermagem Médico-Cirúrgica à pessoa adulta e idosa com
doença grave ou em estado crítico.
O relatório sintetiza todo o trabalho desenvolvido durante os módulos de estágio,
cuja atividade se desenvolveu na Unidade de Cuidados Intensivos do Hospital Pedro
Hispano, no Serviço de Urgência do Centro Hospitalar de Trás-os-Montes e Alto Douro e
no Instituto Nacional de Emergência Médica.
Os contextos onde se desenrolaram as práticas clínicas favoreceram um clima de
aprendizagem abrangente e profícuo e revelaram-se locais privilegiados de observação e
aprendizagem, permitindo a aplicação dos conhecimentos, valores e capacidades
conducentes a uma prática de cuidados de excelência.
O módulo de estágio na Unidade de Cuidados Intensivos permitiu o
desenvolvimento de competências na prestação de cuidados ao doente crítico com falência
(multi) orgânica eminente ou estabelecida.
Relativamente ao módulo de estágio no Serviço de Urgência, permitiu o
desenvolvimento de competências na abordagem, ao doente em estado crítico, de forma
holística. Além disso, permitiu identificar necessidades bem como focos de instabilidade
ou risco de falência orgânica, tendo sido estabelecidas as prioridades respetivas. Aqui,
também os enfermeiros foram sensibilizados para boas práticas de cuidados no âmbito da
prevenção e controlo de infeção.
Por fim, o módulo de estágio no Instituto Nacional de Emergência Médica permitiu
o desenvolvimento de competências na prestação de cuidados, em contexto pré hospitalar,
à vítima em situações de doença súbita ou de acidente.
Transversalmente, foram desenvolvidas competências no relacionamento com o
doente e família, fomentando a prestação de cuidados humanizados.
O relatório encontra-se organizado de acordo com as competências preconizadas
pelo plano de estudos do curso, indicando para cada uma delas as atividades desenvolvidas
ao longo dos três módulos de estágio, permitindo evidenciar o desenvolvimento das
competências no âmbito da prestação de cuidados, gestão de cuidados e formação em
serviço. Deste modo, deu-se visibilidade às diferentes atividades efetuadas, bem como às
diferentes respostas dadas a uma mesma competência a desenvolver em cada módulo de
estágio.
Assim sendo, com a elaboração deste relatório, pretende-se refletir criticamente
sobre as principais atividades e competências adquiridas, recorrendo à fundamentação científica. Também se pretende relatar dificuldades sentidas e apresentar, de forma crítica,
a contribuição deste estágio para o desenvolvimento e aperfeiçoamento profissional
This report occurs in the framework of the Master's Degree in Nursing, which refers specifically to the development, acquisition and integration of knowledge for specialized nursing care in the Medical-Surgical Nursing area to adults and elderies in severe or critical condition. The report summarizes all the work done during the probationary period, whose activity was developed in the Polyvalent Intensive Care Unit at Hospital Pedro Hispano, in the Emergency Room of Centro Hospitalar de Trás-os-Montes e Alto Douro and in the Instituto Nacional de Emergência Médica. The contexts in which the clinical practice was developed revealed themselves to be privileged places of observation and learning, allowing the implementation of knowledge, values and capacity to lead the practice of nursing excellence. The probation developed in the Polyvalent Intensive Care Unit allowed the acquisition and development of skills in providing care to critically ill patients with imminent or established (multiple) organ failure. Regarding the Emergency Room’s probation, it allowed for the development of skills in providing care to patients in critical condition in a holistic way. Furthermore, it allowed the identification of needs as well as instability points or organ failure risk, while establishing the respective priorities. During this time, the nurses were also advised to maintain good care practices in the framework of prevention and infection control. At last, the probation developed at the National Institute for Medical Emergency allowed the acquisition and development of skills in providing care in the prehospital environment in the case of sudden disease or accident. During this probationary period, not only patient, but also family communication skills were developed, allowing the foundation of humanized care to be built. The report is organized according to the competences pre-established by the course’s study plan, indicating, for each of them, the activities developed over the three modules of probation, since it enables the development of care taking skills and management of care. By doing this, it gives visibility to the various activities carried out as well as to different responses given to the same competence developed in each probation module. Therefore, this report appears as a critical reflection of the main activities as well as acquired competences, based on scientific pillars. There is also an intent to report the difficulties felt and showing, in a critical way, the contribution of this probation to the development and perfectioning of a professional nurse.
This report occurs in the framework of the Master's Degree in Nursing, which refers specifically to the development, acquisition and integration of knowledge for specialized nursing care in the Medical-Surgical Nursing area to adults and elderies in severe or critical condition. The report summarizes all the work done during the probationary period, whose activity was developed in the Polyvalent Intensive Care Unit at Hospital Pedro Hispano, in the Emergency Room of Centro Hospitalar de Trás-os-Montes e Alto Douro and in the Instituto Nacional de Emergência Médica. The contexts in which the clinical practice was developed revealed themselves to be privileged places of observation and learning, allowing the implementation of knowledge, values and capacity to lead the practice of nursing excellence. The probation developed in the Polyvalent Intensive Care Unit allowed the acquisition and development of skills in providing care to critically ill patients with imminent or established (multiple) organ failure. Regarding the Emergency Room’s probation, it allowed for the development of skills in providing care to patients in critical condition in a holistic way. Furthermore, it allowed the identification of needs as well as instability points or organ failure risk, while establishing the respective priorities. During this time, the nurses were also advised to maintain good care practices in the framework of prevention and infection control. At last, the probation developed at the National Institute for Medical Emergency allowed the acquisition and development of skills in providing care in the prehospital environment in the case of sudden disease or accident. During this probationary period, not only patient, but also family communication skills were developed, allowing the foundation of humanized care to be built. The report is organized according to the competences pre-established by the course’s study plan, indicating, for each of them, the activities developed over the three modules of probation, since it enables the development of care taking skills and management of care. By doing this, it gives visibility to the various activities carried out as well as to different responses given to the same competence developed in each probation module. Therefore, this report appears as a critical reflection of the main activities as well as acquired competences, based on scientific pillars. There is also an intent to report the difficulties felt and showing, in a critical way, the contribution of this probation to the development and perfectioning of a professional nurse.