| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 2.13 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
No âmbito da unidade curricular “Estágio Final e Relatório” lecionado no Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica da Universidade Católica Portuguesa – Porto, surge o presente trabalho como um instrumento de avaliação que comporta uma reflexão crítica sobre diversos aspetos, como o processo de pensamento e tomada de decisão que esteve na base das opções realizadas aquando o planeamento e implementação das intervenções durante o estágio. Os estágios foram realizados numa Unidade de Cuidados Intensivos Polivalente e numa Unidade de Cuidados Intensivos de Cardiologia durante o período compreendido entre 9 de setembro de 2019 e 4 de janeiro de 2020. Nas Unidades de Cuidados Intensivos laboram equipas multidisciplinares, onde o desempenho do Enfermeiro Mestre e Especialista em Enfermagem Médico-Cirúrgica deve ser realçado. Papel este que é o tema central deste relatório crítico reflexivo. Este documento tem por objetivos, descrever as experiências e aprendizagens alcançadas, demonstrar as competências adquiridas e realizar uma análise crítico-reflexiva das atividades desenvolvidas na medida de resolução de situações de melhoria notadas, com vista à melhoria da qualidade e segurança dos cuidados de enfermagem prestados. A metodologia utilizada foi o método descritivo, analítico e crítico-reflexivo, e estruturalmente encontra-se dividido em quatro capítulos. Na introdução, podemos encontrar o enquadramento do relatório, dos campos de estágio e dos objetivos traçados. No segundo capítulo, faz-se alusão à contextualização dos campos de estágio; no terceiro capítulo procede-se à exposição e análise crítico-reflexiva das atividades realizadas, com vista a alcançar os objetivos delineados, e a adquirir as competências comuns do enfermeiro especialista em Enfermagem Médico-Cirúrgica. Por fim, na conclusão procura-se evidenciar o desenvolvimento profissional com base nas competências adquiridas e delinear perspetivas futuras após a aquisição do grau de Mestre em enfermagem e a repercussão na minha vida profissional. No decorrer dos estágios supracitados, emergiu a necessidade e também a oportunidade de desenvolver ações como um momento de formação dirigido à equipa de Enfermagem sobre “Doentes Paliativos em Unidades de Cuidados Intensivos” e, um documento de consulta sobre “A abordagem ao Doente Paliativo numa Unidade de Cuidados Intensivos”. É de notar que, o cuidado ao doente paliativo converge com a minha realidade profissional atual. Com este documento pretendo retratar um conjunto de competências adquiridas pelo enfermeiro Mestre em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica que devem assentar capacidade de autonomia, poder de decisivo fundamentado no espírito crítico- reflexivo e sentido elevado sentido de responsabilidade. Espero também demonstrar o nível de eficiência e o aumento do custo-eficácia dos recursos empregues pelo enfermeiro especialista na área de médico-cirúrgica que deve ser capaz de onerosamente executar complexas atividades altamente diferenciadas, zelando pela qualidade da prestação de cuidados à pessoa com doença aguda.
Within the scope of the curricular unit “Estágio Final e Relatório” taught in the Master of Nursing with Specialization in Medical-Surgical Nursing at Universidade Católica Portuguesa – Porto, the present work emerges as an assessment tool that includes a critical reflection on several aspects, such as the thinking and decision-making process that underpinned the choices made when planning and implementing interventions during the internship. The internships were carried out in a Multipurpose Intensive Care Unit and in a Cardiology Intensive Care Unit during the period between 9 September 2019 and 4 January 2020. In the Intensive Care Units, multidisciplinary teams work, where the performance of the Master Nurse and Specialist in Medical-Surgical Nursing must be highlighted. This role is the central theme of this critical reflective report. This document aims to describe the experiences and learning achieved, demonstrate the acquired skills and perform a critical-reflexive analysis of the activities developed in the measure of resolution of improvement situations noted, with a view to improving the quality and safety of the nursing care provided. The methodology used was the descriptive, analytical and critical-reflective method, and structurally it is divided into four chapters. In the introduction, we can find the framework of the report, the internship fields and the objectives set. In the second chapter, reference is made to the contextualization of the internship fields; in the third chapter, the exposition and critical-reflexive analysis of the activities carried out are carried out, in order to achieve the outlined objectives, and to acquire the common skills of the specialist nurse in Medical-Surgical Nursing. Finally, the conclusion seeks to highlight professional development based on the skills acquired and outline future perspectives after the acquisition of the Master´s degree in nursing and the impact on my professional life. During the aforementioned internships, the need and also the opportunity to develop actions emerged as a training moment directed to the Nursing team on “Palliative Patients in Intensive Care Units” and a consultation document on “The approach to Palliative Patients in an Intensive Care Unit”. It should be noted that palliative care for the patient converges with my current professional reality. With this document, I intend to portray a set of skills acquired by the Master Nurse in Nursing with a specialization in Medical-Surgical Nursing that must be based on the capacity of autonomy, decisive power based on the critical-reflective spirit and high sense of responsibility. I also hope to demonstrate the level of efficiency and the increased cost-effectiveness of the resources employed by the nurse specialist in the medical-surgical area who must be able to costly perform complex highly differentiated activities, ensuring the quality of care provided to people with acute illness.
Within the scope of the curricular unit “Estágio Final e Relatório” taught in the Master of Nursing with Specialization in Medical-Surgical Nursing at Universidade Católica Portuguesa – Porto, the present work emerges as an assessment tool that includes a critical reflection on several aspects, such as the thinking and decision-making process that underpinned the choices made when planning and implementing interventions during the internship. The internships were carried out in a Multipurpose Intensive Care Unit and in a Cardiology Intensive Care Unit during the period between 9 September 2019 and 4 January 2020. In the Intensive Care Units, multidisciplinary teams work, where the performance of the Master Nurse and Specialist in Medical-Surgical Nursing must be highlighted. This role is the central theme of this critical reflective report. This document aims to describe the experiences and learning achieved, demonstrate the acquired skills and perform a critical-reflexive analysis of the activities developed in the measure of resolution of improvement situations noted, with a view to improving the quality and safety of the nursing care provided. The methodology used was the descriptive, analytical and critical-reflective method, and structurally it is divided into four chapters. In the introduction, we can find the framework of the report, the internship fields and the objectives set. In the second chapter, reference is made to the contextualization of the internship fields; in the third chapter, the exposition and critical-reflexive analysis of the activities carried out are carried out, in order to achieve the outlined objectives, and to acquire the common skills of the specialist nurse in Medical-Surgical Nursing. Finally, the conclusion seeks to highlight professional development based on the skills acquired and outline future perspectives after the acquisition of the Master´s degree in nursing and the impact on my professional life. During the aforementioned internships, the need and also the opportunity to develop actions emerged as a training moment directed to the Nursing team on “Palliative Patients in Intensive Care Units” and a consultation document on “The approach to Palliative Patients in an Intensive Care Unit”. It should be noted that palliative care for the patient converges with my current professional reality. With this document, I intend to portray a set of skills acquired by the Master Nurse in Nursing with a specialization in Medical-Surgical Nursing that must be based on the capacity of autonomy, decisive power based on the critical-reflective spirit and high sense of responsibility. I also hope to demonstrate the level of efficiency and the increased cost-effectiveness of the resources employed by the nurse specialist in the medical-surgical area who must be able to costly perform complex highly differentiated activities, ensuring the quality of care provided to people with acute illness.
Description
Keywords
Enfermagem médico-cirúrgica Unidade de terapia intensiva Cuidados intensivos Doente terminal Cuidados paliativos Medical-surgical nursing Intensive care units Critical care Terminally ill Palliative care