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Este relatório surge no âmbito do Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica, após a realização de três Módulos de Estágio; Módulo III- Módulo opcional realizado na Unidade de Cuidados de Saúde Personalizados de S. Roque; Módulo I no Serviço de Urgência do Centro Hospitalar de Vila Nova de Gaia/Espinho; Módulo II Serviço de Medicina Intensiva do Hospital Pedro Hispano, no período de 26 de Abril de 2012 a 2 de Fevereiro de 2013. Os objetivos da sua execução são: refletir sobre os objetivos gerais e específicos do estágio; explorar as oportunidades de aprendizagem do estágio; descrever as estratégias de melhoria implementadas; descrever as atividades desenvolvidas; aperfeiçoar a capacidade reflexiva. A metodologia utilizada foi a descritiva analítica. Este percurso teve como missão desenvolver e aprofundar competências ao nível da prática profissional, ética e legal, prestação de cuidados e gestão de qualidade e de recursos. Neste processo de aprendizagem realço a prestação de cuidados ao doente e família, a capacidade de análise de situações complexas, reflexão sobre as questões que influenciam esta dinâmica e as suas consequências na saúde. Nesta esfera pareceu-me pertinente explorar e refletir sobre a comunicação nas suas variadas formas e na sua importância na relação interpessoal. Foram abordadas temáticas como a morte no Serviço de Urgência e no Serviço de Medicina Intensiva, com as suas consequentes implicações nos cuidados e na equipa de saúde. Como foco comum deste percurso a dor, fonte de reflexão e de intervenções de enfermagem. Destaco como aspetos mais específicos, a assistência global ao doente com ferida crónica, a importância do contexto domiciliário, o respeito pelo individuo e família, o controlo de infeção no Serviço de Medicina Intensiva, o papel do enfermeiro e as suas implicações no estado de saúde do doente. Na gestão de qualidade e recursos, realço a reflexão sobre os custos associados aos cuidados de saúde, os benefícios e a gestão de recursos de forma eficiente. Foi abordada a questão dos registos de enfermagem como forma de produzir indicadores de qualidade em enfermagem de forma a medir os ganhos em saúde e também para evidenciar a utilidade social da profissão e visibilidade do exercício profissional dos enfermeiros. Na formação, foram procuradas áreas passiveis de melhoria nos contextos de estágio e elaboradas formações com o objetivo de colmatar e contribuir para a melhoria dos cuidados. Assim foi realizada uma formação no Módulo III sobre “Tratamento de Feridas”, foi elaborada no Módulo I uma formação e um póster sobre “Prevenção de Úlceras de Pressão” e no Módulo II foi elaborada uma formação sobre “Trações cutâneas e esqueléticas”. Considero que este percurso contribuiu de forma determinante para a aquisição de competências, pois verifiquei progressos na minha capacidade de diagnosticar, decidir, executar e avaliar de forma a procurar sistematicamente o domínio da melhoria da qualidade dos cuidados. Em suma, o Enfermeiro especialista pode assumir um papel referencial na observação, colheita, procura contínua de forma sistemática e sistematizada de dados, com o objetivo de conhecer continuamente a situação da pessoa alvo de cuidados.
This report comes as part of the Master in Nursing with Specialization in Medical-Surgical Nursing, after completing the three Modules Internships; Module III- Optional module held at Personalized Unity Health Care in S. Roque; Module I in Emergency Service in the Hospital Center of Vila Nova de Gaia/Espinho; Module II Intensive Medicine Service at the Hospital Pedro Hispano, the period 26 April 2012 to 2 February 2013. The goals of its execution are: reflect on the general and specific goals of the internship; explore the learning opportunities of the internship; describe the improvement strategies implemented; describe the developed activities; improve the reflexive capability. The used methodology was descriptive analytics. This path had the mission to develop and deepen the skills in professional, ethical and legal practices, care, quality and resource management. In this learning process I emphasize the provision of care to the patient and family, the ability to analyze complex situations and reflection on the issues that influence this dynamic and their effects on health. In this sphere it seemed appropriate to explore and reflect on communication in its various forms and its importance in interpersonal relationships. Certain topics were addressed such as death in Emergency Service and Intensive Medicine Service, with its consequent implications on healthcare and its team. As common focus of this path, the pain, the source of reflection and nursing interventions. I highlight as more specific aspects; the overall assistance to patients with chronic wounds, the importance of domiciliary context and respect for the individual and family, infection control in Intensive Medicine Service, the nurse's role and its implications on the health condition of the patient. In quality and resources management, I highlight the reflection on the costs associated with healthcare, the benefits and resources management efficiently. It was addressed the issue of nursing records as a way to produce quality indicators in nursing in order to measure health gains and also to demonstrate the social usefulness of the profession and visibility of the professional practice of nurses. In training, we searched for areas liable to improvement in the contexts of internship and elaborate trainings with the goal of bridging and contribute to the improvement of healthcare. It was developed a training in Module III about “Wound Care”, it was developed in Module I a training and a poster on "Prevention of Pressure Ulcers" and in Module II was elaborated a training on "Cutaneous and skeletal tractions". I believe that this route has contributed decisively to the acquisition of skills, as verified progress in my ability to diagnose, decide, execute and evaluate in order to systematically search the area of improving the quality of care. In short, the nurse specialist can play a role in referential observation, collection, continuous search in a systematic and systematic data, in order to continuously meet the situation of the person targeted care.
This report comes as part of the Master in Nursing with Specialization in Medical-Surgical Nursing, after completing the three Modules Internships; Module III- Optional module held at Personalized Unity Health Care in S. Roque; Module I in Emergency Service in the Hospital Center of Vila Nova de Gaia/Espinho; Module II Intensive Medicine Service at the Hospital Pedro Hispano, the period 26 April 2012 to 2 February 2013. The goals of its execution are: reflect on the general and specific goals of the internship; explore the learning opportunities of the internship; describe the improvement strategies implemented; describe the developed activities; improve the reflexive capability. The used methodology was descriptive analytics. This path had the mission to develop and deepen the skills in professional, ethical and legal practices, care, quality and resource management. In this learning process I emphasize the provision of care to the patient and family, the ability to analyze complex situations and reflection on the issues that influence this dynamic and their effects on health. In this sphere it seemed appropriate to explore and reflect on communication in its various forms and its importance in interpersonal relationships. Certain topics were addressed such as death in Emergency Service and Intensive Medicine Service, with its consequent implications on healthcare and its team. As common focus of this path, the pain, the source of reflection and nursing interventions. I highlight as more specific aspects; the overall assistance to patients with chronic wounds, the importance of domiciliary context and respect for the individual and family, infection control in Intensive Medicine Service, the nurse's role and its implications on the health condition of the patient. In quality and resources management, I highlight the reflection on the costs associated with healthcare, the benefits and resources management efficiently. It was addressed the issue of nursing records as a way to produce quality indicators in nursing in order to measure health gains and also to demonstrate the social usefulness of the profession and visibility of the professional practice of nurses. In training, we searched for areas liable to improvement in the contexts of internship and elaborate trainings with the goal of bridging and contribute to the improvement of healthcare. It was developed a training in Module III about “Wound Care”, it was developed in Module I a training and a poster on "Prevention of Pressure Ulcers" and in Module II was elaborated a training on "Cutaneous and skeletal tractions". I believe that this route has contributed decisively to the acquisition of skills, as verified progress in my ability to diagnose, decide, execute and evaluate in order to systematically search the area of improving the quality of care. In short, the nurse specialist can play a role in referential observation, collection, continuous search in a systematic and systematic data, in order to continuously meet the situation of the person targeted care.