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Abstract(s)
O presente relatório tem um duplo propósito, descrever o percurso realizado no âmbito dos
módulos de Estágio preconizados pelo plano de estudos do Curso de Mestrado em
Enfermagem de Natureza Profissional na área de Especialização em Enfermagem Médico-
Cirúrgica, do Instituto de Ciências da Saúde, Universidade Católica Portuguesa, e evidenciar o
desenvolvimento de competências de Enfermeira Especialista decorrentes deste percurso, as
quais serão mobilizadas para a minha práxis profissional.
O Estágio enquadrou três módulos distintos, os quais foram realizados no Centro Hospitalar de
Setúbal, EPE pela seguinte ordem cronológica: Módulo III (Enfermagem Geriátrica-cariz
opcional), realizado no contexto de prática profissional, no serviço de Ortopedia I do Hospital
Ortopédico Sant’Iago do Outão; o Módulo I (Serviço de Urgência) e o Módulo II (Cuidados
Intensivos/Intermédios) foram ambos realizados no Hospital de São Bernardo, no Serviço de
Urgência Geral e na Unidade de Cuidados Intensivos, respectivamente. No decorrer do
estágio, optei por direccionar a minha aprendizagem para a família/cuidador informal do cliente
idoso hospitalizado. A escolha deste fio condutor teve por base os novos desafios existentes na
área da saúde, nomeadamente devido ao fenómeno de envelhecimento da população, às
contingências e modificações sociais.
No módulo III - Enfermagem Geriátrica, as actividades desenvolvidas centraram-se no
planeamento e implementação do projecto “Cuidar no Domicilio - uma parceria tripartida”
promovendo a Educação para a Saúde pela tríade cliente idoso/cuidador informal/enfermeiro.
Elaborei ainda, uma acção formativa e um poster sobre a temática “Tratamento de Úlceras por
Pressão”, com vista à uniformização de procedimentos pelos enfermeiros neste âmbito.
Por sua vez, no módulo I – Serviço de Urgência, o desenvolvimento da temática do fio condutor
do Estágio foi essencialmente no âmbito da prestação de cuidados à família/cuidador informal
do cliente idoso em situação urgente/emergente. Tendo por base as necessidades do serviço,
operacionalizei uma acção de formação intitulada “Abordagem ao cliente politraumatizado:
técnicas de trauma”, bem como, um manual de orientação de procedimentos ao cliente
politraumatizado em contexto de urgência. Assim, foi meu intuito sensibilizar os profissionais de
Enfermagem para a adopção de boas práticas relativamente a esta temática.
Por último, no módulo II, promovi o desenvolvimento de competências inerentes à temática
“Comunicação de más notícias”, pela sensibilização dos profissionais às suas próprias
limitações neste processo. Elaborei também uma norma de procedimento sobre o “Acolhimento
à família na Unidade de Cuidados Intensivos” com o propósito de optimizar o processo por
todos os intervenientes.
Os projectos realizados no âmbito dos módulos de estágio proporcionaram o desenvolvimento
de competências especializadas na abordagem do cliente/família, nomeadamente no âmbito
das suas necessidades mais complexas, assim como o desenvolvimento de projectos
passíveis de contribuir para uma prestação de cuidados de Enfermagem de maior qualidade.
This report has a double purpose, first to describe the route taken in the context of traineeship modules recommended by the curriculum, “Professional Nursing Master’s degree in Medical- Surgery Specialization”, by the Institute of Health Sciences, Portuguese Catholic University and second to evidence the skills development of Nurse Specialist from this route, which will be mobilized for my professional praxis. The traineeship featured three separate modules, which were performed at the Centro Hospitalar de Setúbal, EPE, by the following chronological order: Module III (Geriatric Nursing – optional nature), held in the context of professional practice Orthopedic I of Hospital Ortopédico Sant'iago do Outão; Module I (Emergency Service) and Module II (Intensive care/Intermediate) both performed at Hospital de São Bernardo, in the Emergency Service and Intensive Care Service, respectively. During the course of the three modules of traineeship, I chose to direct my learning towards the family / informal caregivers of elderly hospitalized clients. This choice was based on the new challenges in healthcare, particularly due to the phenomenon of population aging, the contingency and social changes. In Module III - Geriatric Nursing, the activities developed focused on planning and implementing the project “Caring to a household - a tripartite partnership” promoting Education in Health through the interaction elder client/ informal caregivers /nurse. Besides this project, I drew up a training activity and a poster regarding “Pressure Ulcer Treatment”, directed towards the uniformisation of nursing procedures. On the other hand, Module I - Emergency Service, the development of this traineeship was mainly under the care of the family / informal caregivers of elderly clients in urgent / emergent situations. In regard to the service’s needs, I organized the training activity “Approach to politraumatized client: techniques in trauma”, as well as a manual of procedures concerning the politraumatized client in emergency. My aim was to make nursing professionals aware of these good practice guidelines. Finally, in Module II, I promoted the development of skills related to “Communication of Bad News”, minding how limited we are as professionals in these issues. I also established a procedure guideline “Regarding welcoming the family in Intensive Care Service”, with the purpose of optimizing the process by involving all the intervenients. The accomplished projects, in the course of the traineeship modules, has allowed the development of skills in approaching the client/family, taking into account it’s complex needs, as well as implementing projects capable of contributing to better Nursing healthcare
This report has a double purpose, first to describe the route taken in the context of traineeship modules recommended by the curriculum, “Professional Nursing Master’s degree in Medical- Surgery Specialization”, by the Institute of Health Sciences, Portuguese Catholic University and second to evidence the skills development of Nurse Specialist from this route, which will be mobilized for my professional praxis. The traineeship featured three separate modules, which were performed at the Centro Hospitalar de Setúbal, EPE, by the following chronological order: Module III (Geriatric Nursing – optional nature), held in the context of professional practice Orthopedic I of Hospital Ortopédico Sant'iago do Outão; Module I (Emergency Service) and Module II (Intensive care/Intermediate) both performed at Hospital de São Bernardo, in the Emergency Service and Intensive Care Service, respectively. During the course of the three modules of traineeship, I chose to direct my learning towards the family / informal caregivers of elderly hospitalized clients. This choice was based on the new challenges in healthcare, particularly due to the phenomenon of population aging, the contingency and social changes. In Module III - Geriatric Nursing, the activities developed focused on planning and implementing the project “Caring to a household - a tripartite partnership” promoting Education in Health through the interaction elder client/ informal caregivers /nurse. Besides this project, I drew up a training activity and a poster regarding “Pressure Ulcer Treatment”, directed towards the uniformisation of nursing procedures. On the other hand, Module I - Emergency Service, the development of this traineeship was mainly under the care of the family / informal caregivers of elderly clients in urgent / emergent situations. In regard to the service’s needs, I organized the training activity “Approach to politraumatized client: techniques in trauma”, as well as a manual of procedures concerning the politraumatized client in emergency. My aim was to make nursing professionals aware of these good practice guidelines. Finally, in Module II, I promoted the development of skills related to “Communication of Bad News”, minding how limited we are as professionals in these issues. I also established a procedure guideline “Regarding welcoming the family in Intensive Care Service”, with the purpose of optimizing the process by involving all the intervenients. The accomplished projects, in the course of the traineeship modules, has allowed the development of skills in approaching the client/family, taking into account it’s complex needs, as well as implementing projects capable of contributing to better Nursing healthcare
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Keywords
Competências Enfermagem médico cirúrgica Cuidador informal Enfermeiro especialista Skills Medical surgical nursing Caregiver Nurse specialist