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A arte de cuidar orientada à pessoa em situação crítica
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O presente relatório tem como objetivo refletir o percurso marcado pela aquisição de competências que possibilitarão a obtenção do título de mestre e especialista no cuidado à pessoa em situação crítica. O desenvolvimento dessas competências foi um processo rico, contínuo e dinâmico. Porém, incide sobre o trajeto realizado nos estágios da Unidade Curricular “Estágio Final e Relatório” inserida no Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Crítica da Escola de Enfermagem (Porto) da Universidade Católica Portuguesa. Os estágios decorreram no período de 2 de setembro a 23 de novembro de 2024, numa Unidade de Cuidados Intensivos Polivalentes de um hospital central da Região Norte do país, e o segundo num Serviço de Urgência Polivalente de um hospital do Norte do País, no intervalo de tempo compreendido entre 2 de janeiro e 26 de março de 2025. Com a elaboração deste relatório pretendo descrever, de uma forma estruturada e fundamenada à luz da evidência de que forma foram obtidas as competências necessárias para a obtenção do Grau de Mestre em Enfermagem com Especialização em EMC na área de Enfermagem à PSC. Relativamente à metodologia, este relatório baseou-se na análise crítica e reflexiva das experiências vivenciadas ao longo de todo o estágio, sustentada na melhor evidência científica que resultaram num processo rico de aprendizagem e aquisição de novas competências. Estruturalmente este relatório está dividido por capítulos onde é explanada de uma forma demonstrativa quais os caminhos percorridos e as atividades desenvolvidas em cada local de estágio que permitiram no final a aquisição das competências específicas do enfermeiro especialista. Cada capítulo integra reflexões sobre as experiências vividas ao longo do percurso, sustentadas por literatura teórica adequada. Com recurso à pesquisa bibliográfica, foram ainda realizados trabalhos que contribuíram para a aquisição de competências que sustentam a obtenção do título de mestre e especialista nesta área. Nomeadamente, uma revisão bibliográfica enquadrada no léxico da melhoria contínua da qualidade dos cuidados, intitulada de “Transporte da Pessoa em Situação Crítica: uma prática segura”, desenvolvida durante o primeiro estágio, e posteriormente, uma revisão da literatura que pressupõe uma prática segura na transmissão de informações sejam elas durante as passagens de turno ou até mesmo na transferência de cuidados para outros serviços ou instituições, denominada “A importância da comunicação na transição de cuidados à Pessoa em Situação Crítica”. Em suma, o enfermeiro especialista assume um papel crucial na condução de projetos de intervenção voltados à melhoria contínua da qualidade dos cuidados. Com competências técnicas e conhecimentos aprofundados, está apto a liderar iniciativas que envolvem dimensões clínicas, organizacionais e de gestão, sempre com o objetivo de aperfeiçoar os processos e assegurar os melhores cuidados ao doente.
This report aims to reflect on the journey marked by the acquisition of skills that will enable the attainment of a master's degree and specialist qualification in critical care. The development of these skills was a rich, continuous, and dynamic process. However, it focuses on the journey undertaken during the internships of the Curricular Unit “Final Internship and Report” included in the Master's Degree in Nursing with Specialization in Medical-Surgical Nursing, in the area of Nursing for People in Critical Conditions at the School of Nursing (Porto) of the Universidade Católica Portuguesa. The internships took place from September 2 to November 23, 2024, in a Multipurpose Intensive Care Unit at a central hospital in the northern region of the country, and the second in a Multipurpose Emergency Department at a hospital in the north of the country, between January 2 and March 26, 2025. With this report, I intend to describe, in a structured and evidence-based manner, how the necessary skills were obtained to obtain a Master's Degree in Nursing with a Specialization in Medical-Surgical Nursing in the area of Critically Ill Person Nursing. In terms of methodology, this report is based on a critical and reflective analysis of the experiences gained throughout the internship, supported by the best scientific evidence, which resulted in a rich process of learning and acquiring new skills. Structurally, this report is divided into chapters that explain in a demonstrative way the paths taken and the activities developed at each internship location that ultimately led to the acquisition of the specific skills of a specialist nurse. Each chapter includes reflections on the experiences throughout the course, supported by appropriate theoretical literature. Using bibliographic research, work was also carried out that contributed to the acquisition of skills that support the attainment of a master's degree and specialist title in this area. Namely, a bibliographic review framed within the lexicon of continuous improvement in the quality of care, entitled “Transport of Persons in Critical Condition: a safe practice,” developed during the first internship, and later, a review of the literature that presupposes safe practice in the transmission of information, whether during shift changes or even in the transfer of care to other services or institutions, entitled ”The importance of communication in the transition of care to the Person in Critical Condition.” In short, the specialist nurse plays a crucial role in conducting intervention projects aimed at the continuous improvement of the quality of care. With technical skills and in-depth knowledge, they are able to lead initiatives involving clinical, organizational, and management dimensions, always with the goal of improving processes and ensuring the best care for the patient.
This report aims to reflect on the journey marked by the acquisition of skills that will enable the attainment of a master's degree and specialist qualification in critical care. The development of these skills was a rich, continuous, and dynamic process. However, it focuses on the journey undertaken during the internships of the Curricular Unit “Final Internship and Report” included in the Master's Degree in Nursing with Specialization in Medical-Surgical Nursing, in the area of Nursing for People in Critical Conditions at the School of Nursing (Porto) of the Universidade Católica Portuguesa. The internships took place from September 2 to November 23, 2024, in a Multipurpose Intensive Care Unit at a central hospital in the northern region of the country, and the second in a Multipurpose Emergency Department at a hospital in the north of the country, between January 2 and March 26, 2025. With this report, I intend to describe, in a structured and evidence-based manner, how the necessary skills were obtained to obtain a Master's Degree in Nursing with a Specialization in Medical-Surgical Nursing in the area of Critically Ill Person Nursing. In terms of methodology, this report is based on a critical and reflective analysis of the experiences gained throughout the internship, supported by the best scientific evidence, which resulted in a rich process of learning and acquiring new skills. Structurally, this report is divided into chapters that explain in a demonstrative way the paths taken and the activities developed at each internship location that ultimately led to the acquisition of the specific skills of a specialist nurse. Each chapter includes reflections on the experiences throughout the course, supported by appropriate theoretical literature. Using bibliographic research, work was also carried out that contributed to the acquisition of skills that support the attainment of a master's degree and specialist title in this area. Namely, a bibliographic review framed within the lexicon of continuous improvement in the quality of care, entitled “Transport of Persons in Critical Condition: a safe practice,” developed during the first internship, and later, a review of the literature that presupposes safe practice in the transmission of information, whether during shift changes or even in the transfer of care to other services or institutions, entitled ”The importance of communication in the transition of care to the Person in Critical Condition.” In short, the specialist nurse plays a crucial role in conducting intervention projects aimed at the continuous improvement of the quality of care. With technical skills and in-depth knowledge, they are able to lead initiatives involving clinical, organizational, and management dimensions, always with the goal of improving processes and ensuring the best care for the patient.
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Enfermeiro especialista Competências específicas Pessoa em situação crítica Transição de cuidados Comunicação Specialist nurse Specific skills Criticall ill person Transition of care Communication
Contexto Educativo
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Licença CC
Sem licença CC