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Abstract(s)
O presente relatório visa demonstrar a evolução fomentada pelas experiências vivenciadas em estágio, inserida na Unidade Curricular, Relatório, do 10º Curso Mestrado em Enfermagem, com especialização em Enfermagem Médico-Cirúrgica da Universidade Católica Portuguesa do Porto, do Instituto de Ciências da Saúde, salientando as atividades desenvolvidas no percurso efetuado. O estágio foi desenvolvido nos serviços de Urgência e Grupo de Coordenação Local do Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos. Com recurso a uma metodologia descritiva/reflexiva exponho as atividades desenvolvidas nos locais de estágio, documentando a aprendizagem e competências adquiridas. A estrutura do relatório tem como linha de orientação os domínios de atuação dos enfermeiros, definidos no Regulamento do Exercício Profissional dos Enfermeiros, pela confrontação da prática face à reflexão das ações efetivadas com o conhecimento obtido e a sua análise. O trajeto realizado permitiu o desenvolvimento de competências de enfermeiro especialista, particularmente o desenvolvimento da capacidade de reflexão e análise crítica centrada na gestão do risco associada aos cuidados de saúde, identificando oportunidades de melhoria, com foco na promoção da segurança do doente e qualidade dos cuidados de Enfermagem, fundamentada na evidência científica. Concomitantemente, permitiu relembrar e adquirir novos conhecimentos. A presença de uma cultura de segurança é um dos essenciais preditores de segurança do doente, a qual prevê a formação dos profissionais de saúde, fomentando uma cultura não penalizadora de contestação ao erro, mas um incremento da notificação de eventos adversos e uma liderança produtora de mudanças de conduta na atuação diária dos profissionais. Centrada na segurança e gestão de risco nos cuidados de enfermagem à pessoa em situação crítica realço a identificação de oportunidades de melhoria no Serviço de Urgência e Grupo de Coordenação Local do Programa de Prevenção e Controlo de Infeções e de Resistência aos antimicrobianos, na instituição de saúde em causa, as suas causas, efeitos e ações a desenvolver com vista ao seu controlo.
This report aims to demonstrate the evolution, fomented by the experiences from the internship, which is a component of the Research Dissertation Module, of the 10th Master Course in Nursing specialising in Medical-Surgical Nursing, of Universidade Católica Portuguesa, Institute of Health Sciences, highlighting the tasks performed during the process. The internship was carried in the Emergency Department and in the Local Coordination Group of the Programme for Prevention and Control of Infections and of Antimicrobial Resistance. Through the use of a descriptive/reflective methodology I present the tasks performed, documenting the learning process and skills acquired. The report’s structure uses the areas of nursing practice, as defined in the Portuguese Nurse Practice Act, as its guideline, through the comparison of the practical element and reflection upon the actions conducted with the obtained knowledge and its analysis. The chosen route, enabled the development of specialist nursing skills, especially the progression of reflection and critical analysis, concentrated on the management of the risk associated with healthcare. Opportunities for improvement, based on scientific evidence, focused on the patient’s safety and quality of the nursing care, were identified. At the same time, it was possible to recall facts and acquire new knowledge. The presence of a safety culture is one of the essential foundations for the patient’s safety. It implies training for healthcare professionals, encouraging a non-penalising objection to error culture, an increase in reporting of adverse events and a leadership team implementer of change in the professional's daily conduct. With safety and risk management of nursing care to critically ill patients at the centre, I highlight the identification of opportunities for improvement in the healthcare institution analysed within its emergency service and in the Local Coordination Group of the Programme for Prevention and Control of Infections and of Antimicrobial Resistance. Also emphasised are the causes, effects and actions that need to be developed in view of its control.
This report aims to demonstrate the evolution, fomented by the experiences from the internship, which is a component of the Research Dissertation Module, of the 10th Master Course in Nursing specialising in Medical-Surgical Nursing, of Universidade Católica Portuguesa, Institute of Health Sciences, highlighting the tasks performed during the process. The internship was carried in the Emergency Department and in the Local Coordination Group of the Programme for Prevention and Control of Infections and of Antimicrobial Resistance. Through the use of a descriptive/reflective methodology I present the tasks performed, documenting the learning process and skills acquired. The report’s structure uses the areas of nursing practice, as defined in the Portuguese Nurse Practice Act, as its guideline, through the comparison of the practical element and reflection upon the actions conducted with the obtained knowledge and its analysis. The chosen route, enabled the development of specialist nursing skills, especially the progression of reflection and critical analysis, concentrated on the management of the risk associated with healthcare. Opportunities for improvement, based on scientific evidence, focused on the patient’s safety and quality of the nursing care, were identified. At the same time, it was possible to recall facts and acquire new knowledge. The presence of a safety culture is one of the essential foundations for the patient’s safety. It implies training for healthcare professionals, encouraging a non-penalising objection to error culture, an increase in reporting of adverse events and a leadership team implementer of change in the professional's daily conduct. With safety and risk management of nursing care to critically ill patients at the centre, I highlight the identification of opportunities for improvement in the healthcare institution analysed within its emergency service and in the Local Coordination Group of the Programme for Prevention and Control of Infections and of Antimicrobial Resistance. Also emphasised are the causes, effects and actions that need to be developed in view of its control.
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Keywords
Gestão do risco Segurança do doente Qualidade dos cuidados Competências Enfermagem Risk management Patient safety Quality care Skills Nursing