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Advisor(s)
Abstract(s)
Comunicação de Más Notícias no Cuidado de Enfermagem reúne as aprendizagens e
experiências que possibilitaram o desenvolvimento de competências de enfermeira
especialista em enfermagem médico-cirúrgica e descreve todo o percurso realizado de
forma crítica, reflexiva e fundamentada, enfatizando o efetuado em contexto prático.
Este relatório faz uma breve abordagem ao percurso profissional e apresenta diversas
situações vividas no decurso da prática clínica, demonstrando de que forma as
atividades e estratégias desenvolvidas contribuíram para a aquisição e desenvolvimento
de competências e revelando os seus principais contributos para uma enfermagem
avançada.
A comunicação, sendo uma variável indispensável no cuidado de enfermagem foi o
tema transversal e condutor deste caminho. Um outro suporte foram as orientações
teóricas de Afaf Meleis e Jean Watson.
Comunicação de Más Notícias no Cuidado de Enfermagem inicia-se com uma revisão
sistemática de literatura, que se encontra em fase de análise por uma revista científica de
enfermagem, realizada para uma melhor compreensão e maior conhecimento sobre as
estratégias de comunicação utilizadas pelos enfermeiros no processo de transmissão de
más notícias, tendo os resultados sido partilhados com a equipa multidisciplinar no
decurso de uma formação realizada com vista à melhoria contínua dos cuidados.
Seguidamente, descreve as principais atividades desenvolvidas ao longo de 5 anos em
Unidades de Cuidados Intensivos, que conferiram creditação ao módulo II. Prossegue
com a explanação da prática clínica concretizada na Unidade de Dor Crónica,
enfatizando a criação de um instrumento de registo em suporte informático que se
encontra em fase de aprovação, a elaboração e implementação de dois folhetos de
educação e ensino para a saúde e também a elaboração de um póster sobre estratégias
facilitadoras da comunicação. Por último, descreve o percurso efetuado no serviço de
urgência geral, realçando a imprevisibilidade das situações e consequentemente o
elevado número de processos de transmissão de más notícias ao cliente e/ou família.
Communication of bad news in nursing care brings together the learning processes and experiences which enabled a specialist nurse working in the area of medical-surgical nursing to develop skills and it describes the whole process in a critical, reflective and reasoned manner, emphasizing what has been developed in a practical context. Through a brief overlook of the career and the presentation of several situations experienced in the context of clinical practice, this report intends to demonstrate how the activities and strategies developed contributed to the acquisition and development of skills and it reveals their main contributions towards advanced nursing. Communication, being an essential variable in nursing care, was the overall theme and driving force during this journey. Another support was provided by the theoretical orientations of Afaf Meleis and Jean Watson. Communication of bad news in nursing care begins with a systematic literature review, which is being analyzed by a scientific journal in the area of nursing, so as to achieve a better understanding and obtain greater knowledge about communication strategies used by nurses in the process of communicating bad news, the results having been shared with the multidisciplinary team during the training course which was organized, intending to attain a continuous improvement in health care. Additionally, it describes the main activities developed over five years in Intensive Care Units, which provided accreditation for module II. Within the scope of clinical practice developed in the Chronic Pain Unit, it emphasizes the creation of a registering instrument, in electronic format, which is awaiting approval, as well as the design and implementation of two educational and training leaflets for the health area and the preparation of a poster on facilitating communication strategies. Finally, it portrays the career in the general emergency department, drawing attention to the unpredictability of situations and, as a consequence, the large number of cases of breaking bad news to the client and/or family.
Communication of bad news in nursing care brings together the learning processes and experiences which enabled a specialist nurse working in the area of medical-surgical nursing to develop skills and it describes the whole process in a critical, reflective and reasoned manner, emphasizing what has been developed in a practical context. Through a brief overlook of the career and the presentation of several situations experienced in the context of clinical practice, this report intends to demonstrate how the activities and strategies developed contributed to the acquisition and development of skills and it reveals their main contributions towards advanced nursing. Communication, being an essential variable in nursing care, was the overall theme and driving force during this journey. Another support was provided by the theoretical orientations of Afaf Meleis and Jean Watson. Communication of bad news in nursing care begins with a systematic literature review, which is being analyzed by a scientific journal in the area of nursing, so as to achieve a better understanding and obtain greater knowledge about communication strategies used by nurses in the process of communicating bad news, the results having been shared with the multidisciplinary team during the training course which was organized, intending to attain a continuous improvement in health care. Additionally, it describes the main activities developed over five years in Intensive Care Units, which provided accreditation for module II. Within the scope of clinical practice developed in the Chronic Pain Unit, it emphasizes the creation of a registering instrument, in electronic format, which is awaiting approval, as well as the design and implementation of two educational and training leaflets for the health area and the preparation of a poster on facilitating communication strategies. Finally, it portrays the career in the general emergency department, drawing attention to the unpredictability of situations and, as a consequence, the large number of cases of breaking bad news to the client and/or family.
Description
Keywords
Enfermagem avançada Competências Comunicação Advanced nursing Skills Communication