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Advisor(s)
Abstract(s)
A excelência no Cuidar passa por cuidados de enfermagem com elevados padrões de
qualidade, baseados na evidência científica e, por uma atitude crítica e reflexiva por parte
dos enfermeiros às respostas humanas e aos processos de vida, permitindo a vivência de
transições saudáveis e, acesso a cuidados culturalmente adequados.
Este documento surge no âmbito da Unidade Curricular – Relatório, inserida no 9º Curso de
Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica, da
Universidade Católica Portuguesa e incide sobre a Unidade Curricular - Estágio em
Enfermagem Médico-Cirúrgica, que decorreu cronologicamente na Assistência Préhospitalar
(Módulo III) em cuidados intensivos (Módulo II) e no Serviço de Urgência
(Módulo I). Esta experiência permitiu-me adquirir um conhecimento global do doente
crítico, desde a assistência pré-hospitalar até à admissão no serviço de urgência e, posterior
encaminhamento para uma unidade de cuidados intensivos. No sentido de prestar um cuidar
especializado e transcultural ao doente crítico, realizei um período de estágio no Brasil,
de forma a aprofundar conhecimentos sobre os diferentes valores do cuidar, crenças, cultura
e padrões de comportamento.
A realização deste relatório, após términus do estágio, tem por objetivo apresentar o meu
percurso de aquisição e desenvolvimento de Competências do Enfermeiro Especialista em
Enfermagem Médico-Cirúrgica, utilizando uma metodologia descritiva e crítico-reflexiva
sobre as atividades desenvolvidas. Encontra-se dividido em quatro partes: Introdução, onde
faço o enquadramento do relatório do estágio e respetivos módulos, assim como dos
objetivos delineados; Caraterização dos Locais de Estágio; Desenvolvimento de
Competências, que organizo pelos Domínios de Competências Comuns do Enfermeiro
Especialista, estabelecidos pela Ordem dos Enfermeiros, tendo sempre presentes as
Competências Específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica e
por fim, a Conclusão, onde faço um resumo do meu desenvolvimento profissional à luz das
competências adquiridas e, dos contributos das pesquisas efetuadas e formação realizada.
Considerei pertinente a realização de uma revisão bibliográfica sobre as precauções básicas
e adicionais de controlo de infeção, de uma revisão integrativa da literatura sobre a
prevenção do Post Intensive Care Syndrome, assim como, uma formação para a comunidade
- Informar para Salvar – que contribuiu para o meu enriquecimento pessoal e académico.
Após a conclusão deste percurso, considero ter adquirido competências para prestar cuidados
especializados na área de Enfermagem Médico-Cirúrgica, desenvolvendo uma prática
reflexiva e tomadas de decisões, com base no código deontológico e nos princípios éticos
que regulam a profissão, bem como na evidência científica, de forma a promover uma prática
autónoma e reflexiva em oposição a uma prática baseada na modelação de comportamento.
Excellence in Care goes through high quality nursing care, based on scientific evidence and a critical and reflective attitude on the part of nurses to the human responses to life processes, allowing the living healthy transitions and, access to culturally appropriate care. This document is part of the Curricular Unit - Report, inserted in the 9th Master's Degree Course in Nursing with Specialization in Medical-Surgical Nursing, of the Universidade Catolica Portuguesa, it is focuses on the Curricular Unit – Clinical Practice in Medical- Surgical Nursing, which took place, chronologically, in Prehospital emergency Care (Module III) in intensive care (Module II) and in the Emergency Department (Module I). This experience allowed me to acquire an overall knowledge of the critical patient, from prehospital care to admission to the accident and emergency and, finally to an intensive care unit. With the intention to provide specialized and transcultural care of the critical patient, I performed part of my internship in Brasil, to developed knowledge about the different values of caring, beliefs, culture and behavior patterns. The completion of this report comes after the end of the internship, aims to present my course of acquisition and development of Specialist Nurse Practitioners in Medical-Surgical Nursing, using a descriptive and critical-reflective methodology on the activities developed. It is divided into four parts: Introduction, where I frame the report, the stage and its modules, as well as the objectives outlined; Characterization of clinical practice locations; Skills Development, organized by the Common Competency Domains of the Specialist Nurse, established by the Order of Nurses, always bearing in mind the Specific Skills of the Specialist Nurse in Medical-Surgical Nursing and finally, the Conclusion, where I summarize my professional development in the light of Skills acquired and, the contributions of the researches and the training carried out. I considered it pertinent to carry out a bibliographic review on the basic and additional precautions for infection control, an integrative review of the literature on prevention of Post-Intensive Care Syndrome, as well as, a community training - Inform for Save - that contributed to my personal and academic enrichment. After completing this course, I consider that I have acquired skills to provide specialized care in the area of Medical-Surgical Nursing, developing a reflexive practice and decisionmaking, based on the code of ethics and the ethical principles that regulate the profession, as well as, the scientific evidence of the way to promote an autonomous and reflexive practice, as opposed to a practice based on behavioral modeling.
Excellence in Care goes through high quality nursing care, based on scientific evidence and a critical and reflective attitude on the part of nurses to the human responses to life processes, allowing the living healthy transitions and, access to culturally appropriate care. This document is part of the Curricular Unit - Report, inserted in the 9th Master's Degree Course in Nursing with Specialization in Medical-Surgical Nursing, of the Universidade Catolica Portuguesa, it is focuses on the Curricular Unit – Clinical Practice in Medical- Surgical Nursing, which took place, chronologically, in Prehospital emergency Care (Module III) in intensive care (Module II) and in the Emergency Department (Module I). This experience allowed me to acquire an overall knowledge of the critical patient, from prehospital care to admission to the accident and emergency and, finally to an intensive care unit. With the intention to provide specialized and transcultural care of the critical patient, I performed part of my internship in Brasil, to developed knowledge about the different values of caring, beliefs, culture and behavior patterns. The completion of this report comes after the end of the internship, aims to present my course of acquisition and development of Specialist Nurse Practitioners in Medical-Surgical Nursing, using a descriptive and critical-reflective methodology on the activities developed. It is divided into four parts: Introduction, where I frame the report, the stage and its modules, as well as the objectives outlined; Characterization of clinical practice locations; Skills Development, organized by the Common Competency Domains of the Specialist Nurse, established by the Order of Nurses, always bearing in mind the Specific Skills of the Specialist Nurse in Medical-Surgical Nursing and finally, the Conclusion, where I summarize my professional development in the light of Skills acquired and, the contributions of the researches and the training carried out. I considered it pertinent to carry out a bibliographic review on the basic and additional precautions for infection control, an integrative review of the literature on prevention of Post-Intensive Care Syndrome, as well as, a community training - Inform for Save - that contributed to my personal and academic enrichment. After completing this course, I consider that I have acquired skills to provide specialized care in the area of Medical-Surgical Nursing, developing a reflexive practice and decisionmaking, based on the code of ethics and the ethical principles that regulate the profession, as well as, the scientific evidence of the way to promote an autonomous and reflexive practice, as opposed to a practice based on behavioral modeling.
Description
Keywords
Enfermagem transcultural Especialização Prática reflexiva Transcultural nursing Reflective practice Specialization