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Lista de verificação de segurança cirúrgica : barreiras e estratégias
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O presente Relatório aborda o percurso do desenvolvimento e aquisição de competências no âmbito do curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-cirúrgica: Enfermagem à Pessoa em Situação Crítica com foco em três áreas principais: o desenvolvimento de competências diferenciadas em diferentes contextos de estágio, uma análise reflexiva sobre estas experiências e o aprofundar do conhecimento sobre a adesão à checklists cirúrgicas. No capítulo 1, e focada no desenvolvimento de competências de mestre, foi realizada uma scoping review objetivando identificar as principais barreiras e estratégias para a adesão às checklists cirúrgicas. As barreiras mais comuns encontradas incluem a resistência à mudança por parte dos profissionais de saúde, a perceção da carga de trabalho. Entre as estratégias para superar essas barreiras destacam-se a formação contínua, a liderança forte e o envolvimento de toda a equipa cirúrgica no processo de implementação. A revisão destacou a importância de uma abordagem multifacetada para garantir a adesão eficaz às checklists cirúrgicas, promovendo uma cultura de segurança e reduzindo os riscos de eventos adversos. O capítulo 2 apresenta uma análise reflexiva sobre a aquisição e desenvolvimento de competências durante estágios em três diferentes contextos hospitalares: hospitalização domiciliária, unidade de cuidados intermédios e gabinete de segurança do doente. Na hospitalização domiciliária, foi destacada a importância da comunicação eficaz e da autonomia do enfermeiro. Na unidade de cuidados intermédios, o foco foi na capacidade de tomada de decisões rápidas e precisas em situações de alta complexidade. No gabinete de segurança do doente, foram aprimoradas competências relacionadas à análise de incidentes e à implementação de medidas preventivas. A análise reflexiva permitiu identificar as habilidades críticas desenvolvidas em cada contexto e como estas contribuem para a prática profissional em enfermagem. As conclusões finais do trabalho sintetizam os principais achados dos capítulos anteriores. Foi reafirmada a importância das checklists cirúrgicas como ferramenta essencial para a segurança do doente, bem como a necessidade de estratégias eficazes para garantir sua adesão. Além disso, a experiência em diferentes contextos de estágio mostrou-se vital para o desenvolvimento de competências essenciais para a prática clínica segura e eficiente. O trabalho conclui que a integração de abordagens formativas e reflexivas dos profissionais de saúde é fundamental para promover a cultura de segurança e melhorar os resultados dos doentes. Este trabalho reflexivo sobre o desenvolvimento contínuo de competências adquiridas em diferentes contextos hospitalares, ressalta a necessidade de uma abordagem holística e integrada na formação.
The present report addresses the development and acquisition of skills within the Master’s degree course in Nursing with a specialization in Medical-Surgical Nursing: Nursing for the Person in Critical Condition, focusing on three main areas: the development of differentiated skills in various internship contexts, a reflective analysis of these experiences, and a deepening of knowledge on adherence to surgical checklists. In Chapter 1, focusing on the development of master’s level skills, a scoping review was conducted aiming to identify the main barriers and strategies for adherence to surgical checklists. The most common barriers found include resistance to change among healthcare professionals and the perception of workload. Among the strategies to overcome these barriers are continuous training, strong leadership, and the involvement of the entire surgical team in the implementation process. The review highlighted the importance of a multifaceted approach to ensure effective adherence to surgical checklists, promoting a culture of safety and reducing the risks of adverse events. Chapter 2 presents a reflective analysis on the acquisition and development of skills during internships in three different hospital contexts: home hospitalization, intermediate care unit, and patient safety office. In home hospitalization, the importance of effective communication and nurse autonomy was highlighted. In the intermediate care unit, the focus was on the ability to make quick and accurate decisions in highly complex situations. In the patient safety office, skills related to incident analysis and the implementation of preventive measures was enhanced. The reflective analysis allowed for the identification of critical skills developed in each context and how they contribute to professional nursing practice. The final conclusions of the work summarize the main findings of the previous chapters. The importance of surgical checklists as an essential tool for patient safety, as well as the need for effective strategies to ensure their adherence, was reaffirmed. Additionally, the experience in different internship contexts proved vital for the development of essential skills for safe and efficient clinical practice. The work concludes that the integration of formative and reflective approaches for healthcare professionals is fundamental to promoting a culture of safety and improving patient outcomes. This reflective work on the continuous development of skills acquired in different hospital contexts highlights the need for a holistic and integrated approach in training.
The present report addresses the development and acquisition of skills within the Master’s degree course in Nursing with a specialization in Medical-Surgical Nursing: Nursing for the Person in Critical Condition, focusing on three main areas: the development of differentiated skills in various internship contexts, a reflective analysis of these experiences, and a deepening of knowledge on adherence to surgical checklists. In Chapter 1, focusing on the development of master’s level skills, a scoping review was conducted aiming to identify the main barriers and strategies for adherence to surgical checklists. The most common barriers found include resistance to change among healthcare professionals and the perception of workload. Among the strategies to overcome these barriers are continuous training, strong leadership, and the involvement of the entire surgical team in the implementation process. The review highlighted the importance of a multifaceted approach to ensure effective adherence to surgical checklists, promoting a culture of safety and reducing the risks of adverse events. Chapter 2 presents a reflective analysis on the acquisition and development of skills during internships in three different hospital contexts: home hospitalization, intermediate care unit, and patient safety office. In home hospitalization, the importance of effective communication and nurse autonomy was highlighted. In the intermediate care unit, the focus was on the ability to make quick and accurate decisions in highly complex situations. In the patient safety office, skills related to incident analysis and the implementation of preventive measures was enhanced. The reflective analysis allowed for the identification of critical skills developed in each context and how they contribute to professional nursing practice. The final conclusions of the work summarize the main findings of the previous chapters. The importance of surgical checklists as an essential tool for patient safety, as well as the need for effective strategies to ensure their adherence, was reaffirmed. Additionally, the experience in different internship contexts proved vital for the development of essential skills for safe and efficient clinical practice. The work concludes that the integration of formative and reflective approaches for healthcare professionals is fundamental to promoting a culture of safety and improving patient outcomes. This reflective work on the continuous development of skills acquired in different hospital contexts highlights the need for a holistic and integrated approach in training.
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Enfermeiro especialista Pessoa em situação crítica Segurança do Doente Specialist nurse Critically ill patient Patient safety
Contexto Educativo
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Licença CC
Sem licença CC