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A elaboração do relatório surge no âmbito do Estágio realizado na Unidade Curricular Estágio Final e Relatório do 14º Curso de Mestrado em Enfermagem – Especialização em Enfermagem Médico-cirúrgica, na área de Enfermagem à Pessoa em Situação Crítica do Instituto de Ciências da Saúde-Porto da Universidade Católica Portuguesa. O estágio decorreu nos contextos de Serviço de Urgência e Unidade de Cuidados Intensivos no período 6 de setembro a 27 de outubro de 2021 e 28 de outubro a 18 de setembro de 2021 respetivamente. Com este Relatório pretende-se evidenciar todo o trabalho e percurso necessário para dar o salto de Enfermeira Generalista para Enfermeira Especialista, tendo por base a capacidade de pesquisa desenvolvida, a análise e raciocínio crítico e o progresso na argumentação. Com este trabalho pretendo descrever as experiências vivenciadas ao longo do estágio, referindo os aspetos relevantes de toda a minha aprendizagem, consolidando saberes e fatores que contribuíram para o meu desempenho, bem como um excelente meio de analisar a consecução de todos os meus objetivos previamente formulados no meu projeto de estágio e sua verdadeira importância para as atividades futuras. Num 1.º capítulo aborda-se o percurso profissional da autora com uma alargada e consolidada experiência em gastroenterologia e cardiologia e como Enfermeira responsável na Unidade de Exames Especiais e na Unidade de Hemodinâmica e Radiologia de Intervenção, tendo obtido creditação ao estágio do 1.º Ano na área de opção. A segurança do doente é o foco central com vista à excelência dos cuidados de enfermagem, sendo que o tema segurança do doente assume uma questão central ao nível europeu, mas também mundial, sobretudo nas últimas duas décadas, devido às condições de trabalho no dia-a-dia, nomeadamente a complexidade dos doentes, bem como a evolução tecnológica associada à rotação dos profissionais dentro das instituições; por outro lado, associado ao facto de os doentes estarem mais esclarecidos e informados, o que permite um aumento do nível de exigência da parte dos utilizadores. O trabalho tem por base o modelo teórico com o qual a autora mais se identifica o que foi o fio condutor de aprendizagem, o modelo de Patrícia Benner (2001), que desenvolveu um Modelo de aquisição de competências, tendo como referência o Modelo de Aquisição de Competência de Dreyfus. A promoção de um ambiente adequado é considerada uma intervenção de enfermagem especializada, o que permite ganhos em saúde da Pessoa em Situação Critica, tendo contribuído para a qualidade dos cuidados prestados, com por exemplo a diminuição do ruído. Foi pertinente a realização de 2 trabalhos sobre este tema nomeadamente uma Revisão bibliográfica da Literatura – Avaliação do risco de queda no serviço de urgência – Escala de Morse, e um outro baseado na comunicação efetiva, Recomendações na alta para o doente submetido a implantação de dispositivos cardíacos e a respetiva instrução de trabalho. Quando falamos em pessoas que cuidam de doentes, não podemos ignorar que o erro é intrínseco à pessoa humana; o erro existe, é real e está sempre presente. Face a esta realidade, impõe-se ao ser humano, dotado de inteligência, a capacidade de encontrar estratégias para o minimizar ou mesmo eliminar. A comunicação, sendo o denominador comum das relações humanas, constitui igualmente o pilar da segurança do doente; sendo a transferência de cuidados entre pares baseada numa comunicação eficaz, esta poderá ser feita de forma verbal ou escrita.
The preparation of the report arises within the scope of the Final Internship Curriculum Unit and Report introduced in the study plan of the 14th Master's Course in Nursing - Specialization in Medical-surgical Nursing, in Nursing to Persons in Critical Situations of the Institute of Health Sciences-Porto of the Universidade Católica Portuguesa. The internship took place in the contexts of Emergency Service and Intensive Care Units from september 6th to october 27th, 2021 and october 28th to september 18th, 2021 respectively. With this Report I intend to highlight all the work and path necessary to take the leap from Generalist Nurse to Specialist Nurse, based on the research capacity developed, analysis and critical reasoning and argumentation progress. With this work I intend to describe the experiences lived throughout the internship, referring to the relevant aspects of all my learning, consolidating knowledge and factors that contributed to my performance, as well as an excellent way to analyze the achievement of all my objectives previously formulated in my internship project and their true importance for future activities. The 1st chapter addresses the professional career of the author with a wide and consolidated experience in gastroenterology and cardiology and as a responsible Nurse, at the Special Examination Unit and the Intervention Hemodynamics and Radiology Unit, having obtained credit for the 1st Year internship on that option area. Patient safety is central focus on the excellence of nursing care, and the issue of patient safety is becoming a central issue at European level, but also worldwide, especially in the last two decades, due to day-to-day working conditions, namely the complexity of patients, as well as the technological evolution associated with the rotation of professionals within institutions; on the other hand, Associated with the fact that patients are more enlightened and informed, which allows an increase in the level of demand on the part as users. The work is based on the theoretical model with which the author most identifies what was the guiding thread of learning Patricia Benner's Model (2001), who developed a Skills Acquisition Model, with reference to Dreyfus' Competence Acquisition Model. The promotion of an adequate environment is considered a specialized nursing intervention, which allows gains in person in critical situation health, having contributed to the quality of care provided, such as noise reduction. It was pertinent to carry out 2 studies on this topic namely a Literature Review - Assessment of the risk of falling in the emergency service - Morse Scale, and another based on effective communication, Recommendations at discharge for patients undergoing implantation of cardiac devices and their work instruction. When we talk about people who care for the sick, we cannot ignore that error is intrinsic to the human person; error exists, is real and is always present. Faced with this reality, it is imposed on the human being, endowed with intelligence, the ability to find strategies to minimize or even eliminate it. Communication, being the common denominator of human relations, is also the pillar of patient safety; since the transfer of care between peers is based on effective communication, this can be done verbally or in writing.
The preparation of the report arises within the scope of the Final Internship Curriculum Unit and Report introduced in the study plan of the 14th Master's Course in Nursing - Specialization in Medical-surgical Nursing, in Nursing to Persons in Critical Situations of the Institute of Health Sciences-Porto of the Universidade Católica Portuguesa. The internship took place in the contexts of Emergency Service and Intensive Care Units from september 6th to october 27th, 2021 and october 28th to september 18th, 2021 respectively. With this Report I intend to highlight all the work and path necessary to take the leap from Generalist Nurse to Specialist Nurse, based on the research capacity developed, analysis and critical reasoning and argumentation progress. With this work I intend to describe the experiences lived throughout the internship, referring to the relevant aspects of all my learning, consolidating knowledge and factors that contributed to my performance, as well as an excellent way to analyze the achievement of all my objectives previously formulated in my internship project and their true importance for future activities. The 1st chapter addresses the professional career of the author with a wide and consolidated experience in gastroenterology and cardiology and as a responsible Nurse, at the Special Examination Unit and the Intervention Hemodynamics and Radiology Unit, having obtained credit for the 1st Year internship on that option area. Patient safety is central focus on the excellence of nursing care, and the issue of patient safety is becoming a central issue at European level, but also worldwide, especially in the last two decades, due to day-to-day working conditions, namely the complexity of patients, as well as the technological evolution associated with the rotation of professionals within institutions; on the other hand, Associated with the fact that patients are more enlightened and informed, which allows an increase in the level of demand on the part as users. The work is based on the theoretical model with which the author most identifies what was the guiding thread of learning Patricia Benner's Model (2001), who developed a Skills Acquisition Model, with reference to Dreyfus' Competence Acquisition Model. The promotion of an adequate environment is considered a specialized nursing intervention, which allows gains in person in critical situation health, having contributed to the quality of care provided, such as noise reduction. It was pertinent to carry out 2 studies on this topic namely a Literature Review - Assessment of the risk of falling in the emergency service - Morse Scale, and another based on effective communication, Recommendations at discharge for patients undergoing implantation of cardiac devices and their work instruction. When we talk about people who care for the sick, we cannot ignore that error is intrinsic to the human person; error exists, is real and is always present. Faced with this reality, it is imposed on the human being, endowed with intelligence, the ability to find strategies to minimize or even eliminate it. Communication, being the common denominator of human relations, is also the pillar of patient safety; since the transfer of care between peers is based on effective communication, this can be done verbally or in writing.
Description
Keywords
Pessoa em situação critica Segurança Comunicação Qualidade Cuidados de enfermagem Risco de queda Person in critical situation Safety Communication Quality Nursing care Fall risk