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Abstract(s)
Este relatório insere-se no âmbito da Unidade Curricular – Estágio Final e Relatório, do 11º Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico- Cirúrgica da Universidade Católica Portuguesa, Instituto de Ciências da Saúde do Porto, com vista à obtenção do referido grau, através da aquisição e desenvolvimento de competências pessoais e profissionais no contacto direto com a prática, neste caso, e por ordem cronológica, no Instituto Nacional de Emergência Médica e nas Unidades de Cuidados Intensivos dos serviços de Cirurgia Cárdio-Torácica e de Doenças Infeciosas. Tem como objetivos apresentar o percurso de aquisição e desenvolvimento de competências com vista à aquisição do grau de mestre e título de enfermeiro especialista em enfermagem Médico-Cirúrgica, contribuir para a continuidade da construção do saber em Enfermagem, em ordem à evolução profissional e pessoal contínua, centrada na prática refletida e fundamentada. Encontra-se organizado por domínios de competência, nos quais são identificados os objetivos e descritas as atividades desenvolvidas. A temática da qualidade dos cuidados, numa perspetiva de segurança dos doentes, por ser uma área em franco desenvolvimento ao longo dos últimos anos, foi selecionada como tema central deste relatório, com vista ao atingimento de competências da Especialidade em Enfermagem Médico-Cirúrgica. Na premissa que os enfermeiros são uma peça fundamental na garantia da segurança dos doentes, foram diversas as problemáticas evidenciadas ao longo dos contextos de estágio como potenciais focos de risco para a qualidade e continuidade dos cuidados, resultando em propostas de melhoria que, de modo formal e informal, foram apresentadas aos serviços. Assim, no que se refere à emergência pré-hospitalar, foi realçada a pertinência da informação para a qualidade e continuidade dos cuidados, através de um trabalho críticoreflexivo, com recurso a revisão da literatura, intitulado Sistemas de Informação: Um projeto de reflexão sobre a prática. Nos cuidados intensivos, por sua vez, foi realçada a importância das competências dos Enfermeiros Especialistas em Enfermagem Médico-Cirúrgica como garantia da qualidade das práticas e como mecanismo de promoção e evolução da profissão, através de um trabalho crítico-reflexivo, com recurso à revisão da literatura e à aplicação de instrumentos de auditoria às práticas dos enfermeiros, intitulado Pela Qualidade dos Cuidados: Numa perspetiva de gestão. Importa ainda referenciar que nesta unidade curricular foi dada continuidade a um estudo relativo aos riscos psicossociais dos enfermeiros que prestam assistência ao doente crítico, o qual tinha sido iniciado no estágio do segundo semestre. Com o objetivo de desenvolver competências no âmbito da melhoria da qualidade, bem como no âmbito da investigação em saúde, os resultados são apresentados, possibilitando uma leitura acerca dos fatores que podem influenciar a qualidade dos cuidados prestados pelos enfermeiros ao doente crítico. Deste modo, por serem diversos os fatores que têm potencial de afetar os cuidados, quer sejam eles pessoais ou organizacionais, a passagem pelos contextos supra referenciados, assim como a possibilidade dos trabalhos desenvolvidos, constituiu uma mais valia no atingimento de competências no âmbito do Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica. Concluído o percurso, considero que foram desenvolvidas as competências adequadas para a prestação de cuidados especializados na área da Enfermagem Médico-Cirúrgica, através de processos de tomada de decisão, assentes numa ação refletida e na prática baseada na evidência científica.
This report reflects the personal and professional skills developed and acquired by experiencing direct contact with the following services, National Institute of Medical Emergency and the Intensive Care Unit of the Cardio-Thoracic Surgery department and the Intensive Care Unit of the Infectious Diseases department, by chronological order, during the Curricular Unit - Final Internship and Report of the 11th Master Degree Course in Nursing with Specialization in Medical-Surgical Nursing of the Institute of Health Sciences, Universidade Católica Portuguesa. This report aims to describe the skill acquisition and development, in order to achieve master’s degree and become nurse specialist in Medical-Surgical Nursing, contributing to the continuity and construction of knowledge in nursing and maintain the professional and personal continuous development, focused in a reflected and justified practice. It's organized by competence domains, wherein the goals are identifiable and the activities described. As a means of acquiring skills in the Specialty of Medical-Surgical Nursing, the quality of care theme, in a patient safety perspective, was chosen as the central subject of this report since it has been a subject of particular interest in the last few years. With the premise that nurses are key players in warranting patient safety, several problems were identified during the course of the internship, such as potential risk factors that affect the quality and continuity of care, resulting in improvement proposals that were presented to the services, both formal and informally. Therefore, regarding pre-hospital emergency, it has been highlighted the importance of information for the quality and continuity of care, through a written critical-reflexive work, supported by the literature, entitled Sistemas de Informação: Um projeto de reflexão sobre a prática. Regarding intensive care, it was highlighted the importance of nurses specialized in Medical-Surgical Nursing skills as a warranty of quality care and as a means of job promotion and evolution, through a written critical-reflexive work, supported by the literature and the application of auditing instruments to the nurses procedures, entitled Pela Qualidade dos Cuidados: Numa perspetiva de gestão. It is also important to refer that a study involving psicossocial risks in nurses that work with critic patients, which had been started in the last semester, was given continuity. The study was developed with the goal to acquire skills in the field of quality improvement, as well as health investigation, and the results will be presented in a subchapter of this report, allowing a reading about the factors that might influence patient care provided by nurses to critic patients. The chance to have experienced several work environments, as well as the reports developed during these internships, constituted a key factor in acquiring skills in the field of the Master Degree Course in Nursing with Specialization in Medical-Surgical Nursing, since the elements with potential to affect patient care, whether they are personal or institutional, are diverse. Now that the journey has finished, I believe that I was able to develop skills inherent to specialized nurses, being able to provide specialized care in the field of Medical-Surgical Nursing, through decision making processes built not only in reflected action but also in scientific evidences.
This report reflects the personal and professional skills developed and acquired by experiencing direct contact with the following services, National Institute of Medical Emergency and the Intensive Care Unit of the Cardio-Thoracic Surgery department and the Intensive Care Unit of the Infectious Diseases department, by chronological order, during the Curricular Unit - Final Internship and Report of the 11th Master Degree Course in Nursing with Specialization in Medical-Surgical Nursing of the Institute of Health Sciences, Universidade Católica Portuguesa. This report aims to describe the skill acquisition and development, in order to achieve master’s degree and become nurse specialist in Medical-Surgical Nursing, contributing to the continuity and construction of knowledge in nursing and maintain the professional and personal continuous development, focused in a reflected and justified practice. It's organized by competence domains, wherein the goals are identifiable and the activities described. As a means of acquiring skills in the Specialty of Medical-Surgical Nursing, the quality of care theme, in a patient safety perspective, was chosen as the central subject of this report since it has been a subject of particular interest in the last few years. With the premise that nurses are key players in warranting patient safety, several problems were identified during the course of the internship, such as potential risk factors that affect the quality and continuity of care, resulting in improvement proposals that were presented to the services, both formal and informally. Therefore, regarding pre-hospital emergency, it has been highlighted the importance of information for the quality and continuity of care, through a written critical-reflexive work, supported by the literature, entitled Sistemas de Informação: Um projeto de reflexão sobre a prática. Regarding intensive care, it was highlighted the importance of nurses specialized in Medical-Surgical Nursing skills as a warranty of quality care and as a means of job promotion and evolution, through a written critical-reflexive work, supported by the literature and the application of auditing instruments to the nurses procedures, entitled Pela Qualidade dos Cuidados: Numa perspetiva de gestão. It is also important to refer that a study involving psicossocial risks in nurses that work with critic patients, which had been started in the last semester, was given continuity. The study was developed with the goal to acquire skills in the field of quality improvement, as well as health investigation, and the results will be presented in a subchapter of this report, allowing a reading about the factors that might influence patient care provided by nurses to critic patients. The chance to have experienced several work environments, as well as the reports developed during these internships, constituted a key factor in acquiring skills in the field of the Master Degree Course in Nursing with Specialization in Medical-Surgical Nursing, since the elements with potential to affect patient care, whether they are personal or institutional, are diverse. Now that the journey has finished, I believe that I was able to develop skills inherent to specialized nurses, being able to provide specialized care in the field of Medical-Surgical Nursing, through decision making processes built not only in reflected action but also in scientific evidences.
Description
Keywords
Qualidade de cuidados Segurança Riscos psicossociais Enfermeiros Doente crítico Patient care quality Safety Psicossocial risks Nurses Critical patient