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Abstract(s)
Este relatório surge no âmbito do Mestrado em Enfermagem na área de especialização em Enfermagem Médico-Cirúrgica e tem como objetivo analisar de forma crítica e reflexiva, o processo de desenvolvimento e aquisição de competências para a obtenção do título de enfermeiro especialista e em simultâneo o grau de mestre. Para o desenvolvimento de competências especializadas realizei o estágio em três contextos clínicos durante o percurso formativo. No decurso do estágio, tive um tema transversal – A aspiração de secreções brônquicas na Pessoa adulta ventilada, tendo efetuado uma Scoping Review sobre esta temática. A aspiração de secreções brônquicas em pessoas submetidas a ventilação mecânica invasiva é um dos cuidados de Enfermagem considerado complexo e invasivo, que requer uma avaliação prévia sobre a sua necessidade, uma vez que, pode causar danos à Pessoa. Para tal, torna-se premente que o enfermeiro tenha conhecimento baseado em evidência científica sobre este procedimento de modo a realizá-lo de forma segura e eficaz e com o mínimo risco possível para a Pessoa, sujeito de cuidados. Este relatório engloba dois momentos de estágio, correspondentes à unidade curricular – “Estágio final e Relatório”: um no serviço de urgência central e outro no bloco operatório central. No serviço de urgência central, desenvolvi competências na Pessoa em situação de urgência e emergência, tendo como enfoque o respeito pela identidade da Pessoa humana. Em simultâneo, desenvolvi e adquiri competências no sentido de promover as boas práticas no âmbito do procedimento de aspiração de secreções brônquicas na Pessoa em situação crítica. No bloco operatório central, desenvolvi competências nas quatro áreas funcionais do enfermeiro perioperatório. Por outro lado, tive oportunidade de partilhar o meu conhecimento na equipa multidisciplinar, em especial com os enfermeiros de anestesia e os anestesiologistas sobre o procedimento de aspiração de secreções brônquicas, fundamentado na evidência científica. Saliento ainda para o desenvolvimento de competências especializadas, a minha experiência pessoal e profissional, assim como, o estágio realizado na unidade de cuidados intensivos polivalente, da unidade curricular “A Pessoa em Situação Crítica e Família – Vigilância e Decisão Clínica”. Ao longo deste percurso formativo, considero ter adquirido competências nas vertentes técnica, científica, ética e relacional, na prestação de cuidados especializados em Enfermagem Médico-Cirúrgica à Pessoa em situação crítica.
The present report is part of the Master’s Degree in Nursing, pertaining specifically to the Specialization in Medical-Surgical Nursing. It aims to critically, and reflectively, analyze the skills’ development and acquisition process required to obtain the title of specialist nurse and, simultaneously, the degree of master. To achieve the development of specialized competencies within my academic training, I carried out the mandatory internship in three clinical contexts. During the internship, I maintained a transversal theme — the aspiration of bronchial secretions in the ventilated adult —, having conducted a Scoping Review on that topic. The aspiration of bronchial secretions in patients submitted to invasive mechanical ventilation is considered a complex and invasive element of Nursing care, requiring a prior assessment of its necessity, since it can cause harm to the Person. Therefore, it is urgent that nurses acquire evidence-based scientific knowledge regarding this procedure, in order to perform it in a safe and effective manner, with minimum risk to the Person who is being subjected to care. This report includes two internship stages, both integrated in the “Internship and Final Report” curricular unit. One of those stages took place in the central emergency service, while the other took place in the central operating room. In the central emergency service, I developed various skills directed towards the Person experiencing an urgency/emergency, always focusing on the respect for the Person’s identity. At the same time, I developed and acquired several competencies that contribute to the promotion of good practices regarding the aspiration of bronchial secretions in the critically ill Person. At the central operating room, I developed skills within the four functional areas of perioperative nursing. On the other hand, I had the opportunity to share my evidence-based scientific knowledge about bronchial secretions aspiration with the remaining members of the multidisciplinary team, especially with anesthesia nurses and anesthesiologists. Additionally, I would like to stress the importance of other elements to the development of specialized competencies — my personal and professional experience, as well as an internship at a multipurpose intensive care unit, integrated in the following subject: “The Person in a Critical Situation and Family — Monitoring and Clinical Decision”. Throughout my academic training, I believe to have acquired technical, scientific, ethical and relational skills, with respect to the provision of specialized Medical-Surgical Nursing care to the critically ill Person.
The present report is part of the Master’s Degree in Nursing, pertaining specifically to the Specialization in Medical-Surgical Nursing. It aims to critically, and reflectively, analyze the skills’ development and acquisition process required to obtain the title of specialist nurse and, simultaneously, the degree of master. To achieve the development of specialized competencies within my academic training, I carried out the mandatory internship in three clinical contexts. During the internship, I maintained a transversal theme — the aspiration of bronchial secretions in the ventilated adult —, having conducted a Scoping Review on that topic. The aspiration of bronchial secretions in patients submitted to invasive mechanical ventilation is considered a complex and invasive element of Nursing care, requiring a prior assessment of its necessity, since it can cause harm to the Person. Therefore, it is urgent that nurses acquire evidence-based scientific knowledge regarding this procedure, in order to perform it in a safe and effective manner, with minimum risk to the Person who is being subjected to care. This report includes two internship stages, both integrated in the “Internship and Final Report” curricular unit. One of those stages took place in the central emergency service, while the other took place in the central operating room. In the central emergency service, I developed various skills directed towards the Person experiencing an urgency/emergency, always focusing on the respect for the Person’s identity. At the same time, I developed and acquired several competencies that contribute to the promotion of good practices regarding the aspiration of bronchial secretions in the critically ill Person. At the central operating room, I developed skills within the four functional areas of perioperative nursing. On the other hand, I had the opportunity to share my evidence-based scientific knowledge about bronchial secretions aspiration with the remaining members of the multidisciplinary team, especially with anesthesia nurses and anesthesiologists. Additionally, I would like to stress the importance of other elements to the development of specialized competencies — my personal and professional experience, as well as an internship at a multipurpose intensive care unit, integrated in the following subject: “The Person in a Critical Situation and Family — Monitoring and Clinical Decision”. Throughout my academic training, I believe to have acquired technical, scientific, ethical and relational skills, with respect to the provision of specialized Medical-Surgical Nursing care to the critically ill Person.
Description
Keywords
Aspiração de secreções brônquicas Competências especializadas Enfermagem avançada Prática baseada na evidência Pessoa adulta ventilada Aspiration of bronchial secretions Specialized skills Advanced nursing Evidence-based practice Ventilated adult