| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 14.65 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Um relatório pretende evidenciar um conjunto de informações referentes a uma
determinada experiência, projeto, pesquisa, ou outra atividade com a finalidade de
reportar o que foi efetuado, numa perspetiva crítico-reflexiva da aprendizagem.
Neste contexto, considerando que esta explanação é o corolário da unidade curricular
Relatório, procura expor-se o estágio desenvolvido no Serviço de Urgência (Módulo I)
e Unidade de Cuidados Intensivos Polivalentes (Módulo II), que decorreu no Centro
Hospitalar Vila Nova de Gaia/Espinho. Na sua essência, pretende-se enfatizar o
desenvolvimento de competências, tendo por base os objetivos inicialmente definidos,
nos domínios da responsabilidade profissional, ética e legal; da melhoria contínua da
qualidade; da gestão dos cuidados e das aprendizagens profissionais. Neste âmbito são
objetivos deste relatório: demonstrar as competências adquiridas, os problemas
identificados e as soluções apresentadas; demonstrar pensamento crítico-reflexivo sobre
as ações realizadas e as consequentes implicações ético-sociais e finalmente demonstrar
a capacidade de explicitar adequadamente as conclusões.
No Módulo I, foi possível desenvolver competências na prestação de cuidados ao
doente crítico, num serviço de urgência com grande afluência de utentes, com uma
estrutura física não compatível e com uma dotação de enfermeiros reduzida em algumas
áreas. É um serviço que exige um nível considerável de conhecimentos de gestão, pois
possui um vasto leque de recursos humanos, materiais, equipamentos e constantes
interações que modificam a homeostasia interna. Deste modo, para além das vivências
que experienciei no dia-a-dia do serviço de urgência, pude contribuir, através de sessão
formativa, para os processos de liderança, motivação e estratégias para a mudança,
envolvendo os coordenadores e subcoordenadores de equipas, assim como os
responsáveis do serviço. Imbuídos no espírito de reflexão, foi uma iniciativa que
procurou envolver os elementos chave para a mudança.
No Módulo II, na Unidade de Cuidados Intensivos Polivalentes, foram desenvolvidas
competências na prestação de cuidados ao doente crítico e/ou com falência
multiorgânica. Trata-se de um ambiente tecnologicamente complexo, em desafio
permanente ao nível dos processos de tomada de decisão, associado a elevada
autonomia do enfermeiro, implicando por isso, um julgamento clínico mais rigoroso.
Neste módulo, com características diferentes do anterior, foi possível contribuir para o
conhecimento científico de enfermagem, numa área de grande autonomia,
nomeadamente na prevenção de úlceras de pressão. Assim, pude efetuar um estudo
epidemiológico retrospetivo, investigando a prevalência e a incidência de úlceras de
pressão, no período de 31 de Outubro de 2012 a 31 de Outubro 2013. Os resultados
foram encorajadores, porque, embora o número de doentes internados tenha aumentado
significativamente, desde 2007 (últimos dados conhecidos), constatou-se um
decréscimo para metade da incidência de úlceras de pressão.
Na elaboração deste Relatório foi utilizada uma metodologia descritiva recorrendo ao
pensamento crítico-reflexivo. Encontra-se dividido em duas partes: na primeira é
efetuada a caraterização do Centro Hospitalar Vila Nova de Gaia/Espinho, dos serviços
de urgência e cuidados intensivos. Na segunda, é descrita a construção das
competências, com a realização de atividades nos quatro domínios preconizados para o
Enfermeiro Especialista.
A report aims to point out a set of information about an individual experience, design, research, or other activity for the purpose of reporting what was done and what was left to do. In this context, considering that this explanation is the corollary of the course unit Relatório, it is attempted to expound the traineeship developed in Emergency Room (Module I) and Polyvalent Intensive Care Unit (Module II), which took place in Centro Hospitalar Vila Nova de Gaia/Espinho. In essence it is intended to be emphasized the development of skills, based on the goals initially set, in the domain of professional, etical and legal responsability; on the continuous improvement of quality and on the management of care and professional learning processes. This report scopes out the following objectives: to show the acquired skills, the identified problems and its solutions; to demonstrate critical-reflective thinking about the actions performed and the consequent ethical and social implications and finally to display the ability to communicate properly the conclusions. In the first module it was possible to develop activities providing the care to critically ill patients in the Emergency Room with a large amount of users with a physical incompatible structure with a reduced number of nurses in some areas. It is a service that requires a considerable level of management knowledge as it has a wide range of human resources, materials, equipment and constant interactions which modify the internal homeostasis. Thus, appart from the daily experiences on the Emergency Room I could contribute, through the training session, to the processes of leadership, motivation and strategies for change, involving the team coordinators and sub-coordinators, as well as the leaders in charge for the service. With a deep sense of reflective spirit it was an initiative that sought to bring together the key elements for change. In the second module, the Polyvalent Intensive Care Unit, skills in providing care to critically ill and/or multiorgan failure patients were developed. It is a technologically complex environment in permanently challenging taking decision processes associated with a higher autonomy level of the nurses. Therefore, it implies a more strict clinical judgement. In this module with different features from the previous, it was possible to add scientific knowledge to nursing, an area of great autonomy, particularly in the prevention of pressure ulcers. So, I could carry out a retrospective epidemiological study investigating the prevalence and incidence of pressure ulcers in the period from 31st October 2012 to 31st October 2013. The results were encouraging because, although the number of hospitalized patients has increased significantly since 2007 (most recent data), there was a decrease by half the incidence of pressure ulcers. In this report it was used a descriptive methodology using the critical reflective thinking. It is divided into two parts, in the first it is performed the characterization of Centro Hospitalar Vila Nova de Gaia/Espinho, the ER and critical care. In the second, it is described the construction of skills, within the completion of activities in the four recommended areas for the specialist nurse.
A report aims to point out a set of information about an individual experience, design, research, or other activity for the purpose of reporting what was done and what was left to do. In this context, considering that this explanation is the corollary of the course unit Relatório, it is attempted to expound the traineeship developed in Emergency Room (Module I) and Polyvalent Intensive Care Unit (Module II), which took place in Centro Hospitalar Vila Nova de Gaia/Espinho. In essence it is intended to be emphasized the development of skills, based on the goals initially set, in the domain of professional, etical and legal responsability; on the continuous improvement of quality and on the management of care and professional learning processes. This report scopes out the following objectives: to show the acquired skills, the identified problems and its solutions; to demonstrate critical-reflective thinking about the actions performed and the consequent ethical and social implications and finally to display the ability to communicate properly the conclusions. In the first module it was possible to develop activities providing the care to critically ill patients in the Emergency Room with a large amount of users with a physical incompatible structure with a reduced number of nurses in some areas. It is a service that requires a considerable level of management knowledge as it has a wide range of human resources, materials, equipment and constant interactions which modify the internal homeostasis. Thus, appart from the daily experiences on the Emergency Room I could contribute, through the training session, to the processes of leadership, motivation and strategies for change, involving the team coordinators and sub-coordinators, as well as the leaders in charge for the service. With a deep sense of reflective spirit it was an initiative that sought to bring together the key elements for change. In the second module, the Polyvalent Intensive Care Unit, skills in providing care to critically ill and/or multiorgan failure patients were developed. It is a technologically complex environment in permanently challenging taking decision processes associated with a higher autonomy level of the nurses. Therefore, it implies a more strict clinical judgement. In this module with different features from the previous, it was possible to add scientific knowledge to nursing, an area of great autonomy, particularly in the prevention of pressure ulcers. So, I could carry out a retrospective epidemiological study investigating the prevalence and incidence of pressure ulcers in the period from 31st October 2012 to 31st October 2013. The results were encouraging because, although the number of hospitalized patients has increased significantly since 2007 (most recent data), there was a decrease by half the incidence of pressure ulcers. In this report it was used a descriptive methodology using the critical reflective thinking. It is divided into two parts, in the first it is performed the characterization of Centro Hospitalar Vila Nova de Gaia/Espinho, the ER and critical care. In the second, it is described the construction of skills, within the completion of activities in the four recommended areas for the specialist nurse.