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Abstract(s)
O presente relatório surge no âmbito da unidade curricular “Estágio Final e Relatório”, inserida no Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica, na Área da Pessoa em Situação Crítica onde se pretende refletir o percurso de aquisição e desenvolvimento de competências nesta área de especialidade. Estas competências foram desenvolvidas em contexto de gabinete de segurança do doente e cuidados intensivos. No presente documento estão apresentados os objetivos planeados e concretizados, as atividades desenvolvidas e as competências adquiridas, utilizando uma descrição do vivido de forma crítico-reflexiva. Durante a sua elaboração foi necessário recorrer a evidência científica atual para fundamentar a tomada de decisão. Como complemento, constam ainda os objetivos definidos para a unidade curricular, os projetos de estágio com os objetivos pessoais e respetivos trabalhos elaborados no decorrer da prática clínica. O documento tem por base a reflexão sobre temas como: o processo de aprendizagem e aquisição de competências, a contextualização dos locais de estágio, a descrição do processo de aquisição de competências na área do doente crítico, a análise global do percurso de aprendizagem e as suas implicações para a prática profissional. Consta ainda uma scoping review sobre as dificuldades dos enfermeiros na comunicação de más notícias com o objetivo de mapear o conhecimento existente sobre este tema. A comunicação de más notícias, em especial no contexto de doença incurável é uma das tarefas mais exigentes e complexas que se coloca aos profissionais de saúde. Também é exposto um Projeto de Investigação no âmbito da preparação e administração de medicamentos de alerta máximo, tendo em vista a adoção de práticas seguras nesta área. Neste documento são ainda abordadas áreas fulcrais como a ética, a deontologia, a comunicação e a relação terapêutica. Tendo em vista o crescimento enquanto enfermeira especialista, este relatório permite o desenvolvimento de capacidades de reflexão e gestão na prestação de cuidados, a realização de intervenções baseadas na evidência científica, assim como a humanização dos cuidados. Em suma, a investigação é importante para a evolução de cuidados de enfermagem e o desenvolvimento da profissão, criando enfermeiros mais capacitados e atualizados com foco na melhoria da qualidade dos cuidados.
The present report comes as part of the curricular unit "Final Apprenticeship and Report", integrated in the Masters Course in Nursing with Specialization in Medical and Surgical Nursing, focused on the critically ill patient, and aims to reflect on the process of acquisition and development of skills in this specialty area. These competencies were developed in the context of a patient safety office and an intensive care unit. In the present document, it is shown the planned and implemented objectives, the activities that were carried out and the acquired competencies using a critical and reflective attitude. Over the course of its elaboration, it was necessary to invoke scientific evidence to support the decision-making process. In addition, there are the objectives defined for the curricular unit, the apprenticeship projects with personal objectives, and their assignments elaborated during the clinical practice. The document is based on reflection on topics such as: the process of learning and competency acquisition, contextualising the apprenticeship locations, describing the process of acquiring competencies specific to the critically ill patient and the global analysis of the path of learning and its implications for professional practice. There is also a scoping review about the nurses’ difficulties in communicating bad news, aiming to map the existing knowledge on this topic. The communication of bad news, especially in the context of an incurable disease, is one of the most demanding and complex tasks that faces healthcare professionals. It is shown, as well, an investigation project in the context of the preparation and administration of high-alert drugs, taking into account the adoption of safe practises in this area. Throughout this report, it is also possible to note areas such as ethics, deontology, communication and the therapeutic relationship. Considering the professional growth as a specialist nurse, this report enabled the development of reflection and management skills in the provision of care, the implementation of interventions based on scientific evidence, as well as the humanization of care. In short, the investigation is important for the evolution of nursing care and the development of the profession, enabling more qualified and up-to-date nurses to focus on providing better quality care.
The present report comes as part of the curricular unit "Final Apprenticeship and Report", integrated in the Masters Course in Nursing with Specialization in Medical and Surgical Nursing, focused on the critically ill patient, and aims to reflect on the process of acquisition and development of skills in this specialty area. These competencies were developed in the context of a patient safety office and an intensive care unit. In the present document, it is shown the planned and implemented objectives, the activities that were carried out and the acquired competencies using a critical and reflective attitude. Over the course of its elaboration, it was necessary to invoke scientific evidence to support the decision-making process. In addition, there are the objectives defined for the curricular unit, the apprenticeship projects with personal objectives, and their assignments elaborated during the clinical practice. The document is based on reflection on topics such as: the process of learning and competency acquisition, contextualising the apprenticeship locations, describing the process of acquiring competencies specific to the critically ill patient and the global analysis of the path of learning and its implications for professional practice. There is also a scoping review about the nurses’ difficulties in communicating bad news, aiming to map the existing knowledge on this topic. The communication of bad news, especially in the context of an incurable disease, is one of the most demanding and complex tasks that faces healthcare professionals. It is shown, as well, an investigation project in the context of the preparation and administration of high-alert drugs, taking into account the adoption of safe practises in this area. Throughout this report, it is also possible to note areas such as ethics, deontology, communication and the therapeutic relationship. Considering the professional growth as a specialist nurse, this report enabled the development of reflection and management skills in the provision of care, the implementation of interventions based on scientific evidence, as well as the humanization of care. In short, the investigation is important for the evolution of nursing care and the development of the profession, enabling more qualified and up-to-date nurses to focus on providing better quality care.
Description
Keywords
Enfermagem médico-cirúrgica Pessoa em situação crítica Comunicação em enfermagem Más notícias Medicação de alerta máximo Medical and surgical nursing Critically ill patient Communication in nursing Bad news High-alert drugs