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Fatores que influenciam a adesão dos enfermeiros à bundle da pneumonia associada à ventilação mecânica
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Abstract(s)
Este relatório surge no âmbito para obtenção de Grau académico de Mestre e título profissional de Enfermeiro Especialista Médico-Cirúrgico na Área de Enfermagem à Pessoa em Situação Crítica. O presente relatório, que culminou do trabalho realizado ao longo dos estágios, permitiu a aquisição e desenvolvimento de competências comuns e específicas do enfermeiro especialista e de mestre em enfermagem médico-cirúrgica na área de enfermagem à pessoa em situação crítica. Tive a oportunidade de realizar os estágios no Serviço de Hemodiálise (120 horas) e Unidade de Cuidados Intensivos (240 horas). O fenómeno em estudo foi a adesão dos enfermeiros na bundle da prevenção da pneumonia associada à ventilação mecânica, nomeadamente pelos fatores que a influenciam. A área de estudo abordada corresponde ao meu interesse e a uma preocupação pela melhoria da qualidade do cuidado ao utente submetido à Ventilação Mecânica Invasiva em contexto de utente crítico. No âmbito da prática clínica realizei formação e auditorias sobre a implementação da bundle da Prevenção da Pneumonia Associada à Ventilação Mecânica (PAVM) no serviço de Unidade de Cuidados Intensivos (UCI). A estruturação do pensamento em Enfermagem integrou a teoria de médio alcance de Afaf Meleis - Teoria da Transição.
This report comes within the scope of obtaining an academic degree of Master and professional title of Specialist Medical-Surgical Nurse in the Area of Nursing for the Person in Critical Situation. The present report, which culminated in the work carried out during the internships, allowed the acquisition and development of common and specific skills of the specialist nurse and of a master's degree in medical-surgical nursing in the area of nursing for the person in a critical situation. I had the opportunity to do internships at the Hemodialysis Service (120 hours) and the Intensive Care Unit (240 hours). The phenomenon under study was the nurses' adherence to the mechanical ventilation-associated pneumonia prevention bundle, namely due to the factors that influence it. The area of study addressed corresponds to my interest and concern for improving the quality of care for patients undergoing Invasive Mechanical Ventilation in the context of a critical patient. In the scope of clinical practice, I carried out training and audits on the implementation of the Ventilator-Associated Pneumonia Prevention (VAP) bundle in the Intensive Care Unit (ICU) service. The structuring of thought in Nursing integrated the middle range theory of Afaf Meleis - Theory of Transition.
This report comes within the scope of obtaining an academic degree of Master and professional title of Specialist Medical-Surgical Nurse in the Area of Nursing for the Person in Critical Situation. The present report, which culminated in the work carried out during the internships, allowed the acquisition and development of common and specific skills of the specialist nurse and of a master's degree in medical-surgical nursing in the area of nursing for the person in a critical situation. I had the opportunity to do internships at the Hemodialysis Service (120 hours) and the Intensive Care Unit (240 hours). The phenomenon under study was the nurses' adherence to the mechanical ventilation-associated pneumonia prevention bundle, namely due to the factors that influence it. The area of study addressed corresponds to my interest and concern for improving the quality of care for patients undergoing Invasive Mechanical Ventilation in the context of a critical patient. In the scope of clinical practice, I carried out training and audits on the implementation of the Ventilator-Associated Pneumonia Prevention (VAP) bundle in the Intensive Care Unit (ICU) service. The structuring of thought in Nursing integrated the middle range theory of Afaf Meleis - Theory of Transition.
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Keywords
Especialista Crítico Ventilação mecânica Controlo de infeção Specialist Critical Mechanical ventilation Infection