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O presente relatório de estágio surge no âmbito do Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica à pessoa em situação crítica do Instituto de Ciências da Saúde da Universidade Católica Portuguesa. Constitui um instrumento de avaliação que pretende refletir o percurso de aprendizagem na Unidade de Cuidados Intensivos Polivalente (UCIP) de um hospital Central de Lisboa, para a obtenção do grau de mestre. Sustentada em pesquisa bibliográfica e revisão de literatura, assim como na mobilização de conhecimentos adquiridos ao longo do meu percurso pessoal, académico e profissional, foi possível desenvolver competências na abordagem à pessoa em situação crítica, concretamente nos cuidados à vítima de traumatismo vertebro-medular, nos cuidados ao doente sob ECMO (Extracorporeal Membrane Oxygenation), no transporte, abordagem e segurança do doente crítico e por fim no papel do chefe de equipa. Realizou-se uma scoping review acerca dos cuidados confortadores à pessoa com sede que permitiu o aprofundamento nesta área. Através de uma metodologia descritiva e reflexiva fez-se a descrição e reflexão sobre o processo de aprendizagem e aquisição de competências, a contextualização da prática clínica, o processo de aquisição de competências na área de especialização e uma análise global do percurso de aprendizagem e principais implicações para a prática profissional e crescimento pessoal e académico enquanto futura enfermeira especialista. Este percurso de aprendizagem teve implicações na prática profissional como a capacidade de reflexão e visão crítica, na gestão de cuidados e do serviço tendo sempre em conta uma abordagem holística confortadora do doente fundamentados em evidência atual e de qualidade, contribuindo também para a investigação e desenvolvimento da profissão. Com adversidades e dificuldades que surgiram ao longo da trajetória e dos constrangimentos vivenciados em tempos de pandemia, foi um caminho que exigiu muita dedicação e empenho, que fortaleceu a determinação na minha prática diária de manter a promoção da qualidade, segurança e conforto constantes dos cuidados baseados na evidência no âmbito das competências de mestre em enfermagem.
This internship report comes within the scope of the Master's Course in Nursing with Specialization in Medical-Surgical Nursing for the person in a critical situation at the Institute of Health Sciences of the Catholic University of Portugal. It is an assessment instrument that aims to reflect the learning path in the Polyvalent Intensive Care Unit (UCIP) of a central hospital in Lisbon, in order to obtain a master's degree. Based on bibliographic research and literature review, as well as on the mobilization of knowledge acquired throughout my personal, academic and professional path, it was possible to develop skills in approaching the person in a critical situation, specifically in the care of the victim of spinal cord injury, in the care of the patient under ECMO (Extracorporeal Membrane Oxygenation), in the transport, approach and safety of the critically ill patient and finally in the role of the team leader. A scoping review was carried out on comforting care for the thirsty person, which allowed for a deeper understanding of this area. Through a descriptive and reflective methodology, there will be a description and reflection on the process of learning and acquisition of competences, the contextualization of clinical practice, the process of acquiring competences in the area of specialization and a global analysis of the learning path and main implications for professional practice and personal and academic growth as a future specialist nurse. This learning path had implications for professional practice, such as the ability to reflect and improve my critical view, in the management of care and service, always taking into account a comforting holistic approach to the patient, based on current and quality evidence, also contributing to research and development. of the profession. With adversities and difficulties that arose along the trajectory and the constraints experienced in times of a pandemic, it was a path that required a lot of dedication and commitment, which strengthened the determination in my daily practice to maintain the promotion of quality, safety and constant comfort of care. evidence-based within the scope of master's nursing competencies.
This internship report comes within the scope of the Master's Course in Nursing with Specialization in Medical-Surgical Nursing for the person in a critical situation at the Institute of Health Sciences of the Catholic University of Portugal. It is an assessment instrument that aims to reflect the learning path in the Polyvalent Intensive Care Unit (UCIP) of a central hospital in Lisbon, in order to obtain a master's degree. Based on bibliographic research and literature review, as well as on the mobilization of knowledge acquired throughout my personal, academic and professional path, it was possible to develop skills in approaching the person in a critical situation, specifically in the care of the victim of spinal cord injury, in the care of the patient under ECMO (Extracorporeal Membrane Oxygenation), in the transport, approach and safety of the critically ill patient and finally in the role of the team leader. A scoping review was carried out on comforting care for the thirsty person, which allowed for a deeper understanding of this area. Through a descriptive and reflective methodology, there will be a description and reflection on the process of learning and acquisition of competences, the contextualization of clinical practice, the process of acquiring competences in the area of specialization and a global analysis of the learning path and main implications for professional practice and personal and academic growth as a future specialist nurse. This learning path had implications for professional practice, such as the ability to reflect and improve my critical view, in the management of care and service, always taking into account a comforting holistic approach to the patient, based on current and quality evidence, also contributing to research and development. of the profession. With adversities and difficulties that arose along the trajectory and the constraints experienced in times of a pandemic, it was a path that required a lot of dedication and commitment, which strengthened the determination in my daily practice to maintain the promotion of quality, safety and constant comfort of care. evidence-based within the scope of master's nursing competencies.
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Pessoa em situação crítica Cuidados confortadores Enfermagem especializada Person in critical situation Comforting care Specialized nursing