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Advisor(s)
Abstract(s)
Este relatório expressa as vivencias durante o percurso percorrido nos diversos locais de
estágio no âmbito do Curso de Mestrado em Enfermagem com Especialização em
Enfermagem Médico – Cirúrgica do Instituto de Ciências da Saúde, Universidade
Católica Portuguesa, Porto. Também elenca as grandes aprendizagens, focando as
principais atividades e competências desenvolvidas, pensamentos e reflexões,
respetivamente, no módulo I: Serviço de Urgência e módulo III: Serviço de Controlo de
Infeção, realizados no Centro Hospitalar Cova da Beira.
A aquisição de competências, destreza técnica, planificação e tomada de decisão perante
situações complexas e imprevisíveis, em contexto de urgência e no controlo e prevenção
da infeção hospitalar, foi uma constante e um contributo, bem como integrar as
dificuldades, os confrontos com que um enfermeiro especialista, se depara sob uma
perspetiva ética, moral, social e deontológica, tendo por base os pressupostos que
norteiam a profissão de enfermagem, na abordagem ao doente crítico.
O trabalho desenvolvido reflete o aprofundamento dos aspetos e contributos
considerados pertinentes, como a realização de uma ação de formação no Serviço de
Urgência intitulada “Monitorização Invasiva” bem como, no Serviço da Comissão
Controlo de Infeção, sobre o tema “SIRS, SEPSIS, MODS e Hemoculturas”. Ainda foi
realizado um flyer sobre “Medidas Simples Salvam Vidas” e um trabalho baseado na
“Análise de resultados dos inquéritos sobre vigilância dos Cinco Momentos na
higienização das mãos” em parceria com as equipas, permitindo um papel participativo
na construção deste trajeto e na promoção do desenvolvimento de práticas futuras que
impulsionem a eficiência e a melhoria da qualidade dos cuidados prestados.
Estes comportamentos contribuíram para a aquisição de uma maior autonomia, segundo
uma perspetiva avançada do cuidar e a uma maior visibilidade social, essencial para o
desenvolvimento da profissão. A complexidade das doenças e a dimensão dos recursos
impuseram com singeleza a diferenciação de profissionais que se treinaram para serem
capazes de rentabilizar e hierarquizar a utilização de cada um desses saberes.
O relatório encontra-se estruturado segundo os estágios efetuados, onde constam os
objetivos delineados, as atividades desenvolvidas e competências adquiridas nos dois
módulos e tem como finalidade servir de instrumento para certificação das
competências técnicas, humanas, relacionais e comunicacionais como enfermeira
especialista em enfermagem médico-cirúrgica e para obtenção do grau de mestre.
A metodologia utilizada baseia-se no método analítico através da reflexão das
atividades desenvolvidas e na fundamentação baseada nos conhecimentos pedagógicos.
This report expresses the experiences during the travelled route in the several places of stage under the Nursing Master Course with specialization in Medical Nursing – Institute of Health Sciences – Universidade Católica Portuguesa, Porto. It also lists the great learning, focusing on the main activities and developed skills, thoughts and reflections, respectively, on the module I: Emergency Service and module III: Infection Control Services, performed in Centro Hospitalar Cova da Beira. The acquisition of skills, technical skill, planning and decision taking before complex and unpredictable situations, in emergency context and in the control and prevention of hospital infection, was a constant and a contribution, as well as integrate the difficulties, the clashes that a specialist nurse faces under an ethical, moral, social and deontological perspective, based on the assumptions that guide the nursing profession, in addressing to the critical patient. The developed work reflects the deepening of the aspects and contributions considered relevant, as the realization of a training action on the Emergency Service entitled "Invasive Monitoring" as well as in the Commission Service Infection Control, about the theme "SIRS, SEPSIS, MODS and Blood Cultures". It was still performed a flyer on "Simple Measures Save Lives" and a work based on "Analysis of results of the inquires about surveillance of the Five Moments in the hand hygiene" in partnership with the teams, allowing a participatory role in the building this path and in the promotion of the development of future practices which boost efficiency and the improvement of the quality of the provided care. These behaviours contributed to the acquisition of a greater autonomy, according to an advanced perspective of the care and a greater social visibility, essential for the development of the profession. The complexity of the diseases and the size of the resources imposed with singleness the differentiation of the professionals, who trained to be able to monetize and prioritize the use of each of these knowledge. The report is structured according to the stages carried out, which contains the outlined objectives, the undertaken activities and acquired skills, in the two modules and it has as goal to serve as a tool for certification of technical, human, relational and communication competences, as a specialist in medical nursing -surgical and obtain a master's degree. The methodology is based on the analytical method through reflection of the activities and the reasoning based on pedagogical knowledge.
This report expresses the experiences during the travelled route in the several places of stage under the Nursing Master Course with specialization in Medical Nursing – Institute of Health Sciences – Universidade Católica Portuguesa, Porto. It also lists the great learning, focusing on the main activities and developed skills, thoughts and reflections, respectively, on the module I: Emergency Service and module III: Infection Control Services, performed in Centro Hospitalar Cova da Beira. The acquisition of skills, technical skill, planning and decision taking before complex and unpredictable situations, in emergency context and in the control and prevention of hospital infection, was a constant and a contribution, as well as integrate the difficulties, the clashes that a specialist nurse faces under an ethical, moral, social and deontological perspective, based on the assumptions that guide the nursing profession, in addressing to the critical patient. The developed work reflects the deepening of the aspects and contributions considered relevant, as the realization of a training action on the Emergency Service entitled "Invasive Monitoring" as well as in the Commission Service Infection Control, about the theme "SIRS, SEPSIS, MODS and Blood Cultures". It was still performed a flyer on "Simple Measures Save Lives" and a work based on "Analysis of results of the inquires about surveillance of the Five Moments in the hand hygiene" in partnership with the teams, allowing a participatory role in the building this path and in the promotion of the development of future practices which boost efficiency and the improvement of the quality of the provided care. These behaviours contributed to the acquisition of a greater autonomy, according to an advanced perspective of the care and a greater social visibility, essential for the development of the profession. The complexity of the diseases and the size of the resources imposed with singleness the differentiation of the professionals, who trained to be able to monetize and prioritize the use of each of these knowledge. The report is structured according to the stages carried out, which contains the outlined objectives, the undertaken activities and acquired skills, in the two modules and it has as goal to serve as a tool for certification of technical, human, relational and communication competences, as a specialist in medical nursing -surgical and obtain a master's degree. The methodology is based on the analytical method through reflection of the activities and the reasoning based on pedagogical knowledge.