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A influência da excelência do cuidado nas transições de vida saudáveis
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No âmbito da Unidade Curricular “Estágio Final e Relatório”, integrada no Mestrado em Enfermagem Médico-Cirúrgica – área de Enfermagem à Pessoa em Situação Crítica, da Escola de Enfermagem de Lisboa do Instituto de Ciências da Saúde da Universidade Católica Portuguesa, foi proposta a elaboração do presente relatório como objeto de apreciação e discussão pública. Este relatório pretende demonstrar de forma crítica e reflexiva as atividades desenvolvidas ao longo dos estágios efetuados, fazendo referência ao processo evolutivo das diferentes competências no cuidado de excelência à pessoa em situação crítica. Transversalmente ao percurso de aprendizagem clínica foi elaborada uma Scoping Review no âmbito da influência dos estilos de liderança na motivação e satisfação dos profissionais de saúde. A evidência ressalva que a liderança influencia os profissionais de saúde na motivação e satisfação profissional, podendo provocar alterações na autonomia, rotatividade nos serviços e gerar stresse e síndrome de burnout. Centrei a minha prática no paradigma da transformação incidindo o meu pensamento em Enfermagem na Teoria das Transições de Afaf Meleis, que possibilitou o desenvolvimento do cuidado de excelência. Este percurso permitiu-me integrar a teoria no cuidado especializado à pessoa em situação crítica e, consequentemente, contribuir para desenvolver competências de Enfermeira Especialista. Foi realizado em dois contextos de estágio: Unidade de Cuidados Intensivos e Unidade de Atendimento Urgente. Na Unidade de Cuidados Intensivos, a par da aquisição de competências específicas e técnicas, incidi o cuidado no estabelecimento de uma relação de confiança e cooperação para com o cliente e família, apoiando nos processos de mudança nomeadamente na comunicação com o cliente ventilado e família. Na Unidade de Atendimento Urgente abordei a prevenção e controlo das infeções associadas aos cuidados de saúde e efetuei a gestão da dor e da comunicação de más noticias. A realização deste curso de Mestrado possibilitou-me a consolidação de conhecimentos e o desenvolvimento de competências na minha aprendizagem profissional, permitindo-me, de forma crítica e consciente conceber cuidados de enfermagem especializados baseados em conhecimentos que emergem da investigação.
In the context of the Curricular Unit "Final Internship and Report", integrated in the Master's Degree in Medical-Surgical Nursing - area of Nursing in Critical Condition, of the Nursing School of Lisbon of the Institute of Health Sciences of the University Católica Portuguesa, the preparation of this report was proposed as the object of public assessment and discussion. This report aims to critically and reflectively demonstrate the activities developed throughout the internships, making reference to the evolutionary process of the different skills in the excellent care provided to critically ill patients. A Scoping Review was conducted across the clinical learning pathway within the scope of the influence of leadership styles on the motivation and satisfaction of health professionals. The evidence shows that leadership influences health professionals in terms of motivation and job satisfaction, and may also cause changes in autonomy, service rotation, and generate stress and burnout syndrome. I centered my practice on the paradigm of transformation, focusing my thinking in Nursing on Afaf Meleis' Theory of Transitions, which enabled the development of excellent care. The course developed allowed me to integrate theory into the specialised care provided to critically-ill patients and, consequently, contribute to developing the skills of Nurse Specialists. It was carried out in two internship contexts: Intensive Care Unit and Urgent Care Unit. In the Intensive Care Unit, along with the acquisition of specific and technical skills, care focused on establishing a relationship of trust and cooperation with the client and his/her family, supporting change processes and establishing a therapeutic relationship and communication with the ventilated client and family. In the Urgent Care Unit one of my focuses was the prevention and control of healthcare-associated infections and I carried out pain management and bad news communication. The completion of this Master's course allowed me to consolidate knowledge and develop skills in my professional learning, allowing me to critically and consciously design specialised nursing care based on knowledge emerging from research.
In the context of the Curricular Unit "Final Internship and Report", integrated in the Master's Degree in Medical-Surgical Nursing - area of Nursing in Critical Condition, of the Nursing School of Lisbon of the Institute of Health Sciences of the University Católica Portuguesa, the preparation of this report was proposed as the object of public assessment and discussion. This report aims to critically and reflectively demonstrate the activities developed throughout the internships, making reference to the evolutionary process of the different skills in the excellent care provided to critically ill patients. A Scoping Review was conducted across the clinical learning pathway within the scope of the influence of leadership styles on the motivation and satisfaction of health professionals. The evidence shows that leadership influences health professionals in terms of motivation and job satisfaction, and may also cause changes in autonomy, service rotation, and generate stress and burnout syndrome. I centered my practice on the paradigm of transformation, focusing my thinking in Nursing on Afaf Meleis' Theory of Transitions, which enabled the development of excellent care. The course developed allowed me to integrate theory into the specialised care provided to critically-ill patients and, consequently, contribute to developing the skills of Nurse Specialists. It was carried out in two internship contexts: Intensive Care Unit and Urgent Care Unit. In the Intensive Care Unit, along with the acquisition of specific and technical skills, care focused on establishing a relationship of trust and cooperation with the client and his/her family, supporting change processes and establishing a therapeutic relationship and communication with the ventilated client and family. In the Urgent Care Unit one of my focuses was the prevention and control of healthcare-associated infections and I carried out pain management and bad news communication. The completion of this Master's course allowed me to consolidate knowledge and develop skills in my professional learning, allowing me to critically and consciously design specialised nursing care based on knowledge emerging from research.
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Excelência Cuidar Enfermagem Transição Conforto Família Pessoa Cliente Comunicação Liderança Satisfação Motivação Excellence Caring Transition Nursing Comfort Family Person Client Communication Leadership Satisfaction Motivation