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Uma trajetória de desenvolvimento de competências especializadas na prática de enfermagem à pessoa em situação crítica
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| 3.97 MB | Adobe PDF |
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Este relatório foi elaborado no âmbito da Unidade Curricular "Estágio Final e Relatório", integrada no 17.º Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Crítica, promovido pela Escola de Enfermagem (Porto) da Universidade Católica Portuguesa. O estágio decorreu entre 2/09/2024 e 26/03/2025. Este documento retrata o percurso formativo ao longo da unidade curricular, destacando o processo de aquisição, desenvolvimento e consolidação de competências do Enfermeiro Especialista e o seu impacto na prática clínica. Adotou-se uma metodologia descritiva e reflexiva, com análise crítica da prática, dos objetivos e das atividades realizadas. Este relatório está organizado em três partes, sendo a primeira dedicada à caracterização dos contextos de estágio 4 SMIP e INEM (Ambulância SIV) 4 e à relevância da experiência profissional prévia na consolidação de competências no cuidado à pessoa em situação crítica. A segunda traduz a sustentação teórica do processo de desenvolvimento de competências tendo por base as competências comuns e específicas do enfermeiro especialista, conforme estabelecido pela Ordem dos Enfermeiros, sendo estas abordadas de forma articulada e contextualizada. Através de uma abordagem reflexiva e baseada na melhor evidência, foram implementadas intervenções centradas na humanização dos cuidados e na segurança do doente. Destacam-se a revisão da literatura sobre o diário do doente como prevenção do SPICI e a análise das competências não técnicas em contexto extra-hospitalar. Este percurso consolidou competências especializadas, promoveu práticas baseadas na evidência e reforçou o papel do enfermeiro especialista como agente de mudança. A conclusão reflete a evolução na aquisição de conhecimentos e competências em Enfermagem.
This report was prepared as part of the 8Final Internship and Report9 course unit, which is part of the 17th Master's Degree in Nursing with a Specialisation in Medical-Surgical Nursing, in the area of Nursing for People in Critical Conditions, promoted by the Nursing School (Porto) of Universidade Católica Portuguesa. The internship took place between 2 September 2024 and 26 March 2025. This document describes the training process throughout the course unit, highlighting the process of acquiring, developing and consolidating the skills of the Specialist Nurse and their impact on clinical practice. A descriptive and reflective methodology was adopted, with a critical analysis of the practice, objectives and activities carried out. This report is organised into three parts, the first of which is dedicated to the characterisation of the internship contexts 4 SMIP and INEM (SIV Ambulance) 4 and the relevance of previous professional experience in consolidating skills in caring for people in critical situations. The second part reflects the theoretical basis of the skills development process based on the common and specific skills of the specialist nurse, as established by the Order of Nurses, which are addressed in an articulated and contextualised manner. Through a reflective approach based on the best evidence, interventions focused on the humanisation of care and patient safety were implemented. Of particular note are the review of the literature on the patient diary as a means of preventing SPICI and the analysis of non-technical skills in a pre-hospital context. This process consolidated specialised skills, promoted evidence-based practices and reinforced the role of the specialist nurse as an agent of change. The conclusion reflects the evolution in the acquisition of knowledge and skills in nursing.
This report was prepared as part of the 8Final Internship and Report9 course unit, which is part of the 17th Master's Degree in Nursing with a Specialisation in Medical-Surgical Nursing, in the area of Nursing for People in Critical Conditions, promoted by the Nursing School (Porto) of Universidade Católica Portuguesa. The internship took place between 2 September 2024 and 26 March 2025. This document describes the training process throughout the course unit, highlighting the process of acquiring, developing and consolidating the skills of the Specialist Nurse and their impact on clinical practice. A descriptive and reflective methodology was adopted, with a critical analysis of the practice, objectives and activities carried out. This report is organised into three parts, the first of which is dedicated to the characterisation of the internship contexts 4 SMIP and INEM (SIV Ambulance) 4 and the relevance of previous professional experience in consolidating skills in caring for people in critical situations. The second part reflects the theoretical basis of the skills development process based on the common and specific skills of the specialist nurse, as established by the Order of Nurses, which are addressed in an articulated and contextualised manner. Through a reflective approach based on the best evidence, interventions focused on the humanisation of care and patient safety were implemented. Of particular note are the review of the literature on the patient diary as a means of preventing SPICI and the analysis of non-technical skills in a pre-hospital context. This process consolidated specialised skills, promoted evidence-based practices and reinforced the role of the specialist nurse as an agent of change. The conclusion reflects the evolution in the acquisition of knowledge and skills in nursing.
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Enfermeiro especialista Desenvolvimento de competências Pessoa em situação crítica Diário do doente Competências não técnicas Prática baseada na evidência Specialist nurse Skills development Person in critical condition Patient diary Non-technical skills Evidence-based practice
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