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O presente relatório foi elaborado no âmbito do Curso de Mestrado em Enfermagem
Médico-Cirúrgica na área de Enfermagem à Pessoa em Situação Crítica. Este documento
reflete todo o percurso realizado, nomeadamente a investigação efetuada e descreve, de
forma crítica e reflexiva, as atividades desenvolvidas, bem como as competências
adquiridas nos diferentes campos de estágio.
O relatório abrange dois períodos de estágio principais incluidos no âmbito do Estágio
Final e Relatório: O Estágio Opcional, que foi realizado num Hospital Público em Lisboa
numa Unidade de Cuidados Intensivos de Cirurgia Cardiotorácica; e o Estágio de Urgência
que foi realizado num Bloco Operatório de Urgência de um Hospital Central de Lisboa. De
acordo com as competências adquiridas pela minha experiência profissional em Cuidados
Intensivos, foi-me concedida creditação nesta área. A escolha das Instituições Hospitalares,
bem como dos Serviços em questão, relacionou-se sempre com a procura de novos
conhecimentos e realidades até agora conhecidas com o objetivo de melhorar a minha
prestação de cuidados.
A temática escolhida para investigar contemplou a avaliação do risco de lesões por pressão
na pessoa em situação crítica. Foi realizada uma scoping review, que se revelou muito
pertinente e de grande contributo para melhoria da qualidade dos cuidados nos estágios
realizados. Ainda, durante o estágio no Bloco Operatório, foi realizado um trabalho de
campo sobre lesões por pressão no intraoperatório, cujos resultados foram posteriormente
partilhados e discutidos com toda a equipa.
A aquisição de competências, destreza técnica, planificação e tomada de decisão perante
situações complexas e imprevisíveis, foi uma constante e um contributo, bem como a
integração das 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 à pessoa em situação crítica.
This report has been written within the context of the Professional Master's Course in Medical-Surgical Nursing in the area of Nursing for People in Critical Situation. This document reflects the entire path taken, namely the research carried out and describes, in a critical and reflective way, the activities developed, as well as the skills acquired in the different internship fields. The report covers two main internship periods included in the scope of the Final Internship and Report: The Optional Internship, which was carried out in a Public Hospital in Lisbon in an Intensive Care Unit of Cardiothoracic Surgery; and the Urgency Internship that was carried out in an Urgency Operating Room of a Central Hospital in Lisbon. According to the skills acquired by my professional experience in Intensive Care, I was granted accreditation in this area. The choice of Hospital Institutions, as well as the Services in question, was always related to the search for new knowledge and realities known so far in order to improve my care provision. The theme chosen to investigate was the risk assessment of pressure injuries in critically ill people. A scoping review was carried out, which proved to be very pertinent and of great contribution to improving the quality of care in the internships performed. Still, during the internship in the Operating Room, field work was carried out on pressure injuries in the intraoperative period, the results of which were later shared and discussed with the entire team. The acquisition of skills, technical dexterity, planning and decision making in the face of complex and unpredictable situations, was a constant and a contribution, as well as the integration of difficulties, the confrontations that a specialist nurse faces under an ethical, moral, social perspective and deontological, based on the assumptions that guide the nursing profession, when caring for the person in a critical situation.
This report has been written within the context of the Professional Master's Course in Medical-Surgical Nursing in the area of Nursing for People in Critical Situation. This document reflects the entire path taken, namely the research carried out and describes, in a critical and reflective way, the activities developed, as well as the skills acquired in the different internship fields. The report covers two main internship periods included in the scope of the Final Internship and Report: The Optional Internship, which was carried out in a Public Hospital in Lisbon in an Intensive Care Unit of Cardiothoracic Surgery; and the Urgency Internship that was carried out in an Urgency Operating Room of a Central Hospital in Lisbon. According to the skills acquired by my professional experience in Intensive Care, I was granted accreditation in this area. The choice of Hospital Institutions, as well as the Services in question, was always related to the search for new knowledge and realities known so far in order to improve my care provision. The theme chosen to investigate was the risk assessment of pressure injuries in critically ill people. A scoping review was carried out, which proved to be very pertinent and of great contribution to improving the quality of care in the internships performed. Still, during the internship in the Operating Room, field work was carried out on pressure injuries in the intraoperative period, the results of which were later shared and discussed with the entire team. The acquisition of skills, technical dexterity, planning and decision making in the face of complex and unpredictable situations, was a constant and a contribution, as well as the integration of difficulties, the confrontations that a specialist nurse faces under an ethical, moral, social perspective and deontological, based on the assumptions that guide the nursing profession, when caring for the person in a critical situation.
Descrição
Palavras-chave
Competências Pessoa em situação crítica Enfermeiro especialista Enfermagem médico-cirúrgica Risco Lesões por pressão Skills Critically ill person Specialist nurse Medical-surgical nursing Risk Pressure injuries