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Publication
A segurança do doente no eixo do cuidado especializado
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| 2.86 MB | Adobe PDF |
Authors
Abstract(s)
A caminhada do Enfermeiro, na busca da excelência profissional assume-se como um dever, não só para com os doentes, mas principalmente para si mesmo, implicando a aquisição de saberes e um processo de desenvolvimento contínuo, de forma a integrar conhecimentos que lhe permitam prestar os cuidados com a maior qualidade e segurança, no pleno dispor das suas competências éticas, técnicas, científicas e humanas. Assim, este relatório surge como o reflexo de uma busca de conhecimento pessoal e profissional, espelhando de forma retrospetiva, reflexiva e introspetiva, o processo de aquisição de competências no âmbito do Mestrado em Enfermagem, na área de Especialização em Enfermagem Médico-Cirúrgica, na área da Pessoa em Situação Crítica, desenvolvido ao longo da realização de dois estágios em contexto de Unidade de Cuidados Intensivos e Serviço de Urgência, respetivamente. O tema “ A Segurança do Doente no eixo do Cuidado Especializado” marcou inquestionavelmente o percurso do estágio, assumindo-se como uma meta anterior, operacionalizada num primeiro momento, aquando da elaboração de uma Scoping Review, onde se pretendeu descortinar o verdadeiro impacto do uso dos telemóveis pessoais na sala operatória. A prática da utilização dos telemóveis em contexto de prestação de cuidados de enfermagem está documentada, contudo, surgem evidências que apontam para um risco para a Segurança do Doente. Estes resultados são compatíveis com os achados desta revisão: 73,3% dos estudos incluídos traduzem um impacto negativo do uso do telemóvel pessoal na sala operatória, relacionado com o risco de Infeção por contaminação dos telemóveis e ao risco de distração dos elementos da equipa multidisciplinar. A divulgação dos resultados da Scoping Review, quer em contexto de estágio, quer sob forma de comunicação científica, constituiu por si só um esforço empreendido no sentido de garantir a segurança do doente. A um nível prático, no que concerne à prestação de cuidados de enfermagem ao doente e à interação com os colegas, os comportamentos basearam-se na adoção de práticas seguras, o que se encontra devidamente evidenciado e suportado bibliograficamente ao longo do presente documento. Os Referenciais Teóricos de Afaif Meleis (Teoria das Transições), Patrícia Benner (De Iniciado a Perito), Katherine Kolcaba (Teoria do Conforto) e Patrícia Pontífice Sousa (O Conforto do Doente Idoso) assumiram-se como fundamentais para a integração e desenvolvimento do processo de aquisição de competências, constituindo uma base reflexiva ao longo do estágio e deste relatório. Apesar disso, considero que a Teoria do Conforto, com os subsídios de Patrícia Pontífice Sousa, relativos ao Conforto do Doente Idoso, é a teoria que mais representatividade teve ao longo deste relatório, sendo a que mais ressoa com a minha forma de vivenciar o cuidado especializado, revestindo-se de várias formas de assegurar a segurança do doente, ao longo do seu processo de operacionalização.
Nurses view their progression towards professional excellence as a duty, not only to their patients, but also – and mostly – to themselves. It entails the gathering of knowledge and a process of continuous development. By integrating the acquired information, nurses are able to provide high-quality and safe care, fully employing their ethical, technical, scientific and human skills. In this sense, the present report depicts a search for personal and professional insights. It portrays – in a retrospective, introspective and reflective manner – the acquisition of skills, within the scope of the Master’s Degree in Nursing with a Specialisation in Medical-Surgical Nursing focused on Critical Care. The corresponding activities were conducted during two internships: one carried out at an Intensive Care Unit and another performed at an Emergency Department. The subject «Patient Safety in Specialised Care» was unquestionably present in the aforesaid internship periods. It was previously identified as a topic of interest, during the development of a scoping review, which intended to appraise the real impact of personal mobile phone utilisation in the operating theatre. The practice of using mobile phones in nursing care contexts has been documented and there is evidence that points to potential risks concerning patient safety. Such results are consistent with the findings of the abovementioned scoping review: 73.3% of the included works revealed negative effects of the practice under study, namely the risk of infection due to the devices’ contamination and the risk of distraction within the multidisciplinary team. The diffusion of the scoping review’s outcomes, both during the internship periods and in the form of a scientific communication, was in itself an effort aimed at ensuring patient safety. On a practical level, the provision of nursing care and the interactions with colleagues were based on the adoption of safe practices – a course of action duly evidenced and supported, throughout this report, by bibliographical sources. The theoretical frameworks created by Afaf Meleis (Transitions Theory), Patricia Benner (From Novice to Expert), Katharine Kolcaba (Comfort Theory), and Patrícia Pontífice Sousa (The Elderly Patient’s Comfort), were essential for the skill acquisition process, providing a basis for reflection throughout the internships and the present document’s preparation. In this report, the Comfort Theory and the contribution of Patrícia Pontífice Sousa (which addresses the comfort of elderly patients) are the most noteworthy references. Both concepts are in line with the author’s view of specialised care, covering several aspects in order to ensure patient safety during the operationalisation of care provision.
Nurses view their progression towards professional excellence as a duty, not only to their patients, but also – and mostly – to themselves. It entails the gathering of knowledge and a process of continuous development. By integrating the acquired information, nurses are able to provide high-quality and safe care, fully employing their ethical, technical, scientific and human skills. In this sense, the present report depicts a search for personal and professional insights. It portrays – in a retrospective, introspective and reflective manner – the acquisition of skills, within the scope of the Master’s Degree in Nursing with a Specialisation in Medical-Surgical Nursing focused on Critical Care. The corresponding activities were conducted during two internships: one carried out at an Intensive Care Unit and another performed at an Emergency Department. The subject «Patient Safety in Specialised Care» was unquestionably present in the aforesaid internship periods. It was previously identified as a topic of interest, during the development of a scoping review, which intended to appraise the real impact of personal mobile phone utilisation in the operating theatre. The practice of using mobile phones in nursing care contexts has been documented and there is evidence that points to potential risks concerning patient safety. Such results are consistent with the findings of the abovementioned scoping review: 73.3% of the included works revealed negative effects of the practice under study, namely the risk of infection due to the devices’ contamination and the risk of distraction within the multidisciplinary team. The diffusion of the scoping review’s outcomes, both during the internship periods and in the form of a scientific communication, was in itself an effort aimed at ensuring patient safety. On a practical level, the provision of nursing care and the interactions with colleagues were based on the adoption of safe practices – a course of action duly evidenced and supported, throughout this report, by bibliographical sources. The theoretical frameworks created by Afaf Meleis (Transitions Theory), Patricia Benner (From Novice to Expert), Katharine Kolcaba (Comfort Theory), and Patrícia Pontífice Sousa (The Elderly Patient’s Comfort), were essential for the skill acquisition process, providing a basis for reflection throughout the internships and the present document’s preparation. In this report, the Comfort Theory and the contribution of Patrícia Pontífice Sousa (which addresses the comfort of elderly patients) are the most noteworthy references. Both concepts are in line with the author’s view of specialised care, covering several aspects in order to ensure patient safety during the operationalisation of care provision.
Description
Keywords
Segurança do doente Conforto Cuidados de enfermagem Impacto Telemóveis Sala operatória Patient safety Comfort Nursing care Impact Mobile phones Operating room