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O processo de desenvolvimento de competĂȘncias especializadas para a excelĂȘncia do cuidar
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O presente documento surge no Ăąmbito da unidade curricular âEstĂĄgio Final e RelatĂłrioâ, integrada no ciclo de estudos do 17Âș curso do Mestrado em Enfermagem MeÌdico-CiruÌrgica na aÌrea de Enfermagem aÌ Pessoa em SituaçaÌo CriÌtica, da Escola de Enfermagem do Porto, da Universidade CatĂłlica Portuguesa, sendo representativo de todo o percurso formativo concretizado para a aquisição e desenvolvimento de competĂȘncias de enfermeiro especialista e mestre em enfermagem. Este processo foi conduzido em dois contextos de prĂĄtica distintos, sendo efetuado num Serviço de Medicina Intensiva Polivalente e numa Unidade de Cuidados IntermĂ©dios Polivalente. O trabalho foi elaborado sob uma metodologia descritiva e crĂtico-reflexiva, suportado na mais recente evidĂȘncia cientĂfica, atravĂ©s da articulação de vĂĄrios nĂveis do saber e processos de reflexĂŁo acerca das experiĂȘncias vivenciadas durante os momentos de prĂĄtica clĂnica. A sua fundamentação encontra-se estruturada de acordo com os domĂnios de competĂȘncias comuns e especĂficas do enfermeiro especialista, na respetiva ĂĄrea de especialização, preconizadas pela Ordem dos Enfermeiros. No seu desenvolvimento, foram evidenciadas as atividades concebidas com vista Ă melhoria contiÌnua da qualidade e desenvolvimento profissional, na construção de um perfil profissional de excelĂȘncia. A comunicação com a pessoa em situação crĂtica foi destacada como uma componente central dos cuidados e pilar estruturante da identidade profissional da estudante. Destaca-se, ainda, a investigação desenvolvida nesta ĂĄrea de intervenção, atravĂ©s da elaboração de uma revisĂŁo da literatura sobre estratĂ©gias de comunicação aumentativa e alternativa no doente adulto com ventilação mecĂąnica invasiva em unidades de cuidados intensivos, sendo este um processo fundamental no desenvolvimento de competĂȘncias de investigação e de mestre em enfermagem. O cuidado ao outro, especialmente em momentos de vulnerabilidade causados pela doença crĂtica, exige um compromisso firme com os valores da profissĂŁo, sendo o enfermeiro especialista um agente promotor da melhoria dos cuidados prestados, elevando a qualidade, segurança e eficiĂȘncia das suas intervençÔes, assumindo, assim, um compromisso contĂnuo com a excelĂȘncia do cuidar.
This document emerges as part of the curricular unit âEstĂĄgio Final e RelatĂłrioâ, integrated into the curricular plan of the 17th course of the Master's Degree in Nursing, with Specialization in Medical-Surgical Nursing in the area of Nursing for People in Critical Situations, at the School of Nursing (Porto), of the Universidade CatĂłlica Portuguesa, and is representative of the entire formative process carried out to acquire and develop the skills of a specialist nurse and master in nursing. This process was conducted in two different practice contexts which included an Intensive Care Unit and an Intermediate Care Unit. The work was produced using a descriptive and critical-reflective methodology, supported by the latest scientific evidence, through the articulation of various levels of knowledge and processes of reflection on the experiences lived during clinical practice. The foundation was structured according to the domains of common and specific skills of the specialist nurse, in the respective area of specialization, established by the Ordem dos Enfermeiros. In its development, the activities were highlighted with a focus on continuous quality improvement and professional development, to build a professional profile of excellence. Communication with people in critical situations was mentioned as a central component of care and a structuring pillar of the student's professional identity. In this context, the research conducted in this area of intervention was emphasized, through the review of the literature on augmentative and alternative communication strategies for adult patients with invasive mechanical ventilation in intensive care units, which is a fundamental process in the development of master skills. Caring for others, especially in moments of vulnerability caused by critical illness, requires a firm commitment to the values of the profession, with the specialist nurse being an agent that promotes the improvement of the care provided, raising the quality, safety, and efficiency of their interventions, therefore assuming a continuous commitment to excellence in care.
This document emerges as part of the curricular unit âEstĂĄgio Final e RelatĂłrioâ, integrated into the curricular plan of the 17th course of the Master's Degree in Nursing, with Specialization in Medical-Surgical Nursing in the area of Nursing for People in Critical Situations, at the School of Nursing (Porto), of the Universidade CatĂłlica Portuguesa, and is representative of the entire formative process carried out to acquire and develop the skills of a specialist nurse and master in nursing. This process was conducted in two different practice contexts which included an Intensive Care Unit and an Intermediate Care Unit. The work was produced using a descriptive and critical-reflective methodology, supported by the latest scientific evidence, through the articulation of various levels of knowledge and processes of reflection on the experiences lived during clinical practice. The foundation was structured according to the domains of common and specific skills of the specialist nurse, in the respective area of specialization, established by the Ordem dos Enfermeiros. In its development, the activities were highlighted with a focus on continuous quality improvement and professional development, to build a professional profile of excellence. Communication with people in critical situations was mentioned as a central component of care and a structuring pillar of the student's professional identity. In this context, the research conducted in this area of intervention was emphasized, through the review of the literature on augmentative and alternative communication strategies for adult patients with invasive mechanical ventilation in intensive care units, which is a fundamental process in the development of master skills. Caring for others, especially in moments of vulnerability caused by critical illness, requires a firm commitment to the values of the profession, with the specialist nurse being an agent that promotes the improvement of the care provided, raising the quality, safety, and efficiency of their interventions, therefore assuming a continuous commitment to excellence in care.
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Enfermeiro especialista ExcelĂȘncia do cuidar Pessoa em situação crĂtica Comunicação em enfermagem Specialist nurse Excellence in care Critical ill patient Nursing communication
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