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Relatório de estágio : a excelência do cuidado à pessoa em situação crítica
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| 2.17 MB | Adobe PDF |
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Abstract(s)
A realização deste relatório enquadra-se no âmbito do Curso Mestrado em Enfermagem, de Natureza Profissional, com Especialização em Enfermagem Médico-cirúrgica (MEEMC). O presente relatório reflete as vivências, descreve as experiências e os conhecimentos mais significativos, bem como a aquisição de competências no decurso do Estágio. O meu percurso em contexto de Estágio, decorreu em três momentos: Módulo I –Serviço de Urgência de um Hospital do Centro Hospitalar de Lisboa Norte, – Modulo II –Unidade de Cuidados Intensivos de Cirurgia Cardiotorácica de um Hospital do Centro Hospitalar de Lisboa Ocidental e – Módulo III –Bloco Operatório de um Hospital do Centro Hospitalar Tondela Viseu. O presente Relatório representa o culminar de um percurso muito diferenciado e engrandecedor no desenvolvimento de competências especializadas de natureza técnica, ética e relacional junto do Doente em estado crítico. Considero que atinge os objetivos a que me propus, nomeadamente contribuir para o meu desenvolvimento pessoal e profissional, desenvolver competências na área da Segurança do Doente, da comunicação terapêutica com o Doente e família e da qualidade de Cuidados de Enfermagem nos diversos campos de Estágio. A organização Institucional em Cuidados de Saúde, a gestão dos recursos materiais e Humanos e a organização da dinâmica das Equipas interdisciplinares representam um “Sistema maior”, que como um todo interdependente concorre para a Segurança do Doente e para a qualidade de Cuidados prestados. Cada elemento deste “Sistema maior” deve percecionar-se como uma parte fundamental desse todo. O Enfermeiro na demanda constante pela Excelência de Cuidados deve assentar a sua ação numa filosofia da segurança do Doente e da qualidade de cuidados prestados. Porquanto, deve adotar uma postura responsável, que contribua para a sedimentação da identidade da Enfermagem como uma profissão autónoma, com cariz científico e com corpo de conhecimentos próprios que retratem a consignada excelência. A atenção do Enfermeiro Especialista deve ainda ir um pouco mais além, assumindo uma postura de Modelo para com os seus pares na prestação de Cuidados. Cabe ao Enfermeiro Especialista ser impulsionador desta Filosofia no seio da sua Equipa.
The writing of this report is part of the Professional Masters Course in Nursing, specializing in Medical-Surgical Nursing (MEEMC). This report reflects and describes the most relevant experiences and knowledge, as well as the acquisition of competences during the Internship. My Internship programme involved three stages: Module I – Emergency Services of a Hospital of the Centro Hospitalar de Lisboa Oriental, – Module II – Cardiothoracic Surgery Intensive Care Unit of a Hospital of the Centro Hospitalar de Lisboa Ocidental and – Module III – Operating Theatre of a Hospital of the Centro Hospitalar Tondela Viseu. This Report represents the culmination of a highly diversified and exalting experience in the development of specialized competences of a technical, ethical and relational nature with patients in a critical condition. I consider that it fulfilled the objectives I set for myself, namely to contribute towards my personal and professional development, to develop competences in the area of Patient Safety, therapeutic communication with the patient and family and the quality of Nursing Care in the different fields of Internship. Institutional organization in Healthcare, of material and human resources and of the dynamics of interdisciplinary teams represent a “Larger System”, which as an interdependent whole contributes towards Patient Safety and the quality of care provided. Each element of this “Larger System” should be understood as a fundamental part of this whole. The nurse, in the constant demand for Excellence of Care, should base his/her action on a philosophy of Patient safety and the quality of care provided. As such, s/he should adopt a responsible attitude, which will help in affirming the identity of Nursing as an autonomous profession, which is scientific in nature and with a specific body of knowledge that portrays the stipulated excellence. The attention of the Specialist Nurse should even go a bit further, assuming the posture of a model for his/her peers in the provision of Care. The Specialist Nurse has to be the driver of this Philosophy within the team.
The writing of this report is part of the Professional Masters Course in Nursing, specializing in Medical-Surgical Nursing (MEEMC). This report reflects and describes the most relevant experiences and knowledge, as well as the acquisition of competences during the Internship. My Internship programme involved three stages: Module I – Emergency Services of a Hospital of the Centro Hospitalar de Lisboa Oriental, – Module II – Cardiothoracic Surgery Intensive Care Unit of a Hospital of the Centro Hospitalar de Lisboa Ocidental and – Module III – Operating Theatre of a Hospital of the Centro Hospitalar Tondela Viseu. This Report represents the culmination of a highly diversified and exalting experience in the development of specialized competences of a technical, ethical and relational nature with patients in a critical condition. I consider that it fulfilled the objectives I set for myself, namely to contribute towards my personal and professional development, to develop competences in the area of Patient Safety, therapeutic communication with the patient and family and the quality of Nursing Care in the different fields of Internship. Institutional organization in Healthcare, of material and human resources and of the dynamics of interdisciplinary teams represent a “Larger System”, which as an interdependent whole contributes towards Patient Safety and the quality of care provided. Each element of this “Larger System” should be understood as a fundamental part of this whole. The nurse, in the constant demand for Excellence of Care, should base his/her action on a philosophy of Patient safety and the quality of care provided. As such, s/he should adopt a responsible attitude, which will help in affirming the identity of Nursing as an autonomous profession, which is scientific in nature and with a specific body of knowledge that portrays the stipulated excellence. The attention of the Specialist Nurse should even go a bit further, assuming the posture of a model for his/her peers in the provision of Care. The Specialist Nurse has to be the driver of this Philosophy within the team.
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Keywords
Enfermagem Competências Comunicação Qualidade Segurança Nursing Competences Communication Quality Safety