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O presente relatório de estágio é o documento descritivo das atividades realizadas no âmbito do Curso de Especialização em Enfermagem Médico-Cirúrgica. A elaboração deste relatório tem por objetivo dar resposta à necessidade de documentar a aprendizagem desenvolvida de forma a atingir os objetivos que delineei no início deste percurso. Com uma metodologia crítica e reflexiva descreve as atividades realizadas de forma a desenvolver competências como enfermeiro especialista na área médico-cirúrgica. Na sua organização foram utilizados os pilares dos domínios das competências do enfermeiros especialista definidos pela Ordem dos Enfermeiros, e como elementos estruturantes os objetivos a atingir mediante o plano de estudos e as minhas ambições pessoais, descrevendo as atividades realizadas para a sua consecução e fundamentando com o suporte bibliográfico necessário. A realização dos três módulos de estágio: Serviço de Urgência, Unidade de Cuidados Intensivos e Pré-Hospitalar permite estar no centro de um conjunto enorme de possibilidades de experiências novas, ricas e cheias de necessidades de cuidados específicos de enfermagem. Através de uma reflexão pessoal e crítica, interpreta o meio à minha volta, avalia cuidadosamente o estado de saúde das pessoas e estabelece prioridades e intervenções em segundos para serem desenvolvidas durante meses. O Estágio na sua globalidade contribuiu para a prestação de melhores cuidados de enfermagem na área de especialização e também uma maior relação interpessoal com a pessoa na sua totalidade, a sua família, o seu meio, a sua cultura, e os seus valores. O desenvolvimento de competências é atingido com a prática profissional mas também com a valorização da prática baseada na evidência, da supervisão clínica, do autodesenvolvimento, da avaliação do risco clínico, da sugestão de melhorias e da promoção do desenvolvimento profissional dos enfermeiros com formação na higiene das mãos e na monitorização da analgesia, sedação e delirium. Não obstante também de algumas dificuldades na carga excessiva de trabalho experienciada e de um por vezes difícil relacionamento terapêutico nas situações de maior complexidade.
The present report is a document describing the activities carried out under the Specialization in Medical-Surgical Nursing. The provision of this report aims to address the need to document learning developed to achieve the goals I outlined at the beginning of this journey. With a critical and reflexive methodology, it describes the activities undertaken in order to develop skills as a nurse specialist in the medical-surgical area. In its organization were used pillars of domains of competence of specialist nurses defined by Order of Nurses, and as structuring elements to achieve the goals through the course plan and my personal ambitions, describing the activities carried out to meet them with reasons and the necessary bibliographic support. The completion of the three modules: Emergency Department, Intensive Care Unit and Pre-hospital allows to be at the center of a huge set of possibilities for new experiences, rich and full of specific care needs of nursing. Through personal reflection and criticism, it interprets the environment around me, carefully evaluates people’s health and establishes priorities and interventions in seconds to be developed for months. The internship as a whole contributed to the provision of nursing care in the best area of expertise and also greater interpersonal relationship with the person as a whole, their family, their environment, their culture and their values. Skills development is achieved with professional practice but also the appreciation of evidence-based practice, clinical supervision, self-development, clinical risk assessment, the suggested improvements and the promotion of professional development of nurses trained in hand hygiene and the monitoring of analgesia, sedation and delirium. Nevertheless also some difficulties were experienced with excessive workload and sometimes a difficult therapeutic relationship in situations of greater complexity.
The present report is a document describing the activities carried out under the Specialization in Medical-Surgical Nursing. The provision of this report aims to address the need to document learning developed to achieve the goals I outlined at the beginning of this journey. With a critical and reflexive methodology, it describes the activities undertaken in order to develop skills as a nurse specialist in the medical-surgical area. In its organization were used pillars of domains of competence of specialist nurses defined by Order of Nurses, and as structuring elements to achieve the goals through the course plan and my personal ambitions, describing the activities carried out to meet them with reasons and the necessary bibliographic support. The completion of the three modules: Emergency Department, Intensive Care Unit and Pre-hospital allows to be at the center of a huge set of possibilities for new experiences, rich and full of specific care needs of nursing. Through personal reflection and criticism, it interprets the environment around me, carefully evaluates people’s health and establishes priorities and interventions in seconds to be developed for months. The internship as a whole contributed to the provision of nursing care in the best area of expertise and also greater interpersonal relationship with the person as a whole, their family, their environment, their culture and their values. Skills development is achieved with professional practice but also the appreciation of evidence-based practice, clinical supervision, self-development, clinical risk assessment, the suggested improvements and the promotion of professional development of nurses trained in hand hygiene and the monitoring of analgesia, sedation and delirium. Nevertheless also some difficulties were experienced with excessive workload and sometimes a difficult therapeutic relationship in situations of greater complexity.