| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 4.98 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Este relatório retrata o percurso realizado ao longo do meu estágio, representando o culminar
do Curso de Mestrado em Enfermagem na área de Especialização em Enfermagem Médico-
Cirúrgica. O estágio estaria normalmente dividido em três Módulos: Módulo I Serviço de
Urgência; Módulo II Unidade de Cuidados Intensivos/Intermédios e Módulo III Opcional
Cuidados Paliativos. No entanto, como me foi creditado o estágio de cuidados
intermédios/intensivos, fiz apenas dois estágios: o de Cuidados Paliativos, num hospital privado
de Lisboa, e o de Urgência, num hospital da região centro. O que motivou a escolha dos locais
de estágio foram as características, valências e qualidade da assistência prestada pelos
mesmos, que primam pela excelência dos cuidados, permitindo o desenvolvimento de
competências que me habilitem a prestar cuidados de enfermagem especializados.
Neste relatório são descritas as atividades realizadas no sentido de concretizar os objetivos
definidos, relatando as competências e os comportamentos desenvolvidos. No decurso do
estágio desenvolvi competências relacionadas com o cuidar do doente crítico e da sua família.
Desta forma, mobilizei conhecimentos, habilidades e capacidades para prestar cuidados de
enfermagem com qualidade ao doente crítico inserido em ambientes tão distintos como a
unidade de cuidados paliativos e o serviço de urgência.
Esta variedade de ambientes permitiu-me desenvolver as competências humanas, técnicas e
científicas exigidas a um enfermeiro especialista, assim como a reflexão crítica e a tomada de
decisão.
Inserido no estágio de cuidados paliativos, torna-se fulcral mencionar o programa de melhoria
contínua dos Padrões de Qualidade da Ordem dos Enfermeiros que foi desenvolvido por mim,
em parceria com a equipa de enfermagem, sobre o impacto dos programas educativos
dirigidos a cuidadores de doentes dependentes aquando do regresso a casa, elaborado
através duma revisão integrativa da literatura.
Torna-se evidente que os profissionais de saúde são responsáveis pelo colmatar das
necessidades dos cuidadores através de uma comunicação clara e objetiva, proporcionando a
informação necessária aos mesmos para poderem cuidar do doente aquando do regresso a
casa. Acima de tudo deve ser facultado o apoio necessário a cada cuidador, assegurando a
presença do enfermeiro para auxiliar no que precisarem e também para o esclarecimento de
dúvidas.
Evidenciam-se várias necessidades de intervenções ao nível do cuidador informal do doente
dependente, nomeadamente no que diz respeito ao ensino, informação, apoio emocional e
encaminhamento, quer em contexto hospitalar, quer em contexto comunitário. Desta forma,
salienta-se a relevância da visibilidade da nossa prática, quer pela investigação em áreas dos
cuidados de enfermagem, quer pela sua comunicação, suportada por um referencial teórico,
que lhe confere credibilidade e qualidade. O presente relatório procura ser um testemunho da
análise e reflexão pessoais que faço sobre o estágio realizado.
This report describes the course of action of my internship, representing the final step towards -Surgical Nursing. The internship would normally be divided in three Modules: Module I Emergency Service; Module II Intensive/Intermediate Care; and Module III Optional Palliative Care. However, I received credit for my previous work in Intensive/Intermediate Care and completed only two Modules: Palliative Care, at a private hospital in Lisbon, and Emergency, at a hospital in the centre region. What motivated my choice of internship locations were the characteristics, broad range and quality of the care provided at those locations, which are known for the excellence of their care, allowing for the development of competences that qualify me to provide specialized nursing care. In this report, I describe activities conducted towards fulfilling the defined objectives, describing the competences and behaviours developed. During the course of my internship, I developed competences related to caring for critical patients and their relatives. I employed knowledge, skills and capacities to provide care to critical patients in different environments such as the palliative care unit and the emergency room. This diversity of environments allowed me to develop the human, technical and scientific competences one should expect from a specialist nurse, as well as my critical thinking and decision making. In the scope of the palliative care internship, it is important to highlight the Nurses Council Quality Standards continuous improvement programme I developed together with the nursing team, focused on the impact of training programmes aimed at caregivers for dependent patients upon home return, developed through an integrative literature review. It became evident that healthcare professionals are responsible for fulfilling the needs of caregivers through clear and objective communication, providing the necessary information to allow them to care for the patient upon home return. Above all, the necessary support should be given to each caregiver, ensuring a reliable presence of the nurse to provide assistance and to clarify any doubts. Several areas in which the informal caregiver needs assistance were evident, namely training, information, emotional support and guidance, whether in a hospital or community setting. Therefore, the relevance of the nursing practice visibility should be highlighted, whether by research in nursing care or by its communication, supported by a theoretical framework that endows it with credibility and quality. This report aims at providing an account of my personal analysis on the internship I undertook.
This report describes the course of action of my internship, representing the final step towards -Surgical Nursing. The internship would normally be divided in three Modules: Module I Emergency Service; Module II Intensive/Intermediate Care; and Module III Optional Palliative Care. However, I received credit for my previous work in Intensive/Intermediate Care and completed only two Modules: Palliative Care, at a private hospital in Lisbon, and Emergency, at a hospital in the centre region. What motivated my choice of internship locations were the characteristics, broad range and quality of the care provided at those locations, which are known for the excellence of their care, allowing for the development of competences that qualify me to provide specialized nursing care. In this report, I describe activities conducted towards fulfilling the defined objectives, describing the competences and behaviours developed. During the course of my internship, I developed competences related to caring for critical patients and their relatives. I employed knowledge, skills and capacities to provide care to critical patients in different environments such as the palliative care unit and the emergency room. This diversity of environments allowed me to develop the human, technical and scientific competences one should expect from a specialist nurse, as well as my critical thinking and decision making. In the scope of the palliative care internship, it is important to highlight the Nurses Council Quality Standards continuous improvement programme I developed together with the nursing team, focused on the impact of training programmes aimed at caregivers for dependent patients upon home return, developed through an integrative literature review. It became evident that healthcare professionals are responsible for fulfilling the needs of caregivers through clear and objective communication, providing the necessary information to allow them to care for the patient upon home return. Above all, the necessary support should be given to each caregiver, ensuring a reliable presence of the nurse to provide assistance and to clarify any doubts. Several areas in which the informal caregiver needs assistance were evident, namely training, information, emotional support and guidance, whether in a hospital or community setting. Therefore, the relevance of the nursing practice visibility should be highlighted, whether by research in nursing care or by its communication, supported by a theoretical framework that endows it with credibility and quality. This report aims at providing an account of my personal analysis on the internship I undertook.
Description
Keywords
Alta do paciente Cuidador Educação em saúde Patient discharge Caregiver Health education Nursing