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O presente relatório retrata as vivências durante o percurso percorrido nos diferentes contextos assistenciais de estágio no âmbito do Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica do Instituto de Ciências da Saúde, Universidade Católica Portuguesa. Propõe-se descrever as aprendizagens, pensamentos e reflexões evidenciando as principais atividades e competências desenvolvidas nos diferentes módulos de estágio: Módulo I – Serviço de Urgência, Módulo II – Serviço de Cuidados Intensivos e Intermédios e Módulo III – Assistência Pré-Hospitalar.
As situações em contexto de urgência/emergência exigem do enfermeiro preparação e agilidade para pensar, agir e reagir. A tomada de decisão implica a aquisição de competências só passíveis de serem alcançadas com formação contínua e avançada. O cuidar é, por vezes, impessoal e pouco humanizado, pois este prioriza o atendimento centrado no modelo biomédico com o objetivo de manter as funções vitais renegando para segundo plano e desconsiderando frequentemente a díade doente/família. A assistência ao doente crítico e família é um desafio para os enfermeiros onde se deve aliar a competência humanística à técnico-científica desenvolvendo o cuidado e a qualidade do mesmo.
A abordagem ao doente crítico, num contexto de incerteza e complexidade exige uma atuação segura e imediata, tendo sempre por base os pressupostos que orientam a profissão integrando a perspetiva moral, ética, social e deontológica.
O desenvolvimento da profissão exige a reflexão e aprofundamento de conhecimentos considerados pertinentes, contribuindo para uma maior autonomia, na promoção e crescimento de práticas futuras, que estimulem a eficiência e a melhoria da qualidade dos cuidados prestados possibilitando uma maior visibilidade social.
O relatório está organizado de acordo com os módulos de estágio realizados e compreendem os objetivos traçados, as atividades desenvolvidas e as competências alcançadas, tendo como finalidade servir de ferramenta para reconhecer competências humanas, técnicas, relacionais e comunicacionais como enfermeira especialista em enfermagem médico-cirúrgica e para obtenção do grau de mestre. A reflexão das competências comuns e específicas do enfermeiro especialista foi produtiva e estimulante, permitindo a tomada de consciência das capacidades adquiridas ao longo do processo formativo académico e profissional despertando para os domínios que requerem maior investimento no futuro nomeadamente na melhoria contínua da qualidade e da gestão de cuidados.
O grau de Mestre em Enfermagem Médico-Cirúrgica compreende um saber profundo no domínio específico do âmbito médico-cirúrgico, complementando com as competências do enfermeiro especialista. Para tal, foram enumeradas as competências adquiridas que completam o enfermeiro especialista na qualidade de Mestre em Enfermagem Médico-Cirúrgica.
This report covers the experiences faced in all the internship regarding the Masters in Nursery with specialisation on Nursery Medical-Surgery in the Instituto de Ciências da Saúde, Universidade Católica Portuguesa. The goal of this report is to describe all the knowledge, toughts and reflections acquired, focusing on the main activities and competences developed in the different subjects of the internship: Module I- Emergency Service, Module II- Intensive and Intermediate Care Service and Module III- Pre-Hospital Care. The situations of a critically ill patient requires from the nurse the agility and preparation to think, act and react. Decision-making implies the acquisition of skills that can only be achieved with continuous and advanced training. Caring is sometimes impersonal and not humanized, since care is centered on the biomedical model in order to maintain vital functions by devaluing and often disregarding the patient / family dyad. Assistance to the critical patient and is family is a challenge for nurses where humanistic competence must be combined with the technical and scientific care and also quality of care. The approach to a critically ill patient is uncertain and complex, requires safe and fast response, always following the goals of our profession and integrating the moral, ethic, social and deontological attitudes. The profession growth demands a reflection and a deepest knowledge of pertinent subjects, contributing for a bigger autonomy on the promotion and future developments with the intention to stimulate efficiency and improvement of quality care. The report is organised accordingly to the internship modules, using the knowledge received as a tool to recognise competences such as human, technical and communication as a nurse specialist in medical-surgery and to obtain the master level. The reflection of the common and specific competences of the specialist nurse was productive and stimulating, allowing the awareness of the acquired capacities throughout the academic and professional training process, awakening to the areas that require greater investment in the future, namely the continuous improvement of quality and management Care. The Master's Degree in Medical-Surgical Nursing comprises a deep knowledge in the specific domain of the medical-surgical scope, complementing with the skills of the specialist nurse. To this end, we have enumerated the acquired competences that complete the specialist nurse in the Master's degree in Medical-Surgical Nursing.
This report covers the experiences faced in all the internship regarding the Masters in Nursery with specialisation on Nursery Medical-Surgery in the Instituto de Ciências da Saúde, Universidade Católica Portuguesa. The goal of this report is to describe all the knowledge, toughts and reflections acquired, focusing on the main activities and competences developed in the different subjects of the internship: Module I- Emergency Service, Module II- Intensive and Intermediate Care Service and Module III- Pre-Hospital Care. The situations of a critically ill patient requires from the nurse the agility and preparation to think, act and react. Decision-making implies the acquisition of skills that can only be achieved with continuous and advanced training. Caring is sometimes impersonal and not humanized, since care is centered on the biomedical model in order to maintain vital functions by devaluing and often disregarding the patient / family dyad. Assistance to the critical patient and is family is a challenge for nurses where humanistic competence must be combined with the technical and scientific care and also quality of care. The approach to a critically ill patient is uncertain and complex, requires safe and fast response, always following the goals of our profession and integrating the moral, ethic, social and deontological attitudes. The profession growth demands a reflection and a deepest knowledge of pertinent subjects, contributing for a bigger autonomy on the promotion and future developments with the intention to stimulate efficiency and improvement of quality care. The report is organised accordingly to the internship modules, using the knowledge received as a tool to recognise competences such as human, technical and communication as a nurse specialist in medical-surgery and to obtain the master level. The reflection of the common and specific competences of the specialist nurse was productive and stimulating, allowing the awareness of the acquired capacities throughout the academic and professional training process, awakening to the areas that require greater investment in the future, namely the continuous improvement of quality and management Care. The Master's Degree in Medical-Surgical Nursing comprises a deep knowledge in the specific domain of the medical-surgical scope, complementing with the skills of the specialist nurse. To this end, we have enumerated the acquired competences that complete the specialist nurse in the Master's degree in Medical-Surgical Nursing.
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Doente crítico Competências especializadas Doente/família Enfermagem Critically ill patient Specific competences Patient/family Nursing