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Cuidar da pessoa em situação crítica : a importância da prevenção e controlo de infeção
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O Relatório descreve o percurso formativo realizado no âmbito do estágio do Curso de Mestrado em Enfermagem com Especialização em Enfermagem Médico-Cirúrgica, na Área de Enfermagem à Pessoa em Situação Crítica, da Escola de Enfermagem (Porto) da Universidade Católica Portuguesa, no ano letivo de 2024/2025. O estágio decorreu entre setembro de 2024 e março de 2025, em dois contextos hospitalares distintos – serviço de urgência e serviço de medicina intensiva – proporcionando experiências complementares cruciais para a consolidação de competências especializadas. As atividades desenvolvidas permitiram adquirir e aprofundar competências dos quatro domínios das Competências Comuns do Enfermeiro Especialista (responsabilidade profissional, ética e legal; melhoria contínua da qualidade; gestão dos cuidados; desenvolvimento das aprendizagens profissionais), conforme Regulamento nº 140/2019, de 6 de fevereiro, bem como, das Competências Específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica na Área de Enfermagem à Pessoa em Situação Crítica, conforme Regulamento nº 429/2018, de 16 de julho, ambos regulamentados pela Ordem dos Enfermeiros. Foram também contempladas as competências específicas previstas no Regulamento Geral do Mestrado em Enfermagem da Universidade Católica Portuguesa. As intervenções realizadas privilegiaram cuidados centrados na dignidade e segurança da pessoa em situação crítica, dinamização de momentos formativos e reflexão em equipa, gestão eficaz dos cuidados, implementação e reforço de medidas de prevenção e controlo de infeção. Foram ainda desempenhadas funções de liderança e participação ativa em processos de avaliação da qualidade, reforçando o compromisso com a melhoria contínua dos cuidados. Destacou-se a realização de uma revisão integrativa da literatura sobre a aplicabilidade da escala NEWS em serviços de urgência, apresentada em evento científico e distinguida com o prémio de melhor póster, evidenciando o forte compromisso com a investigação e a prática baseada em evidência. O relatório sublinhou o papel ativo do enfermeiro especialista enquanto líder clínico e dinamizador de mudanças sustentadas, com impacto na melhoria contínua da qualidade dos cuidados e no desenvolvimento profissional das equipas multidisciplinares.
This Report describes the training carried out as part of the internship for the Master's Degree in Nursing with a Specialisation in Medical-Surgical Nursing, in the area of Nursing for the Critically Ill Person, at Nursing School (Porto) of Universidade Católica Portuguesa, in the 2024/2025 academic year. The internship took place between September 2024 and March 2025, in two different hospital settings - the emergency department and the intensive care unit - providing crucial complementary experiences for consolidating specialised skills. The activities carried out made it possible to acquire and deepen skills in the four areas of the Specialist Nurse's Common Competences (professional, ethical and legal responsibility; continuous quality improvement; care management; development of professional learning), according to Regulation no. 140/2019, of 6 February, as well as the Specific Competences of the Specialist Nurse in Medical-Surgical Nursing in the Area of Nursing for the Critically Ill Person, according to Regulation no. 429/2018, of 16 July, both regulated by the Order of Nurses. The specific competences set out in the General Regulations for the Master's Degree in Nursing at Universidade Católica Portuguesa were also taken into account. The interventions carried out favoured care centred on the dignity and safety of the person in a critical situation, the promotion of training moments and team reflection, effective care management, the implementation and reinforcement of infection prevention and control measures. Leadership roles and active participation in quality assessment processes were also carried out, reinforcing the commitment to the continuous improvement of care. Of particular note was an integrative literature review on the applicability of the NEWS scale in emergency services, presented at a scientific event and honoured with the best poster award, highlighting the strong commitment to research and evidence-based practice. The report emphasised the active role of the specialist nurse as a clinical leader and promoter of sustained change, with an impact on the continuous improvement of the quality of care and the professional development of multidisciplinary teams.
This Report describes the training carried out as part of the internship for the Master's Degree in Nursing with a Specialisation in Medical-Surgical Nursing, in the area of Nursing for the Critically Ill Person, at Nursing School (Porto) of Universidade Católica Portuguesa, in the 2024/2025 academic year. The internship took place between September 2024 and March 2025, in two different hospital settings - the emergency department and the intensive care unit - providing crucial complementary experiences for consolidating specialised skills. The activities carried out made it possible to acquire and deepen skills in the four areas of the Specialist Nurse's Common Competences (professional, ethical and legal responsibility; continuous quality improvement; care management; development of professional learning), according to Regulation no. 140/2019, of 6 February, as well as the Specific Competences of the Specialist Nurse in Medical-Surgical Nursing in the Area of Nursing for the Critically Ill Person, according to Regulation no. 429/2018, of 16 July, both regulated by the Order of Nurses. The specific competences set out in the General Regulations for the Master's Degree in Nursing at Universidade Católica Portuguesa were also taken into account. The interventions carried out favoured care centred on the dignity and safety of the person in a critical situation, the promotion of training moments and team reflection, effective care management, the implementation and reinforcement of infection prevention and control measures. Leadership roles and active participation in quality assessment processes were also carried out, reinforcing the commitment to the continuous improvement of care. Of particular note was an integrative literature review on the applicability of the NEWS scale in emergency services, presented at a scientific event and honoured with the best poster award, highlighting the strong commitment to research and evidence-based practice. The report emphasised the active role of the specialist nurse as a clinical leader and promoter of sustained change, with an impact on the continuous improvement of the quality of care and the professional development of multidisciplinary teams.
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Enfermeiro especialista Enfermagem médico cirúrgica Pessoa em situação crítica Prevenção e controlo de infeção Desenvolvimento profissional Specialist nurse Medical-surgical nursing Critically ill person Infection prevention and control Professional development
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