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Promoção da perfusão cerebral na pessoa em situação crítica com compromissos neurológicos: Desenvolvimento de competências clínicas especializadas em Enfermagem Médico Cirúrgica na área da Enfermagem à Pessoa em Situação Crítica
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O presente relatório de estágio de natureza profissional, evidencia a aquisição de competências
gerais e específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica na área de
Enfermagem à Pessoa em Situação Crítica (EEEMCPSC), conforme estabelecido nos
Regulamentos da Ordem dos Enfermeiros (OE) - n.º 429/2018 e n.º 140/2019.
Este é um relatório que descreve a trajetória percorrida no contexto do Mestrado em
Enfermagem Médico-Cirúrgica na Área da Enfermagem à Pessoa em Situação Crítica
(MEMCPCT), na Escola Superior de Enfermagem do Porto. O conteúdo do documento é
fundamentado com base nas experiências adquiridas durante as Unidades Curriculares de
Estágio de natureza profissional com relatório, tendo como tema central o cuidado ao cliente em
situação crítica com compromissos neurológicos.
Com este, pretende-se destacar o processo de aquisição de competências especializadas,
descrever a natureza dos contextos clínicos que serviram como locais de estágio e demonstrar
em que medida as experiências vivenciadas contribuíram para o aprimoramento e
aprofundamento dessas competências, pois considera-se que essas possibilitarão alcançar o
grau académico de mestre e, futuramente, obter o título profissional de EEEMCPSC, conforme as
diretrizes estabelecidas pela Ordem dos Enfermeiros.
No que concerne à organização, o relatório é dividido em três secções principais. A primeira,
foca-se na descrição dos três ambientes clínicos do estágio: uma Unidade de Cuidados
Intensivos (UCI) Polivalente, um Serviço de Urgência (SU) Polivalente e uma UCI Neurocríticos.
Na segunda secção, é apresentado um estudo de caso clínico, onde é detalhado o processo de
conceção e tomada de decisão clínica, assim como a fundamentação que os sustentam. Por fim,
surge um capítulo que reflete o desenvolvimento das competências comuns e específicas.
No entanto, o descrito neste relatório abrange todas as competências do EEEMCPSC, aspeto que
se procura evidenciar ao longo deste documento. Embora o estágio de natureza profissional seja
o foco principal, o desenvolvimento de competências é um processo dinâmico e contínuo, que
não se limita ao estágio ou ao curso. Esta experiência representou um marco significativo nesta
trajetória académica e profissional, permitindo adquirir um conjunto de habilidades que, sem
dúvida, serão fundamentais para a prática futura e, consequentemente, para a qualidade dos
cuidados prestados.
This professional internship report demonstrates the acquisition of general and specific competences of the Nurse Specialising in Medical-Surgical Nursing in the area of Nursing for the Critically Ill Person (EEEMCPSC), as established in the Regulations of the Order of Nurses (OE) - no. 429/2018 and no. 140/2019. This report describes the path taken in the context of the Master's Degree in Medical-Surgical Nursing in the Area of Nursing for People in Critical Situations (MEMCPCT), at the Nursing School of Porto. The document's content is based on experiences acquired during the Curricular Units of Internship of a professional nature with report, having as its central theme the care of critically ill clients with neurological compromises. The aim is to highlight the process of acquiring specialised competences, describe the nature of the clinical contexts that served as internship sites, and demonstrate the extent to which the experiences have contributed to improving and deepening these competences, as it is considered that these will make it possible to achieve the academic degree of master and, in the future, to obtain the professional title of EEEMCPSC, in accordance with the guidelines established by the Order of Nurses. In terms of organisation, the report is divided into three main sections. The first focuses on describing the three clinical environments of the internship: a Multipurpose Intensive Care Unit (ICU), a Multipurpose Emergency Department (ED) and a Neurocritical Care Unit. In the second section, a clinical case study is presented, detailing the process of design and clinical decisionmaking, as well as the rationale behind them. Finally, there is a chapter on the development of common and specific competences. However, what is described in this report covers all the competences of the EEEMCPSC, an aspect that is emphasised throughout this document. Although the internship of a professional nature is the main focus, the development of competences is a dynamic and continuous process that is not limited to the internship or the course. This experience represented a significant milestone in this academic and professional career, enabling the acquisition of a set of skills that will undoubtedly be fundamental for future practice and, consequently, for the quality of care provided.
This professional internship report demonstrates the acquisition of general and specific competences of the Nurse Specialising in Medical-Surgical Nursing in the area of Nursing for the Critically Ill Person (EEEMCPSC), as established in the Regulations of the Order of Nurses (OE) - no. 429/2018 and no. 140/2019. This report describes the path taken in the context of the Master's Degree in Medical-Surgical Nursing in the Area of Nursing for People in Critical Situations (MEMCPCT), at the Nursing School of Porto. The document's content is based on experiences acquired during the Curricular Units of Internship of a professional nature with report, having as its central theme the care of critically ill clients with neurological compromises. The aim is to highlight the process of acquiring specialised competences, describe the nature of the clinical contexts that served as internship sites, and demonstrate the extent to which the experiences have contributed to improving and deepening these competences, as it is considered that these will make it possible to achieve the academic degree of master and, in the future, to obtain the professional title of EEEMCPSC, in accordance with the guidelines established by the Order of Nurses. In terms of organisation, the report is divided into three main sections. The first focuses on describing the three clinical environments of the internship: a Multipurpose Intensive Care Unit (ICU), a Multipurpose Emergency Department (ED) and a Neurocritical Care Unit. In the second section, a clinical case study is presented, detailing the process of design and clinical decisionmaking, as well as the rationale behind them. Finally, there is a chapter on the development of common and specific competences. However, what is described in this report covers all the competences of the EEEMCPSC, an aspect that is emphasised throughout this document. Although the internship of a professional nature is the main focus, the development of competences is a dynamic and continuous process that is not limited to the internship or the course. This experience represented a significant milestone in this academic and professional career, enabling the acquisition of a set of skills that will undoubtedly be fundamental for future practice and, consequently, for the quality of care provided.
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Palavras-chave
Pessoa em Situação Crítica Compromissos neurológicos Cliente neurocrítico Enfermeiro Especialista Competências