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Publication
Vigilância da pessoa em situação crítica com Delirium :
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 6.29 MB | Adobe PDF |
Advisor(s)
Abstract(s)
O delirium é uma síndrome neurocognitiva que afeta os domínios da atenção,
cognição e consciência, como resultado de um distúrbio sistémico, considerando-se a
sua causa multifatorial. Esta situação tem um forte impacto nos outcomes da pessoa
em situação crítica, na família, bem como impacto nas organizações. Apesar do
crescente interesse da comunidade científica sobre este tema, a sua gestão
permanece ainda um desafio, revelando-se preponderante que os enfermeiros
reconheçam a importância de minimizar o impacto do delirium na pessoa.
O presente relatório foi desenvolvido no âmbito da frequência no mestrado em
enfermagem na área de especialização à pessoa em situação crítica, pretendendo
analisar e refletir sobre o percurso efetuado no que diz respeito às competências
desenvolvidas e preconizadas para o grau de mestre e as competências gerais e
específicas do enfermeiro especialista. A área temática escolhida teve especial
relevância enquanto fio condutor de todo o percurso, encontrando-se cientificamente
ancorada na revisão integrativa da literatura efetuada, sobre as intervenções de
enfermagem na gestão do delirium na pessoa em situação crítica. Durante todo este
processo, a prática de cuidados perspetivou-se segundo os modelos teóricos de
enfermagem Technological competency as caring in nursing, Vigilance: the essence
of nursing e Domains of nursing practice.
No sentido de desenvolver competências especializadas na complexidade da
prática, foram realizados ensinos clínicos em contexto de urgência e cuidados
intensivos, assim como, outras atividades consideradas relevantes e que permitiram
concretizar os objetivos traçados para este percurso e em cada contexto específico.
Delirium is a neurocognitive syndrome that affects attention, cognition, and consciousness domains due to a systemic disturbance and is considered to have a multifactorial cause. This has a strong impact on the outcomes of critically ill patient, the family, as well as an impact on organizations. Despite the growing concern of the scientific community with this issue, its management remains a challenge, and it is important that nurses recognize the importance of minimizing the impact of delirium on patients. This report was developed within the scope of the master’s degree in critical care nursing, with the purpose of analysing and reflecting on the competencies developed and recommended for the master's degree, and the general and specific competencies of specialist nurses. The thematic area chosen was particularly relevant as a guiding element throughout this journey, being scientifically anchored in the integrative literature review on nursing interventions for delirium management in critically ill patients. Throughout this process, care practice was based on the theoretical nursing models Technological competency as caring in nursing, Vigilance: the essence of nursing, and Domains of nursing practice. Aiming to develop specialized skills in the complexity of practice, clinical teaching in emergency and intensive care settings was carried out, as well as other activities considered relevant and that allowed to achieve the objectives set for this journey and in each specific context.
Delirium is a neurocognitive syndrome that affects attention, cognition, and consciousness domains due to a systemic disturbance and is considered to have a multifactorial cause. This has a strong impact on the outcomes of critically ill patient, the family, as well as an impact on organizations. Despite the growing concern of the scientific community with this issue, its management remains a challenge, and it is important that nurses recognize the importance of minimizing the impact of delirium on patients. This report was developed within the scope of the master’s degree in critical care nursing, with the purpose of analysing and reflecting on the competencies developed and recommended for the master's degree, and the general and specific competencies of specialist nurses. The thematic area chosen was particularly relevant as a guiding element throughout this journey, being scientifically anchored in the integrative literature review on nursing interventions for delirium management in critically ill patients. Throughout this process, care practice was based on the theoretical nursing models Technological competency as caring in nursing, Vigilance: the essence of nursing, and Domains of nursing practice. Aiming to develop specialized skills in the complexity of practice, clinical teaching in emergency and intensive care settings was carried out, as well as other activities considered relevant and that allowed to achieve the objectives set for this journey and in each specific context.
Description
Keywords
Enfermagem de cuidados intensivos Delírio Cuidados de enfermagem Segurança Competência clínica