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Desenvolvimento de Competências Especializadas no Cuidado à Pessoa em Situação Perioperatória submetida a Artroplastia Total do Joelho: Um Contributo para a Melhoria Contínua dos Cuidados
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O presente relatório surge no âmbito do 1º Curso de Mestrado em Enfermagem Médico-Cirúrgica na Área de Enfermagem à Pessoa em Situação Perioperatória, da Escola Superior de Enfermagem de Santa Maria, em consórcio com a Escola Superior de Enfermagem S. José de Cluny, tendo como objetivos: evidenciar a consolidação das competências comuns e específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica na Área de Enfermagem à Pessoa em Situação Perioperatória (EEEMCPSP); demonstrar o desenvolvimento da capacidade crítico-reflexiva e de competências de raciocínio clínico e tomada de decisão, que caracterizam o Enfermeiro Especialista e Mestre; apresentar e discutir o presente relatório, demonstrando a aquisição de competências para obtenção do grau de Mestre. A prática clínica especializada, iniciou-se com o Estágio I - Cuidar na sala operatória, que decorreu na Sala de Urgência do Bloco Operatório Central (BOC) de um Centro Hospitalar da região norte de Portugal, seguindo-se o Estágio II na Unidade de Cirurgia de Ambulatório e o estágio de opção, no BOC, da mesma instituição hospitalar. Esta prática clínica ao desenvolver-se neste contexto, teve por base o interesse/necessidade de consolidar competências especializadas no cuidado à Pessoa em Situação Perioperatória (PSP) submetida a Artroplastia Total do Joelho (ATJ), abrangendo os períodos pré, intra e pós-operatório imediato, tendo como fator norteador a promoção da segurança e a melhoria contínua do cuidado prestado à pessoa no período perioperatório. Como resultado da aprendizagem, os diversos contextos da prática clínica especializada potenciaram a minha intervenção como Enfermeira Especialista em Enfermagem Médico-Cirúrgica (EEEMC) no que concerne ao cuidar da PSP e no maximizar a sua segurança e da equipa pluridisciplinar, desde o contexto de cirurgia de urgência, até ao âmbito da cirurgia programada, não olvidando a cirurgia em ambiente ambulatorial. Recorri a uma metodologia descritiva, analítica e reflexiva, explanando a consolidação de competências comuns e específicas do EEEMC na vertente da PSP, rumo à aquisição das competências de Mestre.
This report is part of the 1st Master's Degree in Medical-Surgical Nursing in the Area of Nursing for People in Perioperative Situations, organised by the Santa Maria School of Nursing, in consortium with the S. José de Cluny School of Nursing, with the following objectives: to demonstrate the consolidation of the common and specific competences of the Specialist Nurse in Medical-Surgical Nursing in the Area of Nursing the Person in a Perioperative Situation (SNMSNPPS); to demonstrate the development of critical reflective capacity and clinical reasoning and decision-making skills that characterise the Specialist and Master's Nurse; to present and discuss this report, demonstrating the acquisition of competences to obtain the Master's degree. The specialised clinical practice began with the Internship I - Caring in the operating theatre, which took place in the Emergency Room of the Central Operating Theatre (COT) of a Hospital Centre in the northern region of Portugal, followed by the Internship II in the Ambulatory Surgery Unit and the optional internship in the COT of the same hospital. This clinical practice, developed in this context, was based on the interest/need to consolidate specialised skills in caring for the Person in a Perioperative Situation (PPS) undergoing Total Knee Arthroplasty (TKA), covering the pre, intra and immediate postoperative periods, with the promotion of safety and continuous improvement of care as the guiding factor. As a result of the learning process, the various contexts of specialised clinical practice have enhanced my intervention as a Medical-Surgical Nurse Specialist (MSNS) in terms of caring for PPSs and maximising their safety and that of the multidisciplinary team, from the context of emergency surgery to scheduled surgery, not forgetting surgery in an outpatient setting. I used a descriptive, analytical and reflective methodology, explaining the consolidation of common and specific competences of the MSNS in the area of PPS, towards the acquisition of Master's competences.
This report is part of the 1st Master's Degree in Medical-Surgical Nursing in the Area of Nursing for People in Perioperative Situations, organised by the Santa Maria School of Nursing, in consortium with the S. José de Cluny School of Nursing, with the following objectives: to demonstrate the consolidation of the common and specific competences of the Specialist Nurse in Medical-Surgical Nursing in the Area of Nursing the Person in a Perioperative Situation (SNMSNPPS); to demonstrate the development of critical reflective capacity and clinical reasoning and decision-making skills that characterise the Specialist and Master's Nurse; to present and discuss this report, demonstrating the acquisition of competences to obtain the Master's degree. The specialised clinical practice began with the Internship I - Caring in the operating theatre, which took place in the Emergency Room of the Central Operating Theatre (COT) of a Hospital Centre in the northern region of Portugal, followed by the Internship II in the Ambulatory Surgery Unit and the optional internship in the COT of the same hospital. This clinical practice, developed in this context, was based on the interest/need to consolidate specialised skills in caring for the Person in a Perioperative Situation (PPS) undergoing Total Knee Arthroplasty (TKA), covering the pre, intra and immediate postoperative periods, with the promotion of safety and continuous improvement of care as the guiding factor. As a result of the learning process, the various contexts of specialised clinical practice have enhanced my intervention as a Medical-Surgical Nurse Specialist (MSNS) in terms of caring for PPSs and maximising their safety and that of the multidisciplinary team, from the context of emergency surgery to scheduled surgery, not forgetting surgery in an outpatient setting. I used a descriptive, analytical and reflective methodology, explaining the consolidation of common and specific competences of the MSNS in the area of PPS, towards the acquisition of Master's competences.
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Competências Enfermeiro Especialista Enfermagem Perioperatória Artroplastia Total do Joelho Pessoa em Situação Perioperatória Skills Nurse Specialist Perioperative Nursing Total Knee Replacement Person in a Perioperative Situation