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Cuidados especializados em enfermagem à pessoa em situação perioperatória: boas práticas de instrumentação na prevenção da infeção do local cirúrgico de ortopedia com uso de implantes
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Advisor(s)
Abstract(s)
A realização deste relatório surge no âmbito do curso de Mestrado em
Enfermagem Médico-Cirúrgica com área de especialização de Enfermagem à de Pessoa
em Situação Perioperatória, da Escola Superior de Saúde de Santa Maria. Tem como
objetivo traduzir o percurso efetuado na aquisição de competências inerentes ao grau de
Enfermeiro Especialista e de Mestre, refletindo uma apreciação global sobre as
experiências vividas durante os períodos de ensino clínico, desenvolvendo e
aprofundando conhecimentos e habilidades. Considerando o risco de infeção e
procedimentos cirúrgicos, o relatório salienta a aquisição de competências envolvendo a
pessoa/família que experienciam um processo cirúrgico/anestésico que permitem
assegurar a prestação de cuidados, considerando a especificidade das necessidades de
saúde da pessoa e família, de uma forma segura e individualizada, bem como
considerando o elevado risco associado aos cuidados perioperatórios decorrentes da
vulnerabilidade da pessoa, procedimentos e complexidade do ambiente, contribuindo
assim para a melhoria da qualidade dos cuidados prestados. A Enfermagem
perioperatória é uma área focada na segurança da pessoa, particularmente no que
concerne à prevenção e controlo de infeção. As infeções do local cirúrgico (ILCs), são
as infeções mais comuns e dispendiosas pertencentes ao extenso leque de infeções
associadas aos cuidados de saúde (IACS). Embora na última década, as taxas tenham
vindo a diminuir significativamente (44,2%), a segurança da pessoa ainda se mantém
comprometida, particularmente no que concerne à prevenção e controlo de infeção. Para
proporcionar uma experiência segura aos clientes, os enfermeiros perioperatórios
aplicam boas práticas baseadas na evidência para a prevenção da ILC. (Bashaw &
Keister, 2019). A metodologia usada teve por base um método descritivo, reflexivo e
analítico sustentado por autores que se baseiam na evidência científica. Decorrente
disto, o enfermeiro especialista perioperatório necessita mobilizar e atuar de forma a
garantir a segurança da pessoa, dos profissionais e do ambiente.
This report was produced as part of the Master's Degree in Medical-Surgical Nursing, with a specialisation in Nursing for People in Perioperative Situations, at the Escola Superior de Saúde de Santa Maria. Its aim is to reflect the journey made in acquiring the competences inherent to the degree of Specialist Nurse and Master, reflecting a global appreciation of the experiences lived during periods of clinical teaching, developing and deepening knowledge and skills. Considering the risk of infection and surgical procedures, the report highlights the acquisition of competences involving the person/family who experience a surgical/anaesthetic process that enable care to be provided, considering the specific health needs of the person and family, in a safe and individualised way, as well as considering the high risk associated with perioperative care arising from the vulnerability of the person, procedures and complexity of the environment, thus contributing to improving the quality of care provided. Perioperative nursing is an area focussed on patient safety, particularly with regard to infection prevention and control. Surgical site infections (SSIs) are the most common and costly of the wide range of healthcare-associated infections (HAIs). Although rates have been falling significantly over the last decade (44.2 per cent), patient safety is still compromised, particularly with regard to infection prevention and control. To provide a safe patient experience, perioperative nurses apply evidence-based best practices for the prevention of SSI. (Bashaw & Keister, 2019). The methodology used was based on a descriptive, reflective and analytical method supported by authors who draw on scientific evidence. As a result, perioperative nurse specialists need to mobilise and act to ensure the safety of patients, professionals and the environment.
This report was produced as part of the Master's Degree in Medical-Surgical Nursing, with a specialisation in Nursing for People in Perioperative Situations, at the Escola Superior de Saúde de Santa Maria. Its aim is to reflect the journey made in acquiring the competences inherent to the degree of Specialist Nurse and Master, reflecting a global appreciation of the experiences lived during periods of clinical teaching, developing and deepening knowledge and skills. Considering the risk of infection and surgical procedures, the report highlights the acquisition of competences involving the person/family who experience a surgical/anaesthetic process that enable care to be provided, considering the specific health needs of the person and family, in a safe and individualised way, as well as considering the high risk associated with perioperative care arising from the vulnerability of the person, procedures and complexity of the environment, thus contributing to improving the quality of care provided. Perioperative nursing is an area focussed on patient safety, particularly with regard to infection prevention and control. Surgical site infections (SSIs) are the most common and costly of the wide range of healthcare-associated infections (HAIs). Although rates have been falling significantly over the last decade (44.2 per cent), patient safety is still compromised, particularly with regard to infection prevention and control. To provide a safe patient experience, perioperative nurses apply evidence-based best practices for the prevention of SSI. (Bashaw & Keister, 2019). The methodology used was based on a descriptive, reflective and analytical method supported by authors who draw on scientific evidence. As a result, perioperative nurse specialists need to mobilise and act to ensure the safety of patients, professionals and the environment.
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny
Keywords
enfermagem perioperatória infeção do local cirúrgico boas práticas infeção do implante