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O cuidar especializado do doente crítico coronário : do pré-hospitalar à cirurgia cardiotorácica
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Abstract(s)
O presente relatório “O Cuidar Especializado Do Doente Crítico Coronário: Do Pré-Hospitalar À Cirurgia Cardiotorácica” insere-se no plano de estudos do I Mestrado em Enfermagem Médico-Cirúrgica, no ramo da Pessoa em Situação Crítica, da Escola Superior de Saúde Santa Maria em consórcio com a Escola Superior de Enfermagem de São José de Cluny, constituindo uma análise crítico-reflexiva do processo de desenvolvimento de competências comuns e específicas da especialidade, bem como de Mestre, no cuidar da pessoa em situação crítica. A sua apresentação e discussão pública têm como objetivo a obtenção do grau de Mestre em Enfermagem. Os ensinos clínicos desenvolvidos ao longo deste percurso académico foram essenciais, constituindo uma ferramenta fulcral para a construção deste relatório. Os mesmos foram realizados primeiramente no contexto de um Serviço de Urgência (SU) Médico-Cirúrgica e numa Unidade de Cuidados Intensivos Polivalente. (UCIP). Posteriormente, tive oportunidade de passar pelo contexto Pré-Hospitalar, mais especificamente num meio Suporte Imediato de Vida (SIV) e numa Viatura Médica de Emergência e Reanimação (VMER), e no final numa Unidade de Cuidados Intensivos de Cirurgia Cardiotorácica (UCICT). Com base na evidência científica mais recente e fidedigna, neste relatório apresento uma análise crítico-reflexiva de todo o processo de desenvolvimento de competências comuns e específicas no âmbito da especialidade de Enfermagem Médico-Cirúrgica, no ramo da pessoa em situação crítica, partindo dos objetivos definidos no inicio dos ensinos clínicos, descrevendo as intervenções realizadas de forma a alcançar os mesmos, realizando sempre a ponte entre o conhecimento e as experiências vivenciadas na prática clínica, que foram geradoras da minha capacitação como futura enfermeira especialista, tal como Benner (2001) menciona que o desenvolvimento de competências é essencial para o alcance da perícia necessária para a prestação de cuidados de excelência.
This report “Specialized Care for the Coronary Critically Ill: From Pre-Hospital to Cardiothoracic Surgery” is part of the study plan of the 1st Master's Degree in Medical-Surgical Nursing, in the field of People in Critical Situation, at Escola Superior de Saúde Santa Maria in consortium with the Escola Superior de Enfermagem de São José de Cluny, constituting a critical-reflexive analysis of the process of developing common and specialty-specific skills, as well as Master's skills, in caring for people in critical situations. Its presentation and public discussion aim to obtain the Master's degree in Nursing. The clinical teachings developed throughout this academic career were an essential tool for the construction of this report. They were first carried out in the context of a Medical-Surgical Emergency Service (ED) and a Multipurpose Intensive Care Unit (UCIP). Subsequently, I had the opportunity to go through the Pre-Hospital context, more specifically in an Immediate Life Support (SIV) environment and in an Emergency and Resuscitation Medical Vehicle (VMER), and at the end in an Intensive Care Unit for Cardiototacic Surgery. Based on the most recent and reliable scientific evidence, in this report I present a critical-reflexive analysis of the entire process of developing common and specific skills within the scope of the specialty of Medical-Surgical Nursing, in the field of people in critical situations, starting from the objectives defined at the beginning of clinical teaching, describing the interventions carried out in order to achieve them, always creating a bridge between knowledge and experiences lived in clinical practice, which were responsible for my training as a future specialist nurse, as Benner (2001) mentions that the development of skills is essential to achieve the expertise necessary to provide excellent care.
This report “Specialized Care for the Coronary Critically Ill: From Pre-Hospital to Cardiothoracic Surgery” is part of the study plan of the 1st Master's Degree in Medical-Surgical Nursing, in the field of People in Critical Situation, at Escola Superior de Saúde Santa Maria in consortium with the Escola Superior de Enfermagem de São José de Cluny, constituting a critical-reflexive analysis of the process of developing common and specialty-specific skills, as well as Master's skills, in caring for people in critical situations. Its presentation and public discussion aim to obtain the Master's degree in Nursing. The clinical teachings developed throughout this academic career were an essential tool for the construction of this report. They were first carried out in the context of a Medical-Surgical Emergency Service (ED) and a Multipurpose Intensive Care Unit (UCIP). Subsequently, I had the opportunity to go through the Pre-Hospital context, more specifically in an Immediate Life Support (SIV) environment and in an Emergency and Resuscitation Medical Vehicle (VMER), and at the end in an Intensive Care Unit for Cardiototacic Surgery. Based on the most recent and reliable scientific evidence, in this report I present a critical-reflexive analysis of the entire process of developing common and specific skills within the scope of the specialty of Medical-Surgical Nursing, in the field of people in critical situations, starting from the objectives defined at the beginning of clinical teaching, describing the interventions carried out in order to achieve them, always creating a bridge between knowledge and experiences lived in clinical practice, which were responsible for my training as a future specialist nurse, as Benner (2001) mentions that the development of skills is essential to achieve the expertise necessary to provide excellent care.
Description
Curso de Mestrado ministrado em parceria com a Escola Superior de Enfermagem S. José de Cluny
Keywords
Competência profissional Enfermagem Médico-Cirúrgica Enfermagem Cardiovascular Cuidados críticos Professional competence Medical-Surgical Nursing Cardiovascular Nursing Critical care