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Benefícios da administração de hemoderivados na pessoa vítima de trauma major em contexto extra-hospitalar
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| 10.15 MB | Adobe PDF |
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Abstract(s)
O presente relatório surge no âmbito das Unidades Curriculares de Estágio com Relatório do 2º Curso de Mestrado em Enfermagem Médico-Cirúrgica, na área de especialização em Enfermagem à Pessoa em Situação Crítica, da Escola Superior de Saúde da Cruz Vermelha Portuguesa - Lisboa.
Tem como objetivo a consolidação dos conhecimentos teóricos adquiridos e o desenvolvimento das competências comuns e específicas do enfermeiro especialista. Trata-se de uma metodologia reflexiva, com uma análise crítica do percurso académico e da aquisição das competências necessárias para a obtenção do título de enfermeiro especialista. O mesmo foi norteado pela teoria das Transições de Afaf Meleis, que serviu de suporte conceptual a todas as intervenções de enfermagem realizadas.
Como futura enfermeira especialista, preza-se a evidência mais atual e a qualidade e segurança da pessoa durante a prestação de cuidados de enfermagem. Em Portugal, o consenso relativamente à administração de hemoderivados em contexto extra-hospitalar está, ainda, longínquo, carecendo de investigação adicional nesta área.
A introdução de novos protocolos no contexto extra-hospitalar pode representar um passo importante na promoção de melhores cuidados para a população, especialmente para os habitantes de zonas remotas, com difícil acesso ou transportes prolongados para ambiente hospitalar.
A revisão scoping e o estudo sobre a perceção dos benefícios da administração de hemoderivados na vítima de trauma major em contexto extra-hospitalar, com a identificação de barreiras à implementação, podem significar ganhos em saúde.
É, ainda, crucial, a formação das equipas de saúde na área da abordagem da vítima de trauma, com o intuito que esta seja pormenorizada, sistemática e célere.
This report was developed within the scope of the Curricular Units of Internship with Report of the 2nd Master’s Degree in Medical-Surgical Nursing, in the area of specialization in Critical Care Nursing, at the Escola Superior de Saúde da Cruz Vermelha Portuguesa – Lisbon. Its purpose is to consolidate theoretical knowledge and to develop both common and specific nursing competencies of the specialist nurse. A reflective methodology was adopted, involving a critical analysis of the academic pathway and of the acquisition of competencies required for recognition as a specialist nurse. The work was guided by Afaf Meleis’ Transitions Theory, which provided the conceptual framework for all nursing interventions undertaken. As a future specialist nurse, particular emphasis is placed on the use of up-to-date evidence and on ensuring quality and safety in patient care. In Portugal, consensus regarding prehospital administration of blood products remains distant, underscoring the need for further research in this area. The introduction of new prehospital protocols could represent a significant step toward improving healthcare delivery, particularly for populations in remote areas where access to hospital care is limited or transport is delayed. The scoping review and the study on perceived benefits of prehospital administration of blood products in major trauma victims, combined with the identification of barriers to implementation, may lead to significant health gains. Equally important is the training of healthcare teams in the initial assessment and management of major trauma, with the aim of ensuring a detailed, systematic, and timely approach.
This report was developed within the scope of the Curricular Units of Internship with Report of the 2nd Master’s Degree in Medical-Surgical Nursing, in the area of specialization in Critical Care Nursing, at the Escola Superior de Saúde da Cruz Vermelha Portuguesa – Lisbon. Its purpose is to consolidate theoretical knowledge and to develop both common and specific nursing competencies of the specialist nurse. A reflective methodology was adopted, involving a critical analysis of the academic pathway and of the acquisition of competencies required for recognition as a specialist nurse. The work was guided by Afaf Meleis’ Transitions Theory, which provided the conceptual framework for all nursing interventions undertaken. As a future specialist nurse, particular emphasis is placed on the use of up-to-date evidence and on ensuring quality and safety in patient care. In Portugal, consensus regarding prehospital administration of blood products remains distant, underscoring the need for further research in this area. The introduction of new prehospital protocols could represent a significant step toward improving healthcare delivery, particularly for populations in remote areas where access to hospital care is limited or transport is delayed. The scoping review and the study on perceived benefits of prehospital administration of blood products in major trauma victims, combined with the identification of barriers to implementation, may lead to significant health gains. Equally important is the training of healthcare teams in the initial assessment and management of major trauma, with the aim of ensuring a detailed, systematic, and timely approach.
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transfusão de componentes sanguíneos transfusão de sangue traumatismo múltiplo ferimentos e lesões assistência pré-hospitalar blood component transfusion multiple trauma blood transfusion wounds and injuries prehospital care
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