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Cuidar a pessoa em situação crítica dependente da técnica de oxigenação por membrana extracorporal: percurso de desenvolvimento de competências de especialista e de mestre
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Advisor(s)
Abstract(s)
O presente relatório integra o 1º curso de Mestrado em Enfermagem Médico
Cirúrgica na área da pessoa em situação crítica da Escola Superior de Saúde Santa Maria
em colaboração com a Escola Superior de Enfermagem São José de Cluny. Intitula-se
“Cuidar a pessoa dependente da técnica de oxigenação por membrana extracorporal
(ECMO) – percurso de desenvolvimento de competências de especialista e de mestre” e
tem como objetivos: demonstrar o desenvolvimento das competências comuns e
específicas do enfermeiro especialista em enfermagem médico cirúrgica na área de
enfermagem à pessoa em situação crítica, mormente no que concerne ao doente
dependente de ECMO; evidenciar as competências de análise critico reflexiva com vista
à obtenção do grau de mestre, demonstrando elevados níveis de julgamento clínico e
tomada de decisão, característicos do enfermeiro especialista e mestre em enfermagem.
O percurso de desenvolvimento de competências concretizou-se através dos
ensinos clínicos que se distribuíram em três unidades curriculares distintas, o ensino
clínico I decorreu em contexto de serviço de urgência polivalente; o ensino clínico II
desenvolveu-se em contexto de cuidados intensivos, para o qual foi obtida equivalência
do curso de Pós-Licenciatura em Enfermagem Médico Cirúrgica e a última unidade
curricular, estágio com relatório, envolveu o módulo 1, que contemplou o ensino clínico
III realizado em contexto de cuidados intensivos e o módulo 2 referente à opção clínica,
que foi realizado no serviço de medicina intensiva – centro de referência ECMO,
dedicado à aquisição de competências especializadas no cuidar especializado do doente
dependente de ECMO.
A conceção do presente documento, sustentado nos regulamentos de
competências comuns e específicas do enfermeiro especialista em enfermagem médico cirúrgica na área da pessoa em situação crítica, baseou-se numa metodologia descritiva e
critico-reflexiva das experiências intensamente vivenciadas, e evidencia uma prática
proficiente, baseada em evidência científica recente, característica de uma prática
especializada perante a pessoa em situação crítica dependente de ECMO e culmina com
a aquisição de competências de mestre em enfermagem.
The present report is part of the 1st Master's degree in Medical-Surgical Nursing, focusing on Nursing to the person in critical situation at the Escola Superior de Saúde Santa Maria in collaboration with the Escola Superior de Enfermagem São José de Cluny. It is entitled "Caring for the person dependent on the extracorporeal membrane oxygenation (ECMO) – development of specialist and master’s level competencies" and aims to: demonstrate the development of common and specific competencies of the specialist nurse in medical-surgical nursing in the area of nursing care to the person in critical situation, particularly regarding patient dependent on ECMO; highlight critical and reflexive analysis skills in order to obtain the master's degree, demonstrating high levels of clinical judgment and decision-making that characterize the specialist nurse and master’s degree holder in nursing. The path of the development of competencies was achieved through clinical training, which was divided into three distinct curricular units. Clinical training I took place in a multipurpose emergency department; clinical training II was conducted in an intensive care setting, for which equivalence was obtained from Postgraduate course in Medical Surgical Nursing; and the final curricular unit, internship with a report, included module 1, which involved clinical training III in an intensive care setting, and module 2, which focused on the clinical option and was carried out in the ECMO reference center, dedicated to the acquisition of specialized skills in the specialized care of the patient dependent on ECMO. The conception of this document, based on the regulations of common and specific competencies of the specialist nurse in medical-surgical nursing in the branch of the person in critical situation, relied on a descriptive and critical-reflective methodology of the intensely experienced experiences, and demonstrates a proficient practice based on recent scientific evidence, characteristic of specialized practice in the care of the person in critical situation dependent on ECMO. It culminates with the acquisition of master’s level competencies in nursing.
The present report is part of the 1st Master's degree in Medical-Surgical Nursing, focusing on Nursing to the person in critical situation at the Escola Superior de Saúde Santa Maria in collaboration with the Escola Superior de Enfermagem São José de Cluny. It is entitled "Caring for the person dependent on the extracorporeal membrane oxygenation (ECMO) – development of specialist and master’s level competencies" and aims to: demonstrate the development of common and specific competencies of the specialist nurse in medical-surgical nursing in the area of nursing care to the person in critical situation, particularly regarding patient dependent on ECMO; highlight critical and reflexive analysis skills in order to obtain the master's degree, demonstrating high levels of clinical judgment and decision-making that characterize the specialist nurse and master’s degree holder in nursing. The path of the development of competencies was achieved through clinical training, which was divided into three distinct curricular units. Clinical training I took place in a multipurpose emergency department; clinical training II was conducted in an intensive care setting, for which equivalence was obtained from Postgraduate course in Medical Surgical Nursing; and the final curricular unit, internship with a report, included module 1, which involved clinical training III in an intensive care setting, and module 2, which focused on the clinical option and was carried out in the ECMO reference center, dedicated to the acquisition of specialized skills in the specialized care of the patient dependent on ECMO. The conception of this document, based on the regulations of common and specific competencies of the specialist nurse in medical-surgical nursing in the branch of the person in critical situation, relied on a descriptive and critical-reflective methodology of the intensely experienced experiences, and demonstrates a proficient practice based on recent scientific evidence, characteristic of specialized practice in the care of the person in critical situation dependent on ECMO. It culminates with the acquisition of master’s level competencies in nursing.
Description
Curso de Mestrado ministrado em parceria com Escola Superior de Enfermagem S. José de Cluny.
Keywords
Enfermeiro especialista ECMO Competências especializadas