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Cuidados de enfermagem no pós-operatório em cirurgia de ambulatório ao cliente submetido a artroscopia do ombro: Projeto de desenvolvimento de competências clínicas especializadas em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Perioperatória
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O presente relatório foi desenvolvido no âmbito da unidade curricular “Estágio de Natureza
Profissional com Relatório – Módulo II”, encontra-se inserido no plano de estudos do Mestrado
Enfermagem Médico-cirúrgica, na Área da Enfermagem à Pessoa em Situação Perioperatória da
Escola Superior de Enfermagem do Porto, durante o ano letivo de 2023/ 2024. Este pretende
espelhar a trajetória de evolução ao longo do estágio de natureza profissional na aquisição e
desenvolvimento de Competências Clínicas Comuns e Especializadas em Enfermagem Médicocirúrgica,
na Área da Enfermagem à Pessoa em Situação Perioperatória, após uma imersão nos
contextos de estágio, e perante experiências vivenciadas. Após reflexão e suportada pelos
conhecimentos teóricos e práticos foram desenvolvidas competências nos domínios da prática
clínica, ética e legal e na gestão e planeamento de cuidados, coerentes e alinhadas com as
competências do enfermeiro especialista em Enfermagem Médico-cirúrgica, na Área de
Enfermagem à Pessoa em Situação Perioperatória. Os estágios foram desenvolvidos em duas
instituições de saúde do Norte, uma em contexto Cirurgia de Ambulatório e outra em cirurgia
convencional.
Dois grandes propósitos que se pretenderam dar resposta durante este estágio profissional.
Primeiramente incorporar no meu projeto pessoal competências clínicas especializadas na
prestação de cuidados de enfermagem avançados na área da pessoa em situação
perioperatória, integrando o exercício profissional com a melhor evidência disponível, com vista
a promoção e a melhoria dos cuidados gerando ganhos em saúde. Neste sentido, são
apresentados dois casos clínicos experienciados em contexto de estágio, que compreendem a
conceção de cuidados segundo a Ontologia da Enfermagem durante as fases pré-operatória,
intraoperatória e pós-operatória, elaborados na plataforma educacional “e4nursing”, e que
demonstram as competências clínicas diferenciadas desenvolvidas com base na tomada de
decisão autónoma perante problemas reais, e na reflexão do conhecimento adquirido e da
evidência científica. E por último, dar continuidade ao projeto identificado no âmbito do primeiro
momento de estágio, em contexto de cirurgia de ambulatório referente aos cuidados de
enfermagem prestados no pré e pós-operatório, mais concretamente aos clientes submetidos à
cirurgia artroscópica do ombro, e dar resposta a esta problemática, da prestação de cuidados ao
cliente, sua família/ pessoa significativa no pré e pós-operatório após posterior pesquisa e
análise. E como resultado criar um documento que servisse de guia orientador para os clientes
submetidos à cirurgia artroscópica do ombro, a entregar em consulta de enfermagem préoperatória.
This report was developed as part of the "Professional Internship with Report - Module II" curricular unit and is part of the study plan for the Master's Degree in Medical-Surgical Nursing, in the Area of Nursing for People in Perioperative Situations at the Oporto School of Nursing, during the 2023/2024 academic year. The aim of this report is to reflect the progress made during the professional internship in the acquisition and development of Common and Specialized Clinical Skills in Medical-Surgical Nursing, in the Area of Nursing for People in Perioperative Situations, after immersion in the internship contexts and the experiences gained. After reflection and supported by theoretical and practical knowledge, competences were developed in the fields of clinical, ethical and legal practice and in the management and planning of care, which are coherent and aligned with the competences of the specialist nurse in Medical-Surgical Nursing, in the Area of Nursing for People in Perioperative Situations. The internships were carried out in two health institutions in the north of Portugal, one in the context of ambulatory surgery and the other in conventional surgery. There were two main objectives during this professional internship. Firstly, to incorporate specialized clinical skills in the provision of advanced nursing care in the area of perioperative care into my personal project, integrating professional practice with the best available evidence, with a view to promoting and improving care and generating health gains. To this end, two clinical cases experienced during the internship are presented, which include the design of care according to the Nursing Ontology during the preoperative, intraoperative and postoperative phases, prepared on the "e4nursing" educational platform, and which demonstrate the differentiated clinical skills developed based on autonomous decision-making in the face of real problems, and reflection on acquired knowledge and scientific evidence. And finally, to continue the project identified during the first stage of the internship, in the context of outpatient surgery, regarding the nursing care provided in the pre and post-operative period, more specifically to clients undergoing arthroscopic shoulder surgery, and to respond to this problem, the provision of care to the client, their family/significant person in the pre- and post-operative period after further research and analysis. As a result, we created a document to serve as a guideline for clients undergoing arthroscopic shoulder surgery, to be handed out at consultations.
This report was developed as part of the "Professional Internship with Report - Module II" curricular unit and is part of the study plan for the Master's Degree in Medical-Surgical Nursing, in the Area of Nursing for People in Perioperative Situations at the Oporto School of Nursing, during the 2023/2024 academic year. The aim of this report is to reflect the progress made during the professional internship in the acquisition and development of Common and Specialized Clinical Skills in Medical-Surgical Nursing, in the Area of Nursing for People in Perioperative Situations, after immersion in the internship contexts and the experiences gained. After reflection and supported by theoretical and practical knowledge, competences were developed in the fields of clinical, ethical and legal practice and in the management and planning of care, which are coherent and aligned with the competences of the specialist nurse in Medical-Surgical Nursing, in the Area of Nursing for People in Perioperative Situations. The internships were carried out in two health institutions in the north of Portugal, one in the context of ambulatory surgery and the other in conventional surgery. There were two main objectives during this professional internship. Firstly, to incorporate specialized clinical skills in the provision of advanced nursing care in the area of perioperative care into my personal project, integrating professional practice with the best available evidence, with a view to promoting and improving care and generating health gains. To this end, two clinical cases experienced during the internship are presented, which include the design of care according to the Nursing Ontology during the preoperative, intraoperative and postoperative phases, prepared on the "e4nursing" educational platform, and which demonstrate the differentiated clinical skills developed based on autonomous decision-making in the face of real problems, and reflection on acquired knowledge and scientific evidence. And finally, to continue the project identified during the first stage of the internship, in the context of outpatient surgery, regarding the nursing care provided in the pre and post-operative period, more specifically to clients undergoing arthroscopic shoulder surgery, and to respond to this problem, the provision of care to the client, their family/significant person in the pre- and post-operative period after further research and analysis. As a result, we created a document to serve as a guideline for clients undergoing arthroscopic shoulder surgery, to be handed out at consultations.
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Palavras-chave
Enfermagem perioperatória Cuidados Pré-Operatórios Cuidados pós-operatórios Artroscopia do Ombro Relatório de estágio