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Um percurso de especialização em urgência e cuidados intensivos : relevância da ventilação mecânica no tratamento da insuficiência respiratória
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Relatório Final Cláudia Ferreira | 2.18 MB | Adobe PDF |
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Abstract(s)
Um percurso de especialização em urgência e cuidados intensivos: relevância da VM no tratamento da IR é um relatório que expõe o processo de construção de saber profissional de Enfermagem, apoiado em pesquisa científica realizada em bases de dados, bibliotecas e no motor de pesquisa Google Scholar. Foi concebido no âmbito do Curso de Mestrado em Enfermagem Médico-Cirúrgica, da Escola Superior de Enfermagem de São José de Cluny, em que os referenciais teóricos de Patrícia Benner e Afaf Meleis foram o eixo norteador, para a construção de um relatório de estágio de natureza profissional que visa a obtenção do grau de mestre.
Evidencia uma metodologia descritiva e reflexiva, do qual emerge o objetivo geral de expor crítica e fundamentadamente todo o conhecimento desenvolvido ao longo dos três estágios incluídos no plano curricular, descritos por ordem cronológica: Estágio II na UCIP e Estágio I no SU, do Hospital Dr. Nélio Mendonça do Centro Hospitalar do Funchal, e o Estágio III na UCIR, do Hospital de Sta. Maria do Centro Hospitalar Lisboa Norte, e no Serviço de Pneumologia, do Centro Hospitalar de S. João, num total de 490 horas de contacto.
Este relatório confere implicações nas diferentes áreas da disciplina de enfermagem: prática, investigação, gestão e ensino. A integração de conhecimentos e o uso de uma prática reflexiva permitiu desenvolver capacidades na área da gestão, identificação de situações problema, propondo melhorias com vista a fomentar a segurança do doente. A investigação em Enfermagem contribuiu para a inovação ao nível da saúde, e ao utilizar a formação como estratégia divulgam-se os conhecimentos e raciocínios desenvolvidos, afirmando o papel do enfermeiro na melhoria constante da qualidade dos cuidados. No que respeita à prática, este relatório expõe a prestação de cuidados desenvolvidos a doentes críticos em diversos contextos de doença, sendo dirigida especial atenção aos doentes com IR submetidos a VM.
O processo de aprendizagem descrito iniciou-se com a eleição da área de formação, e culminou com a aquisição das competências comuns e específicas do enfermeiro especialista em Enfermagem Médico-Cirúrgica, proporcionando um novo olhar em cada momento da prática profissional, o olhar da Enfermagem Avançada.
A specialisation path in emergency and intensive care: the importance of MV as a treatment to RF is a report that shows the nursing professional knowledge creation process supported by bibliographic search in scientific databases, libraries, and in the search engine Google Scholar. It was developed in the scope of the Master’s Degree in Medical-Surgical Nursing by the São José de Cluny Nursing School based in the theoretical references of Patricia Benner and Afaf Meleis as guidelines to build an internship report of professional nature aimed to achieve the Master’s Degree. Evidences a descriptive and reflective methodology which has as general goal exposing in a critical and reasoned manner all the knowledge developed throughout the three internships comprised in the curricular plan, described in a chronological order: Internship II – in the General Intensive Care Unit and Internship I – in the Emergency Room of Dr. Nélio Mendonça Hospital from Funchal’s Hospital Centre; and Internship III – Option Internship performed in the Respiratory Intensive Care Unit in Santa Maria Hospital of North Lisbon’s Hospital Centre, and in the Pulmonology Service of S. João Hospital Centre in a total of 490 hours. This report comprises different operating nursing areas: practice, research, management and training. The knowledge integration and the use of a reflective practice allowed to develop skills in the management area and problem identification leading to improvements that increase the patient’s security. The research enabled innovation at the health level, and, by using training as a strategy, the developed knowledge and rationale were disseminated, grounding, thus, the nurse role in the ongoing improvement of the care quality. On the practice perspective, this report presents caregiving to critically ill patients in several contexts of their illnesses, evidencing RF patients under MV. The described learning process had as starting point choosing the learning area and ended with acquiring the common and specific competences of the specialised nurse in Medical-Surgical Nursing, allowing, thus, a new look in each moment of the professional practice, the look of Advanced Nursing.
A specialisation path in emergency and intensive care: the importance of MV as a treatment to RF is a report that shows the nursing professional knowledge creation process supported by bibliographic search in scientific databases, libraries, and in the search engine Google Scholar. It was developed in the scope of the Master’s Degree in Medical-Surgical Nursing by the São José de Cluny Nursing School based in the theoretical references of Patricia Benner and Afaf Meleis as guidelines to build an internship report of professional nature aimed to achieve the Master’s Degree. Evidences a descriptive and reflective methodology which has as general goal exposing in a critical and reasoned manner all the knowledge developed throughout the three internships comprised in the curricular plan, described in a chronological order: Internship II – in the General Intensive Care Unit and Internship I – in the Emergency Room of Dr. Nélio Mendonça Hospital from Funchal’s Hospital Centre; and Internship III – Option Internship performed in the Respiratory Intensive Care Unit in Santa Maria Hospital of North Lisbon’s Hospital Centre, and in the Pulmonology Service of S. João Hospital Centre in a total of 490 hours. This report comprises different operating nursing areas: practice, research, management and training. The knowledge integration and the use of a reflective practice allowed to develop skills in the management area and problem identification leading to improvements that increase the patient’s security. The research enabled innovation at the health level, and, by using training as a strategy, the developed knowledge and rationale were disseminated, grounding, thus, the nurse role in the ongoing improvement of the care quality. On the practice perspective, this report presents caregiving to critically ill patients in several contexts of their illnesses, evidencing RF patients under MV. The described learning process had as starting point choosing the learning area and ended with acquiring the common and specific competences of the specialised nurse in Medical-Surgical Nursing, allowing, thus, a new look in each moment of the professional practice, the look of Advanced Nursing.
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Keywords
Enfermeiro especialista Competências Doente neuromuscular Insuficiência respiratória Ventilação mecânica