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As métricas da qualidade dos cuidados de enfermagem à pessoa submetida a mastectomia: Projeto de Desenvolvimento de Competências Clínicas Especializadas em Enfermagem Médico-Cirúrgica, na área da Enfermagem à Pessoa em Situação Perioperatória
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Advisor(s)
Abstract(s)
O presente relatório, elaborado no âmbito do Mestrado em Enfermagem Médico-Cirúrgica, na
área de especialização em Enfermagem à Pessoa em Situação Perioperatória, documenta o
percurso de aprendizagem e pensamento analítico-reflexivo, levado a cabo no sentido da
aquisição e desenvolvimento de competências avançadas, com foco nas respostas humanas aos
problemas de saúde e aos processos de vida da pessoa submetida a procedimento invasivo,
com a pretensão de evidenciar o contributo dos cuidados de enfermagem para os ganhos em
saúde da população.
A qualidade em saúde, mais especificamente a temática das métricas da qualidade, sensíveis à
ação profissional dos enfermeiros, foi a bússola que orientou este caminho. Mais do que meros
indicadores numéricos, as métricas configuram-se como ferramentas estratégicas para a
identificação de áreas de excelência e áreas passíveis de melhoria, possibilitando a
implementação de medidas para otimizar a qualidade dos cuidados e promover a segurança do
cliente (Agency for Healthcare Research and Quality, 2023).
No âmbito do estágio de natureza profissional foram realizados dois estudos de caso, um deles
desenvolvido no bloco operatório central, dirigido à pessoa submetida a mastectomia radical
modificada, em regime de internamento, e o outro desenvolvido na unidade de cirurgia de
ambulatório, dirigido à pessoa submetida a mastectomia parcial, em regime de ambulatório,
que concretizam a dialética entre a teoria e a prática e refletem o pensamento de enfermagem
e a intencionalidade da ação profissional. Estes casos foram desenvolvidos na plataforma
e4Nursing, orientada para o processo de conceção de cuidados de enfermagem, com uma
construção baseada no processo de tomada de decisão clínica e com uma estrutura assente na
Ontologia de Enfermagem.
Apesar da sustentação consolidada pela evidência científica relativa à importância da produção,
implementação e monitorização de indicadores de qualidade para a visibilidade e avaliação da
ação profissional dos enfermeiros, o caminho a percorrer ainda se prevê longo no que concerne
à translação dos resultados para a prática, com impacto nas políticas de saúde.
This report, drawn up as part of the Master's Degree in Medical-Surgical Nursing, in the area of specialization in Nursing for People in Perioperative Situations, aims to document the path of learning and analytical-reflective thinking, carried out in order to acquire and develop advanced skills, with a focus on human responses to health problems and the life processes of people undergoing invasive procedures, with the intention of highlighting the contribution of nursing care to the population's health gains. Quality in health, and more specifically the issue of quality metrics that are sensitive to the professional actions of nurses, was the compass that guided this journey. More than just numerical indicators, metrics are strategic tools for identifying areas of excellence and areas for improvement, enabling the implementation of measures to optimize the quality of care and promote client safety (Agency for Healthcare Research and Quality, 2023). As part of the professional internship, two case studies were carried out, one in the central operating theatre, aimed at a person undergoing a modified radical mastectomy on an inpatient basis, and the other in the outpatient surgery unit, aimed at a person undergoing a partial mastectomy on an outpatient basis, which materialize the dialectic between theory and practice and reflect nursing thinking and the intentionality of professional action. These cases were developed on the e4Nursing platform, which is geared towards the process of designing nursing care, with a construction based on the clinical decision-making process and a structure based on the Nursing Ontology. Despite the consolidated support of scientific evidence regarding the importance of producing, implementing and monitoring quality indicators for the visibility and evaluation of nurses' professional actions, there is still a long way to go in terms of translating the results into practice, with an impact on health policies.
This report, drawn up as part of the Master's Degree in Medical-Surgical Nursing, in the area of specialization in Nursing for People in Perioperative Situations, aims to document the path of learning and analytical-reflective thinking, carried out in order to acquire and develop advanced skills, with a focus on human responses to health problems and the life processes of people undergoing invasive procedures, with the intention of highlighting the contribution of nursing care to the population's health gains. Quality in health, and more specifically the issue of quality metrics that are sensitive to the professional actions of nurses, was the compass that guided this journey. More than just numerical indicators, metrics are strategic tools for identifying areas of excellence and areas for improvement, enabling the implementation of measures to optimize the quality of care and promote client safety (Agency for Healthcare Research and Quality, 2023). As part of the professional internship, two case studies were carried out, one in the central operating theatre, aimed at a person undergoing a modified radical mastectomy on an inpatient basis, and the other in the outpatient surgery unit, aimed at a person undergoing a partial mastectomy on an outpatient basis, which materialize the dialectic between theory and practice and reflect nursing thinking and the intentionality of professional action. These cases were developed on the e4Nursing platform, which is geared towards the process of designing nursing care, with a construction based on the clinical decision-making process and a structure based on the Nursing Ontology. Despite the consolidated support of scientific evidence regarding the importance of producing, implementing and monitoring quality indicators for the visibility and evaluation of nurses' professional actions, there is still a long way to go in terms of translating the results into practice, with an impact on health policies.
Description
Keywords
Enfermagem Situação perioperatória Indicadores de qualidade Competências profissionais Relatório de estágio