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A segurança e a gestão do risco da pessoa em situação perioperatória: Desenvolvimento de competências especializadas
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O presente relatório enquadra-se no Mestrado em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Perioperatória, da Escola Superior de Saúde de Santa Maria, em consórcio com a Escola Superior de Enfermagem São José de Cluny, integrando a Unidade Curricular de Estágio com Relatório–Módulo III, do ano letivo de 2024/2025, cuja a apresentação e discussão pública visam a obtenção do grau de Mestre.
Os objetivos deste trabalho consistem em: i) evidenciar o desenvolvimento das competências comuns e específicas do enfermeiro especialista em Enfermagem Médico-Cirúrgica na área de Enfermagem à Pessoa em Situação Perioperatória; ii) demonstrar o desenvolvimento de competências de análise e raciocínio crítico-reflexivo; e iii) evidenciar o desenvolvimento das competências de Mestre.
O relatório expõe o percurso desenvolvido ao longo das práticas clínicas, nomeadamente na Unidade Curricular Estágio com Relatório, que integra o Módulo I, cuja prática decorreu numa Unidade de Cirurgia de Ambulatório, e o Módulo II, de carácter opcional, desenvolvido em contexto de bloco operatório, anestesia, recobro, circulação e instrumentação, onde o aprofundamento de competências incidiu na segurança e gestão do risco da pessoa em situação perioperatória. O Estágio I, designado-Cuidar em Sala Operatória, foi creditado pelo Conselho Técnico-Científico da Escola, com base na experiência profissional prévia.
A metodologia adotada foi descritiva, analítica e reflexiva, fundamentada na prática baseada na evidência e nos referenciais normativos da Ordem dos Enfermeiros. Paralelamente, realizou-se uma Scoping Review sobre as competências do enfermeiro na segurança e a gestão do risco da pessoa em situação perioperatória, de acordo com a metodologia do Joanna Briggs Institute e as orientações PRISMA-Sc.
Os resultados obtidos permitiram consolidar as competências de Mestre e de enfermeiro especialista no cuidar da pessoa em situação perioperatória, potenciando a segurança do doente e da equipa pluridisciplinar, em consonância com a consciência cirúrgica, evidenciada pela integração da evidência científica na prática clínica, pela liderança e tomada de decisão responsável e pela promoção da cultura de segurança no contexto cirúrgico.
The present report is part of the Master’s Degree in Medical-Surgical Nursing, in the field of Perioperative Nursing, at the Escola Superior de Saúde de Santa Maria, in consortium with the Escola Superior de Enfermagem São José de Cluny. It integrates the Curricular Unit “Clinical Training with Report – Module III” of the 2024/2025 academic year, and is intended for public presentation and defense for the award of the Master’s degree. The objectives of this work are to: i) demonstrate the development of both common and specific competencies of the specialist nurse in Medical-Surgical Nursing within the field of Perioperative Nursing; ii) demonstrate the development of analytical and critical-reflective reasoning skills; and iii) highlight the development of Master’s level competencies. This report presents the learning pathway developed throughout the clinical practice experiences, particularly within the Curricular Unit “Clinical Training with Report,” which includes Module I, carried out in an Ambulatory Surgery Unit, and Module II, an optional component developed in the operating room context—covering anesthesia, recovery, and circulation—where the focus of competency enhancement was on the safety and risk management of the perioperative patient. Internship I, entitled Caring in the Operating Room, was credited by the School’s Technical-Scientific Council based on prior professional experience. The adopted methodology was descriptive, analytical, and reflective, grounded in evidence-based practice and in the regulatory frameworks of the Portuguese Nurses’ Association. In parallel, a Scoping Review was conducted on the competencies of nurses in safety and risk management for the perioperative patient, following the Joanna Briggs Institute methodology and the PRISMA-Sc guidelines. The results obtained consolidated Master’s and specialist nurse competencies in caring for perioperative patients, enhancing the safety of patients and the multidisciplinary team in accordance with surgical awareness. This was evidenced by the integration of scientific evidence into practice, leadership and responsible decision-making, and the promotion of a safety culture in the surgical context.
The present report is part of the Master’s Degree in Medical-Surgical Nursing, in the field of Perioperative Nursing, at the Escola Superior de Saúde de Santa Maria, in consortium with the Escola Superior de Enfermagem São José de Cluny. It integrates the Curricular Unit “Clinical Training with Report – Module III” of the 2024/2025 academic year, and is intended for public presentation and defense for the award of the Master’s degree. The objectives of this work are to: i) demonstrate the development of both common and specific competencies of the specialist nurse in Medical-Surgical Nursing within the field of Perioperative Nursing; ii) demonstrate the development of analytical and critical-reflective reasoning skills; and iii) highlight the development of Master’s level competencies. This report presents the learning pathway developed throughout the clinical practice experiences, particularly within the Curricular Unit “Clinical Training with Report,” which includes Module I, carried out in an Ambulatory Surgery Unit, and Module II, an optional component developed in the operating room context—covering anesthesia, recovery, and circulation—where the focus of competency enhancement was on the safety and risk management of the perioperative patient. Internship I, entitled Caring in the Operating Room, was credited by the School’s Technical-Scientific Council based on prior professional experience. The adopted methodology was descriptive, analytical, and reflective, grounded in evidence-based practice and in the regulatory frameworks of the Portuguese Nurses’ Association. In parallel, a Scoping Review was conducted on the competencies of nurses in safety and risk management for the perioperative patient, following the Joanna Briggs Institute methodology and the PRISMA-Sc guidelines. The results obtained consolidated Master’s and specialist nurse competencies in caring for perioperative patients, enhancing the safety of patients and the multidisciplinary team in accordance with surgical awareness. This was evidenced by the integration of scientific evidence into practice, leadership and responsible decision-making, and the promotion of a safety culture in the surgical context.
Descrição
Curso de Mestrado ministrado em parceria com a Escola Superior de Enfermagem S. José de Cluny.
Palavras-chave
Enfermagem Perioperatória Competências Especializadas Segurança do Doente Gestão do Risco Prática Baseada na Evidência Perioperative Nursing Specialized Competencies Patient Safety Risk Management Evidence-Based Practice