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Intervenções especializadas do enfermeiro na preparação e higienização da sala operatória em cirurgias a pessoas com medidas de isolamento
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O presente relatório de atividades descreve, analisa e reflete sobre o percurso desenvolvido no
Mestrado em Enfermagem Médico-Cirúrgica na área da Pessoa em Situação Perioperatória, da Escola
Superior de Saúde Egas Moniz. Teve como objetivo evidenciar as aprendizagens ao longo do estágio, a
consolidação e aprofundamento de competências especializadas e a sua articulação com os
referenciais teóricos e normativos da Enfermagem, numa perspetiva de melhoria contínua da prática
profissional.
O estágio decorreu numa Unidade de Cirurgia de Ambulatório de um hospital da área metropolitana de Lisboa. Este contexto caracterizou-se pela exigência técnica, organizacional e relacional, com prestação de cuidados especializados ao longo das fases pré-operatória, intraoperatória e pós-operatória.
A enfermagem perioperatória apresenta-se como uma área altamente diferenciada, centrada na
continuidade dos cuidados à pessoa submetida a intervenção cirúrgica e anestésica, exigindo rigor técnico, capacidade de decisão, gestão do risco e compromisso com a segurança da pessoa. Neste contexto, o relatório foi sustentado pelo Quality-Caring Model, de Joanne R. Duffy, que reconhece as relações de cuidado como núcleo da prática de Enfermagem, articulando a dimensão relacional, ética e humanizada do cuidar com a qualidade dos cuidados e a promoção de ambientes seguros.
O relatório integrou um projeto de investigação sobre as intervenções especializadas do enfermeiro na preparação e higienização da sala operatória em cirurgias a pessoas com medidas de isolamento. Este estudo permitiu aprofundar a reflexão sobre a prevenção e controlo de infeção, a segurança da pessoa, da equipa e do ambiente cirúrgico, bem como sobre a relevância da uniformização de práticas e da formação contínua dos profissionais.
Este percurso constituiu uma etapa de desenvolvimento académico, profissional e pessoal, reforçando o papel do enfermeiro especialista na promoção de cuidados seguros, qualificados e centrados na pessoa, bem como a importância da formação especializada e da investigação na melhoria contínua da prática perioperatória.
This activity report describes, analyses, and reflects on the path developed within the Master’s Degree in Medical-Surgical Nursing in the area of the Person in the Perioperative Situation, at Egas Moniz School of Health. Its aim was to highlight the learning acquired throughout the clinical placement, the consolidation and development of specialised competences, and their articulation with the theoretical and normative frameworks of Nursing, from a perspective of continuous improvement in professional practice. The clinical placement took place in an Ambulatory Surgery Unit of a hospital in the Lisbon metropolitan area. This setting was characterised by technical, organisational, and relational demands, with the provision of specialised care throughout the preoperative, intraoperative, and postoperative phases. Perioperave Nursing is presented as a highly diferentiated area, centred on the continuity of care for the person undergoing surgical and anaesthetic intervention, requiring technical rigour, decision-making capacity, risk management, and commitment to patient safety. In this context, the report was supported by Joanne R. Duffy’s Quality-Caring Model, which recognises caring relationships as the core of Nursing practice, articulating the relational, ethical, and humanised dimension of care with quality of care and the promotion of safe environments. The report also included a research project on the specialist nurse’s interventions in the preparation and cleaning of the operating room for surgeries involving people under isolation measures. This study made it possible to deepen reflection on infection prevention and control, the safety of the person, the team, and the surgical environment, as well as on the relevance of standardising practices and ongoing professional training. This path constituted a stage of academic, professional, and personal development, reinforcing the role of the specialist nurse in promoting safe, qualified, and person-centred care, as well as the importance of specialised education and research in the continuous improvement of perioperative practice
This activity report describes, analyses, and reflects on the path developed within the Master’s Degree in Medical-Surgical Nursing in the area of the Person in the Perioperative Situation, at Egas Moniz School of Health. Its aim was to highlight the learning acquired throughout the clinical placement, the consolidation and development of specialised competences, and their articulation with the theoretical and normative frameworks of Nursing, from a perspective of continuous improvement in professional practice. The clinical placement took place in an Ambulatory Surgery Unit of a hospital in the Lisbon metropolitan area. This setting was characterised by technical, organisational, and relational demands, with the provision of specialised care throughout the preoperative, intraoperative, and postoperative phases. Perioperave Nursing is presented as a highly diferentiated area, centred on the continuity of care for the person undergoing surgical and anaesthetic intervention, requiring technical rigour, decision-making capacity, risk management, and commitment to patient safety. In this context, the report was supported by Joanne R. Duffy’s Quality-Caring Model, which recognises caring relationships as the core of Nursing practice, articulating the relational, ethical, and humanised dimension of care with quality of care and the promotion of safe environments. The report also included a research project on the specialist nurse’s interventions in the preparation and cleaning of the operating room for surgeries involving people under isolation measures. This study made it possible to deepen reflection on infection prevention and control, the safety of the person, the team, and the surgical environment, as well as on the relevance of standardising practices and ongoing professional training. This path constituted a stage of academic, professional, and personal development, reinforcing the role of the specialist nurse in promoting safe, qualified, and person-centred care, as well as the importance of specialised education and research in the continuous improvement of perioperative practice
Descrição
Relatório de Estágio para obtenção do grau de mestre na Escola Superior de Saúde Egas Moniz
Palavras-chave
Enfermagem perioperatória Segurança Controlo de infeção Medidas de isolamento Higienização da sala operatória