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O cuidar especializado de enfermagem no outcome da pessoa em situação crítica: do extra-hospitalar à sala de emergência e cuidados intensivos
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Abstract(s)
O presente relatório de estágio emerge no âmbito do curso de Mestrado em
Enfermagem Médico-Cirúrgica na área da Enfermagem à Pessoa em Situação Crítica da
Escola Superior de Enfermagem São José de Cluny, em consórcio com a Escola Superior
de Saúde de Santa Maria. A apresentação e a discussão pública do mesmo visam a obtenção
do título de especialista e grau de Mestre. Pretende-se demonstrar, através de uma
metodologia descritiva, analítica e reflexiva, sustentada na evidência científica, o percurso
de desenvolvimento de competências comuns e específicas do Enfermeiro Especialista (EE)
em Enfermagem Médico-Cirúrgica (EMC) na área da enfermagem à Pessoa em Situação
Crítica (PSC), bem como das competências de mestre.
No seguimento deste percurso foram desenvolvidos vários estágios,
reconhecendo-se estes momentos formativos como enriquecedores para o desenvolvimento
de capacidades e competências. Assim, o Estágio I ocorreu em contexto de urgência
polivalente; o Estágio II, em contexto de cuidados intensivos polivalentes; a unidade
curricular – Estágio com relatório – integrou dois módulos de prática clínica, o módulo I
que foi concretizado em cuidados intensivos polivalentes, e o módulo II, estágio de opção,
que decorreu em contexto de Emergência extra-Hospitalar e Serviço de Urgência
Polivalente (SUP).
O foco de atenção centra-se no cuidado especializado de enfermagem à PSC e o
outcome observável, desde a intervenção em contexto extra-hospitalar à admissão do
cliente na sala de emergência e cuidados intensivos. A escolha do contexto de emergência
extra-hospital para a realização do estágio de opção deve-se ao meu interesse pessoal e à
necessidade de desenvolver competências especializadas na abordagem à PSC nesse
contexto, enquanto enfermeira a exercer funções num SUP.
Como resultado de aprendizagem, salienta-se o desenvolvimento de competências
especializadas, tanto comuns como específicas do EE em EMC, na área de enfermagem à
PSC: o cuidar da pessoa, família e/ou pessoa significativa que vivencia processos
complexos de falência orgânica e/ou doença crítica; dinamizar a resposta em situações de
exceção, catástrofe e/ou emergência; maximizar a prevenção e controlo da infeção; e, ainda,
o desenvolvimento de competências de mestre.
The present internship report emerges within the scope of the Master’s degree in Medical-Surgical Nursing (MSN) in the area of Nursing for People in Critical Situations (PCS) at the Superior School of Nursing São José de Cluny, in consortium with the Superior Health School of Santa Maria, the presentation and discussion of the same aims to obtain the title of specialist and Master’s degree. The objective is to demonstrate, through a descriptive, analytical and reflective methodology, supported by current scientific evidence, the path of development of common and specific competencies of the Nurse Specialist (NS) in MSN in the area of Nursing for PCS, as well as, master skills. Along this path, several advances were developed, recognizing these formative mo ments as enriching for the development of skills and competencies, as follows: Stage I took place in a context of polyvalent urgency (PU); Stage II in the context of polyvalent intensive care unit; the curricular unit – internship with report, integrated two clinical pratice modules, module I wich was carried out in polyvalent intensive care unit and module II, an optional intership, in wich I selected diferent contexts, extra-hospital emergency in terrestrial and aerial contexts, and PU. The focus of attention is on specialized nursing care for PCS and the observable outcome, from intervention in an out-of-hospital context to the client's admission to the emergency room and intensive care. The choice of the extra-hospital emergency context to carry out the optional internship is due to my personal interest and the need to develop spe cialized skills in approaching PCS in this context, as a nurse working in a PU. As part of my care provision, as an emergency nurse and for personal interest, I felt the need to develop skills in extra-hospital care in order to provide safe and quality care, positively influencing the PSC result. As a learning result, stands out the development of specialized skills, both common and specific to the NS in MSN, respectively: caring for the person, family and/or significant other who experiences complex processes of organic failure and/or critical illness; streamline the response in exceptional, catastrophe and/or emergency situations; maximize infection prevention and control; and also the development of master skills.
The present internship report emerges within the scope of the Master’s degree in Medical-Surgical Nursing (MSN) in the area of Nursing for People in Critical Situations (PCS) at the Superior School of Nursing São José de Cluny, in consortium with the Superior Health School of Santa Maria, the presentation and discussion of the same aims to obtain the title of specialist and Master’s degree. The objective is to demonstrate, through a descriptive, analytical and reflective methodology, supported by current scientific evidence, the path of development of common and specific competencies of the Nurse Specialist (NS) in MSN in the area of Nursing for PCS, as well as, master skills. Along this path, several advances were developed, recognizing these formative mo ments as enriching for the development of skills and competencies, as follows: Stage I took place in a context of polyvalent urgency (PU); Stage II in the context of polyvalent intensive care unit; the curricular unit – internship with report, integrated two clinical pratice modules, module I wich was carried out in polyvalent intensive care unit and module II, an optional intership, in wich I selected diferent contexts, extra-hospital emergency in terrestrial and aerial contexts, and PU. The focus of attention is on specialized nursing care for PCS and the observable outcome, from intervention in an out-of-hospital context to the client's admission to the emergency room and intensive care. The choice of the extra-hospital emergency context to carry out the optional internship is due to my personal interest and the need to develop spe cialized skills in approaching PCS in this context, as a nurse working in a PU. As part of my care provision, as an emergency nurse and for personal interest, I felt the need to develop skills in extra-hospital care in order to provide safe and quality care, positively influencing the PSC result. As a learning result, stands out the development of specialized skills, both common and specific to the NS in MSN, respectively: caring for the person, family and/or significant other who experiences complex processes of organic failure and/or critical illness; streamline the response in exceptional, catastrophe and/or emergency situations; maximize infection prevention and control; and also the development of master skills.
Description
Keywords
Enfermeiro Especialista Enfermagem Médico-Cirúrgica Pessoa em Situação Crítica Cuidado Extra-hospitalar
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