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Perspectiva especializada em enfermagem na abordagem ao doente crítico : da urgência aos cuidados intensivos cardiotorácicos
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| Relatório Final Fátima Rabim | 1.15 MB | Adobe PDF |
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Abstract(s)
Em contexto do 1º curso de Mestrado em Enfermagem Médico-Cirúrgica (EMC), da Escola Superior de Enfermagem de S. José de Cluny, o presente relatório sistematiza todo o percurso desenvolvido ao longo dos estágios efetuados com o objetivo de adquirir as competências comuns e específicas do enfermeiro especialista em EMC, com base nos diferentes contextos da prática para a prestação de cuidados de qualidade.
Neste processo de aprendizagem, integrei uma metodologia descritiva e analítica fundamentada na evidência científica, para dar visibilidade às diferentes atividades desenvolvidas ao longo dos estágios nos diferentes domínios de competências na abordagem ao doente crítico.
Este relatório incide sobre os estágios desenvolvidos no Serviço de Urgência do Hospital Dr. Nélio Mendonça (HNM) e no Serviço de Emergência Médica Regional - estágio I, na Unidade de Cuidados Intensivos Polivalentes do HNM - estágio II e na Unidade de Cuidados Intensivos CardioTorácica do Hospital S. João - estágio III.
Procurando a excelência do exercício profissional e em processo de desenvolvimento de competências específicas, o fio condutor ao longo dos estágios realizados assentou na identificação de sinais de instabilidade e na antecipação de cuidados ao doente crítico, visando garantir a sua segurança e minimizar os potenciais riscos.
Assim sendo, o estágio I permitiu-me desenvolver competências específicas, capacidade de julgamento clínico e tomada de decisão no estabelecimento de prioridades no cuidar do doente crítico em situação urgente/emergente. O estágio II possibilitou-me mobilizar conhecimentos específicos e adquirir competências na antecipação da instabilidade e do risco de falência orgânica. O estágio III proporcionou-me o desenvolvimento de competências na prestação de cuidados especializados aos doentes submetidos a cirurgia cardíaca no pós-operatório imediato, na prevenção e reconhecimento precoce de complicações, visando a estabilidade hemodinâmica.
Estes contextos de estágio permitiram desenvolver as competências do enfermeiro especialista e puder vir adquirir o grau de Mestre em EMC com base num conhecimento aprofundado no domínio especializado da área Médico-Cirúrgica.
In the context of the first Master’s Degree in Medical-Surgical Nursing (MSN) by S. José de Cluny Nursing School, this report comprises the path developed throughout the internships carried by me, aimed to gain common and specific skills of a specialist nurse in MSN, based on different contexts of practice for the quality care. In this learning process I used a descriptive and analytical methodology based in scientific evidence to emphasize the different activities developed throughout the internships in the different skills domains in the care of a critically ill patient. This report focuses on the internships in the Emergency Service in Dr. Nélio Mendonça Hospital (NMH) and in the Regional Emergency Service – internship I, in the General Intensive Care Unit of NMH – internship II and, in Cardiothoracic Intensive Care Unit of S. João Hospital – internship III. Seeking excellence in my professional activity and in the process of developing specific skills, the driving force of the chosen internships was the identification of instability signs and the anticipation of care to the critically ill patient aimed to ensure his/her safety and minimize potential risks. Thus, internship I allowed me to develop specific skills, gave me clinical judgement capacity and decision making skills in prioritizing the care needs in critically ill patients in emergency situations. Internship II made it possible for me to gain specific knowledge and skills in anticipating the instability and risk of organic failure. Internship III gave me the chance to develop skills in the specialized care of patients in the immediate post cardiac surgery, in preventing and recognizing previously complications leading to hemodynamic stability. These internship contexts allowed me to develop the skills of specialist nurse and get my Master’s Degree in MSN based in an in-depth knowledge in the Medical-Surgical domain.
In the context of the first Master’s Degree in Medical-Surgical Nursing (MSN) by S. José de Cluny Nursing School, this report comprises the path developed throughout the internships carried by me, aimed to gain common and specific skills of a specialist nurse in MSN, based on different contexts of practice for the quality care. In this learning process I used a descriptive and analytical methodology based in scientific evidence to emphasize the different activities developed throughout the internships in the different skills domains in the care of a critically ill patient. This report focuses on the internships in the Emergency Service in Dr. Nélio Mendonça Hospital (NMH) and in the Regional Emergency Service – internship I, in the General Intensive Care Unit of NMH – internship II and, in Cardiothoracic Intensive Care Unit of S. João Hospital – internship III. Seeking excellence in my professional activity and in the process of developing specific skills, the driving force of the chosen internships was the identification of instability signs and the anticipation of care to the critically ill patient aimed to ensure his/her safety and minimize potential risks. Thus, internship I allowed me to develop specific skills, gave me clinical judgement capacity and decision making skills in prioritizing the care needs in critically ill patients in emergency situations. Internship II made it possible for me to gain specific knowledge and skills in anticipating the instability and risk of organic failure. Internship III gave me the chance to develop skills in the specialized care of patients in the immediate post cardiac surgery, in preventing and recognizing previously complications leading to hemodynamic stability. These internship contexts allowed me to develop the skills of specialist nurse and get my Master’s Degree in MSN based in an in-depth knowledge in the Medical-Surgical domain.
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Keywords
Competências específicas Doente crítico Cuidados especializados