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Promoção da Segurança da Pessoa em Situação de Urgência/Emergência: Intervenção de Enfermagem Especializada
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| 646.04 KB | Adobe PDF | |||
| 1.25 MB | Adobe PDF |
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Abstract(s)
A Organização Mundial da Saúde identifica os contextos de prestação de cuidados à Pessoa em Situação Crítica (PSC) como áreas de alto risco para o comprometimento da sua segurança, predispondo à ocorrência de eventos adversos. Considerando a complexidade da intervenção neste contexto, os enfermeiros assumem um papel preponderante, na deteção e intervenção precoce em situações de urgência/emergência, mas também na vigilância, constituindo-se como um recurso diferenciado, na equipa multidisciplinar. No âmbito do Mestrado em Enfermagem Médico-Cirúrgica, na área de Especialização à PSC, efetivou-se um percurso com o objetivo de desenvolver competências especializadas no cuidado de enfermagem à pessoa/família em situação crítica, com enfoque na promoção da segurança, sustentado nos referenciais teóricos Vigilance: the essence of Nursing de Meyer e Lavin, Technological Competency as Caring in Nursing de Locsin e Cuidado Fundamental de Kitson. Este documento retrata a análise reflexiva das atividades desenvolvidas, no culminar do desenvolvimento de competências. As atividades descritas, aliadas ao contacto com a PSC de diversos foros, em diferentes situações de urgência/emergência, permitiu o aprofundamento de conhecimentos, mobilizando evidência científica como suporte à prestação de cuidados especializados, assim como o desenvolvimento da capacidade de resolução de problemas em situações novas/não familiares, na antecipação de focos de instabilidade e gestão de protocolos terapêuticos complexos, maximizando a prevenção e controlo de infeção, e contribuindo para a melhoria contínua da qualidade, a par do desenvolvimento das aprendizagens profissionais.
The World Health Organization identifies care settings for the critically ill person as high-risk areas for compromising their safety, predisposing them to the occurrence of adverse events. Considering the complexity of intervention in this context, nurses play a leading role in the detection and early intervention in urgent/emergency situations, but also in surveillance, constituting a differentiated resource in the multidisciplinary team. Within the scope of the Master's Degree in Medical-Surgical Nursing, in the area of Specialization of the critically ill person, a pathway was taken with the aim of developing specialized skills in the nursing care for the critically ill person and his family, with a focus on promoting safety, based on the theoretical references Vigilance: the essence of Nursing by Meyer and Lavin, Technological Competency as Caring in Nursing by Locsin and Fundamental Care by Kitson. This document portrays the reflective analysis of the activities developed, at the culmination of the development of competencies. The activities described, combined with the critically ill person in different scopes, within urgent/emergency situations, allowed for knowledge deepness, mobilizing scientific evidence to support the specialized nursing care, as well as developing the ability to solve problems in new/unfamiliar situations, anticipating instability and managing complex therapeutic protocols, maximizing infection prevention and control, and contributing to continuous quality improvement, along with the development of professional learning.
The World Health Organization identifies care settings for the critically ill person as high-risk areas for compromising their safety, predisposing them to the occurrence of adverse events. Considering the complexity of intervention in this context, nurses play a leading role in the detection and early intervention in urgent/emergency situations, but also in surveillance, constituting a differentiated resource in the multidisciplinary team. Within the scope of the Master's Degree in Medical-Surgical Nursing, in the area of Specialization of the critically ill person, a pathway was taken with the aim of developing specialized skills in the nursing care for the critically ill person and his family, with a focus on promoting safety, based on the theoretical references Vigilance: the essence of Nursing by Meyer and Lavin, Technological Competency as Caring in Nursing by Locsin and Fundamental Care by Kitson. This document portrays the reflective analysis of the activities developed, at the culmination of the development of competencies. The activities described, combined with the critically ill person in different scopes, within urgent/emergency situations, allowed for knowledge deepness, mobilizing scientific evidence to support the specialized nursing care, as well as developing the ability to solve problems in new/unfamiliar situations, anticipating instability and managing complex therapeutic protocols, maximizing infection prevention and control, and contributing to continuous quality improvement, along with the development of professional learning.
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Keywords
Enfermagem de cuidados intensivos Segurança do paciente Promoção da saúde Cuidados de enfermagem Emergências