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Contributos do enfermeiro especialista na liderança das equipas em situações críticas
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Os cuidados à Pessoa em Situação Crítica (PSC) caracterizam-se por uma elevada complexidade clínica, imprevisibilidade e necessidade de tomada de decisão rápida,
exigindo equipas altamente organizadas, coesas e lideradas de forma eficaz. Neste contexto, o enfermeiro especialista assume um papel determinante não apenas na prestação de cuidados diferenciados, mas também na coordenação das equipas, na promoção da segurança e na melhoria contínua da qualidade dos cuidados.
No âmbito do Mestrado e Enfermagem Médico-Cirúrgica na área da PSC, foi desenvolvido um percurso formativo na área de urgência/emergência, com o objetivo de
desenvolver competências especializadas, com particular enfoque na liderança das equipas em situações críticas. Este percurso foi sustentado em modelos teóricos de liderança e em teóricas de Enfermagem que valorizam a prática reflexiva, a tomada de decisão e o desenvolvimento progressivo da perícia profissional.
Este relatório apresenta uma análise reflexiva das atividades desenvolvidas ao
longo do percurso de estágio, evidenciando o processo de aquisição e consolidação de competências do enfermeiro especialistas. As experiências vivenciadas nos diferentes contextos, permitiu aprofundar conhecimentos e sustentar a prática em evidência científica, favorecendo o desenvolvimento de competências de avaliação clínica e vigilância contínua, bem como a capacidade de resolver problemas, antecipar focos de instabilidade e gerir cuidados e protocolos terapêuticos.
Paralelamente, o enfoque na liderança clínica contribui para o fortalecimento da comunicação eficaz, da coordenação das equipas, da tomada de decisão partilhada e da
promoção de uma cultura de segurança, integrando-se de forma consistente numa prática reflexiva orientada para a melhoria contínua da qualidade dos cuidados.
Care provided to Critically iII Person is characterized by high clinical complexity, unpredictability and the need for rapid decision-making, requiring highly organized, cohesive and effectively led teams. In this context, the specialist nurse plays a decisive role not only in the delivery of differentiated care, but also in team coordination, the promotion of safety and the continuous improvement of care quality. Within the scope of the Master’s Degree in Medical-Surgical Nursing, in the area of Critical Care Nursing, a training pathway was developed in emergency and urgent care settings, with the objective of developing specialized competencies, with particular emphasis on team leadership in critical situations. This pathway was supported by leadership models and nursing theories that value reflective practice, informed decisionmaking and the progressive development of professional expertise. This report presents a reflective analysis of the activities carried out throughout the internship, highlighting the process of acquisition and consolidation of specialist nursing competencies. The experiences lived across different contexts allowed for the deepening of knowledge and the grounding of practice in scientific evidence, fostering the development of competencies in clinical assessment and continuous surveillance, as well as the ability to solve problems, anticipate instability and manage care and therapeutic protocols. In parallel, the focus on clinical leadership contributed to strengthening effective communication, team coordination, shared decision-making and the promotion of a safety culture, integrating consistently into a reflective practice oriented towards the continuous improvement of care quality.
Care provided to Critically iII Person is characterized by high clinical complexity, unpredictability and the need for rapid decision-making, requiring highly organized, cohesive and effectively led teams. In this context, the specialist nurse plays a decisive role not only in the delivery of differentiated care, but also in team coordination, the promotion of safety and the continuous improvement of care quality. Within the scope of the Master’s Degree in Medical-Surgical Nursing, in the area of Critical Care Nursing, a training pathway was developed in emergency and urgent care settings, with the objective of developing specialized competencies, with particular emphasis on team leadership in critical situations. This pathway was supported by leadership models and nursing theories that value reflective practice, informed decisionmaking and the progressive development of professional expertise. This report presents a reflective analysis of the activities carried out throughout the internship, highlighting the process of acquisition and consolidation of specialist nursing competencies. The experiences lived across different contexts allowed for the deepening of knowledge and the grounding of practice in scientific evidence, fostering the development of competencies in clinical assessment and continuous surveillance, as well as the ability to solve problems, anticipate instability and manage care and therapeutic protocols. In parallel, the focus on clinical leadership contributed to strengthening effective communication, team coordination, shared decision-making and the promotion of a safety culture, integrating consistently into a reflective practice oriented towards the continuous improvement of care quality.
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liderança enfermeiro especialista: situação crítica equipas leadership specialist nurse critical situation teams safety