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Centralizando o cuidado especializado em enfermagem à pessoa em situação crítica em distintos contextos: Um percurso de mestria
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Abstract(s)
No âmbito do Curso de Mestrado em Enfermagem Médico-Cirúrgica na área da Enfermagem à Pessoa em Situação Crítica (PSC) da Escola Superior de Enfermagem São José de Cluny, em consórcio com a Escola Superior Saúde Santa Maria, foi elaborado o presente Relatório de Mestrado, cujo desenvolvimento irá permitir a sua apresentação e discussão pública para a aquisição do grau de Mestre em Enfermagem Médico-Cirúrgica.
O relatório tem como objetivos evidenciar de forma critica e reflexiva as competências comuns e específicas adquiridas na prestação de cuidados de enfermagem à pessoa/família em situação crítica e demonstrar a aquisição das competências de Mestre através da sua apresentação e discussão para a obtenção do Grau de Mestre e o título profissional de Enfermeira Especialista em Enfermagem Médico-Cirúrgica (EEEMC) na área da PSC. Para a concretização destes objetivos, foram crucias as práticas clínicas realizadas no Serviço de Urgência Polivalente e nos Cuidados Intensivos Polivalente, assim como no contexto de Emergência Extra-Hospitalar, que correspondeu à minha área de opção clínica. Esta escolha deve-se ao meu interesse pessoal e profissional, bem como por ser o contexto em que ocorre o primeiro contacto da PSC com uma equipa de saúde sendo, portanto, essencial a permanência de profissionais especializados na área, possibilitando a prestação de cuidados adequados, integrais e holísticos, determinantes para a diminuição da taxa de mortalidade e morbilidade e obtenção de ganhos em saúde.
A metodologia será descritiva, analítica e reflexiva fundamentada na mais recente evidência científica, nos regulamentos das competências comuns e específicas do EEEMC, nos padrões de qualidade dos cuidados especializados na área de Enfermagem à PSC e nas competências preconizadas para atribuição do Grau de Mestre, dando visibilidade às diferentes atividades e ações/intervenções desenvolvidas.
Como resultado de aprendizagem, evidencio o desenvolvimento de competências no cuidar da pessoa e família/pessoas significativas a vivenciar processos complexos de doença crítica e/ou falência orgânica, no dinamizar a resposta a situações de emergência, exceção e catástrofe e no maximizar a intervenção na prevenção e controlo da infeção e de resistência a Antimicrobianos.
As part of the Master's Degree in Medical-Surgical Nursing in the area of Nursing Care for the Critically Ill Person at the Escola Superior de Enfermagem São José de Cluny, in consortium with the Escola Superior de Saúde Santa Maria, this Master's Report was prepared. Its development will enable its public presentation and discussion for the attainment of the degree of Master in Medical-Surgical Nursing. The report aims to critically and reflectively highlight the common and specific skills acquired in providing nursing care to critically ill patients and their families, and to demonstrate the acquisition of the competencies required for the Master’s degree. This will be achieved through the presentation and discussion of the report, which will lead to the attainment of the Master's degree and the professional title of Specialist Nurse in Medical-Surgical Nursing in the area of Critical Care Nursing. To achieve these objectives, the clinical practices undertaken in the Emergency Department and the Intensive Care Unit, as well as in the context of Pre-Hospital Emergency Care, which was my chosen clinical focus area, were crucial. This choice was motivated by both my personal and professional interests, as it is the context in which the first contact between the critically ill patient and the healthcare team takes place. Therefore, the presence of specialized professionals in this area is essential to ensure the provision of appropriate, comprehensive, and holistic care, which is vital for reducing mortality and morbidity rates and achieving health gains. The methodology will be descriptive, analytical, and reflective, based on the most recent scientific evidence, the regulations governing the common and specific competencies of the EEEMC, the quality standards for specialized care in Critical Care Nursing, and the competencies required for obtaining the Master’s degree. This will provide insight into the different activities and actions/interventions developed. As a result of this learning process, I have developed skills in caring for critically ill patients and their families/significant others experiencing complex processes of critical illness and/or organ failure, in managing responses to emergencies, exceptional situations, and disasters, and in maximizing interventions for infection prevention, control, and antimicrobial resistance management.
As part of the Master's Degree in Medical-Surgical Nursing in the area of Nursing Care for the Critically Ill Person at the Escola Superior de Enfermagem São José de Cluny, in consortium with the Escola Superior de Saúde Santa Maria, this Master's Report was prepared. Its development will enable its public presentation and discussion for the attainment of the degree of Master in Medical-Surgical Nursing. The report aims to critically and reflectively highlight the common and specific skills acquired in providing nursing care to critically ill patients and their families, and to demonstrate the acquisition of the competencies required for the Master’s degree. This will be achieved through the presentation and discussion of the report, which will lead to the attainment of the Master's degree and the professional title of Specialist Nurse in Medical-Surgical Nursing in the area of Critical Care Nursing. To achieve these objectives, the clinical practices undertaken in the Emergency Department and the Intensive Care Unit, as well as in the context of Pre-Hospital Emergency Care, which was my chosen clinical focus area, were crucial. This choice was motivated by both my personal and professional interests, as it is the context in which the first contact between the critically ill patient and the healthcare team takes place. Therefore, the presence of specialized professionals in this area is essential to ensure the provision of appropriate, comprehensive, and holistic care, which is vital for reducing mortality and morbidity rates and achieving health gains. The methodology will be descriptive, analytical, and reflective, based on the most recent scientific evidence, the regulations governing the common and specific competencies of the EEEMC, the quality standards for specialized care in Critical Care Nursing, and the competencies required for obtaining the Master’s degree. This will provide insight into the different activities and actions/interventions developed. As a result of this learning process, I have developed skills in caring for critically ill patients and their families/significant others experiencing complex processes of critical illness and/or organ failure, in managing responses to emergencies, exceptional situations, and disasters, and in maximizing interventions for infection prevention, control, and antimicrobial resistance management.
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Pessoa em Situação Crítica Enfermeiro Especialista em Enfermagem Médico-Cirúrgica Cuidar Competências Especializadas
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