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Intervenção especializada de enfermagem à pessoa em situação perioperatória : a importância da consulta de enfermagem pré-operatória na prevenção da infeção do local cirúrgico
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| 4.23 MB | Adobe PDF |
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Abstract(s)
O presente relatório reflete o desenvolvimento das competências do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica na Área da Pessoa em Situação Perioperatória, com destaque para a Consulta de Enfermagem Pré-Operatória como ferramenta essencial na prevenção da Infeção do Local Cirúrgico e na otimização do percurso cirúrgico do doente. A prática clínica do estágio foi orientada pelo plano de
atividades sustentado pelas competências comuns e específicas do enfermeiro especialista e dos resultados obtidos através da realização de uma Scoping Review, que evidenciou o impacto positivo da Consulta de Enfermagem Pré-Operatória na redução da Infeção do Local Cirúrgico.
A aplicação da Teoria de Alcance de Metas de Imogene King reforçou a importância da comunicação eficaz e da tomada de decisão partilhada, promovendo uma abordagem centrada no doente cirúrgico. Durante o estágio, foi assegurado o cumprimento das normas éticas e deontológicas. No âmbito da melhoria Contínua da Qualidade, destacou-se a implementação do protocolo de desinfeção cirúrgica da pele, que permitiu a uniformização das práticas. A gestão de cuidados e liderança focou-se na otimização dos processos de
trabalho, gestão de recursos e supervisão das tarefas delegadas, assegurando uma prestação de cuidados eficiente e segura. O desenvolvimento das aprendizagens profissionais foi consolidado pela reflexão crítica sobre a prática clínica e pela aprendizagem baseada na evidência científica. A Scoping Review, o Plano de Atividades delineado e a implementação do Protocolo de Desinfeção Cirúrgica da Pele demonstraram-se estratégias eficazes para a melhoria da qualidade, otimização dos cuidados perioperatórios e redução
de complicações infeciosas. O compromisso com a segurança cirúrgica, a humanização dos cuidados e a adoção de metodologias científicas reforçou a importância do enfermeiro especialista na excelência da prática clínica e na segurança da pessoa em situação perioperatória.
This report reflects the development of competencies of the Nurse Specialist in Medical-Surgical Nursing in the field of Perioperative Care, with a particular focus on the Preoperative Nursing Consultation as an essential tool in the prevention of Surgical Site Infection and in the optimization of the patient’s surgical journey. The clinical practice during the internship was guided by the activity plan, supported by the common and specific competencies of the nurse specialist, and by the findings of a Scoping Review, which demonstrated the positive impact of the Preoperative Nursing Consultation in reducing Surgical Site Infections. The application of Imogene King’s Theory of Goal Attainment reinforced the importance of effective communication and shared decision-making, promoting a patient-centered approach in surgical care. Throughout the internship, compliance with ethical and deontological standards was ensured. Within the scope of Continuous Quality Improvement, the implementation of the surgical skin disinfection protocol stood out, enabling the standardization of practices. Care management and leadership focused on optimizing work processes, managing resources, and supervising delegated tasks, ensuring the efficient and safe delivery of care. The development of professional learning was consolidated through critical reflection on clinical practice and evidence-based learning. The Scoping Review, the Activity Plan, and the implementation of the Surgical Skin Disinfection Protocol proved to be effective strategies for improving quality, optimizing perioperative care, and reducing infectious complications. Commitment to surgical safety, humanized care, and the adoption of scientific methodologies reinforced the importance of the nurse specialist in achieving excellence in clinical practice and ensuring the safety of the perioperative patient.
This report reflects the development of competencies of the Nurse Specialist in Medical-Surgical Nursing in the field of Perioperative Care, with a particular focus on the Preoperative Nursing Consultation as an essential tool in the prevention of Surgical Site Infection and in the optimization of the patient’s surgical journey. The clinical practice during the internship was guided by the activity plan, supported by the common and specific competencies of the nurse specialist, and by the findings of a Scoping Review, which demonstrated the positive impact of the Preoperative Nursing Consultation in reducing Surgical Site Infections. The application of Imogene King’s Theory of Goal Attainment reinforced the importance of effective communication and shared decision-making, promoting a patient-centered approach in surgical care. Throughout the internship, compliance with ethical and deontological standards was ensured. Within the scope of Continuous Quality Improvement, the implementation of the surgical skin disinfection protocol stood out, enabling the standardization of practices. Care management and leadership focused on optimizing work processes, managing resources, and supervising delegated tasks, ensuring the efficient and safe delivery of care. The development of professional learning was consolidated through critical reflection on clinical practice and evidence-based learning. The Scoping Review, the Activity Plan, and the implementation of the Surgical Skin Disinfection Protocol proved to be effective strategies for improving quality, optimizing perioperative care, and reducing infectious complications. Commitment to surgical safety, humanized care, and the adoption of scientific methodologies reinforced the importance of the nurse specialist in achieving excellence in clinical practice and ensuring the safety of the perioperative patient.