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Desenvolvimento de competências especializadas na abordagem à pessoa em situação crítica com sépsis: da avaliação à intervenção
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| 1.23 MB | Adobe PDF |
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Abstract(s)
O presente relatório obedece ao estabelecido no plano de estudos do IV Curso de Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Enfermagem de São José de Cluny e visa a obtenção do Grau de Mestre em Enfermagem Médico-Cirúrgica.
Caracterizado por uma análise crítico-reflexiva e descritiva das atividades desenvolvidas, pretende evidenciar de forma clara e sem ambiguidades o processo de aquisição das competências comuns de enfermeiro especialista e das competências específicas em enfermagem médico-cirúrgica na vertente da pessoa em situação crítica, desenvolvidas ao longo da práxis profissional em contexto de urgência e emergência, bem como, no decorrer das práticas clínicas realizadas no âmbito do curso de mestrado, nomeadamente no Estágio II - Cuidados Intensivos e no Estágio III – Opção, ambos concretizados na Unidade de Cuidados Intensivos do Hospital Dr. Nélio Mendonça.
Reflete as experiências que melhor proporcionaram a aquisição, integração e aprofundamento de conhecimentos especializados no cuidado da pessoa e família a vivenciar processos complexos de doença crítica e/ou falência orgânica, na resposta a situações de emergência, exceção e catástrofe e na maximização da prevenção e controle da infeção e resistência a antimicrobianos, tendo em conta os princípios éticos e deontológicas que regem a disciplina, a evidência científica e a melhoria contínua da qualidade dos cuidados.
Evidencia a relevância de uma intervenção especializada no reconhecimento precoce das manifestações clínicas da sépsis, considerada por vários autores um verdadeiro problema de saúde pública à escala mundial e associada a elevadas taxas de morbilidade, mortalidade e custos em saúde, quer na prevenção de complicações, quer na evolução da doença, pelo que, ao assegurar uma intervenção de enfermagem precisa, concreta, eficiente e em tempo útil, com vista à recuperação total é um dos importantes desígnios do enfermeiro especialista e mestre em Enfermagem Médico-Cirúrgica.
This report complies with what is established in the study plan of the IV Master's Course in Medical-Surgical Nursing at the Escola Superior de Enfermagem de São José de Cluny and aims to obtain the Master's Degree in Medical-Surgical Nursing. Characterized by a critical-reflection and descriptive analysis of the activities carried out, it intends to clearly and unambiguously demonstrate the process of acquiring the common skills of specialized nurses and specific skills in medical-surgical nursing in a critical care situation, developed throughout the professional practice in the emergency context, as well as during the clinical practices carried out within the scope of the master's course, namely in Stage II - Intensive Care and Stage III - Option, both carried out in the Intensive Care Unit of the Hospital Dr. Nélio Mendonça. It reflects the experiences that best provide and transmit the acquisition, integration and deepening of specialized knowledge in the care of the patient and family experiencing complex processes of critical illness and/or organ failure, in responding to an emergency, exception, catastrophic situation as well as in maximizing prevention and controlling infection and antimicrobial resistance, taking into account the ethical and deontological principles that govern the discipline, scientific evidence and the continuous improvement of care quality. It highlights the importance of a specialized intervention in the early recognition of the critical manifestations of sepsis, considered by several authors to be a real public worldwide health problem associated with high rates of morbidity, mortality and health costs, both in the prevention of complications and in the evolution of the disease, therefore, ensuring a precise, concrete, efficient and timely nursing intervention, with a view to full recovery, is one of the important goals of the specialist nurse and master in Medical-Surgical Nursing.
This report complies with what is established in the study plan of the IV Master's Course in Medical-Surgical Nursing at the Escola Superior de Enfermagem de São José de Cluny and aims to obtain the Master's Degree in Medical-Surgical Nursing. Characterized by a critical-reflection and descriptive analysis of the activities carried out, it intends to clearly and unambiguously demonstrate the process of acquiring the common skills of specialized nurses and specific skills in medical-surgical nursing in a critical care situation, developed throughout the professional practice in the emergency context, as well as during the clinical practices carried out within the scope of the master's course, namely in Stage II - Intensive Care and Stage III - Option, both carried out in the Intensive Care Unit of the Hospital Dr. Nélio Mendonça. It reflects the experiences that best provide and transmit the acquisition, integration and deepening of specialized knowledge in the care of the patient and family experiencing complex processes of critical illness and/or organ failure, in responding to an emergency, exception, catastrophic situation as well as in maximizing prevention and controlling infection and antimicrobial resistance, taking into account the ethical and deontological principles that govern the discipline, scientific evidence and the continuous improvement of care quality. It highlights the importance of a specialized intervention in the early recognition of the critical manifestations of sepsis, considered by several authors to be a real public worldwide health problem associated with high rates of morbidity, mortality and health costs, both in the prevention of complications and in the evolution of the disease, therefore, ensuring a precise, concrete, efficient and timely nursing intervention, with a view to full recovery, is one of the important goals of the specialist nurse and master in Medical-Surgical Nursing.
Description
Keywords
Enfermagem Médico-Cirúrgica Cuidar, Competências, Doente Crítico Sépsis