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Normotermia no perioperatório na prevenção da infeção do local cirúrgico: Desenvolvimento de competências clínicas especializadas em Enfermagem Médico-cirúrgica, na área de Enfermagem à Pessoa em Situação Perioperatória
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Advisor(s)
Abstract(s)
O presente relatório reflete o percurso desenvolvido para a aquisição de competências no
âmbito do curso de Mestrado em Enfermagem Médico-cirúrgica, na área da Enfermagem à
Pessoa em Situação Perioperatória, destacando a implementação de um projeto profissional
significativo, baseado em evidência científica, experiência prática e reflexão crítica.
A enfermagem em contexto perioperatório caracteriza-se pela complexidade dos cuidados
prestados, exigindo rigor, precisão e uma abordagem centrada na segurança do cliente. No
âmbito da Unidade Curricular: Estágio de natureza profissional com relatório, a escolha do
estágio recaiu sobre dois contextos distintos: Unidade de Cirurgia de Ambulatório e Bloco
Central de Neurocirurgia, permitindo uma visão abrangente das diferentes abordagens ao
cuidado cirúrgico e possibilitando a aplicação e o aperfeiçoamento de competências clínicas e
científicas.
O projeto profissional desenvolvido teve como foco a normotermia no perioperatório como
estratégia de prevenção da infeção do local cirúrgico, considerando a sua relevância na redução
da morbilidade e mortalidade associadas a procedimentos cirúrgicos. Foram implementadas
medidas específicas para a promoção da normotermia, incluindo um plano de melhoria contínua
na cirurgia de ambulatório e a sensibilização para boas práticas no bloco central de
neurocirurgia, com o objetivo de otimizar a cultura de segurança e qualidade dos cuidados.
A estrutura deste trabalho contempla a caracterização dos contextos clínicos, o processo de
conceção de cuidados baseado na ontologia de enfermagem, a análise das competências
clínicas especializadas adquiridas e o impacto das atividades desenvolvidas na melhoria da
prática profissional. A implementação do modelo de Deming foi fundamental para o
planeamento estratégico das intervenções, promovendo a excelência organizacional e
assistencial.
Este relatório constitui-se como um reflexo do percurso formativo realizado, evidenciando o
desenvolvimento das competências especializadas à pessoa em situação perioperatória, a
capacidade de intervenção autónoma e crítica, e a relevância da formação contínua para a
melhoria da qualidade dos cuidados em contexto perioperatório. A experiência adquirida reforça
a necessidade de atualização permanente e a importância da implementação de práticas
baseadas em evidência, contribuindo para um exercício profissional diferenciado e centrado na
segurança e bem-estar do cliente cirúrgico.
This report reflects the path taken to acquire skills within the scope of the Master's Degree in Medical-Surgical Nursing, in the area of Nursing for People in Perioperative Situations, highlighting the implementation of a significant professional project, based on scientific evidence, practical experience and critical reflection. Nursing in the perioperative context is characterized by the complexity of the care provided, requiring rigor, precision and an approach focused on client safety. Within the scope of the Curricular Unit: Professional Internship with Report, the choice of the internship fell on two different contexts: Outpatient Surgery Unit and Central Neurosurgery Block, allowing a comprehensive view of the different approaches to surgical care and enabling the application and improvement of clinical and scientific skills. The professional project developed focused on normothermia in the perioperative period as a strategy for preventing surgical site infection, considering its relevance in reducing morbidity and mortality associated with surgical procedures. Specific measures were implemented to promote normothermia, including a continuous improvement plan in outpatient surgery and raising awareness of good practices in the central neurosurgery block, with the aim of optimising the culture of safety and quality of care. The structure of this work includes a characterisation of the clinical contexts, the process of designing care based on nursing ontology, an analysis of the specialised clinical skills acquired and the impact of the activities developed on improving professional practice. The implementation of the Deming model was fundamental to the strategic planning of interventions, promoting organisational and care excellence. This report is a reflection of the training undertaken, highlighting the development of specialised skills for people in perioperative situations, the ability to intervene autonomously and critically, and the importance of continuous training for improving the quality of perioperative care. The experience gained reinforces the need for permanent updating and the importance of implementing evidence-based practices, contributing to a differentiated professional practice centred on the safety and well-being of the surgical client.
This report reflects the path taken to acquire skills within the scope of the Master's Degree in Medical-Surgical Nursing, in the area of Nursing for People in Perioperative Situations, highlighting the implementation of a significant professional project, based on scientific evidence, practical experience and critical reflection. Nursing in the perioperative context is characterized by the complexity of the care provided, requiring rigor, precision and an approach focused on client safety. Within the scope of the Curricular Unit: Professional Internship with Report, the choice of the internship fell on two different contexts: Outpatient Surgery Unit and Central Neurosurgery Block, allowing a comprehensive view of the different approaches to surgical care and enabling the application and improvement of clinical and scientific skills. The professional project developed focused on normothermia in the perioperative period as a strategy for preventing surgical site infection, considering its relevance in reducing morbidity and mortality associated with surgical procedures. Specific measures were implemented to promote normothermia, including a continuous improvement plan in outpatient surgery and raising awareness of good practices in the central neurosurgery block, with the aim of optimising the culture of safety and quality of care. The structure of this work includes a characterisation of the clinical contexts, the process of designing care based on nursing ontology, an analysis of the specialised clinical skills acquired and the impact of the activities developed on improving professional practice. The implementation of the Deming model was fundamental to the strategic planning of interventions, promoting organisational and care excellence. This report is a reflection of the training undertaken, highlighting the development of specialised skills for people in perioperative situations, the ability to intervene autonomously and critically, and the importance of continuous training for improving the quality of perioperative care. The experience gained reinforces the need for permanent updating and the importance of implementing evidence-based practices, contributing to a differentiated professional practice centred on the safety and well-being of the surgical client.
Description
Keywords
Enfermeiro especialista Competências Pessoa em situação perioperatória