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A bundle ABCDEF: capacitação da família da pessoa em situação crítica
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O presente relatório, desenvolvido no âmbito do Curso de Mestrado em
Enfermagem Médico-Cirúrgica, na área da Pessoa em Situação Crítica, tem como
finalidade demonstrar o percurso de aquisição de competências como Enfermeira
Especialista e Mestre em Enfermagem. Articula a reflexão crítica das experiências em
três contextos de estágio — Serviço de Urgência, Unidade de Cuidados Intensivos e
Unidade Local do Programa de Prevenção e Controlo de Infeção e Resistência aos
Antimicrobianos — com a análise das aprendizagens e atividades desenvolvidas no
cuidado à pessoa em situação crítica e respetiva família.
O tema central — a capacitação da família da pessoa em situação crítica,
sustentado na Bundle ABCDEF e, particularmente, na componente F (Family
Engagement and Empowerment) — fundamenta-se no reconhecimento da família como
parceira no processo de cuidados, reforçando a sua inclusão, humanização e segurança.
Esta temática foi aprofundada através de uma revisão scoping intitulada “As
Contribuições da Bundle ABCDEF nos Cuidados à Pessoa em Situação Crítica na UCI:
uma scoping review”.
A Teoria das Transições de Meleis foi o referencial conceptual escolhido, pela
compreensão dos processos de mudança vividos pela pessoa e pela família em episódios
de doença crítica.
A metodologia baseou-se na análise crítico-reflexiva das atividades
desenvolvidas, sustentada em evidência científica e nos referenciais normativos da
profissão. A capacitação da família foi o eixo central da investigação, traduzindo a minha
convicção pessoal sobre o cuidar. Este relatório reflete a consolidação de competências
éticas, científicas, técnicas e relacionais, orientadas para a qualidade e humanização dos
cuidados em contextos de elevada complexidade.
This report, developed within the scope of the Master’s Degree in Medical- Surgical Nursing, in the area of the Person in Critical Situation, aims to demonstrate the process of acquiring competencies as a Specialist Nurse and Master in Nursing. It articulates the critical reflection of the experiences of three internships — Emergency Service, Intensive Care Unit, and Local Unit of the Programme for the Prevention and Control of Infections and Antimicrobial Resistance — with the analysis of learning outcomes and activities developed in the care of the critically ill person and their family. The central theme — family empowerment of the critically ill person, supported by the ABCDEF Bundle, particularly the component F (Family Engagement and Empowerment) — is based on recognizing the family as a partner in the care process, reinforcing their inclusion, humanization, and safety. This theme was further developed through a scoping review entitled ‘The Contributions of the ABCDEF Bundle in the Care of the Critically Ill Person in the ICU: a scoping review.’ Meleis’ Transitions Theory was adopted as the conceptual framework, given its relevance in understanding the processes of change experienced by critically ill individuals and their family. The methodology was based on a critical-reflective analysis of the activities carried out, supported by scientific evidence and the professional normative frameworks. Family empowerment emerged as a research focus and a personal conviction regarding the meaning of caring. This report reflects the consolidation of ethical, scientific, technical, and relational competencies, oriented towards quality and the humanization of care in highly complex contexts.
This report, developed within the scope of the Master’s Degree in Medical- Surgical Nursing, in the area of the Person in Critical Situation, aims to demonstrate the process of acquiring competencies as a Specialist Nurse and Master in Nursing. It articulates the critical reflection of the experiences of three internships — Emergency Service, Intensive Care Unit, and Local Unit of the Programme for the Prevention and Control of Infections and Antimicrobial Resistance — with the analysis of learning outcomes and activities developed in the care of the critically ill person and their family. The central theme — family empowerment of the critically ill person, supported by the ABCDEF Bundle, particularly the component F (Family Engagement and Empowerment) — is based on recognizing the family as a partner in the care process, reinforcing their inclusion, humanization, and safety. This theme was further developed through a scoping review entitled ‘The Contributions of the ABCDEF Bundle in the Care of the Critically Ill Person in the ICU: a scoping review.’ Meleis’ Transitions Theory was adopted as the conceptual framework, given its relevance in understanding the processes of change experienced by critically ill individuals and their family. The methodology was based on a critical-reflective analysis of the activities carried out, supported by scientific evidence and the professional normative frameworks. Family empowerment emerged as a research focus and a personal conviction regarding the meaning of caring. This report reflects the consolidation of ethical, scientific, technical, and relational competencies, oriented towards quality and the humanization of care in highly complex contexts.
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Palavras-chave
pessoa em situação crítica família capacitação da família bundle ABCDEF enfermagem médico-cirúrgica critical care family family empowerment medical-surgical nursing