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Artroscopia do ombro - Especificação de dados, diagnósticos e intervenções de enfermagem
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Advisor(s)
Abstract(s)
O presente relatório, elaborado no âmbito do Mestrado em Enfermagem Mvidédico-Cirúrgica, na
área de Enfermagem à Pessoa em Situação Perioperatória (MEMCPSPE), pretende documentar o
percurso e as atividades desenvolvidas no estágio de natureza profissional com relatório do
Módulo II, com vista à aquisição e desenvolvimento de competências avançadas, de cariz
predominantemente clínico, com enfoque nas respostas humanas aos problemas de saúde e aos
processos de vida, associados à situação de perioperatório, com vista a tornar evidente o
contributo dos cuidados de enfermagem para os ganhos em saúde da população nesta matéria.
O percurso aqui analisado, teve como finalidade o desenvolvimento de competências relativas
às intervenções especializadas de enfermagem na prestação de cuidados ao cliente cirúrgico, e
numa vertente mais especifica, na pessoa submetida a artroscopia do ombro (AO). Tem por
base a análise das competências comuns e específicas do enfermeiro especialista em
enfermagem médico cirúrgica, na área da enfermagem à pessoa em situação perioperatória e
assenta na descrição de experiências, atividades e intervenções especializadas em enfermagem
desenvolvidas em prol dos clientes.
São também descritos dois estudos de caso, referentes aos momentos distintos do estágio,
abrangendo o pre, intra e pós operatório, elaborados na plataforma E4nursing, e que traduzem
uma reflexão particular e minuciosa acerca da dos cuidados de enfermagem para cada um
desses procedimentos. Foi identificado um défice de representação de enfermagem nos dados
do Sistema de Informação e Documentação de Enfermagem (SIDE) para a recolha sistematizada
de informação, que permita a definição dos aspetos de saúde sensíveis aos cuidados de
enfermagem perioperatória, que evidencie o seu contributo para os ganhos em saúde da
população. Assim, a conceção de cuidados para o cliente perioperatório, afirma-se como um
desafio para todos os enfermeiros que pretendem desenvolver competências no âmbito da
enfermagem perioperatória.
A solução encontrada passou por delinear uma estratégia que permitisse obter respostas da
literatura existente, da pratica clinica e da análise do SIDE. No sentido de contribuir para um
melhor conhecimento sobre esta área, foi utilizada uma metodologia cientifica, neste caso a
Scoping Review (SR), onde foram mapeados os estudos existentes, enfatizando os aspetos mais
relevantes do procedimento cirúrgico, atendendo às suas particularidades sistematizando a
informação numa base sólida de conhecimento. Optou-se ainda por realizar uma análise à forma
como os enfermeiros do bloco operatório central (BOC) documentam as necessidades em
cuidados e intervenções de enfermagem através da imersão no contexto de estágio e análise do sistema de informação e documentação. Diagnosticada a situação, elaborou-se uma proposta de
dados, diagnósticos e intervenções de enfermagem para o cliente submetido a AO, que esperase,
irá beneficiar o exercício profissional de enfermagem na obtenção de uma descrição mais
rigorosa e representativa da decisão autónoma, estimulando a produção de cada vez mais
conhecimento associado ao perioperatório, conhecimento que possa dar suporte ao seu espaço
dentro da profissão.
Este é um documento que pretende descrever e analisar um percurso formativo, analisando os
momentos de aprendizagem, onde através das estratégias delineadas, quer de âmbito teóricoprático,
mas também imersivo nos contextos de estágio, foram atingidos os resultados
propostos, desenvolveram-se competências, nomeadamente na conceção de cuidados para a
pessoa submetida a AO, mas também nas áreas da instrumentação, circulante, apoio à
anestesia e unidades de cuidados pós operatórios (UCPA), que vão de encontro ao preconizado
para a unidade curricular de Estágio de Natureza Profissional com relatório - Módulo II.
This report, prepared within the scope of the Master's Degree in Medical-Surgical Nursing, Nursing for the Person in Perioperative Situation, intends to document the path and activities developed in the internship of a professional nature with a report of Module II, with a view to the acquisition and development of advanced skills, of a predominantly clinical nature, with a focus on human responses to health problems and life processes, associated with the perioperative situation, with a view to highlighting the contribution of nursing care to the health gains of the population in this matter . The path analyzed here had the purpose of developing skills related to specialized nursing interventions in providing care to clients undergoing Shoulder Arthroscopy. It is based on the common and specific competences of the specialist nurse in medical-surgical nursing, in the person in a perioperative situation and is based on the description of experiences, activities and specialized interventions in nursing developed in favor of clients undergoing Shoulder Arthroscopy. Two case studies are also described, referring to the different moments of the internship, covering the pre, intra and postoperative period, elaborated on the E4nursing platform, and which translate a particular and detailed reflection on the nursing care for each of these procedures. A deficit of nursing representation was identified in the data from the Nursing Information and Documentation System (SIDE) for the systematic collection of information, which allows the definition of health aspects sensitive to perioperative nursing care, which shows its contribution to the gains in population health. Thus, the design of care for the perioperative client is a challenge for all nurses who intend to develop skills in the field of perioperative nursing. The solution found was to outline a strategy that allows obtaining answers from the existing literature, clinical practice and SIDE analysis. Using scientific methodology, in this case the Scoping Review (SR), existing studies were mapped, emphasizing the most relevant aspects of the surgical procedure, taking into account its particularities, systematizing the information in a solid base of knowledge. It was also decided to carry out an analysis of the way nurses in the Operating Room document the needs in nursing care and interventions through immersion in the internship context and analysis of the information and documentation system. After diagnosing the situation, a proposal of data, diagnoses and nursing interventions was elaborated for the client submitted to AO, which, it is hoped, will benefit the professional nursing practice in obtaining a more rigorous and representative description of the autonomous decision, stimulating the production of more and more knowledge associated with the perioperative period, knowledge that can support its space within the profession. This is a document that intends to describe and analyze a training path, analyzing the learning moments, where through the outlined strategies, both theoretical and practical, but also immersive in internship contexts, the proposed results were achieved, competences were developed , namely in the design of care for the person undergoing AO, but also in the areas of instrumentation, circulating, anesthesia support and post-anesthetic care units (PACU), which meet the recommendations for the curricular unit of professional internship with report - Module II.
This report, prepared within the scope of the Master's Degree in Medical-Surgical Nursing, Nursing for the Person in Perioperative Situation, intends to document the path and activities developed in the internship of a professional nature with a report of Module II, with a view to the acquisition and development of advanced skills, of a predominantly clinical nature, with a focus on human responses to health problems and life processes, associated with the perioperative situation, with a view to highlighting the contribution of nursing care to the health gains of the population in this matter . The path analyzed here had the purpose of developing skills related to specialized nursing interventions in providing care to clients undergoing Shoulder Arthroscopy. It is based on the common and specific competences of the specialist nurse in medical-surgical nursing, in the person in a perioperative situation and is based on the description of experiences, activities and specialized interventions in nursing developed in favor of clients undergoing Shoulder Arthroscopy. Two case studies are also described, referring to the different moments of the internship, covering the pre, intra and postoperative period, elaborated on the E4nursing platform, and which translate a particular and detailed reflection on the nursing care for each of these procedures. A deficit of nursing representation was identified in the data from the Nursing Information and Documentation System (SIDE) for the systematic collection of information, which allows the definition of health aspects sensitive to perioperative nursing care, which shows its contribution to the gains in population health. Thus, the design of care for the perioperative client is a challenge for all nurses who intend to develop skills in the field of perioperative nursing. The solution found was to outline a strategy that allows obtaining answers from the existing literature, clinical practice and SIDE analysis. Using scientific methodology, in this case the Scoping Review (SR), existing studies were mapped, emphasizing the most relevant aspects of the surgical procedure, taking into account its particularities, systematizing the information in a solid base of knowledge. It was also decided to carry out an analysis of the way nurses in the Operating Room document the needs in nursing care and interventions through immersion in the internship context and analysis of the information and documentation system. After diagnosing the situation, a proposal of data, diagnoses and nursing interventions was elaborated for the client submitted to AO, which, it is hoped, will benefit the professional nursing practice in obtaining a more rigorous and representative description of the autonomous decision, stimulating the production of more and more knowledge associated with the perioperative period, knowledge that can support its space within the profession. This is a document that intends to describe and analyze a training path, analyzing the learning moments, where through the outlined strategies, both theoretical and practical, but also immersive in internship contexts, the proposed results were achieved, competences were developed , namely in the design of care for the person undergoing AO, but also in the areas of instrumentation, circulating, anesthesia support and post-anesthetic care units (PACU), which meet the recommendations for the curricular unit of professional internship with report - Module II.
Description
Keywords
Artroscopia do Ombro Intervenções de enfermagem Relatório de estágio