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Cuidados ao Cateterismo Periférico: Análise da frequência das práticas dos Enfermeiros
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Abstract(s)
O presente relatório surge no âmbito do Mestrado em Enfermagem Médico-Cirúrgica na área de Enfermagem à Pessoa em Situação Crítica, do Instituto Politécnico de Leiria - Escola Superior de Saúde de Leiria.
Dividido em duas partes, o documento dedica-se inicialmente a uma reflexão sobre as competências comuns e específicas do enfermeiro especialista, evidenciando a importância do conhecimento técnico-científico, do julgamento clínico e da tomada de decisão em contextos de alta complexidade. A partir de experiências práticas em diversos contextos – como o Serviço de Urgência Médico-Cirúrgica, a Unidade de Evacuações Aéreas, o Instituto Nacional de Emergência Médica e o Serviço de Medicina Intensiva – o relatório descreve as práticas realizadas e as reflexões críticas desenvolvidas que permitem dar respostas à aquisição das competências inerentes à especialidade escolhida.
A segunda parte, concentra-se no projeto de investigação desenvolvido, que tem como foco os cuidados ao cateterismo periférico. Com base na fundamentação teórica e na utilização de instrumentos de auditoria, o estudo avalia a autoperceção dos enfermeiros acerca da frequência com que realizam as práticas de cuidado ao cateter venoso periférico e compara os resultados obtidos com a prática real através de auditorias clínicas realizadas aos cateteres inseridos em doentes, contribuindo para a identificação de áreas a aprimorar e para a implementação de intervenções que visem reduzir complicações associadas ao seu uso. Assim, a integração entre teoria e prática revela-se essencial para a construção de um cuidado mais seguro e centrado no doente.
Em síntese, o relatório evidencia a importância da integração da teoria na prática para o aprimoramento dos cuidados de enfermagem, ressaltando que o fortalecimento das competências do Enfermeiro Especialista é fundamental para assegurar um cuidado seguro e centrado no doente. Essa abordagem não só potencializa a qualidade dos cuidados prestados em situações críticas, como também promove a evolução contínua dos processos e protocolos clínicos, contribuindo para a excelência no serviço de saúde.
This report is part of the Master's Degree in Medical-Surgical Nursing in the area of Nursing for People in Critical Situations, at the Polytechnic Institute of Leiria - Leiria School of Health. Divided into two parts, the document initially focuses on a reflection on the common and specific skills of specialist nurses, highlighting the importance of technical-scientific knowledge, clinical judgment and decision-making in highly complex contexts. Based on practical experiences in various contexts – such as the Medical-Surgical Emergency Service, the Air Evacuation Unit, the National Institute of Medical Emergency and the Intensive Care Service – the report describes the practices carried out and the critical reflections developed that allow for responses to the acquisition of skills inherent to the chosen specialty. The second part focuses on the research project developed that focuses on peripheral catheterization care. Based on theoretical foundations and the use of audit instruments, the study assesses nurses' self-perception regarding the frequency with which they perform peripheral venous catheter care practices and compares the results obtained with actual practice through clinical audits performed on catheters inserted in patients, contributing to the identification of areas for improvement and the implementation of interventions aimed at reducing complications associated with their use. Thus, the integration between theory and practice is essential for the construction of safer, more patient-centered care. In summary, the report highlights the importance of integrating theory into practice for the improvement of nursing care, emphasizing that strengthening the skills of the Specialist Nurse is essential to ensure safe and patient-centered care. This approach not only enhances the quality of care provided in critical situations, but also promotes the continuous evolution of clinical processes and protocols, contributing to excellence in health services.
This report is part of the Master's Degree in Medical-Surgical Nursing in the area of Nursing for People in Critical Situations, at the Polytechnic Institute of Leiria - Leiria School of Health. Divided into two parts, the document initially focuses on a reflection on the common and specific skills of specialist nurses, highlighting the importance of technical-scientific knowledge, clinical judgment and decision-making in highly complex contexts. Based on practical experiences in various contexts – such as the Medical-Surgical Emergency Service, the Air Evacuation Unit, the National Institute of Medical Emergency and the Intensive Care Service – the report describes the practices carried out and the critical reflections developed that allow for responses to the acquisition of skills inherent to the chosen specialty. The second part focuses on the research project developed that focuses on peripheral catheterization care. Based on theoretical foundations and the use of audit instruments, the study assesses nurses' self-perception regarding the frequency with which they perform peripheral venous catheter care practices and compares the results obtained with actual practice through clinical audits performed on catheters inserted in patients, contributing to the identification of areas for improvement and the implementation of interventions aimed at reducing complications associated with their use. Thus, the integration between theory and practice is essential for the construction of safer, more patient-centered care. In summary, the report highlights the importance of integrating theory into practice for the improvement of nursing care, emphasizing that strengthening the skills of the Specialist Nurse is essential to ensure safe and patient-centered care. This approach not only enhances the quality of care provided in critical situations, but also promotes the continuous evolution of clinical processes and protocols, contributing to excellence in health services.
Description
Keywords
Enfermagem Especialização Conhecimento Cateteres Auditoria clínica