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Este relatório, surge no âmbito do Mestrado em Enfermagem Médico-Cirúrgica na Área de Enfermagem à
Pessoa em Situação Crítica, da Escola Superior de Saúde do Instituto Politécnico de Leiria, com vista à obtenção
do título de Mestre.
A primeira parte do relatório pretende descrever e demonstrar o desenvolvimento de competências ao longo
dos estágios realizados em três contextos distintos de prática: Serviço de Urgência Médico-Cirúrgica, Pré
Hospitalar e Serviço de Medicina Intensiva. Para a sua concretização, recorreu-se a uma metodologia de
natureza crítico-reflexiva, através da qual se procedeu à descrição das atividades desenvolvidas, experiências
vividas e dificuldades encontradas, tendo em vista a aquisição e consolidação das competências comuns e
específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica na Área de Especialização da Pessoa
em Situação Crítica.
A segunda parte do relatório diz respeito ao desenvolvimento de competências de investigação, e descreve
um projeto de implementação de evidência, acerca da Prevenção de Quedas num Serviço de Medicina Interna,
um problema identificado pela equipa de enfermagem do serviço alvo de estudo. As quedas são um problema
recorrente em contexto hospitalar, cujas consequências podem piorar o prognóstico dos doentes ou até,
aumentar o nível de mortalidade. Os objetivos do projeto foram identificar a conformidade com a evidência
científica sobre intervenções de prevenção de quedas, através de uma auditoria de baseline; implementar
medidas corretivas aos desvios das conformidades encontradas e reavaliar níveis de conformidade, através de
auditoria de follow-up. Para a realização do projeto de implementação de evidência foi realizada uma primeira
fase de auditoria, seguida de uma formação à equipa de enfermagem com estratégias de melhoria dos
resultados obtidos e, por fim, replicada a primeira auditoria para verificar a implementação de estratégias de
melhoria, respeitando as etapas dos projetos de implementação de evidência da JBI. Este projeto encontra-se
descrito neste documento, em formato de artigo que respeitou as regras de submissão à revista “Pensar
Enfermagem”.
This report is part of the Master's Degree in Medical-Surgical Nursing in the Area of Nursing for the Critically Ill Person, of the School of Health of the Polytechnic Institute of Leiria, with a view to obtaining the title of Master. The first part of the report aims to describe and demonstrate the development of skills throughout the internships carried out in three distinct contexts of practice: Medical-Surgical Emergency Service, Pre-Hospital and Intensive Care Medicine. To achieve it, a critical-reflective methodology was used, through which the activities developed, experiences lived and difficulties encountered were described, with a view to the acquisition and consolidation of the common and specific skills of the Specialist Nurse in Medical-Surgical Nursing in the Area of Specialization of the Person in Critical Situation. The second part of the report concerns the development of research skills, and demonstrates a project to implement evidence about Fall Prevention in an Internal Medicine Service, a problem identified by the nursing team of the target service of study. Falls are a recurrent problem in a hospital context, the consequences of which can worsen the prognosis of patients or even increase the level of mortality. The objectives of the project were to identify compliance with the scientific evidence on fall prevention interventions, through a baseline audit; implement corrective measures to deviations from conformities found and reassess compliance levels, through follow-up auditing. To carry out the evidence implementation project, a first audit phase was carried out, followed by training for the nursing team with strategies to improve the results obtained and, finally, the first audit was replicated to verify the implementation of improvement strategies, respecting the stages of the JBI evidence implementation projects. This project is described in this document, in the format of an article that respected the rules of submission to the journal "Pensar Enfermagem".
This report is part of the Master's Degree in Medical-Surgical Nursing in the Area of Nursing for the Critically Ill Person, of the School of Health of the Polytechnic Institute of Leiria, with a view to obtaining the title of Master. The first part of the report aims to describe and demonstrate the development of skills throughout the internships carried out in three distinct contexts of practice: Medical-Surgical Emergency Service, Pre-Hospital and Intensive Care Medicine. To achieve it, a critical-reflective methodology was used, through which the activities developed, experiences lived and difficulties encountered were described, with a view to the acquisition and consolidation of the common and specific skills of the Specialist Nurse in Medical-Surgical Nursing in the Area of Specialization of the Person in Critical Situation. The second part of the report concerns the development of research skills, and demonstrates a project to implement evidence about Fall Prevention in an Internal Medicine Service, a problem identified by the nursing team of the target service of study. Falls are a recurrent problem in a hospital context, the consequences of which can worsen the prognosis of patients or even increase the level of mortality. The objectives of the project were to identify compliance with the scientific evidence on fall prevention interventions, through a baseline audit; implement corrective measures to deviations from conformities found and reassess compliance levels, through follow-up auditing. To carry out the evidence implementation project, a first audit phase was carried out, followed by training for the nursing team with strategies to improve the results obtained and, finally, the first audit was replicated to verify the implementation of improvement strategies, respecting the stages of the JBI evidence implementation projects. This project is described in this document, in the format of an article that respected the rules of submission to the journal "Pensar Enfermagem".
Descrição
Palavras-chave
Enfermagem Enfermeiros especialistas Quedas Hospitalização Prevenção de acidentes Avaliação do risco
Contexto Educativo
Citação
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Licença CC
Sem licença CC