A comunicação como estratégia promotora de conforto

Abstract

There is a need to develop and know how to mobilize skills, to improve ourselves professionally, through continuous training, always preferring the knowledge generated by nursing research and theory. This is the main reason I chose the specialization in Medical-Surgical Nursing, in order to fulfill the duty of professional improvement. This specialization has its primary objective to develop technical, scientific, ethical and relational skills in the provision of specialized nursing care to the person in critical situation and his / her family as well as to the person in chronic and palliative situation. In addition, having a cross-cutting theme "Communication as a strategy promoting comfort", it also aims to synthesize the integrative literature review and analyze the nurse’s perceptions about the theme.This report aims at describing, reflecting and analyzing how these competences were acquired and developed, using a descriptive and analytical methodology, which will serve as a mirror of my training course in the three Internship locations, with the main purposes: Identify the activities / strategies to achieve the defined objectives; Recognize the skills developed as a nurse in the area of specialization in Medical-Surgical Nursing in the provision of health care to the person and their family of medium and high risk, as well as in the provision to the person in chronic and palliative situation; To make known the critical-reflexive analysis made on the interventions developed in the Internships. In the context of the Day Hospital of Chemotherapy, I developed communication and relational skills with the person in chronic situation and his family, promoting nurse person-family interaction, establishing attitudes of sensitivity and empathy, cooperating for a humanized care. At the Medical Emergency Unit, I maintained my way of acting and the awareness of nurses about the importance of communication, especially with the person with "communication barriers", as well as with family members. In the Emergency Department, I developed competencies in the management of priorities for the hemodynamic stability of the person in critical situation. I discussed and analyzed situations about the practice of nurses who lacked the use of specialized skills, based on a conscious and responsible professional action.It was considered pertinent to perform individualized work on the themes "Communication as a strategy promoting comfort in the person undergoing chemotherapy", "Communication as a strategy promoting comfort in the person 9 undergoing chemotherapy: perception of nurses", Nursing care of the person With Acute Respiratory Difficulty Syndrome in ventral decubitus. A specialized practice is evidenced through constant learning, critical thinking, reflective thinking and scientific evidence-based decision making. I consider, therefore, that the articulation of these premises was fundamental for the construction of a new professional identity: a Specialist Nurse in Medical-Surgical Nursing.

Date of Award	4 Apr 2018
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Sérgio Deodato (Supervisor)