A influência da excelência do cuidado nas transições de vida saudáveis

Abstract

In the context of the Curricular Unit "Final Internship and Report", integrated in the Master's Degree in Medical-Surgical Nursing - area of Nursing in Critical Condition, of the Nursing School of Lisbon of the Institute of Health Sciences of the University Católica Portuguesa, the preparation of this report was proposed as the object of public assessment and discussion. This report aims to critically and reflectively demonstrate the activities developed throughout the internships, making reference to the evolutionary process of the different skills in the excellent care provided to critically ill patients. A Scoping Review was conducted across the clinical learning pathway within the scope of the influence of leadership styles on the motivation and satisfaction of health professionals. The evidence shows that leadership influences health professionals in terms of motivation and job satisfaction, and may also cause changes in autonomy, service rotation, and generate stress and burnout syndrome. I centered my practice on the paradigm of transformation, focusing my thinking in Nursing on Afaf Meleis' Theory of Transitions, which enabled the development of excellent care. The course developed allowed me to integrate theory into the specialised care provided to critically-ill patients and, consequently, contribute to developing the skills of Nurse Specialists. It was carried out in two internship contexts: Intensive Care Unit and Urgent Care Unit. In the Intensive Care Unit, along with the acquisition of specific and technical skills, care focused on establishing a relationship of trust and cooperation with the client and his/her family, supporting change processes and establishing a therapeutic relationship and communication with the ventilated client and family. In the Urgent Care Unit one of my focuses was the prevention and control of healthcare-associated infections and I carried out pain management and bad news communication. The completion of this Master's course allowed me to consolidate knowledge and develop skills in my professional learning, allowing me to critically and consciously design specialised nursing care based on knowledge emerging from research.

Date of Award	30 Nov 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Filipa Veludo (Supervisor)