Adaptação dos cuidados de enfermagem à pessoa em situação crítica durante o transporte aéreo em aeronave de asa fixa

Abstract

The purpose of this report is the public examination for the award of the Master's degree, including a description, analysis and reflection on the course developed in the Master's Degree Course in Medical-Surgical Nursing: Nursing in Critical Condition, at the Institute of Health Sciences of the Portuguese Catholic University. For the desired acquisition and development of the competencies of a Nurse Specialist, I carried out several internships, namely in an intensive care unit, a dialysis service, a general emergency service, and in an out-of-hospital emergency context in an emergency and resuscitation medical vehicle. Along with the acquisition of specific skills, I identified areas of intervention that allowed me to grow as a nurse, carrying out activities such as the dynamization of reflection and training sessions. In the Intensive Care Unit, I contributed to the prevention and control of healthcare-associated infections by collaborating with my nurse supervisor in a training session on the importance of proper hand hygiene. In the emergency department, I focused my attention on the safety in the transport of critically ill patients, demonstrating the importance of the use of the checklist already existing in the service for the best planning of any transport. The adaptation of nursing care to critically ill patients during air transport was the most explored theme in this journey, interpreted in the light of two theoretical references in the development of excellence of care: Kolcaba's comfort theory and Benner's beginner to expert theory. Nurses are responsible for developing strategies to adapt care to the person in his/her environment, thus the need to identify the physiological changes to which the person is subjected to adapt, circumventing the adverse environmental conditions as much as possible arises (Ordem dos Enfermeiros, 2012 a)). In this context, a Scoping Review was conducted to answer the question "What is the necessary adaptation of nursing care provided to critically ill patients during air transport in fixed-wing aircraft?

Date of Award	19 Dec 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Filipa Veludo (Supervisor)