Caminho para a mestria e desenvolvimento de competências no cuidado à pessoa em situação crítica

Abstract

This report is a portrait of the path towards the acquisition of skills in the Master's Degree in Medical-Surgical Nursing, in the field of Nursing for the Person in Critical Condition, during the internships in the Nephrology and Intensive Care Medicine Departments of two Hospitals in the North of Portugal. This document was constructed taking the “Common Skills of the Specialist Nurse” as a reference, representing a formal report on the fulfillment of activities and experiences that allowed the acquisition of skills in the area of specialization of Nursing for the Person in Critical Condition. From the path taken towards the expertise and development of specialized skills in critical care, the main activities carried out are described, such as: the construction of a theoretical framework regarding the Best Practice in the blood culture collection from people with suspected infection of the bloodstream associated with central lines, which culminated in the update of a guideline for blood culture withdrawal in the Nephrology Department; the creation of the ID-SMI Project, a pilot research project which aims to establish synergies, in a collaborative approach between Universidade Católica Portuguesa and the clinical care practice (Intensive Care Unit); and the adaptation and validation of a data collection tool that allows for the assessment of Nurses' knowledge regarding the Bundle of Interventions for the Prevention of Infection associated with the Central Vascular Catheters. In this report, learnings are highlighted regarding the care for critically hill patients and family/caregiver, promoting humanized care, processes of prevention and control of infection and resistance to antimicrobials, and the development of care carried under evidence-based practice conceptions, highlighting the differentiation of these themes in the scope of the intervention of the Specialist Nurse.

Date of Award	26 May 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Sílvia Patrícia Fernandes Coelho (Supervisor)