Cuidar da pessoa e família em situação crítica a vivenciar processos de transição

Abstract

Nursing can be seen as a science, discipline and profession seeking to respond to the challenges of a society in constant change and progress, by developing knowledge and providing training to appropriate and timely responses to new requests. The rising care complexity implies nurse’s continuous learning; to enable you to make more and more demanding decisions about the care delivered to the person, family and community. Nursing is increasingly demanding and complex. The radical change in the health system, the severe shortage of nurses in recent years, the aging population and people to make use of health services increasingly in critical condition and for longer periods will have implications in nursing. The nurse responds to people more demanding and nurses must take a more active role in decision-making, greater accountability and autonomy (Patrick in Howard, 2011). In the social role that the nurse holds and exert, in this case for Nurse Specialist in Medical-Surgical, constant updating of their knowledge and professional development is required. Based on a logical recognition of a set of skills, professional experience based on reflective practice and formal moments of knowledge acquisition sustained in evidence-based practice can thus assure the quality of nursing care. This report presents, in the 1st half, a systematic literature review and, in the 2nd half, a reflective analysis of the course curriculum and skills developed in response to the needs of the person and family in critical conditions in the context of an emergency service center and in an outpatient palliative care. The theoretical pillars that supported my interventions were based in the Transition Model by Afaf Meleis (2000) and the Theory of Comfort by Kolkaba (1994). The medical-surgical nurse specialist assists people in transition, especially in critical illness situations. Throughout the internship, the person / family was valued in a unique and singular way, providing comfort care at all moments, influenced by the great currents of thought and by a changing world (Paradigm Transformation)

Date of Award	2014
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Georgeana Marques da Gama (Supervisor)