Da enfermagem à enfermagem especializada
: no exercício da competência rumo à excelência

Translated title of the thesis: From nursing to specialized nursing: in the exercise of competence towards excellence
  • Nuno Martinho Rodrigues Fernandes (Student)

Student thesis: Master's Thesis


This paper aims to fulfill a formality imposed by the curriculum of the Master and the Specialty Degree in Medical-Surgical Nursing: Person in Critical Situation and Family, from the Catholic University of Portugal, in his reflexive module versing the internships in emergency room and intensive care unit. All internships took place on two Lisbon hospitals. This document intents to have a reflexive tone, and a critical one, versing the learning curve, the opportunities the internships provided, as well to include a report of the activities developed in the context of the improvement of nursing care; mainly the elaboration of a proposal of adopting, in the emergency room, the nomenclature LASA in pharmaceutical items. The adoption of his nomenclature is justified by the need to reduce the risk associated with confusing pharmaceutical items: Look-Alike, Sound-Alike. Another initiative developed and presented in this report, aiming to improve nursing care, it’s a scoping review titled: ““critical care nurses’ competencies when using clinical simulation: a scoping review.”, in this aproach the roll-play technic was used as a tool, to identify the skills nurses fall back on dealing with a person in critical care. This review was fundamental in the choices taken in this internship that has, as is main goal, the development of skills in the care of the critical patient and his family. With that guidance, the ‘quality’ and ‘security’ was chosen as the core values of this internship, been use at all steps. As methodological options, the descriptive, analytical and critical-reflexive methodology was used. In the mentioned hospitals, the patients in critical care, are an essential condition to develop the goals of the internship, and implementing the strategies and interventions that make it possible. And doing so, creating the conditions to grow the specific and common skills recognized in a Specialist Nurse, that are a guidance for his interventions supported by critical thought and intent that guides the supervision and clinical decision; assessing the clinical, ethical and socio cultural dimensions. The aim, in this report, is to testify a performance of a pecisalized care, that differs in been differentiated, humanized and based in scientific evidence.
Date of Award30 Jul 2021
Original languagePortuguese
Awarding Institution
  • Universidade Católica Portuguesa
SupervisorIsabel Rabiais (Supervisor)


  • Competencies
  • Quality and safety of care
  • Simulated practice
  • Person in critical situation


  • Mestrado em Enfermagem

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