Desenvolvimento de competências na abordagem à pessoa em situação crítica através da prática simulada

Abstract

Nursing is a profession that, over the past few years, has followed a path of constant affirmation, occupying its space in society. This recognition has only been possible with the investment of those who pursue a proactive, enlightening and constantly evolving attitude. The daily challenges constitute an opportunity and strategy for the development of specialized nursing skills in the care of critically ill patients, at the same time as technological evolution, frequent in critical care contexts.. Uncertainty and ignorance about the disease, makes these places potentially motivating for professionals, making them useful in the acquisition and development of new skills. The relevance that this learning process assumes in the construction of the nurse's identity, motivated the literature review where the importance that training in a simulated context emerges in the development of specific skills that guarantee the best approach to the person in a critical situation. This applicability in nursing leads to gains in the quality of care provided, nurses' satisfaction and ethical zeal in the conduct of applicability of human practice, in the midst of its scientific evolution. It allows the acquisition of technical and non technical skills, namely in terms of knowledge and self-confidence, safety precautions, clinical reasoning and decision-making, team dynamics, communication and leadership and also the self assessment of clinical competence. As a learning strategy, the simulated practice will increasingly be a valid option in terms of the continuous training of nurses, guaranteeing a change in behavior, in the sense of early detection of complications and/ or care of the patient in a critical situation. This theme and practice, was essential for the development of specialized nursing skills in this area. Thus, it was developed a simulation program integrated in the respective stages that took place in the emergency service and intensive care. All nurses in these services were subjected to several simulation moments, where contact with complex scenarios allowed them to considerably increase their abilities to respond positively to situations of cardiopulmonary peri and arrest. At the same time and in the search for a reflective praxis, where the quality of the care provided translates into gains for the health of those we care for, the nursing practice was based on Technological Competency as Caring in Nursing theory, by Rozanno Locsin, where technology is assumed as a way to know critically ill patients and as a link between the patient and the nurse, in a relationship of partnership and mutual vulnerability, with true knowledge of the actors.

Date of Award	28 Jul 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Isabel Rabiais (Supervisor)