Do cuidado seguro e intervenção especializada à qualidade dos cuidados à pessoa em situação crítica

Abstract

The curricular plan of the 15th Master's Course in Nursing, with specialization in Medical-Surgical Nursing in the area of Nursing in Critical Care at the Institute of Health Sciences -Porto, of the Universidade Católica Portuguesa, includes the Curricular Unit "Final Internship and Report", which began with the internship in the Emergency Department and ended in the Intensive Care Unit between 05-09-2023 and 17-12-2023. The main objective is to explain the development of specialist nurses' skills through a descriptive and self-reflective methodology based on the most current scientific evidence. It is divided into three chapters that develop the following themes: "Safe care", "Skills development" and "Professional learning". The first chapter describes the reflection on the conceptualization of safe care and the specialized interventions to promote a safe therapeutic environment, both in care provision and in the management of human and material resources, as tools for patient safety promotion. It also describes the impact of safe care on the quality of nursing care provided to critically ill patients, focusing on the responsibility of institutions to create a safety culture that allows nurses to openly talk about the safety of the care they provide. The second chapter addresses the specialized competencies in both internship settings based on the specific competencies and quality standards of care in this area. This chapter reflects on the interventions for the humanization of care and the identification of the factors influencing patient satisfaction and the strategies for health promotion, with reference to discharge planning, the process of preventing complications and functional readaptation. Improvement projects developed with the aim of preventing complications and promoting safe care are presented: training on "Reporting: what, how and why?"; patient identification bracelet; effective communication in health care transition; manual for the approach to the patient with acute supra-ST myocardial infarction and their in-hospital transport to the haemodynamic laboratory. Describes the interventions that promote well-being, identifies the activities and specialized skills in caring for the person, family/caregiver experiencing critical illness and/or organ failure and the dynamization of the response in emergency situations, from conception to action. It reflects on the organization and management of care by developing a best practice procedure on eye care to critically ill patients in the intensive care unit. It concludes with an exposition on the maximization in the intervention and prevention and control of infection, presenting promoting strategies and an improvement project on blood collection, preservation and transport (blood cultures). The final chapter focuses on the common competence of specialist nurses in professional learning, addressing professional experience and its relationship with self-knowledge, reflecting on and exemplifying how specialist nurses facilitate learning processes. The objectives were achieved, being evident in the development of knowledge and specialized skills. There is a reflection on the role of the specialist nurse in the promotion of safe care, as the identification, analysis and control of potential risks that may threaten the quality of nursing care to critically ill patients is essential.

Date of Award	19 Jun 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Irene Oliveira (Supervisor)