Do desenvolvimento de competências à qualidade dos cuidados à pessoa em situação crítica

Abstract

This internship report is part of the 14th Master's Course in Nursing, with a specialization in Medical-Surgical Nursing, in the area of care in Critical Situation, at the Institute of Health Sciences-Porto of the Universidade Católica Portuguesa. Developed within the scope of the Curricular Unit “Final Internship and Report” and based on the internships that took care in an Intensive Care Unit and a Cardiothoracic Intensive Care Unit between 06-09-2021 and 18-12-2021. The principal objective is to explain the skills development process of specialist nurses. It uses mostly descriptive and reflective methodology based on the most recent scientific evidence. It contains four main chapters, which are based on the themes: “Skills development”, “Humanization of care”, “Quality standards” and finally “The impact of resource management”. The first chapter addresses the skills developed in the first internship at an emergency department, which served as the basis for the “Final Internship and Report”. This chapter describes the first look at nursing practice, from the perspective of a specialist nurse and reflects on their role in this context. The second chapter addresses the continuous need for humanization of care, reflecting on the impact of quality in nursing care, not only for the user, but also for family members and professionals, and even goes further to address each nurse self-knowledge and how it can enhance the humanization of care. The quality standards of specialized care in medical-surgical nursing serves as the basis for the development of the subchapters in chapter three. Chapter three defines and identifies which factors interfere with client satisfaction and which health-promoting approaches. It also presents continuous improvement projects developed with the objective of promoting complications, such as: safe practice procedure in the conservation, preparation and therapeutic administration; safe drug preparation and administration; user identification; effective communication in healthcare transition and incident recording. It continues to describe interventions performed with the aim of promoting well-being and self-care. It reflects on discharge planning and the relationship it has with the functional readaptation process. It identifies strategies for the organization and management of nursing care and relates them to nurses' job satisfaction while also addressing the increased need for the implementation of infection prevention and control strategies in an ICU context and, finally, explains the bibliographic review process within the scope of the nurses' workload assessment. At last, chapter 4 dives into the environment and resources management, aiming at a safer practice while describing the contribution to one of the internship places related to the application of the Nursing activities score; development of a research project for the cultural adaptation of a workload assessment scale, development of a scientific poster in this area and, finally, the impact of accreditation on the safety of care. This report contributes to the reflection on the role of the specialist nurse in providing humanized and better-quality care to the person in critical situation. All the objectives outlined were achieved, and it was possible to record the development of knowledge and skills related to the person in a critical situation through this report.

Date of Award	30 Jun 2022
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Irene Oliveira (Supervisor)