Eficácia das intervenções não farmacológicas promotoras do sono na pessoa em situação crítica

Translated title of the thesis: Effectiveness of non-pharmacological strategies for sleep promotion in critical ill patient
  • Marlene dos Santos Gonçalves (Student)

Student thesis: Master's Thesis

Abstract

This report emerges from the 13th Master's Degree in Nursing with a specialization in medical-surgical nursing strand at Universidade Católica Portuguesa. This report aims to present a critical-reflective analysis on the acquisition of skills in critical care based on the Dreyfus model adapted by Benner (2001) for nursing practice, in which experience is particularly relevant. For the development of specialized skills, an internship of 180 hours in the emergency department and 360 hours in an intensive care unit took place. The theoretical model that guided the clinical practice in this journey was “Technological Competency as Caring in Nursing”. This mid-range theory developed by Locsin in 2010 presupposes the existence of a harmonious relationship between technological advances in health and nursing care, and it is relevant because critical ill patients, due to their condition, require continuous technological support for treatment and monitoring. The phenomenon chosen for further study was sleep. Critical ill patients often suffer from sleep disturbances that can compromise their recovery, it is known that people hospitalized in intensive care units have fragmented and inefficient sleep, with increased light sleep and a decreased sleep time. Several non-pharmacological interventions have been validated from an experimental point of view. The non pharmacological strategies that promote sleep were studied through a systematic review of literature. With this method I was able to develop skills in nursing research that confer a master's degree. Several works were developed, in this journey, promoting the development of specialized skills, such as the elaboration of a case study, the development of a standardized procedure regarding the prone position on patients with acute respiratory distress syndrome.
Date of Award28 Jun 2022
Original languagePortuguese
Awarding Institution
  • Universidade Católica Portuguesa
SupervisorFilipa Veludo (Supervisor)

Keywords

  • Critically ill patient
  • Sleep
  • Non-pharmacological interventions
  • Intensive care
  • Emergency room
  • Specialized skills

Designation

  • Mestrado em Enfermagem

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