O cuidado justo em enfermagem

Abstract

This report is part of the Master's Degree in Nursing with a specialization in Medical Surgical Nursing in the field of nursing for people in critical situations. Its purpose is to describe and analyze the course taken, using reflective methodology, so as to demonstrate the skills acquired and support the attainment of the Master's Degree in Nursing and the title of nurse specialist in this specialty. For the development of the master’s degree skills, described in article 15 of the Legal Framework for Degrees and Diplomas in Higher Education, a scoping review entitled "Fair Care in Nursing" was conducted. The aspects identified in this study contribute to the reflection on the exercise of the nursing profession, also taking into account the current situation of the country and the world because of COVID-19 pandemic, requiring an ethical perspective that incorporates key concepts for the development of good nursing practices, among which the concept of justice, in the sense of fair care, stands out. The practical component of this academic and professional journey took place at the National Institute of Medical Emergency, namely in an Immediate Life Support Ambulance, in an Intensive Care Unit, and in an Organ Procurement and Transplantation Coordination Office. The analysis of the competencies was performed based on Regulation no. 140/2019 of February 6 of the Order of Nurses and Regulation no. 429/2018 of July 16 of the Order of Nurses. With regard to the common competencies of the specialist nurse, I highlight the "domain of ethical and legal responsibility" where I demonstrate ethical decision-making skills and respect for human rights, gathering contributions for the analysis of the grounds for decision-making and raising reflection on the processes involved. The development of the specialist nurse's specific skills was transversal in both internship contexts, with a greater emphasis on the skills related to the provision of care to the person undergoing invasive mechanical ventilation and the provision of care to the brain-dead potential organ donor. Thus, I was able to develop skills related to the specialized care of the person and his/her family/caregivers experiencing medical and/or surgical processes resulting from acute or chronic disease in different contexts, from pre¬hospital emergency to hospitalization in an intensive care unit. Finally, I believe that I have achieved the proposed objectives, having developed specialist nursing skills that allow me to practice specialized nursing care in this field.

Date of Award	10 Dec 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Sérgio Deodato (Supervisor)