O desenvolvimento de competências especializadas ao serviço do doente crítico

Abstract

The nursing profession requires that, throughout their professional lives, nurses are constantly updated. In addition to mastering sophisticated technologies and techniques, they need training based on the best and most up-to-date scientific evidence. The evolution of science, including the science of nursing and technology, has made it possible to increase the survival of patients in critical condition and/or organ failure. The Medical-Surgical Nursing Specialization, in the area of nursing to the person in a critical situation, allows the acquisition of common and specific skills in the care of the critical patient admitted to the emergency service and in an out-of-hospital environment. This report intends to reflect on the process of learning and acquiring these same skills and appears in the scope of the Curricular Unit "Final Internship and Report". The report includes a reflection on the previous skills acquired during the professional exercise, describes the contexts of clinical practice and the learning process, lists the general and specific objectives, activities carried out, skills acquired, makes a critical reflexive reflection on the acquisition of new skills, as well as the implications and changes they provoked in the nurse and his practices. Finally, the particularities that the pandemic has brought to the skills acquisition process are described and reflected, both on an academic and personal level. In the internship contexts, some opportunities for improvement have emerged which have been signalled and for which strategies have been suggested: (a) in the emergency department, to ensure that the patient's identification is maintained with him/her throughout his/her stay in hospital, to identify with respect the patients at the end of their lives, to collaborate in the training "Decision making in Nursing and their registration in the emergency department"; (b) in the out-of-hospital environment "Medication Incompatibility". Only through research, we will be able to give the visibility that nursing deserves.

Date of Award	17 May 2021
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Amélia Ferreira (Supervisor)