(Re)descobrir a comunicação no cuidar

Abstract

(Re)Discovering Communication in Caring is a report that compiles the learning in the development of my skills as a specialist nurse in medical-surgical nursing. Its purpose is describing in the reflective, critical and reasoned way the activities and skills developed throughout the stages. I integrated a descriptive, analytical and reflective methodology, supported by bibliographic resources of scientific databases, search engines and manual searches in libraries. The nurse-person communication was the focus of nursing that cross over the three stages that I have explored in the chronological order: Critical Care, Optional (Palliative Care) and Emergency Room. To support this route I followed the theoretical orientations of Ida Orlando and Jean Watson, into a symbiosis of complementary between different paradigms of nursing. In stage Intensive Care I highlight my integration into PQCE / CIPE's CHLC Project, in which I collaborated with the formative part in the unit nursing team by sharing my experience. In this module, I highlight the systematic literature review under analysis for publication in a nursing scientific journal, which served as support in sharing the results with the nursing staff and the preparation of a “Communication Framework” as facilitator of nonverbal communication in person. Intrinsic to the specificity of Palliative Care, I directed the Optional Module for the psychosocial aspects of care. I developed the ability to help relationship and communication, worked hope in the person in the end of life and formally transfered to my workplace the knowledge gained in subcutaneous therapy and in person with delirium, with great involvement of my nursing staff. I reviewed the "Protocol Performance in Delirium" of palliative care service. I have also presented a Poster Communication on a scientific event under the theme "Communication in Palliative Care." In the Emergency Room stage I highlight the vast experience of new situations and unforeseen that triggered challenges in the care. For continuous improvement of care I shared with team leaders a reflection about the shift report, which compiles both practice and scientific evidence. In order to share the knowledge gained on electrocardiography and on inherent care, I have done a training session at my workplace. In the sphere of communication, I created a working tool which I called "Wheel of Communication", which features practical guidance to nurses and has been presented in the training session. Ongoing is a case study that I have already a positive decision from the Ethics Committee for Health of the Institution. This is a journey that does not end here, but I have the ambition to continue at every moment of my professional practice, infecting my peers for the blossoming of the ability to care with a new look, the look of Advanced Nursing.

Date of Award	2014
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Patrícia Pontífice-Sousa (Supervisor)