Segurança da pessoa em situação crítica

: intervenção de enfermagem especializada na avaliação e deteção precoce da deterioração clínica

Abstract

The quality of nursing care focused on patient safety has been a growing concern worldwide. In this sense, the National Patient Safety Agency recognizes the need to ensure patient safety and, therefore, the early detection of clinical deterioration of the patient, and the consequent reduction of mortality associated with cardiorespiratory arrest, is a priority (Cherry & Jones, 2015). The nurse, being the health professional who spends the most time with the patient, plays a fundamental role in their surveillance and in the detection of complications. According to Benner (2001), the diagnostic and surveillance function is one of the nursing interventions that contributes to the promotion of the patient's safety, as it enables the timely detection of clinical deterioration situations. Seeking to promote the safety of the person in a critical situation, and to develop master skills, an investigation was carried out with the title "Modified Early Warning Score: a useful instrument for the safety of the person in a critical situation", emerging from this that the nurse's intervention, Through adequate surveillance, it is aimed at the timely recognition of situations of clinical deterioration, and by responding promptly to the identified, providing and managing complex care, it greatly contributes to the safety of the sick person and to health gains. The practical component of this academic and professional path took place in four different environments, in a coordinating office for collection and transplantation, an emergency operating room, a general emergency service and an intensive care unit for cardiothoracic surgery. In order to give visibility to the different activities developed during the internships, in the different domains of competences in approaching the person in a critical situation, I used a descriptive and analytical methodology based on scientific evidence, in this learning process. The analysis of competences was carried out in light of the regulations that regulate nursing specialties. For the course of acquiring and developing competences, the guiding guide was based on the Dreyfus model adapted to nursing by Benner (2001), as a guide to the growth and development of professional competences, and on the theoretical model of Jean Watson, as a supervisor of the thinking and intervention in a clinical context.

Date of Award	23 Mar 2023
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Maria Manuela Madureira Lebre Mendes (Supervisor)