Um cuidar especializado à pessoa em situação crítica

: desenvolvimento de competências

Abstract

The report presented aims to demonstrate the stages that constituted the learning and skill development of specialist and master in Medical-Surgical Nursing in the Critical Care Nursing domain. This report focuses on the final internship conducted during the Curricular Unit "Final Internship and Report" of the 2nd year of the 16th Master's degree course in Nursing with Specialization in Medical-Surgical Nursing, at the Nursing School (Porto) of the Universidade Católica Portuguesa. The introduction encompasses the contextualization of the final internship, the report's objective, justification for the choice of internship contexts, report methodology and structure, as well as the respective justification. The development comprises four main chapters: a concise review of the knowledge and skills acquired during the Surveillance and Clinical Decision internship in the 2nd semester of the 1st year of the master's degree course, followed by the contextualization of the internship sites through a description of their structure and dynamics, subsequent development of common competencies of the specialist nurses, and lastly, the development of specific competencies of specialist nurses in Medical-Surgical Nursing in the domain of critical care nursing. The final two chapters, pertaining competency development, feature critical reflections on internship experiences and their theoretical underpinnings based on scientific evidence. Throughout these chapters, the contributions and training initiatives for the services are presented, including a literature review on "Factors influencing Comfort in the Extra-Hospital Emergency Context" conducted in the first context, and the literature review on "Delirium in ICU" undertaken within the scope of the second context. The methodology employed for crafting this report involved bibliographic research focusing on the best and most current evidence, coupled with critical-reflective analysis referencing challenges encountered during the learning process, while considering the evolution of the decision-making process and intervention implementation as future specialist nurse and master.

Date of Award	18 Jun 2024
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Vasco Silva-Neves (Supervisor)