The realization of this report comes within the scope of the 14th Master's course in Nursing with a specialization in Medical-Surgical Nursing in the area of Nursing for the Critical Ill Patient, from the Institute of Health Science (Porto) of Universidade Católica Portuguesa and aims to present the entire course developed throughout the internship, addressing the main skills developed on the way to becoming a Master in Nursing as well as a Specialist Nurse. This report is based on a critical-reflexive analysis, supported by scientific evidence, of the activities developed along this academic path. The establishment of objectives based on the competences of the Specialist Nurse, developed by the Ordem dos Enfermeiros, served as a guideline both for the realization of the report and for my guidance as a student. The report includes a brief contextualization of the competence’s development in the 1st year internship in a Monovalent Intensive Care Unit, followed of the internship locations characterization, posteriorly developing a critical description of the developed activities. The 2nd year's approach focused on the Emergency Service and the Polyvalent Intensive Care Unit, having as main objectives the development of skills related to the care of the Critical Ill Patient, developing competences in detection and intervention, mobilizing the maximum of knowledge and skills acquired throughout professional and academic career. Keeping the Critical Ill Patient as the focus throughout my journey, it was given the due importance to the establishment of an adequate therapeutic relationship with them, as the inclusion of the family in the care and as a target of care of the Specialist Nurse. Associated with care in specific internship contexts, the approach to pain control, sedation and dellirium have also become focuses of attention in order to mobilize strategies aimed at the needs of the Critical Ill Patient and family, such as the approach to the Infection Control and Antimicrobial Resistance as an area of great importance when acquiring skills as a Specialist Nurse. Was also talked about the role of the Specialist Nurse in the services management. A literature review was carried out on the importance of regulating the Bispectral Index in the neurocritical client and intervention such as projects in various contexts: communication and family integration in care, nursing alternation chart and manipulation of the external ventricular shunt. The Specialist Nurse should take care of the Critical Ill Patient in a holistic, deferential and specialized way in order to meet their needs, maintaining a critical, and evidence-based view. The goals I set myself were met, despite some constraints, mostly related to the COVID 19 pandemic, which put some obstacles, especially in the relationship with the family.
|Date of Award
|27 Jun 2022
- Universidade Católica Portuguesa
|Irene Oliveira (Supervisor)
- Specialist nurse
- Critical Ill patient and family
- Neurocritical patient