To see the other types of publications on this topic, follow the link: Surgical Skill.
Dissertations / Theses on the topic 'Surgical Skill'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Surgical Skill.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Cristancho, Sayra Magnolia. "Quantitative modelling and assessment of surgical motor actions in minimally invasive surgery." Thesis, University of British Columbia, 2008. http://hdl.handle.net/2429/2835.
Full textAbstract:
The goal of this research was to establish a methodology for quantifying performance of
surgeons and distinguishing skill levels during live surgeries. We integrated three
physical measures (kinematics, time and movement transitions) into a modeling
technique for quantifying performance of surgical trainees. We first defined a new
hierarchical representation called Motor and Cognitive Modeling Diagram for
laparoscopic procedures, which: (1) decomposes ‘tasks’ into ‘subtasks’ and at the very detailed level into individual movements ‘actions’; and (2) includes an explicit cognitive/motor diagrammatic representation that enables to take account of the operative variability as most intraoperative assessments are conducted at the ‘whole procedure’ level and do not distinguish between performance of trivial and complicated aspects of the procedure. Then, at each level of surgical complexity, we implemented specific mathematical techniques for providing a quantitative sense of how far a performance is located from a reference level:
(1) The Kolgomorov-Smirnov statistic to describe the similarity between two
empirical cumulative distribution functions (e.g., speed profiles)
(2) The symmetric normalized Jensen-Shannon Divergence to compare transition
probability matrices
(3) The Principal Component Analysis to identify the directions of greatest variability in a multidimensional space and to reduce the dimensionality of the data using a weight space.
Two experimental studies were completed in order to show feasibility of our proposed
assessment methodology by monitoring movements of surgical tools while: (1) dissecting mandarin oranges, and (2) performing laparoscopic cholecystectomy procedures at the operating room to compare residents and expert surgeons when executing two surgical tasks: exposing Calot’s Triangle and dissecting the cystic duct and artery.
Results demonstrated the ability of our methodology to represent selected tasks using the Motor and Cognitive Modeling Diagram and to differentiate skill levels. We aim to use our approach in future studies to establish correspondences between specific surgical tasks and the corresponding simulations of these tasks, which may ultimately enable us to do validated assessments in a simulated setting, and to test its reliability in differentiating skill levels at the operating room as the number of subjects and procedures increase.
2
Sharma, Yachna. "Surgical skill assessment using motion texture analysis." Diss., Georgia Institute of Technology, 2014. http://hdl.handle.net/1853/51890.
Full textAbstract:
In this thesis, we propose a framework for automated assessment of surgical skills to expedite the manual assessment process and to provide unbiased evaluations with possible dexterity feedback. Evaluation of surgical skills is an important aspect in training of medical students. Current practices rely on manual evaluations from faculty and residents and are time consuming. Proposed solutions in literature involve retrospective evaluations such as watching the offline videos. It requires precious time and attention of expert surgeons and may vary from one surgeon to another. With recent advancements in computer vision and machine learning techniques, the retrospective video evaluation can be best delegated to the computer algorithms. Skill assessment is a challenging task requiring expert domain knowledge that may be difficult to translate into algorithms. To emulate this human observation process, an appropriate data collection mechanism is required to track motion of the surgeon's hand in an unrestricted manner. In addition, it is essential to identify skill defining motion dynamics and skill relevant hand locations. This Ph.D. research aims to address the limitations of manual skill assessment by developing an automated motion analysis framework. Specifically, we propose (1) to design and implement quantitative features to capture fine motion details from surgical video data, (2) to identify and test the efficacy of a core subset of features in classifying the surgical students into different expertise levels, (3) to derive absolute skill scores using regression methods and (4) to perform dexterity analysis using motion data from different hand locations.
3
Ratnasothy, Joel. "Assessing surgical skill for procedures on the conscious patient." Thesis, Imperial College London, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.504909.
Full text
4
Scialoja, Alain. "Skill-based shared manipulation control of eye-surgical system." Master's thesis, Alma Mater Studiorum - Università di Bologna, 2013. http://amslaurea.unibo.it/5805/.
Full text
5
Datta, Vivek Kumar. "The objective assessment of skill in higher surgical training." Thesis, Imperial College London, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.397243.
Full text
6
Khan, Mansoor Shahid. "The objective assessment of surgical skill in plastic surgeons." Thesis, Imperial College London, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.428709.
Full text
7
Mackay, Sean Desmond Patrick. "The objective assessment of technical skill in basic surgical trainees." Thesis, Imperial College London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.407597.
Full text
8
Shime, Jerry. "Reliability study of the Laparoscopic Skills Index, LSI, a new measure of gynecologic laparoscopic surgical skill." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0018/MQ53478.pdf.
Full text
9
Kume, Naoto. "Distributed massive simulation for haptic virtual reality based surgical skill transfer." 京都大学 (Kyoto University), 2006. http://hdl.handle.net/2433/135940.
Full text
10
Smith, Phillip R. "Instrument tracking and analysis in minimal access surgery for surgical skill assessment." Thesis, University of Surrey, 2016. http://epubs.surrey.ac.uk/809462/.
Full textAbstract:
For this project, we analyse cataract surgery videos. It is known that the motions of both camera and surgical instruments are indicative of surgical skill in simulated environments. Through the application of computer vision algorithms, we attempt to automatically measure these motions. Video data from cataract surgery videos have many sources of noise that complicate the observation of such motion. As no 'de facto' method exists for tracking surgical instruments we investigate the validity of applying cues based upon colour, shape and motion to identify surgical instruments. In addition, we develop a iris tracker based upon Histogram of Gradients object detection to measure the changes in camera state throughout a procedure. A methodology based upon invariant characteristics of surgical instrument motion is developed and applied to a large dataset of procedures. Metrics such as path length and number of motions for surgical instruments in cataract surgery are measured with this fully automatic methodology. Path length and number of movements are compared with surgeon's experience and skill level as measured with a manual surgical skill marking scheme. These metrics are shown to be proportional to a surgeon's experience and in agreement with manual measures of surgical skill.
11
Shariff, Umar. "The role of multimedia in cognitive surgical skill acquisition in open and laparoscopic colorectal surgery." Thesis, University of Sheffield, 2015. http://etheses.whiterose.ac.uk/10606/.
Full textAbstract:
Introduction: Changing work patterns have led to reduction in training hours with potential to affect surgical skills training. Multimedia can be used to supplement cognitive surgical skills training outside the operating room. A systematic review of 21 studies on the role of multimedia in surgical training and assessment demonstrated that multimedia effectively facilitates acquisition of surgical skills and was associated with significant improvement in technical skills and cognitive skills. The aim of this project was to design and develop a multimedia educational tool in anterior resection surgery and evaluate the effectiveness of this tool in teaching and assessment of cognitive surgical skills. Methods: An online multimedia application was developed by filming multiple procedures; editing films into key procedural steps using cognitive task analysis; and integration onto a navigational interface platforms. All steps were supplemented with animation, text and voiceover. A randomised control trial was conducted to evaluate the effectiveness of online multimedia in comparison to conventional teaching in cognitive surgical skills acquisition. All trainees were assessed before and after the study period. Results: Of 59 trainees recruited, 52 completed pre-test assessments. Data from 43 trainees was available for final analysis. Baseline pre-assessment scores were similar in both groups. Senior trainees achieved significantly higher pre-test mean scores compared to junior trainees (p<0.01). Post-test scores improved significantly in both groups and the mean change in scores in the multimedia group was higher (6.60, SD 5.10) compared to the control group (4.89, SD 3.66) was not statistically significant (p=0.21). In the multimedia group 67% strongly agreed the tool was a useful adjunctive educational resource. 67% and 88% of trainees felt their cognitive surgical skills improved. Conclusions: Multimedia is an effective self-directed learning resource for cognitive skill acquisition in colorectal surgery and is well accepted as a training tool outside the operating room.
12
Taylor, Leah Kristine. "Objective measures of operating room wire navigation performance." Thesis, University of Iowa, 2016. https://ir.uiowa.edu/etd/5656.
Full textAbstract:
There is no widely accepted tool to assess an orthopedic surgeon’s technical skill in the operating room. With changes in surgical education, simulators are being investigated for learning and assessing technical skills, but a link between the actual operating room is needed to ensure they are effective. Hip fracture surgery is a good starting point to develop these measures because hip fractures are common and fixation is a difficult task.
Resident orthopedic surgeons wore a head-mounted video camera during hip fracture surgery. Data collected included: duration, number of x-ray images, the supervising surgeon intervention, and tip-apex distance (TAD, a measure of how accurate the implant is placed). To determine the reliability of these measurements, four raters performed them for two cases. Ten raters measured the tip-apex distance (TAD) on 7 cases. These performance metrics for 15 cases were compared to experience of the residents, both point in residency and number of previous cases. A composite performance score was computed using the four metrics. The metrics were also compared to two practicing surgeons’ assessment of skill.
The inter-rater reliability of the performance metrics was high (0.97-0.99) showing these measures are consistent between different raters and useful for assessment. There was a significant relationship between resident experience and the metrics of duration and TAD. Expert opinion was related to duration.
These metrics provide objective assessment of resident technical performance in the operating room by a non-expert, an important step towards competency based education. Their validity is shown with correlation to surgical experience.
13
Sadler-Moore, Della. "The role of the Registered [Surgical] Nurse in the 21st century NHS acute trust hospital : an ethnographic study." Thesis, University of Wolverhampton, 2009. http://hdl.handle.net/2436/88795.
Full textAbstract:
This study focused on Registered Nurses (RNs) working in Acute Trust surgical wards in the context of their role development, role expansion and role extension. The study originated from concerns raised by RNs undertaking the surgical pathway of the BSc Hons in clinical nursing practice, who alerted me to their dissatisfaction with their working conditions and their role. This revelation was made at a time when modernization was cascading into Acute Trusts as a result of the NHS plan (DOH 2000); simultaneously the European Working Time Directive (EWTD) was being implemented, sequentially reducing Junior Doctor’s hours of work. NHS modernization and the EWTD were the two initiatives which led the researcher to the assumption that RNs working in surgical wards were the labour force who would be absorbing the additional workload brought about by these changes, because RNs are the only health professionals in acute surgical wards with twenty-four hour contact with, and responsibility for, ward-based surgical patient care. The study was conducted in one clinical directorate of an Acute Trust hospital, comprising six in-patient surgical wards and five specialist nursing services. The methodology was ethnography, where the researcher worked as an RN for fifteen months, collecting data through Spradley’s (1980) descriptive, selective and focused phases of fieldwork. Data was analysed using what Miles and Huberman (1994) refer to as a set of ‘choreographed / custom built’ techniques. The descriptive phase of fieldwork revealed an apparent ‘staffing illusion’ on the surgical wards and RNs were found to be under tremendous pressure to manage ‘patient throughput’, and an ever increasingly dependent case mix of surgical patients, within the existing, or if possible diminishing Senior / experienced RN labour force due to the emergent evidence of a ‘cycle of staff change’ with non-clinical managers backfilling Senior RN posts with Junior RNs. For Senior RNs this backdrop meant additional support and supervision demands on their role. To get through the workload many RNs held ‘dual roles’ to enable maintenance of the surgical services within the directorate. The selective phase of fieldwork re-focused the ethnographic lens on the RNs in the context of their role development, role expansion and role extension, from which six perspectives were found: 1) role development from Junior to Senior RN, 2) role expansion dependent on shift of the day, day of the week – the co-ordinator role, 3) role extension confusion and boundary disputes, 4) hidden [role expansion and extension] talents of surgical nurses, 5) role contraction – a feeling Nursing is going backwards, and finally, 6) ‘if only I could’ – role expansion aspirations of surgical RNs. The third phase of fieldwork, described by Spradley (1980) as the focused phase, was spent validating the findings and conducting the ethnographic interviews. The findings are interpreted locally [from the perspective of RN’s working within Rodin] as ‘working to full capacity’ through ‘doing more for more with less’, as a result of the RN with the surgical directorate being sandwiched between two agendas, that of Junior Doctors EWTD and NHS modernisation. Braverman’s skill substitution / degradation of skilled work thesis is then used as an interpretative framework to conclude the thesis, the outcome of which reports a ‘triple substitution’ agenda.
14
Bann, Simon David. "Objective assessment of surgical skills in basic surgical trainees." Thesis, Imperial College London, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.405129.
Full text
15
Shah, Jyotiben. "Individual differences in laparoscopic surgical skills." Thesis, Imperial College London, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.398000.
Full text
16
Mitchell, Lucy. "Development of a behavioural rating system for scrub nurses' non-technical skills." Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=167786.
Full textAbstract:
In the first study, a literature review and semi-structured interviews with experienced scrub nurses (n=25) and consultant surgeons (n=9), identified ‘communication’, ‘teamwork’, ‘situation awareness’ and ‘coping with stress’ skills as important skills for scrub practitioners. The second study used focus groups (n=4 groups) of experienced scrub nurses (total n=16 participants) to sort and label the extracted non-technical skill data, from study 1, into skill categories and underlying elements. The focus groups also generated ‘behavioural markers’ describing good and poor performance of those elements. This preliminary taxonomy contained eight categories with 28 underlying elements. An expert panel, comprising two psychologists and a subject matter expert used an iterative process, with reference to the system design guidelines, to refine the taxonomy. The resulting prototype was called the Scrub Practitioners’ List of Intraoperative Non-Technical Skills (SPLINTS) system which had three skill categories – ‘Situation awareness’; ‘Communication and teamwork’; ‘Task management’, each of which had three underlying elements. The third study tested the psychometric properties of the prototype SPLINTS system. Scrub practitioners (n=34) attended a single-day evaluation session where they received training (5 hours) and practice (1 hour) using the SPLINTS system before rating the scrub practitioner’s behaviour seen in standardized surgical video scenarios (n=7) (1 hour). Within-group agreement was acceptable (rwg >.7) for the three skill categories and for six of the nine elements. Future work will assess the usability of SPLINTS system in the operating theatre environment. This project has provided scrub practitioners with a structured method for training and assessing an important aspect of performance, which could help to reduce adverse events in the operating theatre.
17
Manat, Namith N. "System for Tracking of Surgical Tools and Assessment of Surgical Skills Using Continuously Adaptive Mean Shift Methodology." VCU Scholars Compass, 2005. http://scholarscompass.vcu.edu/etd_retro/56.
Full textAbstract:
A tracking system that serves as a tool for tracking the movement of surgical instruments has been developed. The system tracks color markers on the surgical instruments. The Continuously Adaptive Mean Shift (CAMSHIFT) methodology was employed for tool tracking and a total distance traversed by the surgical instrument of interest was calculated. Two cameras were used to record the motion of the tool and the software developed was used to track the movement of markers on the tools over subsequent frames. The information thus derived from the two views of cameras was used to calculate the three dimensional coordinates of the location of the marker on the instrument and subsequently the distance traversed. MATLAB, which is a commercial software package, was used to implement the tool tracking algorithm and for developing the GUI (Graphic User Interface). Data was collected using Commercial off the shelf (COTS) camera hardware and processing was done on a 2.2 GHz, 512 MB RAM Intel Pentium 4 computer.
18
Hance, Julian Richard. "The application of technical skills assessment to the surgical curriculum." Thesis, Imperial College London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.516554.
Full text
19
Kneebone, Roger Lister. "Teaching and learning basic surgical skills using multimedia and models." Thesis, University of Bath, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250935.
Full text
20
Fraser, Shannon Alexandra. "Acquisition and evaluation of surgical skills using a laparoscopic physical simulator." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=82232.
Full textAbstract:
A physical surgical simulator, the McGill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS) is used to examine the acquisition of laparoscopic skills, as well as to determine a summative evaluation of these skills. The cumulative summation method (CUSUM) is used to characterize individual and group learning curves for a MISTELS task. To examine transfer of learning in laparoscopy, novice laparoscopists were randomized to either practice a basic psychomotor task (peg board transfer) or to a no-practice control group. After forty iterations, the novices performed a more complex task (suturing); those who practiced the basic task significantly improved their complex task performance. Finally, using the receiver operator curve (ROC), the summative evaluation score for MISTELS was determined by maximizing the sensitivity and specificity of this training instrument. Using these findings, individualized training programs can be developed to teach essential laparoscopic skills prior to entering the operating room.
21
Sherman, Kevin Paul. "The specifications and role of a virtual environment system for knee arthroscopy training." Thesis, University of Hull, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.343159.
Full text
22
Ohrt, Gary Thomas. "Surgical simulation training models for orthopaedic fracture surgery." Thesis, University of Iowa, 2013. https://ir.uiowa.edu/etd/4888.
Full textAbstract:
Articular fracture reduction is a complex surgical task that requires surgeons to be competent at multiple surgical skills to successfully complete. The list of skills needed includes the ability to use fluoroscopic images to build a 3D mental model of the fracture during reconstruction, the proper handling and use of surgical instruments, how to manipulate the fracture fragment into a reduced configuration with minimal hand motion, proper k-wire placement, and the preservation of surrounding soft tissues. Current training methodology is based on an apprenticeship model. The resident learns by watching a senior surgeon, and then preforms the procedure on live patients under the guidance of the senior surgeon to gain competence. This endangers the patient and does not provide the best outcome for either patient or resident.
The work presented in this thesis is the early development of an articular fracture reduction simulator, the subsequent use of the simulator in the training of orthopaedic residents, and assessment of the improvement of residents after practice on the simulator. To date, the simulator has been tested on four different groups of residents,3 different groups from the University of Iowa and one group from the University of Minnesota. Considerable effort has been made to validate the improvement seen in resident performance through objective means. The Objective Structured Assessment of Technical Skills (OSATS) is a global rating score and procedural checklist that has been previously validated to objectively measure surgical skill. Other assessment metrics include hand motion capture to count the number of discrete actions and measure distance traveled during the surgical procedure, fluoroscopic usage and radiation exposure, articular `step-off', the surface deviation from an intact or ideal reconstruction, and contact stress exposure.
The results indicate that the goals for the simulator have been met, that the simulator provides a means of training orthopaedic residents, assessing improvement, decreased the cost of training, and improved patient safety. The simulator is not without limitations including sample size, and radiation exposure. The task being trained is complex and can be broken down into basic subtasks that could be trained individually. Even with flaws, the simulator is an improvement over current training methods and is an excellent first step toward creating a surgical skills curriculum to comply with new mandates from orthopaedic surgery's governing bodies.
23
Long, Steven A. "Orthopaedic surgical skills: examining how we train and measure performance in wire navigation tasks." Diss., University of Iowa, 2019. https://ir.uiowa.edu/etd/6795.
Full textAbstract:
Until recently, the model for training new orthopaedic surgeons was referred to as “see one, do one, teach one”. Resident surgeons acquired their surgical skills by observing attending surgeons in the operating room and then attempted to replicate what they had observed on new patients, under the supervision of more experienced surgeons. Learning in the operating is an unideal environment to learn because it adds more time to surgical procedures and puts patients at an increased risk of having surgical errors occur during the procedure. Programs are slowly beginning to switch to a model that involves simulation-based training outside of the operating room. Wire navigation is one key skill in orthopaedics that has traditionally been difficult for programs to train on in a simulated environment. Our group has developed a radiation free wire navigation simulator to help train residents on this key skill.
For simulation training to be fully adopted by the orthopaedic community, strong evidence that it is beneficial to a surgeon’s performance must first be established. The aim of this work is to examine how simulation training with the wire navigation simulator can be used to improve a resident’s wire navigation performance. The work also examines the metrics used to evaluate a resident’s performance in a simulated environment and in the operating room to understand which metrics best capture wire navigation performance.
In the first study presented, simulation training is used to improve first year resident wire navigation performance in a mock operating room. The results of this study show that depending on how the training was implemented, residents were able to significantly reduce their tip-apex distance in comparison with a group that had received a simple didactic training. The study also showed that performance on the simulator was correlated with performance in this operating room. This study helps establish the transfer validity of the simulator, a key component in validating a simulation model.
The second study presents a model for using the simulator as a platform on which a variety of wire navigation procedures could be developed. In this study, the simulator platform, originally intended for hip wire navigation, was extended and modified to train residents in placing a wire across the iliosacral joint. A pilot study was performed with six residents from the University of Iowa to show that this platform could be used for training the other applications and that it was accepted by the residents.
The third study examined wire navigation performance in the operating room. In this study, a new metric of performance was developed that measures decision making errors made during a wire navigation procedure. This new metric was combined with the other metrics of wire navigation performance (tip-apex distance) into a composite score. The composite score was found to have a strong correlation (R squared = 0.79) with surgical experience.
In the final study, the wire navigation simulator was taken to a national fracture course to collect data on a large sample of resident performance. Three groups were created in this study, a baseline group, a group that received training on the simulator, and a third group that observed the simulator training. The results of this study showed that the training could improve the overall score of the residents compared to the baseline group. The overall distribution from resident performance between groups also shows that a large portion of residents that did not receive training came in below what might be considered as competent performance. Further studies will evaluate how this training impacts performance in the operating room.
24
Gosse, C. Suzanne. "Critical thinking skills : a comparative analysis of experienced operating room and medical-surgical registered nurses." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/958783.
Full textAbstract:
Critical thinking skills have emerged as a vital tool for the professional nurse confronting an explosion of technology and compressed plans of treatment. The purpose of this research was to compare the critical thinking skills of experienced registered nurses from two practice settings: the operating room and general medical-surgical floors. Critical thinking was defined as a "composite of attitudes, knowledge, and skills" (Watson-Glaser, 1980, p. 1).The research of Benner (1984) provided the foundation for this research. Benner documented the development of knowledge and skill in nursing practice. Nurses at the proficient and expert stages of development were the focus of this research.A non-random, convenience sample containing fifty one nurses was drawn from two Midwestern hospitals. Demographic data was gathered to further describe the sample. Participation in the study was voluntary and anonymity of subjects was assured.The Watson-Glaser Critical Thinking Appraisal (WGCTA) (1980) was the instrument utilized to measure the critical thinking skills of the experienced nurses. This tool has established validity and reliability and is considered a benchmark for measuring critical thinking ability.Analysis of the WGCTA (1980), results revealed a mean of 54.29, SD 9.66 for the total group of experienced registered nurses (N=5 1). For the operating room nurses (n=28) a mean of 52.71 with a SD of 9.41 was obtained. Among the medical-surgical nurses (n=23), the mean score was 56.21 with a SD of 9.81. T-test and MANOVA analysis was carried out. No significant statistical differences were found between the means in either the total scores of the WGCTA or on the five sub-tests for the two groups. The data submitted for analysis reflected a very experienced group (51 % with > 15 years nursing experience) and predominate Associate and Diploma preparation (61 %). Norming information available for the WGCTA indicated the scores obtained in this research were comparable to much larger samples drawn from nursing students and police officers.A conclusion of this research is that critical thinking, as measured by the WGCTA (1980), develops uniformly across diverse practice areas. An examination of the usefulness of the WGCTA to accurately measure the process of critical thinking in experienced nurses is recommended. More research into the important issues of critical thinking and experienced nursing practice is recommended.School of Nursing
25
Howard, Valerie Michele. "A comparison of educational strategies for the acquisitions of medical-surgical nursing knowledge and critical thinking skills." Connect to resource online, 2007. http://etd.library.pitt.edu/ETD/available/etd-04182007-205440.
Full text
26
Elhabash, Saleem [Verfasser], and Berthold [Akademischer Betreuer] Gerdes. "Objective Assessment of Surgical Skills in a 2-Day Visceral Anastomoses Techniques Course held in the Annual Congress of the German Surgical Society (DGCH) / Saleem Elhabash ; Betreuer: Berthold Gerdes." Marburg : Philipps-Universität Marburg, 2019. http://d-nb.info/1191368785/34.
Full text
27
Hares, Sofia. "Vilken information har patienter som skall genomgå elektiv kirurgi behov av?" Thesis, Luleå tekniska universitet, Institutionen för hälsa, lärande och teknik, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-83957.
Full textAbstract:
Den information som operationssjuksköterskan förmedlar till patienten före, under och efter en elektiv kirurgisk operation kan minska patientens oro och risken för operativa komplikationer. Rätt information kan även minska antalet inställda elektiva kirurgiska ingrepp, förkorta patientens vårdtid samt minska antalet vårdskador och användningen av smärtmedicinering. Ändå är forskningen om vilken information som patienterna önskar i samband med elektiv kirurgi otillräcklig. Syftet med denna studie var därför att sammanställa kunskap om vilken information patienter som skall genomgå elektiv kirurgi har behov av. För att tillmötesgå syftet genomfördes en integrativ litteraturstudie utifrån 15 vetenskapliga artiklar baserade på kvalitativ och kvantitativ metod. Den integrativa litteraturstudien analyserades utifrån kvalitativ metod och strukturerades efter två huvudteman som benämndes heltäckande information samt Personcentrerad information. Resultatet visade att operationsteam och operationssjuksköterskor försökte tillmötesgå patienternas varierade och individuella behov av skriftlig och muntlig information under den preoperativa, operativa och postoperativa perioden i omsorgsvårdsprocessen. Under den preoperativa perioden ville patienterna främst få individualiserade verbala eller skriftliga svar på sina frågor. Under den postoperativa perioden ville patienterna få mer omfattande information än vad som i praktiken gavs. Patienterna ville få en så heltäckande, varierad och individanpassad verbal eller skriftlig information som möjligt. Emellertid förekom skillnader mellan operationsteamets och patienternas önskemål och sätt att tolka information. Patienterna ville få en mer personcentrerad och empatisk förståelse samt fullständig information om operationens långsiktiga resultat. När sådan information inte gavs fullt ut kunde patienterna känna sig otrygga inför operationen och ovissa i egenvården efter operationen. Slutsatsen blev därför att operationssjuksköterskan behöver ge information som tar mer hänsyn till patienternas varierade individuella informationsbehov och mer hänsyn till patienternas behov av psykologisk trygghet före/efter operationen.The information the surgical nurse communicates to the patient before, during and after an elective surgical operation can reduce the patient's concern and the risk of operative complications. Correct information can also reduce the number of elective surgical procedures canceled, shorten the patient's care time, and reduce the number of medical injuries and the use of pain medication. Nevertheless, there is lacking research on what information patients want in conjunction with elective surgery. The purpose of this study was therefore to compile knowledge about what information patients who are to undergo elective surgery need. To meet the purpose, an integrative literature study was conducted on the basis of 15 scientific articles based on qualitative and quantitative method. The integrative literature study was analyzed using a qualitative method and structured according to two main themes called comprehensive information and person-centered information. The result showed that surgery teams and surgery nurses tried to meet patients' varied and individual needs for written and oral information during the preoperative, operative and postoperative period of the careprocess. During the preoperative period, patients primarily wanted more individualised verbal or written answers to their questions. During the postoperative period, patients wanted more comprehensive information than was provided in practice, and patients wanted as comprehensive, varied and individualized verbal or written information as possible. However, there were differences between the surgical team's and the patients' information preferences, where the patients could want a more person-centered and empathetic understanding as well as complete information about the long-term results of the operation. When such person-centered information was not fully provided, patients could feel insecure before the operation and uncertain in self-care after the operation. The conclusion was therefore that the surgical nurse needs to provide information that takes more account of the patients’ varied individual information needs and more consideration of the patients' sense of psychological security before/after the operation.
28
Stevens, Gwynneth Roberta. "An exploration of the role of the registered nurse in enhancing and developing the nursing skills of undergraduate nursing students in a surgical setting." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13789.
Full textAbstract:
Registered nurses in clinical settings, through years of training combined with experience, become empowered with valuable knowledge and skills. The majority of these registered nurses are employed in public hospitals, caring for patients from culturally diverse backgrounds who face economic, psycho-social, and, in particular, physical challenges. Such conditions often provide a rich environment to undergraduate nurses for experiential learning. The experienced registered nurses, working in this rich environment, are well positioned to fulfil a crucial role in transferring, developing and enhancing skills for educating undergraduate nursing students. Their role in the development of undergraduate nursing students in the clinical environment should never be underestimated or under-utilised. The clinical environment should be considered as the most important resource for developing the confidence and competencies of undergraduate nurses. It is within this background that this research study was undertaken. The aim of this research study was to contribute to the teaching and learning roles and functions of registered nurses working in the surgical wards at the study setting in terms of teaching undergraduate nursing students. The researcher intends to make certain recommendations for the improvement of teaching and learning for undergraduate nursing students in the clinical context. In addition to exploring the feelings and perceptions of registered nurses regarding their teaching role, the minor dissertation seeks to explore some of the misconceptions and challenges relating to the nature, extent and responsibilities of this teaching role. I therefore set out to answer the following research question: “How do registered nurses at a Western Cape academic hospital perceive their teaching and learning role as clinical teachers?â€
29
Wayhs, Samia Yasin. "Influência da abordagem cirúrgica na ressecção dos meningiomas petroclivais." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/148212.
Full textAbstract:
Meningiomas petroclivais são tumores da base do crânio desafiadores para ressecção cirúrgica devido a sua localização profunda e relação com estruturas neurovasculares vitais. Geralmente são lesões benignas, mas podem envolver ou infiltrar o osso da base do crânio, dura-máter, tronco encefálico e todas as estruturas neurovasculares desta região, tornando a remoção total difícil sem causar déficits neurológicos. O objetivo deste estudo é revisar uma série de casos de meningiomas petroclivais tratados cirurgicamente em centro de referência de base de crânio, considerando os fatores determinantes para a escolha da abordagem. A casuística foi analisada com coleta retrospectiva dos dados. Devido à dificuldade de acesso, essas lesões geralmente requerem diferentes abordagens cirúrgicas e apresentam dificuldades cirúrgicas distintas. Embora as abordagens fronto-órbito-zigomática, petrosas, incluindo présigmoide retrolabiríntica, translabiríntica e petrosectomia total, e a retrossigmoide sejam as mais utilizadas para ressecção destes tumores, não foi realizado até o presente momento estudo comparativo que determine qual abordagem apresenta maior grau de ressecção cirúrgica associada a menor taxa de morbidade.Petroclival meningiomas are challenging skull base tumors for surgical resection because of its deep location and their relationship to vital neurovascular structures. They are usually benign, but may involve or infiltrate the bone of the skull base, dura, brain stem and all neurovascular structures in this region, making it difficult to completely remove without causing neurological deficits. The aim of this study is to review a surgical series of petroclival meningioma treated in a referral center for skull base tumors, considering the determining factors to the choice of approach. The casuistry was analyzed with retrospective data collection. Due to difficult access, these injuries usually require different surgical approaches and have different surgical difficulties. Although the fronto-orbital-zygomatic, petrous, including retrolabyrinthine pre-sigmoid, translabyrinthine and total petrosectomy, and retrosigmoid are frequently used for resection of these tumors, it has not been realized to date comparative study to determine which approach has greater degree of surgical resection associated with lower morbidity rate.
30
Michalopoulos, Helen. "Greek hospital and community nurse's role of offering support, counselling skills and nursing rehabilitation to parents of children with chronic medical, surgical or genetic conditions or disabilities." Thesis, Cardiff University, 2006. http://orca.cf.ac.uk/54252/.
Full textAbstract:
Children with altered body images due to chronic illnesses, surgery, genetic diseases or disabilities are living longer (Newacheck et al., 1998) which requires nurses to undertake their basic nursing role of providing psychological support though offering information, counselling and nursing rehabilitation (Johnson, 2000 Maguire and Parkes, 1998). The parents of these children face a drastic change in their lifestyle which requires them to adapt by using personal, family and community resources, according to Hentinen and Kyngas (1998). The aim of this study was to explore the perceptions of Greek nurses and parents of children with chronic health problems (CHP) in relation to the nurse's role of offering psychological support. This study used a data and methodological triangulation approach which included two levels of persons, parents and nurses, and a combination of qualitative and quantitative paradigms. A survey was given to 103 parents and 83 community or hospital nurses, from these samples 30 parents and 30 nurses were chosen to be interviewed. King's Conceptual Framework of Goal Attainment (CFGA) guided the study and provided a framework in which to present the findings. The main findings from the descriptive analysis, chi-square and Fisher's exact tests, along with the qualitative findings, concluded that many nurses and parents both felt that nurses were not well enough informed, many nurses had offered information but parents refused to accept it and that many parents and nurses were unaware of the nurse's role in nursing rehabilitation. A disagreement was found between the samples as to whether or not it was the nurse's role to evaluate the adaptation of the child and his parents, an important part of nursing rehabilitation according to Gibbons et al. (1995). Additional findings were that a few parents had the fear of surgery for their child, there was great disagreement concerning the importance of whether or not these children should attend public school and that many health conditions could have been prevented. Although religion had not been included in the questionnaire, during the qualitative portion of the study the parents emphasised the importance of their Greek Orthodox religion as a source of strength. Comparisons of the perceptions of both sample groups provided information which may assist in developing future approaches in nursing practice, nursing research and nursing education.
31
Sánchez-Margallo, Juan A. [Verfasser], Francisco M. [Verfasser] Sánchez-Margallo, del Pozo José [Verfasser] Moreno, and Aguilera Enrique J. [Verfasser] Gómez. "Methods for laparoscopic instrument tracking and motion analysis for objective assessment of surgical technical skills / Juan A. Sánchez-Margallo, Francisco M. Sánchez-Margallo, José Moreno del Pozo, Enrique J. Gómez Aguilera." München : GRIN Verlag, 2015. http://d-nb.info/1180733940/34.
Full text
32
Magalhães, Daniela. "Papel do Enfermeiro na Nutrição e Hidratação da Pessoa Internada e seus Registos." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2016. http://hdl.handle.net/10400.26/10766.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaO presente relatório de trabalho de projeto surge no âmbito do 4º Curso de Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde do Instituto Politécnico de Setúbal, a sua apresentação e discussão pública visa a obtenção do grau de Mestre nesta área científica. Este explicita através de um processo descritivo, de análise e de reflexão do percurso desenvolvido, a aquisição de competências Comuns do Enfermeiro Especialista, Competências Específicas do Enfermeiro Especialista em Enfermagem em Pessoa em Situação Critica, Competências Específicas do Enfermeiro Especialista em Enfermagem em Pessoa em situação crónica e paliativa e Competências de Mestre em Enfermagem Médico-Cirúrgica. No âmbito dos estágios realizados desenvolvemos um Projeto de Intervenção em Serviço com recurso à metodologia de projeto, centrado numa oportunidade de melhoria e resolução de problemas, suportado pelo enquadramento teórico e pela Teoria de Faye Glenn Abdellah que norteou o trabalho, juntamente com os contributos dados pelo Modelo da Mudança da Prática Baseada na Evidência de Mary Rosswurm e June Larrabee. Com o tema “Papel do Enfermeiro na Nutrição e Hidratação da Pessoa Internada e seus Registos”, clarificou e definiu o papel do enfermeiro nesta área e uniformizou as práticas, constituindo-se um projeto no âmbito da melhoria contínua da qualidade. A reflexão das competências comuns e específicas do enfermeiro especialista em enfermagem médico-cirúrgica foi construtiva e enriquecedora, contribuiu para a consciencialização das capacidades adquiridas, por outro lado o projeto de intervenção em serviço concorreu fortemente para o desenvolvimento das competências referidas, tudo isto implicou um conhecimento aprofundado, suportado na evidência, num domínio especializado da área da enfermagem médico-cirúrgica, conducente com as competências e grau de Mestre.
This project work report is set within the context of the 4th Masters Course in Medical-Surgical Nursing, School of Health Sciences of the Polytechnic Institute of Setúbal and its presentation and public discussion aims to obtain a Master’s degree in this scientific area. Through a descriptive process of analysis and reflection, we aim to explain the route developed for the acquisition of both Common and Specific skills of the Specialist Nurse in the care of the patient in chronic and palliative situation as well as the skills needed for the Master’s degree in Medical-Surgical Nursing. We developed an Intervention Project in Service (IPS) through the participation in several internships and using the project work methodology. The IPS was set as an opportunity for improvement and troubleshooting and was supported by Faye Glenn Abdellah’s theory and Mary Rosswurm’s and June Larrabe’s work “A Model for Change to Evidence-Based Practice”. Based on continuous quality improvement and entitled as “Role of the Nurse in the Hospitalized Patient’s Nutrition and Hydration and its records”, he clarified and defined the role of nurses in this area and standardized practices, becoming a project within the framework of continuous quality improvement. The reflection of common and specific skills of the specialist nurse in medical-surgical nursing was constructive and fruitful and contributed to the awareness of the skills acquired. On the other hand, the IPS strongly contributed to the development of these skills which, supported by a deep knowledge and evidence, conducted to a specialization in Medical-Surgical Nursing and to a Master’s degree in the same field.
33
Barros, Maria Esmeralda. "Monitorização e Gestão da Dor na UCPA." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2015. http://hdl.handle.net/10400.26/8352.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaNo âmbito do 2º Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde – Instituto Politécnico de Setúbal, o presente relatório pretende transmitir todo o processo desenvolvido para a aquisição das Competências Comuns e Específicas do Enfermeiro Especialista em Enfermagem em Pessoa em Situação Crítica. Inserido em contexto da Unidade Curricular Enfermagem Médico-Cirúrgica II, o Estágio III, compreende a implementação do projeto de intervenção em serviço de acordo com a metodologia de projeto com o título “ Monitorização e Gestão da Dor na unidade de cuidados pós-anestésicos”. A sua finalidade é a implementação de instrumentos de avaliação da Dor e a uniformização de procedimentos, numa unidade de cuidados pós-anestésicos de um Hospital do sul do país, de modo que, a presença de Dor e a sua intensidade sejam sistematicamente valorizadas, diagnosticadas, avaliadas e registadas. A dor pós-cirúrgica na unidade de cuidados pós-anestésicos é uma realidade problemática, a sua monitorização e gestão é fundamental para a melhoria da qualidade dos cuidados prestados. Para a consecução deste projeto foram delineados quatro objetivos específicos, bem como todas as atividades necessárias à sua operacionalização. O primeiro foi adequar a norma de intervenção de enfermagem de avaliação da dor na UCPA, o segundo a elaboração de um padrão de documentação de registo sistemático da dor, o terceiro a formação da equipa relativamente à avaliação, gestão e registo da dor e o quarto a elaboração de um caderno temático sobre a problemática em questão. O desenvolvimento de Competências Especificas do Enfermeiro Especialista em Pessoa em Situação Crítica foi também marcada pela realização do projeto de aprendizagens clínicas, seguindo igualmente a metodologia de projeto.
Abstract:Within the extent of the 2nd Master`s Degree in Medical-Surgical Nursing , of the Polytechnic Institute -School of Health - in Setubal, this present report pretends to convey the whole process developed for the acquisition of Common and Specific Competencies of the Nursing Specialist in the Critical Patient Situation. Set in the context of the II Medical-Surgical Nursing course, the III internship consists in the implementation of the intervention project in service in accordance with project methodology entitled "Monitoring and Management of Pain in the post-anesthesia care unit." Its purpose is to implement pain assessment tools and standardization of procedures, in a post-anesthesia care unit of a hospital in the south of the country, so that the presence of pain and its intensity are systematically valued, diagnosed, assessed and registered. Post-surgical pain in the post-anesthesia care unit is a problematic reality, its monitoring and management is the key to improving the quality of care given. To achieve this project were outlined four specific objectives as well as all necessary to its operation activities. The first was to adjust the standard of nursing intervention for pain assessment in a post-anesthesia care unit, the second developing a standard for documentation of systematic recording of pain, the third training staff regarding the assessment, management and registration of pain and the fourth the development of a thematic dossier on the issue in question. The development of Specific Competencies of the Specialist Nurse in Critical Situation Patient care was also marked by the execution of the clinical learning project, equally following the project methodology.
34
Dantas, Alessandra Kiyanitza. "Avaliação do aprendizado em técnica cirúrgica empregando três estratégias de ensino." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/23/23149/tde-28052010-125748/.
Full textAbstract:
O aprendizado de cirurgia envolve inicialmente um conhecimento teórico seguido de um treinamento prático do aluno. Atividades em laboratório permitem ao aluno conhecer o instrumental cirúrgico e as dificuldades de técnica operatória antes de executar os procedimentos na clínica. Várias metodologias têm sido propostas no processo ensino-aprendizagem de cirurgia, mas tão importante quanto o método de ensino é a avaliação do aprendizado e a competência do aluno. Este trabalho teve como objetivo comparar três métodos diferentes de ensino de técnica cirúrgica, através de avaliações práticas utilizando um modelo que permite as manobras de incisão, divulsão e sutura. Trinta alunos sem conhecimento ou experiência prévia em cirurgia foram divididos em três grupos onde uma estratégia de ensinoaprendizagem diferente foi empregada: Grupo 1 - metodologia ativa, Grupo 2 - leitura prévia de texto e Grupo 3 - leitura prévia de texto com demonstração em vídeo. O conteúdo programático foi o mesmo para todos os grupos. Ao término dessa atividade, todos realizaram o procedimento estudado no modelo; os itens avaliados seguiram um checklist computando S para questões corretas e N para erradas e transformadas em notas de zero a dez. A avaliação no modelo foi repetida em 30 e 60 dias. Para verificar a diferença entre as médias das notas nos grupos foram aplicados procedimentos de análise de variância (ANOVA) e comparação múltipla pelo método de Tukey (nível de significância = 0,05). Os dados mostraram que a metodologia ativa (Grupo 1) apresentou melhores resultados com relação à assimilação imediata do conhecimento, seguida da que utilizou texto e vídeo (p=0,0004) e, por último, a leitura do texto (p=0,0001). Entretanto, essa metodologia também não foi totalmente efetiva na retenção do aprendizado da técnica. Baseado nas condições desse estudo, podemos concluir que apesar da metodologia ativa alcançar melhor desempenho inicial em relação às outras em todas as etapas, as três estratégias foram similares na manutenção do que foi aprendido em procedimentos cirúrgicos básicos após 60 dias. Repetições durante o aprendizado de habilidades manuais são essenciais para assimilação adequada. Avaliações constantes são fundamentais para conferir a evolução do aprendizado, permitindo reforço teórico e repetições do treinamento das habilidades práticas e direcionando para o tipo de metodologia mais indicada no momento.Surgical learning initially involves theory understanding followed by surgical practice training. Laboratories activities allow the students introduction to special instruments and comprehension of operative technical difficulties before the use and execution on clinical working. Many methodologies have been proposed in teaching and learning of surgery practice but assessment of learning skills and abilities gained by the student is imperative. The present study was proposed to compare three different methodologies of teaching a basic surgical technique through a practical assessment employing a learning model that allows incision, divulsion and suture procedures. Thirty undergraduate students without any knowledge or previous surgical experience were divided in three groups (n=10) each one received a singular methodological learning strategy: Group 1 - interactive methodology, Group 2 - text reading only and Group 3 - text reading and demonstration video. Programmatic issue was the same for all groups. After matter and technical procedures were instructed by one of the strategies apprentices were allowed to execute in the learning model the procedure studied. A structured evaluation test taking to account correct or incorrect maneuvers was applied by a trained observer. Grades from 0-10 were given in each examination. Evaluation trial was repeated 30 and 60 days after the first class. Data from grades media between groups and periods were considering for statistical analysis by ANOVA and Tukey method (significant level = 0,05). The results showed that interactive methodology (Group 1) presented the best significant learning results in view of the immediately assimilation of procedure comprehension compared to group 3 (p=0,0004) that has used text reading and video and to group 2 (p=0,0001) that had read only the text. However, interactive methodology was not totally effective on maintenance of the learning skills. Based on the controlled conditions of this study, it was also possible to conclude that despite the fact that interactive learning methodology had demonstrated better initial learning results, the three strategies were similar on absorption of basic surgery procedures knowledge after 60 days. Repetition on learning a new manual ability is essential for assimilation. Evaluation tests to assess learning evolution are fundamental to check teaching strategies and to permit theory feedbacks and proficiency learning.
35
Lúcio, Gabriel Valentim dos Santos. "Relatório de Mestrado: trabalho de projeto." Master's thesis, Escola Superior de Saúde do Instituto Politécnico de Setúbal, 2013. http://hdl.handle.net/10400.26/4358.
Full textAbstract:
Trabalho de Projecto para Candidatura ao grau de Mestre em Enfermagem Médico-CirúrgicaEm contexto do 1º Mestrado em Enfermagem Médico-cirúrgica da Escola Superior de Saúde – Instituto Politécnico de Setúbal sistematiza-se no presente relatório todo o processo desenvolvido para a aquisição das Competências Comuns e Específicas do Enfermeiro Especialista em Enfermagem em Pessoa em Situação Crítica. Deste processo destaca-se a análise e reflexão do processo de aquisição e desenvolvimento de todas as competências do enfermeiro especialista, e a realização do projecto de intervenção em serviço que demonstra na prática algumas dessas competências. É destacado o processo de evolução do referencial teórico que norteia o exercício de enfermagem do mestrando, pautado teoria de médio alcance: The AACN Synergy Model for Patient Care. Inserido em contexto da Unidade Curricular Enfermagem Médico-cirúrgica I, o Estágio III contemplou a realização de um projecto de intervenção, segundo a metodologia de projecto. Com este pretende-se a implementação de rotinas de monitorização dos carros de emergência, num serviço de urgência geral de um Hospital do sul do país, através da criação de uma norma de procedimento. A sua implementação visa uniformizar práticas de organização e manutenção dos carros de emergência, e responder aos critérios do programa de acreditação do CHKS healthcare accreditation and quality unit. A reflexão das competências comuns e específicas do enfermeiro especialista revelou-se construtiva e enriquecedora, contribuindo para a consciencialização das capacidades adquiridas ao longo do processo profissional e académico, e para a sensibilização dos domínios que carecem de maior investimento futuro. O projecto de intervenção contribuiu fortemente para o desenvolvimento das competências do enfermeiro especialista, nomeadamente, no domínio da melhoria contínua da qualidade e da gestão dos cuidados. O grau de Mestre em Enfermagem Médico-cirúrgica implica um conhecimento aprofundado no domínio especializado da área médico-cirúrgica, em complemento com as competências do enfermeiro especialista. Encontram-se aqui descritas as competências desenvolvidas que complementam o enfermeiro especialista enquanto Mestre em Enfermagem Médico-cirúrgica.
On the context of the 1st Master in Medical-Surgical Nursing from ‘Escola Superior de Saúde – Instituto Politécnico de Setúbal’ is systematized in this report the process developed for the acquisition of Common and Specific Competencies of Nurse Specialist in ‘Enfermagem em Pessoa em Situação Crítica’. Of this process is highlighted the analysis and reflection on the acquisition and development of the nurse specialist skills, and the intervention project in service that demonstrates some of these skills. It is highlighted the evolution of the theoretical framework that guides the exercise of nursing by the masters student, based on the middle range theory: The AACN Synergy Model for Patient Care. On the context of the ‘Unidade Curricular Enfermagem Médico-cirúrgica I, the ‘Estágio III’ included the realization of an intervention project, according to project methodology. With this is intended to implement routine monitoring of the crash-carts in the emergency department of a general hospital in the south of the country, through the creation of a standard procedure. Its implementation aims to standardize practices for organizing and maintaining the crash-carts, and meet program criteria for accreditation of CHKS healthcare accreditation and quality unit. The reflection on the common and specific competencies of the nurse specialist proved to be constructive and enriching, contributing to the awareness of the skills acquired throughout the professional and academic process, and to raise awareness of the areas that require further investment. The intervention project contributed greatly to the development of the nurse specialist skills in particular on the field of continuous quality improvement and care management. The Master degree in Medical-Surgical Nursing implies a thorough knowledge in the specialized field of medical-surgical nursing, in addition to the skills of the nurse specialist. Here are described the skills that were developed and complemented the nurse specialist ones while Master in Medical-Surgical Nursing.
36
Rosa, Carla Custódio. "A Segurança passa pela Prevenção." Master's thesis, Instituto Politécnico de Setubal. Escola Superior de Saúde, 2015. http://hdl.handle.net/10400.26/10465.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para
cumprimento dos requisitos necessários à
obtenção do grau de Mestre em Enfermagem
Médico-CirúrgicaNo presente relatório pretendemos demonstrar, num processo de análise e reflexão, todo o percurso académico realizado no âmbito do Curso de Mestrado em Enfermagem Médico- Cirúrgica, durante o qual realizamos estágios numa Unidade de Cuidados Intensivos Coronários (UCICOR), desenvolvemos um Projeto de Intervenção em Serviço (PIS), pela metodologia de trabalho de projeto, e um Projeto de Aprendizagem Clínica (PAC). O PIS intitulado “A Segurança passa pela Prevenção” aborda a problemática de ocorrência de quedas do cliente hospitalizado no Serviço de Cardiologia/UCICOR. Estes incidentes são uma realidade das instituições de saúde e um indicador de qualidade dos cuidados de enfermagem. A realização deste projeto possibilitou-nos intervir na componente da segurança do cliente, através da adoção de um conjunto de estratégias pela equipa de enfermagem, nas quais evidenciamos a avaliação do risco de queda dos clientes e o envolvimento dos mesmos na prevenção e redução da ocorrência de quedas. A sua fundamentação teórica assenta na Tipologia dos Vinte e Um Problemas de Enfermagem de Faye Glenn Abdellah. O PAC constituiu-se como essencial na promoção de boas práticas profissionais, que visam a qualidade dos cuidados, dando resposta ao desenvolvimento de Competências Comuns e Específicas do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica, desenvolvidas no estágio III. Na Pessoa em Situação Crítica, ao nível da prevenção e controlo da infeção implementamos o procedimento “Boas Práticas no Despejo do Saco de Drenagem de Urina”. Na Pessoa em Situação Crónica e Paliativa direcionamos a nossa intervenção para o cuidador do cliente com Insuficiência Cardíaca. Assim, neste relatório, procuramos evidenciar como os aportes teóricos lecionados e os projetos desenvolvidos em contexto de estágios, na procura da excelência no exercício profissional, promoveram a aquisição e desenvolvimento das Competências Comuns do Enfermeiro Especialista, das Competências Específicas do Enfermeiro Especialista e Mestre em Enfermagem Médico-Cirúrgica.
Abstract: In this report we intend to demonstrate, in a process of analysis and reflection, the entire academic course conducted in the context of a master’s degree in Medical-Surgical Nursing. For this purpose we did various internships at the Coronary Intensive Care Unit (CICU) as well as developed, using a project work methodology, an Intervention Project in Service (IPS) and a Clinical Learning Project (CLP). The IPS, entitled "Security is achieved through Prevention" concerns the occurrence of falls in patients admitted into the Cardiovascular Service /CICU. These incidents are a fact in health institutions and an indicator of nursing care quality. The achievement of this project had enabled us to participate in the field of patient security through the adoption of a set of strategies by the nursing team, in which we emphasized the assessment of the patient fall risk and the involvement of the patient himself in the prevention and reduction of falls. Its theoretical foundation is based on the Faye Glenn Abdellah’s Typology of the Twenty-One Nursing Problems. The CLP was established as essential in promoting good professional practice, that aim the quality of care and responds to the development of both Common and Specific Skills of the Nurse Specialist in Medical-Surgical Nursing. These skills were developed during the internship III. In a Critical Situation, at a level of prevention and control of infection, the procedure implemented is "Good Practices in the Disposal of the Urine Drainage Bag". In a Chronic and Palliative Condition we direct our intervention to the caregiver of the patient with Heart Failure. In short, this report seeks to show how the theoretical contributions and projects, developed in the context of internships, as well as the search for excellence in professional practice, promoted the acquisition and development of both Common and Specific skills of the Specialist Nurse and the Master in Medical-Surgical Nursing.
37
Carmo, Mónica Cristina Alves do. "Cuidados de Enfermagem ao Cliente submetido a Traqueostomia/Traqueotomia." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2014. http://hdl.handle.net/10400.26/7477.
Full textAbstract:
Dissertação apresentada para cumprimento dos requisitos necessários à obtenção do grau de
Mestre em Enfermagem Médico-CirúrgicaO 2.º Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde do Instituto Politécnico de Setúbal contempla a redação de um relatório de trabalho de projeto, onde o mesmo procurará demonstrar a capacidade em identificar problemas e desenvolver soluções, de refletir sobre as ações realizadas e as suas implicações éticas e sociais e de comunicar adequadamente as suas conclusões. Ao longo deste relatório descrevemos todo o processo desenvolvido para a aquisição das Competências Comuns e Específicas do Enfermeiro Especialista em Enfermagem em Pessoa em Situação Crítica, efetua-mos ainda uma análise e reflexão do processo de aquisição das competências do mestre em enfermagem Médico-Cirúrgica. Com a elaboração deste relatório pretendemos evidenciar o trabalho desenvolvido nos estágios I, II e III correspondentes à Unidade Curricular de Enfermagem Médico-cirúrgica I, e II respetivamente. Neste contexto elaboramos um projeto de intervenção no serviço (PIS), com base na metodologia de trabalho de projeto, tendo como objetivo melhorar a qualidade dos cuidados de enfermagem prestados ao cliente submetido a traqueostomia/traqueotomia. Este trabalho permitiu o desenvolvimento das competências comuns do enfermeiro especialista, momeadamente, no domínio da melhoria continua da qualidade, assim como o desenvolvimento da competência específica: K.1 - “Cuidar da pessoa a vivenciar processos complexos de doença orgânica e/ou falência orgânica” (Regulamento n.º 124/2011). No mesmo contexto de estágio, foram adquiridas e aprofundadas as restantes competências especificas do enfermeiro especialista em MC emanadas pela Ordem dos Enfermeiros, 2011, com a realização do projeto de aprendizagem clínica (PAC), desenvolvido no âmbito da prevenção da infeção associada ao cateterismo intravascular periférico e evacuação de doentes em caso de sinistro. A aquisição do grau de mestre em enfermagem MC com competências de enfermeiro especialista tem por base a realização de todo o trabalho descrito.
Abstract:The 2nd Master’s degree in Surgical and Medical Nursing of Setubal’s Health School of the Polytechnic Institute of Setúbal, contemplates the composing of a project work report, which seeks to demonstrate the ability to: identify problems and developing solutions, reflect on performed actions and their ethic and social implications and rightly notify their conclusions. Throughout this report we describe all of the process developed for the acquisition of the Common and Specific Skills of the Specialized Nurse in Nursing of the People in Critic Situation, we also prepared an analysis and reflection of the acquisition process of the skills of the Master in Surgical and Medical Nursing. With the collaboration of this report, we intend to point out the developed work on the internships I, II and III correspondent to the Curricular Subject of Surgical and Medical Nursing I and II, respectively. In this context, we elaborated an intervention project on service (IPS), based on the work project methodology, having as a goal to improve the quality of nursing care given to the client submitted to tracheostomy/tracheotomy. This work allowed the development of the common skills of the specialized nurse, namely, on the grasp of the continuum improvement of quality, as in developing specific skills: “Taking care of a person who’s experiencing complex processes of organic disease and/or organic failure.” (Regulation n.º124/2011) On the same internship context, we acquired and deepen the remaining specific skills of the specialized nurse in surgical and medical nursing, issued by the Nursing Order, 2011, with the elaboration of the clinical learning project (CLP), developed on the context of infection prevention associated to peripheral intravascular catheterization and evacuation of patients in sinister conditions. The acquisition of Master’s Degree in SM Nursing with specialized nurse skills is based on the execution of all the described work.
38
Franco, Hugo. "Melhoria da qualidade dos cuidados na área de ambulatório de oncologia: definição do RMDE e implementação do processo clínico eletrónico para a área do ambulatório de oncologia." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2014. http://hdl.handle.net/10400.26/7125.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaO presente relatório inclui-se no plano de estudos do III Curso de Mestrado em Enfermagem Médico-Cirúrgica (MEMC), da Escola Superior de Saúde do Instituto Politécnico de Setúbal (ESS-IPS), surgindo como um documento elucidativo do desenvolvimento de competências durante o 2º Curso de Pós-Licenciatura de Especialização em Enfermagem Médico-Cirúrgica (CPLEEMC), analisando o contributo do percurso, dos projetos e dos trabalhos realizados para o desenvolvimento de competências do Enfermeiro Especialista (EE) e do MEMC. No âmbito do CPLEEMC realizámos um Projeto de Intervenção sobre a Melhoria da Qualidade dos Cuidados na área de ambulatório de Oncologia, considerado projeto-piloto na realidade institucional e nacional para o desenvolvimento do Processo Clinico Eletrónico de Enfermagem na área do ambulatório. Traçámos como objetivos: Definir o RMDE de ambulatório no serviço de Oncologia e Implementar o Processo Clínico Eletrónico para a área do ambulatório no serviço de Oncologia de um Hospital da região de Setúbal. Ainda durante o CPLEEMC desenhamos um Projeto de Aprendizagem Clínica direcionado para o desenvolvimento das competências do EE em Enfermagem Médico-Cirúrgica (EEMC). Durante o MEMC desenvolvemos um estudo exploratório e descritivo onde procuramos definir Quais os focos altamente sensíveis aos cuidados e enfermagem em ambulatório de Oncologia. Os participantes são enfermeiros. O trabalho decorreu numa unidade de ambulatório de Oncologia de um Hospital da região de Setúbal. Foram assegurados os princípios éticos aplicáveis. Utilizámos técnicas de produção de dados nomeadamente, observação participante e análise documental. Fizemos análise dos dados obtidos à luz de uma Revisão Sistemática da Literatura sobre a temática garantindo a qualidade das conclusões A aquisição de competências que visam o desempenho da função de Mestre e EE nesta área científica, encontram-se refletidas ao longo deste relatório, validando cuidados de enfermagem altamente qualificados e com base na evidência, contribuindo para a qualidade e excelência no exercício da profissão.
Abstract: This report is included in the curriculum of the third master's degree course in Medical-Surgical Nursing (MEMC), the school of health of the Instituto Politécnico de Setúbal (ESS-IPS), emerging as an informative document skills development during the 2nd Graduate Degree of specialization in medical-surgical Nursing (CPLEEMC), analyzing the contribution of course, of the projects and of the work carried out for the development of skills of the Nurse Specialist (EE) and the Master in Medical Surgical Nursing. Under the CPLEEMC held an intervention project on improving the quality of care in the area of Oncology outpatient clinic, considered pilot project on institutional and national reality to the Clinical development process electronic nursing in outpatient area. Set out as goals: set the RMDE outpatient Oncology service and Implement the Clinical Process Email for the outpatient area in a Hospital Oncology service of the region of Setúbal. Even during the CPLEEMC draw a project of Learning Clinic (PAC) directed to the development of skills of EE in medical-surgical Nursing (EMC). During the MEMC developed a descriptive and exploratory study where we define which focuses highly sensitive to care and nursing in outpatient Oncology. Participants are nurses. The fieldwork took place in an outpatient Oncology Unit of a Hospital in the region of Setúbal. Were assured the ethical principles applicable. We use data production techniques such as participant observation and document analysis. We did an analysis of the data obtained in the light of a systematic review of the literature on the topic "ensuring quality of the conclusions. The acquisition of skills for the performance of the Master and a Nurse Specialist in this scientific area, are reflected throughout this report, validating highly skilled nursing care and based on the evidence, contributing to the quality and excellence in the practice of the profession.
39
Macedo, Rolanda. "Integração de Enfermeiros no Bloco Operatório: O Primeiro Passo para Cuidados de Excelência." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2015. http://hdl.handle.net/10400.26/10454.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para
cumprimento dos requisitos à obtenção do grau de
Mestre em Enfermagem Médico-CirúrgicaO presente Relatório de Trabalho de Projeto surge no âmbito do 3º Curso de Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde do Instituto Politécnico de Setúbal e a sua construção, apresentação e discussão pública visam a obtenção do grau de Mestre nesta área científica. Os objetivos deste relatório passam por apresentar o PIS – Projeto de Intervenção em Serviço e o PAC – Projeto de Aprendizagem Clínica, e descrever e analisar o desenvolvimento das competências adquiridas como Enfermeira Especialista e Mestre em Enfermagem Médico-Cirúrgica. No âmbito dos estágios realizados no Bloco Operatório do Centro Hospitalar X foram desenvolvidos, segundo a metodologia de trabalho de projeto, dois projetos: um Projeto de Intervenção em Serviço sobre “Integração de Enfermeiros no Bloco Operatório – O Primeiro Passo para Cuidados de Excelência”, cuja realização nos permitiu criar e implementar um programa de integração de novos enfermeiros no Bloco Operatório, com o objetivo de melhorar a qualidade e a segurança das integrações, sendo que foi um contributo para uma eficaz integração, facilitadora e potenciadora de uma prestação de cuidados de excelência; e um Projeto de Aprendizagem Clínica, centrado no desenvolvimento dos domínios nas áreas da prevenção e controlo de infeção, da resposta na catástrofe e emergência multivítima e do cuidar da pessoa em situação crítica e em situação crónica e paliativa. Ambos os projetos contribuíram para o desenvolvimento das competências comuns e específicas do Enfermeiro Especialista em Enfermagem Médico- Cirúrgica, designadamente em Enfermagem em Pessoa em Situação Crítica e em Pessoa em Situação Crónica e Paliativa, bem como as competências de Mestre em Enfermagem Médico-Cirúrgica. Ao longo do Relatório, descrevemos o percurso efetuado no Curso e respetivos estágios, analisando os seus aportes no desenvolvimento de competências especializadas e de mestre em enfermagem, contribuindo para a melhoria contínua da qualidade dos cuidados prestados, dentro do alvo desejável da excelência na profissão de Enfermagem.
Abstract: This Project Work Report comes out as part of the 3rd edition of the Medical- Surgical Nursing Master’s degree in the School of Health, Polytechnic Institute of Setúbal. Its construction, presentation and public discussion aims the achievement of a Master’s degree in this scientific area. The objectives of this report are to present the IPS – Intervention Project in Service – and the CLP – Clinic Learning Project – and describe and analyze the development of skills acquired as Specialist Nurse and Master in Medical-Surgical Nursing. Two projects were carried out during the internship: an Intervention Project in Service entitled as "Integration – The First Step to Excellence Care", which allowed us to create and implement a program for the integration of new nurses in the operating room, which has been a contribution to an effective integration, promoting and enabling the provision of a care of excellence; and a Clinic Learning Project, aimed at developing the skills of a Specialist Nurse regarding the prevention and control of infections, the answer in disaster situations and multi victim emergencies, and the care of someone in critical and in chronic and palliative situations. Both projects contributed to the development of the common and specific skills of the Specialist Nurse in Medical-Surgical Nursing, namely in the care to the Patient in Critical Situation or in Chronic and Palliative Situation, as well as the development of the skills of Master in Medical-Surgical Nursing. Throughout the Report, we will describe the route followed during the Course and respective internships, analyzing their contributions to the development of expertise and mastership in Nursing, and to the continuous improvement of the quality of care provided within the desirable goal of excellence in the Nursing profession.
40
Patoleia, Flávio Manuel Madeira Anacleto. "Atuação em caso de emergência/catástrofe na Unidade de Cuidados Intensivos do CH." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2017. http://hdl.handle.net/10400.26/17629.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado
para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaO presente relatório ilustra o trabalho desenvolvido ao longo do 4º Mestrado em Enfermagem Médico-Cirúrgica, da ESS/IPS, nomeadamente com a realização do Projeto de Intervenção em Serviço (PIS) e do Projeto de Aprendizagem Clínica (PAC), sendo demonstrativo das aprendizagens proporcionadas pela realização dos estágios I, II e III na Unidades de Cuidados Intensivos (UCI) e do estágio de observação nos Cuidados Paliativos. O PIS incidiu sobre a temática da Emergência/Catástrofe em Cuidados Intensivos. Com o objetivo de capacitar a equipa da UCI, para atuar com prontidão e usando padrões aceites a nível nacional e internacional na resposta a situações de emergência/catástrofe, elaborou-se e divulgou-se um “Procedimento de atuação em caso de Emergência/Catástrofe na Unidade de Cuidados Intensivos”. A realização do PIS assentou na metodologia de projeto, com o objetivo de formar e treinar a equipa da UCI na prevenção e preparação para as situações de emergência ou catástrofe. Com o objetivo de adquirir/aprofundar as Competências Específicas dos Enfermeiros Especialistas em Enfermagem em Pessoa em Situação Crítica e/ou Crónica e Paliativa foi realizado um PAC. Na aquisição destas competências, constaram a realização de um “Procedimento para prevenção da infeção associada a cateterismo vesical de curta duração na pessoa adulta”, que foi implementado a nível transversal no Centro Hospitalar, a elaboração de um artigo que incidiu na temática da comunicação em saúde, abordando a “Conspiração do Silêncio”, e a realização de um estágio de observação, onde se acompanhou uma Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos. Com a realização do mestrado, foi possível aliar a teoria e a praxis, apoiados na prática baseada na evidência, possibilitando o desenvolvendo das competências comuns, específicas e de mestre em enfermagem médico-cirúrgico.
This report illustrates the developed work during the 4th Master in Medical-Surgical Nursing at the Health Superior School of the Polytechnic Institute of Setúbal, namely with the elaboration of the Intervention Project in Service (IPS) and the Clinical Learning Project (CLP), being a demonstration of the provided learning during the elaboration of stages I, II and III at the Intensive Care Unit (ICU) and the observation stage in Palliative Care. The IPS is focused on the Emergency/Disaster in Intensive Care thematic. In order to enable the ICU team to act promptly, and using accepted standards at a national and international level in response to emergency/disaster situations, a “Procedure of action in case of Emergency/Disaster at the Intensive Care Unit” was developed and disclosed. The elaboration of the IPS was based on the project methodology in order to educate and train the ICU team in prevention and preparation to emergency or disaster situations. In order to acquire/deepen the Specific Skills of Specialist Nurses in Nursing a Person in Critical and/or Chronic and Palliative Situation it was elaborated a CLP. In these skills acquisition, it was elaborated a “Procedure to prevent the infection associated with urinary catheterization of short time on an adult person”, implemented on a transverse level at the Hospital Center, the preparation of an article which focused on the thematic of communication in health, addressing the “Conspiracy of Silence”, and the elaboration of an observation stage, where a Intra-Hospital Team of Support in Palliative Care was accompanied. With the Master's degree elaboration, it was possible to combine theory and praxis, supported by practice based on evidence, enabling the development of common skills, specifics and of master in medical-surgical nursing.
41
Amaral, Guida. "As competências do enfermeiro especialista na promoção do processo de ensino aprendizagem dos estudantes do curso de licenciatura em enfermagem." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2016. http://hdl.handle.net/10400.26/17785.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado
para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaO presente relatório de trabalho de projeto foi realizado no âmbito do curso de Mestrado em Enfermagem Médico-Cirúrgica (EMC), e contempla o Projeto de Desenvolvimento Académico (PDA) e o Projeto de Aprendizagem Clínica (PAC). O estágio decorreu num Serviço de Urgência (SU), de um hospital na margem sul. No PDA procuramos dar resposta a uma nossa inquietação, acerca do papel de enfermeiro especialista em EMC como promotor da aprendizagem. Realizamos uma Revisão integrativa da literatura (RIL) com o objetivo de identificar quais os aspetos considerados pelos estudantes de enfermagem (EE) e pelos enfermeiros orientadores (EO), como influenciadores da aprendizagem em contexto de prática clínica (CPC). Emergiram 6 categorias de aspetos que influenciam a aprendizagem: Acolhimento, Organização do ensino clínico (EC), CPC, Processo de ensino-aprendizagem, EO e EE. O enfermeiro especialista, pelas competências comuns especializadas que possui, pode ter um papel facilitador do processo de ensino-aprendizagem em CPC dos EE do CLE, pela sua intervenção junto às equipas de enfermagem, nomeadamente do âmbito de: Preparação e organização do EC em CPC; Acolhimento e integração do estudante no CPC; Acompanhamento e monitorização do EC em CPC. Durante este percurso conseguimos desenvolver competências cientificas, técnicas e humanas para prestar cuidados especializados na área da EMC. O enfermeiro mestre e especialista em EMC presta cuidados de enfermagem ao doente em situação critica e com doença crónica, incapacitante e terminal, realiza investigação, gere os cuidados e tem capacidade de tomada de decisão em situações complexas, utilizando os seus conhecimentos e competências especializadas e promovendo a qualidade na prestação de cuidados.
This project report report was carried out under the Master's course in Medical-Surgical Nursing (MSN), and includes the Academic Development Project (ADP) and the Clinical Learning Project (CLP). The Internship took place in the emergency room (ER),of an hospital on the south of Portugal. The ADP seek to address our concern about the role of nurse specialist in MSN as a learning promoter. We performed an integrative literature review (ILR) in order to identify the aspects considered by nursing students (NS) and the guiding nurses (GN) as learning influencers in the context of clinical practice (CCP). Emerged six categories of aspects that influence learning: Reception, organization of clinical teaching (CT), CCP, teaching-learning process, GN and NS. The nurse specialist, by common expertise they have, may have a facilitating role in the teaching-learning process in CCP for NS, for their intervention in the nursing teams, in particular under: Preparation and organization of the CT in CCP ; Reception and integration of the NS in the CCP; Tracking and monitoring of CT in CCP. During this way we have developed scientific, technical and human skills to provide specialized care in the MSN. The nurse master and specialist in MSN provides nursing care to the patient in critical situation and in chronic, debilitating or terminal illness, conducts research, manages care and has decision-making capacity in complex situations, using their knowledge and expertise skills, to promote quality in the nursing care.
42
Rocha, Tânia. "Tornar a dor visível: aplicação da escala de avaliação de dor Doloplus 2." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2017. http://hdl.handle.net/10400.26/17639.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaO presente relatório consiste na apresentação do Trabalho de Projeto desenvolvido no âmbito do 4º Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde de Setúbal do Instituto Politécnico de Setúbal. Foi no decorrer de três estágios numa Unidade de Acidente Vascular Cerebral de um Centro Hospitalar na Margem Sul do Tejo, que desenvolvemos duas vertentes de aprendizagem através da utilização da metodologia de projeto, um Projeto de Intervenção em Serviço (PIS) e um Projeto de Aprendizagem Clínica (PAC), visando a aquisição de competências comuns e específicas do Enfermeiro Especialista e de Mestre em Enfermagem Médico-Cirúrgica. No decorrer do nosso exercício profissional damos especial atenção a compreender as dificuldades de avaliar a Dor em clientes com alteração da comunicação verbal, incapacitados do auto relato da Dor e, à importância de desenvolver estratégias que promovam a qualidade dos cuidados de enfermagem a este grupo específico de clientes, sendo estes os alicerces da escolha da área temática do PIS. A aplicação de um questionário à equipa de Enfermagem, a construção de uma FMEA e a aplicação de uma grelha de observação aos registos de Enfermagem relativamente ao foco de atenção Dor, permitiram identificar o problema perante o qual planeámos e desenvolvemos estratégias, tendo o PIS o objetivo geral de Uniformizar a avaliação da Dor ao cliente com patologia vascular não comunicante verbalmente, através da aplicação da escala de avaliação comportamental de Dor, Doloplus 2. A nível do PAC, projetaram-se atividades específicas que passaram pela efetivação de um simulacro de incêndio com necessidade de evacuação de clientes, elaborar um procedimento de sobre algaliação de curta duração, produzir um artigo sobre Conspiração de Silêncio e realizar um estágio opcional numa Unidade de Cuidados Paliativos. Neste documento analisamos crítica e reflexivamente ambos os projetos, e os contributos dos mesmos no desenvolvimento das competências supracitadas.
This report is the presentation of the project work developed under the 4th Masters Degree in Medical-Surgical Nursing in the College of Health Education of Setúbal of the Polytechnic Institute of Setúbal. It was during three traineeships in a Stroke Unit of a Medical Establishment in the South bank of Tagus, that we developed two aspects of learning through the use of project work methodology, an Intervention in Service Project (ISP) and a Clinic Learning Project (CLP), in order to acquire the common and specific skills of the Specialist and Master in Medical-Surgical Nursing. In the course of our professional practice we pay special attention to understand the difficulties of assessing pain in patients with impaired verbal communication, disabled of self reporting pain, and to the importance of developing strategies that promote the quality of nursing care to these specific patients, which were the foundations for the choice of the ISP’s theme. Through the application of a questionnaire to the nursing team, the construction of a FMEA and the application of a grid of observation to nursing records regarding the focus of attention Pain, we were able to diagnose the problem before which we planned and developed strategies with the general purpose of standardize the assessment of pain to the patients with vascular pathology non-communicating verbally, through the application of behavioral rating pain scale, Doloplus 2. Within the CLP, specific activities were designed namely, to collaborate in a fire simulation with need to evacuate patients, to draw up a procedure on short-term urinary catheterisation, to produce an article on the subject of Silence Conspiracy and to perform an optional traineeship in a Palliative Unit Care. In this paper we analyze critically and reflectively both projects and, their contributions to the acquisition of the above - mentioned skills.
43
Estevão, Marta. "Higienização das mãos: uma precaução básica na prevenção da infeção." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2016. http://hdl.handle.net/10400.26/11014.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaNo âmbito do 3º Curso de Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde do Instituto Politécnico de Setúbal e de acordo com o plano de estudos do referido curso realizamos três estágios; durante os quais, com vista à aquisição de competências comuns e específicas do Enfermeiro especialista e de Mestre em Enfermagem Médico-cirúrgica, desenvolvemos um Projeto de Intervenção em Serviço e um Projeto de Aprendizagem de Competências de acordo com a metodologia de projeto. As mãos dos profissionais que prestam cuidados aos clientes representam o principal veículo de transmissão das infeções associadas aos cuidados de saúde e a higienização das mãos é uma precaução básica essencial para a prevenção da infeção e consequentemente garantia de maior qualidade e segurança nos cuidados prestados. Estamos cientes que estes aspetos se revestem de maior importância no cliente cirúrgico pela sua vulnerabilidade à infeção no pós-operatório, uma vez que, a integridade da sua pele não está garantida. O nosso Projeto de Intervenção em Serviço incidiu nesta área com o objetivo de contribuirmos para a prevenção das Infeções Associadas aos Cuidados de Saúde através de boas práticas no âmbito da higienização das mãos. Realizamos momentos de observação das práticas de higiene das mãos dos profissionais (enfermeiros e assistentes operacionais) da Unidade de Cuidados Pós-Anestésicos e os dados recolhidos das observações foram transmitidos à equipe; formamos a equipa de profissionais da Unidade de Cuidados Pós-Anestésicos em relação ao modelo de higienização das mãos dos “Cinco Momentos” e elaboramos instrumentos (poster, imagem no ambiente de trabalho do computador e memórias de bolso) alusivos à prática da higienização das mãos de acordo com o modelo dos “Cinco momentos”. Em simultâneo com o Projeto de Intervenção em Serviço desenvolvemos um Projeto de Aprendizagem de Competências também de acordo com a metodologia de projeto. Como tal, formamos a equipa sobre como atuar em caso de incêndio e elaboramos um procedimento sectorial sobre manutenção da temperatura corporal através da utilização de aquecedores de conveção.
Under the 3rd Master's Course in Medical-Surgical Nursing of the Polytechnic Institute of Health Sciences School of Setúbal and in accordance with the said course syllabus conducted three stages; during which, for the purchase of common skills and specific nurse specialist and Master of Medical-Surgical Nursing, developed an intervention project in Service and Learning Project Skills according to the design methodology. The hands of professionals who provide care to clients represent the main vehicle of transmission of infections associated with health care and hand hygiene is an essential basic precaution to prevent infection and thus guarantee highest quality and safety of the care provided; we are aware that this aspect is of utmost importance in the surgical client for their vulnerability to infection postoperatively, since the integrity of your skin is not guaranteed. Our Intervention Project in Service focused on this area in order to contribute to the prevention of infections associated to healthcare through best practices in the context of hand hygiene. We conducted observation moments of hand hygiene practices of professionals (nurses and operational assistants) of the Post-Anesthesia Care Unit and the data collected from observations were transmitted to the team; we formed the staff of the Post-Anesthesia Care Unit in relation to hygiene hands model of "Five Moments" and prepare instruments (poster, picture on the computer desktop and Pocket memories) alluding to the practice of hand hygiene according to the model of "Five times". Simultaneously with the Intervention Project in Service developed a Skills Learning Project also according to the design methodology. As such, we formed the team on how to act in case of fire and prepare a sectoral procedure for maintaining body temperature by using convection heaters.
44
Portela, Joana. "Preparação pré-operatória com a pessoa com ostomia: promover uma transição saudável." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2016. http://hdl.handle.net/10400.26/11259.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaO presente relatório surge no âmbito do 4º Mestrado de Enfermagem Médico-Cirúrgica da Escola Superior de Saúde do Instituto Politécnico de Setúbal, sendo o seu principal objetivo demonstrar o percurso realizado e que conduziu à aquisição de competências de Mestre em Enfermagem Médico-Cirúrgica. A aquisição de competências concretizou-se pelo desenvolvimento de um Projeto de Intervenção em Serviço e Projeto de Aprendizagem Clinica. A metodologia de projeto foi aplicada de forma a responder a um problema identificado, em contexto de trabalho e onde foram realizados os estágios I, II e parte do III. Perante o solicitado, foi desenvolvido Projeto de Intervenção em Serviço com objetivo geral de promover a Implementação de Consulta Pré Operatória com Pessoa com Ostomia, de forma a promover uma transição saúde-doença saudável. Para tal, foram construídos dois procedimentos setoriais. Este processo conduziu à aquisição das competências comuns do enfermeiro Especialista e também, em parte, às competências do enfermeiro especialista em pessoa em situação crónica e/ou paliativa. A Teoria das Transições de Afaf Meleis orientou este projeto. Para o desenvolvimento de competências do enfermeiro especialista em pessoa em situação crítica, foram planeados estágios em contexto de Serviço de Urgência e Unidade de Cuidados Intensivos, assim como foram desenvolvidas atividades diversas no Serviço de Cirurgia Geral, por forma a responder às necessidades de aprendizagem individuais identificadas. Este processo foi realizado com o horizonte na excelência do cuidado, sendo conduzido com respeito pelas dimensões ética, deontológica e legal, essenciais para a tomada de decisão.
This report emerges within the 4th Medical-Surgical Nursing Master of Health School of Setúbal Polytechnic Institute, with its main objective to demonstrate the route taken and led to the acquisition of Master skills in Medical-Surgical Nursing. The acquisition of competence materialized by the development of an Intervention Project in Service and Clinical Learning Project. The design methodology was applied in order to respond to an identified problem, in the workplace and where the stages I, II and III were performed. Before the request, was developed Intervention Project in service with overall objective of promoting the Implementation of Preoperative nursing care to the Person with Ostomy, in order to promote a healthy transition health - illness. To this end, it was constructed two sectoral procedures. This process led to the acquisition of common nursing skills Specialist and also, in part, the developing of the specialist nurse in person in chronic and / or palliative situation. The Transitions Theory of Afaf Meleis guided this project. For the development of nursing skills expert person in critical condition, stages were planned in emergency service and Intensive Care Unit, as well various activities were developed in the General Surgery Service, in order to meet and identified the individual learning needs, This process was carried out with the horizon in the excellence care, being conducted with respect for ethical, deontology and legal, essential for decision making.
45
Raposo, Inês. "Implementação do procedimento de atuação no caso de suspeita de sépsis no Serviço de Urgência Geral." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2016. http://hdl.handle.net/10400.26/11253.
Full textAbstract:
Este Relatório de Trabalho Projeto vem dar resposta ao proposto no âmbito do 4º Mestrado de Enfermagem Médico- cirúrgica, que resulta do estágio realizado no Serviço de Urgência Geral (SUG) num Centro Hospitalar a Sul do Rio Tejo (nome fictício), inserido no plano de estudos do 3º Curso de Pós Licenciatura Especialização Enfermagem Médico-cirúrgica (CPLEEMC).
Foi-nos pedido para realizar um Projeto de Intervenção em Serviço (PIS). A escolha para a realização deste projeto, implementação do procedimento de atuação no caso de suspeita de Sépsis no SUG, relaciona-se com uma necessidade do serviço, um gosto pessoal e sendo a Sépsis um tema muito atual onde é necessária ainda muita intervenção para uma melhoria dos cuidados, visa também dar resposta à circular normativa Nº 01/DQS/DQCO de 06-01-2010 da Direção Geral de Saúde (DGS).
Neste Relatório estão descritas as ações realizadas nas cinco etapas da metodologia de trabalho projeto, a metodologia que foi utilizada neste projeto, que permitiram fazer o diagnóstico de situação, planear, implementar, avaliar, divulgar resultados e fazer alguns ajustes necessários após as avaliações.
Com o objetivo geral de aumentar a qualidade e segurança na prestação de cuidados ao utente com suspeita de infeção, implementando a Via Verde de Sépsis no Serviço de Urgência Geral, foi implementado o projeto de intervenção em serviço. Da avaliação do percurso realizado, destacamos a elaboração e implementação de uma norma de procedimento (Procedimento de atuação em caso suspeito de Sépsis), e formação a 95% da equipa de enfermagem-
Este relatório surge também como um processo de aprendizagem, de aquisição e desenvolvimento de competências de Enfermeiro Especialista e Mestre em Enfermagem Médico- cirúrgica.This Project Work Report is set within the context of the 4th Masters Course in Medical-Surgical Nursing and results from the research done at a General Emergency Service (GES) in an Hospital located in the south bank of Tagus. This research is part of the studies plan of the 3rd Post graduated Specialization Course in Medical Surgical Nursing. We were invited to carry on an Intervention Project in Service (IPS) and our choice was the implementation of an operation procedure in case of suspected sepsis in the GES. We chose this topic because we found that the service didn’t have one procedure on the subject, we have also a personal interest in it and, being sepsis a current problem where much can still be done, we were also responding to the normative circular No. 01 / DQS / DQCO of 06-01-2010 of the General Health Directorate (DGS). In this report we describe the actions taken in the five stages of the Project Work Methodology which led us to the diagnosis of the situation and then to the planning, implementation, evaluation, results disclosure and, finally, some minor adjustments. The IPS was implemented in the GES by the introduction of the “Via Verde of Sepsis” which goal is the increasing quality and safety of care to the patient with suspected infection. When evaluating our project work, we highlight the development and the implementation of a guideline (Operation Procedure in case of suspected sepsis) and the training of 95% of the nursing team. This report also comes as a learning process, acquisition and development the skills of the Specialist Nurse and the Master in Medical- Surgical Nursing-
46
Mestrinho, Joana. "O silêncio da dor: avaliação da dor na pessoa em situação crítica." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2015. http://hdl.handle.net/10400.26/11358.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaO presente relatório de trabalho de projeto encontra-se inserido no plano de estudos do 3º Curso de Mestrado em Enfermagem Médico-Cirúrgica, da Escola Superior de Saúde do Instituto Politécnico de Setúbal. A elaboração deste relatório visa a reflexão acerca do processo de aprendizagem e desenvolvimento de competências no âmbito da Especialização em Enfermagem Médico-Cirúrgica e aquisição do grau de Mestre. É um elemento integrador da aprendizagem, onde é espectável que se demonstrem os conhecimentos adquiridos. Para permitir o desenvolvimento das competências supracitadas foram realizados os Estágio I, II e III. Os Estágios I e II decorreram durante o período de 10 de março a 10 de julho de 2014, e o Estágio III durante o período de 29 de setembro de 2014 a 30 de janeiro de 2015. Os mesmos realizaram-se numa Unidade de Cuidados Intensivos de um Hospital da região de Lisboa e Vale do Tejo, sob a orientação da Sra. Enfermeira Maria e das Professoras Alice Ruivo (durante o Estágio I e II) e Armandina Antunes (ao longo do Estágio III). Durante os três estágios preconizou-se a realização de um Projeto de Intervenção em Serviço, com base na metodologia de projeto. A temática central do projeto foi a Avaliação da Dor na Pessoa em Situação Crítica, submetida a sedação e a ventilação mecânica invasiva e, por isso, incapaz de verbalizar a dor, o que torna a avaliação da mesma, nestes casos, um desafio para os enfermeiros. O principal objetivo do projeto foi promover a melhoria da qualidade dos cuidados prestados à pessoa em situação crítica com dor. Para tal, foi realizada uma formação no âmbito da avaliação da dor com recurso à escala Behavioral Pain Scale, traduzida e validada para português por Batalha e colaboradores (2013) e recomendada pela Sociedade Portuguesa de Cuidados Intensivos. Também foi elaborada uma norma de procedimento neste âmbito, de modo a uniformizar a prática e assegurar a correta avaliação da dor, para garantir o tratamento e controlo eficaz da mesma. Foi igualmente desenvolvido um Projeto de Aquisição de Competências para permitir o desenvolvimento das competências do Enfermeiro Especialista em Enfermagem Médico-Cirúrgica, bem como as de Mestre. Assim, o principal objetivo deste trabalho é realizar uma reflexão relativamente ao processo de aprendizagem e desenvolvimento de competências, integrando os conhecimentos adquiridos ao longo do primeiro e segundo ano do Curso de Mestrado em Enfermagem Médico Cirúrgica.
The present report of work project is included on the curriculum of the 3d Master in Medical-Surgical Nursing, by the School of Health of the Polytechnic Institute of Setúbal. The elaboration of this report aims to reflect the process of learning and skills development within the Specialization in Medical-Surgical Nursing and acquisition of the Master degree. It is also an integrating element of learning, where it is expected to be demonstrated the knowledge acquired. For the development of the aforementioned skills, Internship I, II and III were performed. Internships I and II were held during the period from 10th of March to 10th of July of 2014 and Internship III during the period of 29th of September of 2014 to the 30th of January of 2015. They took place in an Intensive Care Unit of a Hospital in the Lisbon and Tejo Valley region, under the guidance of Nurse Maria and Professor Alice Ruivo (during Stage I and II) and Professor Armandina Antunes (along the Stage III). During the three internships we established the execution of an Intervention Project in Service, based on the project methodology. The central theme of the project was Pain Assessment in People in Critical Situation’s submitted to sedation and invasive mechanical ventilation, and therefore unable to verbalize pain, which makes the evaluation, in these cases, a challenge for nurses. The main objective of this project was encourage improvements in the quality of care provided to the person in critical condition with pain. To acquire this objective, it was performed formation in the assessment of pain using the Behavioral Pain Scale, translated and validated for Portuguese by Batalha and collaborators (2013) and recommended by the Portuguese Society of Intensive Care. It was also created a standard procedure in order to standardize the practice and ensure the correct assessment of pain and to guarantee an effective treatment and control. It was also developed a Skills Acquisition Project to allow the development of Specialist Nurses skills in Medical-Surgical Nursing as well as the Master skills. Therefore, the main objective of this work is to perform a reflection about the learning and skills development process, integrating the knowledge acquired during the first and second year of the Master in Medical-Surgical Nursing.
47
Grazina, Vera. "Avaliação funcional das pessoas internadas no serviço de cirurgia geral: aplicação da escala de Barthel." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2016. http://hdl.handle.net/10400.26/11692.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado
para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-CirúrgicaEste relatório surge no âmbito do Curso de Mestrado em enfermagem Médico-Cirúrgica (EMC) e tem como finalidade apresentar reflexivamente o percurso conducente ao desenvolvimento de competências de enfermeiro especialista (comuns e específicas) e de Mestre. Para isso, foi utilizada a metodologia de trabalho de projeto, integrando dois projetos distintos: projeto de intervenção em serviço (PIS) e projeto de aprendizagem clínica (PAC), desenvolvidos ao longo dos estágios realizados num serviço de cirurgia geral (SCG). O PIS, formulado sob a premissa de que uma eficaz gestão dos cuidados está numa das bases da qualidade dos mesmos, incidiu sobre a necessidade de uniformizar procedimentos relativamente à avaliação funcional das pessoas internadas no SCG. Este, veio permitir, através de formação e criação de documentos normativos e orientadores desta prática, promover a qualidade dos cuidados de enfermagem através da otimização da intervenção dos enfermeiros no domínio da avaliação funcional da pessoa internada no SCG. Foi nosso referencial teórico a Teoria do Défice do Auto-Cuidado de Orem, com enfoque na importância de direcionar os cuidados prestados às necessidades de cada pessoa, partindo de uma avaliação funcional, dotada de objetividade através do uso de escalas validadas, como a escala modificada de Barthel. Por sua vez, no PAC projetaram-se atividades específicas, das quais se destacam: participação num exercício de simulação de inundação numa unidade de cuidados intermédios e realização de respetivo poster de divulgação; realização de ação de sensibilização aos familiares das pessoas internadas no SCG, sobre importância da higienização das mãos na visita; e realização de um poster sobre hipodermoclise, classificado em 2º lugar num encontro de enfermagem. Neste documento analisamos crítica e reflexivamente ambos os projetos, e os contributos dos mesmos no desenvolvimento das competências supra-citadas.
This report is set within the context of the Medical Surgical Nursing (MSN) Master’s Degree, in order to reflexively present the route which led us to the development of specialist (either common or MSN specific) and Master nurse skills. Therefore, we used the project methodology, integrating two distinct projects: intervention project in service (IPS) and clinical learning project (CLP), both developed throughout the internship in a general surgery service (GSS). The IPS was formulated under the premise that effective care management is one of the bases of its quality, and focused on the need to standardize procedures for the functional evaluation of people admitted to the GSS. Through training and creation of normative and guideline documents, the IPS has promoted the quality of nursing care by optimizing the nurses’ involvement in the functional evaluation of the hospitalized patient in GSS. Our theoretical framework was the Orem’s Self-Care Deficit Theory, focusing on the importance of care directed to the needs of each person, and based on a functional evaluation, endowed with objectivity through the use of validated scales such as the modified Barthel index. In turn, on the CAP we designed specific activities, among which the following are highlighted: participation in an exercise of flood simulation in an intermediate care unit and the development and disclosure of the respective poster; performing of an awareness session to the relatives of those admitted to the GSS, about the importance of hand hygiene in the visit; and creating a poster on hypodermoclysis, that was ranked 2nd in a nursing meeting. In this document we analyze critically and reflexively both projects, and their contributions to the development of the above-mentioned skills.
48
Ribeiro, Cristina Maria Alves. "Procedimentos de enfermagem da cateterização venosa periférica na prevenção das infeções associadas aos cuidados de saúde." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2017. http://hdl.handle.net/10400.26/17630.
Full textAbstract:
Relatório de Trabalho de Projeto apresentado
para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico-Cirúrgica.Este relatório traduz o caminho percorrido e as aprendizagens adquiridas ao longo dos estágios decorridos no Serviço de Especialidades Médicas de um Centro Hospitalar, no âmbito do Curso de 4ª Mestrado em Enfermagem Médico-Cirúrgica da Escola Superior de Saúde do Instituto Politécnico de Setúbal, da qual resultou este trabalho de projeto. O documento retrata o desenvolvimento do Projeto de Intervenção em Serviço (PIS) e do Projeto de Aprendizagem Clínica (PAC), para além de expor uma reflexão crítica do desenvolvimento das competências comuns do enfermeiro especialista em Enfermagem Médico-Cirúrgica (EMC), das competências específicas do enfermeiro especialista em EMC em pessoa em situação crítica e/ou crónica e paliativa e das competências de Mestre em EMC. Ao longo dos estágios efetuados, e com base na Metodologia de Projeto, efetivamos o PIS em que, através da aplicação de grelhas de observação de procedimentos e da construção da Failure Mode and Effects Analysis, reconhecemos que a problemática incidia na falta de uniformização pela equipa de enfermagem no manuseamento dos cateteres venosos periféricos (CVP), de forma a prevenir as infeções associadas aos cuidados de saúde. A Metodologia de Projeto é composta pelas fases de diagnóstico de situação, planeamento, execução, avaliação e divulgação dos resultados, e o trabalho desenvolvido nestas fases resultou na elaboração de um procedimento setorial relativo à inserção, fixação e manutenção do CVP no cliente. No âmbito do PAC, e com o objetivo de adquirirmos as competências específicas do enfermeiro especialista em EMC em pessoa em situação critica e/ou crónica e paliativa, foi elaborado um artigo subjacente à temática da conspiração do silêncio e foram desenvolvidos estágios de observação no Serviço de Cuidados Intensivos e na Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos do Centro Hospitalar. A concretização destas atividades proporcionou oportunidades de formação e aprendizagem que aplicamos na prática diária de prestação de cuidados. Este relatório contempla ainda uma reflexão do desenvolvimento das competências de Mestre em EMC e de que forma os aportes teóricos obtidos ao longo do curso contribuíram para a sua aquisição.
This report reflects the progress made and the acquired knowledge along the stages occured in a Medical Specialities Service at a Hospital, under the 4th Master Course in Medical-Surgical Nursing at the Health Superior School of the Polytechnic Institute of Setúbal, which led to this project work. The document portrays the development of the Intervention Project in Service (IPS) and the Clinical Learning Project (CLP), besides exposing as well a critical reflection of the common skills development of a specialist nurse in Medical-Surgical Nursing (MSN), of the specific skills of the specialist nurse in MSN on a person in a critical situation and/ or chronic and palliative and of master’s skills in MSN. Along the stages and based on the Project Methodology, we applied the IPS in which, through the application of procedures observation grids and the construction of the Failure Mode and Effects Analysis, we recognized that the problem concerned on the lack of the nursing team standardization, handling the peripheral venous catheters (PVC), to prevent infections associated with healthcares. The Project Methodology is composed by the phases of situation diagnosis, planning, execution, evaluation and results divulgation. The developed work during this stages has resulted on the elaboration of a sectorial procedure concerning the insertion, fixation and maintenance of CVP on the patient. Under the CLP and in order to acquire the specific skills of a specialist nurse in MSN dealing with a person in a critical and/ or chronical and palliative situation, it was developed an article underlying the conspiracy of silence theme, and observation stages were developed at the Intensive Care Service with the Intra-Hospital Support Team in Palliative Caring of the Hospital Center. The implementation of these procedures, provided training and learning opportunities that we apply in care daily practice. This report also includes a reflection about the skills development of a master in MSN and in which way the theoretical contributions obtained along the course contributed to its acquisition. Keywords:
49
Batista, Catarina da Conceição Candeias Barreto. "Intervenções de enfermagem na redução de complicações ao doente com entubação endotraqueal." Master's thesis, Instituto Politécnico de Setúbal, Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/29375.
Full textAbstract:
Mestrado em Enfermagem, Área de especialização: Enfermagem Médico-cirúrgicaO presente relatório surge no âmbito do 2º Mestrado em Enfermagem em associação, ministrado na Escola Superior de Saúde do Instituto Politécnico de Setúbal. A Teoria das Transições da Afaf Meleis serviu de linha orientadora a este trabalho. Sendo o seu principal objetivo expor todo o processo de desenvolvimento de competências específicas e comuns do enfermeiro especialista e as competências de mestre. Realizando-se uma análise e reflexão acerca do desenvolvimento da aquisição de competências do enfermeiro especialista. O grau de mestre em enfermagem carece dum conhecimento aprofundado no domínio da sua área de especialização. Durante estágio II comtemplou-se a realização dum projeto de intervenção em serviço, segundo a metodologia de projeto, de forma a responder a um problema identificado num contexto de estágio. Com este pretende-se a implementação duma norma – Cuidados de Enfermagem a pessoa com TET, de modo a uniformizar a prática na UCI. O projeto de intervenção contribuiu para o desenvolvimento de competências do enfermeiro especialista, nomeadamente no domínio da gestão de cuidados e da melhoria contínua da qualidade.
This report is presented in the scope of the 2nd Masters in Nursing in association, taught at the higher health school of the Polytechnic Institute of Setúbal. The Afaf Meleis Transition Theory served as a guideline for this work. Being your main goal to expose the entire process of developing specific and common skills of specialist nurse and master skills. An analysis and reflection about the development of skills acquisition of the specialist nurse. The master's degree in nursing requires in-depth knowledge in the field of its area of expertise. During stage II, a project of intervention in service according to the project methodology was contemplated, in order to respond to a problem identified in an internship context. With this it is intended the implementation of a standard - Nursing Care the person with TET, in order to standardize the practice in the ICU. The intervention project contributed to the development of skills of the specialist nurse, namely in the field of care management and continuous quality improvement.
50
Batista, Catarina da Conceição Candeias Barreto. "Intervenções de enfermagem na redução de complicações ao doente com entubação endotraqueal." Master's thesis, Universidade de Évora, 2019. http://hdl.handle.net/10174/26703.
Full textAbstract:
Mestrado em Enfermagem, Área de especialização: Enfermagem Médico-cirúrgicaO presente relatório surge no âmbito do 2º Mestrado em Enfermagem em associação, ministrado na Escola Superior de Saúde do Instituto Politécnico de Setúbal. A Teoria das Transições da Afaf Meleis serviu de linha orientadora a este trabalho. Sendo o seu principal objetivo expor todo o processo de desenvolvimento de competências específicas e comuns do enfermeiro especialista e as competências de mestre. Realizando-se uma análise e reflexão acerca do desenvolvimento da aquisição de competências do enfermeiro especialista. O grau de mestre em enfermagem carece dum conhecimento aprofundado no domínio da sua área de especialização. Durante estágio II comtemplou-se a realização dum projeto de intervenção em serviço, segundo a metodologia de projeto, de forma a responder a um problema identificado num contexto de estágio. Com este pretende-se a implementação duma norma – Cuidados de Enfermagem a pessoa com TET, de modo a uniformizar a prática na UCI. O projeto de intervenção contribuiu para o desenvolvimento de competências do enfermeiro especialista, nomeadamente no domínio da gestão de cuidados e da melhoria contínua da qualidade.
This report is presented in the scope of the 2nd Masters in Nursing in association, taught at the higher health school of the Polytechnic Institute of Setúbal. The Afaf Meleis Transition Theory served as a guideline for this work. Being your main goal to expose the entire process of developing specific and common skills of specialist nurse and master skills. An analysis and reflection about the development of skills acquisition of the specialist nurse. The master's degree in nursing requires in-depth knowledge in the field of its area of expertise. During stage II, a project of intervention in service according to the project methodology was contemplated, in order to respond to a problem identified in an internship context. With this it is intended the implementation of a standard - Nursing Care the person with TET, in order to standardize the practice in the ICU. The intervention project contributed to the development of skills of the specialist nurse, namely in the field of care management and continuous quality improvement.