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Perceção do conhecimento e executabilidade das práticas forenses de enfermeiros do serviço de urgência
| Name: | Description: | Size: | Format: | |
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| 6.27 MB | Adobe PDF |
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Abstract(s)
O presente Relatório Final de Estágio Profissional, realizado no âmbito do Mestrado em Enfermagem Médico-Cirúrgica na Área da Pessoa em Situação Crítica (EMCPSC), visa uma análise crítica e fundamentada do percurso de estágio, desenvolvido em três contextos distintos: Unidade de Cuidados Intensivos de Cardiologia (UCIC), Unidade de Cuidados Intensivos Polivalente (UCIP) e Serviço de Urgência Médico-Cirúrgica (SUMC), integrados numa Unidade Local de Saúde (ULS) do Norte de Portugal.
A estrutura do relatório está dividida em duas partes: a primeira documenta o desenvolvimento de competências clínicas, comuns e específicas, conforme os referenciais da Ordem dos Enfermeiros [OE]; a segunda apresenta trabalho de investigação realizado, baseado na prática especializada e orientado para a melhoria contínua da qualidade dos cuidados, com o tema “Perceção do Conhecimento e Executabilidade das Práticas Forenses de Enfermeiros do Serviço de Urgência”.
Em cada secção é feita uma análise crítica e reflexiva, sustentada na evidência científica e nos padrões de qualidade definidos pela profissão, com o intuito de evidenciar a evolução de competências, a capacidade de integração da teoria na prática e o impacto das experiências no crescimento pessoal e profissional enquanto futura enfermeira especialista.
Objetivos: Analisar os processos de aprendizagem e de aquisição e desenvolvimento de competências, no âmbito da prestação de cuidados à pessoa em situação crítica; Identificar o perfil sociodemográfico e profissional da amostra; Analisar a perceção do conhecimento e a executabilidade dos procedimentos referentes às Práticas Forenses (PF) de enfermeiros do Serviço de Urgência (SU); Analisar se o perfil sociodemográfico, a formação, a categoria profissional e o tempo de exercício profissional de enfermagem no SU se relacionam com a perceção do conhecimento e a executabilidade das PF; Analisar se existe relação entre a perceção do conhecimento das PF de enfermeiros do SU e a sua executabilidade.
Métodos: Para a concretização do primeiro objetivo, utilizou-se uma metodologia descritiva, analítica e reflexiva. No que concerne aos seguintes, realizou-se um estudo descritivo-correlacional de caráter transversal, com a aplicação do “Questionário sobre a Preservação de Vestígios na Assistência à Vítima por Enfermeiros” (QPVAVE), de Gomes, Corte-Real & Chaves (2016) aos enfermeiros que exercem funções nos SU de uma ULS do Norte de Portugal, nos meses de dezembro de 2024 e janeiro de 2025. A amostra foi constituída por 94 enfermeiros. O tratamento dos dados foi efetuado através do programa informático de tratamento estatístico IBM® (International Business Machines) SPSS® (Statistical Package for the Social Science), versão 30.0 para Windows 11, com recurso a procedimentos de estatística descritiva e analítica. Foram salvaguardados os princípios éticos.
Resultados: As competências em análise foram adquiridas. No âmbito da investigação, no que concerne à executabilidade, “nunca executei” foi resposta dada pela maioria dos participantes, em todas as categorias. Quanto à perceção do conhecimento, a opção “conhecia vagamente” foi a mais predominante, seguida da opção “desconhecia”. O perfil sociodemográfico, a formação, a categoria profissional e o tempo de exercício profissional de enfermagem no SU, não evidenciaram correlações estatisticamente significativas com a perceção do conhecimento e a executabilidade das PF. A análise das correlações de Pearson, revelou padrões maioritariamente fracos a moderados, e estatisticamente significativos entre as variáveis de executabilidade e perceção do conhecimento das PF.
Conclusão: Os processos de aprendizagem e de aquisição e desenvolvimento de competências, no âmbito da prestação de cuidados à Pessoa em Situação Crítica (PSC) foi cumprido. Quanto ao estudo de investigação, os enfermeiros a exercer funções nos SU apresentam lacunas significativas, tanto ao nível da executabilidade como da perceção do conhecimento das PF. Perante estes resultados, torna-se imperativo o reforço da formação em Enfermagem Forense (EF), bem como a implementação de protocolos institucionais claros e oportunidades práticas supervisionadas, que favoreçam a consolidação de competências.
This Final Report on the Professional Internship, carried out within the scope of the Master's Degree in Medical-Surgical Nursing in the Area of People in Critical Situations, aims at a critical and well-founded analysis of the internship path, developed in three different contexts: Cardiology Intensive Care Unit (CICU), Multipurpose Intensive Care Unit (MICU) and Medical-Surgical Emergency Service (MSES), integrated in a Local Health Unit (LHU) in the North of Portugal. The structure of the report is divided into two parts: the first document on the development of common and specific clinical skills, in accordance with the references of the Portuguese Nurses' Association [NA]; the second presents the research work carried out, based on specialized practice and aimed at continuous improvement of the quality of care, with the theme “Perception of Knowledge and Execution of Forensic Practices of Nurses in the Emergency Service”. In each section, a critical and reflective analysis is carried out, supported by scientific evidence and quality standards defined by the profession, with the intention of highlighting the evolution of skills, the ability to integrate theory into practice and the impact of experiences on personal and professional growth as a future specialist nurse. Aim: To analyze the learning processes and the acquisition and development of skills, within the scope of providing care to people in critical situations; To identify the sociodemographic and professional profile of the sample; To analyze the perception of knowledge and the executability of procedures related to Forensic Practices (FP) of Emergency Department (ED) nurses; To analyze whether the sociodemographic profile, training, professional category and time of professional nursing practice in the ED are related to the perception of knowledge and the executability of FP; To analyze whether there is a relationship between the perception of knowledge of FP of ED nurses and their executability. Methods: To achieve the first objective, a descriptive, analytical and reflective methodology was used. Regarding the following objectives, a descriptive-correlational cross-sectional study was carried out, applying the “Questionnaire on the Preservation of Traces in Victim Care by Nurses” by Gomes, Corte-Real & Chaves (2016) to nurses working in the ED of a LHU in Northern Portugal, in the months of December 2024 and January 2025. The sample consisted of 94 nurses. Data processing was carried out using the IBM® (International Business Machines) SPSS® (Statistical Package for the Social Sciences) statistical processing software, version 30.0 for Windows 11, using descriptive and analytical statistics procedures. Ethical principles were safeguarded. Results: The skills under analysis were acquired. In the context of the research, with regard to executability, “never executed” was the response given by the majority of participants, in all categories. Regarding the perception of knowledge, the option “vaguely knew” was the most predominant, followed by the option “unknown”. The sociodemographic profile, training, professional category and time of professional nursing practice in the ED did not show statistically significant correlations with the perception of knowledge and executability of the FP. The analysis of Pearson correlations revealed mostly weak to moderate, and statistically significant patterns between the executability and perception of knowledge of the FP variables. Conclusion: The learning processes and the acquisition and development of skills, within the scope of the provision of care to the Person in Critical Situation (PCS) were fulfilled. As for the research study, nurses working in the ED present significant gaps, both in terms of executability and perception of knowledge of FP. Given these results, it is imperative to reinforce training in Forensic Nursing (FN), as well as the implementation of clear institutional protocols and supervised practical opportunities, which favor the consolidation of skills.
This Final Report on the Professional Internship, carried out within the scope of the Master's Degree in Medical-Surgical Nursing in the Area of People in Critical Situations, aims at a critical and well-founded analysis of the internship path, developed in three different contexts: Cardiology Intensive Care Unit (CICU), Multipurpose Intensive Care Unit (MICU) and Medical-Surgical Emergency Service (MSES), integrated in a Local Health Unit (LHU) in the North of Portugal. The structure of the report is divided into two parts: the first document on the development of common and specific clinical skills, in accordance with the references of the Portuguese Nurses' Association [NA]; the second presents the research work carried out, based on specialized practice and aimed at continuous improvement of the quality of care, with the theme “Perception of Knowledge and Execution of Forensic Practices of Nurses in the Emergency Service”. In each section, a critical and reflective analysis is carried out, supported by scientific evidence and quality standards defined by the profession, with the intention of highlighting the evolution of skills, the ability to integrate theory into practice and the impact of experiences on personal and professional growth as a future specialist nurse. Aim: To analyze the learning processes and the acquisition and development of skills, within the scope of providing care to people in critical situations; To identify the sociodemographic and professional profile of the sample; To analyze the perception of knowledge and the executability of procedures related to Forensic Practices (FP) of Emergency Department (ED) nurses; To analyze whether the sociodemographic profile, training, professional category and time of professional nursing practice in the ED are related to the perception of knowledge and the executability of FP; To analyze whether there is a relationship between the perception of knowledge of FP of ED nurses and their executability. Methods: To achieve the first objective, a descriptive, analytical and reflective methodology was used. Regarding the following objectives, a descriptive-correlational cross-sectional study was carried out, applying the “Questionnaire on the Preservation of Traces in Victim Care by Nurses” by Gomes, Corte-Real & Chaves (2016) to nurses working in the ED of a LHU in Northern Portugal, in the months of December 2024 and January 2025. The sample consisted of 94 nurses. Data processing was carried out using the IBM® (International Business Machines) SPSS® (Statistical Package for the Social Sciences) statistical processing software, version 30.0 for Windows 11, using descriptive and analytical statistics procedures. Ethical principles were safeguarded. Results: The skills under analysis were acquired. In the context of the research, with regard to executability, “never executed” was the response given by the majority of participants, in all categories. Regarding the perception of knowledge, the option “vaguely knew” was the most predominant, followed by the option “unknown”. The sociodemographic profile, training, professional category and time of professional nursing practice in the ED did not show statistically significant correlations with the perception of knowledge and executability of the FP. The analysis of Pearson correlations revealed mostly weak to moderate, and statistically significant patterns between the executability and perception of knowledge of the FP variables. Conclusion: The learning processes and the acquisition and development of skills, within the scope of the provision of care to the Person in Critical Situation (PCS) were fulfilled. As for the research study, nurses working in the ED present significant gaps, both in terms of executability and perception of knowledge of FP. Given these results, it is imperative to reinforce training in Forensic Nursing (FN), as well as the implementation of clear institutional protocols and supervised practical opportunities, which favor the consolidation of skills.
Description
Keywords
Enfermeiros Enfermagem forense Conhecimentos Atitudes e prática em saúde Enfermagem médico-cirúrgica Serviço hospitalar de emergência