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Abstract(s)
A atual estrutura do Sistema Nacional de SaĂșde, organiza-se em unidades hospitalares a nĂvel de prognĂłstico, diagnĂłstico e tratamentos diferenciados. Esta realidade, faz emergir um novo espaço de atendimento: a unidade inter-hospitalar, que procura a melhor resposta perante as diferentes situaçÔes, com vĂĄrios graus de dificuldade, que exigem uma equipa eficaz e eficiente, na qual a Enfermagem se insere. Ă neste contexto que se torna emergente assegurar a vida dos doentes em transporte, a partir das suas competĂȘncias especĂficas, exigĂveis ao enfermeiro em geral, e ao especialista em particular, nomeadamente porque este trabalho, diz respeito Ă Ărea de Enfermagem Ă Pessoa em Situação CrĂtica (OE,2018).
Objetivos: Reconhecer o perfil de competĂȘncias do enfermeiro - atravĂ©s da perceção dos enfermeiros - no processo de acompanhamento do Doente CrĂtico (DC) na transferĂȘncia inter-hospitalar, e identificar ĂĄreas prioritĂĄrias para a sua aplicação e desenvolvimento.
MĂ©todos: Estudo exploratĂłrio e quantitativo descritivo, atravĂ©s da aplicação de um questionĂĄrio (Sobreiro 2017), que permite avaliar o perfil de competĂȘncias do enfermeiro para o acompanhamento do Doente CrĂtico na transferĂȘncia inter-hospitalar, a uma amostra de 37 enfermeiros do Serviço de urgĂȘncia de uma Unidade Hospitalar do Norte, que realizam transporte inter-hospitalar do DC via terrestre.
Resultados: O Perfil de CompetĂȘncias Global revela que os enfermeiros aplicam competĂȘncias autĂłnomas e interdependentes em trĂȘs ĂĄreas de atuação, gerando quatro perfis parcelares: trĂȘs Perfis de procedimentos e um quarto Perfil, relativo a conhecimentos. O primeiro, Ă© relativo Ă Organização e DecisĂŁo do TDC, os segundo e terceiro, de Procedimentos durante, e Ă chegada do TDC, respetivamente. O Ășltimo, Ă© o Perfil de Conhecimentos cientĂficos para fundamentar os anteriores. Os valores de frequĂȘncia da execução dos procedimentos, revelam que estes sĂł se aplicam âPor normaâ e ou âFrequentementeâ e nĂŁo âsempreâ.
ConclusĂŁo: Apresenta-se uma Proposta de formação nesta temĂĄtica, de carĂĄter analĂtico-reflexivo.
Background: The current structure of the National Health System is organized in hospital units in terms of prognosis, diagnosis and differentiated treatments. This reality gives rise to a new service space: the inter-hospital unit, which seeks the best response to different situations, with varying degrees of difficulty, which require an effective and efficient team, in which Nursing is inserted. It is in this context that it is emerging to ensure the lives of patients in transportation, based on their specific skills, required of nurses in general, and of specialists in particular, namely because this work concerns the Nursing Area for People in Critical Situation (OE, 2018). Aim: Recognize the profile of nurses 'competencies - through the nurses' perception - in the process of monitoring the CP in inter-hospital transfer, and identify priority areas for its application and development. Methods: Exploratory and quantitative descriptive study, through the application of a questionnaire (Sobreiro 2017), which allows assessing the profile of nurses' skills for monitoring the Critical Patient in inter-hospital transfer, to a sample of 37 nurses from the emergency department of the unit of a Northern Hospital Unit, which perform inter-hospital transportation from DC via land. Results: The Global Competence Profile reveals that nurses apply autonomous and interdependent skills, in three areas of activity, generating four partial profiles: three procedure profiles and a fourth profile, related to knowledge. The first concerns the Organization and Decision of the TDC, the second and third, Procedures during, and the arrival of the TDC, respectively. The latter is the Scientific Knowledge Profile to support the former. The values of frequency of the execution of the procedures, reveal that these only apply âAs a ruleâ and or âFrequentlyâ and not âalwaysâ. Conclusion: A proposal for training on this topic, of an analytical-reflective nature, is presented.
Background: The current structure of the National Health System is organized in hospital units in terms of prognosis, diagnosis and differentiated treatments. This reality gives rise to a new service space: the inter-hospital unit, which seeks the best response to different situations, with varying degrees of difficulty, which require an effective and efficient team, in which Nursing is inserted. It is in this context that it is emerging to ensure the lives of patients in transportation, based on their specific skills, required of nurses in general, and of specialists in particular, namely because this work concerns the Nursing Area for People in Critical Situation (OE, 2018). Aim: Recognize the profile of nurses 'competencies - through the nurses' perception - in the process of monitoring the CP in inter-hospital transfer, and identify priority areas for its application and development. Methods: Exploratory and quantitative descriptive study, through the application of a questionnaire (Sobreiro 2017), which allows assessing the profile of nurses' skills for monitoring the Critical Patient in inter-hospital transfer, to a sample of 37 nurses from the emergency department of the unit of a Northern Hospital Unit, which perform inter-hospital transportation from DC via land. Results: The Global Competence Profile reveals that nurses apply autonomous and interdependent skills, in three areas of activity, generating four partial profiles: three procedure profiles and a fourth profile, related to knowledge. The first concerns the Organization and Decision of the TDC, the second and third, Procedures during, and the arrival of the TDC, respectively. The latter is the Scientific Knowledge Profile to support the former. The values of frequency of the execution of the procedures, reveal that these only apply âAs a ruleâ and or âFrequentlyâ and not âalwaysâ. Conclusion: A proposal for training on this topic, of an analytical-reflective nature, is presented.
Description
Keywords
Doente critico TransferĂȘncia inter-hospitalar CompetĂȘncias autĂłnomas CompetĂȘncias interdependentes de Enfermagem