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Advisor(s)
Abstract(s)
O Enfermeiro especializado na área de Enfermagem Médico-Cirúrgica detém
competências de responsabilidade profissional, ético-legais, relacionais, comunicacionais,
técnicas e científicas, no âmbito da melhoria contínua da qualidade, gestão, formação e de
investigação. É dada ênfase ao papel do Enfermeiro na prática de cuidados especializados à
Pessoa em Situação Crítica, com respeito pelas questões ético-legais, pelos direitos humanos
e as responsabilidades profissionais; na gestão e promoção de cuidados de excelência
baseados na melhoria contínua da qualidade e segurança do doente; na fundamentação dos
processos de tomada de decisão e juízo crítico baseado nas mais recentes evidências
científicas, perante situações de elevada criticidade, vulnerabilidade, exceção e catástrofe. No
seio da equipa multidisciplinar assume uma atitude responsável, assertiva, pró-ativa,
inovadora e impulsionadora de boas práticas, formação em serviço e implementação de
projetos de melhoria contínua. É um “agente de mudança”, dinamiza a incorporação de novos
conhecimentos e de práticas de cuidados, contribuindo para a autonomia, reconhecimento e
evolução da profissão de Enfermagem.
Como atividades desenvolvidas neste âmbito destaca-se a implementação de um
Projeto de Melhoria Contínua, procedimentos de enfermagem, formação em serviço e a
elaboração de pósteres baseados nas diretrizes atuais. O estudo de investigação
“Intervenções de Enfermagem implementadas no Serviço de Urgência à Pessoa vítima de
Acidente Vascular Cerebral agudo: Scoping Review” tem como objetivo identificar e mapear
intervenções de enfermagem implementadas no Serviço de Urgência à pessoa vítima de AVC
agudo. Métodos: Uma Revisão Scoping que seguiu a metodologia do Joanna Briggs Institute
e os critérios de elegibilidade com base na População, Conceito e Contexto de revisão
pretendido. Resultados: Incluiu-se doze artigos publicados entre 2011 e 2021, dos quais
estudos quantitativos, qualitativos, revisões da literatura e declarações científicas baseadas
em diretrizes. Identificou-se e mapeou-se intervenções de enfermagem efetivas
implementadas à pessoa vítima de AVC agudo no Serviço de Urgência. O acolhimento,
triagem, ativação da equipa de resposta rápida de AVC, avaliação inicial, estabilização,
monitorização, administração do tratamento intravenoso, acompanhamento e transferência,
colaboração no sistema de atendimento à distância e implementação de intervenções no
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domínio da qualidade são evidenciados nos estudos. Discussão: A equipa de enfermagem
desempenha um papel de destaque no cuidado à pessoa vítima de AVC agudo em contexto
de Serviço de Urgência, garantindo a assistência recomendada e em tempo útil. Conclusão:
A constante e dirigida atualização da formação, implementação de protocolos e de estudos
de investigação será uma mais-valia para uma melhor prática de enfermagem neste contexto.
Palavras-chave: Enfermagem; Cuidados de Enfermagem; Acidente Vascular Cerebral;
Serviço Hospitalar de Emergência.
Abstract The Nurse specialized in the Medical-Surgical Nursing area has professional responsibility, ethical-legal, relational, communicational, technical and scientific competences, within the scope of continuous quality improvement, management, training and research. Emphasis is given to the role of the Nurse in the practice of specialized care for Persons in Critical Situation, with respect for ethical-legal issues, human rights and professional responsibilities; in the management and promotion of excellent care based on continuous improvement in patient quality and safety; in the foundation of decision-making and critical judgment processes based on the most recent scientific evidence, in situations of high criticality, vulnerability, exception and catastrophe. Within the multidisciplinary team, it assumes a responsible, assertive, proactive, innovative and driving attitude towards good practices, in-service training and implementation of continuous improvement projects. It is an “agent of change”, boosts the incorporation of new knowledge and care practices, contributing to the autonomy, recognition and evolution of the Nursing profession. As activities developed in this scope, the implementation of a Continuous Improvement Project, nursing procedures, in-service training and the elaboration of posters based on current guidelines stand out. The research study "Nursing Interventions Implemented in the Emergency Room for Persons Victim of Acute Stroke: Scoping Review" aims to identify and map nursing interventions implemented in the Emergency Room for victims of acute stroke. Methods: A Scoping Review that followed Joanna Briggs Institute methodology and eligibility criteria based on Population, Concept, and Intended Review Context. Results: Twelve articles published between 2011 and 2021 were included, including quantitative and qualitative studies, literature reviews and scientific statements based on guidelines. Effective nursing interventions implemented for victims of acute stroke in the Emergency Service were identified and mapped. Reception, screening, activation of the stroke rapid response team, initial assessment, stabilization, monitoring, administration of intravenous treatment, follow-up and transfer, collaboration in the remote care system and implementation of interventions in the field of quality are highlighted in the studies. Discussion: The nursing team plays a prominent role in the care of the person victim of an acute stroke in the context of the Emergency Service, ensuring the recommended care and in a timely manner. Conclusion: The 12 constant and directed updating of training, implementation of protocols and research studies will be an asset for a better nursing practice in this context. Keywords: Nursing; Nursing Care; Stroke; Emergency Service, Hospital
Abstract The Nurse specialized in the Medical-Surgical Nursing area has professional responsibility, ethical-legal, relational, communicational, technical and scientific competences, within the scope of continuous quality improvement, management, training and research. Emphasis is given to the role of the Nurse in the practice of specialized care for Persons in Critical Situation, with respect for ethical-legal issues, human rights and professional responsibilities; in the management and promotion of excellent care based on continuous improvement in patient quality and safety; in the foundation of decision-making and critical judgment processes based on the most recent scientific evidence, in situations of high criticality, vulnerability, exception and catastrophe. Within the multidisciplinary team, it assumes a responsible, assertive, proactive, innovative and driving attitude towards good practices, in-service training and implementation of continuous improvement projects. It is an “agent of change”, boosts the incorporation of new knowledge and care practices, contributing to the autonomy, recognition and evolution of the Nursing profession. As activities developed in this scope, the implementation of a Continuous Improvement Project, nursing procedures, in-service training and the elaboration of posters based on current guidelines stand out. The research study "Nursing Interventions Implemented in the Emergency Room for Persons Victim of Acute Stroke: Scoping Review" aims to identify and map nursing interventions implemented in the Emergency Room for victims of acute stroke. Methods: A Scoping Review that followed Joanna Briggs Institute methodology and eligibility criteria based on Population, Concept, and Intended Review Context. Results: Twelve articles published between 2011 and 2021 were included, including quantitative and qualitative studies, literature reviews and scientific statements based on guidelines. Effective nursing interventions implemented for victims of acute stroke in the Emergency Service were identified and mapped. Reception, screening, activation of the stroke rapid response team, initial assessment, stabilization, monitoring, administration of intravenous treatment, follow-up and transfer, collaboration in the remote care system and implementation of interventions in the field of quality are highlighted in the studies. Discussion: The nursing team plays a prominent role in the care of the person victim of an acute stroke in the context of the Emergency Service, ensuring the recommended care and in a timely manner. Conclusion: The 12 constant and directed updating of training, implementation of protocols and research studies will be an asset for a better nursing practice in this context. Keywords: Nursing; Nursing Care; Stroke; Emergency Service, Hospital
Description
Keywords
Acidente vascular cerebral Cuidados de enfermagem Revisão Serviço de urgência hospitalar Emergency service, hospital Nursing care Review Stroke