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Aplicação do National Early Warning Score 2 no serviço de urgência e a sua relação com a admissão em cuidados intensivos : Scoping review
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Introdução: O presente relatório apresenta o percurso formativo desenvolvido no âmbito do Mestrado em Enfermagem Médico-Cirúrgica na área de Enfermagem da pessoa em situação crítica, destacando as aprendizagens adquiridas durante os estágios em serviço de urgência e unidades de cuidados intensivos, bem como a componente de investigação. Estes contextos foram determinantes para o desenvolvimento de competências pessoais, comunicacionais e técnico-científicas, essenciais à prática de enfermagem baseada na evidência. A identificação precoce da deterioração clínica, através do National Early Warning Score 2 (NEWS2), é relevante para a admissão em cuidados intensivos.
Objetivo: Refletir criticamente sobre os estágios realizados, evidenciando o desenvolvimento de competências, e analisar a evidência científica sobre a aplicação do NEWS2 no serviço de urgência como preditor da admissão em cuidados intensivos, mediante a elaboração de uma scoping review para mapear o conhecimento existente e identificar lacunas.
Metodologia: O relatório estrutura-se em duas partes. A Parte I consiste numa análise reflexiva das atividades realizadas durante os estágios, com base nas competências do enfermeiro especialista em Enfermagem Médico-Cirúrgica. A Parte II descreve a componente de investigação, centrada na elaboração de uma scoping review, seguindo as recomendações do Joanna Briggs Institute,
Resultados: Os estágios permitiram consolidar competências técnicas, clínicas e comunicacionais. A componente de investigação aprofundou capacidades de análise crítica e pesquisa científica.
Conclusão: A experiência nos estágios foi fundamental para o aperfeiçoamento da prática clínica, permitindo cuidados ajustados às necessidades dos utentes. A scoping review contribui para a prática baseada na evidência, sistematizando o conhecimento sobre o NEWS2 e a admissão em cuidados intensivos.
Palavras-chave: Enfermagem Médico-Cirúrgica; Reflexão Cognitiva; Serviço Hospitalar de Emergência; Cuidados Críticos; National Early Warning Score 2; Revisão de Escopo.
ABSTRACT Introduction: This report presents the training pathway undertaken as part of the Master’s Degree in Medical-Surgical Nursing, highlighting the learning acquired during internships in the emergency department and intensive care units, as well as the research component. These contexts were crucial for the development of personal, communication, and technical-scientific skills, essential for evidence-based nursing practice. Early identification of clinical deterioration, through the National Early Warning Score 2 (NEWS2), is relevant for admission to intensive care units. Objective: To critically reflect on the internships completed, highlighting the development of competencies, and to analyzing the scientific evidence regarding the application of NEWS2 in the emergency department as a predictor of admission to intensive care units, through the development of a scoping review to map existing knowledge and identify gaps in the literature. Methodology: The report is structured in two parts. Part I consists of a reflective analysis of the activities carried out during the internships, based on the competencies of the specialist nurse in Medical-Surgical Nursing. Part II describes the research component, focused on the development of a scoping review, following the recommendations of the Joanna Briggs Institute. Results: The internships provided opportunities to consolidate technical, clinical, and communication skills. The research component enhanced capacities for critical analysis and scientific research. Conclusion: The internship experience was essential for improving clinical practice, enabling care tailored to patients’ needs. The scoping review contributes to evidence-based practice by systematizing knowledge about NEWS2 and supporting informed decisions regarding admission to intensive care units. Keywords: Medical-Surgical Nursing; reflective practice; Emergency Department; Intensive Care; National Early Warning Score 2; Scoping Review
ABSTRACT Introduction: This report presents the training pathway undertaken as part of the Master’s Degree in Medical-Surgical Nursing, highlighting the learning acquired during internships in the emergency department and intensive care units, as well as the research component. These contexts were crucial for the development of personal, communication, and technical-scientific skills, essential for evidence-based nursing practice. Early identification of clinical deterioration, through the National Early Warning Score 2 (NEWS2), is relevant for admission to intensive care units. Objective: To critically reflect on the internships completed, highlighting the development of competencies, and to analyzing the scientific evidence regarding the application of NEWS2 in the emergency department as a predictor of admission to intensive care units, through the development of a scoping review to map existing knowledge and identify gaps in the literature. Methodology: The report is structured in two parts. Part I consists of a reflective analysis of the activities carried out during the internships, based on the competencies of the specialist nurse in Medical-Surgical Nursing. Part II describes the research component, focused on the development of a scoping review, following the recommendations of the Joanna Briggs Institute. Results: The internships provided opportunities to consolidate technical, clinical, and communication skills. The research component enhanced capacities for critical analysis and scientific research. Conclusion: The internship experience was essential for improving clinical practice, enabling care tailored to patients’ needs. The scoping review contributes to evidence-based practice by systematizing knowledge about NEWS2 and supporting informed decisions regarding admission to intensive care units. Keywords: Medical-Surgical Nursing; reflective practice; Emergency Department; Intensive Care; National Early Warning Score 2; Scoping Review
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Avaliação de risco Cuidados críticos Enfermagem médico cirúrgica Revisão scoping Serviço de urgência hospitalar Unidades de cuidados intensivos Critical care Emergency service hospital Intensive care units Medical surgical nursing Risk assessment Scoping review NEWS2