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Resumo(s)
Introdução: O desenvolvimento de competências para grau de mestre em Enfermagem
Médico-cirúrgica na área da Pessoa em Situação Crítica exige o desenvolvimento de
competências e a aquisição gradual de conhecimentos, para aplicação na prática baseada
na evidência.
Objetivo: Expor as atividades concretizadas e as competências desenvolvidas durante os
estágios; avaliar o conhecimento dos enfermeiros dos serviços de urgência de uma Unidade
Local de Saúde da região centro do país sobre a importância e aplicabilidade da National
Early Warning Score 2 (NEWS2).
Métodos: Descritivo, transversal, com abordagem quantitativa. A população em estudo são
enfermeiros dos serviços de urgência de uma Unidade Local de Saúde da região centro do
país. O instrumento de recolha de dados consiste num questionário elaborado
especificamente para este estudo.
Resultados: Este estudo relevante para a melhoria da prática clínica em contexto de
urgência, ao identificar necessidades formativas e operacionais relacionadas com a
utilização da escala NEWS2. Espera-se que este trabalho contribua para a otimização da
aplicação de ferramentas de monitorização clínica, como a NEWS2, com impacto direto na
redução do risco de falhas na identificação precoce de doentes em deterioração clínica.
Conclusão: Refletir criticamente sobre a ação resulta no desenvolvimento de competências,
conhecimentos técnicos, expertise na capacidade de tomar decisões céleres. Necessidade
de sensibilizar os enfermeiros dos serviços de urgência sobre a importância e aplicabilidade
da escala de NEWS2 e fortalecer a autonomia e o importante papel do enfermeiro no
processo de tomada de decisão clínica, valorizando a sua intervenção no percurso
terapêutico dos utentes.
Palavras-chave: enfermeiro; médico-cirúrgica; serviço de urgência; National Early Warning
Score 2.
Abstract Introduction: The development of competencies required for a Master’s degree in Medical- Surgical Nursing, in the area of the critically ill person, involves both the acquisition of advanced skills and the gradual development of knowledge for application in evidence-based practice. Objective: To present the activities carried out and the competencies developed during clinical placements; and to assess the knowledge of nurses working in emergency departments of a Local Health Unit in the central region of the country regarding the importance and applicability of the National Early Warning Score 2 (NEWS2). Methods: A descriptive, cross-sectional study with a quantitative approach. The study population consists of nurses working in emergency departments of a Local Health Unit in the central region of the country. Data collection was conducted using a questionnaire specifically developed for this study. Results: This study is relevant for improving clinical practice in emergency settings by identifying training and operational needs related to the use of the NEWS2 scale. It is expected that this work will contribute to optimizing the application of clinical monitoring tools, such as NEWS2, with a direct impact on reducing the risk of failure in the early identification of patients experiencing clinical deterioration. Conclusion: Critical reflection on practice leads to the development of competencies, technical knowledge, and expertise in making prompt decisions. There is a need to raise awareness among emergency department nurses about the importance and applicability of the NEWS2 scale, as well as to strengthen nurses’ autonomy and their key role in the clinical decision-making process, valuing their contribution to patients’ therapeutic pathways. Keywords: nurse; medical-surgical nursing; emergency department; National Early Warning Score 2.
Abstract Introduction: The development of competencies required for a Master’s degree in Medical- Surgical Nursing, in the area of the critically ill person, involves both the acquisition of advanced skills and the gradual development of knowledge for application in evidence-based practice. Objective: To present the activities carried out and the competencies developed during clinical placements; and to assess the knowledge of nurses working in emergency departments of a Local Health Unit in the central region of the country regarding the importance and applicability of the National Early Warning Score 2 (NEWS2). Methods: A descriptive, cross-sectional study with a quantitative approach. The study population consists of nurses working in emergency departments of a Local Health Unit in the central region of the country. Data collection was conducted using a questionnaire specifically developed for this study. Results: This study is relevant for improving clinical practice in emergency settings by identifying training and operational needs related to the use of the NEWS2 scale. It is expected that this work will contribute to optimizing the application of clinical monitoring tools, such as NEWS2, with a direct impact on reducing the risk of failure in the early identification of patients experiencing clinical deterioration. Conclusion: Critical reflection on practice leads to the development of competencies, technical knowledge, and expertise in making prompt decisions. There is a need to raise awareness among emergency department nurses about the importance and applicability of the NEWS2 scale, as well as to strengthen nurses’ autonomy and their key role in the clinical decision-making process, valuing their contribution to patients’ therapeutic pathways. Keywords: nurse; medical-surgical nursing; emergency department; National Early Warning Score 2.
Descrição
Palavras-chave
Competência profissional Conhecimentos atitudes e prática em saúde Doença crítica Enfermagem de emergência Enfermagem médico cirúrgica Inquéritos e questionários National Early Warning Score 2 NEWS 2 Critical illness Emergency nursing Health knowledge attitudes practice Medical surgical nursing Surveys and questionnaires