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Violência em adultos : Desafios e intervenções do enfermeiro forense em urgência e emergência
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Introdução: O presente relatório foi desenvolvido no âmbito do Curso de Mestrado em Enfermagem Médico-Cirúrgica, na área da Pessoa em Situação Crítica, da Escola Superior de Saúde de Viseu. O percurso formativo integrou estágios em Serviço de Urgência e Unidade de Cuidados Intensivos, com enfoque no desenvolvimento de competências especializadas. Paralelamente, foi realizado um estudo sobre a intervenção do enfermeiro forense em contexto de urgência e emergência perante situações de violência em adultos.
Objetivos: Analisar criticamente o percurso formativo realizado em contexto clínico, evidenciar o desenvolvimento de competências do enfermeiro especialista e avaliar a perceção dos enfermeiros relativamente ao conhecimento e execução de procedimentos de preservação de vestígios forenses.
Métodos: Estudo quantitativo realizado junto de enfermeiros de um serviço de urgência de uma Unidade Local de Saúde da região centro de Portugal, através da recolha de dados sobre conhecimentos e práticas relacionadas com a preservação de vestígios forenses. O relatório integra igualmente uma componente clínico-reflexiva baseada na prática clinica.
Resultados: Os resultados evidenciam a importância do desenvolvimento de competências especializadas em contexto de urgência e cuidados intensivos, bem como da formação contínua em enfermagem forense. Identificaram-se lacunas no conhecimento e na execução de procedimentos de preservação de vestígios.
Conclusão: O percurso de estágio contribuiu para o desenvolvimento de competências clínicas, técnicas e relacionais do enfermeiro especialista. A componente de investigação reforçou a relevância da enfermagem forense e a necessidade de investimento na formação e melhoria das práticas.
Palavras-chave: Enfermagem médico-cirúrgica; pessoa em situação crítica; enfermagem forense; violência; competências especializadas.
Abstract Introduction: This report was developed within the scope of the Master’s Degree in Medical-Surgical Nursing, specializing in the Care of the Critically Ill Person, at the Escola Superior de Saúde de Viseu. The training pathway included clinical placements in the Emergency Department and Intensive Care Unit, focusing on the development of specialized competencies. Simultaneously, a study was conducted on the intervention of the forensic nurse in urgent and emergency care settings when dealing with situations of violence involving adults. Objectives: To critically analyze the clinical training pathway undertaken, to highlight the development of specialist nurse competencies, and to assess nurses’ perceptions regarding their knowledge and implementation of forensic evidence preservation procedures. Methods: A quantitative study was carried out among nurses working in the Emergency Department of a Local Health Unit in the central region of Portugal, through the collection of data concerning knowledge and practices related to the preservation of forensic evidence. The report also includes a clinical-reflective component based on professional clinical practice. Results: The findings highlight the importance of developing specialized competencies in emergency and intensive care settings, as well as the relevance of continuous education in forensic nursing. Gaps were identified in both knowledge and the implementation of forensic evidence preservation procedures. Conclusion: The clinical placement pathway contributed to the development of the specialist nurse’s clinical, technical, and relational competencies. The research component reinforced the relevance of forensic nursing and the need to invest in education and the improvement of professional practices. Keywords: Medical-surgical nursing; critically ill person; forensic nursing; violence; specialized competencies
Abstract Introduction: This report was developed within the scope of the Master’s Degree in Medical-Surgical Nursing, specializing in the Care of the Critically Ill Person, at the Escola Superior de Saúde de Viseu. The training pathway included clinical placements in the Emergency Department and Intensive Care Unit, focusing on the development of specialized competencies. Simultaneously, a study was conducted on the intervention of the forensic nurse in urgent and emergency care settings when dealing with situations of violence involving adults. Objectives: To critically analyze the clinical training pathway undertaken, to highlight the development of specialist nurse competencies, and to assess nurses’ perceptions regarding their knowledge and implementation of forensic evidence preservation procedures. Methods: A quantitative study was carried out among nurses working in the Emergency Department of a Local Health Unit in the central region of Portugal, through the collection of data concerning knowledge and practices related to the preservation of forensic evidence. The report also includes a clinical-reflective component based on professional clinical practice. Results: The findings highlight the importance of developing specialized competencies in emergency and intensive care settings, as well as the relevance of continuous education in forensic nursing. Gaps were identified in both knowledge and the implementation of forensic evidence preservation procedures. Conclusion: The clinical placement pathway contributed to the development of the specialist nurse’s clinical, technical, and relational competencies. The research component reinforced the relevance of forensic nursing and the need to invest in education and the improvement of professional practices. Keywords: Medical-surgical nursing; critically ill person; forensic nursing; violence; specialized competencies
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Palavras-chave
Competência profissional Conhecimentos atitudes e prática em saúde Doença crítica Enfermagem forense Enfermagem médico cirúrgica Violência Critical illness Forensic nursing Health knowledge attitudes practice Medical surgical nursing Professional competence Violence