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Enquadramento: O Relatório Final de Estágio assume-se como um instrumento fundamental de análise crítica do percurso de aquisição e desenvolvimento de competências na prestação de cuidados à pessoa em situação crítica. Este reflete o percurso desenvolvido, evidenciando o
processo de aprendizagem realizado nesses contextos, e incluir ainda uma componente de investigação dedicada ao mapeamento das práticas de Enfermagem Forense em diversos serviços de saúde para a prestação de cuidados a pessoas vítimas de violência.
Objetivo: Analisar criticamente o percurso formativo desenvolvido no estágio em contexto de
serviço de urgência e de cuidados intensivos, evidenciando o desenvolvimento de competências comuns e das competências específicas do Enfermeiro especialista em Enfermagem Médico-
Cirúrgica na área da pessoa em situação crítica. Mapear as práticas de Enfermagem Forense em
contextos de saúde na prestação de cuidados à pessoa vítima de violência.
Metodologia: O presente relatório organiza-se em duas Partes. A primeira parte assenta numa abordagem descritiva e reflexiva, sustentada na análise crítica das experiências vivenciadas a
nível dos diferentes contextos de estágio, articuladas com a evidência científica disponível. Esta metodologia promove a reflexão fundamentada sobre a prática, contribuindo para o
desenvolvimento de competências enquanto enfermeira especialista. A segunda parte relata a
componente de investigação, centrada na elaboração de uma scoping review, seguindo as
recomendações do Joanna Briggs Institute.
Resultados: Demonstra-se o desenvolvimento de competências especializadas, nomeadamente na prestação de cuidados diferenciados e na tomada de decisão com integração da evidência científica na prática. Destaca-se ainda o contributo da scoping review para o aprofundamento
do conhecimento sobre as práticas em enfermagem forense.
Conclusões: A elaboração do relatório e a componente de investigação contribuíram para uma visão mais integrada e consciente do cuidar, reforçando o compromisso com a qualidade, a segurança e a humanização dos cuidados de enfermagem.
Palavras-chave: Enfermagem Médico-Cirúrgica; Reflexão Crítica; Serviço de Urgência; Serviço de Medicina Intensiva; Enfermagem Forense; Práticas; Protocolos; Revisão de Escopo
Abstract Introduction: The Final Internship Report is considered a fundamental instrument for the critical analysis of the process of acquisition and development of competencies in providing care to the person in a critical condition. It reflects the path undertaken, highlighting the learning process developed in those contexts, and also includes a research component dedicated to mapping Forensic Nursing practices in various healthcare settings for the provision of care to people who are victims of violence. Objetive: To critically analyse the training pathway developed during the internship in the emergency department and intensive care settings, highlighting the development of common competencies and the specific competencies of the Specialist Nurse in Medical-Surgical Nursing in the area of the person in a critical condition. To map Forensic Nursing practices in healthcare contexts in the provision of care to victims of violence. Methodology: This report is organized into two parts. The first part is based on a descriptive and reflective approach, supported by the critical analysis of experiences in different internship contexts, articulated with the available scientific evidence. This methodology promotes a grounded reflection on practice, contributing to the development of competencies as a specialist nurse. The second part presents the research component, focused on the development of a scoping review, following the recommendations of the Joanna Briggs Institute. Results: The development of specialized competencies is demonstrated, particularly in the provision of differentiated care and in decision-making with the integration of scientific evidence into practice. The contribution of the scoping review to deepening knowledge of forensic nursing practices is also highlighted. Conclusions: The preparation of the report and the research component contributed to a more integrated and conscious view of care, reinforcing the commitment to quality, safety, and humanization of nursing care. Keywords: Medical-Surgical Nursing; Critical Reflection; Emergency Department; Intensive Care Unit; Forensic Nursing; Practices; Protocols; Scoping Review
Abstract Introduction: The Final Internship Report is considered a fundamental instrument for the critical analysis of the process of acquisition and development of competencies in providing care to the person in a critical condition. It reflects the path undertaken, highlighting the learning process developed in those contexts, and also includes a research component dedicated to mapping Forensic Nursing practices in various healthcare settings for the provision of care to people who are victims of violence. Objetive: To critically analyse the training pathway developed during the internship in the emergency department and intensive care settings, highlighting the development of common competencies and the specific competencies of the Specialist Nurse in Medical-Surgical Nursing in the area of the person in a critical condition. To map Forensic Nursing practices in healthcare contexts in the provision of care to victims of violence. Methodology: This report is organized into two parts. The first part is based on a descriptive and reflective approach, supported by the critical analysis of experiences in different internship contexts, articulated with the available scientific evidence. This methodology promotes a grounded reflection on practice, contributing to the development of competencies as a specialist nurse. The second part presents the research component, focused on the development of a scoping review, following the recommendations of the Joanna Briggs Institute. Results: The development of specialized competencies is demonstrated, particularly in the provision of differentiated care and in decision-making with the integration of scientific evidence into practice. The contribution of the scoping review to deepening knowledge of forensic nursing practices is also highlighted. Conclusions: The preparation of the report and the research component contributed to a more integrated and conscious view of care, reinforcing the commitment to quality, safety, and humanization of nursing care. Keywords: Medical-Surgical Nursing; Critical Reflection; Emergency Department; Intensive Care Unit; Forensic Nursing; Practices; Protocols; Scoping Review
Descrição
Palavras-chave
Competência profissional Cuidados críticos Doença crítica Enfermagem forense Enfermagem médico cirúrgica Revisão scoping Violência Critical care Critical illness Forensic nursing Medical surgical nursing Professional competence Scoping review Violence