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Oxigenoterapia de alto fluxo por cânula nasal em doentes com hipoxemia : Revisão de scoping
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Abstract(s)
Introdução: A prestação de cuidados de enfermagem de qualidade motiva os enfermeiros para a necessidade de desenvolver conhecimento e competências diferenciadas, especializadas e baseadas na melhor evidência científica para permitir assim dar resposta às necessidades das pessoas. Os estágios em contexto de urgência e em contexto de cuidados intensivos realizados no âmbito da 1ª. Edução do Curso de Mestrado em Enfermagem Médico-Cirúrgica, na área de Enfermagem à Pessoa em Situação Crítica, têm como objetivo a aquisição e desenvolvimento
dessas competências.
Objetivo: Demonstrar a aquisição e o desenvolvimento de competências em Enfermagem Médico-cirúrgica na pessoa em situação crítica e mapear a eficácia da oxigenoterapia de alto fluxo por cânula nasal em doentes com hipoxemia com a elaboração de uma revisão scoping.
Metodologia: Na parte I e II foi realizada uma abordagem descritiva e reflexiva das competências comuns e específicas de enfermagem médico-cirúrgica adquiridas e as atividades desenvolvidas nos estágios. Na parte III apresenta-se a componente de investigação, “Oxigenoterapia de alto fluxo por cânula nasal em doentes com hipoxemia – Revisão de Scoping”, realizada de acordo com o método proposto por Joanna Briggs Institute.
Resultados: Os estágios realizados permitiram desenvolver e consolidar as competências comuns e específicas de enfermagem médico-cirúrgica. A investigação permitiu conhecer e compreender qual a eficácia do alto fluxo, contribuindo para o processo de recuperação do estado clínico da pessoa após a sua aplicabilidade.
Conclusão: Foram adquiridos e desenvolvidos conhecimentos e competências na área da prestação de cuidados ao doente crítico inerente à prática especializada da enfermagem médicocirúrgica. A oxigenoterapia de alto fluxo é cada vez mais utilizada na abordagem da pessoa em situação crítica, maioritariamente nas Unidades de Cuidados Intensivos.
Palavras-Chave: Enfermagem médico-cirúrgica, doente crítico, cuidados de enfermagem, oxigenoterapia de alto fluxo por cânula nasal.
Abstract Introduction: The provision of quality nursing care motivates nurses to develop differentiated, specialized knowledge and skills based on the best scientific evidence to respond to people’s needs. The internships in emergency and intensive care settings carried out within the scope of the 1 st. Edition of the Master´s Degree in Medical-Surgical Nursing, in the area of Nursing for People in Critical Situations, aim to acquire and develop these skills. Objective: To demonstrate the acquisition and development of skills in Medical-Surgical Nursing in people in critical situations and to map the effectiveness of high-flow oxygen therapy via nasal cannula in patients with hypoxemia by preparing a scoping review. Methodology: In parts I and II, a descriptive and reflective approach was carried out on the common and specific skills of medical-surgical nursing acquired and the activities developed in the internships. Part III presents the research component, “High-flow oxygen therapy by nasal cannula in patients with hypoxemia – Scope Review”, carried out according to the method proposed by the Joanna Briggs Institute. Results: The internships carried out allowed the development and consolidation of common and specific medical-surgical nursing skills. The research allowed us to know and understand the effectiveness of high flow, contributing to the process of recovery of the person's clinical state after its applicability. Conclusion: Knowledge and skills were acquired and developed in the area of care for critically ill patients inherent to the specialized practice of medical-surgical nursing. High-flow oxygen therapy is increasingly used in the approach to people in critical situations, mainly in Intensive Care Units. Keywords: Medical-surgical nursing, critically ill patient, nursing care, high-flow oxygen therapy by nasal cannula.
Abstract Introduction: The provision of quality nursing care motivates nurses to develop differentiated, specialized knowledge and skills based on the best scientific evidence to respond to people’s needs. The internships in emergency and intensive care settings carried out within the scope of the 1 st. Edition of the Master´s Degree in Medical-Surgical Nursing, in the area of Nursing for People in Critical Situations, aim to acquire and develop these skills. Objective: To demonstrate the acquisition and development of skills in Medical-Surgical Nursing in people in critical situations and to map the effectiveness of high-flow oxygen therapy via nasal cannula in patients with hypoxemia by preparing a scoping review. Methodology: In parts I and II, a descriptive and reflective approach was carried out on the common and specific skills of medical-surgical nursing acquired and the activities developed in the internships. Part III presents the research component, “High-flow oxygen therapy by nasal cannula in patients with hypoxemia – Scope Review”, carried out according to the method proposed by the Joanna Briggs Institute. Results: The internships carried out allowed the development and consolidation of common and specific medical-surgical nursing skills. The research allowed us to know and understand the effectiveness of high flow, contributing to the process of recovery of the person's clinical state after its applicability. Conclusion: Knowledge and skills were acquired and developed in the area of care for critically ill patients inherent to the specialized practice of medical-surgical nursing. High-flow oxygen therapy is increasingly used in the approach to people in critical situations, mainly in Intensive Care Units. Keywords: Medical-surgical nursing, critically ill patient, nursing care, high-flow oxygen therapy by nasal cannula.
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Keywords
Choque séptico Competência profissional Doença crítica Enfermagem médico cirúrgica Hipóxia Revisão scoping Sépsis Terapia por inalação de oxigénio Unidades de cuidados intensivos Critical illness Hypoxia Intensive care units Medical surgical nursing Oxygen inhalation therapy Professional competence Scoping review Shock septic
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