it was evidenced that college contributed in significant proportions for learning and development of some clinical and management skills in the hospital. Still, despite the identified strategies, managers and training centers need to continuously implement strategies for the development of new skills in nurses.
Objective:To analyze nurses' competencies with regard to their work in post-operative heart surgery and the strategies implemented to mobilize these competencies. Method: This was an exploratory study with a qualitative approach and a methodological design of collective case study. It was carried out in three post-operative heart surgery units, consisting of 18 nurses. Direct observation and semi-structured interviews were employed to collect data. Data were construed through thematic analysis. Results: nine competencies were found, as follows: theoretical-practical knowledge; high-complexity nursing care; nursing supervision; leadership in nursing; decision making; conflict management; personnel management; material and financial resources management; and on-job continued education. Organizational and individual strategies were employed to develop and improve competencies such as regular offerings of courses and lectures, in addition to the individual pursuit for knowledge and improvement. Conclusion: the study is expected to lead future nurses and training centers to evaluate the need for furthur training required to work in cardiac units, and also the need for implementing programs aimed at developing the competencies of these professionals.
Objetivo: Analisar as competências profissionais requeridas para a atuação do enfermeiro hospitalar e aquelas implementadas durante a sua formação acadêmica. Método: Estudo documental, qualitativo, tendo como cenário uma instituição hospitalar pública e uma instituição de ensino superior, sendo fontes de evidências documentos legais das referidas instituições, os dados coletados de outubro de 2016 a janeiro de 2017. Foi utilizada a análise temática indutiva dos dados. Resultados: Permitiram identificar competências clínicas, como postura profissional e habilidades técnicas e gerenciais, como liderança e comunicação, em ambos os documentos, sendo algumas implementadas na formação acadêmica, porém não exigidas pela organização hospitalar, outras requeridas apenas pelo hospital e não desenvolvidas na formação acadêmica e, finalmente, algumas presentes nas duas instituições. Conclusões: Evidenciaram-se similaridades entre o requerido em uma instituição hospitalar e o ensinado na graduação, porém há a necessidade de centros formadores e gestores quanto a implementar estratégias para o desenvolvimento de competências clinicas e gerenciais.
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