The organisational function, as part of administrative processes, is one of the major challenges in nursing and health services. The selection of an organisational patient-care model depends on staff characteristics, educational and economic resources, planning and the definition of assignments (Mattila et al., 2014; Sjetne, Veenstra, Ellefsen, & Stavem, 2009). Internationally, care quality and patient safety are among the core priorities for health care leaders (American College of

Sentimentos dos familiares em relação ao paciente internado Sentimentos dos familiares em relação ao paciente internado Sentimentos dos familiares em relação ao paciente internado Sentimentos dos familiares em relação ao paciente internado Sentimentos dos familiares em relação ao paciente internado na unidade de terapia intensiva na unidade de terapia intensiva na unidade de terapia intensiva na unidade de terapia intensiva na unidade de terapia intensiva RESUMO RESUMO RESUMO RESUMO RESUMO Trata-se de um estudo de abordagem qualitativa sobre os sentimentos dos familiares em relação ao paciente internado na unidade de terapia intensiva. Foram entrevistados 24 familiares de um hospital público da cidade de Aracaju nos meses de julho e agosto de 2007. Os dados foram coletados por meio de uma entrevista, sendo analisados por meio da análise de conteúdo. Os resultados evidenciaram os seguintes sentimentos: ansiedade; preocupação; angústia e tristeza; impotência; dor e mágoa; perda; medo e pânico; confiança e segurança; insegurança; fé e esperança; e inexplicável. A ansiedade foi o mais freqüente que decorreu entre outros fatores, do ambiente estranho, procedimentos diversificados, incerteza do amanhã ou expectativa da melhora do familiar. Descritores: Descritores: Descritores: Descritores: Descritores: Família; Enfermagem familiar; Emoções. ABSTRACT ABSTRACT ABSTRACTABSTRACT ABSTRACT This is a study with qualitative approach focusing on the relatives' feelings related to the patient who is admitted in intensive care unity. Twenty-four relatives were interviewed in a public hospital in Aracaju, SE, Brazil between July and August, 2007. The information was collected through an interview and evaluated according to content analysis. The results showed the following feelings: anxiety; worry; anguish and sadness; powerless; pain and sorrow; lost; fear and panic; stress; trust and security; insecurity; faith and hope and unexplainable feelings. Anxiety was the most common one and was related to the strange environment, the diversified procedures, fear of what will happen tomorrow and expectations of their relatives to get better. Descriptors: Descriptors: Descriptors: Descriptors: Descriptors: Family; Family nursing; Emotions. RESUMEN RESUMEN RESUMEN RESUMEN RESUMEN Se trata de un estudio con abordaje cualitativo sobre los sentimientos de familiares en relación al paciente ingresados en unidad de terapia intensiva. Fueron ntrevistados 24 familiares de un hospital público en la ciudad de Aracaju en los meses de julio y agosto, 2007. Los datos fueron recogidos a través de una entrevista, evaluados por el análisis de contenido. Los resultados destacaron los siguientes sentimientos: ansiedad; preocupación; ansiedad y tristeza; desamparo; dolor y tristeza; pérdida; miedo y pánico; estrés; confianza y seguridad; inseguridad; fe y esperanza; y inexplicable. La ansiedad es el más frecuentemente entre otros factores, el ambiente extraño, diversos procedimientos, la incertidumbre del futuro o expectativas de mejora de la familiar. De...

The process of teaching consists in determining the entire procedure of education seeking more efficient methods to provide the society of formation. The objective was to evaluate the perception of students of the nursing undergraduate program on the teaching learning strategies experienced. The research is qualitative research which data were collected by a semi-structured interview applied to 12 nursing students. It was made by the content analysis. The data collected led to two categories with their units of analysis. The results showed that the practice of alternative education enable the student beyond the scientific-technical teaching for the education of the professional as a human being by participation of students, group interaction and technological innovations.

Objetivo: avaliar a cultura de segurança do paciente na perspectiva da equipe de enfermagem. Métodos: delineamento transversal, tipo survey, realizado com 221 profissionais de enfermagem do Hospital Universitário. Foi utilizado o instrumento Hospital Survey on Patient Safety Culture. Foram realizados o teste de Kolmogorov-Smirnov, a correlação de Spearman e o coeficiente alpha de Cronbach. Resultados: a cultura de segurança do paciente é moderadamente desenvolvida, o trabalho em equipe dentro das unidades foi área de força (75,5%) e a resposta não punitiva aos erros constituiu área de melhoria (47,0%). Verificou-se que quanto maior a impressão de inexistência de problemas e adequação dos sistemas implantados, melhor foi a nota atribuída para o hospital. Conclusão: a cultura de segurança do paciente está em processo de desenvolvimento, a dimensão com mais respostas positivas foi o trabalho em equipe dentro das unidades e, a com menos, a resposta não punitiva aos erros.

Objective: To analyze the perception of undergraduate nursing students on simulation strategies in the teaching-learning process for developing competence in risk assessment for pressure ulcers. Methods: Descriptive study with qualitative analysis done with 29 final-year undergraduate nursing students. Data were collected during debriefing by focus group after the simulation scenario and were then analyzed by Bardin's technique, resulting in five categories and their respective thematic register units. Results: The strategy facilitated reasoning of the undergraduate students during the simulation scenario (action), developing students' critical thinking about competence, identifying learning gaps, promoting satisfaction among the students, and improving professional self-image. Conclusion: The simulation strategy develops the competence in risk assessment for pressure ulcers in all their dimensions: knowing (knowledge); knowing-doing (skills); and wanting to act, knowing-acting, and ability to act (attitudes). ResumoObjetivo: Analisar a percepção de graduandos em enfermagem sobre a estratégia de simulação no processo de ensino-aprendizagem para o desenvolvimento da competência avaliação de risco para úlcera por pressão. Métodos: Estudo descritivo com análise qualitativa, desenvolvido com 29 estudantes de enfermagem do último ano do curso. Os dados foram coletados durante debriefing por grupo focal, após cenário de simulação e analisado pela técnica de Bardin, originando cinco categorias e respectivas unidades de registro temáticas. Resultados: A estratégia foi capaz de resgatar o raciocínio operativo dos graduandos durante a execução do cenário de simulação (ação), desenvolvimento de pensamento crítico-reflexivo sobre a competência, identificação de lacunas de aprendizagem, promoção da satisfação aos estudantes e melhoria da autoimagem profissional. Conclusão: A estratégia de simulação desenvolve a competência avaliação de risco para úlcera por pressão em todas as suas dimensões: saberes (conhecimento), fazeres (habilidades) e querer-agir, saber-agir e poderagir (atitudes).

This study developed a measuring instrument of pressure‐injury risk assessment competence for nursing education adopting theoretical procedures based on competence structuration to support the psychometric quality. The objective of this study is testing the psychometric properties of the instrument using simulation strategy and to determine the instrument's standardisation and normalisation. A methodological study was designed. The instrument was developed by a content‐validated theoretical construct administered to 155 undergraduate nursing students from universities in the northeast and south of Brazil using simulation. The instrument was applied over three phases: before the lecture on pressure‐injury risk assessment competence, after scenario of simulation experience, and after debriefing experience. The instrument comprised 32 items. The factorial analysis found that three domains explained 64.6% and 62.18% of the total variance in post‐scenario and debriefing cases. The perfect and very high discrimination index of the instrument indicated minimal differences in measured latent trait levels. It also found that reliability was excellent (0.973 and 0.967). Moreover, an equation applicable to instruments using study's theoretical procedure was proposed. The instrument was found to be a valid, accurate, and reliable educational tool for pressure‐injury risk assessment competence.

Aims To describe the theoretical procedures for the development of the Professional Nursing Communication Competence instrument, determine the content validity and describe the pilot test application. Background Measuring instruments must be developed in accordance with the context and communication process by adopting theoretical procedures based on competence structures to support quality patient‐centred care and nursing management. Methods A methodological study was employed. The instrument was developed by using content‐validated theoretical construct in accordance with 33 communication theories followed by semantic analysis and content validity by experts. The instrument was tested over three phases: before the lecture on professional nursing communication competence, after the simulation scenario experience and after debriefing. Results The instrument showed an extremely high agreement (CVI = 0.99). Linear regression suggested three domains of the 46‐item content‐validated instrument comprising knowledge (18 items), skills (12 items) and attitudes (16 items). Conclusion The instrument was found to measure professional communication competence with a high theoretical reliability of the contexts and processes through a simulation strategy. Implications for Nursing Management Nursing educators, managers and staff can adopt the Professional Nursing Communication Competence (IMC‐CPE) instrument to improve the effectiveness level of knowledge, skills and attitudes to reduce misunderstanding among team members and health care errors.

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