Objective: To analyze the decision making of students from a nursing higher school and understand how they make decisions in the care process. Method: A qualitative study with an exploratory and descriptive approach was carried out with the case study method. Results: Six types of decision making were categorized by the students as follows: Decision about communication (15 record units [RU]); Decision about understanding (14 RU); Decision about intervention (9 RU); Decision about timing (5 RU); Decision about targeting (4 RU); and Decision about management (0 RU), with a total of 47 RU. Final considerations: Analysis of the learning diaries showed that students make more decisions regarding communication with patients and understanding of the care situation, than with the acting decision.

Objectives: to understand the perceptions of senior students in an undergraduate nursing course at a nursing college in Lisbon regarding skills related to clinical decision-making learned during their initial training. Methods: qualitative study, of an exploratory and descriptive nature. Data collection occurred by carrying out a focus group with eight senior students in an undergraduate nursing course. Data treatment applied content analysis, performed with twebQDA® software. Results: data were analyzed according to the four dimensions of Tanner’s model of clinical judgment, and noticing and interpreting stood out as the most influential in clinical decision-making. Theoretical and clinical knowledge, validation of care planning, prioritization, and capacity to discuss and debate about situations emerged as the most representative skills. Final considerations: students make decisions by means of a complex process by using the knowledge and skills learned during their training.

Clinical judgment and decision-making are essential competencies in nursing, emerging as expanding learning areas of nursing education. Aiming to characterize the types of clinical judgment and decision-making adopted by nursing students in clinical education, we designed a qualitative, exploratory and descriptive study, with data collection obtained through documental analysis of nursing student’s reflective journals, in clinical education settings. Data analysis was performed according to Bardin using the webQDA software. Thirty-four students participated in the study, while attending the Clinical Learning Curricular Unit: Caring for Clients with Increased Vulnerability and Families in Transition, producing a total of 40 reflective journals. Of the 248 identified registration units, we highlight the evaluation decision-making with 45 registration units and the intervention decision-making, with 55 registration units. It is concluded that student´s reflections in the context of clinical teaching, are mainly about the assessment of the care situation and the decision-making related to the action. This study is intended to guide the learning of these competencies in nursing education.

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RESUMO Objetivo: Analisar as posturas dos estudantes do Curso de Mestrado em Enfermagem de Saúde Materna e Obstetrícia; compreender como a intervenção durante o trabalho de parto influencia as posturas; e identificar as estratégias de prevenção das lesões musculoesqueléticas ligadas ao trabalho. Método: Estudo qualitativo e descritivo, que recorreu à gravação e análise fílmica em situação de aprendizagem em Prática Simulada de Alta-Fidelidade. Resultados: Participaram do estudo 13 estudantes. Os resultados evidenciam que o movimento corporal adotado não tem em conta a coordenação do sistema musculoesquelético para manter o equilíbrio, a postura e o alinhamento corporal nas alterações de posição na realização do parto. Conclusão: Os enfermeiros obstetras apresentam elevada prevalência de lesões musculoesqueléticas, e a especificidade da atividade profissional dificulta a avaliação do risco e a sua prevenção. A formação favorece a aquisição de conhecimentos e reflexão de comportamentos. É fundamental investir na formação dos estudantes e dos profissionais nos contextos de trabalho.

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