Gerenciando práticas educativas para o cuidado de enfermagem qualificado em cardiologia

Abstract

Approval: 06-01-2016 ABSTRACT Objective: to understand signifi cances attributed by nurses who manage nursing care to the individual affected by cardiovascular disease to relations, interactions and associations of the educational practices in a cardiovascular reference hospital. To elaborate a theoretical explanatory model based on signifi cances attributed in the light of the complex thinking. Method: qualitative study, which used Theory Based on Data (TBD) as methodological reference. Twenty-two professionals of nursing participated in the study. Results: the results indicate need of professional qualifi cation to ensure the safety of patients, institutional support for the realization of educational practices, attitude of openness and availability of dialogue of the health professionals and other institutional conformations for the workers' development. Conclusion: the study presents a new space for the nurse's action that can be used to qualify and optimize the nursing practice, as it provides visibility to management and care in health institutions. Descriptors: Nursing; Nursing Management; Permanent Education; Hospital Service of Education; Cardiology. RESUMO Objetivo: compreender os signifi cados atribuídos por enfermeiros gestores do cuidado de enfermagem ao indivíduo acometido por doença cardiovascular às relações, interações e associações das práticas educativas em um hospital referência cardiovascular. Elaborar um modelo teórico explicativo com base nos signifi cados atribuídos à luz do pensamento complexo. Método: estudo qualitativo, o qual utilizou a Teoria Fundamentada nos Dados (TFD) como referencial metodológico. Participaram do estudo 22 profi ssionais de enfermagem. Resultados: os resultados apontam a necessidade de qualifi cação profi ssional para garantia da segurança do paciente, apoio institucional para a efetivação das práticas educativas, atitude de abertura e disponibilidade dialógica dos profi ssionais de saúde e de outras conformações institucionais para o desenvolvimento dos trabalhadores. Conclusão: o estudo apresenta um novo espaço de atuação para o enfermeiro que pode ser utilizado de forma a qualifi car e potencializar a práxis em enfermagem, por conferir visibilidade à gestão do cuidado de enfermagem nas instituições de saúde. Descritores: Enfermagem; Gestão em Saúde; Educação Permanente; Serviço Hospitalar de Educação; Cardiologia. RESUMEN Objetivo: comprender los signifi cados atribuidos por enfermeros gestores de atención de enfermería al paciente de enfermedad cardiovascular respecto de relaciones, interacciones y asociaciones de prácticas educativas en hospital cardiovascular de referencia. Elaborar modelo teórico explicativo basado en los signifi cados atribuidos a la luz del pensamiento complejo. Método: estudio cualitativo, utilizando la Teoría Fundamentada en los Datos (TFD) como referencial metodológico. Participaron 22 profesionales de enfermería. Resultados: los resultados expresan la necesidad de califi cación profesional para garantizar la seguridad del paciente, a...

Recursos e competências para gestão de práticas educativas por enfermeiros: revisão integrativa

“…The health institution must create a favourably environment to nurses' adherence to educational practices and to have a commitment to the institution (4) , considering that professionals may have a sense of responsibility on a given practice, but they are poorly prepared/able to provide care, pointing to the need for protocols and continuing education in hospital (23) .…”

“…In Taiwan, a study pointed out that training programs of nursing preceptors were considered clinically impracticable, requiring adjustments in order to attend the interaction between theory and practice (25) . In this way, the educational practices in the health services need to happen naturally as a continuous exchange of knowledge, and be focused on the work reality, being the nurse responsible for the motivation and involvement of the team in this sense (4,24) .…”

“…However, given the weaknesses in the development of educational practices aimed at health professionals, these being aimed at individual updating of professionals, within a traditional logic of information transmission, associated with low user participation in discussions related to the health-disease process and functioning of health services, it can be observed in the dynamics of the health services fragile adherence to changes in professional practice and lack of other conformations (4) .…”

“…Considering that the management of educational practices in health presents itself as a potential space for the nurses' performance in order to qualify and enhance the performance of the nursing and health staff (4) . This literature review aimed to know the resources used and the competencies required by nurses for the management of educational practices in health services.…”

Educação permanente em saúde na atenção básica: percepção dos gestores municipais de saúde

“…Among the factors that undermine the implementation of the EPS programs, is the lack of institutional support, the lack of educational activities, the lack of sectoral interaction, lack of communication and commitment to change (17) . The analysis of the responses provided by the study's participants revealed the possibility of participation in educational activities.…”