Professional Autonomy as Centrality in Best Practices in Nursing

Abstract

Objectives: to reflect on professional, user and family autonomy as a centrality in Best Practices in nursing in Brazil. Methods: this is a theoretical-reflective study. Results: from a retrospective look at the creation and evolution of nursing autonomy in its knowledge and care practices, it exposes the use of autonomy in nursing care and foster the participation of the user and his family as the center of Best Practices in nursing. Final considerations: the text suggests the institutional commitment of health services to the formal postgraduate education of nurses and the prospect of more autonomy and quality for the expression of Best Practices in nursing. RESUMOObjetivos: refletir sobre a autonomia profissional, do usuário e da família como centralidade em Boas Práticas de Enfermagem no Brasil. Métodos: estudo teórico-reflexivo. Resultados: a partir de um olhar retrospectivo à criação e evolução da autonomia na Enfermagem em seus saberes e práticas assistenciais, expõe o uso da autonomia no cuidado de enfermagem e o fomento à participação do usuário e sua família como o centro de Boas Práticas de Enfermagem. Considerações finais: o texto sugere o compromisso institucional dos serviços de saúde com a educação formal pós-graduada dos enfermeiros e a prospecção de mais autonomia e mais qualidade para a expressão de Boas Práticas de Enfermagem.

Parents’ Perspectives on the Health Education Provided by Clinicians in Portuguese Pediatric Hospitals and Primary Care for Children Aged 1 to 10 Years

“…In order to reflect good nursing practices, it is important to continuously search for the highest quality in care standards, which, in turn, depend on elements that act as the facilitators or hinderers of these standards [ 26 ]. The care partnership, pointed out in this research as a facilitating element of the HE performed by health professionals for children and parents, highlights the necessary relationship between health professionals and family, so that individuals make good choices and maintain healthy behaviors [ 4 ].…”

“…We also know that there are multiple challenging factors in the construction of good professional nursing practice [ 26 ], so the lack of time availability of nurses (pointed out by four participants) can indicate that nurses are overloaded with work, either due to the lack of human resources or due to the bureaucratic processes (records) inherent to nursing care, which can be a demotivating and impeding situation for the effective development of HE practice. Additionally, in a study the participants pointed out the difficulties observed in the performance of nurses in primary care, the work overload, and the problems of human resources [ 28 ].…”

“…The importance attributed to autonomy in health maintenance, and the consequent acquisition of skills to prevent situations of illness was also evident, showing that the centrality of health professionals is established in the production of more autonomy, so that users and the family are allies in healthcare [ 26 ].…”

Panorama Da Oferta Do Ensino Médio Integrado Em Enfermagem No Brasil

“…Destacamos a enfermagem, que representa mais da metade de todos os profissionais de saúde em atuação no Brasil, (5) e sua formação sofreu/e influência da lógica capitalista, o que gerou/a distorções na sua prática e na produção dos serviços de saúde, por se limitarem a preencher lacunas, desenvolvendo práticas laborais sem criticidade e sem reverberar em ações transformadoras. (6) Autores (7) Referente à atualização do plano pedagógico/projeto político pedagógico do curso técnico de enfermagem na modalidade integrada, cinco escolas fizeram esta atualização há menos de 2 anos, quatro há 1 ano e uma não soube informar.…”