Nurses in post-operative heart surgery: professional competencies and organization strategies

Abstract

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.

Particularidades no treinamento de enfermeiros recém-admitidos

“…In this study, professionals were followed only for a part-time period, either by the nurse responsible for the work shift or other members of the Nursing team. 1 Another issue that emerged from the nurses' discourse in this study refers to the new employee's previous experience. Opinions differed on the preference for training employees with and without prior experience, as well as whether professionals with experience were from or were outside the institution.…”

“…Nursing professionals are required by the current labor market to have a series of skills and, to keep up with these demands, health institutions need to invest more and more in education so that the Nursing team can develop. 1 An essential educational tool can be considered in this context: the Admissions Training (AT) of new employees. This structured and systematic training process enables new employees to acquire and develop skills and certain competencies required by the service through practical activities and continuous supervision.…”

Impacto de uma capacitação para enfermeiros acerca da assistência no pós-operatório de cirurgia cardíaca

“…Contudo, foi possível evidenciar, nos resultados deste estudo, que apenas 4 (8,5%) enfermeiros tinham experiência em cuidados no pós-operatório de cirurgia cardíaca, corroborando outros estudos em que os profissionais atuantes no cuidado de pacientes críticos apresentam formação profissional recente, sem experiência ou em busca de aperfeiçoamento teórico. Todavia, são pontos necessários para atuar nessa área complexa, a qual exige o desenvolvimento de habilidades 17,18 .…”

Evaluating the Effective Factors in Motivating Nurses to Participate in On-the-job Training Courses

“…Sadeghi (2010) showed that 73% of nurses in Bojnoord were female [9]. In addition, Taghavi (2006) reported that 90% of nurses in Tehran City were female [11]. In general, findings revealed that the majority of nurses employed in hospitals are female.…”