Competences in the training of nurses to assist the airway of adult patients in urgency and emergency situations

Abstract

Objective: construction and validation in appearance and content of the competence frameworks and of the Entrustable Professional Activities to develop skills in the training of nurses to assist the airway of adult patients in urgency and emergency situations. Method: a descriptive and methodological study developed in four phases: in the first, a workshop was held, composed of experts, for the construction of the competence frameworks; in the second, the material was validated using the Snowball Technique and the Delphi Technique, in the third, content analysis and calculation of the Content Validation Index were conducted; and in the fourth phase, the Entrustable Professional Activities were built, validated in simulated workshops. Results: the competence frameworks were built and validated, with a resulting CVI≥0.85 in all the items. The Entrustable Professional Activities were validated by experts regarding their applicability; of these, 44% stated they were applicable in simulated environments, 100% that they were useful content and with appropriate language, 22% suggested the insertion of new items to assess competence, 11% reported the difficulty of assessing competence individually in the clinical settings, and 11% of the experts referred to the need for prior training of the teacher/facilitator to use it. Conclusion: the study resulted in the construction of competence frameworks and six Entrustable Professional Activities relating them to the domains of essential competences in the training of nurses to assist the airway of adult patients in urgency and emergency situations. The participation of experts in the construction and validation of this material was essential to guarantee the theoretical and practical relevance of the result.

A Relevância Da Atuação Da Enfermagem No Serviço De Urgência E Emergência

“…Além disso, o modelo de formação profissional atual adotado por grande parte das Instituições de Ensino Superior (IES) tem resultado em um distanciamento evidente entre o perfil dos profissionais que estão se inserindo no mercado de trabalho frente às reais necessidades de saúde dos usuários. Alguns autores destacam que grande parte dos enfermeiros novatos se sentem inaptos para avaliar sinais e sintomas decorrentes de obstrução de vias aéreas e para realizar uma avaliação ventilatória do paciente, não conseguindo desenvolver intervenções rápidas e segura (MIRANDA et al, 2021).…”

Indicadores de avaliação dos serviços de atendimento pré-hospitalar de urgência e emergência: Revisão integrativa

“…Considerando que as urgências e emergências no atendimento pré-hospitalar são intensas, ainda há dificuldades na prestação e melhoria do serviço por conta da grande demanda dessas ocorrências, fragilidade na infraestrutura e poucos profissionais. (13) Assim, o gerenciamento destes atendimentos deve ser realizado por profissionais de saúde com conhecimento, atitudes e habilidades, como a tomada de decisão rápida, gerenciamento e liderança nas situações de crises (17) .…”

Nurses’ professional competencies in urgency and emergency units: A mixed-methods study

“…The health demands of the population are oftentimes confronted in the urgency and emergency sector, where fast, dynamic and decisive care is sought ( 1 ) . These situations require immediate care and, therefore, duly trained and qualified professionals capable of offering effective, systematic and competent care ( 2 ) . In this context, nurses need to develop competencies to provide and promote safe, excellent and humanized Nursing care, guided by leadership and management of effective processes and material resources ( 2 ) .…”