Formação ética do enfermeiro: indicativos de mudança na percepção de professores

Abstract

Objective: To discuss the indicators of change identified by professors in the nursing education setting, in relation to its ethical dimension. Methods: The research was a type of case study, with a post-structuralist approach, with a selection of six undergraduate courses in nursing in the State of Santa Catarina, which were developed in focus groups with 50 professors. Results: Professors indicated changes in three different scenarios: the scenario of society, science and academia; the scenario of nursing work and the local scenario; the way students present themselves within this context. Conclusions: The changes permeate local, national and global dimensions, fueled by transformations in social and political structure with evidence involved in thinking about and applying professional ethics. Keywords: Education nursing; Ethics nursing; Ethics RESUMOObjetivo: Discutir os indicativos de mudança identificados por professores no cenário da formação do enfermeiro em relação à sua dimensão ética. Métodos: Pesquisa do tipo estudo de caso, com abordagem pós-estruturalista, com seleção de seis cursos de graduação em Enfermagem do Estado de Santa Catarina, em que foram desenvolvidos grupos focais com 50 professores. Resultados: Os professores indicaram mudanças em três diferentes cenários: no cenário da sociedade, da ciência e da academia; no cenário do trabalho da enfermagem e no cenário local, na forma como os alunos se apresentam nesse contexto. Conclusões: As mudanças perpassam dimensões locais, nacionais e globalizadas, fomentadas por transformações na estrutura social e política com evidências implicadas no pensar e fazer ético do profissional. Descritores: Educação em enfermagem; Ética em enfermagem; Ética RESUMENObjetivo: Discutir los indicativos de cambios identificados por profesores en el escenario de la formación del enfermero en relación a su dimensión ética. Métodos: Se trata de una investigación de tipo estudio de caso, con abordaje post-estructuralista, con selección de seis cursos de pregrado en Enfermería del Estado de Santa Catarina, en el que fueron desarrollados grupos focales con 50 profesores. Resultados: Los profesores indicaron cambios en tres escenarios diferentes:en el escenario de la sociedad, de la ciencia y de la academia; en el escenario del trabajo de la enfermería y en el escenario local, en la forma cómo los alumnos se presentan en ese contexto. Conclusiones: Los cambios perpasan dimensiones locais, nacionales y globalizadas, fomentadas por transformaciones en la estructura social y política con evidencias implicadas en el pensar y hacer ético del profesional.

O Estudo De Caso Como Método De Pesquisa Em Enfermagem: Uma Revisão Integrativa

“…6 In the field of nursing education, the selected studies addressed the evaluation of new teaching methodologies, 13 the analysis of technological teaching tools, 9-10,14-15 pedagogical practices, [7][8][11][12] and the ethical dimension in the training of nurses. [16][17] In addition to these, other areas can be deepened by the case study method, with research focused on educational policies, school and intermediate management, climate, culture and leadership, supervision, continuous and specialized training, teacher satisfaction, professional identity, curriculum, didactic and pedagogical practices, educational projects, teaching-learning models and strategies, and evaluation. 3 The studies developed in the area of education that used the single case study, defined by Yin, were performed with groups, which represented the unit of analysis within the studied phenomenon; or with a single individual indicating the case, being justified as it represents a peculiar case which can be investigated.…”

“…14 Yin was also used in multiple case studies that sought to investigate the same phenomenon in different educational institutions. 7,[16][17] In studies conducted in Brazil, the cases were represented by six undergraduate nursing courses with the objective of discussing the indicative changes identified by teachers in the nursing training scenario in relation to their ethical dimension and to characterize the teachers regarding the experiences and motivations for teaching ethics and bioethics in nursing courses. [16][17] In Australia, the cases corresponded to six programs whose objective was to provide an indication of how future health professionals are prepared to deal with issues surrounding pain and loss issues in their practice.…”

“…7,[16][17] In studies conducted in Brazil, the cases were represented by six undergraduate nursing courses with the objective of discussing the indicative changes identified by teachers in the nursing training scenario in relation to their ethical dimension and to characterize the teachers regarding the experiences and motivations for teaching ethics and bioethics in nursing courses. [16][17] In Australia, the cases corresponded to six programs whose objective was to provide an indication of how future health professionals are prepared to deal with issues surrounding pain and loss issues in their practice. 7 The case study method encourages the use of multiple sources of evidence through data triangulation, allowing the researcher to address wide variation in the same phenomenon.…”

“…1-2 The case studies that use the methodological framework of Yin in the field of education used documental research as a source of evidence, through the analysis of teaching plans and the schedules of undergraduate disciplines, 7,11 interviews ,7-8,14 focus groups, 13,16 and direct observation. 11,18 The methodological framework proposed by Stake was used in the field of nursing education, mostly with single case studies, which analyzed the use of virtual learning methodologies in undergraduate nursing teaching.…”

A Prescrição De Medicamentos Pelos Enfermeiros Na Estratégia Saúde Da Família

“…Além de que, tem contribuído para a saúde da população, tendo em vista que sendo capacitados para prescrever medicamentos, os enfermeiros atuarão de forma resolutiva frente à assistência à clientela. Isso leva a comunidade a acreditar no trabalho e na capacidade clínica do enfermeiro, que ganha confiança, autonomia e credibilidade junto à sociedade (8) . Garantir ao enfermeiro condições de atuar autonomamente, como reza a lei do exercício profissional, não significa dizer que ele terá que assumir a atividade de prescrever medicamentos quando não se sentir seguro e confiante.…”