Intensive Care in Non-Critical Units: Representations and Practices of Novice Graduate Nurses

Abstract

Objective: to analyze the practices of novice graduated nurses in view of their social representations on intensive care to the critical patient provided in non-critical patient units. Method: a qualitative research, based on social representations, with 26 novice graduated nurses at a private university in Rio de Janeiro (Brazil). Data collection made between 2016 and 2017 by a semi-structured interview and lexical analysis by Alceste software. Results: the context of the Intensive Care Unit influences social representations, which mobilizes identity aspects of this environment that stereotype the ward as a disorganized place and that does not have material resources and trained professionals. Thus, when novice undergraduates act and despite the effort and dedication fail to transfer the patient, fear and lack of confidence are exacerbated, resulting in actions that can bring risks to the patient. Conclusion: there are stereotypes in relation to the clinic that limit the care actions of the novice undergraduates in relation to the critical patient, and should be re-signified in generalist education. It is recommended to develop follow-up programs for novice graduated nurses.

Processos De Admissão De Enfermeiros Em Hospitais

“…11 Avalia-se que a formação profissional do enfermeiro deve garantir experiências mínimas de aprendizagem para que estes atendam, com segurança, a todos os tipos de pacientes, porém, ainda que se melhore a formação, o medo e a insegurança diante da novidade são inerentes às pessoas, o que, por si só, justifica a importância de se investir e desenvolver programas de acompanhamento e desenvolvimento dos enfermeiros recém-admitidos, acolhendo-os e aperfeiçoando as suas competências. 24 Destacam-se como principais limitações para realizar este estudo a incipiência das pesquisas científicas nacionais e internacionais acerca da temática e o baixo nível de evidência identificado nos manuscritos selecionados, que demonstram a necessidade de aprofundamento da literatura pertinente e a elaboração de novos estudos, principalmente experimentais, na intenção de se comparar os efeitos de diferentes experiências de integração para enfermeiros recém-admitidos.…”

Facing Up Covid-19: What Cannot Be Relativized in Nursing Higher Education

“…The insertion of novice nurses in assistance and their reflexes in care are the object of research studies and debates in the area, particularly when it comes to helping people who require intensive care, either in the appropriate clinical spaces, or in non-critical units. 8 The restriction of vacancies in Intensive Care Units (ICUs) was already a problem before the country experienced the COVID-19 pandemic, in view of the increase in the number of people in need of this type of therapy, among other contributing factors. 9 The pandemic only worsened the scarcity of beds, of material and human resources, and of personnel technically prepared for critical care.…”

“…12 A study on the social representations of recently graduated nurses on intensive care provided in non-critical units reveals that inexperience and weaknesses in training are limiting factors for the care actions, which predisposes these nurses to errors that compromise patient safety. 8 There are two seminal theories related to the transition to the practice of newly graduated nurses: Benner's Novice to Expert Theory and Duchscher's Stages of Transition Theory. 13 Both point out the procedural character of sequential levels of proficiency or evolutionary and transformation stages of the professional.…”

Fatores associados a competência de comunicação entre enfermeiros cirúrgicos

“…seu processo de trabalho. [13][14] A variedade de especializações demonstra a preocupação e necessidade do profissional em qualificar seu trabalho, possivelmente atribuído a lacunas da formação acadêmica, bem como à complexidade do mercado de atuação.…”

“…Enferm. UFSM, Santa Maria, v11, p [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. 2021 se era o grupo um ou dois (Exemplo: E1 -Hospital II grupo focal 1).…”