Lilalva Scale: soft-hard technology to measure clinical competencies in emergencies of nurses

2023

Self Cite

Objective: to relate urgency and emergency nurses’ professional competencies with the Nursing care product. Method: a cross-sectional study conducted in the urgency and emergency units of two public hospitals. The participants were 91 nurses, 3 Nursing residents, 4 coordinators and 1 manager. Two validated instruments were used: 1) Competence Scale of Actions of Nurses in Emergencies and 2) Nursing Care Product Evaluation. Factors and domains were used, respectively. Descriptive statistics were applied, as well as Cronbach’s alpha, Wilcoxon and Spearman’s correlation tests (p<0.05). Results: in the professional competencies, higher values were verified for self-evaluation (p<0.001). In all 1,410 Nursing care product assessments, there was predominance of the “Good” score (n=1,034 - 73.33%). The “Nursing staffing” domain was related to the “Professional practice” (r=0.52719), “Relationships at work” (r=0.54319), “Positive challenge” (r=0.51199), “Targeted action” (r=0.43229), “Constructive behavior” (r=0.25601) and “Adaptation to change” (r=0.22095) factors; the “Care monitoring and transfer” domain, with “Professional practice” (r=0.47244), “Relationships at work” (r=0.46993), “Positive challenge” (r=0.41660) and “Adaptation to change” (r=0.31905) and the “Meeting care needs” domain, with “Professional practice” (r=0.32933), “Relationships at work” (r=0.31168), “Positive challenge” (r=0.29845) and “Adaptation to change” (r=0.28817). Conclusion: there is a relationship between professional competencies and the Nursing care product domains.

Section: Discussionmentioning

confidence: 99%

Relationship between emergency nurses’ professional competencies and the Nursing care product

Jesus

2023

Self Cite

“…These marked the levels of competence of nurses working in emergencies. The score varied from 1 to 5 points from “Not at all competent” to “Extremely competent” ( 9 ) ; they were frameworks, similar to a Likert scale, for the participants to answer parts D and E of the instrument; Part D - Assessment of the competence level presented by nurses in fictitious situations, where the participants should indicate such level from 1 to 5 (1 - Not at all competent, 2 - Little competent, 3 - Competent, 4 - Very much competent and 5 - Extremely competent), that best portrayed the reality of the nurses’ work described, according to their professional perception. Finally, Part E, which consisted of 78 items that represented the actions for the practice of nurses working in emergencies, raising a self-assessment of the in-service practice.…”

Section: Methodsmentioning

confidence: 99%

“…However, these factors are not explained in the printed tool, in Part E only the 78 items are listed. Calculation of the level of competence is made based on the values of the scores resulting from the mathematical operations of addition of each of the seven factors ( 9 ) .…”

Section: Methodsmentioning

confidence: 99%

“…Thus, it becomes necessary to map professional competences in Nursing, given that nurses are confronted every day with the competencies they already have and with the need to develop others, necessary for their practice, as they are interconnected to the health care results ( 8 ) . However, identifying and measuring them is both a major challenge ( 9 ) and an ongoing need.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Ferreira

Santos

2023

Self Cite

Objective: to describe the professional competencies of nurses working in urgency and emergency services and to understand their perception of the essential competencies for professional performance and updating. Method: a sequential, mixed-methods and explanatory study, conducted with emergency nurses. To obtain the quantitative data, a questionnaire with 78 items was used, answered by 39 nurses and analyzed using descriptive statistics and non-parametric tests. In turn, the qualitative data were obtained through semi-structured interviews with 17 nurses, whose interpretation was based on inductive content thematic analysis. The data were combined by connection. Results: a high level of competence was obtained in the self-assessment of urgency and emergency nurses in Factor 2 - Relations at work and a lower level in Factor 6 - Professional excellence (p=0.036). The qualitative data corroborated positively with the “Relations at work” factor, identifying the association of knowledge and practical experience, with competencies beyond a scenario devoid of permanent education. Conclusion: despite the high levels of competence identified in emergency nurses, the strengthening of educational strategies favors professional development and recognition.

“…Estudo evidenciou a necessidade de padronização dos treinamentos nos setores de urgência e emergência (18) , justamente por entender que as ações protagonizadas, por quem está submerso na arte do cuidado, vão além das abordagens prescritivas, pois aprofundam e fundamentam os saberes. Qualificar a assistência significa estar todo entregue ao cuidado e encontrar formas e possibilidades para contribuir com ele, também, por meio do pensamento reflexivo, que busca novas formas, impulsionadas pela tecnologia, que servem à pesquisa e ao desenvolvimento (19)(20) . Esta é uma construção que deve ser aguçada nos enfermeiros, pois a contribuição no crescimento e desenvolvimento da sociedade é primordial.…”

Section: A P O P U L a ç ã O D E S T E E S T U D O M O S T R O U -S Eunclassified

Relação das competências profissionais do enfermeiro em emergência com o produto do cuidar em enfermagem

Jesus

2023

Self Cite

Objetivo: relacionar as competências profissionais do enfermeiro em urgência e emergência com o produto do cuidar em enfermagem. Método: estudo transversal, realizado nas unidades de urgência e emergência de dois hospitais públicos. Participaram 91 enfermeiros, 3 residentes em enfermagem, 4 coordenadores e 1 gerente. Utilizaram-se dois instrumentos validados: 1) Escala de Competências das Ações dos Enfermeiros em Emergências e 2) Avaliação do Produto do Cuidar em Enfermagem. Utilizaram-se fatores e domínios, respectivamente. Aplicaram-se estatística descritiva, alfa de Cronbach, testes Wilcoxon e correlação de Spearman (p<0,05). Resultados: em competências profissionais, verificaram-se maiores valores para autoavaliação (p<0,001). Nas 1.410 avaliações do produto do cuidar em enfermagem, predominou o escore “bom” (n=1034 - 73,33%). O domínio “dimensionamento de pessoal de enfermagem” relacionou-se com os fatores “prática profissional” r=0,52719, “relações no trabalho” r=0,54319, “desafio positivo” r=0,51199, “ação direcionada” r=0,43229, “conduta construtiva” r=0,25601 e “adaptação à mudança” r=0,22095; o domínio “acompanhamento e transferência do cuidado”, com “prática profissional” r=0,47244, “relações no trabalho” r=0,46993, “desafio positivo” r=0,41660 e “adaptação à mudança” r=0,31905 e o domínio “atendimento das necessidades assistenciais”, com “prática profissional” r=0,32933, “relações no trabalho” r=0,31168, “desafio positivo” r=0,29845 e “adaptação à mudança” r=0,28817. Conclusão: existe relação entre as competências profissionais e os domínios do produto do cuidar em enfermagem.