Nursing students’ perceptions of training processes in clinical supervision contexts

Abstract

ResumoEnquadramento: O presente texto situa-se no campo da supervisão em enfermagem e apresenta um estudo de cariz qualitativo e quantitativo, desenvolvido numa escola superior de enfermagem. Objetivos: Descrever representações e vivências da atividade profissional dos estudantes e supervisores em contexto de ensino clínico; analisar a articulação escola-hospital no processo de formação em contexto de ensino clínico; discutir a função da supervisão em enfermagem como articuladora organizacional; inferir princípios constitutivos da qualidade da formação inicial de enfermeiros, com incidência na atividade em contexto profissional e na supervisão. Metodologia: Os dados foram recolhidos através de um questionário a 92 estudantes em ensino clínico (2º ano) e entrevistas semiestruturadas a um grupo de 5 estudantes e 2 supervisoras. Resultados: Apontam-se algumas potencialidades e fragilidades dos processos formativos, relacionadas com o papel da supervisão e a articulação da teoria com a prática, na construção do conhecimento na ação profissional. Conclusão: Evidencia-se a necessidade de reforçar as relações interinstitucionais e promover modalidades de supervisão de orientação reflexiva e dialógica. Palavras-chave: enfermagem; estudantes; estágio clínico; supervisão AbstractBackground: This article falls within the field of nursing supervision and describes a qualitative and quantitative study carried out in a Nursing School. Objectives: To describe representations and experiences of students and supervisors' professional activity in clinical supervision contexts; to analyze the school-hospital articulation in training processes in clinical supervision contexts; to discuss the role of nursing supervision in the school-hospital articulation; to identify quality principles for pre-service nursing training with a focus on the activity in professional and supervision contexts. Methodology: Data were collected through a questionnaire to 92 students in clinical contexts (2 nd year) and semi-structured interviews with a group of 5 students and 2 supervisors. Results: We found some strengths and weaknesses in the training processes regarding the role of supervision and the link between theory and practice in the development of professional knowledge. Conclusion:The need to strengthen inter-institutional relationships and promote reflective, dialogic supervision practices is highlighted.

Articulação teórico-prática em um currículo de um curso de Enfermagem

“…12 As a consequence, it is not uncommon to see dissatisfaction on the part of students and alumni, who report divergences between what is taught during classes and what is experienced in daily practice. 10,11,13 In this sense, the understanding of how the articulation between theory and practice is carried out in a curriculum of a nursing course in Minas Gerais after 17 years of NCG for Nursing courses, emerges as a priority, when considering the current moment experienced by Undergraduate Nursing Courses, with new NCG to be approved by the Ministry of Education. Faced with these considerations, it is worth asking: how does the articulation between theory and practice occur in a curriculum of a nursing course at a university in Minas Gerais?…”

200 years of Florence Nightingale: contributions to the professional practice of nurses in hospitals

“…The aforementioned had already been verified by other authors, since, even following the national guidelines regarding the contents of the curricular units, there is diversity in the operationalization of the curricula by the educational institutions, which is reflected in the selection and diversity of approaches to theoretical nursing frameworks (20,(23)(24)(25) . As a consequence, the relevance that nursing students and nurses attribute to a theoretical nursing framework and the agreement regarding its contribution to their professional practice can be influenced by previous training experiences.…”

Olhares sobre o ensino de enfermagem em Portugal

“…The limitation of the study was the qualitative approach and the intentional sampling, which hinders the generalization of the results. This research allowed us to identify weaknesses and problems, the resolution of which will be possible through strategies that, at the same time, may contribute to the improvement of nursing education (4) . Despite the investment made in recent years in the area of clinical nursing supervision (6)(7)(8) , the scientific production on the perception of nurses about nursing education in Portugal has been scarce (9) , which makes it difficult to discuss the results.…”

“…In this sense, due to the importance of clinical teaching/internships in the development of nursing students (4) and to improve the training processes in practice environments, it is considered relevant to understand the value and meaning attributed by nurses to current nursing education. Thus, integrated in a broader research at national level, "Contexts of hospital practice and conceptions of nursing", this study aimed to understand the perception of nurses of hospital care on nursing teaching in Portugal.…”