RESUMEN
OBJECTIVES: to understand the perceptions of senior students in an undergraduate nursing course at a nursing college in Lisbon regarding skills related to clinical decision-making learned during their initial training. METHODS: qualitative study, of an exploratory and descriptive nature. Data collection occurred by carrying out a focus group with eight senior students in an undergraduate nursing course. Data treatment applied content analysis, performed with twebQDA® software. RESULTS: data were analyzed according to the four dimensions of Tanner's model of clinical judgment, and noticing and interpreting stood out as the most influential in clinical decision-making. Theoretical and clinical knowledge, validation of care planning, prioritization, and capacity to discuss and debate about situations emerged as the most representative skills. FINAL CONSIDERATIONS: students make decisions by means of a complex process by using the knowledge and skills learned during their training.
Asunto(s)
Toma de Decisiones Clínicas , Estudiantes de Enfermería/psicología , Competencia Clínica , Bachillerato en Enfermería , Grupos Focales , Humanos , Percepción , Investigación CualitativaRESUMEN
ABSTRACT Objectives: to understand the perceptions of senior students in an undergraduate nursing course at a nursing college in Lisbon regarding skills related to clinical decision-making learned during their initial training. Methods: qualitative study, of an exploratory and descriptive nature. Data collection occurred by carrying out a focus group with eight senior students in an undergraduate nursing course. Data treatment applied content analysis, performed with twebQDA® software. Results: data were analyzed according to the four dimensions of Tanner's model of clinical judgment, and noticing and interpreting stood out as the most influential in clinical decision-making. Theoretical and clinical knowledge, validation of care planning, prioritization, and capacity to discuss and debate about situations emerged as the most representative skills. Final considerations: students make decisions by means of a complex process by using the knowledge and skills learned during their training.
RESUMEN Objetivo: comprender las percepciones de estudiantes avanzados de una escuela superior de enfermería de Lisboa sobre las competencias de toma de decisiones clínicas adquiridas en la formación inicial. Métodos: estudio cualitativo, exploratorio y descriptivo. Datos recolectados mediante focus group con 8 estudiantes avanzados de la carrera de licenciatura en enfermería. Datos analizados por análisis de contenido, utilizándose software webQDA® . Resultados: los datos fueron analizados según las cuatro dimensiones del modelo de toma de decisiones de Tanner, destacándose la Percepción y la Interpretación como las más influyentes en la toma de decisiones clínicas. Surgieron como competencias más representativas: el conocimiento teórico y clínico, la validación de la planificación de cuidados, la priorización y la capacidad de discusión y argumentación sobre las situaciones. Consideraciones Finales: los estudiantes toman decisiones aplicando un proceso complejo, utilizando el conocimiento y las competencias adquiridas durante su formación.
RESUMO Objetivo: compreender as percepções dos estudantes finalistas de uma escola superior de enfermagem de Lisboa sobre as competências de tomada de decisão clínica adquiridas na formação inicial. Métodos: estudo qualitativo de caráter exploratório e descritivo. A colheita de dados foi realizada por meio de um focus group, com 8 estudantes finalistas do curso de licenciatura em enfermagem. Na aná lise dos dados, recorreu-se à análise de conteúdo pelo software webQDA®. Resultados: os dados foram analisados segundo as quatro dimensões do modelo de tomada de decisão de Tanner, destacando-se a Percepção e a Interpretação como as mais influentes na tomada de decisão clínica. Emergiram como competências mais representativas: o conhecimento teórico e clínico, a validação do planejamento dos cuidados, a priorização e a capacidade de discussão e argumentação sobre as situações. Considerações Finais: os estudantes tomam decisões por meio de um processo complexo usando o conhecimento e as competências adquiridas na formação.
Asunto(s)
Humanos , Estudiantes de Enfermería/psicología , Toma de Decisiones Clínicas , Percepción , Competencia Clínica , Grupos Focales , Investigación Cualitativa , Bachillerato en EnfermeríaRESUMEN
OBJECTIVE: Analyze the posture of students from the master's degree program in Maternal Health and Obstetrical Nursing; understand how intervention during delivery influences posture; and identify strategies for the prevention of work-related musculoskeletal injuries. METHOD: Qualitative descriptive study, which recorded and analyzed videos in a learning situation using high-fidelity simulation practice. RESULTS: Thirteen students participated in the study. The results show the adopted body movement does not take into account coordination of the musculoskeletal system to keep body balance, posture and alignment when changing the delivery position. CONCLUSION: Obstetric nurses have a high prevalence of musculoskeletal injuries, and the specificity of professional activity makes it difficult to assess and prevent risks. Training favors the acquisition of knowledge and reflection of behaviors. Investments should be made in training to students and professionals in work contexts.
Asunto(s)
Bachillerato en Enfermería/métodos , Enfermería Obstétrica/educación , Postura , Entrenamiento Simulado , Fenómenos Biomecánicos , Femenino , Humanos , Enfermedades Musculoesqueléticas/etiología , Enfermedades Profesionales/etiología , Grabación en VideoRESUMEN
OBJECTIVE: To analyze the decision making of students from a nursing higher school and understand how they make decisions in the care process. METHOD: A qualitative study with an exploratory and descriptive approach was carried out with the case study method. RESULTS: Six types of decision making were categorized by the students as follows: Decision about communication (15 record units [RU]); Decision about understanding (14 RU); Decision about intervention (9 RU); Decision about timing (5 RU); Decision about targeting (4 RU); and Decision about management (0 RU), with a total of 47 RU. FINAL CONSIDERATIONS: Analysis of the learning diaries showed that students make more decisions regarding communication with patients and understanding of the care situation, than with the acting decision.
Asunto(s)
Toma de Decisiones , Percepción , Estudiantes de Enfermería/psicología , Adulto , Femenino , Humanos , Masculino , Investigación Cualitativa , Estudiantes de Enfermería/estadística & datos numéricosRESUMEN
ABSTRACT Objective: To analyze the decision making of students from a nursing higher school and understand how they make decisions in the care process. Method: A qualitative study with an exploratory and descriptive approach was carried out with the case study method. Results: Six types of decision making were categorized by the students as follows: Decision about communication (15 record units [RU]); Decision about understanding (14 RU); Decision about intervention (9 RU); Decision about timing (5 RU); Decision about targeting (4 RU); and Decision about management (0 RU), with a total of 47 RU. Final considerations: Analysis of the learning diaries showed that students make more decisions regarding communication with patients and understanding of the care situation, than with the acting decision.
RESUMEN Objetivo: Analizar la toma de decisiones en los estudiantes de una escuela superior de enfermería, y comprender de qué modo toman decisiones en el proceso de cuidado. Método: Estudio de abordaje cualitativo, de carácter exploratorio y descriptivo, aplicando método de estudio de caso. Resultados: Los seis tipos de toma de decisiones fueron categorizados por los estudiantes de la siguiente forma: Decisión de Comunicación (15 Unidades de Registro [UR]); Decisión de Comprensión (14 UR); Decisión de Intervención (9 UR); Decisión de Temporización (5 UR); Decisión de Focalización (4 UR); y Decisión de Gestión (0 UR), sobre un total de 47 URs. Consideraciones finales: A través del análisis de los diarios de aprendizaje se constató que los estudiantes toman más decisiones relacionadas con la comunicación con el usuario y con la comprensión de la situación de cuidado que con la decisión de actuar.
RESUMO Objetivo: Analisar a tomada de decisão dos estudantes de uma escola superior de enfermagem e compreender como eles tomam decisões no processo de cuidados. Método: Abordagem qualitativa, de carácter exploratório e descritivo, com método de estudo de caso. Resultados: Os seis tipos de tomada de decisão foram categorizados pelos estudantes da seguinte forma: Decisão de Comunicação (15 Unidades de Registo (UR)); Decisão de Compreensão (14 UR); Decisão de Intervenção (9 UR); Decisão de Temporização (5 UR); Decisão de Focalização (4 UR); e Decisão de Gestão (0 UR), num total de 47 URs. Considerações finais: Por meio da análise dos diários de aprendizagem, constatou-se que os estudantes tomam mais decisões relacionadas com a comunicação com o utente e com a compreensão da situação de cuidados do que com a decisão de agir.