The purpose of this research was to evaluate the extent to which graduates from the Bachelor of Nursing (BN) program at the University of Technology, Sydney were adequately prepared for the nursing role in the current Australian health care system. This question was examined by adapting the illuminative evaluation method developed by Parlett and Hamilton (1977), and a meta-evaluation is provided of the model that was developed. Data were gathered from academic staff, clinical facilitators, curriculum and clinical experts and students. Course mileau and documentation were also assessed. The results indicate that graduates from the BN were adequately prepared to fulfil the nursing role. However, during the research a number of critical issues emerged which led to the development of an alternative model of curriculum. Although the conclusions support the continuance of a generic preparatory course, a number of changes to the course are recommended and two areas of future research identified. The first relates to exploring the depth, breadth and extent of knowledge that is required of a beginning registered nurse. The second involves evaluating the curriculum changes proposed here to assess whether this model is able to achieve improved outcomes in graduates / Doctor of Philosophy (PhD)

Magister Curationis - MCur / Medication errors can result in harm and death, for which nurses are legally liable. The administration of medication by nurses can be improved through education and training to avoid medication errors in future. The study aimed to investigate fourth year Bachelor of Nursing students’ perceptions regarding the clinical learning opportunities and their competence in the administration of oral medication in a general hospital. A quantitative cross-sectional descriptive design was employed. The all-inclusive sample constituted 176 fourth year Bachelor of Nursing students. A total of 125 respondents completed the self- report questionnaires. Descriptive statistics were produced through data processing and univariate and bivariate analysis using of SPSS version 22. The study’s findings show that most of the 125 respondents were placed in a medical (92%, 115) and surgical ward (86.4%, 108). However, a total of 59.2% (74) of the 125 respondents did not practice administration of oral medication on a daily basis. The majority of the respondents perceived themselves as competent in the administration of oral medication. However, only a total of 19.2% (24) of the 125 respondents perceived themselves as competent in all 42 skills required for the correct procedure of administration of oral medication. A negative correlation was found between total self-assessment of competence scores and total clinical placement scores. An observation study, using the check list, of the competence of nursing students in the administration of medication is recommended to exclude bias associated with self-assessment. The use of simulation is recommended to enhance the opportunities and competence of the students in the administration of oral medication to many patients.

Philosophiae Doctor - PhD / Curriculum review can ensure that nurses develop appropriate competencies to respond to market demand. Regular revision and updating of curricula are in line with recommendations of the WHO to scale-up health professionals' education and training. Introducing transformative changes in education provides an opportunity to review the strengths and weaknesses of the current systems. The nursing profession was the first of the health professions in South Africa to transform its legislative framework, which led to the development of new qualifications.

Made available in DSpace on 2018-06-18T13:12:03Z (GMT). No. of bitstreams: 0 Previous issue date: 2015 / A educação superior em Enfermagem vem sendo alvo de inúmeras reformulações, que são reflexos do contexto histórico e político de nossa sociedade. Com vistas a assegurar que a expansão de cursos nesta área tenha critérios de qualidade, torna-se premente a avaliação do processo de formação. Diante disso, objetivou-se conhecer a literatura científica acerca da qualidade da educação superior em Enfermagem e da percepção de egressos acerca desta qualidade; compreender os parâmetros de qualidade que embasaram a elaboração dos Projetos Político- Pedagógicos (PPP) de cursos de graduação em Enfermagem; analisar a percepção dos egressos destes cursos sobre a qualidade do ensino ofertado. Métodos: pesquisa bibliográfica; pesquisa documental: análise dos PPP dos cursos de graduação em Enfermagem do município de São Paulo que disponibilizam o documento para consulta pública nos sites de suas respectivas instituições de ensino superior (IES); pesquisa empírica: 60 egressos dos diversos cursos de graduação em Enfermagem responderam ao instrumento do tipo Likert, contendo 41 assertivas, organizadas em cinco dimensões: 1. competências técnico-científicas; 2.competências atitudinais; 3. práticas docentes; 4. organização didático-pedagógica/infraestrutura da IES e 5. cenários de prática) e 3 questões abertas. Resultados: a pesquisa bibliográfica permitiu conhecer os principais parâmetros de qualidade que subsidiaram a análise dos PPP, revelando que a maior parte das competências preconizadas nas DCN de Enfermagem esteve presente nos documentos analisados. O índice de confiabilidade do instrumento Likert foi de 0,94, garantindo excelente sustentação estatística para os dados encontrados. As dimensões 1, 2 e 3 situaram-se na zona de conforto, não necessitando de ações de intervenção imediata por não prejudicarem o processo de formação. As dimensões 4 e 5 situaram-se na zona de alerta, o que requer intervenções para melhorias. Os egressos realizam uma avaliação satisfatória dos cursos, porém sinalizam aspectos a serem aprimorados, que dizem respeito ao desenvolvimento das competências gerenciais e da liderança; ao reconhecimento dos perfis epidemiológicos das populações; ao trabalho multiprofissional; à infraestrutura das IES; à postura dos docentes, com marcas do modelo tradicional de detenção do conhecimento e com adoção da avaliação somativa; à escassa participação dos discentes na elaboração dos PPP; à articulação ensino/serviço. Os aspectos positivos foram: desenvolvimento das competências para atuar na promoção, prevenção, assistência, recuperação e reabilitação da saúde, avaliação, sistematização e decisão da conduta mais adequada na assistência à saúde; compromisso com os princípios do Sistema Único de Saúde (SUS) e compreensão da saúde em todas as dimensões humanas; equilíbrio entre os aspectos técnico-científicos e humanistas; incentivo à educação permanente, à postura crítico-reflexiva, ao senso de cidadania, à responsabilidade social e à capacidade de mudança da realidade; corpo docente qualificado tecnicamente e com bom relacionamento interpessoal; articulação entre saber, saber fazer e saber conviver; compreensão dos níveis primário, secundário e terciário da assistência. A adequação dos cursos de Enfermagem para atender às necessidades do SUS demanda ações constantes. Nesta pesquisa evidenciam-se aspectos relevantes que sinalizam movimentos de mudança, mas apontam-se aspectos que precisam ser aprimorados, requerendo a participação de todos os atores envolvidos. / The higher education in Nursing has been the target of numerous reformulations, which are a reflection of the historical and political context of our society. Seeking to ensure that the expansion of courses in this area be accompanied by the quality, it’s urgent to review this academic learning process. Given this, was aimed to know the scientific literature about the quality of higher education in Nursing and the perception of graduates about quality; comprehend the quality parameters that supported the development of Political-Pedagogical Projects (PPP) of the graduation courses in Nursing; know the perception of the graduates of these courses about the quality of offered education. Methods: A literature review; documentary research: analysis of the PPP of graduation courses in Nursing in São Paulo city, that provide the document for public consultation on the websites of their higher education institutions (HEIs); empirical research: 60 egresses of various graduation courses in Nursing that responded to a Likert-type instrument, containing 41 assertions, organized in 5 dimensions (1. technical and scientific skills; 2. attitudinal skills 3. teaching practices; 4. didactic-pedagogical organization/infrastructure of the HEIs; 5. practice scenarios) and 3 open questions. The literature research allowed knowing the main parameters of quality, which, in turn, subsidized the analysis of the PPP, revealing that most of the skill provided by National Curriculum Guidelines of the Nursing Graduation Courses was present in the analyzed documents. The confiability index of the Likert instrument was 0.94, ensuring excellent statistical support for the found dates, The dimensions 1, 2 and 3 were in the confort zone, not requiring immediate intervention actions, because don't harm the training process. The dimensions 4 and 5 stood in the alert zone, which requires interventions for improvements. The graduates participate in a satisfactory evaluation of the courses, but have signaled aspects to be improved, related to the development of managerial skills and leadership; the recognition of epidemiological profiles of the populations; the multidisciplinary work; the infrastructure of HEIs; the attitude of teachers, with marks of the traditional model of detention of knowledge and with the adoption of the summative evaluation; the exclusion of students in the development of the PPP; the need for linking the teaching/service relation. The positive aspects were: development of the skills to work in promotion, prevention, assistance, recovery and rehabilitation, to assess, systematize e decide the proper conduct in health care; the commitment to the principles of our National Health System (NHS) and the comprehension of health in all human dimensions; the balance between technical-scientific and humanistic aspects; the incentive to the permanent education, critical-reflexive attitude, sense of citizenship, social responsibility and to the capacity to change the reality; technically qualified teaching staff and good interpersonal relationship; articulation between knowledge, know-how and knowing how to live together; comprehension of the primary, secondary and tertiary levels of assistance. The adaptation of the Nursing courses to attend the NHS needs demand constant actions. In this research, were evidenced relevant aspects that demonstrate change movements, but were pointed other aspects that need improvement, requiring the participation of all involved.