Thesis (NCur (Nursing Science))--University of Stellenbosch, 2008. / The current shortage of nurses has reached crisis proportions in South Africa and the effects of decreased numbers of health professionals are enormous. This results in far-reaching consequences for the health industry. An increased use of less-skilled personnel, in an attempt to meet the health care needs, impacts negatively on quality care. Personnel are often utilised outside their scope of practice, creating a high-risk therapeutic environment for the patients and health care workers alike. Consequently, the nursing managers and employers of nurses are currently faced with major challenges in ensuring that the nurses practise their profession within a safe and healthy environment, and within the legal and ethical framework of the nursing profession. For the purpose of this study the researcher decided to explore legal and ethical aspects influencing the clinical practice of the nurse. Specific objectives were set for the study. • Are nurses functioning outside their scope of practice? • Do nurses exercise their nursing right? • Do nurses function within ethical and legal guidelines? • Do caregivers function as nurses? • Do nurses still believe in the nursing philosophy? • Are nurses exploited in their area of work? • How much overtime do nurses work? These objectives were met through an in-depth explorative descriptive research design with a quantitative approach to explore legal and ethical aspects in the nursing practice. A stratified sample was drawn of all categories of nurses in selected private hospitals in the Western Cape Metropolitan area. Through the use of a questionnaire, data was collected personally by the researcher. Data analysis techniques that were used were based on descriptive and explorative procedures. Data was compressed in frequencies, percentages, means and standard deviations. The Chi-square test was applied. Findings include the following: • 53% of enrolled nursing assistants do not function under indirect supervision. • 40% of caregivers assist nurses with interventional nursing care. • Nurses still believe in the philosophy of the nursing profession. • The nurse’s rights are in contradiction with the patient’s rights (p = 0.08). • Nurses feel exploited in certain areas of work, depending on their qualifications. • Nurses do recommend the profession (p = 0.043). • Enrolled nursing assistants do not respect other religions (p = 0.04). • Nurses feel free to discuss the patient’s progress with the doctor depending on the nurses’ years of experience (p = 0.03). • 23% of nurses love to care for their patients. Recommendations were made based on the findings. • The patient approach should be respectful, not judgemental, accepting the patient’s right to self-autonomy. • Nurses should realise their autonomous role in addressing concerns. • A staff mix should be utilised that facilitates safe and professional nursing care. • Unfavourable or unsociable working conditions in some units such as the theatre should be addressed. • Managers should match the work load with a proper skills mix and competency. • Nursing practice should take place within the professional and statutory scope of practice of the nurse. • Nurses should keep up to date with knowledge through continuous professional development. • Caregivers should be regulated, installing the nursing philosophy and ethics into their practice.

Thesis (MCurr)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: In South Africa, currently enrolled nurses make up the largest proportion of members of the nursing healthcare team. As in direct contact with patients it is essential that the practice environment supports patient and nursing outcomes. Studies confirm the complexity of the practice environment and the impact on both personnel and on the quality of nursing care provided. Job satisfaction is integrally linked to the quality and safety of care provided. The scarcity of registered professional nurses, particularly in the South African context, has resulted in enrolled nurses being widely used to continue to deliver acute care in quite complex situations. It is well documented that the use of suboptimal nursing personnel levels or substituting enrolled nurses for registered professional nurses is associated with an increase of adverse events such as infections, pressure ulcers and unanticipated death. The purpose of this study was to explore the experiences of enrolled nurses regarding quality nursing care in general nursing units in the private healthcare setting. The objectives being: - The exploration of the enrolled nurses understanding of the concept of quality care - The exploration of the enrolled nurses understanding of her value and contribution to quality care and - The exploration of the enrolled nurses experiences (positive and negative) of quality nursing care in private health care setting A descriptive qualitative methodology was applied. A purposive sample size of n=13 was drawn from the total population of N=387. An exploratory interview was completed. Lincoln and Guba’s criteria of credibility, transferability, dependability and confirmability were applied and ethical principles were met. Findings demonstrated that enrolled nurses experienced both positive and negative work experiences, some more negative than others. They had a very good understanding of quality care but had difficulty in reconciling the patient’s needs with what they were able to deliver, due to workload pressures and resource constraints: P6: “I miss the quality because that patient that needs just that back rub or just to hold his hand ...the thing is with quality nursing we don’t do quality nursing on the patient anymore.” Most participants experienced registered professional nurses absolving their clinical supervisory responsibility. This endangers the quality and duty of care of patients and is a legal liability. A recommendation is that registered professional nurses require professional development through utilising good role models. This exposure to positive learning experiences will enable their professional development and ethical behaviour. Registered professional nurses need to be taught the skills of how to be team players. / AFRIKAANSE OPSOMMING: Ingeskrewe verpleegsters maak huidiglik die grootste deel van die verplegingsspan se gesondheidsorg uit. As gevolg van die direkte kontak met pasiënte, is dit belangrik dat die omgewingspraktyk pasiënt- en verpleeguitkomste moet kan ondersteun. Navorsingsstudies bevestig die kompleksiteit van die omgewingspraktyk en die impak wat dit op beide personeel en op die kwaliteit van verpleging wat verskaf word, het. Werksbevrediging vorm ’n geïntegreerde skakel met die kwaliteit en veiligheid van sorg wat verskaf word. Die tekort aan geregistreerde professionele verpleegsters, veral binne die Suid-Afrikaanse konteks, het tot die gevolg dat ingeskrewe verpleegsters oral gebruik word om akute sorg in taamlik komplekse situasies te lewer.. Dit is goed gedokumenteer dat die gebruik van suboptimale verpleegpersoneelvlakke of die vervanging van geregistreerde professionele verpleegsters met ingeskrewe verpleegsters, geassosieer word met ’n toename in nadelige gevalle soos infeksies, druk-ulkusse en onverwagte dood. Die doel van hierdie studie is om die ervaringe van ingeskrewe verpleegsters ten opsigte van die kwaliteit van verpleegsorg binne algemene verpleegeenhede in die private gesondheidsorgomgewings te ondersoek. Die doelwitte is ’n ondersoek na die ingeskrewe verpleegsters se: - begrip van die konsep van kwaliteitsorg - begrip van hul waarde en bydrae tot kwaliteitsorg en - ervaringe (positief en negatief) van kwaliteit verpleegsorg binne private gesondheidsorgomgewings. ’n Beskrywende, kwalitatiewe metodologie is toegepas. ’n Doelgerigte steekproefgrootte van n = 13 is geneem uit die totale populasie van N = 387. ’n Voortoets is voltooi. Lincoln en Guba se kriteria van geloofwaardigheid, oordraagbaarheid, betroubaarheid en bevestigbaarheid is toegepas en etiese beginsels is nagekom. Bevindings het bewys dat ingeskrewe verpleegsters beide positiewe en negatiewe werkservaringe gehad het; sommige meer negatief as ander. Hulle het ’n baie goeie begrip van kwaliteitsorg, maar vind dit moeilik om aan die pasiënt se behoeftes, vanweë drukkende werkladings en beperkte bronne te voldoen. P6: “Ek mis die kwaliteit want al wat die pasiënt benodig is die vryf van die rug of net die vashou van sy hand…die probleem met kwaliteitsorg is dat ons nie meer kwaliteitsorg op die pasiënt doen nie.” Die meerderheid van die deelnemers verklaar dat die geregistreerde professionele verpleegkundiges hulle kliniese toesighoudende verantwoordelikheid afskeep. Die gedrag is bydraend tot swak kwaliteit pasient sorg en het direkte wetlik implikasies. Die aanbeveling is dat professionele ontwikkeling van geregistreedrde verpleegkundigies verbeter kan word deur gebruik te maak van goeie rol modelle. Die blootstelling aan positiewe leer ervarings en omgewing sal bydrae tot hulle professionele ontwikkeling en etiese gedragspatrone. Geregistreerde verpleegkundiges moet die vaardighede aanleer om as deel van ’n span te kan funksioneer.

The purpose of this research was to discover the extent to which practising registered nurses in the ACT undertake physical assessment. It was also organized to discover the perceived reasons why, in appropriate instances, it was not undertaken and the extent to which certain variables may have influenced its practice or non-practice. It was directed also at discovering the extent to which the practising registered nurse would be prepared to undertake workshops on the subject, so that, if appropriate, a core of registered nurses could be provided to act as the role-models and to create the necessary learning environment in the ACT hospitals and agencies where most of the Canberra College's graduates would find employment. Since the first undergraduate course in nursing was introduced in the tertiary sector, nurse academics have placed significant emphasis on the teaching of the nursing process. It is within the first phase of this process, the assessment phase, that the physical assessment of the patient/client is conducted. Discussions with practising registered nurses and observations, led to some uncertainty as to the extent to which physical assessment was actually being used. A review of the literature showed that no investigation of the matter had been reported in the Australian literature. It was, therefore, proposed to make good this deficiency and to resolve any uncertainty about the extent of use of physical assessment in the ACT. This study was restricted to registered nurses in the ACT where all beginning nurses are educated at the CCAE with a curriculum which includes a comprehensive study of physical assessment. Even so, it is recognized that such studies will only reach a beginning level of competency. In order to ensure that the graduates of these courses extend their competency in physical assessment they need to be able to use these skills in every day nursing practice. This research, therefore, was conducted using a questionnaire which incorporated questions about the use of 36 physical assessment skills. The survey, on a onetime participation basis, was conducted for all registered nurses rostered on a fortnightly period in April 1987. A 66.7% response rate was achieved. The responses were analyzed and the findings, results and recommendations are included in the appropriate sections of this thesis.

The study explored moral and ethical dilemmas experienced by Black nurses in a local community clinic. In particular, it examined the influences of the concept of self or personhood in nurses' ethical and moral decision-making. Influences of culture and family on morality were also investigated. Using the interview methodology developed by Gilligan (1982), nurses were asked to tell stories involving moral dilemmas in their work. Interviews were analysed using the voicecentred relational method. This method involves reading the interview narratives a number of times, each reading focusing on a particular aspect of a respondent's narrative. Results show that nurses often find themselves caught between two opposing moral and ethical viewpoints in their practices. On the one hand are hospital procedures, which are informed by universalist approaches to the person and the moral. From these are derived ethical principles emphasizing individual autonomy and choice. On the other hand, the majority of patients subscribe to a communal view . ofpersonhood. From this perspective, to be moral entails knowing one's position and responsibilities within family and community. Dilemmas arose from nurses' identification with patients' moral perspectives while realizing that this could lead to "unethical" conduct, (given , their training and current codes of ethics). It is recommended that moral and ethical deiiberations should dialogue with alternative, marginalised, viewpoints, in order to be culturally responsive. It is further recommended that ethics be conceptualised as a practical-moral engagement, rather than a detached application of knowledge. / Thesis (M.Soc.Sc.)-University of Natal, Pietermaritzburg, 2000.

Te Arawhata o Aorua – Bridge of two worlds is a theory about Maori mental health nurses. The aim of this study was to explore what was occurring amongst Maori mental health nurses and dual competencies. A grounded theory informed by a Maori centred research approach was adopted and conducted with three focus groups of ten Maori mental health nurses situated in one metropolitan and two provincial cities. The research design was informed by Mason Durie?s Maori centred concepts of whakapiki tangata (enablement), whakatuia (integration) mana Maori (control) and integrated with grounded theory to guide the collection and analysis of the data. Audio taping and field notes were used to collect the data and the processes of constant comparative analysis, theoretical sampling and saturation were used to generate a middle range substantive Maori centred grounded theory. One core category was identified as two worlds which describes the main issue that they are grappling with. The basic social psychological process of bridging of tension explains how the two worlds are managed through two subcategories of going beyond and practising differently. Going beyond consists of two components, being Maori and enduring constant challenge that set the philosophical foundation to practice. Practising differently describes three key components as kaitiaki of wairua, it?s about whanau and connecting each are blended into each other and fused into nursing practice. The impressions of the Maori mental health nurses have been interpreted and explained by this theory. The substantive grounded theory provides a model to guide health services appreciation of Maori mental health nurses, for professional development of Maori mental health nurses and to policy writers.

O objeto do presente estudo é o reflexo da enfermagem no espelho, a partir das concepções sobre as especializações em enfermagem e sobre a própria profissão, a formação e a prática profissional, conforme apresentadas na Revista Brasileira de Enfermagem, ano de 2003. Houve uma primeira fase exploratória, onde o trabalho de campo não se mostrou satisfatório, uma vez que não foi suficiente para responder às indagações ou fornecer as explicações sobre a atuação e as atribuições profissionais de enfermeiros com titulação de especialistas no mercado de trabalho. Por isso, partiu-se para um outro tipo de estudo, desta vez, descritivo, contemplando uma abordagem qualitativa por meio de uma revisão bibliográfica, baseada no método de análise de conteúdo. Desta forma, o estudo tem por objetivo geral analisar as imagens refletidas pela enfermagem ao olhar-se no espelho, a primeira a partir de um panorama geral da profissão e suas especialidades e, a segunda a partir das concepções que ela tem a respeito da própria profissão, da formação e da prática profissional, tal como são vistas na Revista Brasileira de Enfermagem, ano 2003. Os objetivos específicos são: descrever os principais pontos de vista encontrados sobre as características da profissão, sobre o processo de formação e sobre a prática profissional e contextualizar o panorama das especialidades à luz dos pontos de vista descritos. Dentre os principais resultados do estudo, destacamos a elaboração de um panorama geral da enfermagem no Brasil e as especialidades e de quatro categorias de análise: o que é a profissão de enfermagem; formação profissional da enfermagem; prática profissional da enfermagem e a enfermagem em processo de construção. A nós parece que a enfermagem tem apresentado dois reflexos diferentes neste espelho, as quais não se comunicam entre si. A primeira imagem refletida no espelho é a de uma enfermagem que busca definir especialidades da profissão voltadas para o aperfeiçoamento técnico, numa tentativa de se auto-afirmar no mercado de trabalho, que vem ficando cada vez mais específico e seletivo. A segunda imagem é a de uma enfermagem em busca de encontrar sua identidade enquanto ciência, e para isso, ela reflete, investiga e debate sobre o cuidado e sobre as teorias que sistematizam este cuidado. A questão é que estes dois reflexos apresentam fortes diferenças entre si, o que gera uma imagem distorcida para a profissão. / This study aims to reflect Nursing in the mirror, based on the concepts about Nursing specialities and the profession itself, the formation and professional practice, according to the Revista Brasileira de Enfermagem (2003). There was a first investigative phase, but field work was not satisfactory since questions were not fully answered nor explanantion on the professional performance and attributions of specialized nurses were given. Then a descriptive study was developed, a qualitative approach with a bibliographical review based on the content analysis method. So the general objective of this study is to introduce images Nursing reflects in the mirror, starting with an overview of the profession and its specilities and the scond image is based on Nursings own concepts on the profession, on the formation and on professional practice, according to the Revista Brasileira de Enfermagem (2003). The specific objectives are: to describe the main viewpoints on the professions characteristics, on the process of formation and professional practice, contextualizing the specialities scenario based on these overviews. Among the main results of the study, we point out the ellaboration of a general overview of Nursing in Brazil and its specialities, and of four analysis categories: what is the Nursing profession; professional formation; professional practice; and Nursing under construction. It seems that Nursing has two different reflections in this mirror, which do not talk to each other. The first image reflected in the mirror is Nursing trying to define professional specialities concerned with technical improvement searching for self-assertion in a more specific and selective labor market. The second image is Nursing in search of its destiny as science, so it reflects upon, examines and debates on healthcare and theories which systematize this care. The point is that one reflection is very different from the other, what creates a distorted image about the profession.

O objeto do presente estudo é o reflexo da enfermagem no espelho, a partir das concepções sobre as especializações em enfermagem e sobre a própria profissão, a formação e a prática profissional, conforme apresentadas na Revista Brasileira de Enfermagem, ano de 2003. Houve uma primeira fase exploratória, onde o trabalho de campo não se mostrou satisfatório, uma vez que não foi suficiente para responder às indagações ou fornecer as explicações sobre a atuação e as atribuições profissionais de enfermeiros com titulação de especialistas no mercado de trabalho. Por isso, partiu-se para um outro tipo de estudo, desta vez, descritivo, contemplando uma abordagem qualitativa por meio de uma revisão bibliográfica, baseada no método de análise de conteúdo. Desta forma, o estudo tem por objetivo geral analisar as imagens refletidas pela enfermagem ao olhar-se no espelho, a primeira a partir de um panorama geral da profissão e suas especialidades e, a segunda a partir das concepções que ela tem a respeito da própria profissão, da formação e da prática profissional, tal como são vistas na Revista Brasileira de Enfermagem, ano 2003. Os objetivos específicos são: descrever os principais pontos de vista encontrados sobre as características da profissão, sobre o processo de formação e sobre a prática profissional e contextualizar o panorama das especialidades à luz dos pontos de vista descritos. Dentre os principais resultados do estudo, destacamos a elaboração de um panorama geral da enfermagem no Brasil e as especialidades e de quatro categorias de análise: o que é a profissão de enfermagem; formação profissional da enfermagem; prática profissional da enfermagem e a enfermagem em processo de construção. A nós parece que a enfermagem tem apresentado dois reflexos diferentes neste espelho, as quais não se comunicam entre si. A primeira imagem refletida no espelho é a de uma enfermagem que busca definir especialidades da profissão voltadas para o aperfeiçoamento técnico, numa tentativa de se auto-afirmar no mercado de trabalho, que vem ficando cada vez mais específico e seletivo. A segunda imagem é a de uma enfermagem em busca de encontrar sua identidade enquanto ciência, e para isso, ela reflete, investiga e debate sobre o cuidado e sobre as teorias que sistematizam este cuidado. A questão é que estes dois reflexos apresentam fortes diferenças entre si, o que gera uma imagem distorcida para a profissão. / This study aims to reflect Nursing in the mirror, based on the concepts about Nursing specialities and the profession itself, the formation and professional practice, according to the Revista Brasileira de Enfermagem (2003). There was a first investigative phase, but field work was not satisfactory since questions were not fully answered nor explanantion on the professional performance and attributions of specialized nurses were given. Then a descriptive study was developed, a qualitative approach with a bibliographical review based on the content analysis method. So the general objective of this study is to introduce images Nursing reflects in the mirror, starting with an overview of the profession and its specilities and the scond image is based on Nursings own concepts on the profession, on the formation and on professional practice, according to the Revista Brasileira de Enfermagem (2003). The specific objectives are: to describe the main viewpoints on the professions characteristics, on the process of formation and professional practice, contextualizing the specialities scenario based on these overviews. Among the main results of the study, we point out the ellaboration of a general overview of Nursing in Brazil and its specialities, and of four analysis categories: what is the Nursing profession; professional formation; professional practice; and Nursing under construction. It seems that Nursing has two different reflections in this mirror, which do not talk to each other. The first image reflected in the mirror is Nursing trying to define professional specialities concerned with technical improvement searching for self-assertion in a more specific and selective labor market. The second image is Nursing in search of its destiny as science, so it reflects upon, examines and debates on healthcare and theories which systematize this care. The point is that one reflection is very different from the other, what creates a distorted image about the profession.

Made available in DSpace on 2015-05-08T14:47:32Z (GMT). No. of bitstreams: 1 ArquivoTotalDanielle.pdf: 2339944 bytes, checksum: 6aefddd9f1aef957f495757889371da1 (MD5) Previous issue date: 2013-05-18 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Introduction: The care is inherent to human beings since the beginning of mankind. Inserted in the complex process of providing nursing care to surgical patients, fits the role of the nurse, which requires use of a body of knowledge in search of answers to solving the phenomena, considered as health aspects relevant to nursing practice. Nurses need to worry about creating strategies to ensure that patients and their families receive adequate information about the surgery and about the care that must be performed at home. We stress the importance of building a terminological Subset that includes terms related to diagnoses / outcomes and nursing actions to promote the use of a common language and at the same time, integrate scientific knowledge with practical knowledge of the rofession. Objective: Structure a terminological subset of ICNP® for hospitalized patients undergoing prostatectomy, based on theoretical basic human needs identified by Horta. Methodology: This is a methodological research, which ere adopted in some of the steps recommended by the International Council of Nurses. Before its completion, the research project was registered on the Platform Brazil's Ministry of Health and approved by the Research Ethics Committee, receiving the assent under CAAE 00866812.1.0000.5188. The research was conducted in the Surgical Clinic of the University Lauro Wanderley / UFPB, located in the city of João Pessoa / PB. The study population was comprised of nurses and faculty in the Department of Clinical Nursing (DENC), Technical School of Nursing and UFPB HULW / UFPB, working in the area of Surgery. The research was conducted in three stages: 1) Mapping of affirmative diagnoses / outcomes and nursing interventions with the concepts pre-combined diagnostics / outcomes and nursing interventions contained in the ICNP® Version 2011, 2) Validation of affirmative diagnostic / outcomes and nursing interventions developed for hospitalized patients undergoing prostatectomy and mapped with the ICNP®2011, and 3) Structuring the terminological subset of ICNP ® prostatectomy for customers, based on theoretical basic human needs of Horta. Results: We obtained 39 statements in mapping diagnostics / results nursing developed for customers who underwent prostatectomy, which when crossed with the concepts of the ICNP ® 2011, 20 were classified as affirmative equal to ICNP®; 12 as similar to ICNP®; 2 as the most comprehensive classification, 2 narrower and 3 as there is no agreement. Of the 158 claims of nursing interventions categorized and mapped with the ICNP®2011, were obtained: 61 equal interventions, 20 Similar to the statements of ICNP®, 55 more comprehensive interventions, 19 affirmative stricter and 3 interventions there were no agreement with the ICNP®. In the process of validating the content of the 39 nursing diagnoses, 25 diagnoses (64.1%) had a CI greater than or equal to 0.80, 4 (10.26%) with CI 1.00, 5 (12.82 %) 0.93 HF and 16 (41.02%) HF between 0.80 and 0.86, and 14 diagnoses (35.9%) reached the IC equal to or smaller than 0.79. The structuring of terminological subset contained significance for Nursing, the theoretical model used, based on human needs of Horta, and the relationship of the statements of 33 diagnoses / outcomes of nursing and 206 nursing interventions distributed, according to the theoretical model. Final Thoughts:This terminological subset of ICNP ® for clients undergoing prostatectomy aims to contribute to improving professional practice, providing safe care and quality, and contribute to the development of a standardized language. / O cuidado é inerente ao ser humano desde o início da humanidade. Para realizá-lo, o enfermeiro utiliza um conjunto de conhecimentos que possibilita a busca de resolutividade às respostas dos fenômenos, considerados como aspectos de saúde relevantes à prática de enfermagem. O paciente cirúrgico é a pessoa que irá ser submetida a uma cirurgia, eletiva ou de emergência, para o tratamento de uma doença. A hospitalização, a intervenção cirúrgica e o medo da morte acarretam mudanças na vida do paciente e de sua família, levando-o ao estresse fisiológico e emocional. O objetivo do presente estudo é construir um Subconjunto Terminológico da CIPE® para clientes submetidos à prostatectomia. Trata-se de uma pesquisa metodológica, no qual foram adotadas algumas das etapas preconizadas pelo CIE. Antes de sua realização, o projeto da pesquisa foi cadastrado na Plataforma Brasil do Ministério da Saúde e aprovado pelo o Comitê de Ética e Pesquisa, recebendo o parecer favorável segundo o CAAE 00866812.1.0000.5188, em observância aos aspectos éticos preconizados na Resolução nº 196/96 do Ministério da Saúde, para o desenvolvimento da pesquisa e na Resolução COFEN nº. 311/2007. A pesquisa foi realizada na Clínica Cirúrgica do Universitário Lauro Wanderley, da Universidade Federal da Paraíba, localizada na cidade de João Pessoa/PB. A população do estudo foi formada por enfermeiros assistenciais e docentes do Departamento de Enfermagem Clínica (DENC), Escola Técnica de Enfermagem da UFPB e do HULW/UFPB, que atuam na área da Cirúrgica, e que concordaram em participar da pesquisa. A pesquisa foi desenvolvida em três etapas: 1) Mapeamento das afirmativas de diagnósticos/resultados e intervenções de enfermagem com os conceitos pré-combinados de diagnósticos/resultados e intervenções de enfermagem contidos na CIPE® Versão 2011; 2) Validação das afirmativas de diagnósticos/resultados e intervenções de enfermagem desenvolvidas para clientes hospitalizados submetidos à prostatectomia e mapeadas com a CIPE® 2011; e 3) Estruturação do Subconjunto Terminológico da CIPE® para clientes prostatectomizados, tendo como base teórica as necessidades humanas básicas de Horta. Obteve-se que no mapeamento 39 afirmativas de diagnósticos/resultados de enfermagem desenvolvidas para clientes submetidos à prostatectomia, que quando cruzadas com os conceitos da CIPE® 2011, 19 afirmativas foram classificadas como iguais à CIPE®; 12 como similares à CIPE®; 3 como mais abrangente que a classificação; 2 mais restrito; e 3 como não existe concordância. Das 158 afirmativas de intervenções de enfermagem mapeadas e categorizadas com a CIPE® 2011, obtiveram-se: 61 intervenções iguais; 20 afirmativas similares às da CIPE®; 55 intervenções mais abrangentes; 19 afirmativas mais restritas; e 3 intervenções não existiam concordância com a CIPE®. A validação das afirmativas de diagnósticos foi realizada por dois grupos de participantes, formados por enfermeiros assistenciais e docentes, realizados em dois momentos distintos. No primeiro momento, o grupo de participantes foi constituído por 15 enfermeiros, dos quais 13% eram do gênero masculino e 87% do gênero feminino. A idade desses participantes variou entre 31 anos e mais de 51 anos de idade. O nível de escolaridade dos enfermeiros variou entre graduado a doutor. A maioria (40%) tinha o nível de escolaridade de Mestre, seguido de Especialista (33,33%), (20%) tinha apenas a Graduação e (6,66%) tinha o título de Doutor. Os anos de experiência da amostra participante variaram entre 6 a 10 anos (26,68%), 16 a 20 anos de experiência com (46,66%) da amostra, e mais de 25 anos, (26,66%) da amostra. A amostra foi composta por (40%) enfermeiro docente e (60%) assistencial. No processo de validação de conteúdo dos 39 diagnósticos de enfermagem, 25 diagnósticos (64,1%) alcançaram o IC maior ou igual a 0,8, sendo 4 (10,26%) com IC 1,0, 5 (12,82%) com IC 0,93, e 16 (41,02%) com IC entre 0,8 e 0,86; e 14 diagnósticos (35,9%) alcançaram o IC igual ou menor do que 0,79. As intervenções de enfermagem analisadas também passaram por avaliação pelo primeiro grupo de analisadores, e das 158 intervenções, 113 intervenções não atingiram o IC igual ou menor do que 0,79, correspondendo a (71,51%) de rejeição das intervenções. As cirurgias urológicas são consideradas motivo de preocupação entre os pacientes. A estruturação do subconjunto terminológico deve conter a significância para a Enfermagem; o modelo teórico utilizado que será baseado nas necessidades humanas; a relação das afirmativas de diagnósticos/resultados e intervenções de enfermagem distribuídas, segundo o modelo teórico. A prostatectomia, em especial, é carregada de inúmeros significados aos homens que irá se submeter, como a incerteza do procedimento e suas implicações, principalmente relacionado à sexualidade. Assim, A qualidade da assistência de enfermagem prestada ao paciente, tanto no período que antecede a cirurgia quanto durante e após a realização da mesma, interfere nos resultados do procedimento realizado. Daí a relevância de buscar compreender a complexidade que envolve a atuação do enfermeiro nessa unidade.

Made available in DSpace on 2015-05-14T12:20:12Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1499060 bytes, checksum: ea7952060582b1357d4daba649abd5d7 (MD5) Previous issue date: 2014-09-30 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / This work aims to analyze the performance of the Center for Continuing Education (NEP) of the University Hospital Onofre Lopes (HUOL) opposite the organizational and professional development of its nursing staff. The aim of this study aims to identify how is the participation of professionals and know the demands that provides the core for this team and identify if there are difficulties and what would they be as participation in continuous education process. The methodology will be exploratory and descriptive qualitative approach was conducted with nurses and nursing technicians said Hospital. Data were collected through interviews with nurses and semi-structured questionnaire with open and closed questions applied to nursing technicians. The results indicated that there is resistance, the nursing staff, to adhere to learning in the workplace from the NEP and that the performance of the core is insufficient for reasons that research tells us, however we found that these same professionals propose some suggestions plus the actions that aim to learn and teach being incorporated into the daily life of organizations and work processes through the Center for Continuing Education. / Este trabalho visa analisar a atuação do Núcleo de Educação Permanente (NEP) do Hospital Universitário Onofre Lopes (HUOL) frente ao desenvolvimento organizacional e profissional de sua equipe de enfermagem. Tem como objetivos identificar como se dá a participação desses profissionais bem como conhecer as demandas que o núcleo fornece para esta equipe e ainda identificar dificuldades e formas de superação de modo a desenvolver um processo participativo de educação permanente. O estudo insere-se na abordagem quanti-qualitativa da pesquisa cuja metodologia utilizada é do tipo exploratório e descritivo. Os sujeitos da pesquisa foram enfermeiros e técnicos de enfermagem do referido Hospital. Os dados foram coletados por meio de entrevistas e questionários. Os resultados indicaram que há resistência, da equipe de enfermagem, em aderir a aprendizagem no trabalho proveniente do NEP e que a atuação do núcleo é insuficiente. Realçou a importância da Educação Permanente nas organizações devendo no HUOL acontecer de forma sistemática e acordada entre os serviços de saúde, instituições formadoras e os gestores.

Abstract This diploma thesis deals with the position of nursing mentor and her cooperation with shift nurses. The theoretical part of the thesis is divided into seven chapters, and focuses on the current nursing profession that is also interconnected with education and legislature. The work is further dealing with the role of the nursing mentor and her cooperation with the nursing team. Last but not least, the theoretical part is devoted to the important role of ethics and morality in the nursing profession that is undoubtedly of central importance. We are also addressing the Certified Course for Mentors that we regard as rather positive as one of the forms of lifelong education. The nurses completing the course will acquire new skills and knowledge, but also knowledge in the field of psychology, law, didactics and other fields. The role of a nurse-mentor is rather important as she can pass the acquired knowledge further and positively influence the students in this way over the course of professional training facilitating their adaptation when they start their professional career. It was the main objective of this work to map the current position of a nurse? mentor, what her experience is with cooperation with other shift nurses as part of practical education in the workplace, and whether the nurses direct and sufficiently motivate the students to become interested in the profession of general nurses or midwifes. The section on research employed two methods. The first method consisted in quantitative research in the form of questionnaires. We employed two questionnaires, one targeted the nurses-non-mentors, while the second was intended for nurses-mentors. As a second method, qualitative research was carried out using semi-structured interview conducted with selected head and ward (charge) nurses. Using the qualitative survey approach, we tested the following working hypotheses. H1: the general nurses know what the role of a nurse-mentor is in the health-care team, H2: the nurses-mentors motivate their students to raise their interest in the profession of general nurse, H3: the nurses-mentors are not always occupying leading positions, H4: the nurses-mentors are perceived positively by the shift nurses,