O presente estudo intitulado \"A formação do enfermeiro licenciado: foco no Sistema Único de Saúde?\" parte do entendimento que é necessário investir na formação dos futuros profissionais e futuros formadores de profissionais de saúde visando o fortalecimento do SUS. O objetivo deste estudo é analisar o processo de formação dos alunos do curso de Bacharelado e Licenciatura da EERP/USP em relação ao SUS, considerando conteúdos abordados, formas de organização de conteúdos e práticas, a partir da proposta curricular e da perspectiva dos discentes em relação a sua formação. Trata-se de um estudo exploratório descritivo de natureza qualitativa. Para alcançar tais objetivos foram utilizadas as seguintes técnicas: dois grupos focais com nove alunos em cada, do último ano do curso de Bacharelado e Licenciatura em Enfermagem do ano de 2013 e análise documental do Projeto Político Pedagógico (PPP) do curso de Bacharelado e Licenciatura da EERP/USP. Os dados de grupo focal foram analisados por meio de \"análise temática\" (MINAYO, 2008). A análise documental do PPP envolveu sínteses e discussões acerca de suas aproximações e afastamentos das diretrizes político-legais da formação do enfermeiro licenciado no que se refere à aprendizagem relativa ao SUS. A partir da análise documental foi observado que o PPP está em consonância com as Diretrizes Curriculares Nacionais (DCNs) do curso de enfermagem e da formação de professores, porém há contradições entre o que é proposto e o currículo efetivamente realizado, tendo em vista a complexidade inerente à implementação de mudanças no processo formativo. Da análise dos grupos focais foram delineadas sete temáticas: o SUS na estrutura curricular: que se subdivide em organização curricular disciplinar versus integrada; cenários de aprendizagem e métodos de ensino problematizador versus tradicional; reconhecimento da aprendizagem processual; afinal o que aprendem sobre o SUS?; aprender e ensinar SUS na educação profissional em enfermagem; formação docente e suas relações com a aprendizagem relacionada ao SUS; relações de poder e sugestões: possibilidades para transformar. Neste sentido consideramos, dentre outros, que o grande desafio reside em considerar o SUS como eixo do processo formativo. Tal desafio envolve enfrentamentos e negociações que se relacionam a diferentes projetos políticos sociais que se fazem presentes no contexto da formação na universidade, nos serviços de saúde e educação. / The present study entitled \"The formation of the licensed nurse: Focus on Public Health System? (SUS in portuguese)\" emerges from the understanding that it is necessary to invest in the formation of future professionals and future mentors of future health professionals aiming to strengthen the SUS. The objective of this study is to analyze the undergraduation process of the students of a course of Bachelor`s Degree with a teaching diploma in Nursing, EERP/USP in relation to SUS, considering covered contents, forms of content and practices organization, from the curriculum proposal and the perspective of students in relation to their formation. This is a descriptive exploratory qualitative study. To achieve these objectives, we used the following techniques: two focus groups with nine students of the last year of the course of Bachelor`s Degree whit a teaching diploma in Nursing in 2013 and documentary analysis of Pedagogical Political Project (PPP). The focus group data were analyzed using \"thematic analysis\" (MINAYO, 2008). The documentary analysis of PPP has involved summaries and discussions about their approaches and departures from political-legal guidelines in the formation of nurses with a teaching diploma in relation to the relative learning on SUS. From the documentary analysis it was observed that the PPP is in line with National Curriculum guidelines of the nursing course and the training of teachers, but there are contradictions between what is proposed and the curriculum effectively done, due to the complexity inherent in the implementation of changes in the formative process. From the analysis of focus groups were outlined seven themes: SUS in curriculum design, which is divided into disciplinary curricular organization versus integrated; learning environments and methods of problem-solving learning versus traditional teaching; recognition of procedural learning; after all what they learn about SUS?; learning and teaching SUS in professional nursing education; teacher education and its relationship with learning related to SUS; power relations and suggestions: possibilities to transform. In this sense we consider, among others, that the great challenge is to consider the SUS as the axis of the educational process. This challenge involves confrontations and negotiations that are relate to different social political projects that are present in the context of the formation at the university, in health services and education.

A violência é um problema social e relacional da humanidade que gera prejuízos pessoais, sociais e econômicos, sendo considerado um problema de saúde pública mundial. Os enfermeiros estão em contato com diversos tipos de violência no seu trabalho, e estão em posição estratégica para identificar e agir nesses casos sendo, portanto, fundamental que a violência seja abordada nos currículos de graduação. Assim, o objetivo desse estudo foi identificar o tema da violência nos currículos dos cursos de Bacharelado em Enfermagem da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo (EERP/USP) e da Universidade Estadual de Campinas (UNICAMP) e descrever a expectativa dos professores em abordar tal temática. Tratou-se de um estudo descritivo-exploratório, com análise de dados qualitativa, realizado com 15 docentes das duas instituições de ensino. Utilizamos neste estudo como procedimento para a realização da coleta de dados a pesquisa documental, a entrevista semi-estruturada e a observação sistemática. As entrevistas foram analisadas pela técnica do Discurso do Sujeito Coletivo. Os resultados da busca pela palavra chave violência e correlatos na EERP/USP procederam em cincos disciplinas e na UNICAMP três disciplinas. Os docentes responsáveis por essas disciplinas foram 05 da EERP/USP e 10 da UNICAMP. A maioria era do sexo feminino, todos com titulação de Doutores, sendo que na EERP/USP os docentes eram mais velhos e atuavam há mais tempo que na UNICAMP. Os docentes referiram que abordam a violência, para que os alunos reconheçam e intervenham nos casos de violência. Apesar dos docentes não saberem definir as tipologias da violência, a maioria delas são abordadas. O tema é trabalhado na teoria e na prática. Formalmente são gastas entre 04 e 12 horas com a temática, com uso de estratégias de ensino ativas e inovadoras, embora muitas vezes prevaleça o modelo tradicional. Os docentes não conseguiram avaliar a relação entre a aprendizagem do tema e a prática dos profissionais; não sabem dizer se os alunos estão preparados para lidar com a violência; mencionaram que a atuação e o preparo dependem do aluno, e não da graduação. Todos os docentes reconheceram a importância do tema na graduação. Conclui-se que o tema deva ser discutido amplamente com todos os docentes, e trabalhado de maneira transversal no currículo. Sugere-se conhecer a opinião dos egressos sobre a abordagem do tema na graduação e a inserção de disciplina específica sobre a violência. Pode inferir-se que uma das dificuldades da violência ser abordada nos cursos de graduação seja devido os currículos priorizarem as questões biológicas. É requerido que o enfermeiro se reconheça enquanto agente de mudanças para que realidades como a violência possam ser transformadas. / Violence is a social problem, related to human beings, that generates personal, social and economic losses, and is considered a public health problem worldwide. Nurses are in contact with several types of violence in their duties and are in a strategic position to identify and act on these cases, therefore, it is mandatory that the violence subject is offered in faculty curriculum. The goal of this study was to search the curriculums of Bachelor of Nursing at School of Nursing of Ribeirão Preto, University of São Paulo (EERP/USP) and the State University of Campinas (UNICAMP) to identify if the violence subject was offered and describe how teachers deal with it. This is a descriptive-exploratory, qualitative data analysis, conducted with 15 teachers from two schools. To collect the data, we used in this study research techniques as documental research, a semi-structured interview and the systematic observation. The interviews were analyzed using the Collective Subject Discourse. Five courses were found at EERP/USP and three at UNICAMP after searching for violence and related keywords. Five teachers responsible for these courses were interviewed at EERP/USP and ten at UNICAMP. Most were women, all with Doctors degree, and the EERP/USP teachers are older and have been working longer than teachers at UNICAMP. Teachers reported that they address violence subject in order to students recognize and intervene in cases of violence. Although the teachers did not know how to define types of violence, most of them address the subject in courses. The theme is worked in theory and in practice. Formally 04 to 12 hours are spent with the subject and many teaching strategies cited are active and innovative, though often prevails the traditional model. Teachers could not evaluate the relationship between learning and professional practice, and could not tell if students were prepared to deal with violence. Many teachers mentioned that the performance and preparation depend on the student, not on the school. All teachers recognized the importance of the subject to be part of faculty course. It is concluded that the subject should be discussed extensively with all teachers because it must be spread along all curriculums. Furthermore, it would be important to know the students opinion about the subject. It is also suggested the inclusion of specific course about violence. It can be inferred that the lack of violence subject in university curriculums is because they are still focused on biological matters. It is required that nurses recognize themselves as agents of changes in order to change the violence realities.

Made available in DSpace on 2016-04-27T14:30:35Z (GMT). No. of bitstreams: 1 Patricia Peres de Oliveira.pdf: 1076117 bytes, checksum: 0e3d6ac867725eb6775eb5325d16b978 (MD5) Previous issue date: 2011-03-17 / The objectives of this study are to identify, discuss and evaluate the national scientific production of nursing education based on the Directives and Bases of National Education (Law No. 9394 of December 20, 1996), 2010. Our research was based on the analysis of the State of the Art or State of Knowledge with articles, dissertations and doctoral theses. The descriptor nursing education was used in the LILACS database (Scientific and Technical Literature - General Health Sciences). Initially, we found 1211 references. A detailed reading and analysis of titles and abstracts were performed. To attend the purpose of this research, we selected a total of 98 studies, being 90 papers and eight, Masters dissertations and doctoral theses. Five thematic foci emerged from the reading of the papers and this option was chosen to objectively analyze the production. Among the Curriculum and Programs thematic focus, we listed 18 papers, most studies evaluating curricula, or educational projects. In the Teaching and Learning thematic focus, we raised 32 papers and a pedagogical strategy was a trend observed in the studies. In the Public Policy thematic focus, 15 articles were grouped; the preference was to reflect on the moments of formulation and implementation of state actions. In the Professor thematic focus, we pointed out 12 studies, whose approach was the work processes, conditions and labor relationships, pedagogical practices and the role of teachers in nursing education. In the student-nurse thematic focus, we grouped 20 researches. There was a concern to verify the impact of nursing education in at work. It was found that there is a scientific production, expressed in the preparation of articles, dissertations and doctoral theses in this area attending the aim of this study / Este estudo tem com objetivos identificar, discutir e avaliar a produção científica nacional sobre a formação do enfermeiro a partir da Lei de Diretrizes e Bases da Educação Nacional (Lei nº 9.394, de 20 de dezembro de 1996) até o ano de 2010. A partir do estudo do Estado da arte ou Estado do conhecimento, constituída de artigos, dissertações de mestrado e teses de doutorado. Para a busca foi utilizado o descritor educação em enfermagem na base de dados LILACS (Literatura Científica e Técnica Ciências da Saúde em Geral). Inicialmente foram encontradas 1211 referências. Realizou-se então, a leitura minuciosa e análise dos títulos e resumos, a fim de atender ao propósito da pesquisa, selecionamos um total de 98 estudos, sendo 90 artigos e 08 obras entre dissertações de mestrado e teses de doutorado. Foram considerados cinco focos temáticos que emergiram a partir da leitura dos trabalhos e essa opção foi por classificar, de forma objetiva a produção analisada. No foco temático Currículo e Programas, elencamos 18 trabalhos, a maioria dos trabalhos avalia propostas curriculares ou projetos educacionais. No foco temático ensino-aprendizagem, levantamos 32 trabalhos, uma tendência nos estudos foi ressaltar que as estratégias pedagógicas. No foco políticas públicas foram agrupados 15 artigos, a inclinação foi refletir sobre os momentos de formulação e implementação das ações estatais. No foco temático professor, apontamos 12 trabalhos, cuja abordagem foram os processos de trabalho, as condições e as relações de trabalho, as práticas pedagógicas utilizadas e o papel dos docentes na formação do enfermeiro. No foco temático aluno e enfermeiro, agrupamos 20 pesquisas, houve uma preocupação em verificar o impacto da formação do enfermeiro no âmbito do trabalho. Constatou-se que existe uma produção científica, expressa na elaboração de artigos, dissertações de mestrado e teses de doutorado nessa área específica e que foi possível atingir o objetivo proposto para este estudo

Incivility is rude or discourteous behavior that demonstrates a lack of respect for others. Some nurses ignore the dictates of professionalism and exhibit a total disregard for colleagues and peers by purposefully targeting each other with uncivil behaviors. Incivility has invaded the nursing educational environment with deleterious results. Uncivil behaviors perpetrated by nursing students against other nursing students cause psychological and physiological distress for victims and witnesses. The purposes of this quantitative descriptive study were to identify the behaviors that constituted lateral student-to-student incivility, determine the frequency of experienced student-to-student incivility, and describe the coping strategies employed by prelicensure registered nursing students experiencing lateral student-to-student incivility. Prelicensure registered nursing students in associate degree, baccalaureate degree, and diploma programs were recruited online using nonprobability convenience sampling through the email member list of a national student nursing organization. Participants completed the Ways of Coping (Revised)* survey and the Incivility in Nursing Education Revised (INE-R) Survey anonymously online via email accounts. The response rate was 38%. Four behaviors are identified as highly uncivil by 83.1% to 86.1% of the 373 participants: (1) making threatening statements about weapons; (2) threats of physical harm against others; (3) property damage; and (4) making discriminating comments directed toward others. The most frequently occurring incivility behavior (n = 202; 54.2%) is the use of media devices for purposes unrelated to the current educational task. Planful problem-solving (PP) is the coping strategy employed by most participants (n = 88, 23.6%). Data was analyzed comparing participants’ nursing program levels, ages, genders, and ethnicities using descriptive statistics and Kruskal-Wallis analyses. There were no statistically significant differences across these variables.

Academic nurse leaders hold an essential role in preparing future nurses who have the skills and abilities to meet complex healthcare system. However, vacancies in academic leadership positions are on the rise and may be connected to faculty incivility which affects job satisfaction of academic nurse leaders. The purpose of this descriptive correlational study, guided by Herzberg'€™s two-factor theory, was to explore the relationships between perceptions of and experiences with faculty incivility and job satisfaction in a population of academic nurse leaders. Leader perceptions of and experiences with faculty incivility were measured using the Workplace Civility/Incivility Survey and leader job satisfaction was measured using the Job Satisfaction Survey. Data were collected through an online survey from 142 academic nurse leaders and analyzed using nonparametric correlation testing. The results revealed that academic nurse administrators serving at the associate degree level are victims of faculty incivility and that their experiences with uncivil faculty behavior is significantly correlated to their job satisfaction (p <0.01). Study results suggest that academic nurse leaders will likely encounter uncivil faculty behavior during their tenure as administrators. It is imperative that academic leaders engage in professional development opportunities to address complex and difficult relationships that may occur in the work setting which will foster and advance the skills needed to effect positive social change. Further research that explores the causality of faculty incivility on job satisfaction and other outcomes of the work experience in this and other populations of nursing leaders is warranted.

Calciphylaxis is a deadly disease seen primarily in patients with end stage renal disease. Literature indicated that improved patient outcomes are seen with routine screenings. Many dialysis providers lack fundamental knowledge that would enable early identification of calciphylaxis in patients with renal disease. The purpose of this project was to design a screening instrument and develop a staff education program that would transform calciphylaxis management by promoting early identification and treatment of the disease. Knowles's theory of andragogy was used as the theoretic framework for the project. Dialysis center staff (n = 26) participated in the education. The number of participants was based on the number of staff working at the partner dialysis site. There were no exclusions as all members of the interdisciplinary team play an important role in calciphylaxis management. Surveys conducted following the education were used to determine whether dialysis staff believed they had acquired the knowledge and skills necessary to identify early signs of calciphylaxis. Descriptive data collected by the surveys indicated 60% of participants were not at all comfortable identifying patients at risk for developing calciphylaxis prior to attending the education presentation. Following the presentation, 68% of participants felt very comfortable identifying at-risk patients, an increase of 82.3%. This project exemplified that calciphylaxis detection is a secondary prevention nursing intervention that has potential for promoting positive social change by improving patient outcomes, reducing mortality rates in the end stage renal disease population, and providing empirical data to inform evidence-based therapies for at-risk patients.

The purpose of this study was to evaluate outcomes of the service-learning requirement in the Associate of Science in Nursing (ASN) curriculum at the local college. The problem addressed in this study was that the local ASN program lacked formal evaluation of the service-learning requirement. Guided by Kolb's model of experiential learning, a goal-based, summative evaluation employed as a qualitative case study explored the perceptions of 20 stakeholders including graduates, faculty members, and key community informants. The research questions focused on how service learning influenced a student's learning of cultural competence and the impact service learning had on the community. In-depth qualitative data were collected through face-to-face or phone, semi-structured interviews. Qualitative content analysis was the analytic method used in this study. To ensure trustworthiness, students' perceptions were triangulated with faculty's and community members' perceptions as related to outcomes of service learning, and interpretations were validated through member checking. Key results from the study indicated that service learning was perceived as a valuable component in the curriculum that influenced the students' knowledge of social and cultural factors, as well as their level of cultural competence in clinical practice. In addition, service learning was perceived as having a positive impact on the community. An evaluation report was created to provide administrators at the local college summative data upon which to base decisions regarding curriculum requirements or changes. Positive social change may result if nursing students are involved in civic engagement and have an opportunity to develop a more critical consciousness while serving the local needs of the community.

Obesity is a major U.S. public health epidemic. A review of the current literature identified a lack of obesity counseling with individuals. The gap in practice was a lack of understanding of nutrition, nutrition labeling, and how foods affect health. The objective of this project was to identify the community assessment need related to obesity and then educate APRNs on ways to better communicate with obese patients. This project focused on an education program for advanced practice registered nurses (APRNs) on using the 5 A's framework for obesity counseling to improve their knowledge and skill in counseling their overweight and obese patients in a rural primary care clinic. Knowles' adult learning theory was used to develop the education project. The education program was presented to and evaluated by 2 APRNs at a rural health clinic. The providers requested the information be placed online so they could give the presentation their undivided attention. The audio-based PowerPoint presentation and printed copies of the presentation content were e-mailed to each of the providers. The presenter went to the clinic 3 days after placing the presentation online to obtain the evaluations and answer any questions. An impact evaluation assessed the presenter, audience learning experience, and confidence and skill of the participant. The participants reported they had a better understanding of the reality of the obese population and how they could improve their communication by using the 5 A's method of assessment. Both participants reported the presentation was clear and easy to understand. A recommendation was made to conduct a future quality improvement project expanding the use of the educational program. This project has the potential to impact social change by improving health care education and ultimately reducing obesity.

The state of education in the United States faces many challenges in preparing students for the workforce and postsecondary education. These challenges are heightened at the postsecondary level for schools of nursing. The current shortage of nurses will continue to rise if recruitment and retention strategies are not employed. The purpose of this qualitative hermeneutic phenomenological study was to understand and explore the experiences of former health science program students enrolled in nursing school. Research questions focused on the experience of career and technical education (CTE), motives and perceived benefits of CTE, nursing experience, career choice, and academic interests. The theoretical framework for this study was based on Lent, Brown, and Hackett's social cognitive career theory. Data were collected through semistructured face-to-face interviews with 6 associate and bachelor degree nursing students in South Carolina that completed CTE health science courses in high school. Data were manually coded and analyzed. The findings of the study indicated that CTE health science program experiences were positive and provided early college preparation and career opportunities. Furthermore, findings indicated that collaborative efforts between secondary, postsecondary, and nursing stakeholders are needed. This study has implications for positive social change by providing information to stakeholders in education about CTE, bridge programs, and secondary-postsecondary partnerships that may lead to a solution for the shortage of nurses.

Every year, thousands of congestive heart failure (CHF) patients are readmitted to the hospital within 30 days of discharge. There is a gap in practice in the care continuum of patients with CHF within the transition from hospital to home. One of the factors known to increase a patient's risk for readmission is the lack of patient engagement and self-efficacy regarding the treatment plan. The purpose of this project was to implement a transition of care practice guideline that consisted of the use of a risk identification tool, a customized care plan for patients at high risk for readmission, and a discharge checklist crafted specifically for CHF patients who are at risk for readmission. The practice initiative utilized the Iowa model of Evidence Based Practice as a framework and the teach-back method for discharge education. A sample of 193 patients admitted during a 1-month timeframe fit the inclusion criteria and was generated from the electronic health record. Descriptive statistics were used to analyze the data collected during implementation. In fact, of the 106 CHF patients who benefited from the CHF checklist only 2 required readmission within 30 days, a 1.8% 30 day readmission rate. As compared to the 22% readmission rate experienced in 2017, this represented a considerable improvement, albeit preliminary. Efforts to improve the lives of patients and their families will ultimately serve society well, making a significant contribution to positive social change. Providing comprehensive discharge education to patients using the teach-back method to assess the retention of knowledge will help close the gap in the transition of care between hospital and home, ultimately reducing CHF readmissions.