Orientador: Mara Alice Fernandes de Abreu / Banca: Ana Maria Lombardi Daibem / Banca: Cássia Irene Spinelli Arantes / Resumo: A pesquisa tem como objetivo de investigação a prática pedagógica, construída pelas licenciandas em enfermagem em conjunto com a pesquisadora e, realizada de forma continuada, com alunos da sétima série do ensino público. O trabalho objetivou investigar se a realização de uma prática pedagógica, contextualizada ao ambiente escolar e às necessidades do aluno e elaborada, desde o seu planejamento até o exercício pedagógico, considerando-o como elemento ativo no processo ensino-aprendizagem, é capaz de promover ampliação na formação das licenciandas, estimulando-as para uma atuação transformadora. Essa prática pedagógica, ao considerar a transversalidade da saúde, abordou seus aspectos biológicos, sociológicos e psicológicos, a partir de estratégias de aprendizagem propostas pelas próprias licenciandas, com base nas concepções construtivistas que favoreceu a interatividade entre elas e os alunos da escola e também, o desenvolvimento e a socialização do conhecimento referentes à esse contexto. Entendendo a saúde, tema de extrema relevância para ser abordado com os adolescentes desta faixa etária, como um processo resultante da convergência de fatores integrados: condições de trabalho e consumo, meio-ambiente, liberdade, lazer, acesso à posse da terra, educação, habitação, alimentação, relacionamentos afetivos, convívio social, além da garantia de acesso aos serviços de saúde e, a prática pedagógica, um instrumento de reflexão-ação e transformação da realidade, a pesquisadora atuou, durante toda a pesquisa, como articuladora entre o saber teórico e o prático. Os resultados revelaram que a vivência dessa prática pedagógica possibilitou, maior aproximação das licenciandas com os alunos, professores e administração da escola, desenvolvimento dos conteúdos, com a utilização de propostas adequadas e em ambientes... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The objective of this research is the investigation of the pedagogic practice developed by the nursing graduate students in connection with the researcher and continued with the students of the seventh degree of the public high school. The goal of this work is to investigate the realization of the pedagogic practice connected to the scholar environment and to the students needs and was elaorated, since its planning all the way to its practice, considering it as an active element in the process of teaching-learning, capable to promote the improvement of the graduation students as well as to stimulate and active transformation. This pedagogic practice, considering the versatility of the health, studied biologic, sociologic and psychological aspects, starting from the learning strategies proposed by the graduating students based on the constructivist conceptions that helped the interaction among them and the high school students as well developed and socialized the knowledge of this study. However, the health, relevant theme to be considered with the teenagers students, as a resultant process of the convergence of integrated factors: job and consume conditions, environment, freedom, leisure, land owing access, education, dwelling, feeding, affection relationship, social living completed with the lack of public health services, the pedagogic practice is an instrument of reflection and action as well a change of the real life. The researcher worked all the time as a link between the theory and the practice knowledge. The results showed that living this pedagogical practice promoted a larger relationship between the graduate students and the high school students, teachers and school workers as well developed the subject of the research using it with proper utilization of the objectives in an ideal environment to the learning and valuing... (Complete abstract, click electronic access below) / Mestre

Recent reforms in the South African health care and educational system were founded in the ideal that the country would produce independent, critical thinkers. Nurses need to cope with diversity in a more creative way, defining their role in a complex, uncertain, rapidly changing health care environment. Learning facilitators are held accountable for finding adequate learning experiences to prepare nursing students for such practice demands so that newly qualified nurses do meet expectations for entry level clinical judgement ability. Quality clinical judgement is therefore imperative as an identified characteristic of newly qualified professional nurses. There is a scarceness of information on the concept of clinical judgement especially within the South African nursing environment. Relevant information in this regard can assist in clarifying the meaning, which will facilitate a common understanding of the concept within the clinical nursing environment. This in turn can lead to the formulation of a teaching-learning strategy to facilitate clinical judgement in undergraduate nursing students, which would be of benefit in the nursing care environment. The objective of this study was addressed in three phases. The first phase of this research analysed the concept of clinical judgement through various data sources and a review of literature to clarify the meaning and facilitate a common understanding through identification of the characteristics and to develop a connotative (theoretical) definition of the concept. The second phase of the research investigated professional nurses‟ understanding of the meaning of clinical judgement, as well as the factors that influence the development of clinical judgement within the nursing environment. During the third phase a conceptual framework for an enabling teaching-learning environment was constructed from a modern day constructivist approach to facilitate clinical judgement. The section included a description and diagrammatic presentation of the framework. The conceptual framework formed the scientific basis from which a teaching-learning strategy for the creation of an enabling teaching-learning environment to facilitate clinical judgement in undergraduate nursing students within the South African nursing environment was synthesised. A qualitative design was used for the study. During the first phase (manuscript 1) an explorative, descriptive qualitative design was used to discover the complexity and meaning of the phenomenon. Multiple data sources and search engines were consulted for the time frame 1982-2013. An extensive concept analysis resulted in a theoretical definition of the concept „clinical judgement‟, a complex cognitive skill to evaluate patient treatment alternatives within the clinical nursing environment. The second phase (manuscript 2) is qualitative in nature and explored professional nurses‟ understanding of clinical judgement, as well as the factors influencing the development of clinical judgement in undergraduate nursing students. The findings emphasised clinical judgement as skill within the nursing environment. This assisted in the development of teaching-learning strategy for the creation of an enabling teaching-learning environment to facilitate clinical judgement in undergraduate nursing students within the South African Nursing environment as the third phase (manuscript 3). Such an environment should impact positively to promotion of autonomous and accountable nursing care. / PhD (Nursing), North-West University, Potchefstroom Campus, 2015

Recent reforms in the South African health care and educational system were founded in the ideal that the country would produce independent, critical thinkers. Nurses need to cope with diversity in a more creative way, defining their role in a complex, uncertain, rapidly changing health care environment. Learning facilitators are held accountable for finding adequate learning experiences to prepare nursing students for such practice demands so that newly qualified nurses do meet expectations for entry level clinical judgement ability. Quality clinical judgement is therefore imperative as an identified characteristic of newly qualified professional nurses. There is a scarceness of information on the concept of clinical judgement especially within the South African nursing environment. Relevant information in this regard can assist in clarifying the meaning, which will facilitate a common understanding of the concept within the clinical nursing environment. This in turn can lead to the formulation of a teaching-learning strategy to facilitate clinical judgement in undergraduate nursing students, which would be of benefit in the nursing care environment. The objective of this study was addressed in three phases. The first phase of this research analysed the concept of clinical judgement through various data sources and a review of literature to clarify the meaning and facilitate a common understanding through identification of the characteristics and to develop a connotative (theoretical) definition of the concept. The second phase of the research investigated professional nurses‟ understanding of the meaning of clinical judgement, as well as the factors that influence the development of clinical judgement within the nursing environment. During the third phase a conceptual framework for an enabling teaching-learning environment was constructed from a modern day constructivist approach to facilitate clinical judgement. The section included a description and diagrammatic presentation of the framework. The conceptual framework formed the scientific basis from which a teaching-learning strategy for the creation of an enabling teaching-learning environment to facilitate clinical judgement in undergraduate nursing students within the South African nursing environment was synthesised. A qualitative design was used for the study. During the first phase (manuscript 1) an explorative, descriptive qualitative design was used to discover the complexity and meaning of the phenomenon. Multiple data sources and search engines were consulted for the time frame 1982-2013. An extensive concept analysis resulted in a theoretical definition of the concept „clinical judgement‟, a complex cognitive skill to evaluate patient treatment alternatives within the clinical nursing environment. The second phase (manuscript 2) is qualitative in nature and explored professional nurses‟ understanding of clinical judgement, as well as the factors influencing the development of clinical judgement in undergraduate nursing students. The findings emphasised clinical judgement as skill within the nursing environment. This assisted in the development of teaching-learning strategy for the creation of an enabling teaching-learning environment to facilitate clinical judgement in undergraduate nursing students within the South African Nursing environment as the third phase (manuscript 3). Such an environment should impact positively to promotion of autonomous and accountable nursing care. / PhD (Nursing), North-West University, Potchefstroom Campus, 2015

Made available in DSpace on 2014-06-11T19:24:48Z (GMT). No. of bitstreams: 0 Previous issue date: 2004-08-26Bitstream added on 2014-06-13T20:32:14Z : No. of bitstreams: 1 rocha_mra_me_bauru.pdf: 1085459 bytes, checksum: 7c0998d6c90723be0bd0b3628c3aed9d (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A pesquisa tem como objetivo de investigação a prática pedagógica, construída pelas licenciandas em enfermagem em conjunto com a pesquisadora e, realizada de forma continuada, com alunos da sétima série do ensino público. O trabalho objetivou investigar se a realização de uma prática pedagógica, contextualizada ao ambiente escolar e às necessidades do aluno e elaborada, desde o seu planejamento até o exercício pedagógico, considerando-o como elemento ativo no processo ensino-aprendizagem, é capaz de promover ampliação na formação das licenciandas, estimulando-as para uma atuação transformadora. Essa prática pedagógica, ao considerar a transversalidade da saúde, abordou seus aspectos biológicos, sociológicos e psicológicos, a partir de estratégias de aprendizagem propostas pelas próprias licenciandas, com base nas concepções construtivistas que favoreceu a interatividade entre elas e os alunos da escola e também, o desenvolvimento e a socialização do conhecimento referentes à esse contexto. Entendendo a saúde, tema de extrema relevância para ser abordado com os adolescentes desta faixa etária, como um processo resultante da convergência de fatores integrados: condições de trabalho e consumo, meio-ambiente, liberdade, lazer, acesso à posse da terra, educação, habitação, alimentação, relacionamentos afetivos, convívio social, além da garantia de acesso aos serviços de saúde e, a prática pedagógica, um instrumento de reflexão-ação e transformação da realidade, a pesquisadora atuou, durante toda a pesquisa, como articuladora entre o saber teórico e o prático. Os resultados revelaram que a vivência dessa prática pedagógica possibilitou, maior aproximação das licenciandas com os alunos, professores e administração da escola, desenvolvimento dos conteúdos, com a utilização de propostas adequadas e em ambientes... / The objective of this research is the investigation of the pedagogic practice developed by the nursing graduate students in connection with the researcher and continued with the students of the seventh degree of the public high school. The goal of this work is to investigate the realization of the pedagogic practice connected to the scholar environment and to the students needs and was elaorated, since its planning all the way to its practice, considering it as an active element in the process of teaching-learning, capable to promote the improvement of the graduation students as well as to stimulate and active transformation. This pedagogic practice, considering the versatility of the health, studied biologic, sociologic and psychological aspects, starting from the learning strategies proposed by the graduating students based on the constructivist conceptions that helped the interaction among them and the high school students as well developed and socialized the knowledge of this study. However, the health, relevant theme to be considered with the teenagers students, as a resultant process of the convergence of integrated factors: job and consume conditions, environment, freedom, leisure, land owing access, education, dwelling, feeding, affection relationship, social living completed with the lack of public health services, the pedagogic practice is an instrument of reflection and action as well a change of the real life. The researcher worked all the time as a link between the theory and the practice knowledge. The results showed that living this pedagogical practice promoted a larger relationship between the graduate students and the high school students, teachers and school workers as well developed the subject of the research using it with proper utilization of the objectives in an ideal environment to the learning and valuing... (Complete abstract, click electronic access below)