Recursos e competências para gestão de práticas educativas por enfermeiros: revisão integrativa

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Abstract

Resumo OBJETIVO Conhecer os recursos utilizados e as competências necessárias ao enfermeiro para a gestão das práticas educativas nos serviços de saúde. MÉTODO Trata-se de uma revisão integrativa de literatura, realizada nas bases de dados Latino-Americano e do Caribe de Informação em Ciências da Saúde (BIREME), PubMed Central (PMC), Scopus e Web of Science (WoS), a qual após análise resultou em 18 estudos, publicados entre o período de 2011 a 2017, que foram apresentados em três categorias. RESULTADOS Os resultados foram apresentados nas categorias: recursos instrumentais utilizados na educação em saúde, recursos tecnológicos aplicados às práticas educativas, e competências para gestão das práticas educativas. CONCLUSÃO Este estudo traz como contribuição para a prática do enfermeiro subsídios para o desenvolvimento da gestão das práticas educativas nos serviços de saúde por meio de recursos tecnológicos e instrumentais e de competências profissionais que visam o desenvolvimento da equipe, autonomia do usuário e crescimento institucional.

Translated abstract

Resumen OBJETIVO Conocer los recursos utilizados y las competencias necesarias al enfermero para la gestión de prácticas educativas en los servicios de salud. MÉTODO Se trata de una revisión integradora de literatura, realizada en las bases de datos Latinoamericano y del Caribe de Información en Ciencias de la Salud (BIREME), PubMed Central (PMC), Scopus y Web of Science (WoS). Luego del análisis se obtuvieron 18 estudios publicados entre el período de 2011 y 2017, que se presentaron en tres categorías. RESULTADOS Los resultados se presentaron en las categorías: recursos instrumentales utilizados en la educación en salud, recursos tecnológicos aplicados a las prácticas educativas, y competencias para la gestión de las prácticas educativas. CONCLUSIÓN Este estudio trae como contribución a la práctica del enfermero subsidios para el desarrollo de la gestión de las prácticas educativas en los servicios de salud, a través de recursos tecnológicos e instrumentales y de competencias profesionales que apuntan al desarrollo del equipo, a una autonomía del usuario y al crecimiento institucional.

Translated abstract

Abstract OBJECTIVE To know the resources used and the necessary skills to the nurse for the management of educational practices in health services. METHOD This is an integrative literature review, carried out in the Latin American and Caribbean databases on Health Sciences Information (BIREME), PubMed Central (PMC), Scopus and Web of Science (WoS). After analysis resulted in 18 studies, published between the period 2011 to 2017, which were presented in three categories. RESULTS The results were presented in the categories: instrumental resources used in health education, technological resources applied to educational practices and competencies for management of educational practices. CONCLUSION This study brings as a contribution to the practice of nurses subsidies for the development of management of educational practices in health services through technological and instrumental resources and professional skills that aim at team development, user autonomy and institutional growth.

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Most cited references 34

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Communication process in the nursing team a based on the dialogue between Berlo and King

PV Broca, MA Ferreira, P. BROCA … (2015)

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Promoting continence in nursing homes in four European countries: the use of PACES as a mechanism for improving the uptake of evidence-based recommendations

Gill Harvey, Alison Kitson, Zachary Munn (2012)

Background Multi-faceted approaches are generally recognised as the most effective way to support the implementation of evidence into practice. Audit and feedback often constitute one element of a multi-faceted implementation package, alongside other strategies, such as interactive education and facilitated support mechanisms. This paper describes a multi-faceted implementation strategy that used the Joanna Briggs Institute Practical Application of Clinical Evidence System (PACES) as an online audit tool to support facilitators working to introduce evidence-based continence recommendations in nursing homes in four different European countries. Aims/objectives The paper describes the experience of using PACES with an international group of nursing home facilitators. In particular, the objectives of the paper are: to describe the process of introducing PACES to internal facilitators in eight nursing homes; to discuss the progress made during a 12-month period of collecting and analysing audit data using PACES; to summarise the collective experience of using PACES, including reflections on its strengths and limitations. Methods Descriptive data were collected during the 12-month period of working with PACES in the eight nursing home sites. These data included digital and written notes taken at an initial 3-day introductory programme, at monthly teleconferences held between the external and internal facilitators and at a final 2-day meeting. Qualitative analysis of the data was undertaken on an ongoing basis throughout the implementation period, which enabled formative evaluation of PACES. A final summative evaluation of the experience of using PACES was undertaken as part of the closing project meeting in June 2011. Results The nursing home facilitators took longer than anticipated to introduce PACES and it was only after 9–10 months that they became confident and comfortable using the system. This was due to a combination of factors, including a lack of audit knowledge and skills, limited IT access and skills, language difficulties and problems with the PACES system itself. The initial plan of undertaking a full baseline audit followed by focused action cycles had to be revised to allow a more staged, smaller-scale approach to implementation and audit. This involved simplifying the audit process and removing steps such as the calculation of population size estimates. As a result, an accurate baseline measure, prior to introducing changes to continence care, was not achieved. However, by the end of the 12 months, the majority of facilitators had undertaken a full audit and reported value in the process. In particular, they benefited from comparing audit data across sites to share learning and best practice. Discussion/conclusion Working with PACES as part of a facilitated programme to support the implementation of evidence-based continence recommendations in nursing homes in four European countries has been a valuable learning experience, although not without its challenges. The findings highlight the importance of thorough training and support for first time users of PACES and the need to make the audit process as simple as possible in the initial stages.

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Telephone interventions for adherence to colpocytological examination 1

Thaís Lima, Ana Nicolau, Francisco Carvalho … (2017)

ABSTRACT Objective: to test the effects of behavioral and educational intervention by telephone on adherence of women with inappropriate periodicity to colpocytological examination. Method: quasi-experimental study with a sample of 524 women, selected with the following inclusion criteria: be aged between 25 and 64 years, have initiated sexual activity, have inappropriate periodicity of examination and have mobile or landline phone. The women were divided into two groups for application of behavioral and educational intervention by telephone. It was used an intervention script according to the principles of Motivational Interviewing. Results: on comparing the results before and after the behavioral and educational interventions, it was found that there was a statistically significant change (p = 0.0283) with increase of knowledge of women who participated in the educational intervention. There was no change in the attitude of women of any of the groups and there was an increase of adherence to colpocytological examination in both groups (p < 0.0001), with greater adherence of women participating in the behavioral group (66.8%). Conclusion: the behavioral and educational interventions by phone were effective in the adherence of women to colpocytological examination, representing important strategies for permanent health education and promotion of care for the prevention of cervical cancer.

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Contributors

Cintia Koericha: Role: ND

Gabriela Marcellino de Melo Lanzoni: Role: ND

Rebeca Coimbra: Role: ND

Karina Sofia Tavares: Role: ND

Alacoque Lorenzini Erdmann: Role: ND

Journal

Journal ID (publisher-id): rgenf

Title: Revista Gaúcha de Enfermagem

Abbreviated Title: Rev. Gaúcha Enferm.

Publisher: Universidade Federal do Rio Grande do Sul. Escola de Enfermagem (Porto Alegre, RS, Brazil )

ISSN (Electronic): 1983-1447

Publication date (Print and electronic): 2019

Volume: 40

Issue: 0

Electronic Location Identifier: e20180031

Affiliations

[2] Florianópolis Santa Catarina orgnameUniversidade Federal de Santa Catarina orgdiv1Centro de Ciências da Saúde orgdiv2Departamento de Enfermagem Brazil

[1] Florianópolis Santa Catarina orgnameUniversidade Federal de Santa Catarina orgdiv1Centro de Ciências da Saúde orgdiv2Departamento de Enfermagem Brazil

Article

Publisher ID: S1983-14472019000100500

DOI: 10.1590/1983-1447.2019.20180031

SO-VID: ed76731d-1476-40a5-8af3-5d663174b47f

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

History

Date accepted : 16 November 2018

Date received : 06 March 2018

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Figures: 0, Tables: 0, Equations: 0, References: 39, Pages: 0

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Most cited references 34

Communication process in the nursing team a based on the dialogue between Berlo and King

Promoting continence in nursing homes in four European countries: the use of PACES as a mechanism for improving the uptake of evidence-based recommendations

Telephone interventions for adherence to colpocytological examination 1

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