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初级保健中的自发性需求:护士的学习需求。

Receiving spontaneous demand in Primary Care: nurses' learning needs.

机构信息

Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil.

Faculdade de Tecnologia em Saúde. Ribeirão Preto, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2021 May 28;74(2):e20200317. doi: 10.1590/0034-7167-2020-0317. eCollection 2021.

DOI:10.1590/0034-7167-2020-0317
PMID:34076216
Abstract

OBJECTIVE

Identify nurse's learning needs to be related to the reception with risk classification of spontaneous demand in Primary Health Care.

METHOD

Quality study including 15 nurses from Primary Health Care through participatory observation, application of semi-structured instrument, focus group, and of thematic content analysis.

RESULTS

80% of nurses never used the risk classification protocol in Primary Health Care. Knowledge gaps involving clinical aspects of care; protocol management, and the nurse's role; and the historic, structural and cultural contradictions of the care model were confirmed.

FINAL CONSIDERATIONS

The recognition of learning needs for nurses that work in Primary Health Care implies in the construction or improvement of knowledge in order to develop, along with the health team, a risk classification of spontaneous demand, which requires a change in the education and continuity of their qualification for work and at work.

摘要

目的

确定与初级保健中自发性需求风险分类相关的护士学习需求。

方法

通过参与式观察、半结构化仪器应用、焦点小组和主题内容分析,对来自初级保健的 15 名护士进行了一项质量研究。

结果

80%的护士从未在初级保健中使用过风险分类方案。在临床护理方面、方案管理以及护士角色方面存在知识差距,并且还存在着医疗模式的历史、结构和文化矛盾。

最终考虑

认识到在初级保健中工作的护士的学习需求意味着要构建或改善知识,以便与卫生团队一起对自发性需求进行风险分类,这需要改变他们的教育和工作连续性,以提高他们的工作资格。

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