儿童健康护理咨询和高级执业护士的能力。
Child health nursing consultation and competencies for Advanced Practice Nurses.
机构信息
Hospital Israelita Albert Einstein, Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brazil.
Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2024 May 27;58:e20230269. doi: 10.1590/1980-220X-REEUSP-2023-0269en. eCollection 2024.
OBJECTIVE
To analyze nurses' practice in child health nursing consultations and the presence of care management competencies proposed for Advanced Practice Nurses (APN).
METHOD
Multicenter, exploratory sequential mixed methods research, carried out in 17 Basic Health Units in four Brazilian cities. Collection was carried out from May to July 2022 through filming of consultation and analysis of medical records. Consultations with compliance with the Nursing Process ≥50% were analyzed to identify the competencies proposed for APN.
RESULTS
24 child consultations carried out by 12 nurses were filmed. In the quantitative analysis, 11 nursing consultations, carried out by seven nurses, achieved ≥50% Nursing Process compliance. In the qualitative analysis of these consultations, some APN competencies in care management were identified, but incomplete.
CONCLUSION
child health nursing consultations present weaknesses in carrying out the Nursing Process, and nurses demonstrated a partial and superficial application of the care management competencies proposed for APN.
目的
分析护士在儿童保健护理咨询中的实践情况以及为高级实践护士（APN）提出的护理管理能力。
方法
这是一项多中心、探索性序贯混合方法研究，在巴西四个城市的 17 个基础卫生单位进行。收集工作于 2022 年 5 月至 7 月进行，通过咨询录像和病历分析进行。对符合护理程序≥50%的咨询进行分析，以确定为 APN 提出的能力。
结果
对 12 名护士进行的 24 次儿童咨询进行了录像。在定量分析中，7 名护士进行的 11 次护理咨询达到了≥50%的护理程序符合率。对这些咨询的定性分析表明，在护理管理方面确定了一些 APN 能力，但不完整。
结论
儿童保健护理咨询在实施护理程序方面存在不足，护士在应用为 APN 提出的护理管理能力方面表现出部分和肤浅的应用。
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