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巴西-巴拉圭边境初级保健护士的能力映射。

Competency mapping of primary healthcare nurses on the Brazil-Paraguay border.

机构信息

Universidade Estadual do Oeste do Paraná (Unioeste). Programa de Pós-Graduação em Saúde Pública em Região de Fronteira. Foz do Iguaçu, Paraná, Brasil.

Universidade Federal do Paraná (UFPR). Programa de Pós-Graduação em Enfermagem. Curitiba, Paraná, Brasil.

出版信息

Rev Gaucha Enferm. 2024 Jul 29;45:e20230098. doi: 10.1590/1983-1447.2024.20230098.en. eCollection 2024.

DOI:10.1590/1983-1447.2024.20230098.en
PMID:39082489
Abstract

OBJECTIVE

To map the competencies of Primary Health Care nurses in border regions of Brazil and Paraguay.

METHOD

Exploratory qualitative studyconducted between February and July 2020, with 64 nurses from six Brazilian municipalities bordering Paraguay. It was conducted in three stages: 1. Documentary study: analysis of legal documents to identify the nurse's competencies. 2. Application of instrument to the study population .3. Mapping of competencies, through the competencies expressed by nurses analyzed using the collective subject discourse technique.

RESULTS

Twenty-eight general competencies were identified, categorized as assistance and management, and five specific competencies required to work in border regions: conducting a situational diagnosis of the border community; attending to foreign users with active and humanized listening; communicating appropriately with foreign users; identifying the epidemiological profile of the border; and, understanding the health policies of the neighboring country. The competencies required for the work from the participants' perspective were included in the mapping. The competence gap identified in the mapping refers to educational practices in communities.

FINAL CONSIDERATIONS

The study identified the necessary competencies for nurses to work in border regions, but pointed out gaps in the training and continuing education of these professionals.

摘要

目的

绘制巴西和巴拉圭边境地区初级保健护士的能力图。

方法

这是一项在 2020 年 2 月至 7 月间进行的探索性定性研究,共有来自巴西六个与巴拉圭接壤的城市的 64 名护士参与。研究分为三个阶段:1. 文献研究:分析法律文件以确定护士的能力。2. 向研究人群应用工具。3. 通过使用集体主题话语技术分析护士所表达的能力来绘制能力图。

结果

确定了 28 项一般能力,分为援助和管理能力,以及在边境地区工作所需的 5 项特定能力:对边境社区进行情况诊断;以积极和人性化的倾听方式接待外国用户;与外国用户进行适当的沟通;识别边境的流行病学特征;并了解邻国的卫生政策。从参与者的角度来看,工作所需的能力被纳入了映射中。映射中发现的能力差距是指社区中的教育实践。

结论

该研究确定了护士在边境地区工作所需的能力,但指出了这些专业人员培训和继续教育方面的差距。

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