Professional practice models used by nurses in Portuguese hospitals

• Autor(a) principal: Ribeiro,Olga Maria Pimenta Lopes
• Data de Publicação: 2019
• Outros Autores: Martins,Maria Manuela Ferreira Pereira da Silva, Tronchin,Daisy Maria Rizatto, Silva,João Miguel Almeida Ventura da, Forte,Elaine Cristina Novatzki
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000700024
• topic: Nursing; Nursing Models; Professional Practice; Nursing Care; Hospitals

ABSTRACT Objective: To analyze the professional practice models used by nurses in the hospital context. Method: A descriptive study with a qualitative approach was carried out in 19 hospitals with 56 nurses. Data collection was carried out by means of a semi-structured interview. Results: The following categories emerged from analysis: a practice focused on the management of signs and symptoms, where the biomedical model, prevention of complications, and early detection of signs and symptoms of clinical worsening stood out, and a practice based on patients' human responses, emphasizing health promotion, self-care promotion, autonomy reconstruction, functional rehabilitation, patients' training, preparation to return home, and facilitation of transitions. Final considerations: In spite of the evolution seen in some contexts, a distance between the models practiced and those presented is still found, which indicates the need for changes ensuring structuring and systematization of the professional practice.