Development of the clinical reasoning of nurses of an emergency hospital service

Detalhes bibliográficos
Autor(a) principal: Menegon, Fernando Henrique Antunes
Data de Publicação: 2019
Outros Autores: Santos, José Luís Guedes dos, Gonçalves, Natália, Kahl, Carolina, Barreto, Mayckel da Silva, Gelbcke, Francine Lima
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Rev Rene (Online)
Texto Completo: http://periodicos.ufc.br/rene/article/view/40249
Resumo: Objective: to understand the development of the clinical reasoning of nurses working in an emergency hospital service. Methods: qualitative research, with methodological reference of the Grounded Theory. Data collection took place through interviews, with a theoretical sample of 21 participants and analysis using substantive and theoretical coding. Results: the central category was identified as Knowing what to do, and four conceptual categories: 1) Uncovering the nurse’s duties in the emergency service; 2) Improving clinical reasoning through professional experience; 3) Providing care with quality and safety for the patient; and 4) Conquering professional recognition from the health team. Conclusion: the development of nurses’ clinical reasoning is a cumulative, experiential, and gradual process of knowing what to do in an emergency. It is based on the collaborative work with the health team and on the acquisition of technical-scientific knowledge to perform qualified assistance to patients.
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spelling Development of the clinical reasoning of nurses of an emergency hospital serviceDesenvolvimento do raciocínio clínico de enfermeiros de um serviço hospitalar de emergênciaClinical Decision-Making; Thinking; Organization and Administration; Emergency Nursing; Emergency Service, Hospital.Tomada de Decisão Clínica; Pensamento; Organização e Administração; Enfermagem em Emergência; Serviço Hospitalar de Emergência.Objective: to understand the development of the clinical reasoning of nurses working in an emergency hospital service. Methods: qualitative research, with methodological reference of the Grounded Theory. Data collection took place through interviews, with a theoretical sample of 21 participants and analysis using substantive and theoretical coding. Results: the central category was identified as Knowing what to do, and four conceptual categories: 1) Uncovering the nurse’s duties in the emergency service; 2) Improving clinical reasoning through professional experience; 3) Providing care with quality and safety for the patient; and 4) Conquering professional recognition from the health team. Conclusion: the development of nurses’ clinical reasoning is a cumulative, experiential, and gradual process of knowing what to do in an emergency. It is based on the collaborative work with the health team and on the acquisition of technical-scientific knowledge to perform qualified assistance to patients.Objetivo: compreender o desenvolvimento do raciocínio clínico de enfermeiros de um serviço hospitalar de emergência. Métodos: pesquisa qualitativa, com referencial metodológico da Teoria Fundamentada nos Dados. Coleta de dados ocorreu por meio de entrevistas, com amostragem teórica de 21 participantes e análise mediante codificação substantiva e teórica. Resultados: identificou-se a categoria central Sabendo o que fazer, e quatro categorias conceituais: 1) Descobrindo as atribuições do enfermeiro no serviço de emergência; 2) Aprimorando o raciocínio clínico por meio da experiência profissional; 3) Prestando assistência com qualidade e segurança para o paciente; e 4) Conquistando reconhecimento profissional da equipe de saúde. Conclusão: o desenvolvimento do raciocínio clínico do enfermeiro é um processo gradativo e experiencial cumulativo de “saber o que fazer” em emergência. Baseia-se no trabalho colaborativo com a equipe de saúde e na aquisição de conhecimentos técnico-científicos para realização de assistência qualificada a pacientes. Universidade Federal do Ceará2019-05-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPesquisa qualitativa com uso do referencial metodológico da Teoria Fundamentada nos Dadosapplication/pdfapplication/pdfhttp://periodicos.ufc.br/rene/article/view/4024910.15253/2175-6783.20192040249Rev Rene; Vol 20 (2019): Rev Rene; e40249Rev Rene; v. 20 (2019): Rev Rene; e402492175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCporenghttp://periodicos.ufc.br/rene/article/view/40249/pdfhttp://periodicos.ufc.br/rene/article/view/40249/pdf_1Copyright (c) 2019 Rev Renehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessMenegon, Fernando Henrique AntunesSantos, José Luís Guedes dosGonçalves, NatáliaKahl, CarolinaBarreto, Mayckel da SilvaGelbcke, Francine Lima2020-05-28T15:34:47Zoai:periodicos.ufc:article/40249Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2020-05-28T15:34:47Rev Rene (Online) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Development of the clinical reasoning of nurses of an emergency hospital service
Desenvolvimento do raciocínio clínico de enfermeiros de um serviço hospitalar de emergência
title Development of the clinical reasoning of nurses of an emergency hospital service
spellingShingle Development of the clinical reasoning of nurses of an emergency hospital service
Menegon, Fernando Henrique Antunes
Clinical Decision-Making; Thinking; Organization and Administration; Emergency Nursing; Emergency Service, Hospital.
Tomada de Decisão Clínica; Pensamento; Organização e Administração; Enfermagem em Emergência; Serviço Hospitalar de Emergência.
title_short Development of the clinical reasoning of nurses of an emergency hospital service
title_full Development of the clinical reasoning of nurses of an emergency hospital service
title_fullStr Development of the clinical reasoning of nurses of an emergency hospital service
title_full_unstemmed Development of the clinical reasoning of nurses of an emergency hospital service
title_sort Development of the clinical reasoning of nurses of an emergency hospital service
author Menegon, Fernando Henrique Antunes
author_facet Menegon, Fernando Henrique Antunes
Santos, José Luís Guedes dos
Gonçalves, Natália
Kahl, Carolina
Barreto, Mayckel da Silva
Gelbcke, Francine Lima
author_role author
author2 Santos, José Luís Guedes dos
Gonçalves, Natália
Kahl, Carolina
Barreto, Mayckel da Silva
Gelbcke, Francine Lima
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Menegon, Fernando Henrique Antunes
Santos, José Luís Guedes dos
Gonçalves, Natália
Kahl, Carolina
Barreto, Mayckel da Silva
Gelbcke, Francine Lima
dc.subject.por.fl_str_mv Clinical Decision-Making; Thinking; Organization and Administration; Emergency Nursing; Emergency Service, Hospital.
Tomada de Decisão Clínica; Pensamento; Organização e Administração; Enfermagem em Emergência; Serviço Hospitalar de Emergência.
topic Clinical Decision-Making; Thinking; Organization and Administration; Emergency Nursing; Emergency Service, Hospital.
Tomada de Decisão Clínica; Pensamento; Organização e Administração; Enfermagem em Emergência; Serviço Hospitalar de Emergência.
description Objective: to understand the development of the clinical reasoning of nurses working in an emergency hospital service. Methods: qualitative research, with methodological reference of the Grounded Theory. Data collection took place through interviews, with a theoretical sample of 21 participants and analysis using substantive and theoretical coding. Results: the central category was identified as Knowing what to do, and four conceptual categories: 1) Uncovering the nurse’s duties in the emergency service; 2) Improving clinical reasoning through professional experience; 3) Providing care with quality and safety for the patient; and 4) Conquering professional recognition from the health team. Conclusion: the development of nurses’ clinical reasoning is a cumulative, experiential, and gradual process of knowing what to do in an emergency. It is based on the collaborative work with the health team and on the acquisition of technical-scientific knowledge to perform qualified assistance to patients.
publishDate 2019
dc.date.none.fl_str_mv 2019-05-16
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Pesquisa qualitativa com uso do referencial metodológico da Teoria Fundamentada nos Dados
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufc.br/rene/article/view/40249
10.15253/2175-6783.20192040249
url http://periodicos.ufc.br/rene/article/view/40249
identifier_str_mv 10.15253/2175-6783.20192040249
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://periodicos.ufc.br/rene/article/view/40249/pdf
http://periodicos.ufc.br/rene/article/view/40249/pdf_1
dc.rights.driver.fl_str_mv Copyright (c) 2019 Rev Rene
https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Rev Rene
https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Ceará
publisher.none.fl_str_mv Universidade Federal do Ceará
dc.source.none.fl_str_mv Rev Rene; Vol 20 (2019): Rev Rene; e40249
Rev Rene; v. 20 (2019): Rev Rene; e40249
2175-6783
1517-3852
reponame:Rev Rene (Online)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Rev Rene (Online)
collection Rev Rene (Online)
repository.name.fl_str_mv Rev Rene (Online) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv rene@ufc.br||
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