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

• Menegon, Fernando Henrique Antunes ^[1] ; Santos, José Luís Guedes dos ^[1] ; Gonçalves, Natália ^[1] ; Kahl, Carolina ^[1] ; Barreto, Mayckel da Silva ; Gelbcke, Francine Lima ^[1]
  1. [1] Universidade Federal de Santa Catarina

     Universidade Federal de Santa Catarina

     Brasil

     
• Localización: Rev Rene, ISSN-e 2175-6783, Vol. 20, Nº. 1, 2019
• Idioma: inglés
• DOI: 10.15253/2175-6783.20192040249
• Títulos paralelos:
  • Desenvolvimento do raciocínio clínico de enfermeiros de um serviço hospitalar de emergência
• Enlaces
  • Texto completo (pdf)
• Resumen
  • English

    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.

  • português

    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. 

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