Clinical competences of nursing assistants: a strategy for people management

an exploratory study of a qualitative approach, performed at a private hospital in southern Brazil, through a semi-structured interview, in May and June 2013 with 20 nursing assistants.

Results:

the nursing assistantswho worked longer in the same work unit had a higher list of clinical competences. The acquisition of clinical competences occurred through interaction with other professionals; in daily nursing practice; in previous experiences and in formal learning.

Final considerations:

the identification of clinical competences and the way nursing assistants acquire these competences can be important resources for managing people, which can be used by nurse managers to better allocate these professionals and provide th e opportunity for their professional development.

Key words:
Clinical Competence; Nursing; Human Resource Management in Health; Professional Practice; Staff Development

Time of work in Nursing	Nurse	Number of reports	Clinical competences	Current unit of work
From 6 month to 1 year	A	1	^* Note: * Clinical competences not identified	Maternity, Pediatric, Clinical Unit b
	G	2	^* Note: * Clinical competences not identified	Maternity, Pediatric, Clinical Unit b
	I	2	- To help the patient integrate the disease implications and recovery in his lifestyle.	Surgical Unit
	S	1	^* Note: * Clinical competences not identified	ICU
From 1 to 2 years	C	2	- To provide a support system to ensure a secure medical and nursing care.	ICU
	O	2	- To provide a support system to ensure a secure medical and nursing care.	Maternity, Pediatric, Clinical Unit b
	P	1	-Detection and documentation of significant changes in the condition of a patient.	NICU
	T	2	-Detection and documentation of significant changes in the condition of a patient. -To providing an interpretation of the patient's condition and treatment reasons.	EME
	D	2	-Qualify performance in an emergency with lifethreatening: quick understanding of a problem.	NICU
From 2 to 3 years	K	1	-To identify the crisis of a patient until medical assistance is available.	NICU
From 2 to 3 years	R	2	- To help the patient integrate the disease implications and recovery in his lifestyle. - To get appropriate answers and in due time of doctors.	Clinical Unit a Surgical Unit
From 3 to 4 years	E	2	-Qualify performance in emergency with lifethreatening: quick understanding of a problem.	(OCE)
	L	2	-To identify the crisis of a patient until medical assistance is available.	ICU
	J	2	- Detection and documentation of significant changes in the condition of a patient - To evaluate what can be safely omitted or added to the prescriptions.	Maternity, Pediatric, Clinical Unit b
From 5 to 6 years	Q	2	-Detection and documentation of significant changes in the condition of a patient. -To providing an interpretation of the patient's condition and treatment reasons.	EME
From 6 to 7 years	F	2	-To identify the crisis of a patient until medical assistance is available.	Nurse substitute
	H	2	- Detection and documentation of significant changes in the condition of a patient.	Surgical Unit
	M	2	^* Note: * Clinical competences not identified	Clinical Unit a
From 7 to 8 years	N	2	-To identify the crisis of a patient until medical assistance is available.	ICU
Over 10 years	B	2	^* Note: * Clinical competences not identified	ICU

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR: Gisele Knop Aued. E-mail:giseleknop8@bol.com.br