Nursing training and their approximation to the assumptions of the National Curriculum Guidelines and Primary Health Care

Magnago, Carinne; Pierantoni, Celia Regina

doi:10.1590/1413-81232020251.28372019

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ARTICLE • Ciênc. saúde coletiva 25 (1) • Jan 2020 • https://doi.org/10.1590/1413-81232020251.28372019 linkcopy

Nursing training and their approximation to the assumptions of the National Curriculum Guidelines and Primary Health Care

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This article describes the characteristics of offer for job vacancies, curricular structure and competency profile of students from nursing undergraduate courses, seeking to identify elements that are in line with the assumptions of the National Curricular Guidelines (NCG) and of the nurses' work in primary health care. Applying a computer-assisted survey by telephone interviews with 94 course coordinators, it was verified: provision of job vacancies distant from the national needs; curricular structure focused on fragmented disciplines in the basic and vocational cycles, in disagreement with recommendations by the NCG; and competency profile potent for the development of actions of promotion, prevention, management and nursing techniques, which are predicted in the scope of general skills and abilities recommended for the exercise of the generalist professional nursing practice, according to the NCG, and compatible with the main demands of primary health care.

Key words
Higher Education; Nursing; Unified Health System; Curriculum; Primary Health Care

Location of courses	Private (n=70)	Public (n=24)	Total
Location of courses	Private (n=70)	Public (n=24)	N	%
Regions
North	5	0	5	5.3
Northeast	13	7	20	21.3
Southeast	38	3	41	43.6
South	8	10	18	19.1
Midwest	6	4	10	10.6
Population size (inhabitants)
Capital cities	28	6	34	36.2
More than 100,000 (non-capitals)	25	11	36	38.3
More than 50,000 to 100,000	12	5	17	18.1
More than 20,000 to 50,000	5	2	7	7.4

Scenario	n	%
Primary Care Units	94	100
General Hospitals	94	100
Adult Psychosocial Care Center (CAPS)	85	90.4
Specialized Hospitals	83	88.3
Family Health Support Center (NASF)	80	85.1
Nursing home institutions	80	85.1
Emergency Care Units (UPA)	77	81.9
Daycare and / or schools	67	71.3
Polyclinics / ambulatories / clinics	67	71.3
Institutions for people with disabilities	61	64.9
Companies	51	54.3
Therapeutic Residence	37	39.4
Others*	07	7.4

Verified competencies	x_w *
Health actions	2.73
Performs health promotion actions	2.98
Conducts health education groups	2.98
Performs anthropometric assessment	2.96
Works in a multidisciplinary team	2.94
Conducts childcare consultation	2.94
Performs low-risk prenatal care	2.93
Performs family planning	2.87
Performs risk classification consultation	2.86
Performs follow-up of psychiatric patients	2.67
Performs psychiatric urgency and emergency care	2.44
Performs high risk prenatal care	2.21
Conducts oral health guidelines	2.04
Management actions	2.86
Performs compulsory notification	2.93
Plans and performs vaccination campaigns	2.92
Manages Materials and Sterilization Center	2.87
Manages Cold Chain	2.80
Supervises other professionals	2.80
Attests death	1.30
Technical procedures	2.35
Inserts nasogastric tubes	2.96
Performs wound dressing	2.96
Administers medications	2.94
Administers vaccines	2.92
Inserts urethral catheters	2.90
Inserts nasoenteric tubes	2.88
Prescribes wound dressings	2.76
Removes sutures	2.72
Inserts superficial venous catheter	2.69
Performs arterial puncture	2.61
Performs immobilizations	2.49
Performs emergency vaginal delivery	2.01
Performs vaginal delivery	1.98
Performs abscess drainage	1.97
Inserts deep venous catheter	1.56
Performs tracheal intubation	1.45
Performs sutures	1.32
Performs local anesthesia	1.26
Diagnostic support procedures and prescriptions	2.33
Performs Pap smear	2.97
Interprets Pap smear result	2.88
Interprets tuberculin skin test (TST) result	2.79
Performs the Newborn Bloodspot Screening Test	2.78
Performs the tuberculin skin test (TST)	2.78
Performs electrocardiogram	2.77
Interprets laboratory tests	2.68
Interprets imaging exams	2.41
Interprets ECGs	2.40
Requests laboratory tests	2.28
Requests electrocardiogram	2.19
Communicates nosological diagnosis to patients	2.12
Treats nutritional deficiencies	2.11
Renews Medical Prescription	2.08
Requests imaging exams	2.07
Prescribes anthelmintic drugs	2.04
Prescribes drugs for cases of previously diagnosed chronic disease	2.03
Prescribes anti-inflammatory drugs	2.01
Prescribes antifungal drugs	1.99
Prescribes psychoactive medications	1.98
Prescribes medications for acute respiratory failure	1.95
Prescribes antibiotics	1.94

Pooling of respondents	Percentage of agreement (%)*
Pooling of respondents	Health actions	Management actions	Technical procedures	Diagnostic support and prescriptions
Administrative sphere
Public	29.3	54.2	46.2	46.2
Private	31.6	76.7	54.7	54.7
Regions
North	30.3#	100	53.1	57.3
Northeast	25.4	61.9	60.9	47.9
Southeast	31.8	74.8	54.4	53.5
South	33.6	69.0	53.4	61.5
Midwest	54.8	68.1	53.0	45.9
Total sample	30.3	65.4	70.5	51.8

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Laboratories, health surveillance centers, rehabilitation centers, Mobile Emergency Care Service (SAMU), home care and public spaces for the development of social actions.

[2] Source: Data from the research.