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Professional practice models used by nurses in Portuguese hospitals

Modelos de ejercicio profesional aplicados por los enfermeros en hospitales portugueses

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.

Descriptors:
Nursing; Nursing Models; Professional Practice; Nursing Care; Hospitals

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