Acessibilidade / Reportar erro

Nurses in post-operative heart surgery: professional competencies and organization strategies* * Extracted from the dissertation "O enfermeiro no pós-operatório de cirurgia cardíaca: competências profissionais e estratégias da organização", Programa de Pós-Graduação Enfermagem Fundamental, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, 2015

El enfermero en el posoperatorio de cirugía cardiaca: competencias profesionales y estrategias de la organización

Abstract

OBJECTIVE

To analyze nurses' competencies with regard to their work in post-operative heart surgery and the strategies implemented to mobilize these competencies.

METHOD

This was an exploratory study with a qualitative approach and a methodological design of collective case study. It was carried out in three post-operative heart surgery units, consisting of 18 nurses. Direct observation and semi-structured interviews were employed to collect data. Data were construed through thematic analysis.

RESULTS

nine competencies were found, as follows: theoretical-practical knowledge; high-complexity nursing care; nursing supervision; leadership in nursing; decision making; conflict management; personnel management; material and financial resources management; and on-job continued education. Organizational and individual strategies were employed to develop and improve competencies such as regular offerings of courses and lectures, in addition to the individual pursuit for knowledge and improvement.

CONCLUSION

the study is expected to lead future nurses and training centers to evaluate the need for furthur training required to work in cardiac units, and also the need for implementing programs aimed at developing the competencies of these professionals.

Descriptors:
Nursing; Professional Competence; Thoracic Surgery; Postoperative Period; Strategies

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br