VALIDACIÓN DE LA PROPUESTA DE PERFIL DE COMPETENCIAS PARA LA FORMACIÓN DE ENFERMEROS

Cioffi, Andreia Correia de Souza; Ribeiro, Mara Regina Rosa; Ormonde Júnior, Juarez Coimbra

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Original Article • Texto contexto - enferm. 28 • 2019 • https://doi.org/10.1590/1980-265X-TCE-2017-0384 copiar

VALIDACIÓN DE LA PROPUESTA DE PERFIL DE COMPETENCIAS PARA LA FORMACIÓN DE ENFERMEROS

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

estimar la validez del contenido del perfil de competencias elaborado para la formación del enfermero generalista en las áreas de atención a la salud y administrativa y gerencial.

Método:

estudio descriptivo, con abordaje cuantitativo. La recolección de datos y validación ocurrió por medio de la técnica Delphi, de forma virtual, con envío de cuestionario por e-mail, entre abril y mayo de 2016, con la participación de 28 jueces especialistas del área profesional y 26 de la formación en enfermería insertados en todas las regiones del país. Para el cálculo del grado de concordancia entre las respuestas de los especialistas, firmado en al menos el 70% para el Índice de Validez de Contenido, y el test binominal para análisis dicotómico de la proporción de las respuestas de los especialistas.

Resultados:

considerando los 14 ítems del perfil del área cuidar, se obtuvo un grado de concordancia del contenido del 93% del área profesional y el 97% del área educativa. Los 18 elementos del perfil del área administrativa y gerencial fueron aprobados con grado de concordancia del contenido del 95% por el área profesional y el 99% por el área educación.

Conclusión:

el perfil de competencias validado en contenido podrá auxiliar cursos de graduación en enfermería del país y constituye una herramienta educativa segura, buscando la implementación de los Proyectos Pedagógicos de Curso.

DESCRIPTORES:
Competencia profesional; Enfermería; Educación en enfermería; Atención a la salud; Estudios de validación

Health Care Competences	CT^*+CP^†		%IVC^‡ (CI^§ 95%)^\|\|	p-value
	n=28	n=28	%IVC^‡ (CI^§ 95%)^\|\|	p-value
1. Being able to intervene in the health-disease process taking responsibility for the quality of nursing care / care in its different levels of health care, with prevention, promotion, protection and rehabilitation actions to the health, in the perspective of integral care in both individual and collective levels.	26		96 (82.5; 99.8)	0.003
		25	96 (82.5; 99.8)	0.003
1.1 Recognizes vulnerabilities and potential risks in individuals, and population groups considering their determinants.	27		96 (83.6; 99.8)	0.002
		26	100 (89.1; 100)	<0.00
1.2 Identifies health needs and problems (individual and collective) within a specific context of life and the health institution.	26		93 (78.3; 98.7)	0.008
		26	100 (89.1; 100)	<0.00
1.3 Applies instruments of evaluation and interpretation of health status.	25		89 (73.5; 97.2)	0.025
		26	100 (89.1; 100)	<0.00
1.4 Diagnoses needs and problems based on theoretical and methodological assumptions (theories, methods and techniques).	26		93 (78.3; 98.7)	0.008
		26	100 (89.1; 100)	<0.00
1.5 Recognizes health needs and problems in their various dimensions (sociocultural, psychoemotional, biological and environmental), considering their expressions and evolutionary phases.	25		89 (73.5; 97.2)	0.025
		26	100 (89.1; 100)	<0.00
1.6 Make decisions to deal with problem situations.	27		96 (83.6; 99.8)	0.002
		25	96 (82.5; 99.8)	0.003
1.7 Proposes alternative solutions based on scientific evidence, respecting the conditions of the individual and family and/or collectivity, their knowledge, culture, autonomy and vulnerability.	26		93 (78.3; 98.7)	0.008
		26	100 (89.1; 100)	<0.00
1.8 Responsible for the quality of care/nursing care at different levels of health care, from the perspective of integral care.	26		93 (78.3; 98.7)	0.008
		25	96 (82.5; 99.8)	0.003
1.9 Uses appropriate technologies to solve problems/needs.	25		89 (73.5; 97.2)	0.025
		26	100 (89.1; 100)	<0.00
1.10 Recognizes self as a member of the health team integrating nursing actions with multiprofessional actions.	28		100 (89.8; 100)	<0.00
		23	88 (71.7; 97.0)	0.039
1.11 Interprets the results of his intervention from indicators of change.	26		93 (78.3; 98.7)	0.008
		24	92 (76.8; 98.7)	0.013
1.12 Evaluates intervention processes based on methods and instruments of interpretation and intervention in health.	26		93 (78.3; 98.7)	0.008
		23	88 (71.7; 97.0)	0.039
1.13 Translates and disseminates the results of nursing work in language accessible to clients.	25		89 (73.5; 97.2)	0.025
		26	100 (89.1; 100)	<0.00

Administrative and Managerial Competences	CT^*+CP^†		%IVC^‡ (CI^§ 95%)^\|\|	p-value
	n=28	n=26	%IVC^‡ (CI^§ 95%)^\|\|	p-value
2. Be able to take initiatives, manage the workforce, physical and material resources and information technologies, and be able to be an entrepreneur, manager and leader of the health and nursing teams.	26		93 (78.3; 98.7)	0.008
		24	92 (76.8; 98.7)	0.013
2.1 Identifies the social policies and models of health care and their implications in the organization of the different areas and levels of care.	28		100 (89.8; 100)	<0.00
		26	100 (89.1; 100)	<0.00
2.2 Discern between the various forms of work organization and its scientific foundations.	27		96 (83.6; 99.8)	0.002
		26	100 (89.1; 100)	<0.00
2.3 Identifies partners for the establishment of cooperation networks, existing in the local reality, for problem solving.	26		93 (78.3; 98.7)	0.008
		26	100 (89.1; 100)	<0.00
2.4 Recognizes the constituent elements of the work process in health and nursing (subjective, technical-scientific, ethical-political and socio-educational).	26		93 (78.3; 98.7)	0.008
		26	100 (89.1; 100)	<0.00
2.5 Identifies the elements of institutional human and non-human resources policies and their determinants in the management of people, materials, equipment, costs/financial, environments, technologies, information, and health and nursing care.	25		89 (73.5; 97.2)	0.025
		26	100 (89.1; 100)	<0.00
2.6 Correlates the influence of the evolution of administrative thinking on the management practice of health and nursing services at different levels of care.	26		93 (78.3; 98.7)	0.008
		25	96 (82.5; 99.8)	0.003
2.7 Analyzes the physical and organizational structure of the health and nursing services, in view of the interventions to improve the work process.	27		96 (83.6; 99.8)	0.002
		26	100 (89.1; 100)	<0.00
2.8 Analyzes the weaknesses and potentialities (subjectivity/plans in conflict/informal leadership) for the administrative/managerial work process.	26		93 (78.3; 98.7)	0.008
		26	100 (89.1; 100)	<0.00
2.9 Recognizes self as an agent of social transformation and change that ensures individual and collective well-being.	28		100 (89.8; 100)	<0.00
		26	100 (89.1; 100)	<0.00
2.10 Recognized as leader and technical responsible for nursing team and member of a multiprofessional team.	27		96 (83.6; 99.8)	0.002
		26	100 (89.1; 100)	<0.00
2.11 Uses scientific, ethical and legal principles in decision making and interpersonal relationships in health and nursing services.	28		100 (89.8; 100)	<0.00
		26	100 (89.1; 100)	<0.00
2.12 Plans, on a shared basis, the resolution of management problems related to health and nursing care.	27		96 (83.6; 99.8)	0.002
		26	100 (89.1; 100)	<0.00
2.13 Implements actions articulated with the institution's human resources and permanent education policies.	27		96 (83.6; 99.8)	0.002
		25	96 (82.5; 99.8)	0.003
2.14 Manages nursing care in all health work processes.	27		96 (83.6; 99.8)	0.002
2.14 Manages nursing care in all health work processes.		25	96 (82.5; 99.8)	0.003
2.15 Accompany and supervise the nursing work process using measures to guarantee the quality of health care according to the rights of the citizen.	27		96 (83.6; 99.8)	0.002
		26	100 (89.1; 100)	<0.00
2.16 Employs evaluative methodologies that aggregate workers and the community served in a co-responsible manner for the improvement of health services.	25		89 (73.5; 97.2)	0.025
		26	100 (89.1; 100)	<0.00
2.17 Disseminates the evaluations carried out among the workers, the interested clientele and the scientific community.	25		89 (73.5; 97.2)	0.025
		26	100 (89.1; 100)	<0.00

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDENCE AUTHOR
Andreia Correia de Souza Cioffi: andreiacs_81@hotmail.com