Date post: | 26-Dec-2015 |
Category: |
Documents |
Upload: | stewart-murphy |
View: | 214 times |
Download: | 1 times |
Basic nursing education and its importance in surgery
quality
Ruth Natalia Teresa TurriniAssociate ProfessorNursing School – São Paulo UniversityE-mail:[email protected]
Factors that influence education policies on health
Differences regarding Geography of the country Socioeconomic and cultural factors Accessibility to health care services Demands for health care
Health policies
nursing education-related laws and regulations
“generalist nurse”
different interpretations – “primary health care”
Nursing Programs (bachelor degree)
Study developed in 2011
Objective: to identify how the contents of perioperative nursing is taught in
nursing programs in Brazil.
Data collection: questionnaire sent by e-mail to the coordinators of the
nursing programs
Total nº of nursing programs registered in the Ministery of Education: 841
Total number of completed questionnaires: 159
Around 20% in each region, except the Northeast (10%)
Frequency
Region N % % acum
Southeast 377 44,9 44,9
North 191 22,7 67,6
South 129 15,3 82,9
Midwest 87 10,3 93,2
North 57 6,8 100,0
Total 841 100,0
Frequency of nursing programs according to the region. Brazil, 2011.
State of Amazon and cities with a bachelor's degree in Nursing. Brazil, 2011.
Capital: Manaus (158,1 hab/km2 - 9 programs)Nº cities: 62
Nº cities with nursing programs: 2 (3,2%) Population: 3.483.985 Territorial extension: 1.559.161,68km2 (2,2hab/km2)
State of São Paulo and cities with a bachelor's degree in Nursing. Brazil, 2011.
Capital: São Paulo (7.387,69 hab/km2 - 49 programs)
Nº cities: 645
Nº cities with nursing programs: 78 (12,1%)
Population: 41.262.199 Territorial extension: 248.196,96km2 (166,25 hab/km2)
147 (92,6%) answers
average 94,7h (SD80h)
median 80h ( range 5 to 330h)
interquartile range 60h
Figure - Distribution of perioperative nursing course load. Brazil, 2011
Nursing Programs (bachelor degree)
Perioperative nursing course loads
133 (83,6%) answers mean 56,1h (SD29,9h) median 45h (range 0 to 200h) interquartile range 60h
Theoretical course load
134 (84,3%) answers mean 42,3h (SD33,2) median de 34,5h (0 – 198)Interquartile range 40h
Practical course load
How are delivered the contents ?
107 (67,3%) have a course of Perioperative Nursing 52 (32,7%) – perioperative nursing contents are inserted into the
Surgical Nursing course or other ones 16 (10,1%) deliver only theoretical contents
Some respondents mentioned the local of the practical learning: 12 (9,4%) - hospitals 25(18,5%) - central material supply 12 (8,9%) - surgical unit and operating room 6 (4,4%) – ambulatory operating room 1 (0,7%) – just post anesthesia recovery room
Contents frequently delivered
Physical infrastructure of the operating room and human resources Perioperative nursing process Admission and discharge of patients Surgical scrub Circulation room Post anesthesia recovery Material supply processing and sterilization Prevention and control of infection in surgical site
Patient safety
• prevention of adverse events
• prevention of complications
Quality of care
Specialization programs
20 baccalaureate colleges deliver specialization programs 11 (55,5%) are located in Southeast, 4 (20,0%) Northeast, 3 (15,0%) North and
two (10,0%) South. Frequently delivered at colleges with a perioperative nursing course (n=14; 70,0%) 12 (60,0%) are private schools 2 colleges (states of Bahia and Santa Catarina) did not get enough registers to offer
the specialization program
99 (63,9%) - have professors with specialization program in Perioperative
Nursing
53 (33,5%) - do not have professors with specialization program in
Perioperative Nursing
39 (73,6%) worked in surgical settings
2 (3,8%) were surgical instrument technicians
Professors of the baccalaureate programs
Graduation programs Spontaneous mentioning, so the number can be higher
19 (12,0%) – master degree and 18 (11,4%) doctorate degree.
Professors with master degree (n=13; 8,1% nursing programs)
11 (57,9%) – worked in private schools
15 (78,9%) – tought in nursing programs with perioperative nursing
courses
10 (52,5%) colleges of Southeast, 6 (5,3%) Northeast, 2 (10,5%) South
and 1 (7,7%) Midwest
Professors with doctorate degree (n=7; 4,4% nursing programs)
10 (55,5%) – worked in private schools
15 (83,3%) – tought in nursing programs with perioperative nursing
courses
11 (61,1%) colleges of Southeast, 6 (33,3%) Midwest e um (5,6%)
South.
Nursing technicians and bachelor education
Portal do SISEP
Many, many... Programs
Programs and schools are not evaluated/monitored
Programs do not have basic uniform contents
Registration at the Ministry of Education
Not updated
Incomplete information of some programs
The form for technicians schools does not have items for important
information, as positions.
Weaknesses? Strengths? Challenges?
Schools of nursing technician education
City of São Paulo 115 schools registered
294 programs registered
103 schools registered without specifying the vocational program
offered
There are programs offered in Baccalaureate schools
Hospitals
Private schools.
Improving nursing programs... Knowledge and skills in leadership, quality improvement, and patient safety
are necessary to provide high quality health care Professional nursing practice is grounded in the translation of current evidence
into practice Knowledge and skills in information management and patient care technology
are critical in the delivery of quality patient care Communication and collaboration among surgical team are critical to
delivering high quality and safe patient care Engage in case study discussions/dialogue with a variety of healthcare and
other professionals Engage in interprofessional and intraprofessional care in simulation labs. Develop interprofessional community projects
American Association of Colleges of Nursing, 2009
Behind the technology .....
Person “Human being”
Knowledge
Skills/abilities
Shared responsability
Rhytm
Synchrony
THANK YOU FOR THE ATTENTION