Child health nursing consultation and competencies for Advanced Practice Nurses.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-05-27 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0269en
Keila Gisele Lima Reis, Nayara Vilela de Farias Serranegra, Andrea Liliana Vesga Varela, Patricia Aline de Almeida, Marilia Orlandelli Carrer, Carla Pereira Barreto, Jessica Kelly Ramos Cordeiro, Claudia Santos Martiniano, Manoel Vieira de Miranda Neto, Daiana Bonfim
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Abstract

Objective: To analyze nurses' practice in child health nursing consultations and the presence of care management competencies proposed for Advanced Practice Nurses (APN).

Method: Multicenter, exploratory sequential mixed methods research, carried out in 17 Basic Health Units in four Brazilian cities. Collection was carried out from May to July 2022 through filming of consultation and analysis of medical records. Consultations with compliance with the Nursing Process ≥50% were analyzed to identify the competencies proposed for APN.

Results: 24 child consultations carried out by 12 nurses were filmed. In the quantitative analysis, 11 nursing consultations, carried out by seven nurses, achieved ≥50% Nursing Process compliance. In the qualitative analysis of these consultations, some APN competencies in care management were identified, but incomplete.

Conclusion: child health nursing consultations present weaknesses in carrying out the Nursing Process, and nurses demonstrated a partial and superficial application of the care management competencies proposed for APN.

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儿童健康护理咨询和高级执业护士的能力。
摘要分析护士在儿童健康护理咨询中的做法,以及是否具备为高级执业护士(APN)建议的护理管理能力:在巴西四个城市的 17 个基层医疗单位开展多中心、探索性顺序混合方法研究。2022 年 5 月至 7 月,通过拍摄咨询过程和分析医疗记录收集资料。对符合护理程序≥50%的咨询进行了分析,以确定为全科护士提出的能力要求。结果:拍摄了由 12 名护士进行的 24 次儿童咨询。在定量分析中,7 名护士进行的 11 次护理咨询符合护理程序的比例≥50%。结论:儿童保健护理咨询在执行护理程序方面存在不足,护士对 APN 提出的护理管理能力的应用部分肤浅。
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