Tele-education and competencies assessment to Brazilian's auxiliary nurse.

This paper presents Brazilian's experience with the organization of methods and strategies for the assessment of competencies for technical level of nursing workers. The evaluative process proposed includes the creation of a learning-oriented and distance-based virtual assessment environment. The proposed methodology for professional competencies assessment adopted a critical-emancipatory perspective. A tele-education environment was deployed, involving software development--a virtual man--and an assessment cybertutor. Learning modules for the cybertutor were developed and videos of clinical simulations, structured around assessment in cognitive, behavioral, and simulation areas. The evaluation modules considered aspects of competencies in know-know, know-how and know-act professional ethics. Also the variability of practices of nursing--hospitals and primary health care units--was considered. This instrument showed as an important strategy for the optimization of assessment procedures that are widely used across Brazil and it is a powerful tool for incorporation into the continuing professional education.

Tele-education and competencies assessment to Brazilian's auxiliary nurse / A Tele-educação e a avaliação de competências profissionais da auxiliar de enfermagem no Brasil

This paper presents Brazilian's experience with the organization of methods and strategies for the assessment of competencies for technical level of nursing workers. The evaluative process proposed includes the creation of a learning-oriented and distance-based virtual assessment environment. The proposed methodology for professional competencies assessment adopted a critical-emancipatory perspective. A tele-education environment was deployed, involving software development - a virtual man - and an assessment cybertutor. Learning modules for the cybertutor were developed and videos of clinical simulations, structured around assessment in cognitive, behavioral, and simulation areas. The evaluation modules considered aspects of competencies in know-know, know-how and know-act professional ethics. Also the variability of practices of nursing - hospitals and primary health care units - was considered. This instrument showed as an important strategy for the optimization of assessment procedures that are widely used across Brazil and it is a powerful tool for incorporation into the continuing professional education.

Este trabalho apresenta a experiência brasileira na organização de metodologias e estratégias de avaliação de competências profissionais do auxiliar de enfermagem. O processo avaliativo proposto pelo Ministério da Saúde inclui, além de outras etapas, a criação do ambiente virtual de avaliação, que tem como premissa a avaliação formativa e à distância. Dentro da proposta metodológica de avaliação de competências profissionais na perspectiva crítico-emancipatória, foi desenvolvido um ambiente de tele-educação, com a criação de softwares, do homem virtual e do cybertutor de avaliação. Os módulos de avaliação consideraram as competências nas dimensões do saber-saber, saber-fazer e saber-ser, baseado em perfil profissional das praticas hospitalares e de unidades básicas de saúde. O instrumento mostrou ser uma importante estratégia de otimização dos procedimentos de avaliação para uso em larga escala no Brasil, além de um instrumento importante para educação permanente.

Presenta-se la experiencia brasileña en la organización de metodología y estrategias de evaluación de las competencias profesionales de los afiliares de enfermería. El proceso evaluativo propuesto por el Ministerio de la Salud incluí la creación del ambiente virtual que tiene como premisa la evaluación formativa y à la distancia. Dentro de la propuesta metodológica de evaluación de las competencias profesionales en la perspectiva critico-emancipatória, fue desarrollado un ambiente de tele-educación, con la creación de software, del hombre virtual y del cybertutor de la evaluación. Los módulos de evaluación consideraran las competencias en las dimensiones del saber-saber, sa-ber-hacer y saber-ser, con bases en perfil de los profesionales de los hospitales y de unidades de salud. El instrumento mostró ser una importante estrategia de optimización de los procedimientos de eva-luación para uso en larga escala en Brasil, además de se mostrar un potente medio de educación permanente.

O saber-ser ético-profissional da enfermagem: um olhar sobre a formação de nível técnico / The ethical-professional know-how-to-be of nursing professionals: an overview on the technical formation

Visando a garantia da oferta de atenção integral e de qualidade à saúde da população brasileira, a enfermagem tem se articulado em ações coletivas para construir novas práticas de saúde e de formação de profissionais. Busca-se uma formação calcada em competências crítico-emancipatórias, assegurando que os princípios e as estratégias do SUS sejam norteadores fundamentais dessa construção. A realidade da formação tem sido a ênfase no saber-saber e no saber-fazer em detrimento, muitas vezes, do saber-ser. Este estudo partiu do pressuposto de que o desenvolvimento da dimensão do saber-ser ético-profissional na formação contribui para uma prática profissional vinculada a valores ético-políticos e de justiça social. Assim, buscou-se investigar como a formação da dimensão do saber-ser ético-profissional do técnico em enfermagem é desenvolvida na escola. Trata-se de uma pesquisa de abordagem etnográfica, na perspectiva teórica do materialismo histórico e dialético que reconhece os processos educacionais como parte integrante de formações sociais historicamente determinadas. Os dados foram coletados a partir da observação direta do cotidiano de uma escola técnica de saúde, dos seus documentos e de entrevistas com o corpo técnico. Os resultados explicitaram as concepções que as docentes têm sobre o saber-ser ético-profissional e como elas foram aplicadas na construção dos processos formativos, tanto no que se refere ao currículo como na prática docente. O principal dado é de quenão há um processo educativo sistematizado sobre a dimensão do saber-ser ético-profissional, tampouco o currículo explicita os conteúdos em valores e atitudes. Concluiu-se que a dimensão do saber-ser ético-profissional, apesar de sempre presente na prática profissional, nem sempre é abordada nos processos de formação tradicionalmente baseados na racionalidade científica. Isto se dá tanto pela herança ) de uma formação tradicional, como pela falta de clareza do que significa e como deve ser feita a formação dessa dimensão.

In order to guarantee integral attention and quality to the health care of the Brazilian population, nursing professionals have been working on collective actions with a view to implementing new health care practices and formation of new professionals in this area. The objective is the achievement of a formation which is based on critical-emancipating competencies and make it sure that its construction is essentially oriented and based upon SUS principles and strategies. The reality of the formation of professionals in the field of nursing has always been focused on the know-how-to-know and the know-how-to-do to the detriment of the know-how-to-be. This study is based on the presupposition that the development of a ethical-professional know-how-to-be dimension of the nursing formation contributes to a professional practice that leads to ethical-political and social justice values. Therefore, investigation was focused on how the ethical-professional know-how-to-be dimension is developed in the nursing technical course. This is an ethnographic-approach-based research which theoretical perspective tends to the dialectic and historic materialism, in which educational processes are understood as integrating parts of social historically determined formations. Data were collected based on direct observation of a technical health care school daily routine, as well as from the school documents and by interviewing the school technical body.Results have shown how the school teaching body sees the ethical-professional know-how-to-be and how it was applied in the implementation of the formative processes, either to the school curriculum and to the school teaching body practice. The main data is that there is no educational systematized process on the dimension of the ethical-professional know-how-to-be in the school, and also the curriculum does not detail its content as to values and attitudes. It is then concluded that this dimension, despite being often present in the professional practice, is not always approached in the processes of formation which are traditionally based on the scientific rationality. This happens either on account of a traditional formation heritage, as well as on account of a lack of a clear understanding of this dimension and how the formation of such dimension should be brought about.