Characterization of didactic and pedagogical training in Brazilian stricto sensu Postgraduate Programs in Nursing.

OBJECTIVE: To characterize the didactic and pedagogical training offered in Brazilian stricto sensu Postgraduate Programs in Nursing. METHOD: Descriptive, documentary research, based on data from 30 postgraduate programs that offer an academic master's degree and a PhD degree. We collected the course projects and teaching plans of the disciplines related to didactic and pedagogical training, accessed through the Sucupira Platform or the institutional website. The variables were analyzed by descriptive statistics, through calculations of relative and absolute frequency. RESULTS: Regarding the lines of research of the programs, it was evidenced that 17.4% (n=20) were related to didactic and pedagogical training, 9.4% (n=3) followed this approach and, regarding compulsory didactic and pedagogical disciplines, it was observed that they were expressed differently in the curricula of masters and PhD courses, since part of the masters courses (56.6%, n=17) and of the PhD courses (76.6%, n=23) did not have this requirement. CONCLUSION: There should be a Brazilian guideline to promote the didactic and pedagogical training of university professors.

Strengths and weaknesses of the nursing certificate program at the Instituto Federal de Santa Catarina (Federal Institute of Santa Catarina). / Fortalezas e fragilidades do curso técnico de enfermagem no Instituto Federal de Santa Catarina.

OBJECTIVE: To analyze the strengths and weaknesses found in the implementation process of the Nursing Certificate Program at the Instituto Federal de Santa Catarina (Federal Institute of Santa Catarina), in the 2000s. METHOD: Socio-historical research with a qualitative approach. Oral history as a method source for data collection between June/September 2015, with thematic analysis. Seven professionals participated in the study, resulting in three categories: Recognition of the Nursing Certificate Program in the community and work market; Weaknesses faced by the course; Strengths during the implementation of the course. RESULTS: The course was accepted by the labor market, resulting in an increased demand. As weaknesses: insufficient materials and structure, few teachers, course is offered every two years and no understanding of the stages by the institution. As strengths: commitment of teachers, management support and incentives to perform research. FINAL CONSIDERATIONS: Despite the weaknesses, the strengths contributed to the implementation of the Nursing Certificate Program overcoming challenges, ensuring improvement in vocational training.

Indications of comprehensiveness in the pedagogical relationship: a design to be constructed in nursing education. / Indicativos da integralidade na relação pedagógica: um design a ser construído na formação do enfermeiro.

OBJECTIVE: To analyze how the indications of comprehensiveness translate into the teaching-learning process in a nursing undergraduate course. METHOD: Qualitative case study carried out with professors of a Nursing Undergraduate Course. Data collection occurred through documentary analysis, non-participant observation and individual interviews. Data analysis was guided from an analytical matrix following the steps of the operative proposal. RESULTS: Eight professors participated in the study. Some indications of comprehensiveness such as dialogue, listening, mutual respect, bonding and welcoming are present in the daily life of some professors. The indications of comprehensiveness are applied by some professors in the pedagogical relationship. The results refer to the Comprehensiveness of teaching-learning in a single and double loop model, and in this the professor and the student assume an open posture for new possibilities in the teaching-learning process. CONCLUSION: Comprehensiveness, as it is recognized as a pedagogical principle, allows the disruption of a professor-centered teaching and advances in collective learning, enabling the professor and student to create their own design anchored in a reflective process about their practices and the reality found in the health services.

The influence of capitalism on the production of knowledge in nursing. / Influências capitalistas na produção do conhecimento em enfermagem.

OBJECTIVE: To understand the capitalist influence over the production of nursing knowledge according to Brazilian and Portuguese researchers. METHOD: Descriptive, exploratory, and qualitative research, with 17 research nurses selected using the snowball technique. Data were collected from October 2011 to November 2012 in Brazil and Portugal, by means of semi-structured interviews. We analysed the content of the interviews and produced inferences based in the theoretical assumptions of Gaston Bachelard and the notion of an epistemological obstacle. RESULTS: The results were organised into three categories: Blocks to creativity/innovation and the practice of repetition; Overestimation of the quantitative; and Resistance to rupture. CONCLUSION: It is necessary to create new ways of assessing scientific literature from a qualitative perspective that allows room for creativity, professional development, and critical and reflective thinking. Solidarity is perceived as an alternative to overcoming the problems caused by the capitalist way of producing knowledge.

Comparison between the working environment of nurse managers and nursing assistants in the hospital context.

Objective Comparing the working environment of nurse managers and nursing assistants in the hospital context. Method A mixed methods research with concomitant triangulation of data developed in a university hospital in the South of Brazil. Participants in the quantitative study were 94 nursing assistants and 12 nurse managers. The data were collected using the Brazilian Nursing Work Index - Revised (B-NWI-R) and analyzed through descriptive and inferential statistics. Eight (8) nurse managers and 18 nursing assistants were interviewed for the qualitative study. The data were analyzed through thematic analysis. Results The total B-NWI-R mean score for nurse managers was 2.15±0.39, and for nursing assistants it was 2.22±0.39. No statistical significance was identified in the comparison between the groups (p=0.508). The qualitative results show the existence of collaborative relationships between nurse managers and nursing assistants. Conclusion The working environment was similarly evaluated by nurse managers and nursing assistants in the hospital context.

[Conflict management: challenges experienced by nurse-leaders in the hospital environment]. / Gerenciamento de conflitos: desafios vivenciados pelos enfermeiros-líderes no ambiente hospitalar.

This study aimed to understand the main conflicts experienced by nurses-leaders in the hospital environment, as well as the strategies adopted to face them.The study reflects a qualitative descriptive type approach, which was used in the case study as research strategy. The study included 25 nurses who worked in three hospitals in the city of Florianopolis, Santa Catarina. Information where obtained in the months of May to December of 2010 through semi-structured interviews, non-participant observation and dialogical workshops. Data were analyzed using the Thematic Analysis. The results demonstrated the predominant of interpersonal conflicts involving the multidisciplinary team, nurses and the nursing staff Adopting a participatory leadership, based on dialogue emerges as a strategy for coping with conflicts in the hospital environment.

Nursing leadership strategies in addressing COVID-19 in light of John Kotter's framework.

OBJECTIVE: To analyze the leadership strategies of nurses in university hospitals in response to care management changes during the COVID-19 pandemic, informed by John Kotter's insights. METHODS: This multicentric study utilized qualitative and analytical methods. It was conducted through semi-structured interviews with 139 lead nurses from 10 university hospitals in Brazil. Data analysis included Bardin's content analysis and the webQDA software. RESULTS: The primary category identified was "Nursing Leadership Strategies in the Battle Against COVID-19," encompassing five subcategories. This category underscored the importance of strategic vision in nursing leadership for combating COVID-19 within hospital settings, as well as the necessity of working collaboratively with their teams and other healthcare professionals. FINAL CONSIDERATIONS: The results highlight the strategies used by lead nurses in confronting COVID-19, which can be associated with John Kotter's theoretical framework and his model of change.

Nurses' perceptions of leadership in Brazilian hospitals during COVID-19 through Kotter's conception.

OBJECTIVE: to understand nurses' leadership perceptions during the COVID-19 pandemic in Brazilian university hospitals, through the lens of John Kotter's concepts and his eight-step change model. METHOD: a multicenter qualitative research with an analytical design. The sample comprised 139 nurses working in COVID-19 settings, interviewed using a semi-structured interview guide. Data were categorized through Bardin's content analysis based on John Kotter's concepts and his eight-step change model. RESULTS: the findings yielded significant insights into nurses' perceptions of leadership during the COVID-19 response, which exhibited characteristics consistent with Kotter's principles. There is evidence of leadership based on the pursuit of knowledge, grounded in polished communication, facilitating teamwork through a relationship of trust and respect. The recognition of the complexity and difficulty of exercising nursing leadership, particularly in crisis contexts, is apparent. CONCLUSION: nurses' perceptions reinforce essential elements for leadership practice, such as the importance of seeking diverse knowledge, polished communication, relationships based on trust and respect, and recognition of the complexity of leadership, thus presenting characteristics in line with Kotter's principles. HIGHLIGHTS: (1) Nurses' perceptions of leadership during COVID-19 were highlighted. (2) COVID-19 intensified the complexity in nurses' leadership roles. (3) Nurses' leadership was consolidated in knowledge, communication, trust. (4) Working in the COVID-19 response as a nurse-leader has become challenging. (5) Kotter's principles assist in reflections on nurses' leadership.

[Production of knowledge about the training of nurses in Latin America]. / Produção do conhecimento acerca da formação do enfermeiro na América Latina.

An integrative literature review with a qualitative approach aimed at understanding the landscape of scientific production in Nursing Education in Latin America, made to understand how it is being conducted the training of future nurses. Data collection was done in the database Latin American and Caribbean Health Sciences, between 2005 and August 2012. The descriptors used were: Higher Education, Curriculum, Teaching, all of them associated with the main descriptor: Nursing Education. We included 82 studies to research this topic. From the complete reading of the studies yielded the following categories: "Curriculum", "Teacher", "Teaching-Learning Process", "Students" and "Evaluation". The results identified the authors concern in nursing education with issues of critical care actions integral to the community. We must move forward in relation to the adoption of theoretical emancipation that needs to be incorporated and discussed forming between instances of the nurse.

[The scientific production regarding leadership in the context of nursing]. / Produção científica sobre liderança no contexto da enfermagem.

The objective of this study is to identify the scientific production in the context of nursing produced in the last decade (1999-2008). This literature review was performed using the LILACS database and included studies published as articles, theses, dissertations, editorials and presentations in events. Studies were written in Portuguese, English, or Spanish with the electronic full-text version available. A form was developed to register the data regarding the production, which included: reference, source of the manuscript, year, category, objective, methodology and theoretical framework. A total of 57 publications were found; most were original, descriptive articles performed in the hospital environment, and very few studies were founded on the Leadership Theory. It is necessary to adopt leadership development programs and permanent education projects within health services, with the purpose of preparing nurses to work as leaders.

[Nursing education research groups in Brazil]. / Grupos de Pesquisa de Educação em Enfermagem do Brasil.

The aim of this study is to characterize the organization of nursing education research groups in Brazil. This is a quantitative, descriptive and documentary study. Census data for 2006 were collected from the CNPq database website. Brazil has 47 education research groups, comprised of 412 researchers, of whom 91% have masters, doctoral or postdoctoral degrees. There are 307 students, of whom 92% are nursing undergraduates. However, only 9% are recipients of young investigator grants. There are also 112 technicians, of whom 75% are nursing professionals; 46% have a masters or doctoral degree. In Brazil, there are a considerable number of nursing education research groups, which contribute significantly to scientific production of nursing knowledge in Latin America. In this scenario, there are many challenges to be overcome: poor interdisciplinary cooperation; limited integration between education and practice; low number of grants awarded to young investigators and significant inequalities between the country's geographic regions in terms of access to research development.

Supervised Internship: attributions and limitations from the perspective of nursing supervisors, faculty advisor and managers.

OBJECTIVES: to describe the attributions and limitations in internship nursing supervisors', faculty advisors' and managers' work in the process of carrying out Supervised Internship in nursing education. METHODS: a qualitative exploratory-descriptive research. Interviews were conducted between February and July 2018 with 26 participants: four managers, nine faculty advisors, six primary care nursing supervisors and seven hospital care nursing supervisors. Data analysis was performed using the Content Analysis technique. RESULTS: among the main attributions are participation in the organization of the field, mediation between educational and health institutions, presentation of the world of work; as limitations are the high number of institutions in the field, work overload, lack of commitment or lack of didactic preparation towards student education. FINAL CONSIDERATIONS: we evidenced the need to (re)define and clarify everyone's roles and (re)think the integration strategies for monitoring students.

[Scientific research in nursing education: Rio de Janeiro and Minas Gerais research groups]. / Produção científica em educação em enfermagem: grupos de pesquisa Rio de Janeiro e Minas Gerais.

This study aims to characterize the scientific production of the Research Groups in Nursing Education (RGNE) of the states of Rio de Janeiro and Minas Gerais, in Brazil. This is a documentary quantitative descriptive retrospective research, conducted by searching the CVs of all researchers who are part of the RGNEs in the Lattes database, followed by the search, organization, and evaluation of their scientific production according to Qualis/CAPES. The period studied was from 1995 to 2009 (the last five CAPES triennia) and included articles, books, book chapters, and full papers in conference proceedings. Results show that Rio de Janeiro has the higher number of articles in Nursing Education, highlighting the qualification of researchers at doctorate level. Both states present historic and socio-economic factors that favor scientific development.

Training of advanced practice nurses in oncology for the best care: a systematic review.

OBJECTIVE: To search for evidence on the training of advanced practice nurses, through clinical practice and nursing care with cancer patients. METHOD: Systematic review, searching the databases: MEDLINE-PubMed, LILACS, Web of Science, Scopus, CINAHL and Cochrane CENTRAL. A manual search of the reference list and Google Scholar was also carried out. To assess the methodological quality of the studies, the following tools were used: Cochrane Collaboration Risk of Bias Tool (RoB 1) for randomized controlled trials and Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) for quasi-experimental studies. RESULTS: A total of 12 experimental studies were identified. The main intervention identified in the studies was educational guidance. The studies showed improvement in pain control or other symptoms related to disease and/or treatment, satisfaction and improvement in the quality of life of cancer patients. CONCLUSION: It is observed that there are studies that demonstrate the value of advanced practice nursing in oncology, through differentiated clinical training and advanced professional performance. Registration number of the systematic review: CRD42018098906.

Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review.

OBJECTIVE: to evidence the clinical outcomes of navigation performed by nurses in cancer patients. METHODS: this is an integrative literature review with collection in MEDLINE via PUBMED, LILACS, Web of Science, Scopus, and CINAHL databases. The final sample consisted of seven studies. The data were analyzed and presented descriptively. Data related to clinical outcomes were compiled and described in full. The Agency for Healthcare Research and Quality categorization was used to assess the level of evidence. RESULTS: the clinical outcomes demonstrated were decreased distress, anxiety and depression, improved control and management of symptoms, improved physical conditioning, improved quality and continuity of care, improved quality of life, reduced time to start treatment. FINAL CONSIDERATIONS: there is research that shows better clinical outcomes in cancer patients through navigation by nurses across the continuum of health care.

Theoretical-practical articulation of the continuous learning of leadership in Nursing in light of Peter Senge.

OBJECTIVE: To analyze the theoretical-practical articulation of the continuous learning of leadership in undergraduate Nursing. METHODS: Case study carried out at a Northeast federal public university. For data collection, semi-structured interview techniques, workshops, and document analysis were applied. Forty Nursing students participated in the interviews, and 26 in the workshops. The data were submitted to Minayo's operative analysis using the Nvivo software. Peter Senge's concepts were adopted. RESULTS: The students demonstrated a greater understanding of the theme throughout the course and recognized contributing elements to the continuous learning of leadership, such as behavioral characteristics and the use of methodological approaches integrated with theoretical and practical spaces. FINAL CONSIDERATIONS: The teaching of leadership is relevant in Nursing education, and this has been recognized by students, but still requires changes for it to become operational, with an improvement and a theoretical-practical integration of the cultivated experiences, suitable to the reality of the craft.

Teaching community of practice: permanent training strategy for teaching vocational training in nursing.

OBJECTIVE: To identify possibilities for developing teaching community of practice as a permanent training strategy for teaching in vocational nursing education. METHOD: This is a qualitative action research, carried out with vocational training professors and pedagogical coordination of a Unified Health System Vocational School of Ceará. Data were collected by focus groups and submitted to Bardin's content analysis, supported by the Qualitative Data Analysis Software. RESULTS: Possibilities for the development of teaching community of practice were identified by the perception of the need for teacher training, difficulty in reconciling work and study, and the feasibility of promoting this training in a group. CONCLUSION: Teaching community of practice, in addition to being a viable strategy for nursing professor education, is urgent, as the training of secondary-level workers is crucial for quality of care and consolidation of the Unified Health System.

Training-professional profile of nurses teaching at the Technical Schools of the Unified Health System.

OBJECTIVE: to describe the training-professional profile of nursing professors in the vocational course in nursing at the Technical Schools of the Unified Health System. METHODS: a quantitative descriptive research, carried out with 61 nurses who are professors of technical courses in nursing at five technical schools in three Brazilian regions. Data were collected through an online questionnaire and submitted to descriptive analysis. RESULTS: only 36% of teaching nurses were licensed and 80% had a specialization in nursing or health. Although 95.1% of participants considered training for teaching necessary, 44.2% did not have qualifications for this job. The average length of work in care was 8 years, focusing on the hospital network. CONCLUSION: the need for professor training and investment in it is evidenced, as the training of essential workers for nursing care and consolidation of the Unified Health System is on the agenda.

Profile of scientific and technological production in nursing education research groups in the south of Brazil.

This research aimed to present the profile of production of Nursing Education Research Groups (NERG) scientific and technological production in the South of Brazil. This documentary, quantitative, exploratory-descriptive retrospective research was guided by the active search for products in the Lattes curriculum of previously selected NERG researchers, based on the 2006 Census of the Research Group Directory/CNPq, between 1995 and 2008. The results indicated that the 18 NERG from southern Brazil produced 453 papers in proceedings, 371 book chapters, 206 books, 1,437 scientific articles and 08 technological products, but no patent was registered. NERGs scientific production in the research region has grown progressively over the past 14 years. To strengthen this structure, the establishment of collaborative networks can be used as a strategy, so that political-scientific joint actions in the sector can advance science and technology.

[Permanent education in health and nursing work: perspective of a transformative praxis]. / Educação permanente em saúde e no trabalho de enfermagem: perspectiva de uma práxis transformadora.

This is a theoretical reflection that aims to encourage readers to rethink the role of permanent education of health and nursing subjects/workers in the perspective of individual and collective development through transformative praxis. We tried to make a thoughtful articulation about principles of transformative praxis presented by the philosopher Adolfo Sánchez Vázquez with the precepts of permanent education in health and nursing work. This articulation presents an educational concept in favor of the subject-worker's awareness about the distinct contributions of personal, social, relational and institutional arrangements that may result from different ways of perceiving and practicing permanent education in health and nursing work.