[Informatics competencies essential to decision making in nursing management]. / Competências em informática essenciais à tomada de decisão no gerenciamento em enfermagem.

OBJECTIVE: To identify informatics abilities essential to decision making in nursing management. METHOD: Survey study with specialist nurses in health informatics and management. An electronic questionnaire was built based on the competencies Information Literacy (five categories; 40 abilities) and Information Management (nine categories; 69 abilities) of the TIGER - Technology Informatics Guiding Education Reform - initiative, with the guiding question: Which informatics abilities are essential to decision making in management? Answers were sorted in a Likert scale, ranging from 1 to 5. Rasch analysis was conducted with the software WINSTEPS(®). Results were presented in logits, with cutoff value zero. RESULTS: Thirty-two specialists participated, coming from all regions of Brazil. In the information literacy competency, 18 abilities were considered essential and in Information Management, 38; these were sorted according to their degree of essentiality. CONCLUSION: It is believed that the incorporation of these abilities in teaching can support the education of nurse managers and contribute to evidence-based practice, incorporation of information and communication technologies in health and information management.

[Technological competencies in cardiovascular nursing education]. / As competências tecnológicas no ensino de enfermagem cardiológica.

OBJECTIVE: To identify the perception of the coordinators of the Specialization Courses in Cardiovascular Nursing about inserting content from Information and Communication Technology (ICT) and analyze them in relation to the technological competencies and regarding its applicability, relevance and importance in assisting, teaching and management. METHOD: Descriptive study with 10 coordinators of the Specialization course in Cardiologic Nursing, who replied to the questionnaire for the development of technological competency adapted from the Technology Initiative Guidelines Education Reforms (TIGER), and analyzed using the Delphi technique for obtaining consensus and scored according to the relevance, pertinence and applicability using Likert scale according to degree of agreement. RESULTS: Six courses developed ICT content. The contents of the TIGER were considered relevant, pertinent and applicable. CONCLUSION: The coordinators recognize the need for technological competencies of the Cardiovascular Nurse for healthcare applicability.

Performance analysis of nursing students in teaching by skills and for understanding. / Análise do desempenho dos estudantes de enfermagem no ensino por competências e no ensino para compreensão.

Objective To analyze the performance of students of the course Supervised Curricular Internship based on skills (curriculum A) and teaching for understanding (curriculum B). Method Exploratory descriptive, quantitative and documentary study. The location of the research was a private university of the city of São Paulo and for data collection were used 312 performance assessment tools for students of the course being studied. Results The assessment of the performance of curriculum A students had no difference compared to the overall average of curriculum B students. The A students showed better performance in relation to B in the intensive care unit and in pedagogical practices, and B showed better performance in attitudinal bases topics and management. Students who are nursing technicians have better performance and, those working in the afternoon have better grades. Conclusion It was not proven that students of the course Supervised Curricular Internship of the understanding curriculum (B) had better performance than the students of the skills curriculum (A). The technical training of nursing and work shift were variables that interfered in student performance regardless of the type of curriculum. During the study there was the possibility of analyzing the performance assessment tools for students, as well as the filling by professors, noting that there is need for better structuring of the evaluation of student performance and, above all, a process of training of professors for the execution of this activity.

Evaluation of the online management course from the perspective of former students. / Avaliação do curso de gerenciamento online na perspectiva dos egressos.

Objective To evaluate the online course from the perspective of e-learners as well as the relation between variables. Method A quantitative, descriptive and exploratory study. Results After three years, the satisfaction rates in the three listed categories presented an average rate higher than 75%. The coefficients indicated a high consistency of the questionnaire. Considering the overall rates in the three years period, the Instructor Performance category presented the highest rate. Strong associations between Self-Assessment and Instructor Performance, Self-Evaluation and Program of the Course and Instructor performance and Program of the course were identified. There was no association between the three categories mentioned with any other variables existing in the study. Conclusion E-learners expressed satisfaction with the course that means favored the interaction and the promotion of collective knowledge in nursing management. Also aspects need to be improved, especially the training of the instructor to mediate discussions and encourage student involvement throughout the course.

[Nursing contributions to the development of the Brazilian Telehealth Lactation Support Program]. / Teleamamentação no Programa Nacional de Telessaúde no Brasil: a experiência da Telenfermagem.

The National Telehealth Program was founded by the Ministry of Health, in partnership with the Ministry of Education (Ministério da Educação - MEC) and the Ministry of Science and Technology (Ministério da Ciência e Tecnologia - MCT), to support the development of family healthcare teams throughout the country. The São Paulo Telehealth Center has developed the Telehealth Lactation Support program, which provides primary healthcare professionals with information on diverse aspects of breastfeeding. This paper reports the development of the Lactation Support program and the nursing contributions. Project methodology included the formation of a multidisciplinary group of pediatricians, nurses, speech and language therapists, nutritionists, and dentists. Multimedia teaching resources were prepared for inclusion in the Cybertutor platform. Telehealth Lactation Support is an innovative and promising addition to continuing education for healthcare professionals and provides a framework for the development of other programs.

[The virtual environment of a research group: the tutors' perspective]. / Espaço virtual de um grupo de pesquisa: o olhar dos tutores.

The Grupo de Estudos e Pesquisas de Tecnologia da Informação nos Processos de Trabalho em Enfermagem (Study and Research Group for Information Technology in the Nursing Working Processes, GEPETE) has the purpose of producing and socializing knowledge in information technology and health and nursing communication, making associations with research groups in this field and promoting student participation. This study was performed by the group tutors with the objective to report on the development of the virtual learning environment (VLE) and the tutors' experience as mediators of a research group using the Moodle platform. To do this, a VLE was developed and pedagogical mediation was performed following the theme of mentoring. An initial diagnosis was made of the difficulties in using this technology in interaction and communication, which permitted the proposal of continuing to use the platform as a resource to support research activities, offer lead researchers the mechanisms to socialize projects and offer the possibility of giving advice at a distance.

Digital fluency and the use of virtual environments: the characterization of nursing students. / Fluência digital e uso de ambientes virtuais: caracterização de alunos de enfermagem.

The objective of this study was to characterize the profile of nursing undergraduate students, identify their digital fluency, knowledge, ability and interest in using virtual learning environments. This quantitative, exploratory-descriptive study, was performed with 51 nursing undergraduate students. Data collection was performed using a questionnaire. All 51 subjects (100%) reported having some knowledge in informatics, 26 (49%) of which reported having an intermediate knowledge; 47 (92%) use the Internet everyday; 51 (100%) surf the social networks and have e-mail; 51 (100%) are MSN users; 32 (62.7%) use Skype; 41 (82%) use Chat applications; 33 (64.7%) use discussion forums; 22 (43%) use blogs; 33 (64.7%) frequently use Moodle and 26 (51%) use COL; 45 (88.2 %) reported interest in using virtual learning environments. The students are digitally fluent and show knowledge, ability and significant interest regarding the use of virtual learning environments in their academic studies.

The use of computer tools by the elderly of a center of reference and citizenship for the elderly. / Utilização de ferramentas computacionais por idosos de um centro de referência e cidadania do idoso.

The objective of this exploratory, descriptive study was to identify the use of computer tools by a group of elderly users of a Center of Reference and Citizenship for the Elderly in the city of São Paulo. Among the 55 subjects, it was found that 33 (60.0%) have a computer at home, 42 (76.4%) referred having taken a computer course; 22 (58.2%) have been using the computer for less than two years, and 40 (85.5%)use the tool for up to two hours a day. The most used communication tools were: e-mails by (41; 75.0%), instant messaging (25; 45.0%), dating websites (17; 31.0%). The reported purposes for using technology tools were: to update and obtain information, for research, for fun, and to talk to relatives and friends. In conclusion, nurses should be aware of this technological profile that is being outlined among the elderly population and search for ways to include computer tools in the care provided to this group.

Academic motivation scale - reliability and validity evidence among undergraduate nursing students.

OBJECTIVE: to assess the evidence of validity and reliability of the academic motivation scale (AMS) based on the internal structure. METHOD: this is a methodological study with 205 undergraduate nursing students. Dimensionality/internal structure of the AMS was assessed using factor analysis in the context of exploratory structural equation modeling (ESEM) and reliability of the factors was assessed by Cronbach's alpha (α) coefficient and composite reliability (CR) coefficient. RESULTS: acceptable fit indexes were obtained (CFI = 0.92; RMSEA = 0.07; SRMR = 0.06) for a three-dimensional model: intrinsic motivation (10 items; α = 0.84; CR = 0.86); extrinsic motivation (8 items; α = 0.84; CR = 0.90); and demotivation (4 items; α = 0.84; CR = 0.88). A significant correlational pattern was found for the motivation continuum. CONCLUSION: the dimensionality analysis for the AMS presented a model with three factors: intrinsic motivation, extrinsic motivation and demotivation, and was considered a reduced alternative to the original version of seven factors. This study helped assess the validity of the measurement instrument and its theory refinement; further studies should be conducted to assess its invariance property.

[Understanding the intentions of actions of a multiprofessional teaching staff at a nursing undergraduate course]. / Compreendendo as intenções das ações de um corpo docente multiprofissional em um curso de graduação em enfermagem.

The objective of this study was to understand the intentions of actions of a nursing teaching staff and the ones from other healthcare areas at a nursing undergraduate course. Four teachers from each category were interviewed using the guiding question: What do you expect from your teaching action in this nursing course? It was used the social phenomenology by Alfred Schütz as the referential of analysis. It was revealed that the intention of actions from the teaching staff are working with the students seeing them as future professionals trying to make them reflect on their knowledge, attitudes and behaviors, hoping them to think in a critical way, make decisions and be technically competent. They also want to collaborate for the students' self-growth, believing that being a teaching staff member is being a researcher helping students to acquire investigative view and having intention to provide meaningful contends to students' personal and professional lives.

[Developing professional competences of nurses in service]. / Desenvolvendo competências profissionais dos enfermeiros em serviço.

This research-action aimed to describe about to building and to implementing a programme for development of professional competence of nurses in service and identify their contributions in the cardiologic public hospital of São Paulo, in 2007 . From the situational diagnosis was composed groups of studies about Nursing Process, Audit, Indicators, Evaluation and Treatment of Feridas and Nursing Education that elaborate reports and the data were collected from these reports of groups. The competences that the group developed were the to know act and to mobilize resources; to communicate; to learn; to commit and be responsible and have strategic vision. The contributions involved the development of competences, to aggregate social and economic values, to contribute in teaching and research and scope of certain goals. This study showed to be possible to develop professional competences in service.

[Evaluation of the curricular clerkship in nursing administration: dialectical perspective]. / Avaliação no estágio curricular de administração em enfermagem: perspectiva dialética.

This experience report had as purpose to describe the evaluation process in curriculum clerckship of nursing administration in the Nursing Course of the School of Nursing at the University of São Paulo, in the light of dialectical methodology. In this perspective, knowledge is constructed in three stages: síncrese, analysis and synthesis, in which the pedagogical task of the teacher is mediating the steps of mobilization, construction and synthesis of knowledge through the doubt and criticism. It was concluded that assessment of learning valued interpersonal relations and participation of the subjects involved, through the host and establishment of links in the process, encouraging the development of knowledge from the practice of creating problem situations constructive and meaningful, developing multiple competences.

[Methodology for the use of chat in nursing]. / Metodologia de utilização do chat na enfermagem.

The purpose of this study was to describe the methodology of the use of chat for real-time communication in a group of nursing research. The role of coordinator understands the dimensions of planning, mediation and technology. Each dimension can determine the success or failure of communication. They should be seen in an integrated and modified some of them interfere with the quality of the final outcome of the activity. The software of communication was adopted by Skype allow free communication among many users in real time. To implement the chat were down five steps: opening, host / heating, the staff development, synthesis and closure. The methodology allowed optimization and flexibility of time, organization of activities and range of goals.

[Computer-mediated teaching of didactics in nursing: students evaluation]. / Ensino de didática em enfermagem mediado pelo computador: avaliação discente.

This exploratory descriptive study's purpose is to describe what students think regarding the form and content of an educational site and its application as an instructional resource for the discipline of Didactics in Nursing in the undergraduate course in Nursing at a school in the city of São Paulo. The study's subjects were students enrolled in that discipline during the first semester of the school year of 2003. The results show promptness regarding the use of computers on the part of the students, who are favorable to the adoption of new computer-mediated teaching methodologies in Nursing as a means to increase and diversify the forms of communication between instructors and students.

[Work process of professional nurses: perceptions of undergraduate nursing falculty]. / O cuidar no processo de trabalho do enfermeiro: visão dos professores.

The purpose of this study was to explore perceptions of undergraduate nursing faculty about the work processes of professional nurses, particularly, nursing care and competency - from ways of learning, knowing, and doing, which were developed during their undergraduate nursing education. Focus groups among fifteen undergraduate faculty members were conducted to collect data for this qualitative study. Content analysis was used to analyze the data. Six categories have emerged: Technical skills are fundamental to provide nursing care; Complexities of technical skills and nursing care; Differences in the process of providing nursing care; Competency from ways of learning, knowing, and doing are essential for providing nursing care; Learning to be a nurse is understood by different perspectives; The need of undergraduate faculty to discuss about nursing technical care.

[Nursing teaching and the national curricular directives: utopia x reality]. / O ensino de enfermagem e as diretrizes curriculares nacionais: utopia x realidade.

This article aims at provoking reflections concerning Nursing education in the light of the Curricular Directives for the Undergraduate Course in Nursing and their relation to health policies and the current labor market. The facts reported show curricular changes in Nursing education in Brazil have historically been concerned with the adequacy of the nurse's formation to the interests of the labor market. However, the challenge in nurse's formation needs to overcome the focus of these interests and to effectively insert the future nurse into the health system, committed to the transformations demanded for the exercise of citizenship.

[Profile of new students in a private university of the São Paulo city. O perfil do aluno ingressante em uma universidade particular da cidade de São Paulo]. / O perfil do aluno ingressante em uma universidade particular da cidade de São Paulo.

To investigate close to the new students in Nursing of a particular university of the São Paulo city, how was their insertion in this course, a exploratory descriptive study was achieved. The answers of 33 students had indicated that they were young adults, female, married, without children and in their majority they were workers. Many of them live in the region of the university, they have education in the intermediate level in public school, their insertion in higher education occur in the majority of cases after two semesters or more of the conclusion of intermediate education and they had known the course through people and for the medias.

Academic motivation scale - reliability and validity evidence among undergraduate nursing students / Escala de Motivação Acadêmica: evidências de validade e confiabilidade com estudantes de graduação em enfermagem / Escala de Motivación Académica: evidencias de validez y confiabilidad en estudiantes del curso de enfermería

Objective: to assess the evidence of validity and reliability of the academic motivation scale (AMS) based on the internal structure. Method: this is a methodological study with 205 undergraduate nursing students. Dimensionality/internal structure of the AMS was assessed using factor analysis in the context of exploratory structural equation modeling (ESEM) and reliability of the factors was assessed by Cronbach's alpha (α) coefficient and composite reliability (CR) coefficient. Results: acceptable fit indexes were obtained (CFI = 0.92; RMSEA = 0.07; SRMR = 0.06) for a three-dimensional model: intrinsic motivation (10 items; α = 0.84; CR = 0.86); extrinsic motivation (8 items; α = 0.84; CR = 0.90); and demotivation (4 items; α = 0.84; CR = 0.88). A significant correlational pattern was found for the motivation continuum. Conclusion: the dimensionality analysis for the AMS presented a model with three factors: intrinsic motivation, extrinsic motivation and demotivation, and was considered a reduced alternative to the original version of seven factors. This study helped assess the validity of the measurement instrument and its theory refinement; further studies should be conducted to assess its invariance property.

Objetivo: avaliar as evidências de validade e a confiabilidade da Escala de Motivação Acadêmica (EMA) com base na estrutura interna. Método: pesquisa metodológica realizada com 205 estudantes de graduação em Enfermagem. A dimensionalidade/estrutura interna da EMA foi avaliada por meio de análises fatoriais, no contexto de Modelagens de Equações Estruturais Exploratórias (ESEM) e a confiabilidade dos fatores foi aferida pelos coeficientes alfa de Cronbach (α) e Confiabilidade Composta (CC). Resultados: foram obtidos índices de ajuste aceitáveis (CFI = 0,92; RMSEA = 0,07; SRMR = 0,06) para um modelo tridimensional: Motivação Intrínseca (10 itens; α = 0,84; CC = 0,86); Motivação Extrínseca (08 itens; α = 0,84; CC = 0,90); e Desmotivação (04 itens; α = 0,84; CC = 0,88). Encontrou-se padrão correlacional significativo para o continuum de motivação. Conclusão: a análise da dimensionalidade da EMA alcançou um modelo de três fatores: Motivação Intrínseca, Motivação Extrínseca e Desmotivação, sendo considerada uma alternativa parcimoniosa à versão original de sete fatores. Este estudo contribuiu para a avaliação da validade do instrumento de medida e seu refinamento teórico, apontando a necessidade de que investigações futuras avaliem sua propriedade de invariância.

Objetivo: evaluar las evidencias de validez y confiabilidad de la Escala de Motivación Académica (EMA) en base a la estructura interna. Método: estudio metodológico realizado con 205 estudiantes del curso de Enfermería. La dimensionalidad/estructura interna de la EMA fue evaluada por análisis factorial contextualizado en los Modelos de Ecuaciones Estructurales Exploratorias (ESEM). La confiabilidad de los factores fue comprobada por los coeficientes Alfa de Cronbach (α) y Confiabilidad Compuesta (CC). Resultados: fueron obtenidos índices de ajuste aceptables (CFI = 0,92; RMSEA = 0,07; SRMR = 0,06) para un modelo tridimensional: motivación intrínseca (10 ítems; α = 0,84; CC = 0,88), motivación extrínseca (08 ítems; α = 0,84; CC = 0,90) y desmotivación (04 ítems; α = 0,84. CC = 0,88). Se encontró estándar correlacional significativo para el continuum de motivación. Conclusión: el análisis de dimensionalidad de EMA alcanzó un modelo de tres factores: motivación intrínseca, motivación extrínseca y desmotivación, considerándoselo una alternativa simplificada de la versión original de siete factores. El estudio contribuyó evaluando la validez del instrumento de medición en su refinamiento teórico, destacando la necesidad de que su invariancia sea evaluada en investigaciones futuras.

[An instrument for attitude measurement about professional appraisal]. / Instrumento para mensuração de atitudes frente ao processo de avaliação de desempenho.

The study describes a construction of an attitude measurement tool, the Likert Scale, about the performance evaluation process used by the Nursing Department of the University Hospital at University of São Paulo, related to the nurse's beliefs, feelings and ability. The test's results of confidence, Cronbach Alpha and Spearman-Brown Correlation, showed that the tool is confident and appropriate for application in other populations.