Modelo de competencias para la gestora enfermera de nivel operativo / Competency-based model for the Nurse Manager at Operational Level

Objetivo: evaluar la validez estructural del modelo de competencias para la gestora enfermera de nivel operativo en el sistema sanitario español. Método: la investigación llevó a cabo un análisis de componentes principales (ACP) para determinar la validez de constructo, reduciendo la dimensionalidad del conjunto de datos. Para este propósito se siguió la teoría de Thurstone en tres fases. La idoneidad de los datos se realizó a través de la prueba de Kaiser-Meyer-Olkin. Resultados: las 51 competencias que integran el modelo de competencias para la gestora enfermera de nivel operativo fueron sometidas al análisis de componentes principales. Los resultados indican la validez estructural del modelo propuesto por saturación de los componentes principales y de cada una de las dimensiones que se compone: Gestión (α Cronbach > 0,631), Comunicación y tecnología (α Cronbach > 0,6), Liderazgo y equipos de trabajo (α Cronbach > 0,876), Conocimiento del sistema sanitario (α Cronbach > 0,749), Conocimiento enfermero (α Cronbach > 0,808), Personalidad (α Cronbach > 0,809). Conclusiones: del análisis de los componentes principales del modelo de competencias para la gestora enfermera de nivel operativo se concluye la validez del constructo del modelo. La toma de decisiones emerge como factor crítico, dada su elevada carga factorial. Analizada la varianza explicada puede concluirse que los factores liderazgo, esencia, calidad y proyección personal deben estar presentes en el perfil de la gestora enfermera de nivel operativo. Las gestoras enfermeras pueden utilizarlo para planificar su carrera profesional. Las organizaciones sanitarias podrían para establecer procesos de selección de las gestoras enfermeras a nivel operativo en España.(AU)

Objective: to evaluate the structural validity of the competency model for the Nurse Manager at Operational Level in the Spanish Health System. Method: the research consisted in a principal component analysis (PCA) to determine the validity of the construct and reduce the dimensionality of the data set. Thurstone’s theory was followed for this purpose in three stages. Data adequacy was conducted through the Kaiser-Meyer-Olkin Test. Results: the 51 skills included in the Competency model for the Nurse Manager at Operational Level were submitted to the principal component analysis. Results showed the structural validity of the model proposed by saturation of the principal components and of each of the dimensions included: Management (α Cronbach > 0.631), Communication and Technology (α Cronbach > 0-6), Leadership and Work Teams (α Cronbach > 0.876), Knowledge of the Health System (α Cronbach > 0.749), Nursing Knowledge (α Cronbach > 0.808), Personality (α Cronbach > 0.809). Conclusions: the analysis of the principal components of the competency model for the Nurse Manager at Operational Level showed the validity of the model construct. Decision-making appeared as a critical factor, due to its high factor loading. The analysis of the explained variance led to the conclusion that the leadership, essence, quality and personal projection factors must be present in the profile of the Nurse Manager at Operational Level. It can be used by Nurse managers in order to plan their professional career. Healthcare organizations could develop selection processes for the Nurse Managers at Operational Level in Spain.(AU)

Confidências e inconfidências na supervisão psicanalítica como convergência dos três modelos de formação / Confidences and inconfidences in psychoanalytical supervision as a convergence of the three models of training / Confidencias e infidencias en la supervisión psicoanalítica como convergencia de los tres modelos de formación

A supervisão foi concebida sob a forma de diagramas, cujas estruturas expressam como o autor organiza e executa sua prática supervisiva. Dentro disso, confidências são entendidas como provenientes do supervisionando, expressas pelo material clínico e demais manifestações. Por outro lado, inconfidências são aquelas intervenções feitas pelo supervisor ao revelar intimidades do que pensa sobre o material clínico, sobre o supervisionando e, desdobrando-se, sobre a sua própria experiência analítica. Repactuar experiências diversas, em setting distintos e de temporalidades anacrônicas, é o desafio imposto à dupla sob a forma de o estranho, conceito equivalente ao de objeto analítico ou de objeto analítico subjugador. De acordo com a técnica e com a estrutura usadas, o presente modelo de supervisão pode ser aplicado a qualquer supervisionando em treinamento da IPA, funcionando na convergência desses três modelos. O trabalho finaliza com um exemplo clínico, através do qual o autor procura ilustrar o exposto (Au)

Supervision was conceived as diagrams, whose structures express how the author organizes and executes their own supervisory practice. Within this, confidences are understood as coming from the supervisee, expressed by the clinical material and other manifestations. On the other hand, inconfidences are those interventions made by the supervisor, unveiling intimacies of their thoughts on the clinical material, on the supervisee, and unfolding over their own analytical experience. Conciliate different experiences, in different settings and anachronistic temporalities is the challenge imposed upon the pair in the form of uncanny, a concept ­ in this paper ­ equivalent to that of analytic object, intersubjective analytic third or "subjugating third". According to the technique and structure used, this model of supervision can be used for any supervisee in training by IPA, functioning in the intersection of these three models. This paper ends with a clinical example, by which the author tries to illustrate the above (Au)

La supervisión se concibió en forma de diagramas, cuyas estructuras expresan cómo el autor organiza y ejecuta su práctica supervisora. Dentro de eso, se entiende que las confidencias provienen del supervisado, expresadas por material clínico y demás manifestaciones. Por otro lado, las infidencias son aquellas intervenciones que realiza el supervisor al revelar intimidades de lo que piensa sobre el material clínico, sobre la persona supervisada y, desplegándose, sobre su propia experiencia analítica. Pactar otra vez diferentes experiencias, en diferentes settings y con temporalidades anacrónicas, es el desafío que se le impone al dúo en la forma de uncanny, concepto equivalente al de objeto analítico u objeto analítico subyugador. De acuerdo con la técnica y estructura utilizadas, el presente modelo de supervisión se puede aplicar a cualquier supervisado en formación de la IPA, funcionando en la convergencia de estos tres modelos. El trabajo finaliza con un ejemplo clínico, a través del cual el autor intenta ilustrar lo anterior (Au)

[Differences and similarities between the competencies of a nursing supervisor and an advanced clinical nurse specialist]. / Diferencias y similitudes entre las competencias de una supervisora de enfermería y una enfermera clínica especialista.

INTRODUCTION: With the aim of contributing to the development of a more specific professional regulation, the present study was to identify differences and similarities between the competencies of the nursing supervisor and clinical nurse specialist in an intensive care unit. MATERIAL AND METHODS: A critical analysis of the literature published between 2003 and 2013 was conducted, identified through systematic searches in electronic databases, health management and practitioner journals and reference lists of the 17 items included. RESULTS: «Management and administration¼ and «direct clinical practice¼ were identified as specific competencies of nursing supervisor and clinical nurse specialist respectively. «Collaboration¼, «leadership¼ and «research¼ emerged as competencies shared by both profiles, but with different a operationalization way of conducting it. CONCLUSIONS: These findings imply that regulation, education and implementation of these profiles must address their specific skills as the distinctive approach taken in operationalizing shared.