The academic and licensure examination performances of Bachelor of Science in Nursing graduates in a state college

@#The practice of safe and effective nursing care is what a Bachelor of Science in Nursing graduate can provide based on the established competencies of the curriculum. However, they need to be on the list of registered nurses before entry into practice. This study analyzed the academic and licensure examination performances of Bachelor of Science in Nursing graduates in a state college to ascertain relationships and predictors of the licensure examination as the basis for future planning. Descriptive-retrospective design was utilized where 208 graduates who took their licensure examination from 2013 to 2017 were conveniently chosen. Statistical Package for Social Sciences Version 22.0 was used where Pearson product-moment correlation coefficient and Simple Regression Analysis were employed. The academic and nurse licensure performances of graduates were found lower than the ideal and are opposite in terms of skewness and kurtosis. Moreover, a strong positive relationship was noted between the graduates' performances in their academics and licensure examinations. 5 from 21 nursing courses are significant predictors with strong unique contributions to the nurse licensure examination at which 2 from the 5 were found common in all parts of the examination. Thus, it is vital to always look into predictors as basis in the modification of institutional policy on curriculum implementation.

Acreditación y evaluación de los procesos en la carrera de Enfermería en la Universidad Estatal del Sur de Manabí / Accreditation and Evaluation of the Processes of the Nursing Major in the Southern State University of Manabí

Introducción: Acreditación es la certificación pública que entrega un organismo externo sobre la calidad de la educación que imparte la Universidad, puede tener la modalidad institucional (Universidad acreditada) y de pregrado (carreras acreditadas). Objetivos: Proponer mejoras en los procesos de la carrera de Enfermería de la Universidad Estatal del Sur de Manabí a partir de los resultados obtenidos en la acreditación desarrollada. Métodos: Basado en los informes preliminares y de rectificación emitidos por el Consejo de Evaluación, Acreditación y Aseguramiento de la Calidad de la Educación Superior, se procedió a elaborar una propuesta de mejoras, tomando como base la información bibliográfica, informes y legislaciones vigentes para las Instituciones de Educación Superior. Resultados: En los 23 indicadores cualitativos que conforman el modelo de evaluación del entorno de aprendizaje de la carrera de enfermería, 10 resultaron satisfactorios, 7 cuasi satisfactorios, 3 poco satisfactorios y 2 deficientes. En el caso de los indicadores cuantitativos el que mayor dificultad presentó fue la producción científica. Conclusiones: Se proponen acciones concretas direccionadas a la pertinencia de la carrera, y de ella la corrección del micro currículo, la restructuración de los proyectos de vinculación con la sociedad, y la investigación, teniendo como punto de partida las asignaturas y su articulación con el modelo educativo de la universidad y los componentes de docencia-vinculación-investigación sustentado en las prácticas, y su articulación con el perfil de salida de la carrera(AU)

Introduction: Accreditation is the public certification given by an external body based on the quality of education provided by a university. It can have the institutional modality (accredited university) and undergraduate (accredited majors). Objective: To propose improvements in the Nursing major processes of the Southern State University of Manabí based on the results obtained in the accreditation developed. Methods: Based on the preliminary and rectification reports issued by CEAACES, we started to elaborate a proposal for improvements, based on the bibliographic information, reports and valid legislation for higher education institutions. Results: Among the 23 qualitative indicators that make up the evaluation model of the learning environment of the Nursing major, 10 were satisfactory, 7 were almost satisfactory, 3 were unsatisfactory, and 2 were deficient. In the case of quantitative indicators, the one that presented the greatest difficulty was scientific production. Conclusions: Specific actions directed to the major's relevance are proposed, and from it the correction of the micro-syllabus, the restructuring of the projects connected with society, and research, taking as a starting point the subjects and their articulation with the educational model of the university and the components of teaching-outreach-research based on the practices, and their articulation with the professional profile of the major(AU)

Problemas profesionales de los licenciados en enfermería en el desarrollo de habilidades pedagógicas / Profesional problems of the bachelors in nursing regarding the development of pedagogical skills

Introducción: la gestión del cuidado enfermero es el objeto de la enfermería. Para ello se necesita que los docentes responsabilizados con la formación de los futuros profesionales y técnicos en enfermería estén preparados desde el punto de vista pedagógico y debe manifestarse en el desarrollo de habilidades. Objetivo: determinar los problemas profesionales que presentan los licenciados en enfermería en el desarrollo de habilidades pedagógicas. Métodos: estudio descriptivo de corte transversal, se exploró el desarrollo de habilidades pedagógicas mediante un muestreo aleatorio simple. Se seleccionaron 30 docentes y 10 profesores principales y asesores metodológicos de la carrera de enfermería de la Facultad de Ciencias Médicas "10 de octubre"; se empleó la sistematización y la revisión bibliográfica para el análisis de los planes de clases, investigaciones relacionadas con palabras clave: problemas profesionales, habilidades pedagógicas y formación docente. Se aplicó un cuestionario, prueba de desempeño y se observaron los indicadores de las habilidades pedagógicas, entrevista a directivos y sesiones de trabajo metodológico. Resultados: los problemas profesionales fueron la no aplicación de principios del proceso pedagógico profesional, insuficiencias en el uso de los métodos de trabajo educativo, insuficiente utilización de la caracterización estudiantil, carencia de investigaciones educativas, utilización de formas de educación en el trabajo e insuficiencia de relaciones interdisciplinarias del plan de estudios. Conclusiones: los problemas profesionales guardan relación con la insuficiente superación en el área pedagógica, la identificación de estos sirve para trazar la vía hacia la superación profesional pedagógica de los docentes de enfermería(AU)

Introduction: Nursing care management is the object of nursing. For this, it is necessary for the teachers responsible for the training of future professionals and technicians in nursing to be prepared from the pedagogical point of view, which must be manifested in the development of skills. Objective: To determine the professional problems presented by nursing graduates in the development of pedagogical skills. Methods: Descriptive, cross-sectional study, in which the development of pedagogical skills was explored through simple random sampling. Thirty teachers and ten main professors and methodological advisers of the Nursing major of the School of Medical Sciences in Diez de Octubre Municipality were selected; systematization and bibliographic review were used for the analysis of lesson plans, research was developed in relation with the key words: professional problems, pedagogical skills and teacher training. A questionnaire was applied, performance test and indicators of pedagogical skills were observed, together with interviews with managers and methodological work sessions. Results: Professional problems were the non-application of principles of the professional pedagogical process, inadequacies in the use of educational work methods, insufficient use of student characterization, lack of educational research, use of forms of education at work, and inadequacy of interdisciplinary relationships in the curriculum. Conclusions: The professional problems are associated with the insufficient overcoming in the pedagogical area, the identification of which serves to trace the way towards the pedagogical professional improvement of Nursing teachers(AU)

National Licensure Exam for Brazilian Nurses: why and for whom? / Examen de suficiencia para la enfermería brasileña: ¿por qué y para quién? / Exame de suficiência para a Enfermagem brasileira: por quê e para quem?

ABSTRACT Objective: To analyze critically the reasons for regulating a National Licensure Exam for Brazilian Nurses (NLEXB-N). Method: Qualitative study with secondary source applying the critical discourse analysis to situate context and intertextuality in the establishment of a new social practice. We analyzed data from legal documents regulating the National Licensure Exam of other professions in Brazil, the Educational Census, the Survey of Brazilian Nursing Profile and global nursing literature. Results: Four themes were explored: Brazilian experiences with this exam; nursing experiences in other countries; effects of the exam on the examinees; NLEXB-N in Brazil: what purposes could we present? Final considerations: The National Licensure Exam for Brazilian Nurses is a measure of individual accountability that increases social injustice, inequality and inequity. We must pay attention to the consequences of its application, based on evidences produced in the area.

RESUMEN Objetivo: Analizar críticamente las motivaciones para la regulación del examen de suficiencia en la enfermería brasileña. Método: Estudio cualitativo con fuente secundaria aplicando el análisis crítico del discurso para situar el contexto y la intertextualidad en la instauración de una nueva práctica social. Se analizaron datos de documentos legales de regulación del examen de suficiencia de otras profesiones en Brasil, del Censo de la Educación, del Perfil de la Enfermería en Brasil y la literatura de enfermería global. Resultados: Se analizaron cuatro temas: experiencias brasileñas con el examen; experiencias de la enfermería de otros países; los efectos del examen sobre los examinandos; examen de suficiencia para la enfermería en Brasil: ¿qué sentidos podrían ser construidos? Consideraciones Finales: El examen de suficiencia para la enfermería es una medida de responsabilización del individuo que acentúa la injusticia, desigualdad e iniquidad sociales. Es necesario atentar para las consecuencias de su aplicación, a partir de evidencias producidas en el área.

RESUMO Objetivo: Analisar criticamente as motivações para a regulamentação do exame de suficiência na Enfermagem brasileira. Método: Estudo qualitativo com fonte secundária aplicando-se a análise crítica do discurso para situar o contexto e a intertextualidade na instauração de uma nova prática social. Dados de documentos legais de regulamentação do exame de suficiência de outras profissões no Brasil, do Censo da Educação, do Perfil da Enfermagem no Brasil e literatura de Enfermagem global foram analisados. Resultados: Exploraram-se quatro temas: experiências brasileiras com o exame; experiências da Enfermagem de outros países; efeitos do exame sobre os examinandos; exame de suficiência para a Enfermagem no Brasil: que sentidos poderiam ser construídos? Considerações finais: O exame de suficiência para a Enfermagem é uma medida de responsabilização do indivíduo que acentua a injustiça, desigualdade e iniquidade sociais. É necessário atentar para as consequências de sua aplicação, a partir de evidências produzidas na área.

Propuesta de guía de observación para el ejercicio práctico estatal de la Licenciatura en enfermería / Proposal of guide of observation for the exercise practical State of the Bachelor's degree in Nursing

Introducción: el examen práctico estatal forma parte del proceso de fundamentar el título de licenciado en enfermería en muchas universidades, este debe evaluar la adquisición de las diferentes habilidades y actitudes en correspondencia con el diseño curricular en una forma homogénea. Objetivo: diseñar una guía de observación para el ejercicio de examen práctico estatal de la carrera de Licenciatura en enfermería. Métodos: se realizó una investigación educativa de desarrollo, entre enero y agosto del 2016 en la carrera de Licenciatura en Enfermería del Instituto Superior Politécnico "Sol Naciente" de Huambo, Angola. En la primera fase fue revisada la literatura, aplicado un instrumento de recolección de datos al currículo y aplicado la técnica de grupo focal, en la segunda fase fue construida la propuesta de guía de observación y en la tercera fase está fue valorada por especialistas. En la primera y tercera fase se utilizaron herramientas de estadística descriptiva. Resultados: la mayor parte de las asignaturas contribuyen a la formación asistencial seguida por la formación en ciencias básicas y naturales con 36,2 por ciento y 21,3 por ciento respectivamente. El instrumento elaborado verifica valores, actitudes y habilidades docentes-asistenciales-administrativas. Fue valorado el instrumento por los especialistas con la condición de excelente, para los aspectos de validez, confiabilidad e integralidad de esté con el 100 por ciento, 63,6 por ciento, 81,8 por ciento respectivamente. Conclusiones: el análisis de los resultados de la consulta a especialistas hace que se concluya que el instrumento elaborado es fácil de aplicar y permite evaluar con objetividad, validez y confiabilidad las competencias profesionales adquiridas(AU)

Introduction: The state practical exam is part of the process of founding a bachelor's degree in nursing in many universities, which must evaluate the acquisition of different skills and attitudes, in accordance with the curriculum design in a homogeneous way. Objective: Design an observation guide for the exercise of state practical examination of the Bachelor in Nursing. Methodical: Held an educational development research, between January and August of 2016, in degree in nursing of the Institute Superior Polytechnic Sol Nascente in Huambo, Angola. In the first phase, the literature was revised, a data collection instrument was applied to the curriculum and the focal group technique was applied. In the second phase the proposal for an observation guide was constructed and in the third phase it was evaluated by specialists. In the first and third phase, descriptive statistics tools were used. Results: Most of the subjects contribute to classroom training followed by training in basic and natural sciences with 36.2 percent and 21.3 percent respectively. The instrument checks drawn values, attitudes and teachers-care and administrative skills. It was the instrument valued by experts with excellent condition, for aspects of validity, reliability and integrity of this with 100 percent, 63.6 percent, 81.8 percent respectively. Conclusions: The analysis of the results of the consultation of specialists makes it possible to conclude that the instrument elaborated is easy to apply and allows to evaluate with objectivity, validity and reliability the acquired professional competences(AU)

Nivel de conocimiento de los licenciados en Enfermería del municipio Boyeros sobre el Programa Materno - Infantil / Level of knowledge of Nursing graduates of municipality Boyeros about Program on Maternal - Child

Introducción: la necesidad de afecto, compañía y de contar con alguien en el momento de ser madre, se ha manifestado a través desde la antigüedad a través de la historia. Objetivo: identificar el nivel de conocimiento de los licenciados en Enfermería sobre el Programa Materno-Infantil en el municipio Boyeros, desde octubre de 2014 hasta junio de 2015. Métodos: el universo estuvo constituido por 312 licenciados en enfermería de la atención primaria y secundaria de salud pertenecientes al municipio Boyeros. Se seleccionó una muestra de 90 licenciados en enfermería de manera intencional. Los métodos y procedimientos utilizados tuvieron un enfoque cuanticualitativo, se aplicaron entrevistas semi-estructurada a 30 directivos y se seleccionaron 20 informantes claves con la técnica cara a cara, se revisó documentación del Plan de Estudio de la carrera en Licenciatura en Enfermería, Programa de la asignatura y Carpeta Metodológica de Enfermería Materno-Infantil Finalmente se realizó la triangulación metodológica, que permitió la identificación información necesaria para identificar las necesidades de aprendizaje y el nivel de conocimientos de los licenciados en Enfermería, la cual fue validada por un grupo de expertos de la especialidad. Resultados: el total de los entrevistados y encuestados plantearon la necesidad de ampliar el sistema de Superación Profesional por medio de Diseño como forma de Superación Profesional Específicos de Enfermería. Conclusiones: el nivel de conocimientos de los licenciados en Enfermería que laboran en el servicio materno-infantil de la atención primaria y secundaria acerca del Programa Materno-Infantil como bajo en temas específicos de la especialidad(AU)

Guía de ejercicios interactivos para autoevaluación de estudiantes de Enfermería en práctica preprofesional / Set of interactive exercises for the self-assessment of Nursing students in the pre-professional practice

Introducción: la práctica preprofesional ocupa el último curso de la Licenciatura en Enfermería. Contribuye a la educación y entrenamiento final del futuro egresado, lo que permite el desarrollo de habilidades relacionadas con la práctica de enfermería. Objetivo: elaborar una guía de ejercicios interactivos que propicie la autoevaluación de los estudiantes de enfermería que se encuentran en la práctica preprofesional. Métodos: se realizó un estudio de innovación tecnológica en la Facultad Tecnológica, de la Universidad de Ciencias Médicas de Camagüey, entre marzo y mayo de 2015. Para el diagnóstico se emplearon la entrevista estructurada y el análisis documental. Fueron utilizados además, la lluvia de ideas y el criterio de especialistas. El producto se elaboró a partir del programa Mediator. Resultados: el diagnóstico mostró un conjunto de deficiencias en la formación profesional de los estudiantes universitarios. Para contribuir a su erradicación se diseñó una guía de ejercicios sustentada en los objetivos del programa. La guía se elaboró a partir del programa Mediator, lo que permitió confeccionar un medio de enseñanza que propicia la autoevaluación. El criterio valorativo de los especialistas fue positivo. Estos reconocen el enfoque metodológico y didáctico del producto y emitieron sugerencias que serán tomadas en cuenta perfeccionar la propuesta. Conclusiones: la multimedia elaborada proporciona a los estudiantes un aprendizaje y autoevaluación continuos, con un enfoque metodológico y didáctico útiles para reforzar el aprendizaje teórico y práctico de la disciplina Enfermería(AU)

Introduction: The pre-profesional practice is the last course of the Nursing major. It contributes to the forthcoming graduates' education and final training, which allows the development of skills related to the nursing practice. Objective: To elaborate a set of interactive exercises that facilitates the self-assessment of the Nursing students who are in their pre-professional practice. Methods: A study of technological innovation was carried out at the University of Medical Sciences of Camagüey Technological School from March to May 2015. The structured interview and documentary analysis were used for the diagnosis. Brainstorming and the specialists' criteria were also used. The product was elaborated using the Mediator program. Results: The diagnosis showed a group of deficiencies in the professional training of university students. In order to contribute to its eradication, a set of exercises was designed based on the program's objectives. The set was developed using the program Mediator, which made it possible to create a teaching environment that encourages self-assessment. The specialists' criterion on value was positive. They recognized the product's methodological and didactic approach, and delivered suggestions that will be taken into account to perfect the proposal. Conclusions: The multimedia developed provides students with continuous learning and self-assessment, with a methodological and didactic approach useful to reinforce the theoretical and practical learning of the Nursing discipline(AU)

Percepciones de los académicos de enfermería de una Universidad del interior del Brasil acerca de la pasantía curricular supervisada / Perceptions of the nursing scholars from a university of the interior of Brazil about supervised curricular internship

Introducción: la Pasantía Curricular Supervisada posibilita el desarrollo de habilidades y destrezas esenciales para la actuación profesional. Objetivo: describir las percepciones del pasante sobre Pasantía Curricular Supervisada en el curso de graduación en enfermería. Métodos: abordaje cualitativo descriptivo, por medio de cuestionario, grupo focal y narrativa. Resultados: la Pasantía Curricular Supervisada es la inmersión del académico en el mundo del trabajo, prepara al estudiante para actuación profesional, pero, el conocimiento insuficiente sobre las legislaciones que orientan el pasante y sus objetivos intensifica los sentimientos de miedo, inseguridad despertados frente al nuevo; entre las dificultades están fallos del conocimiento previo e interacción enseñanza-servicio; entre las sugerencias están flexibilidad de horario, aumento de la carga horaria y normalización de la evaluación. Conclusiones: se quedó explícito que ese período es imprescindible en la formación académica. Ese estudio contribuye problematizándose y proponiéndose orientaciones para la reflexión de la Pasantía Curricular Supervisada en la consolidación formativa necesaria a la profesión escogida(AU)

Introduction: The Supervised Curricular Internship makes possible the development of skills essential for professional performance. Objective: To describe the interns' perceptions about the Supervised Curricular Internship in the nursing graduation course. Methods: Descriptive qualitative approach, by the questionnaire, target group and narrative methods. Results: The Supervised Curricular Internship means involving the scholars in the world of work, prepares the student for professional performance, but insufficient knowledge about the legislations that guide the interns and their objectives intensifies the feelings of fear and insecurity aroused by the new. Among the difficulties are previous knowledge failures and teaching-service interaction. Among the suggestions are schedule flexibility in, work burden increase, and the evaluation standardization. Conclusions: It was explicit that period is essential in academic training. This study contributes by providing a problem and suggesting orientations for the reflection about the Supervised Curricular Internship in the necessary training consolidation within the chosen profession(AU)

Perception survey on the introduction of clinical performance examination as part of the national nursing licensing examination in Korea / 보건의료교육평가

PURPOSE: The purpose of this study was to analyze opinions about the action plan for implementation of clinical performance exam as part of the national nursing licensing examination and presents the expected effects of the performance exam and aspects to consider regarding its implementation. METHODS: This study used a mixed-methods design. Quantitative data were collected by a questionnaire survey, while qualitative data were collected by focus group interviews with experts. The survey targeted 200 nursing professors and clinical nurses with more than 5 years of work experience, and the focus group interviews were conducted with 28 of professors, clinical instructors, and nurses at hospitals. RESULTS: First, nursing professors and clinical specialists agreed that the current written tests have limitations in evaluating examinees' ability, and that the introduction of a clinical performance exam will yield positive results. Clinical performance exam is necessary to evaluate and improve nurses' work ability, which means that the implementation of a performance exam is advisable if its credibility and validity can be verified. Second, most respondents chose direct performance exams using simulators or standardized patients as the most suitable format of the test. CONCLUSION: In conclusion, the current national nursing licensing exam is somewhat limited in its ability to identify competent nurses. Thus, the time has come for us to seriously consider the introduction of a performance exam. The prerequisites for successfully implementing clinical performance exam as part of the national nursing licensing exam are a professional training process and forming a consortium to standardize practical training.

Motivos de estudantes de enfermagem para a escolha da carreira / Reasons for selecting university courses by nursing students

Resumen

Objetivo: este estudio tuvo como objetivo describir las razones de los estudiantes de enfermería para elegir la carrera y la actitud de sus familias ante su elección.

Metodología: se trata de un estudio descriptivo, con abordaje cuantitativo con un cuestionario a 72 estudiantes en el primer semestre del bachillerato en enfermería en una universidad pública en Sao Paulo, en la primera mitad de 2013.

Resultados: los motivos más frecuentes para elegir la carrera fueron: el interés por la salud (22,4%), la afinidad con el curso de en-fermería (12,6%), la apreciación de las personas y el interés en ayudar (11,7%), y el deseo de cuidar a las personas (11,7%). La mayoría de las familias de los estudiantes tenían actitud de respeto y apoyo a la elección de su hijo.

Discursión/Conclusiones: los resultados contribuyen a la reflexión sobre la práctica docente orientada a satisfacer las expectativas de los estudiantes y, por lo tanto, contribuyen a su formación.

Abstract

Purpose: we aimed at describing the reasons for selecting university courses by nursing students and family attitudes regarding such decision.

Methods: this is a descriptive study using a quantitative approach with a questionnaire completed by 72 students in a nursing bachelor first semester in a public university in Sao Paulo, in first half 2013.

Results: most common reasons to select university course were: interest in health (22.4%), affinity with nursing course (12.6%), esteem for people and interest in helping (11.7%), and a wish to care for people (11.7%). Most families showed a respectful and sup-porting attitude regarding students course selection.

Conclusions: our results contribute to reflection on teaching practice focused on meeting students expectations and improving their education.

Objetivo: este estudo objetivou descrever os motivos de estudantes de enfermagem para a escolha da carreira, e a atitude de seus familiares frente a sua escolha.

Metodologia: trata-se de estudo descritivo de abordagem quantitativa, com aplicação de questionário a 72 estudantes do primeiro semestre do curso de bacharelado em enfermagem de uma universidade pública estadual em São Paulo no primeiro semestre de 2013.

Resultados: os motivos mais frequentes para a escolha da carreira foram: interesse pela área da saúde (22,4%), afinidade pelo curso de Enfermagem (12,6%), apreço pelas pessoas e vontade de ajudá-las (11,7%), e o desejo de prestar cuidado (11,7%).

Discussão/Conclusão: a maioria dos familiares dos estudantes teve atitude de respeito e apoio à escolha de seu filho. os achados contribuem para reflexões sobre a prática docente visando o atendimento das expectativas do estudante e, consequentemente contribuição para sua formação.

El profesional de enfermería en el seguimiento a la adherencia al tratamiento antirretroviral / The nursing professional's role in following adherence to antiretroviral treatment

Introducción: el seguimiento al tratamiento antirretroviral es una arista de la atención al paciente con VIH/SIDA que tiene un abordaje multidisciplinar y en el que el profesional de enfermería, durante su desempeño coherente y flexible, debe lograr actitudes que favorezcan índices elevados de adherencia terapéutica. Esta categoría es poco abordada, por lo que se hace necesario un análisis valorativo de sus enfoques desde referentes en el contexto internacional y cubano. Objetivo: indagar sobre el desempeño profesional de Enfermería en el contexto del seguimiento a la adherencia al tratamiento antirretroviral, al considerar su relación con las condiciones actuales de la práctica de la enfermería cubana. Métodos: se realizó análisis de contenido de documentos, que incluyó artículos originales y de revisión publicados de 1999 al 2015 en SciELO, Dialnet y elsevier, con las siguientes palabras clave: desempeño, profesional, enfermería, adherencia terapéutica, antirretroviral. Se identificaron y revisaron 20 artículos, de los que fueron útiles 11, así como monografías de varias revistas que permitieron el análisis histórico lógico de la evolución de la categoría. Conclusiones: la indagación sobre el desempeño profesional de enfermería en el seguimiento al tratamiento antirretroviral permitió definir operacionalmente esta categoría, son pocos los autores que la abordan; no obstante, los problemas que desafían los profesionales de enfermería en el contexto cubano condicionan la necesidad de promover mejoras en su actuación(AU)

Introduction: antiretroviral treatment follow-up is an edge of HIV/AIDS patient care and has a multidisciplinary approach in which the nursing professional, during his/her flexible and coherent performance, should achieve attitudes that favor high rates of therapeutic adherence. This category is little addressed, so it is necessary an evaluative analysis of its approaches, based on referents from the Cuban and international settings. Objective: To investigate about the nursing professional performance in the setting of antiretroviral treatment adherence monitoring, considering its relationship with the current conditions of the Cuban nursing practice. Methods: document analysis, including original and review articles published from 1999 to 2015 in SciELO, Dialnet y Elsevier, was carried out, under the following key words: "profesional," "desempeño," "enfermería," adherencia terapéutica," "antirretroviral," in Spanish. Twenty articles were identified and reviewed, out of which 11 were useful, as well as monographs from several journals, which permitted the logical and historical analysis of the category's evolution. Conclusions: The inquiry into the nursing professional performance in monitoring antiretroviral treatment allowed to operationally define this category, which only few authors addressed; however, the problems faced by the nursing professionals in the Cuban context condition the need for promoting improvements in their performance(AU)

La creación de la enfermería universitaria en Uruguay: el testimonio de las pioneras / Establishing a new University Nursing School in Uruguay: pioneers' testimony

Resumen:

Introducción/Objetivo: se dilucidan los orígenes de la enfermería universitaria con el objetivo de comprender la transformación del colectivo profesional hacia la enfermería universitaria a partir de la vivencia de enfermeras protagonistas. Método: trata de una investigación cualitativa, con enfoque biográfico de la narrativa, centrado en el análisis de trayectorias de pro- fesoras y estudiantes en un marco de temporalidad. En Montevideo, 2012, se realizaron entrevistas semiestructuradas a ocho profe- sionales, de común acuerdo con ellos, garantizando el anonimato, privacidad y confidencialidad. El análisis de las entrevistas siguió los pasos de la categorización de las unidades del discurso, en clave del Uruguay del novecientos.Resultados: se desvela la confluencia del origen vocacional, el deseo de ayudar, la influencia familiar y de referentes sociales en su contexto sociosanitario. Surge la destacada trayectoria de profesoras y estudiantes, así como su condición de elegidas para la imple- mentación de la enfermería universitaria en la formación y el ejercicio. Los valores y principios del demos universitario, el aporte cien- tífico y tecnológico, la vocación de servicio, la capacitación en postgrados, van delineando la ruta de los cambios hacia la construcción de la enfermería universitaria.Conclusiones: el análisis crítico constructivo de las protagonistas pone en marcha las necesarias transformaciones para profesionalizar la enfermería uruguaya.

Relevance of the test content of the Korean Nursing Licensing Examination to nursing job / 보건의료교육평가

PURPOSE: This study aimed at identifying if there is a relevance of content of the Korean Nursing Licensing Examination (KNLE) revised in 2014 to nursing job. It will be able to provide the validity of revised content of the KNLE. METHODS: From October 13 to November 13, 2015, print version of 8 duties with 49-tasks, 155-job item questionnaires were distributed to 1,305 hospital nurses and 202 nursing faculties in Korea. Results were treated by descriptive statistics and comparison analysis. There were responses from 946 nurses or professors (72.5%). RESULTS: The relevance of test content of KNLE to nursing job was shown to be valid with over 3 points out of 4 point Likert scale in all items: from 3.23 at lowest to 3.64 at top. CONCLUSION: Above results showed that the revised version of KNLE in 2014 was valid to test the nursing students' knowledge for job performance.

The job analysis of Korean nurses as a strategy to improve the Korean Nursing Licensing Examination / 보건의료교육평가

PURPOSE: This study aimed at characterizing Korean nurses' occupational responsibilities to apply the results for improvement of the Korean Nursing Licensing Examination. METHODS: First, the contents of nursing job were defined based on a focus group interview of 15 nurses. Developing a Curriculum (DACOM) method was used to examine those results and produce the questionnaire by 13 experts. After that, the questionnaire survey to 5,065 hospital nurses was done. RESULTS: The occupational responsibilities of nurses were characterized as involving 8 duties, 49 tasks, and 303 task elements. Those 8 duties are nursing management and professional development, safety and infection control, the management of potential risk factors, basic nursing and caring, the maintenance of physiological integrity, medication and parenteral treatments, socio-psychological integrity, and the maintenance and improvement of health. CONCLUSION: The content of Korean Nursing Licensing Examination should be improved based on 8 duties and 49 tasks of the occupational responsibilities of Korean nurses.

Webquest: inovação pedagógica na formação de professores de enfermagem / WebQuest: pedagogical innovation in the training of teachers of nursing

Os constantes avanços tecnológicos levam a mudanças no perfil dos alunos fazendo-se necessária a inclusão de tecnologias no campo educacional. Entre os recursos tecnológicos a serem utilizados cita-se a chamada WebQuest, que é pautada na resolução de desafios e tem com objetivo central o fortalecimento do processo crítico-reflexivo dos alunos, afim de torná-los responsáveis pela sua aprendizagem. Com a proposta da formação de alunos voltados a uma perspectiva reflexiva, o Curso de Licenciatura da Escola de Enfermagem da Universidade de São Paulo (EEUSP) optou por utilizar a estratégia WebQuest em suas disciplinas, pensando na formação desses futuros professores. Objetivos: Construir e implementar a estratégia WebQuest no Curso de Licenciatura em Enfermagem da EEUSP; avaliar as Histórias em Quadrinho (HQs) desenvolvidas pelos alunos; e avaliar a construção das WebQuests realizadas pelos alunos do referido Curso. Método: Este estudo foi dividido em três etapas em consonância com os objetivos elencados. A primeira etapa constituiu-se como pesquisa aplicada de produção tecnológica, sendo desenvolvido e implementado uma WebQuest voltada a temática \"Concepções Pedagógicas\". A segunda etapa referiu-se a avaliação das HQs desenvolvidas pelos alunos na referida WebQuest, tratando-se de uma pesquisa exploratório-descritiva e documental. A terceira etapa, também considerada uma pesquisa exploratório-descritiva e documental, referiu-se a avaliação das WebQuests construídas pelos alunos, com a utilização de uma Rubrica que permitia a classificação das Webquests em Iniciante, Profissional e Mestre, conforme a pontuação alcançada.Fizeram parte deste estudo 12 HQs e 21 WebQuests. A coleta de dados ocorreu pela análise dos documentos produzidos pelos licenciandos, recuperadas pela plataforma Moodle do curso em questão. Resultados: A construção da WebQuest Concepções Pedagógicas iniciou-se pela definição do tema e objetivos, passando a revisão de literatura, busca por links, vídeos, imagens e textos disponíveis online, sendo posteriormente estruturada por meio do Google Sites®. Sua implementação ocorreu de forma presencial no laboratório de informática da EEUSP, com o suporte de Tecnologias Digitais da Comunicação e Informação (TDCI), encerrando-se com a entrega das HQs via email. Entre as 12 (100%) HQs criadas, a Concepção mais adotada tratou-se da Tradicionalista em 5 (42%) HQs, no que tange a presença dos elementos obrigatórios evidenciou-se que 11 (92%) apresentaram os elementos: objetivo, papel do professor, papel do estudante e autores vinculados à concepção. Em relação às WebQuests desenvolvidas verificou-se um total de 21 (100%), das quais 10 (48%) enquadraram-se na categoria Mestre, oito (38%) na categoria Profissional e três (14%) na categoria Iniciante. Todas as WebQuests possuíam os elementos Introdução e Processo/Recursos, enquanto 20 (95%) possuíam o elemento Tarefa. Além disso, 14 (64%) WebQuests possibilitam que seus usuários desenvolvam Habilidades de Pensamento do Nível Superior. Conclusão: Por meio deste estudo evidenciou-se que a estratégia WebQuest possibilita o desenvolvimento do processo reflexivo, crítico, colaborativo e propositivo entre os alunos, tornando o professor um mediador da aprendizagem. Vale destacar, porém, a necessidade de maiores incentivos quanto a seu uso na área da saúde, principalmente no que concerne a Enfermagem.

Constant technological advances lead to changes in the profile of students, requiring the inclusion of technology in the educational field. Among the technological resources that could be used is something called WebQuest, which is based on the resolution of problems, and has the central objective of strengthening the critical and reflective process of students in order to make them responsible for their learning. With the proposed training of students facing a reflexive perspective, the Nursing Licensure Course of the School of Nursing of the University of São Paulo (EEUSP), thinking about the training of these future teachers, chose to use the WebQuest strategy in its disciplines. Objectives: To build and implement the WebQuest strategy as part of EEUSPs Nursing Licensure Course to evaluate the comics drawn by students; and, to evaluate the construction of WebQuests undertaken by students of this course. Method: This study was divided into three stages in line with the stated objectives. The first stage consisted of constructing the technology as applied research, which resulted in the development and implementation of a WebQuest addressing the theme \"Pedagogical Conceptions\". The second stage referred to the assessment of comics developed by the students in the WebQuest, constituting exploratory, descriptive and documentary research. The third stage, also considered as exploratory, descriptive and documentary research, referred to the evaluation of WebQuests built by the students, with the use of a rubric that allowed WebQuests to be classified as either Beginner, Professional or Master, depending on the scores achieved.This study included 12 comics and 21 WebQuests. The data was collected for the analysis of documents produced by undergraduates, recovered by the Moodle platform of the course in question. Results: The construction of WebQuest Pedagogical Concepts, began by defining the theme and objectives, reviewing literature, searching for links, videos, images and texts available online, and subsequently restructuring them through Google Sites®. Construction took place in the IT laboratory of EEUSP, with the support of Digital Technologies, Communication and Information, ending with the delivery of comics by email. Of the 12 (100%) comics created, the most widely adopted design treated the Traditionalist in 5 (42%) of the comics, regarding the presence of the mandatory elements that showed that 11 (92%) represented the elements \"objective\", \" role of the teacher\",\" role of the student \" and \"authors linked to the design. In respect of the developed WebQuests, one was able to verify a total of 21 (100%), of which 10 (48%) fell into the category of Master, eight (38%) in the category of Professional and three (14%) in the category of Beginner. All of the WebQuests had the elements of Introduction and Process/Resources, while 20 (95%) had the element of Task. Moreover, 14 (64%) of WebQuests allowed their users to develop Skills of Higher Level Thought. Conclusion: Through this study one is able to demonstrate that the WebQuest strategy can facilitate the reflective, critical, collaborative and purposeful process among students, turning the teacher into a mediator of learning. It is worth noting, however, the need for greater encouragement of its use in healthcare, especially with regard to nursing.

Dificultades percibidas por los estudiantes de Enfermería en su inserción a la práctica clínica de Enfermería Medicoquirúrgica / Difficulties perceived by nursing students in joining medical/surgical nursing clinical training

Resumen:

Objetivo: identificar las principales dificultades percibidas por los estudiantes de la Licenciatura de Enfermería en la práctica clínica de enfermería medicoquirúrgica, durante el periodo comprendido de agosto a noviembre de 2012. Metodología: estudio cuantitativo, descriptivo, de corte transversal realizado a 18 estudiantes de la Licenciatura de Enfermería, modalidad nueve semestres. Los datos se recabaron mediante un cuestionario autoadministrado, creado por el docente investigador, donde además de las variables sociodemográficas para caracterizar a los estudiantes, se utilizaron variables que permitieron identificar las dificultades más importantes. Resultados: mostraron un predominio del género femenino y entre las principales dificultades para la inserción a la práctica clínica, los estudiantes mencionan los diversos criterios docentes utilizados, el no conocer previamente a los profesores que estarán con ellos en la experiencia, la falta de competencia, de conocimientos teóricos, la adaptación a la estructura y el funcionamiento del hospital.

Analytical study of the nurses licensure examination performance of graduates of Philippine Colleges of Nursing

@#<p style="text-align: justify;">Performance in the eight Nurse Licensure Examinations from December 2006 to December 2010 was analyzed to describe how graduates of colleges of nursing nationwide performed in the tests and to determine the factors that correlate with the examinees' scores. The study included all the graduates of colleges of nursing who participated in the eight Nurse Licensure Examinations. Data were collected through a review of secondary data from the Professional Regulation Commission - the passing percentage and average rating of schools, testing centers in the subjects tested and type of examinees. The variables from each NLE were categorized into Examinee variables, Institutional variables, and Program and Other variables. Based on the NLE results, the study concluded that those who took the examination for the first time (first timers) performed better, had higher passing percentage and significantly higher average rating than repeaters in all the NLEs. Among the repeaters, those who took the examination for at most two times showed higher passing percentage and average rating. Examinees from accredited schools also had higher passing percentage and average rating than examinees from non-accredited schools. Those from government-owned schools showed higher passing percentage in all NLEs and significantly higher average ratings in six (6) out of the eight (8) NLEs than examinees from non-government-owned schools. The study found that the accredited and government-owned schools had higher passing percentage and average rating compared to non-accredited and non-government-owned schools. Significant differences were found in the passing percentage and average rating of the examinees across regions and testing centers. Of the five subjects tested, the examinees performed best in Nursing Practice I and III. Their lowest passing percentage and average rating was in Nursing Practice IV. Number of examinees per school appeared not to have affected nor influenced either the passing percentage or average rating of schools in the eight (8) NLEs. The study reveals significant findings that correlate the performance of graduates of Philippine colleges of nursing in the 8 NLEs with selected variables and these findings may provide a better understanding of the issues and problems concerning the performance of examinees in the NLE.</p>

Bases teórico-metodológicas de un modelo curricular pertinente para la formación de Licenciados en Enfermería en Cuba / Theoretical-methodological basis of a relevant curricular model for the formation of Bachelors of Nursing in Cuba

INTRODUCCIÓN: En el año 2004 se decidió por el Ministerio de salud Pública que el plan de estudio de la Licenciatura en Enfermería transitara a la nueva generación de planes D, al mismo tiempo que se conservara el nuevo modelo de formación implantado desde el año anterior. Ante la necesidad de gestionar un cambio en los procesos formativos, se consideró la importancia de disponer de un sistema de bases teórico-metodológicas, de un modelo curricular pertinente para la formación de enfermeros universitarios en las condiciones actuales. OBJETIVO: Establecer el sistema de bases teórico-metodológicas de un modelo curricular pertinente para la formación de enfermeros universitarios en las condiciones actuales. MÉTODOS: En la investigación realizada con tal propósito se han empleado métodos teóricos y empíricos y se realizó triangulación metodológica para la obtención del producto final de la investigación. RESULTADOS: Se establecieron las bases teórico-metodológicas de un modelo curricular con orientación hacia el desarrollo temprano y creciente de habilidades profesionales, en correspondencia con las exigencias actuales para el desempeño en cualquiera de los niveles de atención del Sistema Nacional de Salud y de la sociedad cubana contemporánea, con un enfoque de desarrollo integral de la personalidad profesional, congruente con los valores socialmente establecidos en nuestro país. CONCLUSIONES: El sistema de bases teórico metodológicas establecido puede orientar la gestión de un cambio en los procesos formativos de la Licenciatura en Enfermería, con preservación de forma estable en el tiempo los rasgos esenciales y los avances obtenidos en el desarrollo curricular, en medio de condiciones de elevada variabilidad

The Ministry of Public Health decided in 2004 that the new curriculum of the Bachelor of Nursing studies should move into the new generation of D curricula but preserving the new model of formation that had been introduced the previous year. Given the need of managing a change in the formative processes, the importance of a system of theoretical-methodological bases in place for a relevant curricular model of the university nurse formation under the present conditions was considered. OBJECTIVE: To set the system of theoretical-methodological bases of a relevant curricular model for the formation of university nurses under the current conditions. METHODS: The research used theoretical and empirical methods as well as methodological triangulation to obtain the end result. RESULTS: The theoretical and methodological bases of a curricular model were set. They are directed to growing development of professional skills as early as possible, in line with the present requirements of work performance at any national health care level, and with the current demands of the Cuban contemporary society. They cover the comprehensive development approach to the professional personality according to the social values existing in our country. CONCLUSIONS: The system of theoretical-methodological bases can guide the management of changes in the formative processes of the Bachelor of Nurses studies in addition to permanently preserving the essential traits and the advances in the curricular development under conditions of high variability

Intervención educativa para elevar el nivel de conocimientos sobre urgencias quirúrgicas en especialistas de Medicina General Integral y Licenciados en Enfermería / Educational program to raise the level of knowledge on surgical emergencies in Comprehensive General Medicine specialists and graduates in nursing

Se realizó un estudio de intervención educativa cuasiexperimental antes-después en especialistas en Medicina General Integral y Licenciados en Enfermería pertenecientes a la brigada médica de colaboración ubicada en el Hospital de Campaña Muelle de los Bueyes de Nicaragua, en el periodo comprendido entre enero y diciembre de 2009. El universo de estudio estuvo constituido por 35 profesionales, doce especialistas de Medicina General Integral y veintitrés licenciados; se tuvieron en cuenta criterios de inclusión, exclusión y salida. Los resultados demostraron que existe diferencia estadísticamente significativa en la proporción de profesionales con conocimientos sobre afecciones quirúrgicas de urgencia antes y después de la intervención, por lo que el curso cumplió su objetivo.

A quasi-experimental educational intervention before-after was conducted in Comprehensive General Medicine specialists and graduates in nursing belonging to Collaborative medical brigade located in Hospital Campaign Muelle de los Bueyes from Nicaragua, in the period between January and December 2009. The study group consisted of 35 professionals, twelve Comprehensive General Medicine specialists and twenty-three graduates; were taken into account criteria of inclusion, exclusion and exit. The results showed that difference exists statistically significant in the professional proportion with expertise in emergency surgical conditions before and after the intervention, so the course met its goal.