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Explanatory approach to the grounding of the professional nursing practice
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Abstract(s)
INTRODUCTION. In the current health care environment, the needs of the population
provided the perfect opportunity for nurses to (re)de$ne their practice and professional
career. Within this framework, this study aimed thus at identifying the bases
that are underlying the practice, as well as the factors that stimulate or jeopardise
the quality of care and a practice that is consistent with the desired grounding.
METHOD. Qualitative study with a phenomenological nature carried out in 19 public
hospitals in mainland Portugal with the participation of 56 nurses. The tool used for
collecting data was a semi-structured interview.
RESULTS. Regarding the factors that stimulate or jeopardise the quality of care a practice
that is consistent with the desired grounding, we could highlight features that
were perfectly integrated in the triad structure, process and result. In relation to
“structure”, we could point out the following: organizational resources, human and
material resources, service organization, nursing sustainment practices and organization
of nursing care. Concerning “process”, we could analyse: decision-making
process, guiding principles for the professional practice, scienti$c methodology of
health care service, health care documentation process, communication process,
collaborative practice and management practice. In what concerns “result”, the
features were less evident in the participants’ speech, and more stressed among
clients and nurses.
CONCLUSION. The explanatory approach to the grounding of the professional nursing
practice, outlined in a three-dimensional perspective, makes clear the theoretical
framework that grounds the practice, as well as the factors in hospital environment,
that stimulate or jeopardise the quality of the nursing care
Description
Keywords
Quality Assurance Health Care Profissional Practice Hospitals
Citation
Pimenta Lopes Ribeiro OM, Ferreira Pereira da Silva Martins MM, Rizzato Tronchin DM, Almeida Ventura da Silva JM.Explanatory approach to the grounding of the professional nursing practice. Suplemento Digital Rev ROL Enferm 2018; 41(11-12)