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Professional practice models used by nurses in Portuguese hospitals
Olga Maria Pimenta Lopes Ribeiro1, Maria Manuela Ferreira Pereira da Silva Martins2, Daisy Maria Rizatto Tronchin3
1Escola Superior de Saúde de Santa Maria. Porto, Portugal.
Objective:
To analyze the professional practice models used by nurses in the hospital context.
Method:
A descriptive study with a qualitative approach was carried out in 19 hospitals with 56 nurses. Data collection was carried out by means of a semi-structured interview.
Results:
The following categories emerged from analysis: a practice focused on the management of signs and symptoms, where the biomedical model, prevention of complications, and early detection of signs and symptoms of clinical worsening stood out, and a practice based on patients' human responses, emphasizing health promotion, self-care promotion, autonomy reconstruction, functional rehabilitation, patients' training, preparation to return home, and facilitation of transitions.
Final Considerations:
In spite of the evolution seen in some contexts, a distance between the models practiced and those presented is still found, which indicates the need for changes ensuring structuring and systematization of the professional practice.
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