Experiências de estudantes do curso de licenciatura em enfermagem sobre supervisão clínica em uma universidade de Moçambique
DOI:
https://doi.org/10.22235/ech.v13i1.3665Palavras-chave:
educação em enfermagem, preceptoria, estudantes de enfermagem, enfermagemResumo
Objetivo: Descrever as experiências dos estudantes do último ano do Curso de Enfermagem da Universidade Católica de Moçambique sobre a supervisão clínica prestada pelos técnicos de enfermagem. Método: Estudo qualitativo-fenomenológico, realizado com estudantes do último ano do Curso de Enfermagem da Universidade Católica de Moçambique. A entrevista em profundidade foi a técnica utilizada para recolha de dados, analisados através da análise de conteúdo. Resultados: Os resultados foram divididos em quatro categorias principais que emergiram da análise das entrevistas e dizem respeito 1) à percepção dos alunos sobre o supervisor acadêmico, destacada pela presença e ausência de docentes no ambiente clínico; 2) ao supervisor clínico explicitado pelos supervisores técnicos de enfermagem, com subcategorias sobre o aluno de nível superior como ameaça ao enfermeiro técnico, tensão na relação entre supervisores clínicos e alunos, disposição e reação dos supervisores clínicos; 3) ao contexto, representado pela falta de recursos materiais e humanos, diversidade cultural e pandemia de COVID-19; e 4) à percepção de si mesmos como alunos, dividida em falta de orientação no ambiente clínico, vivência da prática clínica como um pesadelo e esperança durante a experiência. Também são apresentadas algumas propostas de melhorias. Conclusão: Os resultados deste estudo permitiram descrever o fenômeno em estudo, revelando a percepção dos estudantes sobre a supervisão clínica e o efeito do contexto em que esta relação se desenvolve. Estes resultados servirão para avaliar a forma de melhorar a supervisão clínica através da identificação de um modelo inovador a seguir. Esta medida é essencial para o desenvolvimento profissional dos estudantes de enfermagem.
Downloads
Referências
Donough G, Van der Heever M. Undergraduate nursing students’ experience of clinical supervision. Curationis. 2018;41(1): a1833. doi: 10.4102/curationis.v41i1.1833
Alhassan A, Duke M, Phillips NM. Nursing students’ satisfaction with the quality of clinical placement and their perceptions of preceptors competence: A prospective longitudinal study. Nurse Educ Today. 2024;133:106081. doi: 10.1016/j.nedt.2023.106081
Kaphagawani NC, Useh U. Clinical supervision and support: Exploring pre-registration nursing students’ clinical practice in Malawi. Ann Glob Health. 2018;84(1):100-109. doi: 10.29024/aogh.16
Pitkänen S, Kääriäinen M, Oikarainen A, Tuomikoski AM, Elo S, Ruotsalainen H, et al. Healthcare students’ evaluation of the clinical learning environment and supervision – a cross-sectional study. Nurse Educ Today. 2018;62:143-149. doi: 10.1016/j.nedt.2018.01.005
Kalyani MN, Jamshidi N, Molazem Z, Torabizadeh C, Sharif F. How do nursing students experience the clinical learning environment and respond to their experiences? A qualitative study. BMJ Open. 2019;9:e028052. doi: 10.1136/bmjopen-2018-028052
Celma-Vicente M, López-Morales M, Cano Caballero-Gálvez MD. Analysis of clinical practices in the Nursing Degree: Vision of tutors and students. Enfermería Clínica (English Edition). 2019;29(5):271-279. doi: 10.1016/j.enfcle.2018.04.006
Aliafsari Mamaghani E, Rahmani A, Hassankhani H, Zamanzadeh V, Campbell S, Fast O, et al. Experiences of Iranian Nursing Students Regarding Their Clinical Learning Environment. Asian Nurs Res (Korean Soc Nurs Sci). 2018;12(3):216-222. doi: 10.1016/j.anr.2018.08.005
Mathisen C, Bjørk IT, Heyn LG, Jacobsen TI, Hansen EH. Practice education facilitators perceptions and experiences of their role in the clinical learning environment for nursing students: a qualitative study. BMC Nurs. 2023;22:165. doi:10.1186/s12912-023-01328-3
Donough G. Nursing students’ experiences of clinical assessment at a university in South Africa. Health SA. 2023;28:2161. doi: 10.4102/hsag.v28i0.2161.
DeMeester DA, Hendricks S, Stephenson E, Welch JL. Student, preceptor, and faculty perceptions of three clinical learning models. Journal of Nursing Education. 2017;56(5):281-286. doi: 10.3928/01484834-20170421-05
Grealish L, van de Mortel T, Brown C, Frommolt V, Grafton E, Havell M, et al. Redesigning clinical education for nursing students and newly qualified nurses: A quality improvement study. Nurse Educ Pract. 2018;33:84-89. doi: 10.1016/j.nepr.2018.09.005
McLeod C, Jokwiro Y, Gong Y, Irvine S, Edvardsson K. Undergraduate nursing student and preceptors’ experiences of clinical placement through an innovative clinical school supervision model. Nurse Educ Pract. 2021;51:102986. doi: 10.1016/j.nepr.2021.102986
Nursing & Midwifery Council. Standards for education and training [Internet]. Londres: Nursing & Midwifery Council; 2018. Disponível em: https://www.nmc.org.uk/standards-for-education-and-training/
Rusch L, Beiermann T, Schoening AM, Slone C, Flott B, Manz J, et al. Defining Roles and Expectations for Faculty, Nurses, and Students in a Dedicated Education Unit. Nurse Educ. 2018;43(1):14-17. doi: 10.1097/NNE.0000000000000397
Schaffer MA, Schoon PM, Brueshoff BL. Creating and sustaining an academic-practice Partnership Engagement Model. Public Health Nurs. 2017;34(6):576-584. doi: 10.1111/phn.12355
Tang FWK, Chan AWK. Learning experience of nursing students in a clinical partnership model: An exploratory qualitative analysis. Nurse Educ Today. 2019;75:6-12. doi: 10.1016/j.nedt.2019.01.003
Aryere MT. Assessment of factors influencing the quality of clinical supervision of nursing and midwifery students at the 37 military hospital [Internet]. Afribary; 2018. Disponível em: https://afribary.com/works/assessment-of-factors-influencing-the-quality-of-clinical-supervision-of-nursing-and-midwifery-students-at-the-37-military-hospital
Hester CdS. The clinical environment: A facilitator of professional socialisation. Health SA. 2019;24:a1188. doi: 10.4102/hsag.v24i0.1188.
Kavili JN. The impact of clinical nurse instructor’s practices on clinical performance among bachelor of science in nursing students in Kenya [Tese de graduação]. Kenya; 2020. Disponível em: https://repository.kemu.ac.ke/bitstream/handle/123456789/917/JULIAN%20NTHULE%20KAVILI%20THESIS.Pdf?Sequence=1&isallowed=y
Mubeezi MP, Gidman J. Mentoring student nurses in Uganda: A phenomenological study of mentors’ perceptions of their own knowledge and skills. Nurse Educ Pract. 2017;26:96-101. doi: 10.1016/j.nepr.2017.07.010
Rojo J, Ramjan LM, Hunt L, Salamonson Y. Nursing students′ clinical performance issues and the facilitator’s perspective: A scoping review. Nurse Education in Practice. 2020;48:102890. doi: 10.1016/j.nepr.2020.102890
Ivo Garrido P. WIDER Working Paper 2020/131-Saúde, desenvolvimento e factores institucionais: o caso de Moçambique. 2020. Disponível em: https://www.wider.unu.edu/sites/default/files/Publications/Working-paper/PDF/wp2020-131-PT.pdf
Monjane LJ, Barduchi Ohl RI, Barbieri M. A formação de enfermeiros licenciados em Moçambique. Rev. Iberoam. Educ. Investi. Enferm. 2013;3(4):20-28. Disponível em: https://www.enfermeria21.com/revistas/aladefe/articulo/87
Casapía GZ, Vieira MMS. Formação em Enfermagem com Aprendizagem Baseada em Problemas (PBL). O caso da Universidade Católica de Moçambique [Tese de graduação]. Porto: Universidade Católica Portuguesa; 2016. Disponível em: https://repositorio.ucp.pt/bitstream/10400.14/24195/1/Tese-GZC-Final%2001.pdf
Benner P. From Novice to Expert. The American Journal of Nursing. 1982; 82(3):402-407. Disponível em: https://journals.lww.com/ajnonline/citation/1982/82030/from_novice_to_expert.4.aspx#ContentAccessOptions
Howard ED. Fostering Excellence in Professional Practice with Mentorship. Journal of Perinatal and Neonatal Nursing. 2020;34(2):104-105. doi: 10.1097/JPN.0000000000000477
Creswell JW. 3ª ed. Qualitative Inquiry & Research Design. Thousand Oaks: SAGE; 2013.
Sanguino NC. Fenomenología como método de investigación cualitativa: preguntas desde la practica investigativa. Revista Latinoamericana de Metodología de la Investigación Social. 2021;20(10):7-18. Disponível em: http://www.relmis.com.ar/ojs/index.php/relmis/article/view/fenomenologia_como_metodo
Rinaldi Carpenter D. Phenomenology as a Method. En Streubert HJ, Rinaldi Carpenter D, editors. 5ª ed. Qualitative Research in Nursing. Hong Kong: Lippincott Williams & Wilkins; 2011, p. 72-94.
Instituto Nacional de Estatística. Estatísticas da Cultura 2018 [Internet]. 2018. https://acortar.link/kpXwl3
Muthathi IS, Thurling CH, Armstrong SJ. Through the eyes of the student: Best practices in clinical facilitation. Curationis. 2017;40(1):e1-e8. doi: 10.4102/curationis.v40i1.1787.
Mbakaya BC, Kalembo FW, Zgambo M, Konyani A, Lungu F, Tveit B, et al. Nursing and midwifery students’ experiences and perception of their clinical learning environment in Malawi: a mixed-method study. BMC Nurs. 2020;19:87. doi: 10.1186/s12912-020-00480-4
Rebeiro G, Evans A, Edward K leigh, Chapman R. Registered nurse buddies: Educators by proxy? Nurse Education Today. 2017;55:1-4. doi: 10.1016/j.nedt.2017.04.019
Drasiku A, Gross JL, Jones C, Nyoni CN. Clinical teaching of university-degree nursing students: are the nurses in practice in Uganda ready? BMC Nurs. 2021;20:4. doi: 10.1186/s12912-020-00528-5
Abuosi AA, Kwadan AN, Anaba EA, Daniels AA, Dzansi G. Number of students in clinical placement and the quality of the clinical learning environment: A cross-sectional study of nursing and midwifery students. Nurse Educ Today. 2022;108: 105168. doi: 10.1016/j.nedt.2021.105168
Arkan B, Ordin Y, Yılmaz D. Undergraduate nursing students’ experience related to their clinical learning environment and factors affecting to their clinical learning process. Nurse Educ Pract. 2018;29:127-132. doi: 10.1016/j.nepr.2017.12.005
Hari R, Geraghty S, Kumar K. Clinical supervisors’ perspectives of factors influencing clinical learning experience of nursing students from culturally and linguistically diverse backgrounds during placement: A qualitative study. Nurse Educ Today. 2021;102:104934. doi: 10.1016/j.nedt.2021.104934
Ulenaers D, Grosemans J, Schrooten W, Bergs J. Clinical placement experience of nursing students during the COVID-19 pandemic: A cross-sectional study. Nurse Educ Today. 2021;99: 104746. doi: 10.1016/j.nedt.2021.104746
O’Donnell C, Markey K, Murphy L, Turner J, Doody O. Cultivating support during COVID-19 through clinical supervision: A discussion article. Nurs Open. 2023;10(8):5008-5016. doi: 10.1002/nop2.1800
Downloads
Publicado
Como Citar
Edição
Secção
Licença
Direitos de Autor (c) 2024 Enfermería: Cuidados Humanizados
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.