Num dos inúmeros artigos que leio habitualmente , via Medscape, li recentemente este (originalmente apelidado de “Overhauling Nursing Education “) que é um artigo de opinião sobre o ensino da enfermagem, como foi, como é, como será, como deverá e como poderá ser…
Deixo-vos alguns excertos … para reflectir(peço desculpa pelo inglês mas a tarefa de tradução é morosa e perderia o incentivo à aprendizagem do inglês, actualmente fundamental, no futuro talvez o hindi ou o mandarim…):
“You would work without pay, essentially as free staff for the hospital; your “salary” was your education. After work in the evenings, you would attend lectures given by physicians or supervising nurses on subjects such as obstetrics, surgical emergencies, anatomy, physiology, electricity, materia medica (pharmacology), bathing, and massage. Exams on these lectures would be given periodically. However, the overall program emphasized practice over theory — with practice commanding a 90% share of your time.”
” An initiative known as the Future of Nursing (FON)
Participants in this forum considered needed innovations in what to teach (ideal future nursing curricula), how to teach (methodologies and strategies), and where to teach (venues and locations for nursing education).
The recommendations that came out of this forum were driven by 4 realities (1) more nurses are working outside of hospitals as care shifts formally and informally into communities; (2) evidence that could inform practice is growing rapidly, but is not well-integrated into either education or practice; (3) the need for nurses to effectively work in and lead teams is increasing; and (4) numbers alone will not fill the widening gap between the supply of nurses and the growing need for their services — additional research and new knowledge will be required.”
“We need to address concepts within populations of patients, and shift from the medical diagnosis model or the task and procedures model to competence in applying critical concepts to multiple patients with multiple diagnoses.”
Nursing education right now is focused on the individual nurse-patient interaction, but what nurses really need is a panoramic view that encompasses healthcare systems, quality and safety, and a team approach to problem-solving.
Most nursing curricula today are loaded with content and facts to be memorized, in a mostly passive learning environment. Nursing students are rotated through specialties such as obstetrics, pediatrics, and surgery, still following a disease-oriented medical model. Clinical experiences are centered primarily in acute care settings.
Interprofessional collaboration, a necessary component of effective care coordination in the increasingly complex healthcare environment, will not be broadly achieved until healthcare professional students are educated together. The poor communication and lack of respect between, for example, nurses and physicians, lead to poor outcomes; but effective teamwork and good working relationships can improve outcomes.
A key recommendation of the Future of Nursing initiative is to broaden the use of nurse residency programs.Residencies are transitional programs, designed both for new graduates and for experienced nurses who wish to change practice settings. A residency provides time for the nurse to perfect competencies in a new environment.
“Nursing roles must change to meet the public’s demand for us in the future. The public wants to know that the nurses who are providing care are competent.”