Basic nursing education and its importance in surgery

quality

Ruth Natalia Teresa TurriniAssociate ProfessorNursing School – São Paulo UniversityE-mail:rturrini@usp.br

Factors that influence education policies on health

Differences regarding Geography of the country Socioeconomic and cultural factors Accessibility to health care services Demands for health care

Health policies

nursing education-related laws and regulations

“generalist nurse”

different interpretations – “primary health care”

Nursing Programs (bachelor degree)

Study developed in 2011

Objective: to identify how the contents of perioperative nursing is taught in

nursing programs in Brazil.

Data collection: questionnaire sent by e-mail to the coordinators of the

nursing programs

Total nº of nursing programs registered in the Ministery of Education: 841

Total number of completed questionnaires: 159

Around 20% in each region, except the Northeast (10%)

Frequency

Region N % % acum

Southeast 377 44,9 44,9

North 191 22,7 67,6

South 129 15,3 82,9

Midwest 87 10,3 93,2

North 57 6,8 100,0

Total 841 100,0

Frequency of nursing programs according to the region. Brazil, 2011.

State of Amazon and cities with a bachelor's degree in Nursing. Brazil, 2011.

Capital: Manaus (158,1 hab/km2 - 9 programs)Nº cities: 62

Nº cities with nursing programs: 2 (3,2%) Population: 3.483.985 Territorial extension: 1.559.161,68km2 (2,2hab/km2)

State of São Paulo and cities with a bachelor's degree in Nursing. Brazil, 2011.

Capital: São Paulo (7.387,69 hab/km2 - 49 programs)

Nº cities: 645

Nº cities with nursing programs: 78 (12,1%)

Population: 41.262.199 Territorial extension: 248.196,96km2 (166,25 hab/km2)

147 (92,6%) answers

average 94,7h (SD80h)

median 80h ( range 5 to 330h)

interquartile range 60h

Figure - Distribution of perioperative nursing course load. Brazil, 2011

Nursing Programs (bachelor degree)

Perioperative nursing course loads

133 (83,6%) answers mean 56,1h (SD29,9h) median 45h (range 0 to 200h) interquartile range 60h

Theoretical course load

134 (84,3%) answers mean 42,3h (SD33,2) median de 34,5h (0 – 198)Interquartile range 40h

Practical course load

How are delivered the contents ?

107 (67,3%) have a course of Perioperative Nursing 52 (32,7%) – perioperative nursing contents are inserted into the

Surgical Nursing course or other ones 16 (10,1%) deliver only theoretical contents

Some respondents mentioned the local of the practical learning: 12 (9,4%) - hospitals 25(18,5%) - central material supply 12 (8,9%) - surgical unit and operating room 6 (4,4%) – ambulatory operating room 1 (0,7%) – just post anesthesia recovery room

Contents frequently delivered

Physical infrastructure of the operating room and human resources Perioperative nursing process Admission and discharge of patients Surgical scrub Circulation room Post anesthesia recovery Material supply processing and sterilization Prevention and control of infection in surgical site

Patient safety

• prevention of adverse events

• prevention of complications

Quality of care

Specialization programs

20 baccalaureate colleges deliver specialization programs 11 (55,5%) are located in Southeast, 4 (20,0%) Northeast, 3 (15,0%) North and

two (10,0%) South. Frequently delivered at colleges with a perioperative nursing course (n=14; 70,0%) 12 (60,0%) are private schools 2 colleges (states of Bahia and Santa Catarina) did not get enough registers to offer

the specialization program

99 (63,9%) - have professors with specialization program in Perioperative

Nursing

53 (33,5%) - do not have professors with specialization program in

Perioperative Nursing

39 (73,6%) worked in surgical settings

2 (3,8%) were surgical instrument technicians

Professors of the baccalaureate programs

Graduation programs Spontaneous mentioning, so the number can be higher

19 (12,0%) – master degree and 18 (11,4%) doctorate degree.

Professors with master degree (n=13; 8,1% nursing programs)

11 (57,9%) – worked in private schools

15 (78,9%) – tought in nursing programs with perioperative nursing

courses

10 (52,5%) colleges of Southeast, 6 (5,3%) Northeast, 2 (10,5%) South

and 1 (7,7%) Midwest

Professors with doctorate degree (n=7; 4,4% nursing programs)

10 (55,5%) – worked in private schools

15 (83,3%) – tought in nursing programs with perioperative nursing

courses

11 (61,1%) colleges of Southeast, 6 (33,3%) Midwest e um (5,6%)

South.

Nursing technicians and bachelor education

Portal do SISEP

Many, many... Programs

Programs and schools are not evaluated/monitored

Programs do not have basic uniform contents

Registration at the Ministry of Education

Not updated

Incomplete information of some programs

The form for technicians schools does not have items for important

information, as positions.

Weaknesses? Strengths? Challenges?

Schools of nursing technician education

City of São Paulo 115 schools registered

294 programs registered

103 schools registered without specifying the vocational program

offered

There are programs offered in Baccalaureate schools

Hospitals

Private schools.

Improving nursing programs... Knowledge and skills in leadership, quality improvement, and patient safety

are necessary to provide high quality health care Professional nursing practice is grounded in the translation of current evidence

into practice Knowledge and skills in information management and patient care technology

are critical in the delivery of quality patient care Communication and collaboration among surgical team are critical to

delivering high quality and safe patient care Engage in case study discussions/dialogue with a variety of healthcare and

other professionals Engage in interprofessional and intraprofessional care in simulation labs. Develop interprofessional community projects

American Association of Colleges of Nursing, 2009

Behind the technology .....

Person “Human being”

Knowledge

Skills/abilities

Shared responsability

Rhytm

Synchrony

THANK YOU FOR THE ATTENTION