Estrategias de enseñanza-aprendizaje en gestión del cuidado de enfermería. Una revisión narrativa
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Introducción: El proceso de enseñanza-aprendizaje en la enfermería requiere estrategias didácticas, objetivas y eficaces para que, tanto alumnos como profesionales noveles, desarrollen habilidades en la gestión del cuidado.
Objetivo: Analizar la evidencia publicada sobre las estrategias didácticas implementadas durante el proceso de enseñanza-aprendizaje para el desarrollo de habilidades enfocadas a la gestión del cuidado.
Método: Revisión narrativa de la literatura. La búsqueda de información se realizó en cinco bases de datos usando MeSH/DeCS y palabras clave. Se encontraron 1 391 textos; de estos fueron elegidos 52 por título y resumen; al final se analizaron 18 artículos.
Resultados: La principal estrategia empleada es el aprendizaje basado en problemas. Las habilidades más desarrolladas fueron interpersonales, como la comunicación; seguidas por las analíticas, como la planificación.
Discusión y Conclusiones: Las estrategias identificadas resultan ser eficaces y funcionales, por lo tanto, pueden ser utilizadas para desarrollar habilidades de gestión en alumnos de pregrado y profesionales de enfermería principiantes. Cabe señalar que ninguna es excluyente de otra, por lo que pueden emplearse en sinergia para lograr los objetivos de aprendizaje. Es importante que los docentes de enfermería empleen dichas estrategias de acuerdo con la evidencia existente y con su efectividad, para así construir un aprendizaje significativo.
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MÉTRICAS
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(1) Díaz-Barriga AF, Hernández-Rojas G. Estrategias docentes para un aprendizaje significativo. Una interpretación constructivista. 2da ed. México: McGraw-Hill Interamericana; 2012.
(2) Bacorn-Bastable S. Nurse as educator: Principles of teaching and learning for nursing practice. 2nd ed. Massachusetts: Jones and Bartlett Publishers; 2003.
(3) Zarate-Grajales RA. La gestión del cuidado de enfermería. Index Enferm. 2004; 13(44-45): 42-6. https://bit.ly/3Gi8VF1
(4) De Sá-Mororó DD, Cruz-Enders B, Brandão-de Carvalho Lira AL, Braz-da Silva CM, Paiva-de Menezes RM. Concept analysis of nursing care management in the hospital context. Acta Paul Enferm. 2017; 30(3): 323-32. https://doi.org/10.1590/1982-0194201700043
(5) Kérouac S, Pepin J, Ducharme F, Duquette A, Major F. El pensamiento enfermero. Barcelona: Elsevier Masson; 1996.
(6) Christovam BP, Porto IS, De Oliveira DC. Nursing care management in hospital settings: The building of a construct. Rev Esc Enferm USP. 2012; 46(3): 734-41. https://doi.org/10.1590/s0080-62342012000300028
(7) Meleis AI. Theoretical nursing: Today’s challenges, tomorrow’s bridges. Nurs Pap. 1987; 19(1): 45-57. https://bit.ly/3KWh2ed
(8) Prieto-Rodríguez MA, Suess A, March-Cerdá JC. De gestoras de recursos a gestoras de cuidados: opiniones y expectativas de las supervisoras sobre su nuevo rol profesional. Enferm. clín. 2005; 15(6): 314-20. https://doi.org/10.1016/S1130-8621(05)71137-2
(9) Lentz S, Luther B. Nursing care management: Influence on bundled payments. Orthop. Nurs. 2017; 36(1): 28-33. http://doi.org/10.1097/NOR.0000000000000309
(10) Raile-Alligood M, Marriner-Tomey A. Modelos y teorías en enfermería. 7ma ed. España; Elsevier: 2011.
(11) Slipicevic O, Masic I. Management knowledge and skills required in the health care system of the Federation Bosnia and Herzegovina. Mat Soc Med. 2012; 24(2): 106-11. http://doi.org/10.5455/msm.2012.24.106-111
(12) Treviso P, Capeletti-Peres S, Dartora-da Silva A, Alves-dos Santos A. Competências do enfermeiro na gestão do cuidado. Rev. Adm. Saúde. 2017; 17(69): 1-14. http://doi.org/10.23973/ras.69.59
(13) Luther B, Barra J, Martial MA. Essential nursing care management and coordination roles and responsibilities: A content analysis. Prof Case Manag. 2019; 24(5): 249-58. http://doi.org/10.1097/NCM.0000000000000355
(14) Bomfim de-Souza MK, Meira-de Melo CM. Atuaçao de enfermeiras ñas macrofunçôes gestoras em saúde. Rev. Enferm UERJ. 2009; 17(2): 198-202.
(15) Urrútia G, Bonfill X. Declaración PRISMA: una propuesta para mejorar la publicación de revisiones sistemáticas y metaanálisis. Med. clin. 2010; 135(11): 507-11. http://doi.org/10.1016/j.medcli.2010.01.015
(16) Armola RR, Bourgault AM, Halm MA, Board RM, Bucher L, Harrington L, et al. AACN levels of evidence: What’s new?. Crit Care Nurse. 2009; 29(4): 70-3. http://doi.org/10.4037/ccn2009969
(17) Nkosi Z, Pillay P, Nokes KM. Implementing case-based teaching strategies in a decentralised nursing management programme in South Africa. Curationis. 2013; 36(1): 1-6. https://doi.org/10.4102/curationis.v36i1.130
(18) Kaiser DE, Dall’Agnol CM. Teaching and learning nursing management in the hospital context: An approach in the light of Pichon-Rivière. Rev Esc Enferm USP. 2017; 51: 1-10. https://doi.org/10.1590/S1980-220X2017018803261
(19) Gomes-Dellaroza MS, Nakaya-Tada C, Lourenço-Haddad MC, Oliveira-Vannuchi MT, Gomes-Maziero V. O ensino de gerência em enfermagem na graduação: uma revisão integrativa. Semin. Ciênc. biol. saúde. 2015; 36(Suppl. 1): 149-58. http://dx.doi.org/10.5433/1679-0367.2015v36n1Suplp149
(20) Opptiz-de Lima R, Ortiz-Vargas C, Loewen-Wall ML, Peres AM. The problematization method applied to the subject nursing administration. Invest Educ Enferm. 2012; 30(2): 269-76. https://bit.ly/3M3LLqc
(21) Lin WT, Lin SY, Chou FH, Wu LM, Lee BO. The longitudinal learning outcomes of using different teaching sequences in a nursing administration project. J Nurs Manag. 2019; 27(6): 1-10. http://doi.org/10.1111/jonm.12812
(22) Ancel G. Problem-solving training: Effects on the problem-solving skills and self-efficacy of nursing students. Eurasian J. Educ. Res. 2016; 16(64): 231-46. https://bit.ly/3HmScRE
(23) Jang KS, Park SJ. Effects of action learning approaches on learning outcomes in nursing management courses. J Korean Acad Nurs Adm. 2012; 18(4): 442-51. http://doi.org/10.11111/jkana.2012.18.4.442
(24) Meyenberg-Cunha Sade P, Peres AM. Development of nursing management competencies: Guidelines for continuous education services. Rev Esc Enferm USP. 2015; 49(6): 988-94. https://doi.org/10.1590/S0080-623420150000600016
(25) Park KO, Kim JK. Experience of nursing management practice in graduate nurses. J Korean Acad Nurs Adm. 2019; 25(4): 259-71. https://doi.org/10.11111/jkana.2019.25.4.259
(26) Goktepe N, Turkmen E, Badir A, Hayta O, Karabuga-Yacar H, Aysegul-Buyukgonenc L. Development of managerial competencies for first-level nurse managers in Turkey. Int J Caring Sci. 2018; 11(2): 1096-103. https://bit.ly/3uiK7KU
(27) Andrian-Leal L, Inácio-Soares M, Da Silva BR, Bernardes A, Henriques-Camelo SH. Clinical and management skills for hospital nurses: Perspective of nursing university students. Rev Bras Enferm. 2018; 71(Suppl. 4): 1514-21. http://dx.doi.org/10.1590/0034-7167-2017-0452
(28) Choi SE, Kim EA. Effects of learning activities on application of learning portfolio in nursing management course. J Korean Acad Nurs. 2016; 46(1): 90-9. https://doi.org/10.4040/jkan.2016.46.1.90
(29) Thomas C, Hodson-Carlton K, Ryan M. Preparing nursing students in a leadership/management course for the workplace through simulations. Clin Simul Nurs. 2011; 7(3): 99-104. https://doi.org/10.1016/j.ecns.2010.06.005
(30) Park M. Implementation of evidence based nursing education into nursing management clinical practicum: Outcome evaluation and diffusion strategies. J Korean Acad Nurs Adm. 2013; 19(1): 39-47. https://doi.org/10.11111/jkana.2013.19.1.39
(31) Guedes-dos Santos JL, Bittencourt-Netto de Souza CS, Vieira-Tourinho FS, Sebold LF, Silveira-Kempfer S, Da Costa-Linch GF. Didactic strategies in the teaching-learning process of nursing management. Texto Contexto Enferm. 2018; 27(2): 1-11. http://dx.doi.org/10.1590/0104-070720180001980016
(32) Rigobello JL, Bernardes A, Almeida-de Moura A, Barboza-Zanetti AC, Spiri WC, Gabriel CS. Estágio curricular supervisionado e o desenvolvimento das competências gerenciais: a visão de egressos, graduandos e docentes. Esc Anna Nery. 2018; 22(2): 1-9. http://dx.doi.org/10.1590/2177-9465-ean-2017-0298
(33) Colaço AD, De Jesus BH, Pereira-Dal Paz B, Santos-Ardigo F, Guedes-dos Santos JL, Soder RM, et al. Supervised training of administration and management in nursing and health: Report of an academic experiencie. Rev enferm UFPE on-line. 2012; 6(10): 2596-602. https://bit.ly/36y6SAA
(34) Montezeli JH, Fernandez-Lourenço Haddad MC, Garanhani ML, Peres AM. Improving social skills in care management provided by nurses: Intervention research. Rev. Bras Enferm. 2019; 72(Suppl. 1): 49-57. https://doi.org/10.1590/0034-7167-2017-0918
(35) Sayyah M, Shirbandi K, Saki-Malehi A, Rahim F. Use of a problem-based learning teaching model for undergraduate medical and nursing education: A systematic review and meta-analysis. Adv Med Educ Pract. 2017; 8: 691-700. https://doi.org/10.2147/AMEP.S143694
(36) Cartwright P, Bruce J, McInerney P. Effects of problem-based learning on nurse competence: A systematic review. J Nurs Educ Pract. 2017; 7(4): 67-75. https://doi.org/10.5430/jnep.v7n4p67
(37) McMullan M, Endacott R, Gray MA, Jasper M, Miller CML, Scholes J, et al. Portfolios and assessment of competence: A review of the literature. J Adv Nurs. 2003; 41(3): 283-94. https://doi.org/10.1046/j.1365-2648.2003.02528.x
(38) García-Carpintero Blas E, Siles-González J, Martínez-Roche ME, Martínez-Miguel E, Manso-Perea C, Álvarez-Embarba B. Metodologías de enseñanza-aprendizaje en enfermería: ¿Es el portafolio una metodología acorde con el espacio europeo de educación superior?. Enferm. docente. 2017; (108): 24-8. https://bit.ly/3K1p0kZ
(39) Kamel SS, Attia NR. Perception of student nurses towards the use of portfolio in a faculty of nursing. J Am Sci. 2010; 6(12): 1436-46. https://doi.org/10.7537/marsjas061210.160
(40) McMullan M. Using portfolios for clinical practice learning and assessment: The pre-registration nursing student’s perspective. Nurse Educ Today. 2008; 28(7): 873-9. https://doi.org/10.1016/j.nedt.2007.11.006
(41) Sebold LF, Willrich-Boell JE, Costa-Fermo V, Balbinot-Reis Girondi J, Guedes-dos Santos JL. Role-playing: teaching strategy that encourages reflections on nursing care. Rev Bras Enferm. 2018; 71 (Suppl. 6): 2706-12. https://doi.org/10.1590/0034-7167-2017-0733
(42) Dorri S, Farahani MA, Maserat E, Haghani H. Effect of role-playing on learning outcome of nursing students based on the Kirkpatrick evaluation model. J Educ Health Promot. 2019; 8: 1-9. https://bit.ly/3M2DBya
(43) Rønning SB, Bjørkly S. The use of clinical role-play and reflection in learning therapeutic communication skills in mental health education: An integrative review. Adv Med Educ Pract. 2019; 10: 415-25. https://doi.org/10.2147/AMEP.S202115
(44) Vizeshfar F, Dehghanrad F, Magharei M, Javad-Sobhani SM. Effects of applying role playing approach on nursing students’ education. Int. j. humanit. cult. stud. 2016; 1772-81. https://bit.ly/3vkMf5w
(45) Sanford PG. Simulation in nursing education: A review of the research. Qual. Rep. 2010; 15(4): 1006-11. https://bit.ly/3upd8o3
(46) Dunnington RM. The nature of reality represented in high fidelity human patient simulation: Philosophical perspectives and implications for nursing education. Nurs Philos. 2014; 15(1): 14-22. https://doi.org/10.1111/nup.12034
(47) Reed CC, Lancaster RR, Bridgman-Musser D. Nursing leadership and management simulation creating complexity. Clin Simul Nurs. 2009; 5(1): 17-21. https://doi.org/10.1016/j.ecns.2008.09.006
(48) Fiset VJ, Graham ID, Davies BL. Evidence-based practice in clinical nursing education: A scoping review. J Nurs Educ. 2017; 56(9): 534-41. https://doi.org/10.3928/01484834-20170817-04
(49) Sandström B, Borglin G, Nilsson R, Willman A. Promoting the implementation of evidence-based practice: A literature review focusing on the role of nursing leadership. Worldviews Evid Based Nurs. 2011; 8(4): 212-23. https://doi.org/10.1111/j.1741-6787.2011.00216.x
(50) Kueny A, Shever LL, Lehan-Mackin M, Titler MG. Facilitating the implementation of evidence-based practice through contextual support and nursing leadership. J Healthc Leadersh. 2015; 7: 29-39. https://doi.org/10.2147/JHL.S45077
(51) Pérez-Campos MA, Sánchez-García I, Pancorbo-Hidalgo PL. Knowledge, attitude and use of evidence-based practice among nurses active on the internet. Invest Educ Enferm. 2014; 32(3): 451-60. https://doi.org/10.17533/udea.iee.v32n3a10
(52) Melleiro MM, Rizatto-Tronchin DM, Trench-Ciampone MH. O planejamento estratégico situacional no ensino do gerenciamento em enfermagem. Acta Paul Enferm. 2005; 18(2): 165-71. https://doi.org/10.1590/S0103-21002005000200008
(53) Ferreira-Esteves LS, Kowal-Own Cunha IC, Bohomol E, Negri EC. Supervised internship in undergraduate education in nursing: Integrative review. Rev Bras Enferm. 2018; 71(Suppl. 4): 1740-50. http://dx.doi.org/10.1590/0034-7167-2017-0340
(54) De Oliveira-Furukawa P, Kowal-Olm Cunha IC. Da gestão por competências às competências gerenciais do enfermeiro. Rev Bras Enferm. 2010; 63(6): 1061-6. https://doi.org/10.1590/S0034-71672010000600030
(55) Kolb AY, Kolb DA. Learning styles and learning spaces: Enhancing experiential learning in higher education. Acad. Manag. learn. educ. 2005; 4(2): 193-212. https://doi.org/10.5465/AMLE.2005.17268566
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