Avaliação da competência ideal de enfermeiros do serviço hospitalar

Abstract

Evaluate nurses' ideal and actual competence in the hospital service. Method: We carried out a cross-sectional study with a descriptive design, using a quantitative approach of the analytical type with a correlation between variables. The research setting was a philanthropic teaching hospital located the São Paulo State inland. The research population consisted of all the nurses of the institution. The sample was non-probabilistic in sequence, i.e., all eligible nurses from March to June 2021 in managerial and care positions, in the exercise of their activities, participated in the research. The exclusion criteria were nurses on vacation, sick leave, or similar. Results: The study population was 49 nurses. The survey was anonymous, carried out by the Google Platform, with the App Google Forms®, using social media. The data collection instrument pointed out the information about the personal, academic, and professional profiles. Next, we used a tool for assessing competencies, published initially in Portugal, and validated in Brazil, called the Questionnaire for Assessment of Competencies (QAC), specifically to evaluate the frequency of nurses' competencies. Based on the participants who answered the Questionnaire, we created two scores. We calculated the average of the maximum score, and we added 40%, reaching the score of 94.50. The actual competence score values were <94.50 (values were below the expected), and the superior competence was with a score ≥ 94.50 (desired point). We performed two functions of statistical analysis: descriptive and inferential. The local Research Ethics Committee approved the study. Results: Of the 49 nurses participating in the survey, there was a predominance with ideal competence, female, aged between 31 and 40 years old, with experience in assistance, with a specialization course in a private school, with a time of service in the institution between 11 and 15 years and with more than nine years of training. Among the work sectors, the highest number of nurses is found in the wards and intensive care units with superior competence. Conclusion: The study population presented ideal competencies, with experience in assistance. Specialization in public and private schools was a factor for the perfect competencies. These competencies were prominent in the ward and the intensive care unit. Another relevant factor for superior competence was the length of service in the institution. As an impact, the research showed that the evaluation of competence for nurses is an effective instrument because it indicates where and facilitates how to solve problems encountered.