Desenvolvimento de MiniCEX para avaliação de competências clínicas do enfermeiro em medicamentos

2020 
The clinical practice of nurses requires the development of skills that directly imply the safety and quality of care. The MiniClinical Evaluation Exercise (MiniCEX) is a tool for evaluating clinical practice in real contexts that helps the self-regulationaspect of the learning experience based upon feedback at the end of each evaluated moment. This study aimed to builda MiniCEX for nurses and undergraduate nursing students, on clinical skills in the process of preparing, administering, andmonitoring medications. This is developmental research. The theories that supported the methodological route were: PatriciaBenner's model for the development of clinical skills in nursing; David Kolb's Experiential learning theory; the MedicationSystem described by Cassiani et al.; the Patient Classification Instrument per complexity of nursing care, according to thearea of care, proposed by Fugulin, Gaidzinski and Kurcgant; and, the assumptions of the National Patient Safety Program,focusing on safety in medication practice. Thus, three competencies were organized: preparation, administration, andmonitoring of patients using drugs. As feedback is essential in MiniCEX, the studies by Hattie and Timperley, and Hattie andClarke on feedback in the teaching-learning processes were considered. Thus, it is possible to characterize the MiniCEXoutlined as an instrument for educational assessments, capable of developing specific nursing skills, which can be used bothfor nursing students during the practice of internships, as well as for monitoring and assessing the medicating skills of novicenurses to a given clinical setting.
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