The Politics of Nursing Knowledge

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Using Research in Practice. Nursing care case studies - Inkling. The Rise and Fall of the Healthy Factory. I think the important values of the university As nurses working with continuing education, today we try to filter nurses with a profile compatible to the values that we had at the university E9. When working intentionally with the incorporation of humanistic values during undergraduate courses, the school fulfills its social duty.

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The school calendar reserved a space for weekly meetings of cultural character, with all the students of the course, aiming to discuss relevant and up-to-date topics and promote socialization and integration between classes at the same time. From the perspective of former students, this time, although important, was underused. Since we have this time during the general culture subject, general culture issues actually should be discussed We should have philosophy classes, to learn how to develop more critical thinking in our profession, with qualified teachers E Through their recognition of the importance of addressing cultural issues and suggesting more updated issues, the students showed that they had appropriated the complex dimension of health education.


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We argue the need to have, in the unfolding of undergraduate education, a bigger approximation to this theme to support the development of political-ethical competence. Another aspect that emerged in the statements was the qualification of teachers to encourage the development of critical thinking skills for professional practice.

The Politics of Nursing Knowledge

However, it can be asked: What was actually being taught to extend the systemic view on the socio-political scenario, i. The legal aspects involving nursing practice were present in all actions performed by nurses in any of their work processes. The student, when faced with the daily reality, referred to the need of addressing nurse practice regulation laws and related themes during undergraduate courses. Focus on something else related to the profession, on the knowledge of government regulations and institutional laws needed to be focused Sometimes nurses do not know what are the rights of the nursing team.

He does not even know his rights.

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So, it left nothing to be desired. You will learn it the hard way, because you have not seen This should be a compromise of nursing schools E6.


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The undergraduates of this group experienced a curriculum prior to the NCG, which supplied the student with an early participation in practical settings emphasized on comprehensive care, focusing mainly on hospital settings. In this curriculum the supervised training had not yet been introduced as determined by NCG 1 , and the development of management skills was dependent on the opportunities, which sometimes were limited by the lack of reflective performance of nurses or professors who advised the students during practicum.

Category 2 - Political-ethical skills as a product of the educational process. When reporting the requirements of professional practice as new nurses, former students attached some of the difficulties experienced to the formative process. Despite the intent of the institution to develop in its students a commitment to promote an improved quality of life and health for patients, the development of political-ethical skills, as perceived by interviewees, was represented in the statements that composed the following UM. The interviewees recognized the interweaving of the technical, ethical and political competence 5.

They highlighted, however, difficulties related to the performance of "relational" aspects in professional practice. The biggest difficulty is the paperwork of some questions that are so certain and basic in almost all institutions. This work is related to the ethical issue, such as dealing with a professional of your team, the relational part itself A little we had, of course, but mostly in theory The statements regarding this UM bring an important contribution to the redesign of the selection of the themes for the training of political-ethical skills in relationships, especially regarding the exercise of leadership, as considered a priority in nursing education by the interviewees.

The representation of the interviewees on this aspect of training was significant and reflected the importance of integration between school and health services. Just in the last year of college we had a vision of how the "system" works, regarding administrative area, bedside care and bureaucratic tasks, and then we ended up a bit confused The preparation of students majoring in nursing for the job market should be improved. What is the market should be a focus. To prepare for reality, both in the private sector — considered the "top of line" - as well as in the public service E9.

There was a clear and incisive appeal of these and other graduates interviewed for an education that fostered in students, during their undergraduate experience, an experience indicative of the reality of the labor market in different contexts. When the institution facilitated this encounter with different scenarios, it presumably ensured favorable conditions for a practice focused on comprehensiveness and equity of health care.

Although has been mentioned by only one of the respondents, this is a significant aspect and is worth be mentioned, because shows the commitment of the former students to lifelong learning.

The Politics of Nursing Knowledge - CRC Press Book

The following statement testify how the social commitment of the former students to continue the studies after the graduation. The former students are always following development, graduations. Statements presented by interviewees on the nursing professional attitude strongly appealed to the "reflection" of political-ethical skill development that should be conducted throughout the undergraduate course, since it would influence the nurses' practical performance. One thing I will never forget that professors said to us in college is about our posture, the way we speak, our behavior.

I realize when I'm acting how involved all of this is, how important it is! Because people come to me and say, "Wow! You have a different way of being " E About the question of attitude, I think that the course really gets it, and we see this gap in the job market. Institutions like those professionals trained at college, they prefer them When evaluating the approach given by teachers on the professional attitude of the nurse during the course, the importance of addressing aspects that may not have been considered in the curriculum, but focused and differentiated the education obtained, was evident in the interviewees' statements.

Former students suggested changes in the distribution of content to focus on all dimensions of care, seeking greater coherence and applicability to nursing practice. The notion of what nursing actually is, I think that is what brought me the greatest contribution, the notion of what nursing is, the concept of nursing All is about the care To graduate a professional directly involved in care, all of the care process, involving all stages, from bedside assistance to the most bureaucratic task, this is when we have this notion of the roles that define us "being a nurse" E The statements highlighted how undergraduates perceived the development of political-ethical skills during the formative process, showing that they realized it to be a result of academic preparation at the undergraduate level.

In the first category, "Political-ethical skills in the formative process", according to the NCG 1 , the units reinforced that nursing education should be guided toward technical and scientific skill development, enabling a performance based on ethical-political skills, and active and transformative attitudes in different contexts and settings 1. In a design inspired by the theorical framework of Paulo Freire, ethical formation was something essential, and planning a teaching program without considering ethics-related aspects was a transgression that reduced the educational experience to mere technical training The Nursing Undergraduate Course, the object of this study, considered that the proposition of values in a curriculum should influence an existence consistent with the basic principles of Christian ethics, which appreciated the human being as a member of a community, with rights and responsibilities towards the environment, life and family By internalizing these values during undergraduate degree, the nurse students acknowledged in their statements the commitment to act as multipliers.

It involved knowledge that was not shared in conventional classes, neither was it described in any political-pedagogical project or discipline plan, but rather permeated the whole educational process.

Ethics and the Politics of Advancing Nursing Knowledge

This is called the "hidden" or "informal curriculum", which is based on concrete experiences of the key players in the educational process, making the school a living, dynamic and complex place Social relationships developed between teachers and students constituted one of the sources of the hidden curriculum, based on real problems from the school environment and from teaching practice affecting students and society in general The role of the professor, at any level of training, required commitment to the student, to the institution and to the society.

To fulfill this commitment, beyond the technical-scientific and educational rigor, the teacher also needed dedication, aimed toward the formation of critical citizens and competent professionals In this formative process laid a political dimension that could not be disregarded, since education was epistemological, directive, therefore political, artistic and moral, using means, techniques and involving frustrations, fears, desires. It was the nature of politics, considered as an quality educational practice for not being neutral Although the institutions' intention was accomplished in the development of humanistic values, as identified in the graduates' statements, the current socio-political context demanded advances in the educational process to enable the development of political-ethical skills capable of effectively engaging nurses to reflect, propose and demand better working conditions and ensure respect for the patients and worker's rights.

From these terms emerged the consciousness and the human spirit that goes beyond the moral, for properly human-based ethics.

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The anthropo-ethics was the individual consciousness going beyond individuality, and the hope in the fullness of humanity In this direction the following thought was endorsed: Empowering women and men around instrumental knowledge can never be separated from their ethical formation The need to teach the human condition is defended as a cornerstone for the future of education. The relevance of a reflection that stressed human nature multidimensionality and complexity was integrated into the biophysical and psycho-socio-cultural aspects of mankind, as we developed ourselves beyond the physical world, and the fullness of humanity that occurred in this 'beyond' gap Aware of the complexity of human nature, the interviewees suggested a revision of the educational processes and a redesign of the political-pedagogical project, for a training contextualized to the reality in which the student must enter.

The graduates' statements from the second category "Political-ethical skills as a product of the educational process" highlighted the importance of an education focused on political-ethical issues for an integral nursing practice.


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  6. The health professional should be updated on the process of change that permeates society and commit to it consciously and responsibly, seeking when and how to intervene in facts and reality As for nurses educating other nurses, the development of skills based on ethical and political values should allow the capacity to act in different areas: By doing so, nurses can collaborate in the health policies agenda and this should be an ongoing process that is not finished when one obtains the nursing degree The NCG conferred autonomy to educational institutions regarding the formatting of the curriculum and the design of the course mission, according to the profile of nurses expected 1.

    Some former students recognized the purpose expressed in the institutional course mission, which was to educate, within Biblical Christian values, in an integral way of living and excellence in nursing practice They strengthened, however, the need for a deeper reflection about the political mission of the teaching and learning process: Training that was focused on specific and essential content for professional practice was a matter of concern that permeated the discussions of authors who advocated a university reform that, to be effective, must take into account the social and political aspects of training, be based on the search for personal success, and the aim for social transformation During undergraduate study, it is important to create opportunities of conviviality between students and the different agents involved in healthcare processes.

    While nursing education usually privileges the technical-administrative dimension, its practice requires an understanding of political, economic, ethical and social aspects of health management.

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