Análise do raciocínio clínico do graduando em Enfermagem na aplicação da Sistematização da Assistência de Enfermagem

Resumo (EN)

Objective – To identify in which phase of the Nursing Care Systematization (NCS) the undergraduates of the 7th and 8th semesters have difficulty to perform the clinical reasoning. The clinical reasoning is indispensable for nurses’ performance, since the quality of care relies upon the skills of reasoning as an instrument for decision making. It guides the collection of information to the assessment of nursing and also guides the interpretation of human answers to health problems and life processes; it helps in the decision regarding the interventions and contributes for the evolution of the individual and of the assessment of care. Methods – It is a descriptive-exploratory study of quantitative nature, about the students’ problems in the use of the clinical reasoning in the application of NCS. The data collection was made in the period from September to October 2011, through the application of a case study. Results and Discussion – Fifty undergraduates participated of the study, 84.5% were right about the phase of interventions, 68.5% were right about the defining characteristics, 64.5% were right about the expected results and 50.3% were wrong about the related factors. Conclusion – The nursing student has facility in using the clinical reasoning to define the phases of intervention and expected results, but shows difficulty in using the clinical reasoning to define the factors related to the nursing diagnosis.