Desenvolvimento do raciocínio clínico de enfermeiros de um serviço hospitalar de emergência

Abstract

Objective to understand the development of the clinical reasoning of nurses working in an emergency hospital service.Methods qualitative research, with methodological reference of the Grounded Theory. Data collection took place through interviews, with a theoretical sample of 21 participants and analysis using substantive and theoretical coding.Results the central category was identified as Knowing what to do, and four conceptual categories: 1) Uncovering the nurse’s duties in the emergency service; 2) Improving clinical reasoning through professional experience; 3) Providing care with quality and safety for the patient; and 4) Conquering professional recognition from the health team.Conclusion the development of nurses’ clinical reasoning is a cumulative, experiential, and gradual process of knowing what to do in an emergency. It is based on the collaborative work with the health team and on the acquisition of technical-scientific knowledge to perform qualified assistance to patients.