Clinical Aptitude during prenatal and perinatal nursing care for the low risk binomial mother-child
Keywords:
Nursing Education, Prenatal Care, Perinatal careAbstract
Introduction: Education is an institutionalized process in which cohabits the student and the teacher, who should encourage learning environs through interactions between the subjects and objects that modify or transform their behavior features.
Objective: To evaluate the level of learner clinical aptitude during prenatal and perinatal nursing care for the low risk binomial motherchild, comparing two groups; the first one with an educational strategy that promotes participation, and the second one with the habitual strategy.
Methodology: Included 43 students divided into an experimental group (14) and a control group (29) within the modality of Distance Learning University. In the first group, the educational strategy was through struggling five clinical cases and the second group, it was developed the habitual teaching process. The clinical aptitude with four indicators was evaluated through an instrument previo- usly validated in an experts-consensus (IC=0.99).
Results: From the groups’ comparison, the experimental group had a significant increment on the indicators related to risk factors recognition, as well as alarm’s signs and symptoms. After intervention, there were changes for both groups; within the control group regarding identifying alarm’s signs, and within the experimental group, concerning to integrate a nursing diagnosis. The change tendency was given in 29% and 11% in the experimental and the control groups, respectively.
Discussion: Even though there were not significant differences between both groups, it was observed critical thinking to solve needs during the nursing care in the students from the experimental group. There is a difficulty to differentiate the proper and opportune actions from the, harmful, or extemporary actions.
References
Salamón M. Panorama de las principales corrientes de interpretación de la educación como fenómeno social. México. Perfiles educativos.CISE-UNAM. 1980;(8):3.
Carnoy M. La educación como imperialismo cultural. Siglo XXI. México; 2000:21
Viniegra VL. Papel de la teoría y de las observaciones. IMSS. México; 2000:135
Viniegra VL. El progreso y la educación. Segunda parte. Un replanteamiento de papel de la escuela. IMSS. Unidad de Investigación educativa. México; 2000.
Cobos AH, Espinosa AP, Viniegra VL. Comparación de dos estrategias educativas en la lectura crítica de médicos Residentes. Rev Invest Clín México; 1996;(48):431-436.
Gómez GR. Teoría piagetiana. Psique. Buenos Aires. 1976.
Freire P. La naturaleza política de la educación. Ed. Paidos. España; 1990:37-38.
Viniegra VL, Aguilar ME. Hacia otra concepción del currículo. IMSS. México; 1999:90-100
Guadalupe PM. Lectura crítica de textos teóricos. Rev Med Inst Mex Seguro Soc. 2002; 40;(2):167-171
González ZR. Evaluación teórica-práctica del paciente en diálisis peritoneal continua. Rev Enferm Inst Mex Seguro Soc. 2001; 9(1):19-22.
Méndez DI, Olvera SR, Viniegra VL, Espinosa AP. Dos estrategias educativas en el manejo de pacientes con diálisis peritoneal intermitente. Artículos científicos. IMSS. México.
Jiménez MM, González CR. Competencia clínica de enfermeras en la atención quirúrgica. Rev Enferm Inst Mex Seguro Soc. 2000: 8(2):75-80.
García JA, González CR. Evaluación de la aptitud clínica a través de la metodología del proceso de enfermería. Rev Enferm IMSS 2001; 9(3): 127-131.
Pérez-Padilla R, Viniegra VL. Método para calcular la distribución de calificaciones esperadas por azar en un examen del tipo falso, verdadero, no sé. Rev Invest Clín 1989; (41):375- 379.
Viniegra VL. Algunas consideracio- nes comparativas entre los exáme- nes de opción múltiple tipo “una de “cinco” y falso/verdadero/no se. Rev Invest Clín México; 1979;(31):413- 420.
Viniegra VL, Jiménez J. Nuevas aproxi- maciones a la medición de la compe- tencia clínica. Rev Invest Clín México 1992;(44):2.