De aluno a enfermeiro: desenvolvimento de competências em contexto de ensino clínico

A formação em enfermagem tem acompanhado a evolução sociocultural e científico-tecnológica procurando dar resposta às exigências dos utentes e, sobretudo, à complexidade e à imprevisibilidade dos contextos de prestação de cuidados. Segundo os novos paradigmas de formação, pretende-se que os alunos desenvolvam competências que lhes permitam “agir em situação”. Neste estudo procurámos compreender de que forma os alunos desenvolvem as suas competências em contextos de ensino clínico e quais os factores que, à luz da perspectiva bioecológica de desenvolvimento humano (Bronfenbrenner e Morris, 1998) e do seu modelo PPCT (Pessoa, Processo, Contexto e Tempo), se constituem como facilitadores ou inibidores desse desenvolvimento. Optámos por uma metodologia predominantemente qualitativa, através de um estudo de caso, referente ao 2º Curso de Licenciatura em Enfermagem da Escola Superior de Saúde da Universidade de Aveiro (2002-2003 a 2005- 2006). Para além da análise documental para contextualização do ensino clínico no currículo do curso, foram recolhidas narrativas dos alunos e supervisores relativas às suas vivências em ensino clínico durante todo o percurso formativo. Os resultados da análise de conteúdo das narrativas, de natureza qualitativa, foram triangulados com as classificações dos alunos nas grelhas de avaliação de competências e respectivos relatórios e procuraram responder à primeira questão de investigação que visava analisar o desenvolvimento de competências e as perspectivas dos actores envolvidos nesse processo. A resposta à segunda questão, que incidia sobre os factores de desenvolvimento à luz do modelo PPCT, foi baseada essencialmente na análise das narrativas. Os resultados obtidos permitem-nos concluir que o desenvolvimento de competências ocorre de forma integradora, combinando sinergeticamente diferentes dimensões (cognitiva, atitudinal, comunicacional e técnica) ao longo dos ensinos clínicos, num processo dinâmico, dialéctico e progressivo. E ainda que, à luz do modelo PPCT, sobressaem determinados factores influenciadores do desenvolvimento de competências. Assim, relativamente à Pessoa, emergem as características pessoais, os papéis desempenhados, a interpessoalidade, o contacto com a morte e com situações de sofrimento, sendo também significativa a emergência de uma componente afectivo-emocional. Quanto ao Processo, (que assume especial relevância), destacam-se as actividades e os processos proximais, as estratégias supervisivas, as dificuldades sentidas pelos supervisores, de entre as quais sobressai a falta de preparação para a tarefa. A análise dos Contextos revela que, no microsistema, o destaque vai para as especificidades de cada contexto e a atmosfera envolvente enquanto que, no mesosistema, a participação multicontextual e o conhecimento intercontextual se manifestam como relevantes. No exosistema, salienta-se a importância do relacionamento interinstitucional e dos modelos de parceria e, ao nível macrosistémico, emergem de forma subtil, indícios da influência das políticas de gestão hospitalar e da formação assim como da matriz conceptual de enfermagem. No que se refere ao Tempo, a importância da continuidade dos processos proximais (microtempo) e a periodicidade dos ensinos clínicos (mesotempo) mereceram referências significativas.

Context-based wireless mesh networks

In the modern society, new devices, applications and technologies, with sophisticated capabilities, are converging in the same network infrastructure. Users are also increasingly demanding in personal preferences and expectations, desiring Internet connectivity anytime and everywhere. These aspects have triggered many research efforts, since the current Internet is reaching a breaking point trying to provide enough flexibility for users and profits for operators, while dealing with the complex requirements raised by the recent evolution. Fully aligned with the future Internet research, many solutions have been proposed to enhance the current Internet-based architectures and protocols, in order to become context-aware, that is, to be dynamically adapted to the change of the information characterizing any network entity. In this sense, the presented Thesis proposes a new architecture that allows to create several networks with different characteristics according to their context, on the top of a single Wireless Mesh Network (WMN), which infrastructure and protocols are very flexible and self-adaptable. More specifically, this Thesis models the context of users, which can span from their security, cost and mobility preferences, devices’ capabilities or services’ quality requirements, in order to turn a WMN into a set of logical networks. Each logical network is configured to meet a set of user context needs (for instance, support of high mobility and low security). To implement this user-centric architecture, this Thesis uses the network virtualization, which has often been advocated as a mean to deploy independent network architectures and services towards the future Internet, while allowing a dynamic resource management. This way, network virtualization can allow a flexible and programmable configuration of a WMN, in order to be shared by multiple logical networks (or virtual networks - VNs). Moreover, the high level of isolation introduced by network virtualization can be used to differentiate the protocols and mechanisms of each context-aware VN. This architecture raises several challenges to control and manage the VNs on-demand, in response to user and WMN dynamics. In this context, we target the mechanisms to: (i) discover and select the VN to assign to an user; (ii) create, adapt and remove the VN topologies and routes. We also explore how the rate of variation of the user context requirements can be considered to improve the performance and reduce the complexity of the VN control and management. Finally, due to the scalability limitations of centralized control solutions, we propose a mechanism to distribute the control functionalities along the architectural entities, which can cooperate to control and manage the VNs in a distributed way.

Scalable semantic aware context storage

In recent years the Internet has grown by incorporating billions of small devices, collecting real-world information and distributing it though various systems. As the number of such devices grows, it becomes increasingly difficult to manage all these new information sources. Several context representation schemes have tried to standardize this information, however none of them have been widely adopted. Instead of proposing yet another context representation scheme, we discuss an efficient way to deal with this diversity of representation schemes. We define the basic requirements for context storage systems, analyse context organizations models and propose a new context storage solution. Our solution implements an organizational model that improves scalability, semantic extraction and minimizes semantic ambiguity.

U-TRACER® - the use of communication technology in higher education - an information visualization tool for the context of Portuguese public higher education

Information Visualization is gradually emerging to assist the representation and comprehension of large datasets about Higher Education Institutions, making the data more easily understood. The importance of gaining insights and knowledge regarding higher education institutions is little disputed. Within this knowledge, the emerging and urging area in need of a systematic understanding is the use of communication technologies, area that is having a transformative impact on educational practices worldwide. This study focused on the need to visually represent a dataset about how Portuguese Public Higher Education Institutions are using Communication Technologies as a support to teaching and learning processes. Project TRACER identified this need, regarding the Portuguese public higher education context, and carried out a national data collection. This study was developed within project TRACER, and worked with the dataset collected in order to conceptualize an information visualization tool U-TRACER®. The main goals of this study related to: conceptualization of the information visualization tool U-TRACER®, to represent the data collected by project TRACER; understand higher education decision makers perception of usefulness regarding the tool. The goals allowed us to contextualize the phenomenon of information visualization tools regarding higher education data, realizing the existing trends. The research undertaken was of qualitative nature, and followed the method of case study with four moments of data collection.The first moment regarded the conceptualization of the U-TRACER®, with two focus group sessions with Higher Education professionals, with the aim of defining the interaction features the U-TRACER® should offer. The second data collection moment involved the proposal of the graphical displays that would represent the dataset, which reading effectiveness was tested by end-users. The third moment involved the development of a usability test to the UTRACER ® performed by higher education professionals and which resulted in the proposal of improvements to the final prototype of the tool. The fourth moment of data collection involved conducting exploratory, semi-structured interviews, to the institutional decision makers regarding their perceived usefulness of the U-TRACER®. We consider that the results of this study contribute towards two moments of reflection. The challenges of involving end-users in the conceptualization of an information visualization tool; the relevance of effective visual displays for an effective communication of the data and information. The second relates to the reflection about how the higher education decision makers, stakeholders of the U-TRACER® tool, perceive usefulness of the tool, both for communicating their institutions data and for benchmarking exercises, as well as a support for decision processes. Also to reflect on the main concerns about opening up data about higher education institutions in a global market.