Nurses’ Professional Competencies and the Care Product in Emergency Departments

Objective: to analyze the relationship between nurses’ professional competencies and the nursing care product. Method: this is a mixed-methods study with an explanatory sequential design prioritizing the quantitative phase. The study was conducted in an emergency unit of a public hospital in São Paulo, Brazil, and involved 132 nurses in the quantitative phase and 20 in the qualitative phase. The Assessment of the Nursing Care Product and Lilalva Scale instruments were applied. The quantitative analysis included descriptive statistics and a Linear Mixed Model, while the qualitative analysis included thematic content analysis integrated with joint displays. Results: the care product scores ranged from 21-28 (“good”) to 29-32 (“excellent”), with “good” predominating. Competencies in planning, resources, staffing, educational activities, multidisciplinary work, and meeting needs stood out. In turn, “professional practice” received the highest score on the Lilalva Scale, while “constructive conduct” received the lowest. The “workplace relationships” factor showed a significant effect (p=0.047). The total score was also significant (p=0.016; ES=0.210). The qualitative analysis revealed perceptions about technical preparation, multidisciplinary challenges, and the need for educational strategies, corroborating the quantitative findings. Integrating the results highlighted the interdependence between competencies and quality of care. Conclusion: the relationship between professional competencies and the care product highlighted the importance of clinical development in optimizing care, pointing to institutional strategies for strengthening nurses’ competencies

Content analysis · Descriptive statistics · Multidisciplinary approach · Product (mathematics) · Qualitative research · Quality (philosophy) · Quantitative analysis (chemistry) · Scale (ratio) · Thematic analysis · Nursing Diagnosis and Documentation · Nursing education and management · Patient Safety and Medication Errors

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