SERRANO, Maria Teresa Pereira; COSTA, Arminda da Silva Mendes Carneiro da    COSTA, Nilza Maria Vilhena Nunes da. Nursing care: how to develop the competence(ies). []. , serIII, 3, pp.15-23. ISSN 0874-0283.

Nursing is related to competence, professional practice and context. Technological innovation and changes in work organization are leading to new business logic. Nurses are key players in the process of change and the contexts are important in skills development. In terms of the processes of change, the intention was to investigate how nurses develop the skills of nursing care and what are the determinants of this process. The qualitative and ethnomethodological study focused on the presence of the researcher in the context. For data collection we used participant observation, semi-structured ethnographic interviews with nurses and other key informants and document analysis. Conclusions: Competency development is the result of interactions between the actors (health team), the context and knowledge across dyads. They develop in micro-and meso-systems influenced by exo-and macro systems. It is based on: strategies to promote a process of reflection on nursing practice, the construction of the experience, a habitus of care characterized by collective knowledge and a process of clinical supervision.

: inursing; competencies; habitus; nursing clinical supervision.

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