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April 23, 2026International Journal of Nursing Knowledge0 citations

Mapping the Teaching of the Nursing Process in Undergraduate Nursing Programs in Brazil: A Nationwide Cross-Sectional Study

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RDRegina Célia dos Santos DiogoRBRita de Cassia Gengo e Silva ButcherAMAna Julia Saguma Maibashi

Key Points

  • To investigate how the nursing process is taught in undergraduate nursing programs in Brazil and compare differences between public and private institutions.
  • Conducted a cross-sectional document analysis of publicly available curriculum documents from nursing programs.
  • Collected data on HEI characteristics, nursing process placement in curricula, instructional time, and teaching strategies.
  • Utilized descriptive statistics and chi-square tests for comparisons between public and private institutions.
  • The nursing process was taught in 99.6% of programs, often in the third semester with an average of 93.1 hours.
  • Public institutions allocated significantly more instructional hours than private ones (120.3 vs. 79.4 hours on average).
  • Public HEIs were more likely to include nursing theories and standardized terminology in their curricula.

Abstract

Purpose To map the teaching of the nursing process (NP) in undergraduate nursing programs in Brazil and to compare the curricular organization (structure and sequencing of content), course content, teaching and evaluation strategies between public and private higher education institutions (HEI). Method A cross-sectional document analysis was conducted using curriculum documents publicly available online from undergraduate nursing programs. Between May and July 2024, data were collected on HEI characteristics, NP placement in the curriculum, instructional time, and teaching and evaluation strategies. Data were summarized with descriptive statistics, and comparisons between public and private HEIs were performed using chi-square and Fisher's exact tests. Findings The sample included 223 programs across 26 states and the Federal District; 72 (32.3%) were public and 151 (67.7%) private. The NP was taught in required courses in 222 (99.6%) programs, most frequently in the third semester (35.4%), with a mean of 93.1 h (SD = 64.4). Public HEIs allocated significantly more hours than private HEIs (120.3, SD = 91.4 vs. 79.4, SD = 38.0; p = .010). Private HEIs were less likely to report inclusion of nursing theories ( p = .053), whereas public HEIs more frequently specified standardized nursing terminologies ( p = .004) and reported teaching ( p < .001) and evaluation ( p < .001) strategies. Traditional lectures and written tests/essays predominated across institutions. Conclusion The NP is consistently taught in required courses in Brazilian undergraduate nursing programs, but total hours vary between public and private HEIs. Both types of institutions address nursing theories and standardized terminologies, though traditional methods remain dominant. Implications for practice This national mapping highlights disparities in NP teaching across Brazilian HEIs and may inform guidelines to standardize and strengthen NP education. The findings also offer benchmarks to support global efforts to enhance the quality and consistency of NP teaching in nursing curricula. Descriptors Nursing Process; Education, Nursing, Baccalaureate; Curriculum

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Cite This Study

Diogo et al. (2026) studied this question.

synapsesocial.com/papers/69e9bb6285696592c86ed137https://doi.org/10.1177/20473087261443261
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