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EDUCATIONAL BOOKLET ON THE IMPORTANCE OF PROFESSIONAL

POSITIONING IN A NURSE’S CAREER.

Beatriz Sofrá Monaro1

Carolina Naomi Mune Dos Santos2

Julia Amani Diniz3

Marcio Antonio de Assis4

Abstract: Introduction: It is noted that many nurses experience difﬁ culties related to their self-

positioning and the development of their self-image, which negatively impacts the quality of their care

and the assistance provided. Entering the job market demands technical, emotional, and communicative

skills from nurses, as well as leadership and decision-making abilities in complex situations and

positioning within the team. However, insecurity and vulnerabilities during the workday can hinder

career development. This study addresses the importance of professional positioning in a nurse’s

career, highlighting its inﬂ uence on leadership, autonomy, communication, and decision-making in

the workplace. OBJECTIVE: To develop an educational booklet on the importance of professional

positioning in a nurse’s career. METHODOLOGY: This is a methodological study, of an applied nature,

with a descriptive approach and technological production. The research was developed in two stages:

a bibliographic review in the SciELO database, with articles published between 2018 and 2025, and

the creation of an educational booklet using accessible language and illustrative resources. RESULTS

AND DISCUSSION: The ﬁ ndings showed that professional insecurity, leadership difﬁ culties, and

weaknesses in the work environment directly interfere with the professional positioning of nurses.

According to the literature review, it was identiﬁ ed that identity construction occurs gradually,

1 Graduanda de enfermagem da universidade de Mogi das Cruzes

2 Graduanda de enfermagem da universidade de Mogi das Cruzes

3 Graduanda de enfermagem da universidade de Mogi das Cruzes

4 Orientador docente de enfermagem da universidade de Mogi das Cruzes

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being inﬂ uenced by academic training and career experiences. Based on this, an educational

booklet was developed to guide nurses on the importance of positioning themselves, using simple

and objective language, with visual resources to facilitate comprehension of the content. FINAL

CONSIDERATIONS: The development of the educational booklet made it possible to transform the

scientiﬁ c knowledge found in the literature into an accessible and easily understandable educational

technology.

Keywords: professional positioning; leadership; educational booklet; nursing.

INTRODUCTION

The 21st century job market requires professionals adapted to the work environment in the

face of constant changes and demands. However, such changes demand a great positioning of the

professional, who must act competently, collaborating for the evolution of the company (FORCIONE

et al., 2021).

Currently, competitiveness between professionals is increasingly frequent within companies,

so the search for differentials within the work career is necessary. A good professional position is

recognized when the leader is able to control his emotions, use the language of non-violent and

respectful communication, and express his opinions in an assertive way (SANTOS et al., 2022)

By identifying conditions that need greater positioning, it is favorable for the professional

to communicate clearly, in order to have a good relationship with other employees, avoiding critical

situations (SANTOS et al., 2022)

Within the hospital environment, the nurse’s professional autonomy is essential, taking into

account the difﬁ culties of positioning, hospital demands and ethics when talking to the multiprofessional

team and patients. However, nurses are characterized as team representatives, taking into account

professional experience, leadership and decision-making power.

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In the positioning of nursing professionals, their ethical, moral and fair knowledge is taken

into account, through attitudes that acquire cordiality in the personal and collective sphere (SANTOS

et al., 2017).

Ethical impediments are interconnected with implications present in the care of health

professionals. Such problems manifest themselves when institution norms and standardized actions

do not correspond to the expectations of the multiprofessional team and patients, as well as conﬂ icts

of personal and professional values (MOREIRA et al., 2020).

According to MELO (2017), the nurse’s action as a public ﬁ gure entails the possibility

of positioning their knowledge and attributions, strengthening the bond with their team and their

professional growth. From this perspective, it is known that nurses who are not professionally prepared

in conﬂ ict situations give preference to actions that are thought out more quickly, resulting in ethics

and appropriate professional positioning.

As a result, they form a disunited and insubordinate team. Living with complex situations

becomes a challenge for nurses, as it demands authority, professional security, and skills for better

decision-making and moral sensitivity to everyone (MOREIRA et al., 2020).

The construction of a professional position happens gradually, starting during academic

training and being established in professional practice. Some factors can directly interfere with

their positioning and identity, such as working conditions, social recognition, ethics, and religiosity

(SANTOS et al., 2019).

Nurses can perform their work in the face of their knowledge, skills and attitudes. In this

way, the professional’s posture in the routine of his work can impact the quality of care, automatically

signiﬁ cantly affecting the patient. Therefore, it is extremely important to understand their professional

identity in all situations, performing qualiﬁ ed care and competent management (ASSIS et al., 2018).

In Brazil, in primary care services, nurses have extreme autonomy for decision-making,

involving other responsibilities such as coordinating the team and interaction with the community,

reinforcing the need to discuss professional positioning so as not to cause unexpected complications

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(CARNEIRO et al., 2024).

The lack of professional positioning can have serious consequences on the nurse’s career.

Among them are limited autonomy, insecurity, difﬁ culty in leading the team and professional

devaluation. In environments where it does not impose authority, it presents greater overload, thus

generating conﬂ icts among employees, negatively impacting their career (SANTOS et al., 2021).

It is observed that some nurses face difﬁ culties in the development of their careers, especially

in their professional positioning, which automatically ends up affecting their autonomy, leadership

and security in decision-making. This fragility is a relevant problem in the ﬁ eld of training and in

practice, thus bringing consequences throughout its trajectory.

In this context, it is essential to develop educational instruments that contribute to the

professional, building an ethical position. They include easily accessible technology, clear and direct

language, being able to assist in practice and guide the importance of posture.

GENERAL OBJECTIVE

Develop an educational booklet on nurses’ positioning, focusing on the importance of the

career, the challenges and difﬁ culties encountered in the face of disability and the ways of developing

this professional behavior.

METHODOLOGY

The present research is a methodological study, of an applied nature, through a technological

production and descriptive approach, aimed at the development of an educational booklet, aimed at

newly nurses, to provide guidance that will help them enter the job market.

According to Antonio Carlos Gil, a research with a methodological format is one directed

to the development, proof and evolution of research methods and tools. Its purpose is to expand

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knowledge for its application in practice, aimed at problem solving, describing the traces of a process

or event without direct intervention.

Pedro Demo describes that technological production refers to the advancement of materials

that follow scientiﬁ c knowledge, such as the primer.

Studies by Silva and Luz (2023) point out that a booklet is a printed pedagogical mechanism,

which serves to facilitate the knowledge of professionals in a more simpliﬁ ed and accessible way,

helping to train speciﬁ c topics.

To facilitate the development of the main focus of this research, which is the booklet, the

study was divided into two stages, the ﬁ rst focused on the bibliographic review, with the aim of

identifying information on the aspects that involve newly graduated nurses to assist in entering the

job market, and the second aimed at the elaboration of the educational booklet itself.

LITERATURE REVIEW

For Lakatos and Marconi, the bibliographic review is the moment in which the orderly study

of books, articles and scientiﬁ c documents is carried out, seeking to analyze the concepts, theories

and results found, ensuring a scientiﬁ c basis for the research.

Thus, the study, of an explanatory and descriptive nature, was carried out through a

bibliographic review, consulting the SciELO (Scientiﬁ c Electronic Library Online) database. The

selection of articles was carried out by reading the abstracts and titles, so the following inclusion

criteria were adopted: articles published in the period from 2018 to 2025, written in Portuguese,

available in full, and related to the theme of the study using the following keywords: professional

positioning, nursing, leadership. The exclusion criteria were: studies published outside the period that

was established, articles that were not related to the proposed theme, not available in full, and foreign

language.

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PREPARATION OF THE BOOKLET

Based on the ﬁ ndings found in the literature review, an educational booklet was developed

for nursing professionals at the beginning of their careers. The material was produced through the

Canva platform, with an attractive layout, accessible language and a focus on practical guidance.

To facilitate the process of developing the booklet, it was elaborated in ﬁ ve stages, taking into

account the need to develop an instrument that is easy to access and understand, which demonstrates

clarity of information, as well as objectivity and with a language compatible with the public of newly

graduated nurses, in addition to using graphic resources that could favor the understanding and

retention of information.

Considering that the target audience was composed of nurses, the ﬁ rst stage established the

objective of the booklet, using an appropriate, simple, playful and easy-to-understand language.

To obtain an attractive and colorful look, the CANVA application was used. This was chosen

because it is freely available and allows images to be obtained from CANVA images; This stage

represented the second stage of the process.

In the third stage, images available in Canva itself were selected to compose illustrations

and characters that represented the content of the booklet in a simple way, always using the deﬁ ned

application for necessary adaptations.

For the fourth stage, the statements based on the articles read, which contain deﬁ nitions,

functioning and pre-established care/maintenance, were deﬁ ned; These are placed in the shape of a

speech bubble.

The ﬁ fth and ﬁ nal part of the process represented an assembly of the booklet in the Canva

application, which was deﬁ ned by the familiarity of the authors.

The ﬁ rst was used for the textual description and the draft to deﬁ ne the speeches; the second

consisted of the elaboration of the scenes and the preparation of the booklet.

Thus, the method used made it possible for the developed instrument to encompass current

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scientiﬁ c information and in a language accessible to the target audience. The set of steps described

also provided the elaboration of an educational material consistent with the objectives of the study and

with the demands of the nursing professional.

RESULTS AND DISCUSSION

The present study was divided into two stages, the ﬁ rst part directed to a bibliographic

review, with the objective of identifying information about the factors that involve nurses, to assist in

the labor market, and the second part focused on the elaboration of the educational booklet, with the

intention of supporting professionals.

LITERATURE REVIEW

The literature review was carried out in the Scielo database, including studies published

between 2018 and 2025. After applying the exclusion and inclusion criteria, scientiﬁ c articles were

selected, which built the ﬁ nal sample of this study.

The ﬁ ndings of this research allowed the organization of the results into three themes: Main

impacts of the lack of professional positioning, Challenges and difﬁ culties in the development of

positioning, and Forms of development of professional positioning.

MAIN IMPACTS ON LACK OF POSITIONING

In addition to the practical and theoretical domain, the professional activity requires

competencies, qualities, skills and posture that are linked to their professional positioning.

Within the hospital environment, proactivity is constantly evaluated. However, a competent

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professional not only has knowledge and skills, but also needs to be able to do them well (FERREIRA

et al., 2020).

The absence of professional credibility in nursing is linked to identity insecurity. It can have

consequences for the recognition and excellence of care (SANTOS et al., 2020).

The lack of a placement within a work environment can have impacts that will harm the

professional’s career in the future, in addition to demotivating their team. Professionals who do not

establish a good posture within the work environment usually face difﬁ culties in making decisions,

insecurity in the execution of their work and have less prominence within their multiprofessional team.

Fragility in identity results in passive attitudes, submission to other professionals, and restriction of

their daily work (OLIVEIRA et al., 2023).

In addition, research shows that instability in professional positioning is linked to the

difﬁ culty in performing the nurse’s function within the hospital environment, which affects their

visibility and their role in the sector’s decisions (SILVA et al., 2022).

In the context of care, unprofessional practices have a direct effect on the quality of care, since

the lack of professional projection and insecurity make it difﬁ cult for them to lead and communicate

effectively with their team. However, nurses may have a less productive role in their work, which

reduces their capacity for action and decision-making (CARNEIRO et al., 2024).

DIFFICULTIES AND CHALLENGES IN DEVELOPMENT

The development of positioning is related to the construction of professional identity during

your academic training. Studies indicate that it is formed from the experiences lived in the learning

process, in the relationship with colleagues, professors and in the activities carried out during

graduation. These experiences contribute to the formation of professional values and autonomy, as

this process occurs in a fractional way, it ends up generating insecurity and difﬁ culties in professional

positioning at the beginning of the career (SILVA et al., 2019).

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Another determinant cited in the literature is the way society perceives the role of nurses.

The social image of nursing inﬂ uences the way professionals behave during the work environment,

historically nursing has been labeled, limiting the understanding of the activities performed by

nurses, thus negatively impacting the autonomy and recognition of the profession (PIERROTTI;

GUIRARDELLO; TOLEDO, 2020).

In addition, the career proﬁ le is also associated with the conditions of the work environment,

factors such as overload, reduced number of professionals and a lot of demand automatically hinder

leadership development and decision-making, not being able to focus on all activities and performing

carelessly, which can cause negligence in delicate situations. These situations compromise performance

and generate a lot of physical and emotional exhaustion, impairing how nurses position themselves in

front of the multidisciplinary team (CARVALHO et al., 2018).

Another signiﬁ cant challenge in development is leadership, the nurse assumes responsibilities

related to team management, requiring organization with care Many professionals ﬁ nd it difﬁ cult to

perform this leadership role, due to the lack of preparation in academic training, and limitations in the

structures present in the institutions, which can impact the recognition of autonomy and the position

of how nurses will behave in front of their team (BALSANELLI; CUNHA, 2018).

Therefore, we observe that the development of the professional proﬁ le depends on a set of

factors, including the quality of the training of professionals, development of skills, professional

valorization and the conditions of the work environment. In other words, investing in the qualiﬁ cation

of the individual and the strengthening of their identity is essential for the construction of autonomy

and for the recognition of nurses within health teams (MOURA et al., 2020).

FORMS OF DEVELOPMENT IN POSITIONING

The development of a nurse’s professional reputation is completely linked to the construction

of their identity throughout their career, including academic training and care practices. Studies show

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that the inﬂ uence of lived experiences and interpersonal relationships contribute to a conception in

constant evolution, so academic training plays a fundamental role in this process, guiding students to

be more critical, leading them to understand their role within institutions (LIMA et al., 2020).

Another form of positioning refers to the use of the nursing process as a work instrument, as

it helps in the organization and strengthens the identity of a nurse, allowing autonomy and recognition.

In addition, the use of this mechanism can favor the construction of a practice based on scientiﬁ c

knowledge, valuing the role of the professional (ADAMY; ZOCCHE; ALMEIDA, 2020).

Leadership also becomes a fundamental element for career strengthening, the literature

demonstrates that skills, such as communication, organization and planning, are also important for

making decisions and leading teams. Therefore, many individuals have difﬁ culties in this part of the

process, which reinforces the need to invest in training and always improving their skills (MONDINI

et al., 2020).

Another considerable factor refers to inﬂ uence and working conditions, professional

recognition, opportunities for growth, and adequate working conditions are essential for employee

motivation and satisfaction. On the other hand, environments with limited resources and low

professional valuation hinder the development of activities, compromising the performance of a nurse.

Therefore, it is highlighted that development is a complex process, involving several factors, namely,

academic training, professional practice, leadership development and working conditions, these

elements are indispensable to promote autonomy and appreciation of the profession (MALLAGOLI

et al., 2024).

PREPARATION OF THE BOOKLET

In view of the results obtained in the literature review, the educational booklet (Appendix

A) was developed, with the purpose of creating an easily accessible instrument. For its elaboration,

the Canva platform was used, which made it possible to create the layout and characters. In order to

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facilitate the process of constructing the booklet, the development was organized in ﬁ ve stages.

According to ﬁ gure 1, the content presented an easy-to-understand and objective language,

seeking to understand the situations experienced by many professionals in their careers, thus deﬁ ning

the purpose of the booklet.

Figure 1 – Cover of the educational booklet

Source: Authored by the author (2026)

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Studies highlight that the use of clear, accessible and compatible language with the target

audience favors the understanding of information and easy understanding of individuals (SOUZA et

al., 2022).

For the construction of the material, technological and graphic resources were used capable

of making the content more attractive and dynamic. The use of the Canva platform made it possible to

create a visually organized layout, with colors, illustrative characters and graphic elements, as shown

in Figure 2.

Figure 2 – Booklet Layout Demonstration

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Source: Authored by the author (2026)

According to the literature, visual resources and educational tools favor the interaction of

individuals, making the learning process more dynamic and accessible (TEIXEIRA et al., 2021).

The creation of the characters was done through the “character creator” application available

within CANVA itself, costumes and looks that ﬁ t the scenario were chosen, as well as the facial

expressions of the characters (ﬁ gure 3). The speech bubbles provided by the platform were inserted in

the booklet to create dialogue between the characters.

Figure 3 – Demonstration of the characters and their characteristics

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Source: Authored by the author (2026)

Educational technologies elaborated with playful, illustrative elements and in the format

of comic books, favor communication, arouse greater interest from the public and facilitate the

understanding of information (MOURA et al., 2021).

The characters’ speeches were based on the selected articles, using simple and easy-to-

understand language, with the aim of guiding the target audience about the importance of professional

positioning, its advantages for career growth and the disadvantages if not applied on a daily basis

(ﬁ gure 4).

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Figure 4 – Demonstration of the characters’ dialogues

Source: Authored by the author (2026)

When preparing a booklet, the language must be clear, direct, and easy to understand,

facilitating the understanding of the target audience and making the educational content more efﬁ cient

(OLIVEIRA et al., 2021).

After completing all the stages of preparation, the educational booklet was completed. Thus,

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the material was developed as an education strategy aimed at nurses, with the purpose of promoting

reﬂ ections on the importance of professional positioning.

Educational booklets are an important tool in health education, as they enable the understanding

of information in a clear and accessible way, contributing to the promotion of knowledge of the target

audience (GOMES et al., 2024).

FINAL CONSIDERATIONS

The present study allowed the understanding of the importance of professional positioning in

the nurse’s career, highlighting aspects related to leadership and autonomy.

In the literature review, it was possible to observe that many newly graduated professionals

have difﬁ culties in development, directly impacting their professional performance.

The elaboration of the educational booklet made it possible to transform the scientiﬁ c

knowledge found in the literature into an accessible and easy-to-understand educational technology.

The use of visual resources, simple language and everyday situations sought to bring the content

closer to the nurses’ reality.

Finally, it is hoped that the educational booklet can help nurses who have difﬁ culty in

developing leadership, autonomy and professional security. It is also suggested that new studies be

carried out to evaluate the effectiveness of educational material in nursing practice.

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