A Hospital-based Pharmacy Internship Program in Jordan.

Objective. To develop a hospital-based pharmacy internship program in a comprehensive cancer care center in Jordan and review its outcomes over a 10-year period.Methods. King Hussein Cancer Center developed a two-year internship program for pharmacy students in Jordanian universities. The program included training in operational and clinical settings during the academic year and school holidays. In addition, the students completed rotation-related assignments and met weekly with the program director. During the rotations and at the end of the program, interns were asked to assess their level of satisfaction with the program and to comment on its content and structure. Results. From a pilot phase with only three interns and a simple training structure, the two-year internship program has become more structured now training six interns annually. During the first 10 years of the program, 51 students from four universities in Jordan enrolled in the program, with six current interns, 34 graduates, and 11 withdrawals. Graduates reported improved academic performance and satisfaction with the program's structure and the skills obtained. Their main challenge was time management during the academic year. Conclusion. A hospital-based pharmacy internship program is feasible and sustainable. Participation in the program improves interns' academic performance and clinical and professional skills, despite the challenges of highly demanding conditions on both the hospital and the students.

A formação multiprofissional em saúde sob a ótica do residente / La formación multifuncional the la salud desde la perspectiva de lo residente / The multiprofessional health training from the viewpoint of the resident

Objective: to describe the lived experiences as a nursing professional who integrates the 1st class of the Multiprofessional Health Residency Program from the Gaffrée and Guinle University Hospital and describe the activities performed during the practical and theoretical exercise of the course. Methods: This is a descriptive study of situational analysis, which is characterized as an experience report. Results: The program, which began in February 2011, was comprised of professionals from the following areas: Nursing, Nutrition, Speech Therapy and Physiotherapy. It has duration time of two years and a workload of 60 hours a week. It presents different hospital scenarios, as fieldworks, with the aim at promoting the experience of integrality of the health care, with a period directed to the Primary Care. Conclusion: The prolonged interaction among the multiprofessional residents has provided a great learning in relation to the collective living, by increasing the respect, appreciation and knowledge among the professions.

Objetivo: relatar as experiências vivenciadas enquanto Enfermeira integrante da 1ª turma de Residência Multiprofissional em Saúde do Hospital Universitário Gaffrée e Guinle e descrever as atividades realizadas durante o exercício prático e teórico do curso. Métodos: Trata-se de um estudo descritivo de análise situacional e caracterizado como relato de experiência. Resultados: O programa, que teve início em fevereiro de 2011, era composto por profissionais de Enfermagem, Nutrição, Fonoaudiologia e Fisioterapia. Possui tempo de duração de dois anos e uma carga horária de 60 horas semanais. Apresenta como campos de atuação diferentes cenários do hospital e ainda, com a intenção de promover a experiência da integralidade da atenção à saúde, com um período destinado à Atenção Básica. Conclusão: A interação prolongada entre os residentes multiprofissionais proporcionou um grande aprendizado em relação ao fazer coletivo, aumentando o respeito, valorização e conhecimento entre as profissões.

Objetivo: describir la experiencia como miembro de la 1 ª clase enfermera de salud Residencia multidisciplinar en hospital Gaffrée y Guinle y describir las actividades realizadas durante el curso práctico y teórico. Métodos: Se realizó un estudio descriptivo de análisis de la situación y se caracteriza como un relato de experiencia. Resultados: El programa, que comenzó en febrero de 2011, consistió en la enfermería profesional, nutrición, patología del habla y fisioterapia. Tiene una duración de dos años y una carga de trabajo de 60 horas a la semana. Muestra los campos de actividad como los diferentes escenarios del hospital y, con la intención de promover la experiencia de la atención integral de la salud, con un período de Atención Primaria. Conclusión: La interacción prolongada entre lós residentes multidisciplinarios proporcionan una gran experiencia de aprendizaje en relación con el colectivo, el aumento de respeto, aprecio y conocimiento entre los profesionales.

Efecto de un programa de intervención educativa sobre el conocimiento de seguridad de pacientes en estudiantes de pregrado de enfermería / Effect of an educational intervention program on patient safety knowledge among undergraduate nursing students

RESUMEN Objetivo: El objetivo de la presente investigación fue evaluar el efecto de un programa de intervención educativo sobre el conocimiento de seguridad de pacientes en estudiantes de Enfermería que se encuentran en su práctica clínica. Material y método: Estudio pre-experimental antes-después de 6 meses de duración, realizado en tres etapas. Muestra de 80 estudiantes de segundo año de la carrera de Enfermería, de una universidad priva da. Recolección de datos, mediante aplicación de un instrumento tipo encuesta validado, con cinco secciones, el cual fue aplicado en dos periodos (antes y después de la intervención). La intervención consistió en la aplicación de metodología educativa con el apoyo de video instruccional de una hora de duración. Fueron respetados los requisitos éticos de investigación científica. Se efectuó análisis estadístico mediante la utilización de medidas de tendencia central y se utilizó estadística no paramétrica y paramétrica. Resultados: Se verificó un aumento en el porcentaje de logro de los conocimientos de los educandos, esto en relación a la pre (30,5%) y pos (52,25%) intervención educativa (p valor<0,05). Conclusión: La intervención realizada logro aumentar el conocimiento por parte de los estudiantes en temas básicos de seguridad clínica.

Objective: The main objective of this investigation was to evaluate the impact of an educational intervention program on patient safety knowledge among Nursing students who are in their clinical internship. Materials and methods: Before-after pre-experimental study, 6 months length, developed in 3 stages. Sample of 80 second year Nursing students from a private university. Data recollection was carried out through a validated survey-type instrument, consisting of five sections, which was applied in two periods (before and after the intervention). The intervention consisted in the application of educational methodology with the support of an hour-length video. The ethical principles required were respected. Statistical analysis through measures of central tendency, and parametric as well as nonparametric statistics were used. Results: The data showed an increase in learners knowledge, based on before (30.5 %) and after (52.25%) educational intervention (p value < 0.05). Conclusion: The intervention performed was able to increase students' knowledge in basic clinical safety issues.

Análise do perfil dos usuários atendidos nas clínicas de oncologia e endocrinologia / Analysis of the profile of users served in clinical oncology and endocrinology

Este trabalho objetiva analisar a experiência do trabalho profissional do Serviço Social e seus enfretamentos, a partir do contato com a realidade social dos usuários das clínicas de endocrinologia e oncologia e seus aspectos sociais: moradia, trabalho, educação, acesso à informação, alimentação, renda dos sujeitos da pesquisa e seus reflexos na saúde, seus determinantes e condicionantes e, ainda, as condições de acesso e informação dos serviços de saúde disponiobilizados pelo Sistema e os recursos sociais. Utilizou-se de abordagem qualitativa, revisão de literatura, pesquisa documental e pesquisa de campo, com aplicações da técnica de entrevistas semiestruturadas elaborada pela pesquisadora. O Serviço Social contribui para uma visão ampliada do sujeito, não sendo potencializada a atenção apenas para a doença, mas para seus apectos sociais, como moradia, trabalho, educação e outros. Nesse sentido, a atuação do assistente social corrobora para a edificação e materialidade do SUS, sobretudo no que se refere à atenção aos determinantes e condicionantes do processo saúde-doença, e, na mesma medida garante o olhar ao sujeito em sua totalidade e integralidade, o que, invariavelmente, conduz a uma prática e intervenção à luz do processo de humanização. Portanto, esta discussão se justifica tendo em vista o contato com pacientes das duas clínicas vinculadas e, assim, reconhecer as diferenças que envolvem o estilo de vida, acesso à informação, serviços das redes sociais, tanto no perfil que engloba as condições sócioeconômicas, familiar, trabalho, moradia como no que diz respeito ao acesso a direitos sociais como prática de cidadania.

This paper aims to analyze the Social service professional work experience and its confrotations based on the social reality of the users of endocrinology and oncology clinics and their social aspects: housing, work, education, acess to information, food, income of these subjects and their effects on health, their determinants and and field research were usedconstraints, and also the conditions of acess and information of health services provided by the United Health System and social resources. A qualitative approach, literature review, documentary research , applying the technique of semi-structured interviews developed by the research. Social work contributes to a larger view of the subject, nor only enhanced attention to the disease, but for social aspects such as housing, work, education and others. In this sense, the role of social supports for the building and materiality of the SUS, especially when it comes to the attention to the determinants and constraints of the health-disease process, and to the same extent that guarantees the eye to the subject in its totality and completeness, which invariably leads to a practice and intervention in the ligh of the humanization process. Therefore, this discussion nis justified in view of the contact with patients of two linked clinics and thus recognizes the diffrences that involve lifestyle, access to information, social networking services, both in the profile that encompasses socioeconomic conditions, famil, work, housing and as regards acess to social rights of citizenship as a practice.

Formação de psicólogos em residência multiprofissional: transdisciplinaridade, núcleo profissional e saúde mental / Education for Psychologists in multi-professional residencies: transdisciplinarity, professional body, and mental health / Formación de Psicólogos en residencia multiprofesional / transdisciplinariedad, núcleo profesional y saludmental

Este artigo tem como objetivo discutir a formação de psicólogos na modalidade de residência multiprofissional, considerando os significados e os sentidos construídos pelos residentes e preceptores sobre o cotidiano da aprendizagem pelo trabalho. Trata-se da primeira turma de uma residência multiprofissional em saúde coletiva com área de concentração em saúde mental, iniciada em 2008, com 15 residentes de seis áreas diferentes, três delas psicólogas. Inspirou-se teórico-metodologicamente na vertente da Psicologia social das práticas discursivas e da produção de sentido e na escrita etnográfica da Antropologia interpretativa. Utilizaram-se, na coleta de dados, entrevistas semiestruturadas com os residentes, grupo focal com os tutores e diário de campo. A análise dos repertórios interpretativos das psicólogas-residentes e demais entrevistados está organizada em dois eixos: Psicologia como campo de saber e como campo de fazer. A participação das psicólogas na residência multiprofissional tende a refinar as habilidades do seu núcleo profissional compatíveis com as necessidades do campo da saúde mental. Essa residência tende a proporcionar uma formação transdisciplinar, uma vez que está atenta à dimensão subjetiva da formação dos residentes...

The objective of this study is to discuss the education of psychologists within multi-professional residencies, considering the meanings and the sense constructed by the residents and tutors about the daily learning process during work. The focus of the study is the first group of residents in a multi-professional residency in collective health with emphasis in mental health. The residency started in 2008 with 15 residents from six different areas, three of them from psychology. The study’s theoretical-methodological base was inspired by a line of the social psychology of discursive practices and meaning production, and on the ethnographic writings from interpretative anthropology. For data gathering, the study used semistructured interviews with the residents, a focus group with the tutors, as well as a field diary. The analysis of the interpretative repertoires of the psychology residents and other interviewees was organized into two main areas: psychology as an area of knowledge and as an area of construction. The participation of the psychologists in the multi-professional residency tends to refine the abilities of their professional body congruent with the needs of the field of mental health. This residency is inclined to provide a transdisciplinary education, once it is attentive to the subjective dimension of the education of the residents...

Este artículo tiene como objetivo discutir la formación de psicólogos en la modalidad de residencia Multiprofesional, considerando los significados y sentidos construidos por los residentes y preceptores sobre el cotidiano del aprendizaje por el trabajo. Se trata del primer grupo de una residencia Multiprofesional en salud colectiva con área de concentración en salud mental, iniciada en 2008, con 15 residentes de seis áreas diferentes, tres de ellas psicólogas. Se inspiró teórico-metodológicamente en la vertiente de la psicología social de las prácticas discursivas y producción de sentido y en la escrita etnográfica de la antropología interpretativa. Se utilizó en la colecta de datos entrevistas semiestructuradas con los residentes, grupo focal con los tutores y diario de campo. El análisis de los repertorios interpretativos de las psicólogas-residentes y demás entrevistados está organizada en dos ejes: psicología como campo de saber y campo de hacer. La participación de las psicólogas en la residencia Multiprofesional tiende a refinar las habilidades de su núcleo profesional compatibles con las necesidades del campo de la salud mental. Esta residencia tiende a proporcionar una formación transdisciplinaria, una vez que está atenta la dimensión subjetiva de la formación de los residentes...

Collaborative learning: a focused partnership.

This paper describes a collaborative project that joins academic perspectives and clinical practice perspectives in a focused clinical experience. This activity involves 3rd quarter associate degree nursing students in a medical-surgical course. Instructors identified the need to provide an activity to develop intravenous therapy skills and provide increased opportunities, thus increasing technical skill and assessment skills. This led to the development of the focused clinical experience. During this clinical rotation, the students rotate through either a Same Day Surgery unit or an endoscopy unit for one of their clinical days. The primary objective of this clinical day is to provide intravenous therapy. The duration of this project was a 10-week quarter of the curriculum and involved 38 students in the 2002 class and 30 in the 2003 class. Results indicate a very positive learning experience for the student, as well as a collaborative and contributing effort by the students for the staff. The staff, on the other hand, assists in providing a mentoring role in shared expertise. Collaborative partnerships between academia and practice can help bridge the gap by providing opportunities to share perceptions, creating an environment for shared knowledge, and networking opportunities, leading to further enabling preparation for potentially future staff.

Promoting and evaluating competence in on-line dietetics education.

Professional organizations, such as the American Dietetic Association are challenged to assure competency of their practitioners. Competency includes higher-level skills such as critical-thinking, cooperative work, effective communication, and use of lifelong learning resources. Information literacy via computer technology is a key component of competency, which needs to be included in dietetic education and training. This dietetic internship examined use of online technology to develop competency using the key-feature exam. Seventy-five dietetic interns from three different programs were divided into those with (n = 44) and without (n = 31) online instruction, to which pre- and post- test key feature exams were administered. Those with online instruction had greater improvement (P < 0.05) on key-feature exams in nutrition support and pediatric nutrition. Competency is complex and difficult to assess, thus tools to better assess the comprehensive scope of practitioner competency are needed. The key-feature exam may be a tool to assess and verify practitioner competency in dietetics professionals.

Actitudes en el personal de salud / Attitudes in the personnel of health

El presente trabajo fue realizado por el grupo de internas rotativas de enfermería que realizamos nuestras pasantías en los servicios de cirugía, unidad de cuidados intensivos,medicina interna, infectología, neonatología y centro obstétrico en el Hospital Enrique Garcés.Iniciamos una investigación participativa que desarrolló el proceso vivido en los servicios a través de la reconstrucción de nuestras vivencias, quedó así definida la temática del trabajo...