Aplicação de tecnologia educativa na sensibilização do protocolo de sepse em unidade de tocoginecologia / Application of educational technology in the sensitization of the sepse protocol in a tocogyncology unit / Aplicación de tecnología educativa en la sensibilización del protocolo de sepse en unidad de tocoginecología

Objetivo: avaliar o impacto da sensibilização no setor e a adesão ao protocolo de sepse em unidade de tocoginecologia. Método: Trata-se de uma pesquisa-ação no período de janeiro a março de 2016, com 63 profissionais que trabalham em unidade de tocoginecologia de um hospital de alta complexidade. Resultados: 51% dos profissionais receberam o treinamento sobre o protocolo de sepse e, após, 50% dos pacientes que tinham critérios de Síndrome da resposta inflamatória Sistêmica (SIRS) foram incluídos no protocolo de sepse, sendo que o desfecho de três destes foi alta hospitalar e dois foram transferidos para UTI devido sepse grave. O tempo médio de administração do antibiótico foi cinquenta minutos, da solicitação do hemograma foi 46,25 minutos e do resultado do lactato foi acima de trinta minutos. Conclusão: Ainda há necessidade de melhoria em relação à adesão pela equipe de enfermagem para implantação de medidas de combate à sepse

Objetivo: evaluar el impacto de la sensibilización en el sector y la adhesión al protocolo de sepsis en unidad de tocoginecología. Método: Se trata de una investigación-acción en el período de enero a marzo/2016, con 63 profesionales que trabajan en unidad de tocoginecología de un hospital de alta complejidad. Resultados: 51% de los profesionales recibieron el entrenamiento sobre el protocolo de sepsis y después, 50% de los pacientes que tenían criterios de SIRS fueron incluidos en el protocolo de sepsis, siendo el desenlace de 03 de ellas, fue alta hospitalaria y 02 fueron transferidas a UTI Debido a la sepse grave. El tiempo promedio de administración del antibiótico fue de 50 minutos, de la solicitud del hemograma fue 46,25 minutos y el resultado del lactato fue de más de 30 minutos. Conclusión: Aún hay necesidad de mejora en relación a la adhesión por el equipo de Enfermería para implantación de medidas de combate a la sepsis

Objective: to evaluate the impact of the sensitization in the sector and adherence to the protocol of sepsis in a unit of tocoginecology. Method: This is an action research from January to March/2016, with 63 professionals working in a tocoginecology unit of a highly complex hospital. Results: 51% of the professionals received training on the sepsis protocol and after that, 50% of the patients who had SIRS criteria were included in the sepsis protocol, and the outcome of 03 of these was hospital discharge and 02 were transferred to the ICU Due to severe sepsis. The mean time of administration of the antibiotic was 50 minutes, the request of the blood count was 46.25 minutes and the result of the lactate was over 30 minutes. Conclusion: There is still a need for improvement regarding adherence by the Nursing team to implement measures to combat sepsis

Evaluation of a virtual learning environment about educational actions for people with diabetes mellitus / Evaluación de un entorno virtual de aprendizaje sobre las acciones educativas para personas con diabetes mellitus / Avaliação de um ambiente virtual de aprendizagem sobre ações educativas para pessoas com diabetes mellitus

Abstract Objective: To evaluate, from the perspective of Nursing students, a virtual learning environment about educational actions for people with diabetes mellitus. Method: A cross-sectional and descriptive study with qualitative data analysis and a sample of 71 nursing students. A questionnaire was used to collect data that includes pedagogical and theoretical aspects of the virtual learning environment: content, interaction, activities, response time and interface quality. Results: The results showed that there was a good evaluation of the parameters in most of the evaluated items, except for the figures and sound of the VLE interface domain, which evaluates the quality of the platform design. Conclusion and implications for practice: In the students' evaluation, the virtual learning environment was a potential tool for the technical and complementary development of nursing, in addition the inclusion in the virtual world of learning.

Resumen Objetivo: Evaluar, en la perspectiva de estudiantes de Enfermería, un ambiente virtual de aprendizaje sobre las acciones educativas para personas con diabetes mellitus. Método: Estudio transversal y descriptivo con análisis cualitativo de datos y con muestra de 71 estudiantes de enfermería. Para la recolección de datos, se utilizó una encuesta que contempla aspectos pedagógicos y teóricos del ambiente virtual de aprendizaje: contenido, interacción, actividades, tiempo de respuesta y calidad de la interfaz. Resultados: Los resultados demostraron que hubo una buena evaluación de los parámetros en la mayoría de los ítems evaluados, excepto los ítems figuras y sonido del dominio interfaz del AVA, que evalúa la calidad del diseño de la plataforma. Conclusión e implicaciones para la práctica: En la evaluación de los estudiantes, el ambiente virtual de aprendizaje se presentó como una herramienta potencial para el desarrollo técnico y complementario de la enfermería, además de la inclusión en el mundo virtual de aprendizaje.

Resumo Objetivo: Avaliar, na perspectiva de estudantes de Enfermagem, um ambiente virtual de aprendizagem sobre ações educativas para pessoas com diabetes mellitus. Método: Estudo transversal e descritivo, realizado com 71 estudantes de Enfermagem. A coleta de dados foi realizada por meio de um questionário que contempla aspectos pedagógicos e teóricos do ambiente virtual de aprendizagem: conteúdo, interação, atividades, tempo de resposta e qualidade da interface. Resultados: Os resultados demonstraram que houve boa avaliação dos parâmetros na maioria dos itens avaliados, exceto os itens figuras e som do domínio interface do AVA, que avalia a qualidade do design da plataforma. Conclusão e implicações para a prática: Na avaliação dos estudantes, o ambiente virtual de aprendizagem apresentou-se como uma ferramenta em potencial para o desenvolvimento técnico e complementar de Enfermagem, além da inclusão no mundo virtual de aprendizagem.

Caminhos para prevenção primária do abuso sexual contra crianças: uma reflexão sobre as tecnologias educativas / Pathways to primary prevention of sexual abuse against children: a reflection on educational technologies

Este estudo exploratório buscou identificar tecnologias educativas que possam subsidiar as ações dos profissionais de diversas áreas, que atuam com crianças, para prevenção primária do abuso sexual. Trata-se de uma pesquisa de base qualitativa que teve como objetivo principal analisar tecnologias educativas para prevenção do abuso sexual contra crianças, elaboradas por instituições acadêmicas e de defesa dos direitos das crianças, nacionais e transnacionais, produzidas no período de 2000 a 2016. Para tanto, realizou-se um estudo de revisão da literatura e foram adotadas duas estratégias para coleta dos dados: (I) uma revisão bibliográfica em bases de dados acadêmico-científicas para levantamento das tecnologias educativas já analisadas em outras pesquisas, (II) uma análise documental por meio do acesso a sites de organizações governamentais, não governamentais e privadas, para levantamento das tecnologias educativas elaboradas e/ou adotadas por esses atores sociais. Essas estratégias resultaram na identificação de 28 tecnologias educativas, aptas para os propósitos do estudo, sendo todas levantadas pelo método de análise documental. Por meio da análise dos dados, com uso de princípios da análise de conteúdo temática, destacam-se como principais achados: o protagonismo das organizações não governamentais, e seu trabalho em parceira estratégica com o Estado e empresas privadas, contribuiu para a criação de diversas tecnologias para prevenção de violências contra crianças; entre as estratégias propostas, pelos documentos analisados, o fomento à participação infantil é apresentado como ação relevante para prevenção do abuso sexual (por valorizar a fala das crianças e incentivar a escuta por parte dos adultos), o trabalho intersetorial (por meio da constituição de Redes locais), ações que estimulem a maior participação dos pais (homens) no cuidado das (os) filhas (os) e a transformação de masculinidades são apontadas como estratégias importantes para revisão de valores e práticas culturalmente aprendidas que favorecem a perpetuação desse tipo de violência. Entre os temas propostos para abordagem com crianças, famílias e profissionais, estão as temáticas sexualidades, gênero, raça/etnia e diversidades e diferenças. Conclui-se com recomendação para que tecnologias sejam adaptadas aos contextos onde serão implementadas e que os profissionais sejam capacitados para seu uso. Recomenda-se também a realização de pesquisas que explorem aspectos inerentes à construção dessas tecnologias e de seus proponentes, bem como realizem avaliação das mesmas.

This exploratory study sought to identify educational technologies that can subsidize the actions of professionals from different areas, who work with children, for primary prevention of sexual abuse. It is a qualitative research whose main objective was to analyze educational technologies for the prevention of sexual abuse against children, elaborated by academic institutions and for the defense of children's rights, national and transnational, produced in the period from 2000 to 2016. Therefore, a review of the literature was carried out and two strategies were adopted to collect the data: (I) a bibliographic review in academic-scientific databases to survey the educational technologies already analyzed in other researches, (II) a documentary analysis through access to websites of governmental, non-governmental and private organizations, to survey the educational technologies elaborated and / or adopted by these social actors.. These strategies resulted in the identification of 28 educational technologies, suitable for the purposes of the study, all of which were raised by the method of documentary analysis. Through the analysis of the data, using the principles of thematic content analysis, the main findings are highlighted: the role of non-governmental organizations and their work in strategic partnership with the State and private companies contributed to the creation of diverse technologies to prevent violence against children; among the proposed strategies, the documents analyzed, the promotion of child participation is presented as a relevant action for the prevention of sexual abuse (for valuing children's speech and encouraging adult listening), intersectoral work (through the constitution of local networks) actions that encourage the greater participation of parents(men) in the care of their children and the transformation of masculinities are pointed out as important strategies for the revision of values and culturally learned practices that favor the perpetuation of this type of violence. Among the themes proposed for approaching children, families and professionals are the themes of sexuality, gender, race / ethnicity, and diversity and differences. It concludes with a recommendation that technologies be adapted to the contexts in which they will be implemented and that professionals be trained to use them. It is also recommended to carry out researches that explore aspects inherent to the construction of these technologies and their proponents, as well as to evaluate them.

Patient educational technologies and their use by patients diagnosed with localized prostate cancer.

BACKGROUND: Two urology practices in Calgary, Canada use patient educational technology (PET) as a core component of their clinical practice. The purpose of this study was to determine how patients interact with PET designed to inform them about their treatment options for clinically localized prostate cancer. METHODS: A PET library was developed with 15 unique prostate-related educational modules relating to diagnosis, treatment options, and potential side effects. The PET collected data regarding its use, and those data were used to conduct a retrospective analysis. Descriptive analyses were conducted and comparisons made between patients' utilization of the PET library during first and subsequent access; Pearson's Chi-Square was used to test for statistical significance, where appropriate. RESULTS: Every patient (n = 394) diagnosed with localized prostate cancer was given access to the PET library using a unique identifier. Of those, 123 logged into the library and viewed at least one module and 94 patients logged into the library more than once. The average patient initially viewed modules pertaining to their diagnosis. Viewing behavior significantly changed in subsequent logins, moving towards modules pertaining to treatment options, decision making, and post-surgical information. DISCUSSION: As observed through the longitudinal utilization of the PET library, information technology offers clinicians an opportunity to provide an interactive platform to meet patients' dynamic educational needs. Understanding these needs will help inform the development of more useful PETs. CONCLUSION: The informational needs of patients diagnosed with clinically localized prostate cancer changed throughout the course of their diagnosis and treatment.

Use of mobile learning technology among final year medical students in Kenya.

INTRODUCTION: Mobile phone penetration has increased exponentially over the last decade as has its application in nearly all spheres of life including health and medical education. This study aimed at assessing the use of mobile learning technology and its challenges among final year undergraduate students in the College of Health sciences, University of Nairobi. METHODS: This was a cross-sectional descriptive study conducted among final year undergraduate students at the University of Nairobi, College of Health Sciences. Self-administered, anonymous questionnaires were issued to all final year students in their lecture rooms after obtaining informed consent. Data on demographics, mobile device ownership and mobile learning technology use and its challenges was collected. Data entry and analysis was done using SPSS(®). Chi-square and t-test were used for bivariate analysis. RESULTS: We had 292 respondents; 62% were medical students, 16% were nursing students, 13% were pharmacy students and 9% were dental surgery students. The majority were female (59%) and the average age was 24 years. Eighty eight percent (88%) of the respondents owned a smart device and nearly all of them used it for learning. 64% of the respondents used medical mobile applications. The main challenges were lack of a smart device, lack of technical know-how in accessing or using apps, sub-optimal internet access, cost of acquiring apps and limited device memory. CONCLUSION: Mobile learning is increasingly popular among medical students and should be leveraged in promoting access and quality of medical education.