Embracing Our Differences: Advancing Diversity, Equity, and Inclusion Through Perioperative Nursing Education.

A focus on diversity, equity, and inclusion (DEI) in a health care system is critical to ensure patient safety and improve the health outcomes of all surgical patients and communities. Some patient populations continue to experience disparities that negatively affect their burden of illness, ability to access quality care, and health-related outcomes. Unconscious (or implicit) bias among clinicians can lead to unintentional discrimination against marginalized groups. Organization and perioperative leaders should recognize the importance of developing a workplace culture committed to DEI and implement strategies to educate and empower clinicians to embrace these initiatives. When developing educational offerings on DEI for personnel, educators should use a framework and a variety of educational strategies, such as listening tours, computer-based learning, simulations, and journal and book clubs, to engage teams focused on optimizing the health and well-being of the diverse surgical populations in their communities.

[Prolonged television exposure in children and adolescents: health effects and protection strategies]. / Exposición prolongada a la televisión en niños y adolescentes: efectos sobre la salud y estrategias de protección.

OBJECTIVE: Since COVID-19 pandemic, screen time (ST) seems to have increased among children and young people. There is controversy about its impact in the physical and mental well-being of children. The aim of this study was to analyse the possible influence of excessive ST on child health through a systematic review of the literature. METHODS: Systematic review was done by two independent reviewers. We analysed the medical literature (MEDLINE data base) from 2017 to 2022. Data related to the effects of ST on children´s health were analysed along with strategies that can mitigate those effects. RESULTS: The search identified 3,151 articles, 37 finally selected as they fulfilled the demanded methodological quality criteria. Negative effects on children's health such as obesity, linked to a sedentary lifestyle, sleep disorders or anxiety problems in adolescents were detected. However, a better development of language or memory functioning, when interactive media were used, have also been described. Educational measures have proven useful in controlling exposure time and reducing exposure-related negative effects. CONCLUSIONS: Although high levels of ST could affect children`s health, we have recorded some positive effects that are enhanced when parents get involved in TV watching (co-viewing). Exposure time should be customized according to every child's lifestyle.

OBJETIVO: Desde la pandemia de la COVID-19, el tiempo frente a la pantalla (TP) parece haber aumentado entre niños y jóvenes. Existe controversia sobre su impacto en el bienestar físico y mental de los niños. Este estudio tuvo el objetivo de analizar la posible influencia de un excesivo TP en la salud infantil mediante una revisión sistemática de la literatura. METODOS: Dos revisores independientes realizaron una revisión sistemática. Se analizó la literatura médica (base de datos MEDLINE) desde 2017 hasta 2022. Se analizaron los datos relacionados con los efectos del tiempo frente a la pantalla en la salud infantil junto con las estrategias que pueden mitigar dichos efectos. RESULTADOS: La búsqueda identificó 3.151 artículos, siendo 37 finalmente seleccionados por cumplir los criterios de calidad metodológica exigidos. Se detectaron efectos negativos sobre la salud infantil como la obesidad, ligada a un estilo de vida sedentario, trastornos del sueño o problemas de ansiedad en adolescentes. Sin embargo, también se ha descrito un mejor desarrollo del lenguaje o del funcionamiento de la memoria, cuando se utilizaban medios interactivos. Las medidas educativas han demostrado ser útiles para controlar el tiempo de exposición y reducir los efectos negativos relacionados con la exposición. CONCLUSIONES: Aunque unos niveles elevados de tiempo frente a la pantalla podrían afectar a la salud de los niños, se han registrado algunos efectos positivos que se potencian cuando los padres se implican en el visionado de la televisión (coviewing). El tiempo de exposición se debe personalizar según el estilo de vida de cada niño.

Metacognitive analysis of the practicum subject of the Master's in Secondary Teaching through a reflexive portfolio.

This study delves into the efficacy of the reflective portfolio in the metacognitive domain within the context of the Master's in Secondary Teaching. It places particular emphasis on the impact of prior academic training in different specialties (scientific vs. humanities) on metacognitive skills development. The research employs a mixed-methods approach, analyzing portfolios from various academic specialties, developed in practicum subject, to ascertain differences in metacognitive competencies of teaching competencies. The main findings reveal that while students generally demonstrate a basic level of success in describing learning situations, there is a notable deficiency in deeper analytical skills and self-improvement strategies, especially among science students compared to their humanities counterparts. This suggests that initial training and educational background significantly influence the development of these competencies. The study concludes that there is a pressing need for more focused and robust training in metacognitive skills across different educational disciplines. Furthermore, it highlights the necessity for educational strategies that effectively address these variations, aligning teaching and learning processes with the principles of quality and sustainable education as envisioned in Agenda 2030. The insights gained are crucial for the development of more effective and comprehensive teacher education programs.

School-Based Team Sports as Catalysts for Holistic Student Wellness: A Narrative Review.

The narrative review examines how school-based team sports catalyze holistic student wellness, leveraging their inherent nature and addressing barriers to inclusivity. Utilizing the holistic wellness framework-which encompasses physical, emotional, intellectual, social, spiritual, and occupational dimensions-the review evaluates the multifaceted effects of these sports on student well-being. Supported by wellness models like Dr. Bill Hettler's Six Dimensions of Wellness and various research studies, the framework highlights the interconnectedness of these areas in achieving overall well-being. School-based team sports promote discipline, teamwork, physical fitness, and social interaction while fostering skill development, ethical behavior, and emotional resilience. These elements, collectively, may support the holistic development of students, enhancing their overall health and success. The methodological approach of this review involves a synthesis of empirical research, systematic reviews, and meta-analyses from the past two decades (2004-2024), sourced from databases such as PubMed, EBSCO (EDS), and Google Scholar. Key findings include enhanced cardiovascular fitness, emotional resilience, cognitive performance, social skills, spiritual fulfillment, and career readiness awareness. The review highlights the necessity of integrating team sports into educational curricula to promote well-rounded student development and proposes strategies to overcome socioeconomic, cultural, and structural barriers to participation. Future research should focus on longitudinal studies to examine the long-term effects of team sports and explore the potential of digital technologies and artificial intelligence (AI) in enhancing these benefits.

Moral Distress and Nursing Education: Curricular and Pedagogical Strategies for a Complex Phenomenon.

Moral distress is a common phenomenon among nurses and is related to the complicated work environments and complex nature of ethical situations in day-to-day nursing practice. Moral distress impacts nurses as well as patient care and the health care system. Few strategies have been identified for instructors to effectively engage with learners when communicating about moral distress. We discuss two key curricular and pedagogical strategies that should be utilized when learning about moral distress: difficult knowledge' and 'terror management theory'. Whether it is with new nursing students or experienced nurses, there is necessary learning that needs to occur on moral distress. Difficult knowledge' and 'terror management theory', when implemented, can provide a starting point for both the learner and the instructor to discuss the emotionally difficult and complex topic of moral distress. Knowledge about moral distress has the potential to mitigate its negative effects, therefore it is vital to consider educational strategies to teach nurses about this complex phenomenon.

Estrategias metodológicas interactivas de la educación virtual en medicina: una revisión sistemática

Introducción: La pandemia ocasionada por la COVID - 19, ha provocado un cambio radical en la educación, siendo una de las más afectadas la educación médica. Los programas de esta carrera han realizado cambios para mantener el plan de estudios, surgiendo la necesidad de implementar nuevas estrategias metodológicas que permitan el mejor desempeño del estudiante. Objetivo: Describir estrategias metodológicas interactivas para la mejora de la práctica docente en el programa de medicina humana, teniendo en cuenta el contexto actual, a partir de evidencia publicada como resultado de investigaciones. Métodos: Esta revisión sistemática está basada en evidencia publicada como resultado de investigaciones en las bases de datos SCOPUS, Scielo, Latindex y DOAJ. Se eligieron artículos que hayan sido publicados entre los años 2017 y 2021 de acceso gratuito y que estén escritos en inglés o español. El estudio permitirá de manera importante mejorar la práctica docente en los programas de medicina humana. Desarrollo: En las tablas 1 y 2, son mostradas algunas estrategias metodológicas interactivas de la educación virtual (29,8%), que satisface las exigentes necesidades de la industria de la educación y con ayuda de la tecnología han transformado el sistema educativo en un modo en línea. De los resultados encontrados en la revisión de los artículos (tabla 3), se puede inferir que aplicar estrategias metodológicas donde exista una interacción activa entre el docente y alumno resultan beneficiosas en el aprendizaje. Conclusiones: Se determinó que implementar las estrategias metodológicas interactivas como la simulación virtual, trabajo colaborativo, aula invertida y ambientes virtuales de aprendizaje en la formación del programa de medicina colabora de manera importante en el aprendizaje y estimulación del estudiante.

Introduction: The pandemic caused by COVID - 19 has caused a radical change in education, one of the most affected being medical education. The programs of this career have made changes to maintain the study plan, arising the need to implement new methodological strategies that allow the best performance of the student. Objective: Describe interactive methodological strategies for the improvement of teaching practice in the human medicine program, taking into account the current context, based on evidence published as a result of research. Methods: This systematic review is based on evidence published as a result of research in the SCOPUS, Scielo, Latindex and DOAJ databases. Articles that have been published between the years 2017 and 2021 with free access and that are written in English or Spanish were chosen. The study will significantly improve teaching practice in human medicine programs. Development: In tables 1,2, some interactive methodological strategies of virtual education (29.8%) are shown, which satisfy the demanding needs of the education industry and with the help of technology have transformed the educational system into a mode in line. From the results found in the review of the articles (table 3), it can be inferred that applying methodological strategies where there is an active interaction between the teacher and student are beneficial in learning. Conclusions: It was determined that implementing interactive methodological strategies such as virtual simulation, collaborative work, flipped classroom and virtual learning environments in the training of the medicine program contributes significantly to student learning and stimulation.

Estudiantes con gratuidad en universidades prestigiosas: ajustes académicos para permanecer / Fee-free students at prestigious universities: academic adjustments so that they can remain in education

(analítico) La educación superior en Chile se ha masificado; sin embargo, se mantiene una alta segmentación en el sistema. En 2016 comienza a implementarse la política de gratuidad, dirigida a estudiantes de menores ingresos. Esta investigación buscó comprender las experiencias académicas de estudiantes con gratuidad en universidades prestigiosas y selectivas, espacios tradicionalmente de reproducción de las clases altas y élites. Se realizaron entrevistas biográficas a trece estudiantes de estas universidades, así como un análisis temático temporal. Los resultados muestran que la obtención de la gratuidad emerge como un facilitador en el acceso, pero los/as estudiantes experimentan fuertes sensaciones de inadecuación académica; se muestran activos en transformar sus disposiciones, realizando un fuerte trabajo sobre sí para permanecer. Las experiencias de jóvenes de menores capitales muestran la persistencia de desigualdades.

(analytical) Higher education in Chile has experienced massification during the last 30 years. However, a high level of segmentation in the system continues. In 2016, the fee-free policy began to be implemented and was designed for lower-income students. This research study sought to understand the academic experiences of fee-free students at prestigious and selective universities, which are considered spaces that reproduce power dynamics in favor of the country's upper classes. Biographical interviews were conducted with 13 fee-free students who are currently enrolled in these universities and a temporal thematic analysis was carried out. The results of the study show that: obtaining fee-free tuition facilitates access to education; both male and female fee-free students experience strong feelings of academic inadequacy; and these students take an active role in transforming their situations by adopting a strong work ethic that helps them continue with their studies. These experiences of young people from lower income backgrounds show the persistence of inequalities in the higher education sector.

(analítico) O Ensino Superior no Chile se massificou nos últimos 30 anos, porém, ainda há uma alta segmentação no sistema. No ano 2016 começa a implementação da política de gratuidade, destinada a estudantes de menor renda. Esta pesquisa buscou compreender as experiências acadêmicas de estudantes com gratuidade em universidades prestigiadas e seletivas, espaços de reprodução das classes altas e das elites. Foram realizadas entrevistas biográficas a treze estudantes destas universidades. Além disso, foi realizada uma análise temática temporal. Os resultados mostram que a obtenção da gratuidade surge como um facilitador no acesso, os e as estudantes experimentam fortes sentimentos de inadequação acadêmica, são ativos na transformação de suas disposições, trabalhando arduamente em si mesmos para permanecer. As experiências dos jovens de menores rendas mostram a persistência das desigualdades.

Assessment of professional identity formation: a transcultural validation of the professional identity essay for brazilian portuguese.

INTRODUCTION: Professional identity formation (PIF) is recognized worldwide as an outcome of medical education grounded in the psychology of adult development and the literature on medical professionalism. However, instruments to assess and support PIF are scarce. The Professional Identity Essay (PIE) is an open-ended question assessment of PIF that elicits short narrative responses from learners and that can be analyzed to provide formative feedback and an overall stage of development. In this study, our aim was to translate and adapt the PIE to Brazilian Portuguese. METHODS: We followed a systematic procedure for the translation and cross-cultural adaptation of the instrument. A pilot study was conducted with medical students from the University of São Paulo. After providing individual formative feedback, we administered an online questionnaire to the Brazilian students to better understand the consequences of using the PIE. Content analyses of qualitative data were performed, we employ manifest content analysis, and the categories of analysis emerged from the participants' speeches. RESULTS: Students found the instrument's questions easy to interpret and self-reflective. It also gave students the opportunity to consider their PIF. The PIE was perceived as reliable and brought more awareness of the students' own processes in addition to a sense of capability to foster their own development. In the same way, the students emphasized the importance of being helped in this process. CONCLUSION: We found sufficient evidence of the validity of the PIE in terms of content, face validity, and consequences of use. The PIE enhances self-assurance in PIF through formative assessment and is sensitive to different cultures, making it a potential tool for educators.

Healthcare Simulation: An effective way of learning in health care.

Background and Objective: Simulation-based learning has been a part of teaching in healthcare for a long time; however, in recent decades, simulation-based learning has been adopted by a significant number of healthcare institutes at different levels to improve practical skills, confidence, and preparedness to ensure patient safety and its application in real-life situations towards better patient care. The main objective of this paper was to use existing literature to explore aspects of simulation in healthcare teaching. Methods: It is a narrative review on simulation in healthcare that was conducted by using various search engines for English-language articles published between 2010 and August 2020. The main search terms were simulation, healthcare teaching, and simulation in healthcare. All articles found relevant to the title and/or abstract were retrieved. Searches were conducted using the academic databases PubMed, Google Scholar, MEDLINE, CINAHL, and Athabasca University (AU) library site. The studies were reviewed if they were considered relevant to the search by the primary authors. Results: Thirty-nine articles, which met the pre-set criteria, were analyzed and employed as a reference in this paper to support the idea that simulation is an effective way of learning in healthcare. Conclusion: This paper reviewed various aspects of simulation, including its background, philosophies, and highlighted the advantages and disadvantages of incorporating simulation as a pedagogical approach into current educational curriculums for healthcare students. Furthermore, it presents a brief discussion on the current uses of simulation, followed by the educational strategies related to simulation and the importance of debriefing in simulation activities.

"Writing Right": A Workshop Approach to Improving Nursing Students' Writing.

Introduction: Effective communication is an essential skill for the professional nurse. Previous research demonstrates that nursing students lack skills in written communication, and there is limited time in the nursing curriculum to provide needed instruction. To address this issue, a writing workshop was provided for students at a regional state university. Methods: Nursing faculty developed and led four identical in-person sessions of the workshop over the course of one semester. Before and after each workshop, students completed the same quantitative survey. Results: Data indicate that students' knowledge and confidence of American Psychological Association (APA) format increased significantly as a result of the workshop. Conclusion: A workshop approach is a useful strategy to address the writing needs of nursing students.