ABSTRACT
Objetivo: explorar o significado da experiência e dos conhecimentos adquiridos por estudantes de enfermagem formados em melhoria de cuidados de saúde. Materiais e métodos: foi realizada uma aproximação fenomenológica baseada no método Giorgi, mediante uma discussão em grupo com 21 estudantes europeus de quatro países, em julho de 2019. Os dados foram triangulados com os depoimentos de informantes-chave e com o uso de uma ferramenta de avaliação específica para o tema. A análise também foi triangulada com três pesquisadores experientes que reduziram os dados por consenso a oito unidades de significado. Resultados: o empoderamento da enfermagem e das organizações sanitárias horizontais foram duas das unidades de significado mais recorrentes junto com os valores profissionais, como o trabalho em equipe e a humanização dos cuidados. Conclusões: os conhecimentos, as atitudes e os valores adquiridos evidenciam as carências na formação dos futuros profissionais de enfermagem na Europa. A abordagem teórico-prática das sessões, bem como a fusão de culturas supuseram fortalezas para os estudantes. É necessário seguir mais casos que evidenciem o retorno do investimento em formação em melhorias substanciais em contextos reais e seu impacto sobre a qualidade assistencial.
Objetivo: Explorar el significado de la experiencia y los conocimientos adquiridos por estudiantes de enfermería formados en mejora de cuidados de salud. Material y métodos: se realizó una aproximación fenomenológica basada en el método Giorgi mediante una discusión grupal de 21 estudiantes europeos de cuatro países en julio 2019. Los datos fueron triangulados con los testimonios de informantes clave y con el uso de una herramienta de evaluación específica para este tema. El análisis también se trianguló con tres investigadores experimentados que redujeron los datos por consenso a ocho unidades de significado. Resultados: El empoderamiento de enfermería y las organizaciones sanitarias horizontales fueron dos de las unidades de significado más recurrentes junto a los valores profesionales como el trabajo en equipo y la humanización en los cuidados. Conclusiones: los conocimientos, las actitudes y los valores adquiridos evidencian las carencias de la formación de los futuros profesionales de enfermería en Europa. El enfoque teórico-práctico de las sesiones, así como la mezcla de culturas supusieron fortalezas para el alumnado. Es necesario el seguimiento de más casos que evidencien el retorno de la inversión formativa en mejoras sustanciales en contextos reales y su impacto sobre la calidad asistencial.
Objective: To explore the meaning of the experience and knowledge acquired by nursing students trained in healthcare improvement. Material and methods: A phenomenological approach based on the Giorgi method was made through a group discussion of 21 European students from four countries in July 2019. The data was triangulated with the testimonies of key informants and with the use of an evaluation tool specific to this topic. The analysis was also triangulated with three experienced researchers who reduced the data by consensus to eight units of meaning. Results: Nursing empowerment and horizontal health organizations were two of the most recurrent units of meaning along with professional values such as teamwork and humanization of care. Conclusions: The knowledge, attitudes and values acquired are evidence of the shortcomings in the training of future nursing professionals in Europe. The theoretical and practical approach of the sessions, as well as the mixture of cultures, were strengths for the students. It is necessary to follow up on more cases that show the return on the training investment in substantial improvements in real contexts and its impact on the quality of care.
Subject(s)
Quality of Health Care , Students, Nursing , Qualitative Research , Education, Nursing , Quality ImprovementABSTRACT
Healthcare improvement science (HIS) is the generation of knowledge to cultivate change towards improving health systems performance. Our purpose was to evaluate the experience of European nursing students after an intensive one-week summer program conducted in 2019 at the University of Alicante in Spain. The educational intervention combined theoretical and practical HIS contents, with students from different countries, educational programs, and health systems. The intervention was evaluated under a qualitative approach through the open discussion group technique based on the method of participatory action research (PAR), with a total of 25 students who reflected about their experiences and perceptions during the intervention. The responses were used to improve the program's contents, its didactics, and organization. Nursing empowerment, professional recognition, and healthcare research were some of the seven main categories identified through the systematic content analysis method triangulated by three experienced researchers. According to the students' replies, values like compassion, respect, or empathy were identified as key elements of care. Promoting international students' networking emerged as the key to creating a positive provision for change and the generation of improvement initiatives. Building a HIS culture may potentially provide future healthcare professionals with critical thinking skills and the resources needed to improve their future work settings.
Subject(s)
Health Personnel , Students, Nursing , Delivery of Health Care , Europe , Humans , Qualitative Research , Spain , WorkforceABSTRACT
With the aim to explore how improvement science is understood, taught, practiced, and its impact on quality healthcare across Europe, the Improvement Science Training for European Healthcare Workers (ISTEW) project "Improvement Science Training for European Healthcare Workers" was funded by the European Commission and integrated by 7 teams from different European countries. As part of the project, a narrative literature review was conducted between 2008 and 2019, including documents in all partners' languages from 26 databases. Data collection and analysis involved a common database. Validation took place through partners' discussions. Referring to healthcare improvement science (HIS), a variety of terms, tools, and techniques were reported with no baseline definition or specific framework. All partner teams were informed about the non-existence of a specific term equivalent to HIS in their mother languages, except for the English-speaking countries. A lack of consensus, regarding the understanding and implementation of HIS into the healthcare and educational contexts was found. Our findings have brought to light the gap existing in HIS within Europe, far from other nations, such as the US, where there is a clearer HIS picture. As a consequence, the authors suggest further developing the standardization of HIS understanding and education in Europe.
Subject(s)
Delivery of Health Care/organization & administration , Delivery of Health Care/statistics & numerical data , Health Personnel/education , Patient-Centered Care/organization & administration , Patient-Centered Care/statistics & numerical data , Quality Improvement/organization & administration , Quality Improvement/statistics & numerical data , Adult , Europe , Female , Humans , Male , Middle AgedABSTRACT
RESUMEN La donación de órganos es un acontecimiento crítico tras la pérdida de un ser querido. España, a pesar de ser el país del mundo con mayor tasa de donantes, todavía mantiene una negativa familiar del 15,56%. Objetivos: conocer y analizar el impacto de la donación de órganos a través de los significados que tiene para la familia en el contexto español. Materiales y método: estudio cualitativo fenomenológico según el marco conceptual y método de Giorgi. Luego de respetar, al menos, tres años de duelo desde la pérdida de un ser querido, se entrevistaron en profundidad a once familias que donaron órganos en el Hospital La Fe en Valencia. Resultados: tras el análisis de los resultados, se describieron veintisiete unidades de significado que fueron clasificadas en relativos a la pérdida y relativos a la donación de órganos y, posteriormente, correlacionadas. Conclusiones: la donación aparece como mecanismo de alivio o compensación del fallecimiento del familiar.
ABSTRACT Organ donation is a critical event after the loss of a loved one. Spain, despite being the country with the highest donor rate in the world, still maintains a family negative rate of 15.56%. Objective: Know and analyze the impact of organ donation based on its meaning for the family in the Spanish context. Materials and method: This is a phenomenological qualitative study based on Giorgi's conceptual framework and method. Eleven families who had donated organs at the Hospital La Fe in Valencia were interviewed in depth, following at least three years of mourning since the loss of a loved one. Results: After the results were analyzed, twenty-seven units of meaning were described and classified as relative to the loss and relative to the organ donation. They were then correlated. Conclusion: Organ donation appears to be a relief mechanism or a kind of compensation for the death of a family member.
RESUMO A doação de órgãos é um acontecimento crítico após a perda de um ser querido. A Espanha, embora seja o país do mundo com maior taxa de doadores, ainda mantém uma negativa familiar de 15,56 %. Objetivos: conhecer e analisar o impacto da doação de órgãos por meio dos significados que tem para a família no contexto espanhol. Materiais e método: estudo qualitativo fenomenológico de acordo com o referencial conceitual e o método de Giorgi. Depois de respeitar, pelo menos, três anos de luto desde a perda de um ser querido, foram entrevistadas em profundidade 11 famílias que doaram órgãos no Hospital La Fe em Valencia. Resultados: após a análise de resultados, descreveram-se 27 unidades de significado que foram classificadas em relativos à perda e relativos à doação de órgãos; em seguida, correlacionadas. Conclusões: a doação aparece como mecanismo de alívio ou compensação do falecimento do familiar.
