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1.
Rev. urug. enferm ; 16(1): 1-14, mar. 2021.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1150935

RESUMEN

Introdução: A infância é um período da vida de grande transformação física, psíquica e social e como forma de prevenir enfermidades e promover o desenvolvimento saudável das crianças, as políticas de saúde vigentes no Brasil, estabelecem um acompanhamento longitudinal e com foco na atenção integral através da puericultura. Objetivo: Compreender a percepção e a prática do enfermeiro sobre a identificação dos sinais de risco/atraso do desenvolvimento em crianças acompanhadas durante a consulta de enfermagem em puericultura. Métodos: Estudo qualitativo, realizado com 12 enfermeiros que trabalham nas unidades de saúde da família de um distrito sanitário da cidade do Recife, entre janeiro e março de 2017. Para a coleta de dados foi empregada entrevista individual semiestruturada com o uso da gravação, sendo os mesmos submetidos à análise de conteúdo na modalidade temática. Resultados: A maioria das enfermeiras conhecia e utilizava a ficha de acompanhamento do desenvolvimento infantil proposta pelo Ministério da Saúde (MS) e inserida na caderneta da criança durante a consulta de puericultura, entretanto, a linguagem utilizada para definir os sinais de risco e atraso não é precisa. Porém, quando identificam alguma alteração no Crescimento e Desenvolvimento (CD) recorrem a equipe multiprofissional para acompanhamento dos casos. Considerações finais: O estudo permitiu perceber e discutir a importância da avaliação do desenvolvimento neuropsicomotor, destacando a enfermeira como agente essencial desse processo. Ficou demonstrado na prática das enfermeiras o conhecimento dos protocolos para o acompanhamento do CD, porém destacou-se que a falta de cumprimento e registro dos parâmetros/indica-dores de avaliação orientados pelo MS foi um fato dificultador para uma assistência integral, sem deixar de enxergar a família como aliada no cuidado à criança.


Introduction: Childhood is a period of life of great physical, psychological and social transformation and as a way to prevent diseases and promote the healthy development of children, the health policies in force in Brazil, establish a longitudinal monitoring and focusing on comprehensive care through childcare. Objective: Understand the nurse's perception and practice on the identification of signs of risk / delay in development in children monitored during the nursing consultation in childcare. Methods: Qualitative study, conducted with 12 nurses who work in family health units in a health district in the city of Recife, between January and March 2017. For data collection, a semi-structured individual interview was used with the use of the recording, the same being analyzed by the thematic content analysis. Results: Most nurses knew and used the child development monitoring form proposed by the Ministry of Health (MH) and inserted in the child's handbook during the pediatric consultation, however, the language used to defi ne the signs of risk and delay is not accurate. Yet, when they identify any change in Growth and Development (GD), they use the multidisciplinary team to monitor the cases. Conclusions: The study made it possible to perceive and discuss the importance of assessing neuropsychomotor development, highlighting the nurse as an essential agent of this process. It was demonstrated in the nurses' practice the knowledge of the protocols for the monitoring of the GD, however it was highlighted that the lack of compliance and registration of the parameters/evaluation indicators oriented by the MH was a hindering factor for comprehensive care, without fail to realize the family as an ally in child care.


Introducción: La infancia es un período de vida de gran transformación física, psicológica y social y, como una forma de prevenir enfermedades y promover el desarrollo saludable de los niños, las políticas de salud vigentes en Brasil establecen un monitoreo longitudinal y se centran en la atención integral a través de la puericultura. Objetivo: Comprender la percepción y práctica de la enfermera sobre la identificación de signos de riesgo/retraso en el desarrollo en niños monitoreados durante la consulta de enfermería en la puericultura. Métodos: Estudio cualitativo, realizado con 12 enfermeras que trabajan en unidades de salud familiar en un distrito de salud de la ciudad de Recife, entre enero y marzo de 2017. Para la recopilación de datos, se utilizó una entrevista individual semiestructurada con el uso de la grabación, siendo el mismo sometidos al análisis del contenido en la modalidad temática analizado por el método de interpretación de los sentidos. Resultados: La mayoría de las enfermeras conocían y usaban el formulario de monitoreo del desarrollo infantil propuesto por el Ministerio de Salud (MS) e insertado en el manual del niño durante la consulta pediátrica, sin embargo, el lenguaje utilizado para definir los signos de riesgo y retraso no es exacto. Sin embargo, cuando identifican cualquier cambio en el Crecimiento y Desarrollo (CD), utilizan el equipo multidisciplinario para monitorear los casos. Consideraciones finales: El estudio permitió percibir y discutir la importancia de evaluar el desarrollo neuropsicomotor, destacando a la enfermera como un agente esencial de este proceso. Se demostró en la práctica de las enfermeras el conocimiento de los protocolos para el monitoreo de la CD, sin embargo, se destacó que la falta de cumplimiento y registro de los parámetros/indicadores de evaluación orientados por el MS era un factor que obstaculizaba la atención integral, si no se dan cuenta de la familia como aliada en el cuidado infantil.


Asunto(s)
Humanos , Enfermería Pediátrica , Brasil , Cuidado del Niño , Desarrollo Infantil , Salud del Niño , Monitoreo , Crecimiento y Desarrollo
3.
Curationis ; 44(1): e1-e7, 2021 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-33764129

RESUMEN

BACKGROUND: The real-world problems and ever-changing challenges currently confronting the future of nursing education and healthcare require a problem-based learning approach using simulation strategy. This is exacerbated by the increasing burden of diseases such as tuberculosis, human immunodeficiency virus and acquired immune deficiency syndrome (HIV and AIDS) and more recently the coronavirus disease 2019 (COVID-19) pandemic, as well as advancing technology and changing regulations and policies. Problem-based learning is a student-centred learning strategy, where students are presented with situations drawn from practice, which can be used to bridge the theory-practice gap. OBJECTIVES: To explore the perceptions and views of healthcare educators on how problem-based learning can be facilitated through simulation. METHOD: A qualitative, exploratory, descriptive and contextual research design was used. Thirteen educators from the Faculty of Health Sciences of the University of Johannesburg, with 5 years' teaching experience, were purposively selected from the Dean's office, the Nursing Department, emergency medical care and the departments of podiatry, somatology and radiography. The participants were selected based on their extensive knowledge of problem-based learning and the use of simulation. Data were collected through in-depth, individual, semi-structured interviews. Thematic analysis provided six themes and 13 related sub-themes. The article focuses on the perceptions and views of educators regarding problem-based learning through simulation. RESULTS: Problem-based learning through simulation allows students to work together in teams, which demonstrates a new modus operandi and renders a holistic approach to patient care. CONCLUSION: Problem-based learning through simulation should be utilised to encourage reflective knowledge exchange. Students from various departments can learn about new innovations, creativity and develop critical thinking when solving complex health-related problems.


Asunto(s)
Actitud del Personal de Salud , Actitud hacia los Computadores , Instrucción por Computador/métodos , Educación en Enfermería/métodos , Docentes de Enfermería/psicología , Aprendizaje Basado en Problemas/métodos , Adulto , Curriculum , Femenino , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Adulto Joven
4.
J Prof Nurs ; 37(1): 53-64, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33674110

RESUMEN

BACKGROUND: Recent epidemics have placed overwhelming demands on health systems, leading at times to the deployment of nursing students during the crisis. Little is known about the impact this experience has on students. Although studies have explored nursing students' knowledge about infection control, there are no specific recommendations regarding how these issues should be addressed in nurse education. PURPOSE: To conduct a comprehensive systematic overview of the literature concerning nursing students in the context of emerging infectious disease epidemics or pandemics caused by zoonotic viruses. METHODS: Systematic overview. RESULTS: Forty-eight articles were included. Five themes were identified: education; knowledge, concern about risk and preventive behaviour; willingness to work during a pandemic outbreak; experiences and emotional impact; and ethical dilemmas. CONCLUSIONS: There is a need to enhance nurse education to ensure that students have adequate education in infection prevention and control and the opportunity to develop the skills and attitudes required to provide care to infected patients during a pandemic. The outcomes of these education programmes would need to be evaluated using valid and reliable instruments so as to enable comparisons to be made to prepare future nurses to deal with new pandemics in an increasingly globalized world.


Asunto(s)
/psicología , Educación en Enfermería/organización & administración , Estudiantes de Enfermería/psicología , Adulto , Brotes de Enfermedades , Femenino , Humanos , Pandemias , Adulto Joven
5.
GMS J Med Educ ; 38(1): Doc13, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33659618

RESUMEN

The COVID-19 pandemic has led to massive and aprupt changes in the training of health care professionals. Especially hands-on training can no longer take place in the usual form in everyday clinical practice. Rotations on the interprofessional training ward in Pediatrics (IPAPAED) at the University Medical Center Freiburg, had to be suspended starting March 2020. This report presents the interprofessional Covid-19 Replacement Program (I-reCovEr) as an alternative learning format for a rotation on the IPAPAED at the Center for Pediatric and Adolescent Medicine. I-reCovEr offers opportunities for pediatric nursing trainees (n=6) and medical students (n=9) to learn together, taking hygienic and distancing measures into account. Based on a case study, selected learning aspects regarding interprofessional cooperation and communication are targeted. The participants report increased knowledge about the work of the other professional group in the evaluation using the Interprofessional Socialization and Valuing Scale (ISVS) -9A. In comparison to participants of the IPAPAED, however, the self-evaluation did not reveal any self-perceived acquisition of other interprofessional skills or competences. I-reCovEr can therefore serve as an introduction to interprofessional training, but it cannot replace interprofessional learning and working on an interprofessional training ward.


Asunto(s)
/epidemiología , Relaciones Interprofesionales , Enfermeras Pediátricas/educación , Pediatría/educación , Comunicación , Conducta Cooperativa , Educación Médica/organización & administración , Educación en Enfermería/organización & administración , Procesos de Grupo , Humanos , Pandemias , Grupo de Atención al Paciente
6.
J Nurs Educ ; 60(3): 172-176, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33657237

RESUMEN

BACKGROUND: The nature of a nurse's job is changing dramatically. Nurses are assuming expanded roles for a broad range of patients in community-based care. Nurse educators have a responsibility to teach nursing students about the needs of patients and families in the home care setting. METHOD: To describe how the creation of a home care video series and a medication reconciliation simulation scenario were used as a teaching strategy in a simulation center. RESULTS: The teaching strategy supported senior-level nursing students' understanding of the complexity of home care nursing and the nurse's role and responsibilities in care coordination, care transitions, and interprofessional practice. CONCLUSION: The home care video scenario was received favorably by nursing students. Additional simulation video scenarios are needed that address the health disparities among underrepresented and vulnerable groups. There is potential to offer the simulation in a virtual-online format during the COVID-19 pandemic and social distancing mandates. [J Nurs Educ. 2021;60(3):172-176.].


Asunto(s)
Difusión de Innovaciones , Educación en Enfermería/organización & administración , Cuidados de Enfermería en el Hogar/educación , Entrenamiento Simulado/métodos , Educación a Distancia , Humanos , Aprendizaje , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Estudiantes de Enfermería/psicología , Estados Unidos/epidemiología , Grabación de Cinta de Video
7.
Nihon Yakurigaku Zasshi ; 156(2): 103-106, 2021.
Artículo en Japonés | MEDLINE | ID: mdl-33642527

RESUMEN

In nursing degree course education, it is needed to enhance contents of pharmacology education for acquiring nursing practice ability in the nursing education model core curriculum and revision of designation regulations. Therefore, it is intended to consider pharmacology education in nursing degree course in universities in the current study in order to cultivate nurses skilled in drug therapy. We have conducted a survey on knowledge required for students of universities of nursing as well as an analysis on contents of inquiries made by nurses on drugs. As a result, it has been revealed that students have recognized effect and side effects of drugs as basic knowledge required for a nurse. With less recognition required on pharmacokinetics and practical contents, however, the knowledge held by students was dissociated with practical knowledge often required for nurses when administering drugs. A possibility has been also revealed by the current survey that nurses may not be able to make use of pharmacokinetics as pharmacological knowledge for patients' treatment management. From results of the survey and previous study, it is believed to be necessary in university education to extend pharmacological knowledge from its basic to clinical stage and build up adequate basic knowledge and thinking power of pharmacology in nursing degree course as well as to sufficiently learn and understand necessity of pharmacokinetics for conducting evaluation of drug efficacy.


Asunto(s)
Bachillerato en Enfermería , Educación en Enfermería , Farmacología , Curriculum , Humanos , Farmacología/educación , Universidades
8.
Nihon Yakurigaku Zasshi ; 156(2): 86-91, 2021.
Artículo en Japonés | MEDLINE | ID: mdl-33642537

RESUMEN

In 2020, the number of nursing universities in Japan increased to 274. One out of three universities has a nursing school, and the number of nursing universities continues to increase. The Ministry of Education, Culture, Sports, Science and Technology introduced the "Model Core Curriculum for Nursing Science Education in Japan" (MCCNSE) in 2017. The MCCNSE aims to include indispensable nursing competencies to the undergraduate course, enumerating the learning targets that will be useful for students. The MCCNSE includes seven aspects that aim to develop the qualities and abilities of a nurse for a lifetime. A consists of the basic qualities/abilities required by nursing professionals. B comprises social and nursing science. C consists of the basic knowledge necessary for understanding the objectives of nursing, including pharmacological science. D includes basic knowledge of the specialty underlying nursing practice. E comprises the basic knowledge necessary for nursing practice in various settings. F relates to clinical and regional training practice, and G includes research in nursing science. Nursing universities are required to comply with both the School Education Act and the Act on Public Health Nurses, Midwives, and Nurses. Nursing universities are expected to formulate a more complete and original curriculum based on the revision of Rules for the Designation of Public Health Nurses, Midwives, Nursing Schools, and Training Schools.


Asunto(s)
Educación en Enfermería , Partería , Enfermeras de Salud Pública , Humanos , Japón , Embarazo , Facultades de Enfermería , Universidades
9.
Nihon Yakurigaku Zasshi ; 156(2): 92-96, 2021.
Artículo en Japonés | MEDLINE | ID: mdl-33642538

RESUMEN

There are a wide variety of drugs used in acute care hospitals. When giving medication, the nurse must first understand the instructions and decide whether the instructions are safe for the patient or can be implemented by the nurse. Then, after the work of preparing the drug, he plays the role of giving the drug by using nursing techniques such as injection, infusion, and tube injection as the final performer. In addition, it plays a role in observing the patient's reaction and promptly responding to any abnormalities. The medication by nurses is a very important, responsible and complex task. In clinical field, we are working to improve knowledge about drugs and simplify work in order to avoid medical accidents caused by medication. However, incidents of medication by nurses have not diminished, and serious medical accidents have not disappeared. In clinical field, we are exploring how to improve the education system and working environment. Appropriate judgment and reliable medication technology are required to safely administer medication. The basis for this is understanding of treatment and knowledge of drugs. What we hope for basic nursing education from the clinical field is to deepen our understanding of the pathophysiology and treatment methods of diseases, the various actions of drugs and their mechanisms, and to practice learning about the dangers hidden in medications performed by nurses.


Asunto(s)
Educación en Enfermería , Humanos , Masculino
10.
Soins ; 66(852): 44-46, 2021.
Artículo en Francés | MEDLINE | ID: mdl-33750559

RESUMEN

Child health nurses in neonatology provide complex, global and individualised care for newborns, in collaboration with other hospital professionals and working closely with the family. They also support parents and help them develop their skills. A central role for which the profession is now seeking to improve recognition.


Asunto(s)
Neonatología , Enfermeras Pediátricas , Humanos , Recién Nacido , Neonatología/organización & administración
11.
Am J Nurs ; 121(4): 69-70, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33755635

RESUMEN

Editor's note: From its first issue in 1900 through to the present day, AJN has unparalleled archives detailing nurses' work and lives over more than a century. These articles not only chronicle nursing's growth as a profession within the context of the events of the day, but they also reveal prevailing societal attitudes about women, health care, and human rights. Today's nursing school curricula rarely include nursing's history, but it's a history worth knowing. To this end, From the AJN Archives highlights articles selected to fit today's topics and times. This month's article is by public health expert Dorothy Deming, whose many roles over her long career included director of the Visiting Nurse Association in Holyoke, Massachusetts; editor of Public Health Nursing; and author of the Penny Marsh: Public Health Nurse series for young adult readers. In her October 1957 AJN article, Deming recalls her experiences as a nursing student in New York City during the 1918 influenza pandemic. She and a classmate managed a 32-bed women's influenza unit through 12-hour night shifts, a "baptism of fire for a young nurse," she writes. Deming describes shifts that sound eerily familiar given today's COVID-19 pandemic: overcrowded units, staff shortages, patients whose condition could change "in split seconds," and the emotional impact of working under these conditions. For more on COVID-19 in this issue, see "Standardizing the Accommodations Process for Health Care Workers During COVID-19."-Betsy Todd, MPH, RN.


Asunto(s)
Educación en Enfermería/historia , Influenza Pandémica, 1918-1919/historia , Gripe Humana/historia , Historia del Siglo XX , Humanos , Subtipo H1N1 del Virus de la Influenza A , Gripe Humana/epidemiología , Gripe Humana/terapia , Ciudad de Nueva York , Carga de Trabajo
12.
Nursing (Säo Paulo) ; 24(273): 5267-5278, fev.2021.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1148503

RESUMEN

Objetivos: Conhecer a satisfação e qualidade do serviço sobre time de acesso vascular e terapia infusional (TAVTI) e identificar a importância do TAVTI para a equipe de saúde. Metodo: Trata-se de uma pesquisa de campo exploratória, descritiva, com abordagem quantitativa e qualitativa. Aplicamos formulários para 149 profissionais. Resultados: Dos participantes, 46,97%(n:70) refere total satisfação frente ao TAVTI; a minoria 0,67%(n:1) demonstra insatisfação total; a maioria considera o serviço muito importante 71,14%(n:106) e excelente atuação para 44,96%(n:67). Apenas 1,34%(2) dos profissionais considerou a qualidade do trabalho regular. Dos participantes, 126 declararam: serviço humanizado; seguro para o paciente; necessita de capacitação e treinamento; material seguro; período integral. Conclusão: A atuação do TAVTI demonstra ser efetiva. Constatou-se a satisfação da equipe de saúde e a importância na pediatria devido à preservação do acesso venoso e o desejo dos profissionais em manter o TAVTI período integral. Frente ao percentual de qualidade considerado, excelente e ótimo.(AU)


Objectives: To know the satisfaction and quality of service on the vascular access and infusional therapy team (TAVTI) and to identify the importance of TAVTI for the health team. Methodo: This is an exploratory, descriptive field research, with a quantitative and qualitative approach. We apply forms to 149 professionals. Results: Of the participants, 46.97% (n: 70) reported total satisfaction with TAVTI; the minority 0.67% (n: 1) shows total dissatisfaction; the majority considered the service very important 71.14% (n: 106) and excellent performance for 44.96% (n: 67). Only 1.34% (2) of the professionals considered the quality of work to be regular. Of the participants, 126 declared: humanized service; safe for the patient; needs qualification and training; safe material; Full time. Conclusion: The performance of TAVTI proves to be effective. The satisfaction of the health team and the importance in pediatrics were found due to the preservation of venous access and the desire of professionals to maintain TAVTI full time. In view of the percentage of quality considered, excellent and great.(AU)


Objetivos: Conocer la satisfacción y calidad del servicio del equipo de acceso vascular y terapia infusional (TAVTI) e identificar la importancia de TAVTI para el equipo de salud. Metodo: Se trata de una investigación de campo exploratoria, descriptiva, con enfoque cuantitativo y cualitativo. Aplicamos formularios a 149 profesionales. Resultados: De los participantes, el 46,97% (n: 70) reportaron satisfacción total con TAVTI; la minoría 0,67% (n: 1) muestra total insatisfacción; la mayoría consideró el servicio muy importante 71,14% (n: 106) y excelente desempeño para el 44,96% (n: 67). Solo el 1,34% (2) de los profesionales consideró regular la calidad del trabajo. De los participantes, 126 declararon: servicio humanizado; seguro para el paciente; necesita cualificación y formación; material seguro; período integral. Conclusión: La actuación de TAVTI demuestra ser eficaz. La satisfacción del equipo de salud y la importancia en pediatría se encontraron debido a la preservación del acceso venoso y el deseo de los profesionales de mantener TAVTI a tiempo completo. En vista del porcentaje de calidad considerado, excelente y óptimo.(AU)


Asunto(s)
Humanos , Enfermería Pediátrica , Gestión de la Calidad , Dispositivos de Acceso Vascular , Necesidades y Demandas de Servicios de Salud , Grupo de Atención al Paciente , Pediatría , Satisfacción del Paciente
13.
Invest. educ. enferm ; 39(1): [E06], 15 febrero 2021. table 1, Figure1
Artículo en Inglés | LILACS, BDENF - Enfermería, COLNAL | ID: biblio-1151092

RESUMEN

Objective. To analyze the theoretical interfaces of violence against women in the nursing undergraduate curricula of public Higher Education Institutions in Brazil. Methods. Documentary and descriptive study with a qualitative approach. The documentary search happened through the access to the E-mec website for the identification of public Higher Education Institutions for undergraduate nursing degree in Brazil. The menus available online from educational institutions that contained the terms "woman" and "violence" were analyzed. Data processing took place using the IraMuTeQ software, and they were analyzed using the Descending Hierarchical Classification technique. Results. The analysis by the software resulted in an important degree of utilization (72.95%), since, of the 244 segments of texts from the menus, 178 were retained. The analysis by the Descending Hierarchical Classification resulted in four thematic categories: Violence against women as a pathological process linked to sexual and reproductive health; Women's Health: Care, epidemiological, social and cultural aspects; Gender as an analytical category; and Children's and Adolescents' Care. Conclusion. It was found a connection between the terms "woman" and "violence" to the sexual and reproductive aspects of women (physiological and pathological natures) susceptible to intervention; however, the gender approach is recognized as an analytical category for understanding the vulnerabilities of the female audience to illness and violence.


Objetivo. Analizar las interfaces teóricas de la violencia contra la mujer en los planes de estudios de pregrado en enfermería de las instituciones públicas de educación superior en Brasil. Métodos. Estudio documental descriptivo con abordaje cualitativo. La búsqueda documental se realizó a través del acceso al sitio web E-mec para la identificación de instituciones públicas de educación superior para pregrado en enfermería en Brasil. Se analizaron los menús disponibles en línea de las instituciones educativas que contenían los términos "mujer" y "violencia". El procesamiento de los datos se llevó a cabo mediante el software IraMuTeQ y se analizó mediante la técnica de Clasificación Jerárquica Descendente. Resultados. El análisis por el software resultó en un grado importante de utilización (72.95%), ya que, de los 244 segmentos de textos de los menús, se retuvieron 178. El análisis por la Clasificación Jerárquica Descendente mostró cuatro categorías temáticas: violencia contra la mujer como proceso patológico vinculado a la salud sexual y reproductiva; salud de la mujer: aspectos asistenciales, epidemiológicos, sociales y culturales; género como categoría analítica y Atención a la Niñez y Adolescencia. Conclusión. Hubo una conexión entre los términos "mujer" y "violencia" con los aspectos sexuales y reproductivos de las mujeres (de naturaleza fisiológica y patológica) sujetas a intervención, sin embargo, el enfoque de género se reconoce como una categoría analítica para comprender las vulnerabilidades de las mujeres a la enfermedad y la violencia


Objetivo. Analisar nos currículos de graduação em enfermagem de Instituições de Ensino Superior públicas no Brasil as interfaces teóricas do tema violência contra as mulheres. Métodos. Estudo de análise documental, descritivo, com abordagem qualitativa. A busca documental ocorreu por meio do acesso ao site E-mec para identificação de Instituições de Ensino Superior públicas de graduação em Enfermagem no Brasil. Foram analisadas as ementas disponíveis online das instituições de ensino que continham os termos "mulher" e "violência". O processamento dos dados se deu no software IraMuTeQ e foram analisados pela técnica de Classificação Hierárquica Descendente. Resultados. A análise pelo software resultou em importante grau de aproveitamento (72.95%), visto que, dos 244 segmentos de textos oriundos das ementas, foram retidos 178. A análise pela Classificação Hierárquica Descendente resultou em quatro categorias temáticas: Violência contra as mulheres como processo patológico vinculado à saúde sexual e reprodutiva; Saúde das Mulheres: Aspectos assistenciais, epidemiológicos, sociais e culturais; Gênero como categoria analítica e Atenção à Criança e Adolescentes. Conclusão. Constatou-se uma conexão dos termos "mulher" e "violência" aos aspectos sexuais e reprodutivos das mulheres (de cunho fisiológico e patológico) passíveis de intervenção, contudo, a abordagem de gênero é reconhecida como categoria analítica para a compreensão das vulnerabilidades do público feminino ao adoecimento e à violência.


Asunto(s)
Humanos , Violencia , Mujeres , Salud de la Mujer , Enfermería , Educación en Enfermería
14.
Hu Li Za Zhi ; 68(1): 4-5, 2021 Feb.
Artículo en Chino | MEDLINE | ID: mdl-33521912

RESUMEN

Although many resources have been explored and applied in our environment, personal internal and external resources have yet to be adequately exploited. A nursing theory and model for internal and external resources may be developed and discussed deeply (Zauszniewski, 2018) to provide newer vision and direction, while helping face the challenges of caring for patients with psychiatric disorders or mental obstacles. Recently, many breaking news stories have highlighted the hidden worries affecting our society due to patients with psychiatric disorders who live in the community. This has resulted in people, including student nurses, to retain their stigma toward mental illnesses and psychiatric patients and express negative perceptions and fear toward psychiatric patients (Choi et al., 2016). Therefore, it has been a challenge of psychiatric nursing education to develop and use a new and more-acceptable teaching model to help student nurses better understand and hold a more-correct perception toward psychiatric patients. The practice of clinical nursing profession still needs to be focused while we remain committed to psychiatric nursing education. The number of psychiatric patients who need more continuous care in community settings has increased significantly. The needs of psychiatric home care nursing should be particularly emphasized, as the manpower / capabilities necessary for psychiatric nursing are limited in community health nursing practice (Huang & Wang, 2015). More resources and psychiatric practice nursing professionals should be made available to communities for continuous psychiatric care (Wu et al., 2016). Strong and authentic partnerships are very important to acute care, education, evidence-based research, and practical policy development in psychiatric & mental health nursing (McInnis-Perry et al., 2015). In this column, resourcefulness theory is introduced as a new theory that may be applied in the psychiatric and mental health nursing practice; alternative teaching models are recommended for psychiatric nursing education; and finally, the importance of overcoming the difficulties and addressing the needs in community psychiatric home care nursing is also emphasized. It is hoped that this approach will help facilitate the further, positive advance of psychiatric and mental health nursing.


Asunto(s)
Educación en Enfermería , Servicios de Atención de Salud a Domicilio , Enfermería Psiquiátrica , Estudiantes de Enfermería , Humanos , Estigma Social
15.
J Contin Educ Nurs ; 52(3): 109-111, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33631018

RESUMEN

This article describes how a health care organization optimized staffing during the COVID-19 crisis by capitalizing on the expertise of nursing professional development practitioners to create a rapid deployment onboarding plan. The rapid onboarding training plan provided Riley Hospital for Children at Indiana University Health with a sense of stability in an uncertain time. Designing a plan that easily could be modified allowed the organization to be prepared during the pandemic and at a point where staffing needs must meet surge capacity. [J Contin Educ Nurs. 2021;52(3):109-111.].


Asunto(s)
/enfermería , Capacitación en Servicio , Personal de Enfermería en Hospital/organización & administración , Enfermería Pediátrica , Admisión y Programación de Personal , Algoritmos , Competencia Clínica , Hospitales Pediátricos , Humanos , Indiana/epidemiología , Personal de Enfermería en Hospital/educación , Pandemias , Enfermería Pediátrica/educación , Capacidad de Reacción
16.
Int J Palliat Nurs ; 27(1): 20-29, 2021 Feb 02.
Artículo en Inglés | MEDLINE | ID: mdl-33629912

RESUMEN

BACKGROUND: An 8-month rotation programme was implemented for five nurses employed in two kinds of children's palliative care environments: hospital wards and hospices. This study reports the views of the nurses completing the rotation. The research drew on appreciative inquiry and involved a pre- and post-rotation interview and questionnaire. Thematic analysis of the interviews revealed seven themes: adjusting to the rotation programme; support mechanisms; being safe; new knowledge and skills; knowledge exchange; misconceptions; future plans. These were supported by the questionnaire findings. Although the nurses identified some frustration at having to undertake competency assessments relating to previously acquired skills, as well as being out of their 'comfort zone', all the participants highly recommended the programme. They commented very positively on the support they received and the overall learning experience as well as the new insight into different aspects of care. In addition, they were able to share their newfound knowledge and expertise with others.


Asunto(s)
Actitud del Personal de Salud , Enfermería de Cuidados Paliativos al Final de la Vida/educación , Personal de Enfermería/educación , Enfermería Pediátrica/educación , Competencia Clínica , Humanos , Satisfacción en el Trabajo , Londres , Evaluación de Programas y Proyectos de Salud
17.
Am J Nurs ; 121(3): 40-46, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33625010

RESUMEN

ABSTRACT: Quality and Safety Education for Nurses (QSEN) was launched in 2005 as a national nursing initiative aimed at preparing nurses with the competencies needed to continuously improve the quality and safety of the health care they provide. The six QSEN competencies-and the knowledge, skills, and attitudes that each entails-have served as a basis for significant curricular revision, more enlightened professional practice, relevant research, and health care system improvements. Since the launch of QSEN, new technologies have emerged, the range of care sites has broadened, new practice roles have emerged, and patients and families have become more active health care consumers. This article highlights these changes, considers Amazon as a powerful contemporary social force, examines the company's core values, and considers their relevancy to the six QSEN competencies. Essential new literacies and cognitive capacities are also identified. Lastly, the authors outline steps nurses can take to incorporate the QSEN competencies, along with the literacies and capacities, into their practice and organizations. Doing so is vital to delivering safe, high-quality care in this rapidly changing health care climate, and will enable nurses to claim their leadership and thrive professionally in an Amazon world.


Asunto(s)
Competencia Clínica/normas , Educación en Enfermería/normas , Conocimientos, Actitudes y Práctica en Salud , Rol de la Enfermera , Seguridad del Paciente , Atención Dirigida al Paciente/normas , Calidad de la Atención de Salud , Práctica Clínica Basada en la Evidencia , Humanos , Garantía de la Calidad de Atención de Salud
18.
Ann Glob Health ; 87(1): 12, 2021 02 02.
Artículo en Inglés | MEDLINE | ID: mdl-33598410

RESUMEN

This viewpoint examines the impact of COVID-19 travel bans and remote education on the global health education of students from high-income countries (HIC) and low- and middle-income countries (LMIC) and explores potential opportunities for strengthening global health education based upon more dispersed and equitable practices. Global health is unique in the opportunities it can offer to students during the pandemic if programs can manage and learn from the pandemic's many challenges. Global health educators can: shift to sustainable remote engagement and mobilize resources globally to facilitate this; collaborate with partners to support the efforts to deal with the current pandemic and to prepare for its next phases; partner in new ways with health care professional students and faculty from other countries; collaborate in research with partners in studies of pandemic related health disparities in any country; and document and examine the impact of the pandemic on health care workers and students in different global contexts. These strategies can help work around pandemic travel restrictions, overcome the limitations of existing inequitable models of engagement, and better position global health education and face future challenges while providing the needed support to LMIC partners to participate more equally.


Asunto(s)
Control de Enfermedades Transmisibles , Educación Médica/tendencias , Educación en Enfermería/tendencias , Educación en Salud Pública Profesional/tendencias , Educación , Salud Global/educación , /epidemiología , Control de Enfermedades Transmisibles/métodos , Control de Enfermedades Transmisibles/organización & administración , Educación/métodos , Educación/organización & administración , Educación a Distancia/métodos , Educación a Distancia/organización & administración , Humanos , Cooperación Internacional , Modelos Educacionales , Cuarentena
19.
J Nurses Prof Dev ; 37(2): 87-92, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33630515

RESUMEN

The disruption of the COVID-19 pandemic had a significant impact in the transition of the new graduate nurse to independent practice. This article describes the conversion of a nurse residency program from a traditional classroom to a virtual setting and the barriers the team encountered. Curriculum changes and processes are described, including ideas for future implementation. These processes may be used as a guide for other institutions.


Asunto(s)
Educación a Distancia/organización & administración , Educación en Enfermería/organización & administración , Internado y Residencia/organización & administración , Curriculum , Humanos
20.
Medicine (Baltimore) ; 100(5): e23680, 2021 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-33592827

RESUMEN

BACKGROUND: Healthcare professionals have negative implicit biases toward minority and poor patients. Few communication skills interventions target implicit bias as a factor contributing to disparities in health outcomes. We report the protocol from the COmmuNity-engaged SimULation Training for Blood Pressure Control (CONSULT-BP), a trial evaluating a novel educational and training intervention targeting graduate medical and nursing trainees that is designed to mitigate the effects of implicit bias in clinical encounters. The CONSULT-BP intervention combines knowledge acquisition, bias awareness, and practice of bias mitigating skills in simulation-based communication encounters with racially/ethnically diverse standardized patients. The trial evaluates the effect of this 3-part program on patient BP outcomes, self-reported patient medication adherence, patient-reported quality of provider communication, and trainee bias awareness. METHODS: We are conducting a cluster randomized trial of the intervention among cohorts of internal medicine (IM), family medicine (FM), and nurse practitioner (NP) trainees at a single academic medical center. We are enrolling entire specialty cohorts of IM, FM, and NP trainees over a 3-year period, with each academic year constituting an intervention cycle. There are 3 cycles of implementation corresponding to 3 sequential academic years. Within each academic year, we randomize training times to 1 of 5 start dates using a stepped wedge design. The stepped wedge design compares outcomes within training clusters before and after the intervention, as well as across exposed and unexposed clusters. Primary outcome of blood pressure control is measured at the patient-level for patients clustered within trainees. Eligible patients for outcomes analysis are: English-speaking; non-White racial/ethnic minority; Medicaid recipient (regardless of race/ethnicity); hypertension; not have pregnancy, dementia, schizophrenia, bipolar illness, or other serious comorbidities that would interfere with hypertension self-control; not enrolled in hospice. Secondary outcomes include trainee bias awareness. A unique feature of this trial is the engagement of academic and community stakeholders to design, pilot test and implement a training program addressing healthcare. DISCUSSION: Equipping clinicians with skills to mitigate implicit bias in clinical encounters is crucial to addressing persistent disparities in healthcare outcomes. Our novel, integrated approach may improve patient outcomes. TRIAL REGISTRATION: NCT03375918. PROTOCOL VERSION: 1.0 (November 10, 2020).


Asunto(s)
Educación de Postgrado en Medicina/organización & administración , Educación en Enfermería/organización & administración , Hipertensión/etnología , Grupos Minoritarios , Enfermeras Practicantes , Simulación de Paciente , Presión Sanguínea , Competencia Cultural , Medicina General/educación , Conocimientos, Actitudes y Práctica en Salud , Humanos , Medicina Interna/educación , Medicaid , Enfermeras Practicantes/educación , Estados Unidos
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