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1.
BMJ Open ; 11(4): e045940, 2021 04 09.
Artículo en Inglés | MEDLINE | ID: mdl-33837108

RESUMEN

OBJECTIVE: To identify theoretical and technical aspects regarding treatment, prevention of spread and protection of staff to inform the development of a comprehensive training curriculum on COVID-19 management. DESIGN: Cross-sectional study. SETTING: Nine hospitals caring for patients with COVID-19 in Wuhan, China. PARTICIPANTS: 134 Chinese healthcare professionals (74 doctors and 60 nurses) who were deployed to Wuhan, China during the COVID-19 epidemic were included. A two-round Delphi process was initiated between March and May 2020. In the first round, the participants identified knowledge, technical and behavioural (ie, non-technical) skills that are needed to treat patients, prevent spread of the virus and protect healthcare workers. In round 2, the participants rated each item according to its importance to be included in a training curriculum on COVID-19. Consensus for inclusion in the final list was set at 80%. PRIMARY OUTCOME MEASURES: Knowledge, technical and behavioural (ie, non-technical) skills that could form the basis of a training curriculum for COVID-19 management. RESULTS: In the first round 1398 items were suggested by the doctors and reduced to 67 items after content analysis (treatment of patients: n=47; infection prevention and control: n=20). The nurses suggested 1193 items that were reduced to 70 items (treatment of patients: n=49; infection prevention and control: n=21). In round 2, the response rates were 82% in doctors and 93% in nurses. Fifty-eight items of knowledge, technical and behavioural skills were agreed on by the doctors to include in the final list. For the nurses, 58 items were agreed on. CONCLUSIONS: This needs assessment process resulted in a comprehensive list of knowledge, technical and behavioural skills for COVID-19 management. Educators can use these to guide decisions regarding content of training curricula not only for COVID-19 management but also in preparation for future viral pandemic outbreaks.


Asunto(s)
/prevención & control , Curriculum , Pandemias , China/epidemiología , Estudios Transversales , Técnica Delfos , Educación Médica , Educación en Enfermería , Femenino , Humanos , Capacitación en Servicio , Masculino , Enfermeras y Enfermeros , Pandemias/prevención & control , Médicos
2.
GMS J Med Educ ; 38(1): Doc16, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33659621

RESUMEN

Background: The COVID-19 pandemic hit the German education system unexpectedly and forced its universities to shift to Emergency Remote Teaching (ERT). The Data Integration Center (DIC) of the University Hospital Magdeburg and the Institute of Biometry and Medical Informatics (IBMI) has developed a concept based on existing structures that can be quickly implemented and used by the Medical Faculty at Otto von Guericke University. This manuscript focuses on the IT support for lecturers, which allows them to concentrate on teaching their lessons, although the authors are aware that this is only a small part of the entire subject. Additionally, there is a great awareness that ERT can never replace well-structured in-person classes. Concept: The key feature of the concept uses the well-working management system for all physical rooms of the university by designing a virtual video conference room for every physical room. This allows high interactivity for lectures and seminars while applying proven teaching methods. Additionally, a collaboration software system to document all lessons learned and a technical support team have been available for the teaching staff. Courses with a hands-on approach require more personal interaction than lectures. Therefore, the issues of practical trainings have not been solved with this concept, but been tackled by using questionnaires and minimizing contacts during attestations. Applied IT tools: The concept's requirements were met by Zoom Meetings, Confluence, HIS/LSF and Moodle. Discussion and Conclusion: The concept helped the lecturers to provide high-quality teaching for students at universities. Additionally, it allows for a dynamic response to new needs and problems. The concept will be reviewed as part of a higher Universal Design for Learning concept and may support lecturers in the following semesters in hybrid meetings with real and virtual attendees.


Asunto(s)
/epidemiología , Educación a Distancia/organización & administración , Educación Médica/organización & administración , Docentes Médicos/organización & administración , /normas , Humanos , Capacitación en Servicio/organización & administración , Pandemias
4.
Am J Nurs ; 121(4): 32-39, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33735115

RESUMEN

ABSTRACT: Nurses collect, use, and produce data every day in countless ways, such as when assessing and treating patients, performing administrative functions, and engaging in strategic planning in their organizations and communities. These data are aggregated into large data sets in health care systems, public and private databases, and academic research settings. In recent years the machines used in this work (computer hardware) have become increasingly able to analyze large data sets, or "big data," at high speed. Data scientists use machine learning tools to aid in analyzing this big data, such as data amassed from large numbers of electronic health records. In health care, predictions for patient outcomes has become a focus of research using machine learning. It's important for nurses and nurse administrators to understand how machine learning has changed our ways of thinking about data and turning data into knowledge that can improve patient care. This article provides an orientation to machine learning and data science, offers an understanding of current challenges and opportunities, and describes the nursing implications for nurses in various roles.


Asunto(s)
Ciencia de los Datos/educación , Capacitación en Servicio/métodos , Aprendizaje Automático , Personal de Enfermería en Hospital/educación , Adulto , Curriculum , Educación Continua en Enfermería , Femenino , Humanos , Masculino , Persona de Mediana Edad
5.
J Am Vet Med Assoc ; 258(7): 776-785, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33754811

RESUMEN

OBJECTIVE: To characterize how class rank and other criteria are used to evaluate applicants for veterinary internship and residency positions. SAMPLE: Program directors for 572 internship and residency programs. PROCEDURES: A survey was sent to program directors asking them to score the importance of 7 items (cover letter, letters of reference, curriculum vitae, veterinary class rank, grade point average, grades for classes specifically related to the internship or residency specialty area, and interview) they could use in evaluating applicants for an internship or residency and to rank those 7 items, along with an open item asking participants to list other criteria they used, from most to least important. RESULTS: Responses were obtained for 195 internship and 222 residency programs. For both internship programs and residency programs, mean importance scores assigned to the 7 items resulted in the same ordering from most to least important, with letters of reference, interview, curriculum vitae, and cover letter most important. Rankings of the importance of the 7 items, along with an "other" item, were similar for internship and residency programs; the most important item was a candidate's letters of reference, followed by the interview, cover letter, and curriculum vitae. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that although most veterinary internship and residency programs consider class rank and overall grade point average when evaluating applicants, these 2 items were not the most important. For both internship and residency programs, the most important items were an applicant's letters of reference, followed by the interview, cover letter, and curriculum vitae. (J Am Vet Med Assoc 2021;258:776-785).


Asunto(s)
Internado y Residencia , Animales , Capacitación en Servicio , Encuestas y Cuestionarios
6.
South Med J ; 114(3): 150-155, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33655308

RESUMEN

OBJECTIVES: Women veterans have a high prevalence of comorbidities that increase the risk of adverse pregnancy outcomes. Screening for pregnancy desires in primary care provider (PCP) visits offers an opportunity to optimize preconception health. This pilot quality improvement initiative sought to assess Veterans Healthcare Administration provider preferences on One Key Question (OKQ) implementation, identification of veterans' reproductive needs, and the effect of training on documentation in a women's primary care clinic in Salt Lake City, Utah. METHODS: We hosted OKQ training sessions for providers and staff, audio recorded group discussions on implementation barriers, and explored themes. Women veterans presenting for a PCP visit in July 2018 self-completed a paper OKQ screening tool. We calculated summary statistics on responses. We conducted a pre-post analysis, with respect to training sessions, to measure for changes in family planning documentation during PCP visits. RESULTS: Nineteen providers and staff completed the training. They acknowledged the importance, but believed that the screening tool should be completed by veterans and not be provider prompted. Forty-two women veterans completed the screening tool: 21% desired pregnancy in the next year and 26% desired contraceptive information. Chart reviews found a nonsignificant increase in current contraceptive method documentation between periods (20% vs 37%; P = 0.08), a decline in documentation of reproductive goals (22% vs 3%; P = 0.02), and no significant change in counseling. CONCLUSIONS: Veterans identify reproductive needs via the OKQ screening tool, but provider documentation did not reflect changes in care following training. Further study is necessary to develop an optimal, patient-centered tool and implementation plan to support women veterans in their reproductive goals.


Asunto(s)
Documentación/métodos , Servicios de Planificación Familiar/educación , Capacitación en Servicio/métodos , Tamizaje Masivo/métodos , Encuestas y Cuestionarios/normas , Veteranos/psicología , Adulto , Documentación/normas , Composición Familiar , Servicios de Planificación Familiar/métodos , Servicios de Planificación Familiar/normas , Femenino , Implementación de Plan de Salud , Humanos , Tamizaje Masivo/normas , Proyectos Piloto , Embarazo , Atención Primaria de Salud , Mejoramiento de la Calidad , Estudios Retrospectivos , Estados Unidos , United States Department of Veterans Affairs , Veteranos/estadística & datos numéricos , Adulto Joven
9.
Med Educ Online ; 26(1): 1899642, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33685381

RESUMEN

Background: During the current COVID-19 pandemic, offline clinical education was mandated to suspend at the neurology department of many teaching hospitals globally, yet there is insufficient evidence regarding the preferred practice and methods for online neurology intern training course.Objective: The investigation aimed to examine whether the online neurology training course based on Small Private Online Course (SPOC) and blending learning mode can achieve a good effect and cater for interns from different medical programs and whether the learning group size affects the teaching effect.Design: The subjects were 92 students enrolled in the neurology internship at the Second Xiangya Hospital of China from 9 March to 9 August 2020. After completing the online course, the final scores and evaluation results were compared among different groups of interns, and their preference to distinct contents of the course was analyzed. Statistical analysis was performed using the SPSS program (version 22.0).Results: Our online course received consistent positive recognition from the interns. Ninety-nine percent of the interns recommended incorporating the online course into the conventional offline training program after the pandemic. There was no significant difference between interns from different programs concerning the final scores and course evaluation. A smaller learning group size (<15 students) could achieve a better teaching effect than a larger group size (p < 0.05). The interns preferred interactive discussions, and course contents that they can get practice and feedback from, rather than video watching and didactic lectures.Conclusions: The online neurology intern training course based on SPOC and blending learning mode is worthy of popularization in a large student base. The teaching effect of an online intern training program may be improved by limiting the group size to less than 15 students and encouraging more interactive discussion, more practice and feedback.


Asunto(s)
/epidemiología , Educación a Distancia/organización & administración , Internado y Residencia/organización & administración , Neurología/educación , China/epidemiología , Competencia Clínica , Procesos de Grupo , Humanos , Capacitación en Servicio , Aprendizaje , Pandemias
10.
Ann R Coll Surg Engl ; 103(2): 88-95, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33559552

RESUMEN

INTRODUCTION: COVID-19 remains a threat for a fear of a second pandemic. Emergency orthopaedic operations are still among the most commonly performed procedures with increased risk of transmission of SARS CoV-2 to the patients and the healthcare workers. The aim of this study was to present the evidence available into best practices limiting the spread of COVID-19 in healthcare setting during current and future pandemics. METHODS: A review of the literature was performed in multiple databases (PubMed, the Cochrane Library, Google Scholar, World Health Organization and Centers for Disease Control), using 'COVID-19' with other relevant keywords in different combinations. Owing to the limited and heterogenous evidence available, data were presented in a narrative manner. FINDINGS: From the evidence gathered it was noted that a multimodal approach to minimising pathogen transmission is required. This primarily comprises the wider engineering and administrative controls to reduce the concentration of the pathogen and to separate staff and patients from it. Theatre isolation and traffic control bundling, theatre flow and logistics, ventilation and waste management form a pivotal role in the environmental/engineering controls. Administrative measures include policies for both patients and staff. For patients, isolation and preoperative screening are of utmost value. For staff, testing for COVID-19, risk assessment, redeployment and provision of persona; protective equipment, together with the necessary training are important administrative controls. CONCLUSION: We believe these measures are likely to improve the sustainability of resources and can be carried to elective settings in order to return to some form of normality and help to mitigate the effects of future pandemics.


Asunto(s)
/prevención & control , Servicio de Limpieza en Hospital , Control de Infecciones/métodos , Quirófanos , Equipo de Protección Personal , Ventilación , Administración de Residuos , Flujo de Trabajo , Filtros de Aire , Humanos , Capacitación en Servicio , Admisión y Programación de Personal , Medición de Riesgo , Medicina Estatal , Reino Unido
11.
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
12.
Int J Palliat Nurs ; 27(1): 10-19, 2021 Feb 02.
Artículo en Inglés | MEDLINE | ID: mdl-33629914

RESUMEN

BACKGROUND: Children with life-limiting conditions have a high risk of colonisation with a multidrug-resistant organism (MDRO). To avoid the spread of hospital-aquired infections to other patients, children with a MDRO are moved to an isolated room or ward. However, such isolation prevents social participation, which may reduce the child's quality of life (QoL). To overcome this challenge of conflicting interests on a paediatric palliative care inpatient unit, a hygiene concept for patients colonised with MDRO, called PALLINI, was implemented. PALLINI advises that, instead of isolating the affected children, strict barrier nursing should be used. AIM: To identify the impact of a complex hygiene concept on children's and parents' QoL and social participation. METHODS: Cross-sectional mixed-methods research approach, comprising semi-structured interviews with parents and staff members, and a QoL-questionnaire focusing on the child which was completed by parents. FINDINGS: In paediatric patients with life-limiting conditions who have MDRO colonisation, using a complex hygiene protocol resulted in both benefits and barriers to social participation. However, the child's QoL did not appear to be affected. CONCLUSION: All staff members and families have to be familiar with the hygiene concept and the concept has to be self-explanatory and easy to apply.


Asunto(s)
Resistencia a Múltiples Medicamentos , Control de Infecciones/organización & administración , Calidad de Vida , Participación Social , Enfermo Terminal , Niño , Preescolar , Infección Hospitalaria/prevención & control , Estudios Transversales , Femenino , Unidades Hospitalarias , Humanos , Lactante , Capacitación en Servicio , Entrevistas como Asunto , Masculino , Evaluación en Enfermería , Cuidados Paliativos , Padres , Aislamiento de Pacientes , Seguridad del Paciente , Estereotipo , Encuestas y Cuestionarios
13.
Lancet Glob Health ; 9(3): e320-e330, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33607030

RESUMEN

BACKGROUND: The rate of diagnostic testing for malaria is still very low in Nigeria despite the scale-up of malaria rapid diagnostic test (MRDT) availability, following WHO's recommendation of universal diagnostic testing in 2010. We investigated whether a social group sensitisation and education intervention (social group intervention) and a social group intervention plus health-care provider training intervention would increase the demand (use or request, or both) for MRDTs among community members in Ebonyi state, Nigeria. METHODS: We did a three-arm, parallel, open-label, stratified cluster-randomised controlled trial in Ebonyi state, Nigeria, to evaluate the effects of two interventions compared with a control. We randomly assigned geographical clusters that were accessible (close to a road that was drivable even during the rainy seasons) and had at least one eligible public primary health facility and patent medicine vendor (those that offered MRDT services) in a 1:1:1 allocation to the control arm (receiving no intervention), social group arm (receiving sensitisation and education about MRDT), or social group plus provider arm (receiving the social group intervention plus provider training in health communication about MRDT). Investigators, participants (social groups, providers, respondents), and interviewers could not be masked to group assignments. The primary outcome was the proportion of children younger than 5 years with fever or malaria-like illness, in the 2 weeks preceding a household survey, who received an MRDT, and the coprimary outcome was the same outcome but among children aged 5 years and older (ie, up to and including 17 years) and adults (excluding pregnant women). The outcomes were measured at an individual level via household surveys before the interventions and 3 months after the end of the interventions. All analyses were done using a cluster-level method on an intention-to-treat basis. This trial is registered with ISRCTN, number ISRCTN14046444. FINDINGS: We carried out eligibility screening and recruitment of participants (clusters, social groups, and providers) between July 2 and Sept 27, 2018. 34 clusters met the eligibility criteria and 18 were randomly selected to participate and randomly assigned to arms (six clusters per arm). A mean proportion of 40·6% (SD 14·5) of eligible children younger than 5 years in the control arm received an MRDT, versus 66·7% (11·7) in the social group arm (adjusted risk difference [aRD] 28·8%, 95% CI 21·9-35·7, p<0·0001) and 71·7% (19·8) in the social group plus provider arm (aRD 32·7%, 24·9-40·5, p<0·0001), with no significant difference between the social group arm and the social group plus provider arm. A mean proportion of 36·3% (18·5) of eligible children aged 5 years and older in the control arm received an MRDT, versus 60·7% (14·0) in the social group arm (aRD 25·6%, 16·8-34·4, p=0·0004), and 59·5% (18·3) in the social group plus provider arm (aRD 28·0%, 19·5-36·5, p=0·0002), with no significant difference between the social group arm and the social group plus provider arm. INTERPRETATION: The sensitisation and education of social groups about MRDTs can significantly increase the demand for MRDTs. This intervention is pragmatic and could be applied within malaria control or elimination programmes, in Nigeria and in other high-burden countries, to enhance diagnostic testing for patients suspected of having malaria. FUNDING: There was no funding source for this study.


Asunto(s)
Educación en Salud/organización & administración , Personal de Salud/educación , Necesidades y Demandas de Servicios de Salud/organización & administración , Malaria/diagnóstico , Pruebas en el Punto de Atención , Adolescente , Adulto , Antimaláricos , Niño , Preescolar , Femenino , Humanos , Lactante , Capacitación en Servicio/organización & administración , Masculino , Técnicas Microbiológicas , Nigeria , Factores de Tiempo , Adulto Joven
14.
AORN J ; 113(2): 138-145, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33534151

RESUMEN

As the coronavirus disease 2019 (COVID-19) pandemic spread around the world, the US Surgeon General called for the cancellation of elective surgeries. At a large academic medical center in the Northeast, there was a resulting surplus of perioperative nurses who were deployed to inpatient units in need of skilled nursing care for a surge of COVID-19 patients. To prepare them for deployment to inpatient units, perioperative leaders developed a core curriculum to ensure that the OR nurses possessed the skills and knowledge required to successfully care for patients outside the OR with the same level of care and compassion that they provided to perioperative patients. The leaders employed available resources at the hospital to design and implement the course in a short amount of time. This article describes the development of a curriculum for OR nurses to manage a surging patient volume on inpatient units because of the COVID-19 pandemic.


Asunto(s)
/enfermería , Curriculum , Capacitación en Servicio , Rol de la Enfermera , Enfermería Perioperatoria , Humanos
15.
Soc Work Health Care ; 60(1): 49-61, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33557718

RESUMEN

The COVID-19 pandemic has exposed the systemic inequities in our health care system and society has called for actions to meet the clinical, psychosocial and educational needs in health care settings and communities. In this paper we describe how an organized Department of Health Social Work in a medical school played a unique role in responding to the challenges of a pandemic with community, clinical, and educational initiatives that were integral to our community's health.


Asunto(s)
/epidemiología , Liderazgo , Facultades de Medicina/organización & administración , Servicio Social/organización & administración , Desgaste por Empatía/epidemiología , Abastecimiento de Alimentos/métodos , Estado de Salud , Líneas Directas/organización & administración , Humanos , Capacitación en Servicio/organización & administración , Salud Mental , Cuidados Paliativos/organización & administración , Pandemias , Telemedicina/organización & administración , Estados Unidos/epidemiología
16.
Rev. enferm. UFPE on line ; 15(1): [1-18], jan. 2021.
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145725

RESUMEN

Objetivo: explorar as potencialidades e ressignificações do cotidiano do trabalho de uma equipe de saúde da família como cenário para a Educação Permanente em Saúde. Método: trata-se de um estudo qualitativo, descritivo, com a utilização do método cartográfico. Registra-se que participaram 13 trabalhadores da Estratégia Saúde da Família. Produziram-se os dados por meio do grupo focal e da observação participante. Resultados: aponta-se que a cartografia explora três de muitos planos de sentidos possíveis: a EPS como recurso presente no processo de trabalho na Estratégia Saúde da Família; a construção e reconstrução dos sentidos da Educação Permanente em Saúde e ela reafirmando a relação entre o trabalho e a produção de conhecimento. Conclusão: entende-se que os trabalhadores atualizaram e reconstruíram os sentidos da Educação Permanente em Saúde nas reuniões, nas visitas domiciliares e na interação com usuários e colegas. Confirmamse os cenários da Educação Permanente em Saúde como settings de aprendizagens que podem ser explorados pela Educação Permanente em Saúde para a produção de novos saberes e a transformação das práticas em saúde.(AU)


Objective: to explore the potentialities and resignifications of the daily work of a family health team as a scenario for Permanent Education in Health. Method: This is a qualitative, descriptive study, using the cartographic method. It is registered that 13 workers of the Family Health Strategy participated. The data were produced through the focal group and participant observation. Results: it is pointed out that cartography explores three of many possible sense plans: the PEH as a resource present in the work process in the Family Health Strategy; the construction and reconstruction of the senses of Permanent Education in Health and it reaffirms the relationship between work and the production of knowledge. Conclusion: It is understood that the workers have updated and reconstructed the meanings of Permanent Education in Health in meetings, home visits and interaction with users and colleagues. The scenarios of Permanent Education in Health are confirmed as learning settings that can be explored by Permanent Education in Health for the production of new knowledge and the transformation of practices in health.(AU)


Objetivo: explorar las potencialidades y resignificaciones del trabajo diario de un equipo de salud familiar como escenario de Educación Permanente en Salud Método: es un estudio cualitativo, descriptivo, utilizando el método cartográfico. Se registra que participaron 13 trabajadores de la Estrategia Salud de la Familia. Los datos se produjeron a través del grupo focal y la observación participante. Resultados: se señala que la cartografía explora tres de los múltiples planes de sentido posibles: EPS como recurso presente en el proceso de trabajo en la Estrategia Salud de la Familia; la construcción y reconstrucción de los significados de la Educación Permanente en Salud y reafirmando la relación entre trabajo y producción de conocimiento. Conclusión: se entiende que los trabajadores actualizaron y reconstruyeron los significados de la Educación Permanente en Salud en reuniones, visitas domiciliarias e interacción con usuarios y colegas. Los escenarios de Educación Permanente en Salud se confirman como settings de aprendizaje que pueden ser explorados por la Educación Permanente en Salud para la producción de nuevos conocimientos y la transformación de las prácticas de salud.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Atención Primaria de Salud , Personal de Salud , Estrategia de Salud Familiar , Educación Continua , Capacitación en Servicio , Epidemiología Descriptiva , Investigación Cualitativa , Flujo de Trabajo
17.
Rev. enferm. UFPE on line ; 15(1): [1-9], jan. 2021. ilus
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145846

RESUMEN

Objetivo: descrever a experiência de enfermeiros acerca de um treinamento em saúde realizado em um hospital de alta complexidade, na perspectiva da prática de higiene oral em pacientes críticos, utilizando, como ferramenta, o ciclo Plan, Do, Check, Act. Método: trata-se de estudo qualitativo, descritivo, tipo relato de experiência, cuja ação tornou possível capacitar os profissionais de Enfermagem visando à melhoria da qualidade da execução da higiene oral realizada, identificando os dificultadores da prática da higienização oral dos pacientes em ventilação mecânica. Resultados: realizou-se a capacitação dos profissionais de Enfermagem visando à melhoria da qualidade da execução da higiene oral realizada, ressaltando os aspectos inerentes à produção do conhecimento e identificando os dificultadores da prática da higienização oral dos pacientes em ventilação mecânica. Conclusão: observou-se a importância em se utilizar modernas metodologias administrativas para se alcançar novos padrões de qualidade, uma vez que, constantemente, são necessárias atualizações acerca das ações em serviços de saúde.(AU)


Objective: to describe the experience of nurses in a health training course in a high complexity hospital from the perspective of oral hygiene practice in critically ill patients by using the Plan, Do, Check, Act cycle as a tool. Method: it is a qualitative, descriptive, experience report type study, whose action made it possible to train Nursing professionals with the aim to improve the quality of oral hygiene practice performance and identify the difficulties in the practice of oral hygiene of patients under mechanical ventilation. Results: the training of Nursing professionals was carried out with a view to improving the quality of the oral hygiene performance, highlighting the aspects inherent to the production of knowledge and identifying the difficulties in the practice of oral hygiene of patients under mechanical ventilation. Conclusion: the importance of using modern administrative methodologies to achieve new quality standards was observed, since updates on health service actions are constantly needed.(AU)


Objetivo: describir la experiencia de los enfermeros sobre la formación en salud realizada en un hospital de alta complejidad, desde la perspectiva de la práctica de la higiene bucal en pacientes críticos, utilizando como herramienta el ciclo Planificar, Hacer, Controlar, Actuar. Método: se trata de un estudio cualitativo, descriptivo, tipo de relato de experiencia, cuya acción permitió formar profesionales de enfermería con el objetivo de mejorar la calidad de la higiene bucal realizada, identificando las dificultades en la práctica de la higiene bucal de los pacientes en ventilación mecánica. Resultados: se capacitó a profesionales de enfermería para mejorar la calidad de la higiene bucal realizada, enfatizando los aspectos inherentes a la producción de conocimiento e identificando las dificultades en la práctica de la higiene bucal de los pacientes en ventilación mecánica. Conclusión: se observó la importancia de utilizar metodologías administrativas modernas para lograr nuevos estándares de calidad, ya que constantemente se requieren actualizaciones sobre las acciones de los servicios de salud.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Higiene Bucal , Respiración Artificial , Salud Bucal , Cuidados Críticos , Enfermería de Cuidados Críticos , Enfermería de Cuidados Críticos/educación , Capacitación en Servicio , Unidades de Cuidados Intensivos , Grupo de Enfermería , Epidemiología Descriptiva , Investigación Cualitativa
18.
Am J Speech Lang Pathol ; 30(1): 318-323, 2021 01 27.
Artículo en Inglés | MEDLINE | ID: mdl-33400556

RESUMEN

Purpose In this article, we draw a parallel between the experience of social isolation that occurred throughout the world during the Coronavirus Disease 2019 pandemic and similar experiences occurring in everyday life for people with communication disorders living in long-term care (LTC) facilities. We propose that speech-language pathologists can use the widespread experience of social isolation as a learning catalyst in the effort to shift the LTC culture to one that more highly values a communicative environment that is accessible to all, thereby reducing risk of social isolation for those with communication disorders. Conclusions Many training paradigms for promoting an accessible communicative environment are available in the speech-language pathology literature, yet institutional barriers exist for their widespread implementation. Overcoming these barriers is a challenge that requires awareness and learning on the part of staff and administration regarding the impact of an unfriendly communicative environment on social isolation, and the resulting psychosocial consequences. Learning theory indicates that new learning in adults is motivated by connections between personal experiences and the material to be learned. Explicitly infusing established training programs with the experience of social isolation brought on by the Coronavirus Disease 2019 pandemic may be the key needed for changing the communicative environment in LTC.


Asunto(s)
Barreras de Comunicación , Infecciones por Coronavirus/psicología , Cuidados a Largo Plazo/psicología , Infecciones por Coronavirus/terapia , Humanos , Capacitación en Servicio , Relaciones Profesional-Paciente , Medio Social , Aislamiento Social
19.
J Nurs Adm ; 51(2): 95-100, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33449599

RESUMEN

OBJECTIVE: The nursing professional development department purchased technology to create an innovative structure to engage nurses in educational offerings. The purpose of this study is to examine the effect of incorporating gamification on knowledge acquisition. BACKGROUND: Nursing administrators should support the use of gamification to improve the nurses' acquisition of knowledge. The clinical educators traditionally utilize lecture-based educational offerings preventing students from active participation. Gamification promotes learner engagement, critical thinking, and enjoyment. METHODS: A quasi-experimental study design with a 230-person convenience sample compared the knowledge acquisition of nurses before and after new hire orientation and basic electrocardiogram course. Technology purchased included iPad, GoPro, mobile apps, and websites. RESULTS: Incorporating gamification technology resulted in an increase in knowledge acquisition and engagement of learners. CONCLUSION: Findings demonstrate gamification as an effective way to increase knowledge acquisition when compared with traditional methods.


Asunto(s)
Juegos Experimentales , Capacitación en Servicio/organización & administración , Personal de Enfermería en Hospital/educación , Entrenamiento Simulado/organización & administración , Competencia Clínica , Electrocardiografía/enfermería , Humanos , Aprendizaje Basado en Problemas , Pensamiento
20.
Medicine (Baltimore) ; 100(2): e23670, 2021 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-33466122

RESUMEN

ABSTRACT: Patient safety is a fundamental aspect of a healthcare system. The aim of this study was to assess the perception and determinants of the patient safety culture of pharmacists in hospitals, in Riyadh, Saudi Arabia.A survey was conducted with pharmacists in the pharmacies of governmental, /military and private hospitals in Riyadh, Saudi Arabia. The pharmacy survey on patient safety culture questionnaire developed by Agency for Healthcare Research and Qualtity, a hard copy was distriuted to the pharmacists. The positive response rate (RR) was calculated and compared across hospitals using a chi-square test. The predictors of patient safety grades were identified using the generalized estimating equation. The data was analyzed using SAS.A total of 538 questionnaires were distributed, of which 411 responded (RR 76.4%). Of the participants, 229 (56%) were females. The majority 255 (62%) were in the 18 to 34 years age range, and 361 (88%) had a bachelor's degree. The majority of the sample 376 (92%) was a pharmacist. The Positive RR (PRR) ranged between (25.6%-74%). The highest PRR was observed in teamwork (74.4%), followed by 'staff, training and skills' (68%), and 'organizational learning continuous improvement' (66%). The lowest PRR was observed in 'staffing, work pressure, and pace' (25.5%). Comparing the PPR of the various healthcare sectors, the governmental hospitals scored the highest in all patient safety domains. Generalized Estimating Equation analysis showed that with increase in scores of all patient safety culture domains increased the likelihood of reporting a better patient safety grade, whereas respondents' demographic characteristics had no effect except the working experience years 6 years and above had odds of poor reporting of the patient safety grade (odds ratio = 2.54, 95% confience interval (1.543, 4.194), (P = .0003).The grades achieved in the various domains of patient safety culture by pharmacists in Riyadh are below the expected standard. The highest scores were achieved in teamwork, with the lowest scores in staffing, work pressure and pace. Overall, pharmacists in government hospital settings have a better perception of patient safety than their peers in other settings. These results provide the baseline evidence for developing future interventional studies aiming at improving patient safety culture in hospital pharmacy settings.


Asunto(s)
Cultura Organizacional , Seguridad del Paciente/normas , Farmacéuticos/psicología , Administración de la Seguridad/organización & administración , Adolescente , Adulto , Anciano , Actitud del Personal de Salud , Comunicación , Estudios Transversales , Femenino , Humanos , Capacitación en Servicio/organización & administración , Masculino , Errores de Medicación/prevención & control , Persona de Mediana Edad , Admisión y Programación de Personal/organización & administración , Mejoramiento de la Calidad/organización & administración , Administración de la Seguridad/normas , Arabia Saudita , Carga de Trabajo , Adulto Joven
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