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1.
J Nurs Adm ; 51(2): 55-57, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33449591

RESUMEN

As the American Nurses Credentialing Center (ANCC) marks its 30th anniversary in 2021, the world's largest and most prestigious nurse credentialing organization has unveiled a new Credentialing Framework for Nursing Excellence. In this month's "Magnet Perspectives," the directors of the ANCC's 6 credentialing programs introduce a new conceptual framework, outline the key concepts for exceptional nursing practice, and describe how ANCC's programs interconnect to invoke a powerful model that healthcare organizations can use to develop and sustain nursing excellence.


Asunto(s)
Competencia Clínica/normas , Habilitación Profesional/normas , Liderazgo , Personal de Enfermería en Hospital/organización & administración , American Nurses' Association/organización & administración , Aniversarios y Eventos Especiales , Humanos , Estados Unidos
2.
Khirurgiia (Mosk) ; (1): 93-97, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-33395519

RESUMEN

It is very difficult to find certain surgical field in which surgeon's decision is absolutely evidence-based. The objective of evidence-based medicine (and surgery) is offering the best treatment for each patient that should encourage conducting the randomized trials (RT) as the highest level of evidence. The results of RTs often contradict the existing clinical experience, and experience per se does not always confirm the significance of the results obtained. One cannot make any conclusions based on RT data. Treatment strategy for a particular patient remains unclear. The authors have analyzed the results of large-scale RTs devoted to laparoscopic cholecystectomy, rectal surgery, lung cancer surgery, postoperative care, treatment of pulmonary emphysema. It was shown that RT data as the highest level of evidence are not always true for surgery. In most clinical situations, the decision is not based on RT results. The desire of surgeons to master a new technique is often more significant than patient care, while clinical experience and the laws of the market are more important than science. There is no doubt that knowledge of RT results are essential in training period, but this means quite a bit for a particular patient. The best decision can be made during discussion and conversation with colleagues, where an experience of each specialist will have the same value as the best evidence.


Asunto(s)
Medicina Basada en la Evidencia/normas , Medicina de Precisión/normas , Práctica Profesional/normas , Calidad de la Atención de Salud/normas , Ensayos Clínicos Controlados Aleatorios como Asunto , Procedimientos Quirúrgicos Operativos , Colecistectomía Laparoscópica , Competencia Clínica/normas , Toma de Decisiones , Procedimientos Quirúrgicos del Sistema Digestivo , Medicina Basada en la Evidencia/métodos , Humanos , Relaciones Interprofesionales , Cuidados Posoperatorios/normas , Enfisema Pulmonar/terapia , Ensayos Clínicos Controlados Aleatorios como Asunto/normas , Procedimientos Quirúrgicos Operativos/métodos , Procedimientos Quirúrgicos Operativos/normas
3.
J Drugs Dermatol ; 20(1): 112-113, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33400409

RESUMEN

The coronavirus disease 2019 pandemic has quickly and abruptly altered workflow and education across medical specialties. As the health crisis persists in the United States, change will be the norm for the foreseeable future. Dermatology residents report high levels of anxiety, with concerns ranging from redeployment to career prospects.1.


Asunto(s)
Ansiedad/prevención & control , Competencia Clínica , Dermatología/educación , Dermatología/métodos , Educación a Distancia/métodos , Internado y Residencia/métodos , Ansiedad/psicología , Competencia Clínica/normas , Dermatología/normas , Humanos , Internado y Residencia/normas
4.
Zhonghua Wai Ke Za Zhi ; 59(1): 2-5, 2021 Jan 01.
Artículo en Chino | MEDLINE | ID: mdl-33412627

RESUMEN

Since the concept of enhanced recovery after surgery(ERAS) has been proposed,it is valued,enriched and developed along with controversy and discussion. Although the content of ERAS involves multidisciplinary fields and is not an independent branch of surgery,surgeons,as an indispensable part,play an important role. At present,surgeons should pay more attention to post-operation complication rate,unplanned readmission rate and reoperation rate,and avoid these problems to the most extent by combining excellent surgical techniques with solid non-technical skills. As consequence,we would implement ERAS much better and be of great benefit to patients.


Asunto(s)
Recuperación Mejorada Después de la Cirugía/normas , Procedimientos Quirúrgicos Operativos/normas , Competencia Clínica/normas , Humanos , Readmisión del Paciente , Complicaciones Posoperatorias , Periodo Posoperatorio , Reoperación , Procedimientos Quirúrgicos Operativos/efectos adversos
6.
Acad Med ; 96(2): 186-192, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33492834

RESUMEN

Clerkship grades (like money) are a social construct that function as the currency through which value exchanges in medical education are negotiated between the system's various stakeholders. They provide a widely recognizable and efficient medium through which learner development can be assessed, tracked, compared, and demonstrated and are commonly used to make decisions regarding progression, distinction, and selection for residency. However, substantial literature has demonstrated how grades imprecisely and unreliably reflect the value of learners. In this article, the authors suggest that challenges with clerkship grades are fundamentally tied to their role as currency in the medical education system. Associations are drawn between clerkship grades and the history of the U.S. economy; 2 major concepts are highlighted: regulation and stock prices. The authors describe the history of these economic concepts and how they relate to challenges in clerkship grading. Using lessons learned from the history of the U.S. economy, the authors then propose a 2-step solution to improve upon grading for future generations of medical students: (1) transition from grades to a federally regulated competency-based assessment model and (2) development of a departmental competency letter that incorporates competency-based assessments rather than letter grades and meets the needs of program directors.


Asunto(s)
Prácticas Clínicas/normas , Economía/historia , Educación Médica/legislación & jurisprudencia , Evaluación Educacional/métodos , Internado y Residencia/ética , Prácticas Clínicas/estadística & datos numéricos , Competencia Clínica/normas , Evaluación Educacional/estadística & datos numéricos , Femenino , Historia del Siglo XX , Humanos , Internado y Residencia/estadística & datos numéricos , Masculino , Facultades de Medicina/organización & administración , Estudiantes de Medicina/estadística & datos numéricos , Estados Unidos/epidemiología
7.
Am J Nurs ; 121(2): 28-38, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33470615

RESUMEN

BACKGROUND: School nurses' knowledge about and confidence in managing concussions are important to ensure continuity of care between a student's school and home environments. This mixed-methods study explored concussion-related knowledge, confidence, and management experiences among urban and rural school nurses in Washington State. METHODS: Public school nurses, identified via state educational service district websites and recruited by e-mail, completed an online survey assessing their concussion knowledge and confidence levels. Following the survey, a subset of respondents participated in semistructured interviews aimed at exploring their confidence in managing concussions. RESULTS: Of the 945 school nurses to whom the survey was sent, 315 responded (33% response rate). Most survey respondents held an RN license (89.6%) and were from urban areas (90.8%). Overall, the respondents exhibited accurate concussion knowledge; only one significant difference was noted based on rural-urban status. Correct responses were given for most questions (67.4% to 98.7% correct responses). In interviews with a subset of six school nurses, emergent themes pertained to communication, assessment, and monitoring, and the nurse's role in postconcussion management. Barriers can include a lack of relevant school policies, low concussion awareness among teachers and parents, and limited resources. CONCLUSIONS: The study findings suggest that school nurses possess high levels of concussion knowledge and confidence in managing concussions. Continuing education remains important to ensure that current research and evidence inform practice regarding ongoing concussion management among school-age children.


Asunto(s)
Conmoción Encefálica/enfermería , Competencia Clínica/normas , Servicios de Enfermería Escolar/métodos , Conmoción Encefálica/diagnóstico , Competencia Clínica/estadística & datos numéricos , Estudios Transversales , Humanos , Incidencia , Washingtón
8.
Nurs Adm Q ; 45(1): 65-70, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33259373

RESUMEN

The coronavirus-2019 (COVID-19) pandemic has resulted in turbulent times challenging nurse leaders to adopt, adapt, and develop new leadership competencies to navigate current and future challenges. In never-imagined approaches, nurse leaders have responded to a different type of crisis management. In this new era, nursing leadership will need competencies to reshape the future of nursing and nurses' role in caring for patients, families, and promotion of healthy communities along with a focus on reducing health disparities. The pandemic has drawn critical focus on the health and well-being needs of nurses. The American Organization for Nursing Leadership and the Association for Leadership Science in Nursing have offered insights of nursing leadership competencies critical for practice and education in shaping the future.


Asunto(s)
Liderazgo , Enfermería/normas , Sociedades de Enfermería/normas , /enfermería , Competencia Clínica/normas , Humanos , Pandemias
9.
Methodist Debakey Cardiovasc J ; 16(3): 199-204, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33133355

RESUMEN

Americans expect their doctors to have the competence to deliver high-quality care and expect safeguards to be in place that assure their doctors are competent. However, competence requires knowledge, and people have trouble assessing their own knowledge and level of competence. Because external assessment is required, several organizations have taken on the roles of defining and assuring medical competence. For example, professional organizations such as the American College of Cardiology (ACC) have developed consensus documents that define core competencies for cardiologists. External organizations such as the Accreditation Council for Graduate Medical Education and the American Board of Internal Medicine (ABIM) have defined training requirements for cardiologists, and the ABIM has developed a process to certify that physicians maintain their competence, although the process has generated considerable criticism from the profession. Recently, the ACC and ABIM have worked together to make the certification process less onerous and more meaningful. This paper provides a brief summary of the history and ongoing efforts to assure the competence of cardiologists.


Asunto(s)
Acreditación , Cardiólogos/educación , Cardiología/educación , Certificación , Competencia Clínica , Educación de Postgrado en Medicina , Acreditación/normas , Cardiólogos/normas , Cardiología/normas , Certificación/normas , Competencia Clínica/normas , Curriculum , Educación de Postgrado en Medicina/normas , Humanos
10.
Medicine (Baltimore) ; 99(44): e22959, 2020 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-33126364

RESUMEN

INTRODUCTION: Type 2 diabetes mellitus is responsible for high mortality and morbidity globally and in India. India has high prevalence of the condition and the burden is set to increase exponentially in the next decade. Indians traditionally reside in rural or semi-urban areas with limited access to healthcare facilities. To overcome this, the government has introduced a cadre of health workers called Accredited Social Health Activists (ASHA) for such areas. These workers were initially trained to provide maternal & infant care but now need improved competence training to improve type 2 diabetes screening & management in these locations. The objective of the study is to assess the competence training provided to ASHA workers at the chosen study sites. METHODOLOGY: A cluster randomized control trial has been designed. It will be conducted across 8 centers in Hyderabad & Rangareddy districts of Telangana, India. The training will be provided to ASHA workers. The tool used for training will be developed from existing sources with an emphasis on topics which require training. The training will be delivered across 6 months at each center as a classroom training. Each participant's baseline competence will be recorded using a questionnaire tool and a practical evaluation by trained public health experts. The same experts will use the same tools to assess the training post the intervention. DISCUSSION: This trial will evaluate the use of health worker training as a tool for improving the clinical competence in relation to type 2 diabetes mellitus. We anticipate that the module will provide a greater understanding of type 2 diabetes mellitus, the importance of screening of both disease and complications and improved skills for the same. The study has received the ethical approval form the Institutional Ethics Committee of the Indian Institute of Public Health Hyderabad. The registration number is: IIPHH/TRCIEC/218/2020. The trial has also been registered under the Clinical trial registry of India (CTRI) on 27 July 2020. The registration number of the trial is: CTRI/2020/07/026828. The URL of the registry trial is: http://ctri.nic.in/Clinicaltrials/showallp.php?mid1=45342&EncHid=&userName=CTRI/2020/07/026828.


Asunto(s)
Competencia Clínica , Agentes Comunitarios de Salud/educación , Diabetes Mellitus Tipo 2/terapia , Capacitación en Servicio/métodos , Competencia Clínica/normas , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/prevención & control , Femenino , Humanos , India , Masculino , Ensayos Clínicos Controlados Aleatorios como Asunto
11.
J Postgrad Med ; 66(4): 200-205, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33037168

RESUMEN

With the introduction of competency-based undergraduate curriculum in India, a paradigm shift in the assessment methods and tools will be the need of the hour. Competencies are complex combinations of various attributes, many of which being not assessable by objective methods. Assessment of affective and communication domains has always been neglected for want of objective methods. Areas like professionalism, ethics, altruism, and communication-so vital for being an Indian Medical Graduate, can be assessed longitudinally applying subjective means only. Though subjectivity has often been questioned as being biased, it has been proven time and again that a subjective assessment in expert hands gives comparable results as that of any objective assessment. By insisting on objectivity, we may compromise the validity of the assessment and deprive the students of enriched subjective feedback and judgement also. This review highlights the importance of subjective assessment in competency-based assessment and ways and means of improving the rigor of subjective assessment, with particular emphasis on the development and use of rubrics.


Asunto(s)
Competencia Clínica/normas , Educación Basada en Competencias/organización & administración , Educación de Pregrado en Medicina/métodos , Educación Médica/organización & administración , Evaluación Educacional/métodos , Adulto , Curriculum , Femenino , Humanos , India , Masculino , Profesionalismo , Estudiantes de Medicina
12.
East Mediterr Health J ; 26(9): 1011-1017, 2020 Sep 24.
Artículo en Inglés | MEDLINE | ID: mdl-33047791

RESUMEN

Background: Health professionals are at the frontline of the COVID-19 pandemic and are directly exposed to infection hazards. Therefore, they should have the essential competencies for approaching patients. Aims: The study aimed to identify essential competencies required for approaching patients with COVID-19. Methods: All postgraduate health professionals at the Syrian Virtual University SVU (n=28) were invited to participate in the study during the Covid-19 lockdown in 2020, resulting in 20 postgraduates accepting. The Delphi technique was adopted for identifying competencies in medical education and a virtual meeting was undertaken through the University Management System in order to provide instruction and create a list of competencies. Competency domains were divided into 'knowledge', 'skills', and 'attitudes' and were classified into four categories: etiology, assessment and diagnosis, management, and prognosis. Results: Fifty-two essential competencies were identified; 7 competencies on etiology, 7 related to assessment and diagnosis, 34 related to management, and 4 related to prognosis. Conclusion: It is hoped that the identified competencies would help health professionals to deliver the best health care for COVI-19 patients, as well as help policy-makers to support comprehensive training programmes that can equip health professionals with the required competencies to fight the pandemic.


Asunto(s)
Competencia Clínica/normas , Infecciones por Coronavirus/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/educación , Neumonía Viral/epidemiología , Betacoronavirus , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/terapia , Técnica Delfos , Humanos , Pandemias , Neumonía Viral/diagnóstico , Neumonía Viral/terapia
13.
Rural Remote Health ; 20(3): 6027, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32981326

RESUMEN

CONTEXT: Physicians who migrate globally face a daunting series of time-consuming, labor- and resource-intensive procedures to prove their clinical competency before being allowed to practice medicine in a new country. ISSUES: In this commentary, we describe licensing barriers faced by physician-migrants based on the authors' experiences, and reflect also on rapidly implemented measures to address COVID-19 pandemic related workforce shortages. We offer recommendations for potential reductions in bureaucratic regulatory barriers that prohibit mobilization of international medical graduate talent. LESSONS LEARNED: Licensing boards and authorities should strive for standardized, competency-based basic professional recognition. Professional medical societies are well-positioned to guide such competency-based recognition as a more organized, international collaborative effort across specialties. The COVID-19 pandemic facilitated cross-state and international licensing in some regions, highlighting a key opportunity: streamlining professional recognition requirements is achievable.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Habilitación Profesional/organización & administración , Médicos Graduados Extranjeros/normas , Neumonía Viral/epidemiología , Migrantes , Betacoronavirus , Competencia Clínica/normas , Habilitación Profesional/normas , Humanos , Internacionalidad , Pandemias , Factores de Tiempo
14.
J Am Board Fam Med ; 33(Supplement): S1-S9, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32928942

RESUMEN

Family Medicine was a child of the 1960s. Triggered by compelling social need for care outside of large hospitals, Family Medicine emphasized access to personal physicians based in the community. As a protest movement, the ABFP required ongoing recertification for all Diplomates, with both independent examination and chart audit. Fifty years later, society and health care have changed dramatically, and it is time again to consider how Board Certification must respond to those change. We propose three interlocking arguments. First, even before COVID-19, health and health care have been in a time of fundamental transformation. Second, given the role Board Certification plays in supporting improvement of healthcare, Board Certification itself must respond to these changes. Third, to move forward, ABFM and the wider Board community must address a series of wicked problems - i.e., problems which are both complex-with many root causes-and complicated- in which interventions create new problems. The wicked problems confronting board certification include: 1) combining summative and formative assessment, 2) improving quality improvement and 3) reaffirming the social contract and professionalism and its assessment.


Asunto(s)
Certificación/normas , Competencia Clínica/normas , Medicina Familiar y Comunitaria/normas , Mejoramiento de la Calidad , Certificación/métodos , Certificación/tendencias , Medicina Familiar y Comunitaria/educación , Medicina Familiar y Comunitaria/tendencias , Humanos , Estados Unidos
15.
PLoS One ; 15(9): e0238881, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32941490

RESUMEN

BACKGROUND: Adherence to the best standards of nursing practice is the fundamental principle to improve patient outcome and prevent nursing procedure related-infections. A peripheral venous catheter (PVC) is the most common invasive procedure performed in nursing care. Its poor performance could expose patients to bloodstream-related infections. The present study aimed to assess post-basic nursing students' knowledge of evidence-based guidelines on the management of peripheral venous catheters. METHODS: A cross-sectional study design was conducted on May 01-03, 2019, using a convenient sample 239 among post-basic nursing students in Wollega University. RESULTS: The study result showed that nursing students' had a low mean (4.1±1.52) of knowledge about PVC procedure management. Only 41% of the respondents have adhered to recommendations of CDC guidelines. Among the provided options of the items, none achieved 100% correct answers. The majority of nursing students (77%) responded that antiseptic handwashing is always performed before insertion of PVCs. Meanwhile, few students (5%) correctly answered that the infusion set is recommended to be removed after 96 hours when neither lipids nor blood products are administered. In multivariable regression analysis, nursing students who had received training (AOR = 2.9, 95% CI (1.6, 5.1)) and who were younger (AOR = 2.4, 95% CI (1.3, 4.3)) significantly associated with a higher score of knowledge. CONCLUSIONS: This study finding shows that an overall level of knowledge of post-basic nursing students is inadequate. Measurements such as an increase in the provision of adequate training by nurses educators based on evidence-based guidelines could improve the post-basic nursing students' knowledge.


Asunto(s)
Cateterismo Periférico/enfermería , Competencia Clínica/normas , Adulto , Cateterismo Periférico/normas , Estudios Transversales , Educación de Postgrado en Enfermería , Enfermería Basada en la Evidencia , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Guías de Práctica Clínica como Asunto , Estudiantes de Enfermería , Adulto Joven
17.
Curr Opin Anaesthesiol ; 33(5): 674-684, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32826622

RESUMEN

PURPOSE OF REVIEW: Effective and safe regional anaesthesia and pain medicine procedures require clinicians to learn and master complex theoretical knowledge and motor skills. This review aims to summarize articles relevant to education and training in these skill sets in the previous 2 years. RECENT FINDINGS: Twenty-two articles were identified, investigating nine out of the 13 top-ranked research topics in education and training in regional anaesthesia. Research topics addressed by these articles included prerotation simulation, deliberate practice combined with formative assessment tools, validation of assessment tools, three-dimensional-printed models, and knowledge translation from simulation to clinical practice. Emerging concepts investigated for their applications in regional anaesthesia included eye-tracking as a surrogate metric when evaluating proficiency, and elastography aiding visual salience to distinguish appropriate perineural and inappropriate intraneural injections. SUMMARY: Research into education and training in regional anaesthesia covered multiple and diverse topics. Methodological limitations were noted in several articles, reflecting the difficulties in designing and conducting medical education studies. Nonetheless, the evidence-base continues to mature and innovations provide exciting future possibilities.


Asunto(s)
Anestesia de Conducción/normas , Anestesiología/educación , Educación Médica , Ultrasonografía Intervencional/normas , Anestesia de Conducción/métodos , Anestesiología/normas , Competencia Clínica/normas , Humanos , Dolor
19.
Rev. Fund. Educ. Méd. (Ed. impr.) ; 23(4): 205-209, ago. 2020. tab
Artículo en Español | IBECS | ID: ibc-195082

RESUMEN

INTRODUCCIÓN: La prueba de acceso para la formación de médicos internos residentes (MIR) ha sido reconocida por su equidad, pero no ha estado exenta de críticas, especialmente por centrarse mayoritariamente en aspectos cognitivos. Además, dicha prueba se aprecia como un distorsionador en los estudios de medicina. OBJETIVO: Conocer la relación entre el expediente académico y el resultado en la prueba MIR de los graduados en medicina de los estudios conjuntos de la Universitat Pompeu Fabra (UPF) y la Universitat Autònoma de Barcelona (UAB). Sujetos y métodos: El estudio se realizó con todos los graduados de las primeras cuatro promociones de los estudios cita-dos. Para ello se registraron las calificaciones de los expedientes finales de los graduados y el número de orden obtenido en la prueba MIR. RESULTADOS: En ambos sexos y en todas las promociones se encontró una relación positiva y significativa entre expediente académico y resultado en el examen MIR. CONCLUSIONES: El mejor predictor de éxito en la prueba MIR es el éxito en los estudios realizados durante la carrera. Se recomienda informar a los estudiantes de este hecho para reducir la distorsión que produce el examen MIR en su comporta-miento académico


INTRODUCTION: The exam to access for the selection of a medical specialty in Spain (MIR test) has been recognized for its equity, but has not been without criticism especially for focusing mainly on cognitive aspects. In addition, this test is seen as a distorter in medicine studies. AIM: To know the relationship between the final academic record and the result in the MIR test of graduates in medicine from the joint studies of the Universitat Pompeu Fabra (UPF) and the Universitat Autònoma de Barcelona (UAB). Subjects and methods: The study was conducted with all graduates of the first four promotions of the studies cited. For this, the qualifications of the final files of the graduates were registered, as well as the order number obtained in the MIR test. RESULTS: In both sexes and in all the promotions a positive and significant relationship between academic record and result in the MIR exam was found. CONCLUSIONS: It is concluded that the best predictor of success in the MIR test is the success in studies conducted during the career. It is recommended to inform students of this fact to reduce the distortion produced by the MIR exam in their academic behaviour


Asunto(s)
Humanos , Masculino , Femenino , Educación de Postgrado en Medicina/métodos , Internado y Residencia/normas , Criterios de Admisión Escolar , Rendimiento Académico/normas , Educación de Postgrado en Medicina/normas , Competencia Clínica/normas , Estudiantes de Medicina/psicología , Selección de Profesión
20.
Curationis ; 43(1): e1-e8, 2020 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-32633991

RESUMEN

BACKGROUND: Lesotho has been experiencing health challenges as indicated by its high maternal mortality ratio of 620 per 100 000 live births for the year 2010, which has been linked to its limited human resources. OBJECTIVES: The knowledge and skills of final-year student nurse-midwives related to the active management of the third stage of labour were determined. METHOD: A quantitative, descriptive survey design was used to conduct this study with 99 final-year midwifery students at four nursing schools in Lesotho using stratified sampling. The structured questionnaire collected data on the knowledge and self-reported competency. Subsequently, the controlled cord traction marks, extracted from the objective structured clinical examination (OSCE), were compared to the self-reported competency of these midwifery students using R software version 3.4.0. RESULTS: The mean score for knowledge and the OSCE was 73.8% (n = 99) and 77.2% (n = 99), respectively. The majority of respondents (95.2%, n = 99) rated themselves highly in terms of the active management of the third stage of labour competency. There was no correlation between the self-reported competency and knowledge (r = 0.08, p = 0.4402), and self-reported competency and OSCE scores (r = -0.004, p = 0.01). CONCLUSION: The high mean scores for the knowledge and the OSCE indicate that the theoretical component of the curriculum on the active management of the third stage of labour was effective in equipping final-year midwifery students with knowledge and skills to carry out this competency.


Asunto(s)
Competencia Clínica/normas , Tercer Periodo del Trabajo de Parto/fisiología , Partería/educación , Estudiantes de Enfermería/estadística & datos numéricos , Adulto , Competencia Clínica/estadística & datos numéricos , Curriculum/tendencias , Femenino , Humanos , Partería/estadística & datos numéricos , Embarazo , Sudáfrica , Encuestas y Cuestionarios
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