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1.
JAMA ; 323(2): 127-129, 2020 01 14.
Artículo en Inglés | MEDLINE | ID: mdl-31935011
2.
World Neurosurg ; 133: e535-e539, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31562974

RESUMEN

BACKGROUND: Neurosurgery is a notoriously difficult career to enter and requires medical students to engage in extracurricular activities to demonstrate their commitment to the specialty. The National Undergraduate Neuroanatomy Competition (NUNC) was established in 2013 as a means for students to display this commitment as well as academic ability. METHODS: A bespoke 22-item questionnaire was designed to determine career outcomes and the role of competition attendance in job applications. It was distributed using the SurveyMonkey website to the 87 attendees at the 2013 and 2014 competitions. RESULTS: Responses were received by 40 competitors (response rate, 46.0%). Twenty-four responders (60.0%) intended to pursue a career in either neurosurgery (n = 18) or neurology (n = 6). This included 10 responders (25.0%) who had successfully entered either neurosurgery (n = 9) or neurology (n = 1). The performance of these 10 was significantly better than the other responders (57.0 ± 13.6% vs. 46.5 ± 13.5% [n = 30]; P = 0.036). Seventeen responders (42.5%) either included their attendance at NUNC in a post-Foundation job application or intend to. CONCLUSIONS: The NUNC provides the opportunity for medical students to demonstrate their interest in neurosurgery. It has the potential to be used as a tool for recognizing medical students suitable for neurosurgery training.


Asunto(s)
Selección de Profesión , Neurocirugia , Competencia Profesional , Estudiantes de Medicina , Distinciones y Premios , Humanos , Neuroanatomía
4.
Nurs Educ Perspect ; 41(1): 4-9, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31860477

RESUMEN

AIM: As an initial approach to determining representation of the NLN Core Competencies for Nurse Educators in Master's of Science in Nursing Education and Post-Master's Certificate programs, the study identified the presence of the competencies in course descriptions. BACKGROUND: The competencies are the gold standard to ensure academic nurse educators have the knowledge and skill to teach, assist learners, develop curricula, and implement effective evaluation methods. METHOD: A descriptive design that applied web scraping techniques was used to collect data from school web pages, including course descriptions, credit hours, practica information, distance accessibility, and Certified Nurse Educator exam preparation. RESULTS: Four competencies were well represented (≥85 percent), and four competencies were poorly represented (<50 percent) in a sample of 529 schools. CONCLUSION: Programs should review courses and course descriptions for inclusion of all competency areas that prepare nurse educators and make revisions to address poorly represented competencies.


Asunto(s)
Educación en Enfermería , Docentes de Enfermería , Competencia Profesional , Certificación , Curriculum , Humanos
5.
Artículo en Ruso | MEDLINE | ID: mdl-31884772

RESUMEN

The strategy focused on activating and strengthening human resources, including nurses, is extremely relevant in the modern health care of the Russian Federation. In this regard, the issue of the medical organization performance provides an emphasis on the problem related to the status of medical personnel, which is especially significant in the context of the need to implement new approaches and innovative management techniques. The purpose of study is to develop an expertise system for quality evaluation of nursing care. Three available approaches were applied: structural, procedural and end-point estimation. The structural approach was based on the quality indicators of the professional competence of nurses, their accreditation and certification, as well as personal qualities that determine the level of organizational culture and self-discipline. The procedural approach was based on the assessment of the technological processes carried out by nurses, consistency, timeliness and adequacy of their accomplishment. The result assessment approach was based on evaluation of the degree of compliance of the actual results achieved with the approved normative value. The article presents the elaborated genuine model of quality assessment, which allows to evaluate objectively all areas of the nurse's professional activities, taking into account the proposed criteria to identify defects that influence the performance efficiency of the nurse; to determine the factors influencing the level of patient satisfaction with medical care, which resulted in the development a quality management system for nursing care, allowing to evaluate the resources, the technological process and the final result of nursing care.


Asunto(s)
Prestación de Atención de Salud , Enfermería , Calidad de la Atención de Salud , Personal de Salud , Humanos , Competencia Profesional , Federación de Rusia
7.
Enferm. clín. (Ed. impr.) ; 29(6): 328-335, nov.-dic. 2019. graf, tab
Artículo en Español | IBECS | ID: ibc-184652

RESUMEN

Objetivo: Analizar la distribución de competencias avanzadas en enfermeras especialistas y enfermeras de práctica avanzada y evaluar su asociación con algunas características de su perfil profesional. Método: Estudio transversal analítico multicéntrico. Se incluyeron enfermeras que ejercían como Enfermeras de Práctica Avanzada y enfermeras Especialistas. Se midió su nivel de competencias avanzadas percibidas, así como variables de caracterización profesional. Resultados: Doscientas setenta y siete enfermeras participaron (149 ejercían práctica avanzada y 128 especialistas), con una media de 13,88 (11,05) años como especialista y 10,48 (5,32) años como Enfermera de Práctica Avanzada. Un 28,8% tenía nivel de máster o doctorado. El 50,2% ejercía en atención primaria, el 24,9% en hospitales y el 22,7% en salud mental. El nivel global autopercibido fue elevado en las distintas competencias, siendo las dimensiones más bajas las de investigación, práctica basada en la evidencia, gestión de la calidad y seguridad y liderazgo y consultoría. Las Enfermeras de Práctica Avanzada obtuvieron mayor nivel competencial de forma global y en las dimensiones de liderazgo y consultoría, relaciones interprofesionales, gestión de cuidados y promoción de salud. No hubo diferencias en función de la experiencia o la posesión de nivel de máster o de doctorado. En las Enfermeras de Práctica Avanzada el contexto de práctica no influía en los niveles competenciales, aunque en las enfermeras especialistas sí, a favor de las que ejercían en salud mental. Conclusiones: Las enfermeras especialistas y de práctica avanzada tienen competencias distintas que deberían ser gestionadas adecuadamente para el desarrollo de los servicios enfermeros avanzados y especializados


Objective: To analyse the distribution of advanced competences in specialist nurses and advanced practice nurses and to evaluate their association with some characteristics of their professional profile. Method: Multicentre analytical cross-sectional study. Nurses who worked as advanced practice nurses and specialist nurses were included. Their level of perceived advanced competences was measured, as well as sociodemographic and professional characterization variables. Results: A total of 277 nurses participated (149 practised as advanced practice nurses and 128 as specialists), with an average of 13.88 (11.05) years as a specialist and 10.48 (5.32) years as an advanced practice nurse. In the sample, 28.8% had a master's or doctorate level qualification, 50.2% worked in Primary Care, 24.9% in hospitals and 22.7% in Mental Health. The self-perceived global level was high in the different competences, the lowest dimensions being research, evidence-based practice, quality and safety management and leadership and consulting. The advanced practice nurses obtained a higher level of competence globally and in the dimensions of leadership and consulting, interprofessional relations, care management, and health promotion. There were no differences based on experience or possession of a master's degree or doctorate. In the advanced practice nurses, the practice context did not influence competence levels, although in the specialist nurses it did, in favour of those practicing in Mental Health. Conclusions: Specialist and advanced practice nurses have different competences that should be adequately managed for the development of advanced and specialist nursing services


Asunto(s)
Humanos , Competencia Profesional , Rol de la Enfermera , Enfermeras Clínicas/organización & administración , Liderazgo , Enfermeras Clínicas/normas , Estudios Transversales
8.
Enferm. clín. (Ed. impr.) ; 29(6): 357-364, nov.-dic. 2019. tab
Artículo en Español | IBECS | ID: ibc-184656

RESUMEN

La instauración de las especialidades de Enfermería iniciada en 1953 ha contribuido de forma decisiva en la calidad de la atención sanitaria proporcionada en el Sistema Nacional de Salud. En la actualidad, un elevado número de enfermeras poseen un título oficial de especialista obtenido a través de las distintas modalidades de acceso que establece el Real Decreto sobre especialidades de Enfermería. Por otra parte, los programas formativos tienen que seguir desarrollándose para culminar el catálogo establecido en la mencionada normativa. Cabe destacar que muchos especialistas tienen dificultad para llevar a cabo un ejercicio profesional acorde a su formación y capacitación, debido a la escasa descripción de puestos de trabajo e identificación de competencias en los procesos de selección y acceso a los puestos de trabajo, necesarias para un buen desempeño profesional. Por ello, resulta imprescindible elaborar un catálogo de puestos de trabajo específico de cada una de las especialidades, para dar respuesta a las expectativas de las enfermeras y fortalecer el avance en la calidad de la atención de cuidados


The establishment of nursing specialties that started in 1953 has contributed decisively to the quality of the medical care provided by the National Health System. Nowadays, a large number of nurses have an official specialist qualification achieved through different means of access established by Royal Decree on nursing specialties. Furthermore, the training programmes must continue to develop in order to complete the catalogue established under the aforementioned regulation. It should be pointed out that many specialists face difficulties in carrying out professional practice according to their education and training, due to the lack of job descriptions and identification of competences during recruitment processes and access to job positions, needed for appropriate professional performance. Therefore, it is essential to create a catalogue for specific job positions for each of the specialties to meet the expectations of professional nursing and enhance progress in quality patient care


Asunto(s)
Humanos , Especialidades de Enfermería/tendencias , Práctica Profesional/organización & administración , Práctica Profesional/tendencias , Competencia Profesional , Especialidades de Enfermería/legislación & jurisprudencia
10.
J Emerg Manag ; 17(5): 349-357, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31736041

RESUMEN

At a national and international level, governments have advanced all-hazards readiness and implemented disaster management systems within multiple industries, services, and sectors. This scope included public health agencies and healthcare providers, whose roles evolved in purpose and expectation within their respective communities, but their core mission remained unchanged. Real-world emergencies and disasters routinely challenge hospitals and affirm that healthcare providers must be prepared to provide, sustain, and expand critical services during times of crisis. This study reviews emergency management (EM) and disaster preparedness programing specifically within hospitals and healthcare systems to assess overall effectiveness. Analysis includes a review of existing program administration literature and regulatory and accreditation agency standards. Initial findings suggest ongoing efforts are needed nationwide to improve hospital EM capabilities and enhance the resiliency of American healthcare infrastructure. Identified gaps include limitations of pertinent research, inconsistent program evaluation metrics and processes, and hindering perceptions of profession role and purpose. Recommendations are provided to refine the traditional hospital EM profession and advance overall program administration competencies, as well as considerations for future research opportunities.


Asunto(s)
Planificación en Desastres/organización & administración , Desastres , Urgencias Médicas , Servicios Médicos de Urgencia/organización & administración , Competencia Profesional , Personal de Salud , Hospitales , Humanos , Salud Pública , Estados Unidos
11.
J Emerg Manag ; 17(5): 359-369, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31736042

RESUMEN

OBJECTIVE: To explore how health emergency management (HEM) personnel make sense of professional development, such as education and training, in their everyday roles and responsibilities within an increasingly complex emergency management and disaster field. DESIGN: This in-depth qualitative study comprised of semistructured interviews with 10 Aotearoa New Zealand HEM personnel from a range of healthcare professions, including emergency managers, nurses, clinical support, and paramedics. The thematic, data-driven approach was exploratory. The research identified inductively significant thematic concepts relating to professional development from the health emergency personnel's talk about their roles and responsibilities. RESULTS: The authors identified four themes relating to professional development in the participants' talk: test yourself under pressure; selling what we do; under the pump; and real stuff that actually makes a difference. These themes represent shared sense-making about how the participants negotiated their professional development needs and the needs of others while performing their everyday roles and responsibilities. CONCLUSIONS: Our findings support the production of local and contextually driven knowledge that highlights how HEM personnel discuss professional development as strengths, tensions, challenges, and knowledge gaps. These insights contribute to a broader understanding of what needs to be taken into account when developing competencies, skill sets, and training programs to promote professional development in an increasingly complex emergency management and disaster field.


Asunto(s)
Desastres , Servicios Médicos de Urgencia/organización & administración , Personal de Salud , Competencia Profesional , Creación de Capacidad , Humanos , Nueva Zelanda , Investigación Cualitativa
12.
J Nurs Adm ; 49(12): 596-603, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31725057

RESUMEN

OBJECTIVES: To evaluate the reliability and validity of the Financial Management Competency Self-assessment (FMCA) in executive nurse leaders (ENLs) and to determine how ENLs develop and apply financial knowledge. BACKGROUND: Financial literacy (FL) helps in planning, implementing, and evaluating fiscal decisions, but many ENLs report weaknesses in this core competency. METHODS: An explanatory-sequential mixed-methods study was conducted to psychometrically test the FMCA and explore how ENLs with different levels of FL develop and apply financial knowledge. Eligible participants (n = 178) were recruited from a population of ENLs across the United States. RESULTS: The test-retest reliability of the FMCA was good (mean difference, 6.80; 95% confidence interval). Correlations between domain scores (P < .01) and the overall score (Cronbach's α = .99) demonstrated the reliability and validity of the instrument. The cutoff scores were fair indicators of different levels of FL in ENLs (P < .001). Self-awareness, gaps in hospital and graduate nursing education, application of financial knowledge, and a micro versus macro view emerged as important themes in the qualitative analysis. CONCLUSION: FMCA reliability and validity were established. FMCA cutoff scores were established to determine FL level, and the ENL lived experience described in financial knowledge development and application.


Asunto(s)
Administración Financiera/estadística & datos numéricos , Administración Financiera/normas , Liderazgo , Enfermeras Administradoras/estadística & datos numéricos , Enfermeras Administradoras/normas , Competencia Profesional/estadística & datos numéricos , Competencia Profesional/normas , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Psicometría , Reproducibilidad de los Resultados , Encuestas y Cuestionarios , Estados Unidos
14.
J Athl Train ; 54(10): 1074-1082, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31633408

RESUMEN

CONTEXT: Recent studies suggested that a large population of high school-aged athletes participate on club sport teams. Despite attempts to document emergency preparedness in high school athletics, the adherence to emergency and medical coverage standards among club sport teams is unknown. OBJECTIVE: To determine if differences in emergency preparedness and training existed between coaches of high school teams and coaches of high school-aged club teams. DESIGN: Cross-sectional survey. SETTING: Online questionnaire. PATIENTS OR OTHER PARTICIPANTS: A total of 769 coaches (females = 266, 34.6%) completed an anonymous online questionnaire regarding their emergency preparedness and training. MAIN OUTCOME MEASURE(S): The questionnaire consisted of (1) demographics and team information, (2) emergency preparedness factors (automated external defibrillator [AED] availability, emergency action plan [EAP] awareness, medical coverage), and (3) emergency training requirements (cardiopulmonary resuscitation/AED, first aid). RESULTS: High school coaches were more likely than club sport coaches to be aware of the EAP for their practice venue (83.9% versus 54.4%, P < .001), but most coaches in both categories had not practiced their EAP in the past 12 months (70.0% versus 68.9%, P = .54). High school coaches were more likely to be made aware of the EAP during competitions (47.5% versus 37.1%, P = .02), but the majority of coaches in both categories indicated that they were never made aware of EAPs. High school coaches were more likely than club coaches to (1) have an AED available at practice (87.9% versus 58.8%, P < .001), (2) report that athletic trainers were responsible for medical care at practices (31.2% versus 8.8%, P < .001) and competitions (57.9% versus 31.2%, P < .001), and (3) be required to have cardiopulmonary resuscitation, AED, or first-aid training (P < .001). CONCLUSIONS: High school coaches displayed much greater levels of emergency preparedness and training than coaches of high school-aged club teams. Significant attention and effort may be needed to address the lack of emergency preparedness and training observed in club coaches.


Asunto(s)
Traumatismos en Atletas/terapia , Reanimación Cardiopulmonar , Desfibriladores/provisión & distribución , Tratamiento de Urgencia , Tutoría , Deportes Juveniles/lesiones , Adulto , Reanimación Cardiopulmonar/instrumentación , Reanimación Cardiopulmonar/métodos , Estudios Transversales , Tratamiento de Urgencia/métodos , Tratamiento de Urgencia/normas , Femenino , Humanos , Masculino , Tutoría/métodos , Tutoría/organización & administración , Tutoría/normas , Competencia Profesional , Encuestas y Cuestionarios , Estados Unidos , Universidades
15.
Rev Lat Am Enfermagem ; 27: e3205, 2019.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-31664413

RESUMEN

OBJECTIVE: evaluate the profile of the graduates of Nursing a public college from the perception of skills developed during graduation and the process of professional insertion. METHOD: quantitative, exploratory and descriptive study. The sample was composed of 216 graduates. The data was collected by a validated questionnaire and sent to a population of 470 egresses via electronic mail. For the analysis of the data, frequencies, mean and standard deviation were applied and, for the correlation, the chi-square test. RESULTS: the majority of the participants were female (88%) and the mean age was 29.62 years. The majority (65%) had an employment relationship, 14% worked in a single institution and 48% started working six months after graduation. Regarding the form of work, 56% work in care, with an average of 4.5 minimum wages and a weekly workload between 37 and 44 hours. The majority reported competence acquisition to practice the profession, assisting the patient in his integrality with ethics and applying technical and scientific concepts in care. CONCLUSION: the study made it possible to describe the singularities of nurses' education, their insertion in the world of work and the impact on the educational institution, as well as the presentation of specific competences from the perspective of the graduates themselves.


Asunto(s)
Bachillerato en Enfermería , Empleo , Competencia Profesional , Adulto , Brasil , Curriculum , Femenino , Humanos , Masculino , Sector Público , Estudiantes de Enfermería , Encuestas y Cuestionarios , Universidades
17.
West Afr J Med ; 36(3): 232-238, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31622485

RESUMEN

BACKGROUND: Pain is a public health problem requiring serious attention. One major barrier to the provision of quality pain treatment in many countries is lack of training for healthcare workers. The aim of this study was to evaluate the impact of pain education on the knowledge and attitude of healthcare workers, and opioid utilization in a university teaching hospital. METHODS: Pain management workshops were conducted for healthcare workers over a 12-month period. The modified "Knowledge and Attitudes Survey Regarding Pain" questionnaire was administered to participants pre- and post- training for each of the workshops. The total mark by each participant was entered into the Statistical Package for Social Sciences (SPSS) software version 16 software for windows (SPSS Inc., Chicago, Illinois, USA) for comparison of means for pre- and post-test. Changes in opioid utilization were evaluated. RESULTS: The pre-test and post-test questionnaires were filled by 715 and 700 participants respectively. The mean post-test score was significantly higher than the pre-test score (68% versus 49% respectively, p = 0.00001). The doctors scored significantly higher than the other groups (p < 0.0001) in the pre-test. The mean post-test scores were significantly higher than the corresponding mean pre-test scores for the various groups (p < 0.0001). Sustained increase (up to 60.4%) in total morphine utilization was observed during the training. CONCLUSION: There is a wide knowledge gap requiring regular training and re-training to achieve improved pain management and opioid utilization among healthcare workers. Inclusion of robust pain curricula in medical training programs will significantly improve pain management.


Asunto(s)
Analgésicos Opioides/efectos adversos , Conocimientos, Actitudes y Práctica en Salud , Personal de Salud/educación , Manejo del Dolor/métodos , Dolor/tratamiento farmacológico , Competencia Profesional , Adulto , Evaluación Educacional , Femenino , Hospitales de Enseñanza , Humanos , Capacitación en Servicio , Masculino , Persona de Mediana Edad , Nigeria , Evaluación de Programas y Proyectos de Salud , Encuestas y Cuestionarios
18.
J Dent Educ ; 83(10): 1123-1124, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31575750
20.
Harefuah ; 158(10): 690-691, 2019 Oct.
Artículo en Hebreo | MEDLINE | ID: mdl-31576723
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