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1.
Rev Lat Am Enfermagem ; 27: e3184, 2019 Oct 14.
Artículo en Portugués, Inglés, Español | MEDLINE | ID: mdl-31618385

RESUMEN

OBJECTIVE: to evaluate the frequencies attributed to the professional competences of hospital nurses, discussing the ones that obtained higher and lower frequencies. METHOD: descriptive, cross-sectional, quantitative study with 45 nurses of a hospital of high complexity in the interior of São Paulo state. The study used the Competences Evaluation Questionnaire, translated and validated in Brazil, composed of 27 items in five domains: professionalism, communication, management, nursing process and problem solving. Data were analyzed using descriptive statistics. RESULTS: it was found that 80% of the participants were female and 20% were male. The age ranged between 25 and 63 years, with an average of 40.02 years, and the average length of professional experience was 13.39 years. The competences "Communication with the hospital's administrative staff" and "Participation in scientific research and / or application of results" had the lowest frequencies, while "Commitment to punctuality and workload" and "Commitment to the ethical principles of the profession" were evaluated with the highest frequencies. CONCLUSION: evaluating the performance by competences becomes essential for managers and training centers, since it contributes to the identification of gaps in knowledge, skills and attitudes of professionals, by promoting the elaboration and implementation of strategies for their development.


Asunto(s)
Evaluación del Rendimiento de Empleados/estadística & datos numéricos , Personal de Enfermería en Hospital/estadística & datos numéricos , Competencia Profesional/estadística & datos numéricos , Adulto , Actitud del Personal de Salud , Brasil , Comunicación , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Carga de Trabajo
2.
J Nurs Adm ; 49(10): 503-508, 2019 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-31517758

RESUMEN

OBJECTIVE: To examine changes in new nurses' competencies across the 1st year of practice. BACKGROUND: Competency assessment is a challenge for nurse residency programs and often focuses on skills checklists and confidence self-reports. The Appraisal of Nursing Practice, an observational rating based on Quality and Safety in Nursing Education standards, was developed to help evaluate an RN residency program. METHODS: Preceptors, nurse educators, and/or unit managers from various units rated new nurse residents. Ratings were compared for 353 nurses at 3 points: within the 1st month in the program (T1), at 5 months (T2), and at month 11 (T3). RESULTS: Competency ratings increased significantly for all subscales from T1 to T2. Ratings continued to increase significantly from T2 to T3, although at a slightly slower rate. Teamwork and evidence-based practice increased the most. CONCLUSIONS: Future studies should explore factors affecting the trajectory in developing nursing competencies within various settings.


Asunto(s)
Competencia Clínica/normas , Evaluación del Rendimiento de Empleados/normas , Guías como Asunto , Atención de Enfermería/normas , Personal de Enfermería/normas , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Tiempo , Estados Unidos
3.
J Grad Med Educ ; 11(4): 430-438, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31440338

RESUMEN

Background: Workplace-based assessment (WBA) is critical to graduating competent physicians. Developing assessment tools that combine the needs of faculty, trainees, and governing bodies is challenging but imperative. Entrustable professional activities (EPAs) are emerging as a clinically oriented framework for trainee assessment. Objective: We sought to develop an EPA-based WBA tool for pediatric critical care medicine (PCCM) fellows. The goals of the tool were to promote learning through benchmarking and tracking entrustment. Methods: A single PCCM EPA was iteratively subdivided into observable practice activities (OPAs) based on national and local data. Using a mixed-methods approach following van der Vleuten's conceptual model for assessment tool utility and Messick's unified validity framework, we sought validity evidence for acceptability, content, internal structure, relation to other variables, response process, and consequences. Results: Evidence was gathered after 1 year of use. Items for assessment were based on correlation between the number of times each item was assessed and the frequency professional activity occurred. Phi-coefficient reliability was 0.65. Narrative comments demonstrated all factors influencing trust, identified by current literature, were cited when determining level of entrustment granted. Mean entrustment levels increased significantly between fellow training years (P = .001). Compliance for once- and twice-weekly tool completion was 50% and 100%, respectively. Average time spent completing the assessment was less than 5 minutes. Conclusions: Using an EPA-OPA framework, we demonstrated utility and validity evidence supporting the tool's outcomes. In addition, narrative comments about entrustment decisions provide important insights for the training program to improve individual fellow advancement toward autonomy.


Asunto(s)
Benchmarking/normas , Competencia Clínica/normas , Cuidados Críticos/normas , Evaluación del Rendimiento de Empleados/normas , Pediatría/educación , Educación Basada en Competencias/normas , Educación de Postgrado en Medicina , Femenino , Humanos , Internado y Residencia , Masculino , Reproducibilidad de los Resultados , Lugar de Trabajo
4.
Rev. psicol. trab. organ. (1999) ; 35(2): 115-121, ago. 2019. tab, graf
Artículo en Inglés | IBECS | ID: ibc-184736

RESUMEN

Contextual performance is assumed to be related to professionals" quality of working life and health. This research aims to compare the levels of contextual performance at work in different hospital units, and to analyse the relationship between contextual performance and burnout syndrome. A total sample of 222 participants from a tertiary hospital took part in the study. Scores on contextual performance and burnout in five different hospital units were compared. The results showed that contextual performance is closely related with burnout. Also, results showed statistically significant differences in the degree of contextual performance at work by hospital unit. Overall, these results are significant for the development of health management strategies that promote contextual performance at work, thus improving the health and quality of work of health-care professionals


Se considera que el desempeño contextual puede estar relacionado con la calidad de la vida laboral y la salud de los profesionales. Esta investigación tiene como objetivo comparar los niveles de desempeño contextual en el trabajo en diferentes unidades hospitalarias y analizar la relación entre el desempeño contextual y el síndrome de burnout. Un total de 222 participantes de un hospital terciario participaron en el estudio. Se compararon las puntuaciones en el rendimiento contextual y el agotamiento en cinco unidades hospitalarias diferentes. Los resultados mostraron que el rendimiento contextual está estrechamente relacionado con el agotamiento. Además, mostraron diferencias estadísticamente significativas en el grado de desempeño contextual en el trabajo por unidad hospitalaria. En general, estos resultados son significativos para el desarrollo de estrategias de gestión de la salud que promueven el desempeño contextual en el trabajo, mejorando así la salud y la calidad del trabajo de los profesionales de la salud


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Personal de Salud/psicología , Agotamiento Profesional/psicología , Evaluación del Rendimiento de Empleados/clasificación , Atención de Enfermería/clasificación , Estrés Psicológico/psicología , Agotamiento Profesional/psicología
5.
Saude e pesqui. (Impr.) ; 12(2): 233-240, maio/ago 2019. ilus
Artículo en Portugués | LILACS | ID: biblio-1015614

RESUMEN

O estudo avaliou o conhecimento de profissionais da área de saúde, sobre o diagnóstico e conduta clínica para o tratamento da anquiloglossia em bebês. A amostra (n=84) foi dividida em: G1 (46 médicos da ESF); G2 (13 pediatras); G3 (5 fonoaudiólogas) e G4 (20 dentistas da ESF), que responderam ao questionário (dados pessoais e aplicação do protocolo de avaliação do freio lingual, preconizado por Martinelli et al. (2012)6. Um total de 21 profissionais responderam adequadamente o questionário sendo estes 66,6% do gênero feminino, com idade média de 46,4±12,5 anos de modo que 80,9% já receberam pacientes com queixa de anquiloglossia. Quanto à obrigatoriedade do teste da linguinha constatou-se que o Grupo 1 apresentou menor grau de informação (57,1%) comparado ao Grupo 4 (21,4%), no entanto 57,1% dos profissionais avaliados não o fazem rotineiramente. Referente ao protocolo, nos itens 1, 2 e 3, três profissionais (14,2%) assinalaram figuras com diagnóstico correto (G1 e G3); em relação ao item 4, dez profissionais (47,6%) pontuaram corretamente. Conclui-se que houve grande desconhecimento quanto à obrigatoriedade do teste da linguinha e dificuldade no correto diagnóstico de anquiloglossia em bebês.


Current study evaluates the knowledge of health professional on the clinical diagnosis and treatment of ankyloglossia in very young children. Samples (n=84) comprised G1 (46 physicians of ESF); G2 (13 pediatric physicians); G3 (5 phonoaudiologists) and G4 (20 dentists of ESF) who answered the questionnaire (personal data and application of protocol for assessment of the short lingual frenum, following Martinelli et al. (2012). Twenty-one professionals answered adequately the questionnaires, comprising females (66.6%), average age 46.4±12.5 years, of whom 80.9% have already received patients with tongue-tie. In the case of the mandatory stance of the tongue test, Group 1 had the lowest information rate (57.1%) when compared with Group 4 (21.4%). However, 57.1% of the professionals do not do it routinely. In the case of protocol, for items 1, 2 and 3, three professional (14.2%) marked pictures with the correct diagnosis (G1 and G3); in the case of item 4, ten professionals (47.6%) marked correctly. Results show lack of knowledge on the mandatory stance of the ankyloglossia test and the difficulty in its correct diagnosis in very young children.


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Anquiloglosia , Frenillo Lingual , Evaluación del Rendimiento de Empleados
6.
BMC Health Serv Res ; 19(1): 500, 2019 Jul 18.
Artículo en Inglés | MEDLINE | ID: mdl-31319830

RESUMEN

BACKGROUND: Payers and policy makers across the international healthcare market are increasingly using publicly available summary measures to designate providers as "high-performing", but no consistently-applied approach exists to identifying high performers. This paper uses publicly available data to examine how different classification approaches influence which providers are designated as "high-performers". METHODS: We conducted a quantitative analysis of cross-sectional publicly-available performance data in the U.S. We used 2014 Minnesota Community Measurement data from 58 medical groups to classify performance across 4 domains: quality (two process measures of cancer screening and 2 composite measures of chronic disease management), total cost of care, access (a composite CAHPS measure), and patient experience (3 CAHPS measures). We classified medical groups based on performance using either relative thresholds or absolute values of performance on all included measures. RESULTS: Using relative thresholds, none of the 58 medical groups achieved performance in the top 25% or 35% in all 4 performance domains. A relative threshold of 40% was needed before one group was classified as high-performing in all 4 domains. Using absolute threshold values, two medical groups were classified as high-performing across all 4 domains. In both approaches, designating "high performance" using fewer domains led to more groups designated as high-performers, though there was little to moderate concordance across identified "high-performing" groups. CONCLUSIONS: Classification of medical groups as high performing is sensitive to the domains of performance included, the classification approach, and choice of threshold. With increasing focus on achieving high performance in healthcare delivery, the absence of a consistently-applied approach to identify high performers impedes efforts to reliably compare, select and reward high-performing providers.


Asunto(s)
Evaluación del Rendimiento de Empleados/métodos , Práctica de Grupo , Calidad de la Atención de Salud , Estudios Transversales , Investigación sobre Servicios de Salud , Humanos , Minnesota
7.
J Infus Nurs ; 42(4): 197-202, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31283662

RESUMEN

In Iran, nurses are responsible for administering parenteral nutrition (PN) to hospitalized patients in intensive care units (ICUs). However, little information is available among nurses in Iran regarding best practices in PN administration. This study evaluates the performance of critical care nurses in Iran in the administration of PN. The performance of 50 nurses in the administration of PN in the ICU was observed 3 times during a 5-month period for a total of 150 observations. A researcher-developed checklist, "Critical Care Nurses' Performance in Parenteral Nutrition Administration," was used for data collection. The total score in this checklist ranged from 0 to 52. Based on the procedural steps in the checklist and whether the steps were performed appropriately, nurses' performance was scored as poor, moderate, or good. The mean score of nurses' performances in PN administration skills was 24.6 ± 2.5. This study found that 46 nurses had moderate skill levels in PN administration, and 3 demonstrated poor skills. Overall, the results indicated that critical care nurses in Iran have poor to moderate PN administration skills.


Asunto(s)
Lista de Verificación/normas , Enfermería de Cuidados Críticos/normas , Evaluación del Rendimiento de Empleados/normas , Nutrición Parenteral/métodos , Adulto , Enfermedad Crítica , Femenino , Humanos , Unidades de Cuidados Intensivos , Irán , Masculino , Persona de Mediana Edad
8.
Work ; 63(4): 635-642, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282454

RESUMEN

OBJECTIVE: The purpose of this study was to examine the impact of applying six commonly-used and two proposed resting blood pressure (BP) cut-points to clear individuals for maximal exercise in non-clinical health, wellness, commercial fitness agencies and physically demanding occupation test sites. METHODS: Participants (n = 1670) completed the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and had their resting BP measured. Individuals with a BP >160/90 mmHg were further screened for contraindications to exercise using the ePARMed-X+ (www.eparmedx.com), all 1670 were cleared. There were no adverse events during or post exercise. RESULTS: The percentages of participants cleared for each BP cut-point were: <130/80 mmHg (85.3%), <140/90 mmHg (93.4%), <144/90 mmHg (94.6%), <144/94 mmHg (96.3%), <150/100 mmHg (98.6%), <160/90 mmHg (95.6%), <160/94 mmHg (97.8%) and <160/100 mmHg (99.5%). Individuals who would not have been cleared without further screening were significantly older, had a higher BMI, or had a lower maximal oxygen consumption. CONCLUSIONS: Conservative or lower resting BP cut-points currently applied to clear individuals for maximal exercise provide an unnecessary barrier. For individuals categorized as low-to- moderate risk by evidence-based screening tools such as the PAR-Q+ and ePARmed-X+, we recommend a resting BP cut-point of <160/94 mmHg to clear for maximal exercise until sufficient evidence is amassed to support the increase to <160/100 mmHg.


Asunto(s)
Determinación de la Presión Sanguínea/normas , Evaluación del Rendimiento de Empleados/normas , Ejercicio/fisiología , Salud Laboral/normas , Examen Físico/normas , Adulto , Factores de Edad , Presión Sanguínea/fisiología , Índice de Masa Corporal , Evaluación del Rendimiento de Empleados/métodos , Femenino , Centros de Acondicionamiento/normas , Humanos , Masculino , Consumo de Oxígeno/fisiología , Examen Físico/métodos , Estándares de Referencia , Descanso/fisiología , Adulto Joven
9.
Work ; 63(4): 623-633, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282455

RESUMEN

BACKGROUND: The Ottawa Paramedic Physical Ability Test (OPPAT™) is a physical employment standard for the paramedic sector. If a candidate is unsuccessful in meeting the OPPAT™ performance standard they should be provided with an appropriate accommodation, such as a strength and conditioning program, to improve performance. OBJECTIVE: Develop, implement and evaluate the effectiveness of a 4-week strength and conditioning program on improving OPPAT™ performance and associated fitness measures in paramedic candidates. METHODS: A 4-week strength and conditioning program was developed to focus on strength and power improvements. Based on initial OPPAT™ performance, participants were divided into high and low performing groups; only the low performing group received the training intervention. OPPAT™ completion times and relevant fitness measures were compared pre- to post- intervention and between groups. RESULTS: Over the 4-weeks, peak lower body power and grip strength did not significantly improve in the intervention group, however OPPAT™ performance improved by 10%. The control group had significantly lower OPPAT™ completion times both pre- and post-intervention (19% and 11% lower respectively), as well as greater grip strength and peak lower body power. CONCLUSIONS: Implementation of a targeted strength and conditioning program successfully improved OPPAT™ performance in low performing candidates.


Asunto(s)
Técnicos Medios en Salud/estadística & datos numéricos , Evaluación del Rendimiento de Empleados/estadística & datos numéricos , Examen Físico/estadística & datos numéricos , Aptitud Física , Entrenamiento de Resistencia/métodos , Adulto , Técnicos Medios en Salud/normas , Evaluación del Rendimiento de Empleados/normas , Empleo/normas , Femenino , Humanos , Masculino , Ontario , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud , Adulto Joven
10.
Work ; 63(4): 615-622, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282456

RESUMEN

BACKGROUND: The general physical task demands of law enforcement may suggest that police Officers are of similar fitness levels across cities, states and countries. OBJECTIVE: To investigate whether fitness levels of police Officers from two different United States (U.S.) Law Enforcement Agencies (LEA) are similar. METHODS: Retrospective data were analysed from two LEAs (LEA1 n = 79 and LEA2 n = 319). The data for Officers included: age, mass, 1-minute push-up repetitions, 1-minute sit-up repetitions, vertical jump height, 2.4 km run time (LEA 1) and 20-meter Multi-Stage Fitness Test results (LEA 2). Independent samples t-tests were used to compare anthropometric and fitness data between LEA with significance set at 0.05. RESULTS: Officers from LEA1 weighed significantly less and performed significantly better than Officers from LEA2 on all fitness measures. When comparing male Officers alone, there was no statistical difference in age and mass; nonetheless, Officers from LEA1 significantly outperformed Officers from LEA2 on all fitness measures. CONCLUSION: While similarities / differences in job tasks performed between these two LEA are not known, the results from this study suggest differences in fitness between these two different U.S. LEA. Fitness standards and training protocols need to be developed and contextualized to each LEA's specific population and needs.


Asunto(s)
Evaluación del Rendimiento de Empleados/estadística & datos numéricos , Prueba de Esfuerzo/estadística & datos numéricos , Aplicación de la Ley , Aptitud Física/fisiología , Policia/estadística & datos numéricos , Adulto , Factores de Edad , Evaluación del Rendimiento de Empleados/normas , Entrenamiento Aeróbico , Prueba de Esfuerzo/normas , Femenino , Humanos , Masculino , Persona de Mediana Edad , Resistencia Física/fisiología , Policia/normas , Estudios Retrospectivos , Factores Sexuales , Estados Unidos , Adulto Joven
11.
Work ; 63(4): 603-613, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282457

RESUMEN

BACKGROUND: Physical employment standards (PES) ensure that candidates can demonstrate the physical capacity required to perform duties of work. However, movement competency, or an individual's movement strategy, can relate to injury risk and safety, and therefore should be considered in PES. OBJECTIVE: Demonstrate the utility of using artificial intelligence (AI) to detect risk-potential of different movement strategies within PES. METHODS: Biomechanical analysis was used to calculate peak flexion angles and peak extensor moment about the lumbar spine during participants' performance of a backboard lifting task. Lifts performed with relatively lower and higher exposure to postural and moment loading on the spine were characterized as "low" or "high" exposure, respectively. An AI model including principal component and linear discriminant analyses was then trained to detect and classify backboard lifts as "low" or "high". RESULTS: The AI model accurately classified over 85% of lifts as "low" or "high" exposure using only motion data as an input. CONCLUSIONS: This proof-of-principle demonstrates that movement competency can be assessed in PES using AI. Similar classification approaches could be used to improve the utility of PES as a musculoskeletal disorders (MSD) prevention tool by proactively identifying candidates at higher risk of MSD based on movement competency.


Asunto(s)
Empleo/normas , Movimiento/fisiología , Traumatismos Ocupacionales/prevención & control , Examen Físico/métodos , Aptitud Física/fisiología , Adulto , Técnicos Medios en Salud/normas , Inteligencia Artificial , Fenómenos Biomecánicos/fisiología , Evaluación del Rendimiento de Empleados/métodos , Evaluación del Rendimiento de Empleados/normas , Estudios de Factibilidad , Femenino , Humanos , Vértebras Lumbares/fisiología , Masculino , Examen Físico/normas , Prueba de Estudio Conceptual , Rango del Movimiento Articular/fisiología , Medición de Riesgo/métodos , Adulto Joven
12.
Work ; 63(4): 591-601, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282458

RESUMEN

BACKGROUND: Hesitation to employ females for physically demanding jobs is often due to sex related physical abilities. A physical employment standard (PES) identifies individuals who are physically capable for work. OBJECTIVE: A database containing 300 + sources of physical performance tests (PFTs) will inform potential sex bias for PES development. METHODS: Weighted means and probability density curves illustrate the percentage overlap between male and female performance on PFT data from the armed forces of 11 countries and the open literature. Where female training data were available, the change in percentage overlap illustrates the potential for reduction in sex-related differences. RESULTS: PFTs demonstrating the extremes of sex disparity were bench press (11 sources) and sit-ups (14 sources) with 9% and 93% overlap in performance, respectively. Training for bench press; pull ups; VO2max; and upright pull improved female performance by 12%, 22%, 35%, and 23% respectively. This translated into narrowing the gap between male and female mean performance by 1%, 4%, 5%, and 10% respectively. CONCLUSIONS: The ability of PFT to predict performance is essential; however, PFTs with more overlap will facilitate development of PES with reduced sex bias. PFTs with the greatest potential for improvement in females are identified here.


Asunto(s)
Bases de Datos Factuales , Evaluación del Rendimiento de Empleados/normas , Empleo/normas , Disparidades en el Estado de Salud , Sexismo/prevención & control , Evaluación del Rendimiento de Empleados/estadística & datos numéricos , Prueba de Esfuerzo/normas , Prueba de Esfuerzo/estadística & datos numéricos , Femenino , Humanos , Masculino , Personal Militar , Acondicionamiento Físico Humano/fisiología , Acondicionamiento Físico Humano/estadística & datos numéricos , Examen Físico/normas , Examen Físico/estadística & datos numéricos , Aptitud Física/fisiología , Factores Sexuales
13.
Work ; 63(4): 581-589, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282459

RESUMEN

BACKGROUND: To assess the post-implementation impact of the Canadian Type 1 Wildland Fire Fighter (WFF) Fitness Test Circuit (WFX-FIT), a retrospective descriptive analysis of anonymized aggregate data collected between 2012-2016 was conducted. OBJECTIVES: The objectives were to examine the pass rates of Type 1 WFF in each fire jurisdiction and on the standard for exchanging Type 1 WFF between agencies, the interagency exchange standard, by age group and sex and to propose what other information could be of value in assessing the effectiveness of implementing a physical employment standard. METHODS: Frequencies and pass rate percentages were compared by sex and age groups (<40 years, ≥40 years). RESULTS: Between 2012-2016, pass rates for all participants on the jurisdictional and interagency exchange performance standards improved from 93.2% to 95.6% and 79.1% to 87.6%, respectively. CONCLUSIONS: We conclude that since the WFX-FIT was implemented, there has been an increase in the number of exchange-eligible Type 1 WFF for suppression of wildfires in Canada.


Asunto(s)
Evaluación del Rendimiento de Empleados/estadística & datos numéricos , Empleo/normas , Bomberos/estadística & datos numéricos , Examen Físico/estadística & datos numéricos , Aptitud Física , Adulto , Factores de Edad , Canadá , Evaluación del Rendimiento de Empleados/normas , Empleo/estadística & datos numéricos , Femenino , Humanos , Masculino , Examen Físico/normas , Estudios Retrospectivos , Factores Sexuales , Incendios Forestales
14.
Work ; 63(4): 571-579, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282460

RESUMEN

BACKGROUND: Beginning in 2017, successfully passing the four-part pre-enlistment Occupational Physical Assessment Test (OPAT) became a requirement for all U.S. Army recruits. To ensure the test accurately identifies individuals who are qualified for their job, it was necessary to examine classification errors. OBJECTIVE: The objectives were to 1) determine the accuracy of OPAT cut-scores for combat arms Soldiers, and 2) determine which events contribute to the individuals that are misclassified as passing or failing the OPATMETHODS:A total of 741 trainees were tested on the OPAT within two weeks of entering their initial entry training. At the end of their training, trainees were tested on simulations of the most physically demanding tasks of their job. RESULTS: There was a high classification concordance (76.5%) between success on the OPAT and job task simulations. False positives (6.7%) were misclassified because they did not perform as well on the strength-dominant task simulations. While the interval aerobic run was the greatest contributor to false negatives (16.8%), previous studies indicated high performance on this event as a potential key indicator of injury and attrition risk. CONCLUSIONS: The findings provide insight on how the accuracy of the OPAT, and similar pre-employment tests, could be improved.


Asunto(s)
Evaluación del Rendimiento de Empleados/métodos , Personal Militar , Examen Físico/métodos , Aptitud Física , Adolescente , Evaluación del Rendimiento de Empleados/normas , Reacciones Falso Negativas , Reacciones Falso Positivas , Estudios de Factibilidad , Femenino , Humanos , Masculino , Examen Físico/normas , Valor Predictivo de las Pruebas , Estados Unidos , Guerra , Adulto Joven
15.
Work ; 63(4): 559-569, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282461

RESUMEN

BACKGROUND: Given the physical demands of mining and rescue operations, a physical employment standard was warranted to ensure capable workers are selected. While evaluations of muscular strength and muscular and cardiorespiratory endurance domains are common, assessment of a worker's ability to meet the physically demanding postural requirements is often neglected. OBJECTIVE: The aim of this investigation was to develop a valid assessment for NSW Mines Rescue Brigadesmen that replicated the combined muscular and cardiorespiratory endurance and postural demands of constructing a timber pillar. METHODS: Oxygen consumption () V̇O2) was measured and dominant postures identified when incumbent Brigadesmen constructed a timber pillar. A shelf-stacking assessment was designed and validated. RESULTS: When Brigadesmen performed the block placement role, the task elicited a mean V̇O2 of 1.6 L.min-1, and required repeated placement of ∼8.7 kg blocks from 0 to 3.0 m. A shelf stacking assessment (5 min, mean V̇O2 1.7 L.min-1) replicating dominant postures and requiring repeated block placement at 0, 0.65, 1.10, 1.64 and 2.20 m was developed. The demand of the test, performed within a discontinuous circuit, was subsequently verified (1.6 L.min-1). CONCLUSIONS: A valid, physiological aptitude test that considered the job-related movement patterns, in addition to cardiorespiratory and muscular endurance requirements, was developed for Brigadesmen.


Asunto(s)
Evaluación del Rendimiento de Empleados/métodos , Empleo/normas , Examen Físico/métodos , Aptitud Física/fisiología , Trabajo de Rescate/normas , Adulto , Aptitud/fisiología , Evaluación del Rendimiento de Empleados/normas , Humanos , Masculino , Persona de Mediana Edad , Minería , Fuerza Muscular , Nueva Gales del Sur , Consumo de Oxígeno , Examen Físico/normas
16.
Work ; 63(4): 547-557, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282462

RESUMEN

BACKGROUND: The National Ambulance Resilience Unit (NARU) works on behalf of each National Health Service (NHS) Ambulance Trust in England to strengthen national resilience and improve patient outcome in challenging pre-hospital scenarios. OBJECTIVE: To conduct a Job Task Analysis and describe the physical demands of NARU roles. METHODS: A focus group was conducted to describe the physically demanding tasks performed by NARU personnel. Subsequently, the physical demands of the identified tasks were measured in 34 NARU personnel (29 male and 5 female). RESULTS: Eleven criterion tasks were identified; Swift Water Rescue (SWR), Re-board Inflatable Boat (RBIB), Set up Decontamination Tent (SDT), Clinical Decontamination (CD), Movement in Gas Tight Suits (MGTS), Marauding Terrorist Fire Arms (MTFA), Over Ground Rescue (OGR), Unload Incidence Response Unit Vehicle (UIRUV), Above Ground Rescue (AGR), Over Rubble Rescue (ORR) and Subterranean Rescue (SR). The greatest cardiovascular strain was measured during SWR, MGTS, and MTFA. The most thermally challenging tasks were the MTFA, CD, SR and OGR. The greatest muscular strength requirements were during MTFA and OGR. CONCLUSIONS: All five components of fitness (aerobic endurance, anaerobic endurance, muscular strength, muscular endurance and mobility) were required for successful completion of the physically demanding tasks performed by NARU personnel.


Asunto(s)
Ambulancias/normas , Auxiliares de Urgencia/normas , Evaluación del Rendimiento de Empleados/normas , Aptitud Física , Análisis y Desempeño de Tareas , Ambulancias/organización & administración , Inglaterra , Femenino , Grupos Focales , Humanos , Masculino , Selección de Personal/normas , Mejoramiento de la Calidad , Medicina Estatal/organización & administración , Medicina Estatal/normas
17.
Work ; 63(4): 537-545, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31282463

RESUMEN

BACKGROUND: To establish whether an organization has a valid Physical Employment Standard (PES), it is important to determine those aspects of the job that are critical to operational success. OBJECTIVE: To determine the tasks of the Offshore Wind Industry (OWI) and whether the ability to undertake these tasks is adequately assessed. METHODS: The task analysis was completed through: observations; the research team undertaking tasks; reviewing operational manuals; and focus groups. In addition, a review of existing PES for the OWI was completed to determine whether standards matched with the results of the task analysis. RESULTS: Five critical tasks were identified: transfer from the vessel to the Transition Piece; ascent of the internal ladder; manoeuvre through hatches; torque and tensioning; and hauling a casualty up the tower. With the exception of aerobic capacity, the physical components required by Technicians are not assessed by the current medical standards, nor are these assessments standardized across companies. CONCLUSIONS: The Job Task Analysis undertaken can be used to inform decisions regarding the physical fitness requirements (selection), assessments and training of Technicians, with a view to ensuring that they are physically capable of undertaking the critical tasks without undue risk of injury to themselves or others.


Asunto(s)
Evaluación del Rendimiento de Empleados/normas , Empleo/normas , Selección de Personal/normas , Análisis y Desempeño de Tareas , Viento , Adulto , Toma de Decisiones en la Organización , Femenino , Humanos , Masculino , Persona de Mediana Edad , Aptitud Física , Centrales Eléctricas , Navíos , Reino Unido , Lugar de Trabajo , Adulto Joven
18.
Rev Gaucha Enferm ; 40: e20180155, 2019 Jun 10.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-31188987

RESUMEN

OBJECTIVE: Describe the process of translation and adaptation to Brazilian culture of the Competency Evaluation Questionnaire for hospital nurses. METHOD: Methodological study of translation and cross-cultural adaptation, including the steps translation of the original instrument into Portuguese, consensual evaluation of translated versions, back - translation, validation by judges and pilot with 29 hospital nurses. RESULTS: They presented the stages of process of cross-cultural adaptation of the instrument, with adjustments proposed by a Judges Committee, composed of 27 items distributed in five domains of competencies for hospital nurses. The instrument adapted to Portuguese presented semantic, idiomatic, experimental and conceptual equivalence with the original, and the total value of the Cronbach Alpha 0.932, in addition to the relative validation. CONCLUSIONS: The Competency Evaluation Questionnaire has been shown to be a reliable instrument that can be used but does not exclude the need for future statistical tests aiming at psychometric validity.


Asunto(s)
Comparación Transcultural , Evaluación del Rendimiento de Empleados/métodos , Personal de Enfermería en Hospital/normas , Encuestas y Cuestionarios , Traducciones , Actitud del Personal de Salud , Brasil , Competencia Clínica , Humanos , Lenguaje
19.
Med Educ Online ; 24(1): 1635844, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31246539

RESUMEN

Periodic review of resident performance is an important aspect of residency training. Amongst allopathic residency programs, it is expected that the performance of resident physicians which can be grouped based on the ACGME core competencies, be assessed so as to allow for effective feedback and continuous improvement. Review of monthly evaluation forms for residents in the core ACGME programs at Marshall University and the University of Toledo demonstrated a wide spread in the number of Likert questions that faculty were asked to complete. This number ranged from a low of 7 in Surgery to a high of 65 in Psychiatry (both Marshall Programs). Correlation and network analysis were performed on these data. High degrees of correlations were noted between answers to questions (controlled for each resident) on these forms at both institutions. In other words, although evaluation scores varied tremendously amongst the different residents in all the programs studied, scores addressing different competencies tended to be very similar for the same resident, especially in some of the programs which were studied. Network analysis suggested that there were clusters of questions that produced essentially the same answer for a given resident, and these clusters were bigger in some of the different residency program assessment forms. This seemed to be more the rule in the residency programs with large numbers of Likert questions. The authors suggest that reducing the number of monthly questions used to address the core competencies in some programs may be possible without substantial loss of information.


Asunto(s)
Evaluación del Rendimiento de Empleados/organización & administración , Internado y Residencia/organización & administración , Competencia Clínica , Recolección de Datos , Evaluación del Rendimiento de Empleados/normas , Humanos , Internado y Residencia/normas , Evaluación de Programas y Proyectos de Salud
20.
Saúde Soc ; 28(2): 95-110, abr.-jun. 2019. tab, graf
Artículo en Portugués | LILACS | ID: biblio-1014592

RESUMEN

Resumo Este estudo bibliográfico tem o objetivo de examinar estudos de avaliação da atenção primária à saúde (APS) no Brasil, enfatizando principalmente o desenho metodológico adotado e características-chave de avaliação. Foram consultadas as bases Scientific Electronic Library Online, Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Literatura Latino-Americana e do Caribe em Ciências da Saúde e Medical Literature Analysis and Retrieval System Online, utilizando-se a combinação de vocabulários estruturados para indexação e buscando-se artigos publicados entre 2007 e 2017 que abordassem informações originárias de avaliação em serviços brasileiros de APS. Foram selecionados 41 artigos, sendo analisadas, entre outras variáveis, ano de publicação, modalidade do artigo, serviço de APS investigado, desenho metodológico, características avaliativas e desdobramentos e potencialidades oportunizados pela avaliação. Dos 41 produtos de pesquisa, a maioria originou-se de estudos de campo (86,8%) e foi desenvolvida exclusivamente em Unidades de Saúde da Família (48,9%). Quanto aos aspectos metodológicos, observou-se o predomínio de abordagens quantitativas, sendo o Primary Care Assessment Tool (PCATool) o instrumento mais utilizado nos estudos. Observou-se também que a produção nacional sobre a avaliação em APS refletiu o cenário histórico-político nacional de estruturação desse nível de atenção e assumiu, em sua maioria, características de pesquisa avaliativa com enfoque na avaliação da qualidade. A revisão informa o panorama nacional acerca da avaliação na APS, que denotou o pluralismo conceitual e prático que envolve essa área, mas também limitações e desafios.


Abstract This bibliographic study aims to analyze evaluation studies of primary health care (PHC) in Brazil, focusing on the methodological design adopted and some key evaluation features. We searched the Scientific Electronic Library Online, the Scientific Journals Portal of the Coordination for the Improvement of Higher Education Personnel (CAPES), the Latin American and Caribbean Center on Health Sciences Information (LILACS) database and the Medical Literature Analysis and Retrieval System Online (MEDLINE), using a structured vocabulary search and selecting articles published between 2007 and 2017 that addressed the evaluation of Brazilian PHC services. Forty-one articles were selected by analyzing the following characteristics, among others: year of publication, article modality, PHC service investigated, methodological design, evaluation characteristics and evaluation outcome and potential. Of these 41 studies, the majority (86.8%) originated in field research conducted exclusively in Family Health Units (48.9%). Methodologically, most studies were quantitative; and the Primary Care Assessment Tool was the most used instrument. We also found that Brazilian studies on PHC evaluation reflected the national historical-political structuring of PHC, and for the most part, they reported quality evaluation research. Our review presents the national panorama on PHC evaluation, highlighting the field's conceptual and practical pluralism, but also its limitations and challenges.


Asunto(s)
Humanos , Masculino , Femenino , Atención Primaria de Salud , Evaluación de la Investigación en Salud , Evaluación del Rendimiento de Empleados , Investigación sobre Servicios de Salud
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