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2.
Gerokomos (Madr., Ed. impr.) ; 30(2): 98-106, jun. 2019. graf, tab
Artículo en Español | IBECS | ID: ibc-183949

RESUMEN

En la prevención de las úlceras por presión (UPP) intervienen diferentes factores: estructurales, organizativos y relacionados con los profesionales; entre ellos, el grado de conocimientos que los profesionales sanitarios tengan es un aspecto fundamental. Objetivo: Identificar los instrumentos de medición de conocimientos de los profesionales de enfermería sobre las UPP. Como objetivos específicos: a) resumir las propiedades psicométricas (validez y fiabilidad) de cada instrumento y b) sintetizar el nivel de conocimientos sobre prevención según los estudios seleccionados. Metodología: Revisión narrativa de la literatura sobre los conocimientos en prevención de UPP. Búsqueda de estudios en 10 bases de datos bibliográficas desde el inicio de indexación hasta julio de 2018. Se incluyeron estudios cuantitativos que utilizasen instrumentos, test o cuestionarios, que cuantificasen los conocimientos en profesionales o estudiantes de enfermería. Se realizó una síntesis descriptiva. Resultados: Se seleccionaron 90 artículos, a partir de los cuales se identificaron 7 instrumentos (o alguna variación del cuestionario original) que han sido utilizados en al menos dos estudios publicados y 31 investigaciones, los cuales han desarrollado instrumentos ad hoc. Los dos más utilizados son el cuestionario Pieper Pressure Ulcer Knowledge (PPKUT) y el cuestionario Pressure Ulcer Knowledge Assessment Tool (PUKAT). No todos los instrumentos publicados presentan datos de fiabilidad y validez psicométrica. Entre los 31 estudios que describen un instrumento desarrollado ad hoc para esa investigación, solo en 5 de ellos se presentan datos de fiabilidad y validez. Aunque se han encontrado estudios que utilizan como fuente para la redacción de los ítems guías de práctica clínica (GPC), son muchos otros los que se basan en revisiones de la literatura, parten de instrumentos previos o no indican la fuente original. Los conocimientos descritos, de forma general en los diferentes estudios, están por debajo del punto de corte establecido por los autores. Conclusión: La medición del nivel de conocimientos sobre prevención de las UPP que tienen los profesionales de salud es importante como primer paso dentro de los programas de prevención de estas lesiones. Se han encontrado un elevado número de cuestionarios sin ninguna prueba de fiabilidad ni de validez, pero que han sido usados en estudios, lo cual contribuyen a generar datos poco relevantes y un grado de confusión. Es fundamental que los investigadores utilicen alguno de los cuestionarios que cuentan con evaluación psicométrica y que determinen dichas propiedades en la muestra utilizada en la investigación


Different factors (structural, organizational and related with professionals) intervene in the prevention of pressure ulcers (PU); the degree of knowledge of health professionals is one of the main aspects. Aim: To identify the instruments for measuring the knowledge of nursing professionals about pus. The specific objectives are: a) to summarize the psychometric properties (validity and reliability) of each instrument and b) to synthesize the knowledge on prevention according to the selected studies. Methodology: Narrative review on knowledge about PU prevention. Search in 10 bibliographic databases from the beginning of indexation until July 2018. The studies included were quantitative studies that used instruments, tests or questionnaires, which quantified the knowledge of professionals or nursing students. A descriptive synthesis was carried out. Results: 90 articles were selected, from which 7 instruments were identified (or some variation of the original questionnaire) that have been used in at least 2 published studies and 31 investigations, which have developed ad hoc instruments. The 2 most used tools are the Pieper Pressure Ulcer Knowledge (PPKUT) questionnaire and the Pressure Ulcer Knowledge Assessment Tool (PUKAT) questionnaire. Not all published instruments show data on psychometric reliability and validity. Among the 31 studies that describe an ad hoc instrument, only in 5 of them reliability and validity data are shown. Although some studies used Clinical Practice Guidelines as a source for item elaboration, there are many others that are based only in literature review; modified some previous instruments or did not indicate the original source. The knowledge described in the different studies, in general, are below the cut-off point established by the authors. Conclusions: Measuring the knowledge on PU prevention of health professionals is important as a first step in injury prevention programs. A large number of the questionnaires found have any proof of reliability or validity; nevertheless they have been used in studies, which contribute to the generation of irrelevant data and to create confusion. It is essential that researchers use questionnaires with good psychometric properties and these properties should be evaluated again in the sample used in the research


Asunto(s)
Humanos , Úlcera por Presión/epidemiología , Úlcera por Presión/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Reproducibilidad de los Resultados , Competencia Profesional , Psicometría/métodos , Práctica Profesional/estadística & datos numéricos , Gestión de la Práctica Profesional/organización & administración , Gestión de la Práctica Profesional/estadística & datos numéricos , Rol de la Enfermera
5.
Aten. prim. (Barc., Ed. impr.) ; 51(4): 230-235, abr. 2019. tab
Artículo en Español | IBECS | ID: ibc-180863

RESUMEN

La gestión enfermera de la demanda (GED) es un concepto emergente que requiere una clarificación útil no solo para los profesionales y usuarios sino también para gestores. La GED nació en 2009 tras la necesidad de reorganizar los flujos de la demanda, pero se ha convertido en algo más que en eso. Se entiende la GED como un programa liderado por la enfermera de Atención Primaria para atender a personas con enfermedades agudas leves. La enfermera, bajo un protocolo consensuado y dentro de su ámbito competencial, puede ser autónoma en la atención al paciente y en la resolución de problemas agudos leves. Por tanto, siguiendo la filosofía de Atención Primaria, tanto el médico como la enfermera son los profesionales que darán continuidad en el proceso salud-enfermedad del usuario a lo largo de su vida. Este artículo ha sido escrito según la metodología descrita por Wilson


Nurse demand management (NDM) is an emerging concept that requires some useful clarification, not only for professionals and users but also for managers. The NDM was born in 2009 after the need to reorganize the flow of demand, but it has become more than this. NDM is understood as a program led by the primary care nurse to take care of people with acute minor illnesses. Nurses, under a consensual protocol and within their competence area, can be autonomous in patient care and in the resolution of acute minor illnesses. Therefore, following Primary Care's philosophy, both the doctor and the nurse are the professionals that will follow up the health-disease process throughout the user's life. This article was written according to the methodology described by Wilson


Asunto(s)
Humanos , Gestión de la Práctica Profesional/organización & administración , Necesidades y Demandas de Servicios de Salud/organización & administración , Gobernanza Compartida en Enfermería/organización & administración , Enfermería de Atención Primaria/tendencias , Atención Primaria de Salud/organización & administración , Medición de Resultados Informados por el Paciente , Diagnóstico de Enfermería/tendencias
6.
Int J Health Care Qual Assur ; 32(1): 87-96, 2019 Feb 11.
Artículo en Inglés | MEDLINE | ID: mdl-30859868

RESUMEN

PURPOSE: A quality management system (QMS) is defined as interacting activities, methods and procedures used to monitor, control and improve service quality. The purpose of this paper is to describe the QMS status using the Quality Management System Index (QMSI) in hospitals affiliated to Shahid Beheshti Medical Sciences University in Tehran, Iran. DESIGN/METHODOLOGY/APPROACH: In this cross-sectional study, 28 hospitals were investigated. A validated 46-item questionnaire was used for data collection. Data were analyzed using descriptive statistics, Pearson correlation, independent student's t-test and regression analysis. FINDINGS: The mean QMSI score was 18.4: 15.3 for public and 20.9 for non-public hospitals ( p=0.001). The lowest (1.96) and the highest (2.14) scores related to "Quality policy documents" and "Quality monitoring by the board," respectively. The difference between public and non-public hospitals was significant in all nine QMSI dimensions ( p=0.001). The QMSI score was higher in non-public and small hospitals than in public and large ones ( p=0.05). ORIGINALITY/VALUE: Most QMS studies come from developed countries, and there is no systematic information about the mechanisms and processes involved in implementing QMS in developing countries like Iran. This is the first study on Iranian hospital QMS using a newly developed tool (QMSI), and results showed that QMS maturity in these hospitals was relatively good, but the non-public hospitals status (private and charity) was far better than public hospitals.


Asunto(s)
Administración Hospitalaria/métodos , Hospitales/normas , Gestión de la Práctica Profesional/organización & administración , Calidad de la Atención de Salud , Estudios Transversales , Países en Desarrollo , Femenino , Humanos , Irán , Masculino , Encuestas y Cuestionarios
7.
Medicine (Baltimore) ; 98(7): e14435, 2019 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-30762751

RESUMEN

With the increasing number of medical students and scattered host hospitals, the traditional clinical internship management system has been falling behind. Thus, we have independently developed a new clinical practice management system based on the browser/server structure.We aim to evaluate the efficacy of the new medical management system on the quality of the internship and survey the users' satisfaction.This study was conducted on the students of Second Clinical Medical College of Southern Medical University, including 672 interns (non-user group) who had not used the system and 315 users (user group). We analyzed the scores of their theoretical knowledge and clinical skills before and after the internship, which served as the quantitative standards for evaluating the efficacy of the system. User satisfaction surveys were also conducted, including by interns, clinical teachers, and teaching administrators.An analysis of scores showed that the user group had more significant improvement in both clinical knowledge and skills than the non-user group after the internship. Significant improvement was found in the user group, while there was a slight difference in the non-user group. A total of 310 students responded to the satisfaction questionnaires effectively, most of whom agreed with the system's benefits of learning theoretical knowledge (98.1%, n = 304) and clinical skills (93.9%, n = 291). Additionally, 115 clinical teachers and 27 teaching administrators were selected using a random sampling method for the survey. The results showed that 96.3% of the teachers considered the system to be helpful for improving teaching quality, and 92.6% administrators thought it was useful for implementing management. Over 90% of the participants in the 3 user groups reported a strong satisfaction of the system.With high level of user satisfaction, this system helps to strengthen the management for interns and improves the medical knowledge and skills of interns. Hence, it could be widely used in medical colleges and even in other fields.


Asunto(s)
Educación Médica/organización & administración , Internado y Residencia/organización & administración , Gestión de la Práctica Profesional/organización & administración , Evaluación de Programas y Proyectos de Salud/estadística & datos numéricos , Estudiantes de Medicina/psicología , Adulto , Competencia Clínica , Comportamiento del Consumidor , Evaluación Educacional , Femenino , Personal de Salud/organización & administración , Personal de Salud/psicología , Humanos , Masculino , Estudios Retrospectivos , Encuestas y Cuestionarios , Interfaz Usuario-Computador
10.
Paidéia (Ribeirão Preto, Online) ; 29: e2916, 2019. tab, graf
Artículo en Inglés | LILACS, Index Psicología - Revistas técnico-científicas | ID: biblio-1002733

RESUMEN

Abstract Knowing the perceptions of people from different professions about their professional development is one of the current changes in the field of Labor Psychology. The objective of this study was to construct a Trans-occupational theoretical model of professional development based on the grounded theory. To this end, 25 interviews were conducted in depth with five professional categories, namely: lawyers, entrepreneurs, engineers, physicians and psychologists. Data collection instrument was an open script for interviews, which were then recorded and transcribed. Analysis of results was supported by the software Alceste. Results point to similarities and specificities in the career trajectories inter-professions, and we opted for the non-inclusion of entrepreneurs in the model due to their significant difference when compared to the other categories. As a conclusion, we proposed a trans-occupational model of professional development with five key elements: Work Context, Motivation, Training/Learning, Relational Elements and Lived Experiences. The model, although it requires research for validation, offers relevant contributions and reflections to professionals and researchers working in the area.


Resumo Conhecer as percepções das pessoas de diferentes profissões acerca do seu desenvolvimento profissional é um dos desafios atuais da área de Psicologia do Trabalho. O objetivo deste estudo foi construir um modelo teórico transocupacional de desenvolvimento profissional baseado na teoria fundamentada (Grounded Theory). Para tanto, foram realizadas 25 entrevistas em profundidade, com cinco categorias profissionais, a saber: advogados, empresários, engenheiros, médicos e psicólogos. O instrumento de coleta de dados foi um roteiro aberto para entrevistas, que foram gravadas e transcritas. A análise dos resultados foi apoiada pelo software Alceste. Os resultados apontam para similitudes e especificidades nas trajetórias de carreira interprofissões e optou-se pela não inclusão dos empresários no modelo pela expressiva diferença em relação às demais categorias. Como conclusão, propusemos um modelo transocupacional de desenvolvimento profissional, com cinco elementos centrais: Contexto de trabalho, Motivação, Formação/aprendizagem, Elementos relacionais e Experiências vividas. O modelo, embora careça de pesquisas que o valide, oferece contribuições e reflexões relevantes para os profissionais e pesquisadores que atuam na área.


Resumen Uno de los desafíos actuales del campo de Psicología del Trabajo es conocer las percepciones de individuos de diferentes profesiones acerca de su desarrollo profesional. El presente estudio propone construir un modelo teórico transocupacional de desarrollo profesional desde la teoría fundamentada (Grounded Theory). Para ello, se realizaron 25 entrevistas en profundidad con las siguientes cinco categorías profesionales: abogados, empresarios, ingenieros, médicos y psicólogos. En la recopilación de datos se utilizó como instrumento un guion abierto para las entrevistas, que fueron grabadas y transcriptas. En el análisis de los resultados se utilizó el software Alceste. Los resultados apuntan similitudes y especificidades en las trayectorias de carreras interprofesiones, y en el modelo se optó por la no inclusión de la categoría empresarios debido a la expresiva diferencia en relación con las demás categorías. Como conclusión, proponemos un modelo transocupacional de desarrollo profesional con cinco ejes centrales: Contexto laboral, Motivación, Formación/Aprendizaje, Elementos relacionales y Experiencias. Aunque necesita más investigaciones para validarlo, el modelo ofrece aportes y reflexiones relevantes a los profesionales e investigadores que actúan en este campo.


Asunto(s)
Movilidad Laboral , Gestión de la Práctica Profesional
11.
Rev. latinoam. enferm. (Online) ; 27: e3108, 2019. tab
Artículo en Inglés | LILACS | ID: biblio-985659

RESUMEN

ABSTRACT Objective: to measure the adherence to the objectives of the Safe Surgery Saves Lives Initiative in surgical centers from the perspective of nurses. Method: cross-sectional study, developed through an online survey via the Google Forms® platform. The study participants were 220 nurses from surgical centers in different regions of Brazil. The data were collected through a socio-professional characterization form and a questionnaire in which the participants indicated their level of agreement in relation to the fulfillment of the objectives of the Safe Surgery Saves Lives Initiative. Data analysis was performed using descriptive statistics. Results: objective 1, The team will operate on the correct patient at the correct site, presented the highest levels of total agreement (n = 144; 65.5%) and partial agreement (n = 52; 23.6%). Objective 10, Hospitals and the public health systems will establish routine surveillance of surgical capacity, volume and results, obtained the lowest percentages of total (n = 69, 31.4%) and partial agreement (n = 81, 36.8%). Conclusion: adherence to the objectives of the Initiative is adequate, but there are weaknesses, especially in relation to the prevention of never events.


RESUMO Objetivo: mensurar a adesão aos objetivos do Programa Cirurgias Seguras Salvam Vidas em centros cirúrgicos a partir da perspectiva de enfermeiros. Método: estudo transversal, desenvolvido por meio de um survey on-line via plataforma Google Forms ®. Os participantes da pesquisa foram 220 enfermeiros de centros cirúrgicos de diferentes regiões do Brasil. Os dados foram coletados por meio de uma ficha de caracterização socioprofissional e questionário em que os participantes indicavam seu nível de concordância em relação ao cumprimento dos objetivos do Programa Cirurgias Seguras Salvam Vidas. A análise dos dados foi realizada por meio de estatística descritiva. Resultados: o objetivo 1, operar o paciente certo e local cirúrgico certo, apresentou os maiores níveis de concordância total (n=144; 65,5%) e parcial (n=52; 23,6%). O objetivo 10, o hospital e os sistemas de saúde pública estabelecem vigilância de rotina sobre capacidade, volume e resultados cirúrgicos, obteve os menores percentuais de concordância total (n=69; 31,4%) e parcial (n=81; 36,8%). Conclusão: a adesão aos objetivos do Programa é adequada, mas há fragilidades especialmente em relação à prevenção de never events.


RESUMEN Objetivo: medir la adherencia a los objetivos del Programa Cirugías Seguras Salvan Vidas en centros quirúrgicos desde la perspectiva de enfermeros. Método: estudio transversal, desarrollado por medio de survey on-line vía plataforma Google Forms ®. Los participantes de la investigación fueron 220 enfermeros de centros quirúrgicos de diferentes regiones de Brasil. Los datos fueron recolectados por medio de una ficha de caracterización socioprofesional y cuestionario en que los participantes indicaban su nivel de concordancia en relación al cumplimiento de los objetivos del Programa Cirugías Seguras Salvan Vidas. El análisis de los datos fue realizado por medio de estadística descriptiva. Resultados: el objetivo 1, operar el paciente correcto y local quirúrgico cierto, presentó los mayores niveles de concordancia total (n=144, 65,5%) y parcial (n=52; 23,6%). El objetivo 10, el hospital y los sistemas de salud pública establecen vigilancia de rutina sobre capacidad, volumen y resultados quirúrgicos, obtuvo los menores porcentuales de concordancia total (n=69; 31,4%) y parcial (n=81; 36, 8%). Conclusión: la adherencia a los objetivos del Programa es adecuada, pero hay fragilidades especialmente en relación a la prevención de never events.


Asunto(s)
Enfermería de Quirófano/organización & administración , Calidad de la Atención de Salud/organización & administración , Centros Quirúrgicos/normas , Seguridad del Paciente , Gestión de la Práctica Profesional , Gestión en Salud
12.
Interface (Botucatu, Online) ; 23: e170451, 2019.
Artículo en Portugués | LILACS | ID: biblio-975843

RESUMEN

Espera-se como objetivo deste estudo conhecer as percepções dos profissionais das equipes de Saúde da Família sobre a temática da gestão compartilhada. Foi realizado com base nos pressupostos teóricos da pesquisa qualitativa, utilizando o método da Análise de Conteúdo na modalidade temática. O universo de estudo foi constituído de 25 trabalhadores das Unidades de Saúde da Família (USF) com equipes de saúde bucal. Os dados foram obtidos inicialmente por entrevistas semiestruturadas, gravadas em áudio e posteriormente transcritas. A análise temática revelou uma categoria: Percepções sobre gestão compartilhada, com os temas "Gestão descentralizada" e "Gestão centralizada" e seus respectivos subtemas. Concluiu-se que, para os trabalhadores, gestão compartilhada é um processo participativo. Eles valorizam a participação e a democracia nas equipes para que se possa trabalhar em uma proposta de gestão mais horizontal. Porém, foram apontados modelos de gestão verticalizados, centralizados no enfermeiro.(AU)


The objective of the present study was to understand the perceptions of professionals from family health teams regarding the subject of shared management. It was based on the theoretical framework of qualitative research, using the thematic modality of the content analysis method. The study sample was 25 employees from family health units with oral health teams. Data were obtained through semi-structured interviews, whose audios were transcribed. Thematic analysis revealed the thematic category perceptions regarding shared management, with the subjects decentralized and centralized management and their respective subthemes. It was concluded that the employees consider that shared management is a participative process. They value participation and democracy in teams, so it is possible to develop a more horizontal management model. However, the results pointed to a prevalence of vertical management models, focused on nurses.(AU)


Se espera, como objetivo de este estudio, conocer las percepciones de los profesionales de los equipos de salud de la familia sobre la temática de la gestión compartida. Se realizó con base en los supuestos teóricos de la investigación cualitativa, utilizando el método del Análisis de Contenido en la modalidad temática. El universo de estudio lo constituyeron 25 trabajadores de las Unidades de Salud de la Familia con equipos de salud bucal. Los datos se obtuvieron inicialmente por medio de entrevistas semi-estructuradas, grabadas en audio y con trascripción posterior. El análisis temático reveló una categoría temática: percepciones sobre gestión compartida, con los temas Gestión Descentralizada y Centralizada y sus correspondientes subtemas. Se concluyó que, para los trabajadores, gestión compartida es un proceso participativo. Ellos valoran la participación y la democracia en los equipos para que se pueda trabajar en una propuesta de gestión más horizontal. No obstante, se señalaron modelos de gestión verticalizados, centralizados en el enfermero.(AU)


Asunto(s)
Humanos , Animales , Masculino , Gestión de la Práctica Profesional , Gestión en Salud , Estrategia de Salud Familiar , Investigación Cualitativa , Investigación sobre Servicios de Salud
14.
BMC Fam Pract ; 19(1): 171, 2018 10 30.
Artículo en Inglés | MEDLINE | ID: mdl-30376826

RESUMEN

BACKGROUND: The implementation of multiple health behaviour change interventions for cardiovascular risk reduction in primary care is suboptimal. This study aimed to identify barriers and facilitators to implementing multiple health behaviour change interventions for cardiovascular disease (CVD) risk reduction in primary care. METHODS: Qualitative study using semi-structured interviews informed by the Theoretical Domains Framework. Interviews were conducted with a purposive sample of healthcare professionals working in the implementation of the NHS Health Check programme in London. Data were analysed using the Framework method. RESULTS: Thirty participants were recruited including ten general practitioners, ten practice nurses, seven healthcare assistants and three practice managers from 23 practices. Qualitative analysis identified three main themes: healthcare professionals' conceptualising health behaviour change; delivering multiple health behaviour change interventions in primary care; and delivering the health check programme. Healthcare professionals generally recognised the importance of health behaviour change for CVD risk reduction but were more sceptical about the potential for successful intervention through primary care. Participants identified the difficulty of sustained behaviour change for patients, the lack of evidence for effective interventions and limited access to appropriate resources in primary care as barriers. Discussing changing multiple health behaviours was perceived to be overwhelming for patients and difficult to implement for healthcare professionals with current primary care resources. The health check programme consists of several components that are difficult to fully complete in limited time. CONCLUSIONS: Advancing the prevention agenda will require strategies to support the delivery of behaviour change interventions in primary care. Greater emphasis needs to be given to promoting behaviour change through supportive environmental context. Further research is needed to evaluate current external lifestyle services to improve the intervention outcomes.


Asunto(s)
Actitud del Personal de Salud , Terapia Conductista , Enfermedades Cardiovasculares/prevención & control , Atención Primaria de Salud , Conducta de Reducción del Riesgo , Enfermería de Práctica Avanzada , Técnicos Medios en Salud , Enfermedades Cardiovasculares/terapia , Femenino , Médicos Generales , Humanos , Londres , Masculino , Gestión de la Práctica Profesional , Investigación Cualitativa , Medicina Estatal , Reino Unido
15.
Am J Manag Care ; 24(10): 469-474, 2018 10.
Artículo en Inglés | MEDLINE | ID: mdl-30325188

RESUMEN

OBJECTIVES: To assess whether the characteristics and capabilities of individual practices intending to join the early Medicare accountable care organization (ACO) programs differed from those of practices not intending to join. STUDY DESIGN: Data from a 2012-2013 national survey of 1398 physician practices were linked to 2012 Medicare beneficiary claims data to examine differences between practices intending to join a Medicare ACO and practices not intending to join a Medicare ACO. METHODS: Differences were examined with regard to patient sociodemographic characteristics and disease burden, practice characteristics and capabilities, and cost and quality measures. Logistic regression was used to examine the differences. RESULTS: Practices intending to join were more likely to have better care management capabilities (odds ratio [OR], 1.72; P <.003), health information technology functionality (OR, 1.87; P <.001), and use of quality improvement methods (OR, 1.52; P <.04). They were also more likely to have had prior pay-for-performance experience (OR, 1.59; P <.02) and less likely to be physician-owned (OR, 0.51; P <.001). However, the practices with the greater capabilities still used half or less of them. CONCLUSIONS: Physician practices that intended to join the early ACO programs had greater capabilities and experience to manage risk than those practices that decided not to join. The early ACO programs thus attracted the more capable physician practices, but those practices still fell short of implementing key recommended behaviors. The findings have implications for future physician practice selection into ACOs.


Asunto(s)
Organizaciones Responsables por la Atención/estadística & datos numéricos , Médicos , Práctica Profesional/estadística & datos numéricos , Costos de la Atención en Salud , Humanos , Medicare/estadística & datos numéricos , Gestión de la Práctica Profesional/organización & administración , Calidad de la Atención de Salud , Factores Socioeconómicos , Estados Unidos
17.
Nurs Adm Q ; 42(4): 331-342, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30180079

RESUMEN

Schools of nursing located within academic health centers have embraced expanded opportunities to lead in this era of rapid change and considerable uncertainty in US health care. These schools bear a unique responsibility to work with their clinical nursing partners to advance the care of patients, improve the health of communities and populations, and help steward the nation's health care resources. This article describes how the Emory University Nell Hodgson Woodruff School of Nursing has formed and sustained academic-practice partnerships in response to these imperatives. The structures and processes that have supported the partnerships are shared, as are the keys to success in a true partnership. The authors describe the work required to achieve mutually agreed-upon goals, along with the challenges that faculty and health care leaders have faced in their journey to system partnerships.


Asunto(s)
Centros Médicos Académicos/métodos , Conducta Cooperativa , Gestión de la Práctica Profesional/tendencias , Facultades de Enfermería/tendencias , Centros Médicos Académicos/organización & administración , Humanos
19.
Am J Pharm Educ ; 82(5): 6279, 2018 06.
Artículo en Inglés | MEDLINE | ID: mdl-30013240

RESUMEN

Objective. To compare second-year student pharmacists' perspectives on two approaches for completing a pharmacy practice management business planning project. Methods. A mixed-methods approach was used to compare two options (traditional and experimental) for completing business plan projects that were offered to teams of second-year student pharmacists as part of a required pharmacy management course. Teams who chose the traditional project were required to develop a unique, pharmacy-related business plan while those who chose the experimental concept were paired with a pharmacy-focused firm within Tennessee and tasked with designing a potential service for the firm's consideration. At semester's end, all students were asked to complete a brief survey to provide insight on their experiences with either of the group projects. Students and firm stakeholders were also asked to participate in a group and individual interview, respectively. Results. Student group comparisons indicated that the experimental project provided a more real-world, business planning experience. Additionally, groups that did the experimental project were more likely to report seeing how business and pharmacy practice were connected, indicate a better understanding of the principles of pharmacy management, and be perceived as more marketable for a future pharmacy career. Firm representatives indicated that insight provided by the students was valuable and that they had plans to implement what was proposed. Conclusion. Connecting student pharmacists with a pharmacy-focused firm provided a real-world management experience that better complemented the course's principles, and created a mutually beneficial innovation-focused partnership.


Asunto(s)
Educación en Farmacia/métodos , Desarrollo de Programa/métodos , Comercio/educación , Curriculum , Evaluación Educacional/métodos , Humanos , Servicios Farmacéuticos , Gestión de la Práctica Profesional , Estudiantes de Farmacia , Encuestas y Cuestionarios , Tennessee
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