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1.
J Nurs Adm ; 51(5): 235-236, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33882548

RESUMEN

Increasingly, nursing research is considered essential to the achievement of high-quality patient care and outcomes. In this month's Magnet® Perspectives column, we examine the origins of nursing research, its role in creating the Magnet Recognition Program®, and why a culture of clinical inquiry matters for nurses. This column explores how Magnet hospitals have built upon the foundation of seminal research to advance contemporary standards that address some of the challenges faced by healthcare organizations around the world. We offer strategies for nursing leaders to develop robust research-oriented programs in their organizations.


Asunto(s)
Hospitales/normas , Liderazgo , Investigación en Enfermería/normas , Servicio de Enfermería en Hospital/normas , Personal de Enfermería en Hospital/normas , Habilitación Profesional/normas , Humanos , Cultura Organizacional , Calidad de la Atención de Salud/normas , Estados Unidos
2.
J Nurs Adm ; 51(5): 249-256, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33882552

RESUMEN

OBJECTIVE: The aim of this study was to determine whether there are modifiable characteristics of nurses and hospitals associated with nurse specialty certification. BACKGROUND: Hospitals, nurses, and patients benefit from nurse specialty certification, but little actionable evidence guides administrators seeking higher hospital certification rates. METHODS: This is a cross-sectional, secondary data analysis of 20 454 nurses in 471 hospitals across 4 states. RESULTS: Rates of certified nurses varied significantly across hospitals. Higher odds of certification were associated with Magnet® recognition and better hospital work environments at the facility level, and with BSN education, unit type (most notably, oncology), older age, more years of experience, and full-time employment at the individual nurse level. CONCLUSION: Two strategies that hold promise for increasing nurse specialty certification are improving hospital work environments and preferentially hiring BSN nurses.


Asunto(s)
Certificación/estadística & datos numéricos , Habilitación Profesional/normas , Personal de Enfermería en Hospital/educación , Especialidades de Enfermería/normas , Adulto , Competencia Clínica/normas , Estudios Transversales , Femenino , Humanos , Liderazgo , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud , Admisión y Programación de Personal/organización & administración , Estados Unidos
3.
J Nurs Adm ; 51(4): 175-176, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33734173

RESUMEN

This month's Magnet® Perspectives column examines American Nurses Credentialing Center's Magnet Recognition Program® and Pathway to Excellence® Program as partners for nursing excellence. We explore the differences between the programs, how they complement one another, and how they can be combined to impact a host of key measures, including nurse engagement, interprofessional collaboration, and patient safety. Nursing leaders at 2 dual-designated hospitals share their decision to pursue both credentials and ways in which the combined designation adds value for nurses and the patient care environment. They discuss how the essential elements of a Magnet and Pathway culture contributed to a nimble, innovative response to the COVID-19 pandemic and strategies nursing leaders can employ to create and sustain an environment where change flourishes and nurses thrive.


Asunto(s)
Habilitación Profesional , Liderazgo , Personal de Enfermería en Hospital/normas , Humanos , Investigación en Evaluación de Enfermería , Cultura Organizacional , Calidad de la Atención de Salud
5.
J Nurs Adm ; 51(2): 55-57, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33449591

RESUMEN

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


Asunto(s)
Competencia Clínica/normas , Habilitación Profesional/normas , Liderazgo , Personal de Enfermería en Hospital/organización & administración , American Nurses' Association/organización & administración , Aniversarios y Eventos Especiales , Humanos , Estados Unidos
6.
J Nurs Adm ; 50(12): e12-e13, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33181603

RESUMEN

Innovation has enabled organizations to highlight and engage during the COVID -19 pandemic. The use of virtual site visits to assess the organizations 's culture and sustainability of the Magnet components during initial designation and redesignation allows for ongoing support of nursing excellence.


Asunto(s)
American Nurses' Association/organización & administración , Habilitación Profesional/organización & administración , Servicio de Enfermería en Hospital/normas , Innovación Organizacional , Garantía de la Calidad de Atención de Salud/normas , Infecciones por Coronavirus , Humanos , Personal de Enfermería en Hospital , Pandemias , Neumonía Viral , Estados Unidos
7.
Rev. Fund. Educ. Méd. (Ed. impr.) ; 23(5): 265-273, sept.-oct. 2020. graf, tab
Artículo en Español | IBECS | ID: ibc-197070

RESUMEN

INTRODUCCIÓN: En Ecuador, a partir del marco legal en educación superior del año 2010, es necesaria la aprobación de un examen de habilitación para el ejercicio profesional de los graduados de medicina. OBJETIVO: Analizar los resultados de este examen y las condiciones socioeconómicas de los solicitantes durante el año 2017. Sujetos y métodos: El estudio se basa en los resultados del examen de habilitación profesional para el ejercicio profesional de medicina aplicado en Ecuador en 2016 para 4.439 examinados. Se consideran las puntuaciones obtenidas de los solicitantes y si han aprobado o no. Con el examen, se aplicó una encuesta con variables socioeconómicas. RESULTADOS: Se evidencia que los grupos autodefinidos como étnicamente blancos y los estudiantes provenientes de universidades privadas mantienen promedios significativamente más altos que los estudiantes de universidades públicas y cofinanciadas. Se considera también la trayectoria académica familiar como aspecto favorable para el éxito académico y profesional, medido por el nivel educativo del cabeza de familia. Se demuestra que la mayoría de graduados de medicina no son titulados de primera generación que ha accedido a la universidad, lo que podría ya determinar su éxito en la titulación con respecto a sus pares. CONCLUSIÓN: Se refuerza la correlación positiva entre éxito educativo, como condición del éxito profesional, y las condiciones socioeconómicas


INTRODUCTION: In Ecuador, according to legal framework, to pass medical license examination is necessary for professional qualification. AIM: To analyze the relation between the results of the professional qualification exam of Ecuador's medical graduates and the socio economic conditions of the examined graduates. Subjects and methods: This paper is based on the results and scores of the professional qualification exam of Ecuador's medical graduates applied to 4439 examinees in 2016. RESULTS: It demonstrates that the ethnic groups self defined as white and students coming from private universities maintain significantly higher scores than students from public or co financed universities. The variables involved in the measuring instrument are described as well as the findings through descriptive statistics. The family academic trajectory is also considered as a favorable aspect for professional and academic success, measured in the educational level of the head of household. It shows that most medical graduates are not first generation graduates, which could determine their success with respect to their peers. CONCLUSION: This paper reinforces a positive correlation between educational success, as a condition of professional success, and socioeconomic conditions


Asunto(s)
Humanos , Masculino , Femenino , Adulto Joven , Adulto , Persona de Mediana Edad , Habilitación Profesional/normas , Clase Social , Educación de Postgrado en Medicina/métodos , Habilitación Profesional/organización & administración , Práctica Profesional , Ecuador , Éxito Académico
8.
Rural Remote Health ; 20(3): 6027, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32981326

RESUMEN

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


Asunto(s)
Infecciones por Coronavirus/epidemiología , Habilitación Profesional/organización & administración , Médicos Graduados Extranjeros/normas , Neumonía Viral/epidemiología , Migrantes , Betacoronavirus , Competencia Clínica/normas , Habilitación Profesional/normas , Humanos , Internacionalidad , Pandemias , Factores de Tiempo
9.
Clin Imaging ; 68: 232-235, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32896802

RESUMEN

PURPOSE: To analyze the academic background, demographics and scholarly metrics of Interventional Radiology (IR) residency program directors (PDs) in the United States. METHODS: Online search of publicly available resources was performed from April 6-10, 2020. PDs and associate PDs of ACGME accredited integrated and independent IR residency programs were included in the study. The variables collected from publicly available sources included age, sex, academic background (including medical school, residency and fellowship), and scholarly activity (publications, citations and h-index). Nonparametric statistics including Mann-Whitney U and Kruskal-Wallis tests were applied to compare differences between groups. RESULTS: A total of 174 PDs and associate PDs from 110 unique integrated and independent IR residency programs were included in the study. One hundred fifty three (87.9%) were male and twenty one (12.1%) were female. The average age of PDs was 47.39 years (SD 8.99, median 45, range 34-74). Eighty six percent of the PDs were American medical school graduates, 97% received a MD degree or foreign equivalent, and 3% received a DO degree. There was no statistical difference between male and female PDs with regards to number of publications, average number of citations or mean h-index. Fellow of the Society of Interventional Radiology (FSIR) qualification was held by 21.3% and PDs with FSIR designation had significantly higher scholarly metrics. CONCLUSION: IR Residency PDs are predominantly male and graduates of American medical schools. Women represent only 12% of the IR PD workforce with no significant difference in scholarly metrics of female PDs compared to male PDs. PDs with FSIR designation had significantly higher scholarly metrics.


Asunto(s)
Internado y Residencia , Ejecutivos Médicos , Habilitación Profesional , Becas , Femenino , Humanos , Masculino , Persona de Mediana Edad , Radiología Intervencional , Encuestas y Cuestionarios , Estados Unidos
10.
J Nurs Adm ; 50(10): 497-498, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32925659

RESUMEN

When the coronavirus hit the United States earlier this year, hospitals across the country were forced to quickly convert to crisis mode. Overnight, health systems transformed clinical and administrative operations to care for rising numbers of COVID-19 patients. Now, as the country slowly reopens and we move back to "normal," hospitals again face a major reboot to regroup and recover. Those that meet this challenge successfully will survive. Many others will not. This month's Magnet Perspectives column examines how Magnet hospitals are uniquely positioned to ride the waves and manage the chaos. What are the components that helped them adapt and adjust when COVID-19 struck, and how are those elements facilitating response and recovery? The column also looks at how the Magnet Recognition Program itself responded to challenges posed by the coronavirus and altered some of its long-standing processes to meet customer needs.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/enfermería , Administración Hospitalaria , Enfermeras Administradoras/psicología , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/enfermería , Habilitación Profesional/estadística & datos numéricos , Humanos , Liderazgo , Grupo de Enfermería/organización & administración , Estados Unidos/epidemiología
11.
J Music Ther ; 57(3): 251-281, 2020 Jul 18.
Artículo en Inglés | MEDLINE | ID: mdl-32602546

RESUMEN

While literature exists supporting the use of music for health promotion, scholars have also noted the potential for music-induced harm and other maladaptive effects of music. Harm is a multifaceted construct that can include affective, behavioral, cognitive, identity, interpersonal, physical, and spiritual aspects. As music also represents a multifaceted experience, the relationship between music and harm is complex and can include numerous contextual-, deliverer-, music-, and recipient-based factors. Music-induced harm (MIH) also needs to be clearly defined to understand and protect against it. Therefore, the purpose of this article was to explore the numerous factors influencing how music can result in harm and develop a theoretical model that could be used to inform safe music practices. Drawing from existing models of emotional responses to music, music intervention reporting guidelines, therapeutic functions of music, and holistic wellness, we explored how the interplay between the deliverer, music, and recipient can result in various types of MIH in diverse contexts. We then developed the MIH model to integrate these factors and connect the model with the existing literature. The MIH model highlights the relevance of academic and clinical training, credentialing, occupational regulation, continuing education, and professional organizations that provide accredited curricular oversight to protect people from MIH. Implications for clinical application, limitations, and suggestions for future research are provided.


Asunto(s)
Musicoterapia/educación , Musicoterapia/métodos , Música , Habilitación Profesional , Humanos , Modelos Teóricos
12.
rev. cuid. (Bucaramanga. 2010) ; 11(2): e786, 1 de Mayo de 2020.
Artículo en Portugués | LILACS, BDENF - Enfermería, COLNAL | ID: biblio-1118320

RESUMEN

Objetivo: Comparar a participação de enfermeiros da atenção primária à saúde e hospitalar em cursos e atividades educativas para a sua qualificação profissional. Materiais e Métodos: trata-se de um estudo analítico transversal e descritivo com abordagem quantitativa, utilizando-se o teste do qui-quadrado. A pesquisa foi realizada em um hospital geral e nas unidades básicas de saúde, localizados em uma capital do nordeste brasileiro. Participaram da pesquisa 140 enfermeiros, no período de maio a setembro de 2014. Resultados: entre os participantes, 92,8% é do sexo feminino, 62,0% estava na faixa etária entre 40 a 59 anos, 67,8% é casada, e 92,3% que atuam nos dois locais do estudo possui pós-graduação lato sensu. A maioria dos enfermeiros que atuam nas Unidades básicas de Saúde relatou participar dos cursos e atividades educativas, no entanto, os que trabalham na área hospitalar tiveram uma participação menos expressiva. Discussão e Conclusões: Os enfermeiros que participaram das atividades educacionais afirmaram mudanças dentro do ambiente de trabalho, relacionadas à atitude e desempenho das técnicas.


Objetive: To compare the participation of nurses working at primary health care centers and hospitals in education courses and activities for their professional qualification. Materials and Methods: A quantitative, cross-sectional, descriptive-analytical study was conducted by using the chi-square test. This research was carried out at a general hospital and basic health units located in a capital city in northeastern Brazil. A total of 140 nurses participated in the research held between May and September 2014. Results: Among participants, 92.8% were women, 62.0% were aged 40 to 59 years old, 67.8% were married, and 92.3% of those working at the two study sites held a lato sensu postgraduate course. Most of the nurses working at the Basic Health Units reported that they had participated in courses and educational activities, while those working at the hospital had less significant participation. Discussion and Conclusions: Nurses who participated in educational activities reported changes in their workplace related to their attitude and professional performance.


Objetivo: Comparar la participación de enfermeros en atención primaria de salud y hospitalaria en cursos y actividades educativas para su cualificación profesional. Materiales y métodos: Se trata de un estudio analítico descriptivo transversal con un enfoque cuantitativo en la que se utiliza la prueba de chi-cuadrado. La investigación se llevó a cabo en un hospital general y en unidades básicas de salud ubicados en una capital del noreste de Brasil. Un total de 140 enfermeras participaron en la investigación entre mayo y septiembre de 2014. Resultados: Entre los participantes, el 92.8% eran mujeres, el 62.0% tenían entre 40 y 59 años, el 67.8% estaban casados y el 92.3% de los que trabajaban en los dos sitios de estudio tenían un curso de posgrado lato sensu. La mayoría de los enfermeros que trabajan en las Unidades Básicas de Salud informaron que habían participado en cursos y actividades educativas, mientras que aquellos que trabajan en el área hospitalaria tuvieron una participación menos significativa. Discusión y conclusiones: Los enfermeros que participaron en actividades educativas manifestaron cambios en su entorno laboral, relacionados con la actitud y el desempeño a nivel profesional.


Asunto(s)
Humanos , Masculino , Femenino , Habilitación Profesional , Educación en Enfermería , Enfermeros , Atención de Enfermería , Personal de Enfermería
13.
rev. cuid. (Bucaramanga. 2010) ; 11(2): e786, 1 de Mayo de 2020.
Artículo en Portugués | LILACS, BDENF - Enfermería, COLNAL | ID: biblio-1118326

RESUMEN

Objetivo: Comparar a participação de enfermeiros da atenção primária à saúde e hospitalar em cursos e atividades educativas para a sua qualificação profissional. Materiais e Métodos: trata-se de um estudo analítico transversal e descritivo com abordagem quantitativa, utilizando-se o teste do qui-quadrado. A pesquisa foi realizada em um hospital geral e nas unidades básicas de saúde, localizados em uma capital do nordeste brasileiro. Participaram da pesquisa 140 enfermeiros, no período de maio a setembro de 2014. Resultados: entre os participantes, 92,8% é do sexo feminino, 62,0% estava na faixa etária entre 40 a 59 anos, 67,8% é casada, e 92,3% que atuam nos dois locais do estudo possui pós-graduação lato sensu. A maioria dos enfermeiros que atuam nas Unidades básicas de Saúde relatou participar dos cursos e atividades educativas, no entanto, os que trabalham na área hospitalar tiveram uma participação menos expressiva. Discussão e Conclusões: Os enfermeiros que participaram das atividades educacionais afirmaram mudanças dentro do ambiente de trabalho, relacionadas à atitude e desempenho das técnicas.


Objetive: To compare the participation of nurses working at primary health care centers and hospitals in education courses and activities for their professional qualification. Materials and Methods: A quantitative, cross-sectional, descriptive-analytical study was conducted by using the chi-square test. This research was carried out at a general hospital and basic health units located in a capital city in northeastern Brazil. A total of 140 nurses participated in the research held between May and September 2014. Results: Among participants, 92.8% were women, 62.0% were aged 40 to 59 years old, 67.8% were married, and 92.3% of those working at the two study sites held a lato sensu postgraduate course. Most of the nurses working at the Basic Health Units reported that they had participated in courses and educational activities, while those working at the hospital had less significant participation. Discussion and Conclusions: Nurses who participated in educational activities reported changes in their workplace related to their attitude and professional performance.


Objetivo: Comparar la participación de enfermeros en atención primaria de salud y hospitalaria en cursos y actividades educativas para su cualificación profesional. Materiales y métodos: Se trata de un estudio analítico descriptivo transversal con un enfoque cuantitativo en la que se utiliza la prueba de chi-cuadrado. La investigación se llevó a cabo en un hospital general y en unidades básicas de salud ubicados en una capital del noreste de Brasil. Un total de 140 enfermeras participaron en la investigación entre mayo y septiembre de 2014. Resultados: Entre los participantes, el 92.8% eran mujeres, el 62.0% tenían entre 40 y 59 años, el 67.8% estaban casados y el 92.3% de los que trabajaban en los dos sitios de estudio tenían un curso de posgrado lato sensu. La mayoría de los enfermeros que trabajan en las Unidades Básicas de Salud informaron que habían participado en cursos y actividades educativas, mientras que aquellos que trabajan en el área hospitalaria tuvieron una participación menos significativa. Discusión y conclusiones: Los enfermeros que participaron en actividades educativas manifestaron cambios en su entorno laboral, relacionados con la actitud y el desempeño a nivel profesional.


Asunto(s)
Humanos , Masculino , Femenino , Habilitación Profesional , Educación en Enfermería , Enfermeros , Atención de Enfermería , Personal de Enfermería
15.
J Nurs Adm ; 50(5): 243-244, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32317564

RESUMEN

Innovations in patient care, nursing, and the practice environment are hallmarks of organizations receiving American Nurses Credentialing Center (ANCC) Magnet Recognition. In this month's "Magnet Perspectives" column, the chair and vice-chair of ANCC's Commission on Magnet Recognition examine the growing importance of nursing research on patient care and outcomes and the role of Magnet hospitals as research pacesetters for the nursing profession. The authors discuss the critical difference between research and evidence-based practice, why both are important, and how organizations can develop the structures and processes to inspire and advance a robust culture of clinical inquiry.


Asunto(s)
Investigación en Enfermería , Habilitación Profesional , Enfermería Basada en la Evidencia , Humanos , Sociedades de Enfermería , Estados Unidos
16.
J Nurs Adm ; 50(5): 245-247, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32317565

RESUMEN

Healthcare organizations seeking to achieve or maintain Magnet or Pathway to Excellence designation are increasingly challenged to demonstrate how nurses are leading or are engaged in research and evidence-based practice. This article describes common barriers to and effective strategies for developing a culture of research and evidence-based practice, with recommendations for Magnet- and Pathway-seeking organizations.


Asunto(s)
Enfermería Basada en la Evidencia , Investigación en Enfermería , Habilitación Profesional , Difusión de Innovaciones , Estados Unidos
18.
JAMA Netw Open ; 3(4): e203850, 2020 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-32347950

RESUMEN

Importance: Despite growing interest from various surgical societies and patient safety organizations, concerns remain that volume-based credentialing standards are arbitrary and may fail to recognize a surgeon's full scope of practice. Objective: To evaluate whether surgeon experience with related procedures was associated with better outcomes for pancreaticoduodenectomy compared with procedure-specific experience alone. Design, Setting, and Participants: This proof-of-concept cohort study used the all-payer State Inpatient Databases from 6 geographically diverse states to identify all operations for surgeons who performed at least 1 pancreaticoduodenectomy from January 1, 2012, to December 31, 2014. Each surgeon's mean annual volume for pancreaticoduodenectomies and related complex hepatopancreatobiliary (HPB) procedures was calculated. Outcomes for surgeons above and below a threshold of 12 pancreaticoduodenectomies per year were evaluated. Whether related HPB procedure volume was also associated with better outcomes for surgeons not meeting the procedure-specific threshold was also evaluated. Data were analyzed from March 2 through 20, 2019. Main Outcomes and Measures: Thirty-day mortality and complications. Results: The study cohort included 176 043 patients, of whom 92 064 were female (52.3%), with a mean (SD) age of 59 (17) years. Within 270 hospitals, only 54 of 1028 surgeons (5.3%) met the mean pancreaticoduodenectomy volume threshold from 2012 to 2014. In-hospital mortality after pancreaticoduodenectomy was lower for surgeons who performed 12 or more procedures per year (1.8% [95% CI, 1.1%- 2.4%] vs 4.7% [95% CI, 4.0%-5.4%]; odds ratio, 0.32; 95% CI, 0.21-0.50). However, in-hospital mortality varied 7-fold among surgeons who did not meet the threshold (1.2% [95% CI, 0.8%-1.6%] to 8.4% [95% CI, 7.9%-8.9%]). Increasing HPB case volume was associated with better outcomes for pancreaticoduodenectomy in this group. For example, surgeons performing 2 or fewer pancreaticoduodenectomies annually would need to perform an additional 27 related HPB procedures to match the in-hospital mortality rate of surgeons performing 12 or more pancreaticoduodenectomies. Conclusions and Relevance: In this proof-of-concept cohort study, few surgeons met even modest annual volume thresholds for pancreaticoduodenectomy. The findings suggest that inclusion of related procedure volumes may safely expand the cohort of surgeons credentialed to perform certain procedures under volume-based standards.


Asunto(s)
Habilitación Profesional/normas , Hospitales/estadística & datos numéricos , Pancreaticoduodenectomía/mortalidad , Complicaciones Posoperatorias/epidemiología , Adulto , Anciano , Competencia Clínica , Femenino , Mortalidad Hospitalaria , Humanos , Masculino , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud/estadística & datos numéricos , Prueba de Estudio Conceptual , Estudios Retrospectivos , Cirujanos/estadística & datos numéricos , Estados Unidos/epidemiología
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