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2.
Medicine (Baltimore) ; 100(9): e24347, 2021 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-33655911

RESUMEN

BACKGROUND: Lumbar disc herniation (LDH), as a disease with great disturbance to life and work, is known as the origin of the severe and disabling forms of nerve root pain. Recognized as an increasingly widely accepted treatment, the efficacy of moxibustion on LDH has been affirmed. However, clinical practice guidelines (CPG) for the treatment of LDH with moxibustion have not been developed. Therefore, we will carry out this work following the accepted methodological quality standards. METHODS: The new CPG will be developed according to the Institute of Medicine (IOM), the Appraisal of Guidelines for Research & Evaluation II (AGREE II) and WHO guideline handbook. And then determine recommendations based on high-level evidence. We will set up a Guideline Working Group and define clinical issues according to the PICO principles (Population, Intervention, Comparison, Outcomes). After evidence syntheses and several rounds of Delphi process, we will reach the consensus. In making the guideline, Patient values or preferences, results of peer review, and interest statements are all within the bounds of what we must consider. RESULTS: As the study is not yet complete, no results can be reported. CONCLUSION: So far, we will develop the first CPG for moxibustion of LDH strictly based on systematic methodologies in China. This CPG will establish the standard of LDH in moxibustion therapy. REGISTRATION NUMBER: IPGRP-2020CN034.


Asunto(s)
Práctica Clínica Basada en la Evidencia/normas , Desplazamiento del Disco Intervertebral/terapia , Moxibustión/normas , Guías de Práctica Clínica como Asunto , Humanos , Vértebras Lumbares , Moxibustión/métodos
3.
Health Info Libr J ; 38(1): 1-4, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33684266

RESUMEN

Michael Cook looks at the role of an embedded Public Health Information Specialist highlighting the ways the core evidence, information and knowledge skills are used to progress Public Health activity in local government settings. Acknowledging the current pandemic, he explores how COVID-19 has dominated all aspects of health and social care, and outlines how evidence services have work within these complex Public Health systems to lead the local response and recovery efforts.


Asunto(s)
/epidemiología , Práctica Clínica Basada en la Evidencia/organización & administración , Almacenamiento y Recuperación de la Información/estadística & datos numéricos , Gobierno Local , Práctica de Salud Pública/estadística & datos numéricos , Humanos , Administración en Salud Pública
4.
Prev Chronic Dis ; 18: E19, 2021 03 04.
Artículo en Inglés | MEDLINE | ID: mdl-33661727

RESUMEN

INTRODUCTION: Communication networks among professionals can be pathways for accelerating the diffusion of innovations if some local health departments (LHDs) drive the spread of knowledge. Such a network could prove valuable during public health emergencies such as the novel coronavirus disease 2019 (COVID-19) pandemic. Our objective was to determine whether LHDs in the United States were tied together in an informal network to share information and advice about innovative community health practices, programs, and policies. METHODS: In January and February 2020, we conducted an online survey of 2,303 senior LHD leaders to ask several questions about their sources of advice. We asked respondents to rank up to 3 other LHDs whose practices informed their work on new public health programs, evidence-based practices, and policies intended to improve community health. We used a social network analysis program to assess answers. RESULTS: A total of 329 LHDs responded. An emergent network appeared to operate nationally among 740 LHDs. Eleven LHDs were repeatedly nominated by peers as sources of advice or examples (ie, opinion leaders), and 24 acted as relational bridges to hold these emergent networks together (ie, boundary spanners). Although 2 LHDs played both roles, most LHDs we surveyed performed neither of these roles. CONCLUSION: Opinion leading and boundary spanning health departments can be accessed to increase the likelihood of affecting the rate of interest in and adoption of innovations. Decision makers involved in disseminating new public health practices, programs, or policies may find our results useful both for emergencies and for practice-as-usual.


Asunto(s)
Práctica Clínica Basada en la Evidencia/normas , Sistemas de Información en Salud , Difusión de la Información/métodos , Sistemas de Información/organización & administración , /epidemiología , Comunicación , Difusión de Innovaciones , Sistemas de Información en Salud/organización & administración , Sistemas de Información en Salud/tendencias , Conocimientos, Actitudes y Práctica en Salud , Humanos , Bases del Conocimiento , Mejoramiento de la Calidad , Estados Unidos/epidemiología
5.
Healthc Policy ; 16(3): 16-25, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33720820

RESUMEN

Canada's provinces are without a publicly funded psychotherapy program for common mental disorders despite evidence that psychological services help reduce the length and number of depressive episodes, symptoms of post-traumatic stress and associated negative outcomes (hospitalizations and suicide attempts). Studies also show that including psychological services as part of the service package offered under the public health plan for those without access pays for itself. We posit that a publicly funded psychotherapy program in Canada, including digitized self-guided psychotherapy platforms for common mental disorders, will lead to improved population health useful in the COVID-19 context and beyond.


Asunto(s)
Práctica Clínica Basada en la Evidencia/economía , Financiación Gubernamental , Trastornos Mentales/terapia , Psicoterapia/economía , /epidemiología , Canadá/epidemiología , Humanos
6.
Am Fam Physician ; 103(4): 209-217, 2021 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-33587575

RESUMEN

Health maintenance for women of reproductive age includes counseling and screening tests that have been demonstrated to prevent disease and improve health. This article focuses mainly on conditions that are more common in women or have a unique impact on female patients. Family physicians should be familiar with evidence-based recommendations for contraception and preconception care and should consider screening patients for pregnancy intention. The American Academy of Family Physicians recommends against screening pelvic examinations in asymptomatic women; the U.S. Preventive Services Task Force (USPSTF) found insufficient evidence to make a recommendation for or against screening pelvic examinations. The USPSTF recommendations for women in this age group include screening for obesity and other cardiovascular risk factors, depression, intimate partner violence, cervical cancer, HIV, hepatitis C virus, tobacco use, and unhealthy alcohol and drug use as part of routine primary care. Breast cancer screening with mammography is recommended for women 50 years and older and should be individualized for women 40 to 49 years of age, although other organizations recommend earlier screening. Screening for sexually transmitted infections is based on age and risk factors; women younger than 25 years who are sexually active should be screened routinely for gonorrhea and chlamydia, whereas screening for syphilis and hepatitis B virus should be individualized. Immunizations should be recommended according to guidelines from the Centers for Disease Control and Prevention and the Advisory Committee on Immunization Practices; immunizations against influenza; tetanus; measles, mumps, and rubella; varicella; meningococcus; and human papillomavirus are of particular importance in women of reproductive age. To have the greatest impact on health, physicians should focus on USPSTF grade A and B recommendations with patients.


Asunto(s)
Detección Precoz del Cáncer/normas , Práctica Clínica Basada en la Evidencia/normas , Guías de Práctica Clínica como Asunto , Servicios Preventivos de Salud/normas , Reproducción , Servicios de Salud para Mujeres/normas , Salud de la Mujer , Adulto , Curriculum , Educación Médica Continua , Femenino , Humanos , Embarazo , Factores de Riesgo , Estados Unidos
7.
Am J Nurs ; 121(3): 40-46, 2021 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-33625010

RESUMEN

ABSTRACT: Quality and Safety Education for Nurses (QSEN) was launched in 2005 as a national nursing initiative aimed at preparing nurses with the competencies needed to continuously improve the quality and safety of the health care they provide. The six QSEN competencies-and the knowledge, skills, and attitudes that each entails-have served as a basis for significant curricular revision, more enlightened professional practice, relevant research, and health care system improvements. Since the launch of QSEN, new technologies have emerged, the range of care sites has broadened, new practice roles have emerged, and patients and families have become more active health care consumers. This article highlights these changes, considers Amazon as a powerful contemporary social force, examines the company's core values, and considers their relevancy to the six QSEN competencies. Essential new literacies and cognitive capacities are also identified. Lastly, the authors outline steps nurses can take to incorporate the QSEN competencies, along with the literacies and capacities, into their practice and organizations. Doing so is vital to delivering safe, high-quality care in this rapidly changing health care climate, and will enable nurses to claim their leadership and thrive professionally in an Amazon world.


Asunto(s)
Competencia Clínica/normas , Educación en Enfermería/normas , Conocimientos, Actitudes y Práctica en Salud , Rol de la Enfermera , Seguridad del Paciente , Atención Dirigida al Paciente/normas , Calidad de la Atención de Salud , Práctica Clínica Basada en la Evidencia , Humanos , Garantía de la Calidad de Atención de Salud
8.
Medicine (Baltimore) ; 100(5): e24559, 2021 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-33592911

RESUMEN

ABSTRACT: Numerous studies have reported the variable quality of clinical practice guidelines (CPGs) across various domains. The aim of this study was to systematically assess the quality, methodology, and consistency of recently developed traditional and conventional medicine CPGs that focus on the management of osteoporosis and provide helpful recommendations for patients with osteoporosis.From June 2020 to July 2020, CPGs with osteoporosis targeting any age were systematically retrieved. All CPGs of traditional and conventional medicine related to the assessment and diagnosis, management, and clinical therapeutic and pharmacological recommendations with osteoporosis were eligible for inclusion in this study. The excluded documents included guidelines without recommendations, secondary publications derived from CPGs, consensus statements, or consensus conferences based on the opinion of panelists, systematic reviews, editorials, clinical trials, and single-author documents. The quality of CPGs was independently examined by three assessors using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. AGREE II consists of 6 domains; scope and purpose, stakeholder involvement, rigor of development, clarity of presentation, applicability, and editorial independence. Consequently, selected CPGs were graded as recommended (A), recommended with modifications (B), or not recommended (C), and the specific treatments and preventive recommendations in the CPGs were summarized.The quality of the 15 CPGs assessed varied across the AGREE II domains. The overall quality ranged from 3.0 to 6.0 out of 7. The domain that had the highest scores were "clarity of presentation," with a mean value of 69.0% (range 46%-83%); "editorial independence" had the lowest score of 30.2% (range 0%-75%). The conventional CPGs focused on pharmacological treatments, calcium and vitamin D intake, and prevention, while the traditional CPGs consistently emphasized on herbal medicine and non-pharmaceutical treatment and management.Further development of CPGs will require improvement in domains where low item scores have been obtained in the quality assessment in this present study. Further research is needed on alternative modalities for osteoporosis, especially complementary approaches, and higher quality CPGs are needed to facilitate evidence-based clinical practice.


Asunto(s)
Osteoporosis/tratamiento farmacológico , Osteoporosis/prevención & control , Guías de Práctica Clínica como Asunto/normas , Conservadores de la Densidad Ósea/uso terapéutico , Calcio/uso terapéutico , Práctica Clínica Basada en la Evidencia , Humanos , Osteoporosis/complicaciones , Osteoporosis/terapia , Factores de Riesgo , Vitamina D/uso terapéutico
9.
BMC Med Educ ; 21(1): 135, 2021 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-33639895

RESUMEN

BACKGROUND: The Modified Fresno Test has been used to evaluate the use of the Evidence-Based Physiotherapy (EBP). So far, none of the versions of the Fresno Test were subjected to analysis of the factorial structure. The objective of the study was to describe the exploratory and confirmatory factor structure of the Modified Fresno Test adapted to the Portuguese-Brazilian and analyze the statistical feasibility for the elaboration of a short version. METHODS: The questionnaire was applied with a convenience sample of 57 physiotherapists, being 36 professionals (13 of these also professors) and 21 students from the last semester of the physiotherapy course. Exploratory Factor Analysis (EFA) was performed by the method of principal components. Confirmatory Factor Analysis (CFA) was performed by the method of maximum likelihood. The total score of the answers in the test and retest was evaluated, totalling 228 observations. Reliability was assessed by means of internal consistency, using Cronbach's alpha coefficient. RESULTS: Reliability was satisfactory (α 0.81) for all questions of the instrument. The coefficient α calculated for the corrected item-total showed values higher than 0.20 except for item 9. Preliminary tests for Exploratory Factor Analysis showed acceptable values with Kaiser-Meyer-Olkin (KMO = 0.80) and Bartlett's test of sphericity [chi-square (78) = 1149.615, p < 0.001], indicating that the correlations were sufficient for analysis. The analysis revealed the presence of 3 factors (eigenvalues> 1), which explains 60.9% of the instrument's total variance. In Confirmatory Factor Analysis, none of the indices came close to an acceptable level (≥ 0.90), however, the second model which tested a three-factor structure provided a better fit to the data. From the results of this study the Modified Fresno Test short version was drawn. CONCLUSION: The analysis showed good factor validity and adequate internal consistency for the use of the instrument consisting of 13 questions and 3 factors. This model proved to be better than the original model. The short version consisting of 9 questions may be an appropriate alternative for use in the population of interest.


Asunto(s)
Análisis Factorial , Fisioterapeutas , Psicometría/instrumentación , Brasil , Estudios Transversales , Práctica Clínica Basada en la Evidencia , Humanos , Reproducibilidad de los Resultados
10.
Aust Health Rev ; 45(1): 74-76, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33517976

RESUMEN

The global focus on nation states' responses to the COVID-19 pandemic has rightly highlighted the importance of science and evidence as the basis for policy action. Those with a lifelong passion for evidence-based policy (EBP) have lauded Australia's and other nations' policy responses to COVID-19 as a breakthrough moment for the cause. This article reflects on the complexity of the public policy process, the perspectives of its various actors, and draws on Alford's work on the Blue, Red and Purple zones to propose a more nuanced approach to advocacy for EBP in health. We contend that the pathway for translation of research evidence into routine clinical practice is relatively linear, in contrast to the more complex course for translation of evidence to public policy - much to the frustration of health researchers and EBP advocates. Cairney's description of the characteristics of successful policy entrepreneurs offers useful guidance to advance EBP and we conclude with proposing some practical mechanisms to support it. Finally, we recommend that researchers and policy makers spend more time in the Purple zone to enable a deeper understanding of, and mutual respect for, the unique contributions made by research, policy and political actors to sound public policy.


Asunto(s)
/terapia , Práctica Clínica Basada en la Evidencia/normas , Guías como Asunto , Política de Salud , Pandemias/prevención & control , Salud Pública/legislación & jurisprudencia , Salud Pública/normas , Australia/epidemiología , Humanos
11.
Ann Am Thorac Soc ; 18(2): 300-307, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33522870

RESUMEN

Rationale: Prone positioning reduces mortality in patients with severe acute respiratory distress syndrome (ARDS), a feature of severe coronavirus disease 2019 (COVID-19). Despite this, most patients with ARDS do not receive this lifesaving therapy.Objectives: To identify determinants of prone-positioning use, to develop specific implementation strategies, and to incorporate strategies into an overarching response to the COVID-19 crisis.Methods: We used an implementation-mapping approach guided by implementation-science frameworks. We conducted semistructured interviews with 30 intensive care unit (ICU) clinicians who staffed 12 ICUs within the Penn Medicine Health System and the University of Michigan Medical Center. We performed thematic analysis using the Consolidated Framework for Implementation Research. We then conducted three focus groups with a task force of ICU leaders to develop an implementation menu, using the Expert Recommendations for Implementing Change framework. The implementation strategies were adapted as part of the Penn Medicine COVID-19 pandemic response.Results: We identified five broad themes of determinants of prone positioning, including knowledge, resources, alternative therapies, team culture, and patient factors, which collectively spanned all five Consolidated Framework for Implementation Research domains. The task force developed five specific implementation strategies, including educational outreach, learning collaborative, clinical protocol, prone-positioning team, and automated alerting, elements of which were rapidly implemented at Penn Medicine.Conclusions: We identified five broad themes of determinants of evidence-based use of prone positioning for severe ARDS and several specific strategies to address these themes. These strategies may be feasible for rapid implementation to increase use of prone positioning for severe ARDS with COVID-19.


Asunto(s)
/terapia , Posicionamiento del Paciente/normas , Brechas de la Práctica Profesional , Mejoramiento de la Calidad , /terapia , Adulto , Práctica Clínica Basada en la Evidencia , Femenino , Humanos , Ciencia de la Implementación , Unidades de Cuidados Intensivos , Masculino , Persona de Mediana Edad , Posicionamiento del Paciente/métodos , Posición Prona , Investigación Cualitativa
13.
Behav Sci Law ; 39(1): 83-105, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33576540

RESUMEN

The jail-based competency treatment (JBCT) model has become an established forensic practice across the country. From the perspective of implementation science and the three core elements of the Promoting Action on Research Implementation in Health Service (PARiHS) framework, the JBCT model is a remarkable example of how context (an unrelenting and overwhelmingly strong demand for forensic beds) has driven multiple state governments to facilitate implementation of a methodology in the absence of empirical evidence supporting its efficacy. This 7-year study of outcomes from four JBCT program sites provides this much-needed evidence by showing that JBCT restored 56% of 1553 male and 336 female patients over an average of 48.7 days. At the same time, the study highlights how variations in JBCT models, methods, and preadmission stabilization time present challenges to planned and effective implementation of evidence-based practice at the statewide system level. By identifying differential responsiveness to JBCT treatment by diagnosis and other factors, the study suggests preliminary implementation ideas for what types of patients are well served by the JBCT model as part of a continuum of restoration options that includes inpatient, outpatient and diversion. Significant findings showed that JBCT patients were restored at a higher rate and in a shorter time if they were female, < 20 years old (highest restoration rate; those < 60 years old also significantly better rates), free of co-occurring intellectual and cognitive deficits, and malingering. Of the major diagnoses, schizoaffective disorder required a significantly longer length of JBCT treatment for restoration, and lower restoration rates than schizophrenia and bipolar disorder, although this was moderated by a significant interaction with abuse of amphetamines.


Asunto(s)
Práctica Clínica Basada en la Evidencia , Psiquiatría Forense , Adulto , Factores de Edad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
14.
Medicine (Baltimore) ; 100(7): e24466, 2021 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-33607777

RESUMEN

BACKGROUND: Primary dysmenorrhea (PD) is a common gynecological disease characterized by lower abdominal pain. Moxibustion as a traditional Chinese treatment, can effectively treat PD with few adverse reactions. Nowadays, there is still no standard guideline for moxibustion treatment of PD, so related clinical practice guidelines need to be developed. METHODS: This guideline will be developed in line with the latest guideline definition from Institute of Medicine, and that applies the GRADE system as well as the World Health Organization handbook to appraise the quality of evidence and develop recommendations. We will set up a Guideline working group, put forward the corresponding problems based on the principle of Population, Intervention, Comparison, Outcomes (PICO), and complete the literature retrieval. After achieving consensus through evidence syntheses and 2 to 3 rounds of Delphi process, we will also consider patients values and preferences and implement peer review in the guideline. RESULT: We will put forward evidence-based best practice recommendations and moxibustion standard to improve the symptoms caused by primary dysmenorrhea in a more efficient way. At present, the research is still in progress, and there is no result to report. CONCLUSIONS: This guideline will be helpful to clinical acupuncturists and other professionals to further improve clinical efficacy in treating PD with moxibustion. Moreover, we will also constantly update and evaluate the evidence to both support recommendations and identify gap areas for future research. SYSTEMATIC REVIEW REGISTRATIONS: registration number: IPGRP-2020CN021.


Asunto(s)
Dismenorrea/terapia , Moxibustión/métodos , Práctica Clínica Basada en la Evidencia , Femenino , Humanos , Guías de Práctica Clínica como Asunto
15.
Yakugaku Zasshi ; 141(1): 25-31, 2021.
Artículo en Japonés | MEDLINE | ID: mdl-33390443

RESUMEN

Various issues related to clinical use of medicines remain unclear, and pharmacists are expected to establish evidence for appropriate use of medicines. The present review summarizes our findings from three areas of research regarding the use of medicines in the operating room: 1) We evaluated the extent of extravasation injury due to thiopental (2.5 mg/100 µL) and propofol (1.0 mg/100 µL) at the macroscopic and histopathologic levels in a rat model. Thiopental, which causes tissue necrosis, can be classified as a "vesicant", and propofol can be classified as an "irritant". Moreover, warming strongly exacerbated the degeneration or necrosis induced by extravasation of thiopental. 2) The cytotoxicity of povidone-iodine solution (PVP-I) for ophthalmic use and that of polyvinyl alcohol-iodine solution (PAI) was compared using a human corneal epithelial cell line. Despite exhibiting equivalent antiseptic effects, the cytotoxicity of PVP-I diluted 16-fold was greater than that of PAI diluted 6-fold. After inactivation of iodine, the cytotoxicity of PVP-I persisted; therefore, to avoid corneal damage, antisepsis should be achieved with PAI. 3) The stability of 1 µg/mL adrenaline when used as an intraocular irrigating solution to maintain pupil dilation was evaluated. After mixing for 6 h, the adrenaline concentration was 65.2% (pH 8.0) of the initial concentration. Moreover, the low concentration of sodium bisulfite in the irrigating solution could have caused adrenaline reduction. Our results strongly suggest that intraocular irrigation solution containing adrenaline should be prepared just prior to use in surgery.


Asunto(s)
Antiinfecciosos Locales/efectos adversos , Práctica Clínica Basada en la Evidencia , Quirófanos , Povidona Yodada/efectos adversos , Propofol/efectos adversos , Tiopental/efectos adversos , Animales , Antiinfecciosos Locales/administración & dosificación , Línea Celular , Modelos Animales de Enfermedad , Relación Dosis-Respuesta a Droga , Interacciones Farmacológicas , Estabilidad de Medicamentos , Epinefrina , Masculino , Povidona Yodada/administración & dosificación , Propofol/administración & dosificación , Ratas , Ratas Wistar , Soluciones , Sulfitos , Irrigación Terapéutica , Tiopental/administración & dosificación
16.
Health Res Policy Syst ; 19(1): 5, 2021 Jan 18.
Artículo en Inglés | MEDLINE | ID: mdl-33461564

RESUMEN

The COVID-19 pandemic has created urgent demand around the world for knowledge generation about a novel coronavirus, its transmission, and control, putting academic institutions at the frontline of politics. While many academic institutions are well poised to conduct research, there are well-documented barriers for these institutions, particularly in low- and middle-income countries (LMICs), to further conduct strategic synthesis and dissemination to promote knowledge utilization among policy-makers. These systemic barriers to knowledge translation (KT) pose significant challenges for academic institutions seeking to take advantage of unprecedented policy windows to inform evidence-based decision-making. Global health funding organizations should prioritize the support of academic institutions' activities along the KT pathway, including both knowledge generation and strategic dissemination, to improve knowledge uptake for decision-making to improve health. Institutional capacity-building initiatives for KT have the potential to profoundly impact responses to this and future pandemics.


Asunto(s)
Creación de Capacidad , Países en Desarrollo , Salud Global , Política de Salud , Pandemias , Investigación en Medicina Traslacional , Planificación en Desastres , Práctica Clínica Basada en la Evidencia , Organización de la Financiación , Humanos , Conocimiento , Formulación de Políticas , Apoyo a la Investigación como Asunto , Instituciones Académicas , Investigación en Medicina Traslacional/economía
18.
Artículo en Inglés | MEDLINE | ID: mdl-33401523

RESUMEN

Evidence-based practice (EBP) prevents unsafe/inefficient practices and improves healthcare quality, but its implementation is challenging due to research and practice gaps. A focused educational program can assist future nurses to minimize these gaps. This study aims to assess the effectiveness of an EBP educational program on undergraduate nursing students' EBP knowledge and skills. A cluster randomized controlled trial was undertaken. Six optional courses in the Bachelor of Nursing final year were randomly assigned to the experimental (EBP educational program) or control group. Nursing students' EBP knowledge and skills were measured at baseline and post-intervention. A qualitative analysis of 18 students' final written work was also performed. Results show a statistically significant interaction between the intervention and time on EBP knowledge and skills (p = 0.002). From pre- to post-intervention, students' knowledge and skills on EBP improved in both groups (intervention group: p < 0.001; control group: p < 0.001). At the post-intervention, there was a statistically significant difference in EBP knowledge and skills between intervention and control groups (p = 0.011). Students in the intervention group presented monographs with clearer review questions, inclusion/exclusion criteria, and methodology compared to students in the control group. The EBP educational program showed a potential to promote the EBP knowledge and skills of future nurses.


Asunto(s)
Competencia Clínica , Bachillerato en Enfermería , Práctica Clínica Basada en la Evidencia , Estudiantes de Enfermería , Adulto , Práctica Clínica Basada en la Evidencia/educación , Femenino , Humanos , Masculino , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Estudiantes de Enfermería/psicología , Estudiantes de Enfermería/estadística & datos numéricos , Adulto Joven
19.
Brasília; CONASS; 2021. 342 p.
Monografía en Portugués | LILACS, Coleciona SUS, CONASS | ID: biblio-1150763

RESUMEN

A pandemia, mais evidente no Brasil a partir de março de 2021, requereu dos entes que compõem o Sistema Único de Saúde (SUS) diferentes esforços, seja no âmbito do planejamento, da gestão, da alocação orçamentária e financeira e respectiva execução. Na Coleção COVID-19 o Livro 2 ­ Planejamento e Gestão ­ está dedicado aos dados, análises e considerações de diferentes aspectos relacionados a esse tema. Por contar com enfoques de especialistas dos campos das ciências sociais, biológicas e pesquisa clínica apresenta, na partida, textos que relacionam incertezas, tempestividade e a tomada de decisão, num sistema de saúde formado, ao mesmo tempo, por entes autônomos e interdependentes. Busca apresentar conceitos e práticas sobre o planejamento global, situacional e regionalizado no campo da saúde pública. As análises também consideram a adoção das medidas não farmacológicas, os diferentes sistemas nacionais de dados, a inteligência artificial, as revisões rápidas, os comitês científicos, os instrumentos de planejamento e sua necessária adaptação à realidade, à luz das evidências disponíveis a cada momento e compatíveis às diferentes realidades e territórios. Detém-se, no âmbito da gestão hospitalar, aos dados e análises sobre os leitos específi -cos para a COVID-19, bem como a conjugação de esforços nas estratégias de gerenciamento, a partir das parcerias público-privadas, organizações sociais, consórcios, Proadi-SUS, sob premissas aplicáveis ao SUS e aos planos e seguros de saúde. Os textos aqui compilados também põem no palco os debates relativos aos controles e os desafios da gestão, que caminhou ­ e ainda caminha ­ entre a conformidade processual e a pressa responsável. A argumentação dos autores, sustentada na ciência e na avaliação crítica, foi mantida in totum, mesmo que porventura contrária aos posicionamentos do Conass. Que a leitura densa dos textos que compõem o presente livro seja capaz de motivar debates capazes de qualificar ainda mais a gestão do SUS.


Asunto(s)
Humanos , Neumonía Viral/epidemiología , Sistema Único de Salud/organización & administración , Infecciones por Coronavirus/epidemiología , Gestión en Salud , Pandemias/prevención & control , Brasil/epidemiología , Práctica Clínica Basada en la Evidencia , Asociación entre el Sector Público-Privado , Monitoreo Epidemiológico , Capacidad de Camas en Hospitales , Unidades de Cuidados Intensivos
20.
Milbank Q ; 99(1): 9-23, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33320388

RESUMEN

Policy Points The historical mission of public health is to ensure the conditions in which people can be healthy, and yet the field of public health has been distracted from this mission by an excessive reliance on randomized-control trials, a lack of formal theoretical models, and a fear of politics. The field of population health science has emerged to rigorously address all of these constraints. It deserves ongoing and formal institutional support.


Asunto(s)
Política de Salud , Gestión de la Salud Poblacional , Salud Pública , Práctica Clínica Basada en la Evidencia , Humanos , Maniobras Políticas , Política , Medicina Preventiva , Estados Unidos
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