Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 5.017
Filtrar
1.
Enferm. clín. (Ed. impr.) ; 29(6): 336-343, nov.-dic. 2019. tab, graf
Artículo en Español | IBECS | ID: ibc-184653

RESUMEN

Objetivo: Conocer el grado el interés de los residentes en áreas formativas transversales de Enfermería Familiar y Comunitaria (EFyC) al inicio de su formación. Valorar el desarrollo de actividades comunitarias en los centros de salud y determinar el grado de satisfacción de los residentes con la formación recibida y actividades realizadas. Método: Se presenta una experiencia sobre metodología docente en salud pública y comunitaria en los residentes de EFyC desde el 2014 hasta el 2017. La formación se dividió en 3módulos formativos de 21h y se completó con 2actividades de campo: un programa de Educación para la Salud (EpS) y un mapeo de activos en la zona básica de salud (ZBS). Se cumplimentó un cuestionario de satisfacción del curso y de las actividades realizadas. Resultado: Durante este período se formaron 27 residentes. El 86,9% consideró la formación en atención comunitaria como muy necesaria. Se realizaron 26 programas de EpS y 17 mapeos de activos de sus ZBS. Con respecto a la satisfacción de la formación, se obtuvo una media global de 4,5 ± 0,1 sobre 5. Conclusiones: Los resultados evidencian un alto grado de interés en atención comunitaria, así como una valoración muy alta sobre las actividades realizadas y la formación recibida. La formación en salud comunitaria durante el período de residencia es un elemento esencial para integrar estas competencias en el rol profesional. Resulta imprescindible la dedicación por parte de las Unidades Docentes en el impulso en esta competencia, capacitando a los residentes en la integración del abordaje biopsicosocial, la orientación comunitaria y el trabajo en equipo en Atención Primaria


Objective: To determine the interest of nursing residents in the training areas of Family and Community Nursing (EFyC) at the beginning of their training, to evaluate community activities in health centres and to determine satisfaction with the training received and activities carried out. Method: We present the experience of training in the public and community health competencies of EFyC Nursing from 2014 to 2017 in a multiprofessional teaching unit. The training was divided into 3 theoretical modules. The training was completed with 2 activities: the design and development of a health education programme and an asset mapping in the basic health area. A questionnaire was completed on satisfaction with the course and the activities carried out. Result: During this period, 27 residents received training. As part of the training process, 26 health education programmes and 17 asset mappings were conducted in accredited health centres. The areas of intervention addressed were: lifestyles, life transitions and health problems. The overall satisfaction with the course was 4.5 ±.1 out of 5. Conclusions: The results show a high degree of interest in this area, as well as high evaluation of the activities carried out and the training received. Training in community health and health education during the period of residence is essential to include these competencies in the professional role. The dedication and involvement of the multiprofessional teaching units is essential in the development of these competences, training the residents through the integration of a biopsychosocial approach, community health and teamwork in primary care


Asunto(s)
Humanos , Enfermería en Salud Comunitaria/educación , Enfermería de la Familia/educación , Educación en Enfermería/tendencias , Enfermeras Especialistas/educación , Salud Pública/educación , Estudios Transversales , Encuestas y Cuestionarios , Análisis de Datos , Internado no Médico/métodos , Internado no Médico/organización & administración
3.
Pan Afr Med J ; 33: 68, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31448030

RESUMEN

Introduction: Field Epidemiology Training Programmes (FETPs) are functional ways of strengthening epidemiology, surveillance and outbreak response capacity in countries. However, sustainability of FETPs is a major challenge facing most countries especially in Africa. The Ghana Field Epidemiology and Laboratory Training Program (GFELTP) started in 2007 in the University of Ghana School of Public Health as a solution to gaps in the public health workforce. This paper assessed the sustainability strategies embedded in the Ghana Field Epidemiology and Laboratory Training Programme. Methods: We assessed the sustainability of GFELTP by document reviews and interviews with programme staff and stakeholders to identify sustainability structures (programme, financial and institutional) that were in place. We grouped information into the following headings: programme structure, institutional, financial and political structures. Results: As of July 2017, a total of 350 public health experts have been trained in both frontline and advanced courses since the programme's inception. For funding structures, the programme is funded mainly by its partners and stakeholders who are local government organisations. They provide resources for running of programme activities. Under institutional and political structures, the programme was established as a Ministry of Health/Ghana Health Service programme based in the University of Ghana. The programme steering committee which is currently chaired by the Director Public Health of Ghana Health Service, jointly ensures its implementation. Other structures of sustainability observed were involvement of stakeholders and alumni in human resource of the programme; use of stakeholders as faculty for the programme. These stakeholders include staff from University of Ghana School of Public Health, Ghana Health Service and Veterinary Service Department, World Health Organization and Centers for Disease Control and Prevention. The programme showed evidence of stable sustainability strategies in all four structures evaluated. Conclusion: The assessment found the GFELTP to be sustainable. The main factors that contributed to rendering it sustainable were funding, programme, institutional and political structures embedded in the programme. One remarkable sustainability element observed was the strong collaboration that existed between stakeholders of the programme who worked hand in hand to ensure the programme runs smoothly. However, more sources of funding and other essential resources need to be considered to help the programme obtain a pool of resources for carrying out its activities.


Asunto(s)
Brotes de Enfermedades/prevención & control , Epidemiología/educación , Vigilancia de la Población/métodos , Salud Pública/educación , Creación de Capacidad , Conducta Cooperativa , Femenino , Ghana , Humanos , Personal de Laboratorio/educación , Masculino , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud
4.
BMC Med Educ ; 19(1): 298, 2019 Aug 03.
Artículo en Inglés | MEDLINE | ID: mdl-31376832

RESUMEN

BACKGROUND: As public health becomes increasingly central to the practice of medicine, educational efforts are necessary to prepare medical students to apply public health concepts in their care of patients. There are few accessible and informative tools to prepare students to engage with population health challenges. METHODS: We distributed an online questionnaire to clinical students, querying gaps in their education on public health topics. Based upon the responses, we developed a web-based curriculum for medical students rotating at a public safety-net hospital on pediatrics, medicine, primary care, psychiatry, and surgery services from April-December 2017 (available at www.publichealthcommute.com ). Students received guiding questions and media-based resources (e.g. podcasts, TedTalks, YouTube videos) in weekly modules addressing topics in public health. Each module incorporated 30 min of mobile-optimized content, including specific data relating the topic to the Central Harlem community. Familiarity with public health was assessed with pre- and post-program quizzes, including 10 multiple-choice and 2 open-ended questions. RESULTS: Among the 70 participating students, 59 (84%) completed both the pre- and post-assessments. The five-week curriculum covered health systems, social determinants, race, substance use, violence, and alternative care models. After completing the five-week curriculum, the mean correct score on a multiple-choice quiz rose from 57 to 66% (p = 0.001). In the qualitative section of the test, students were asked what public health topics should be taught in medical school. Frequently suggested topics included social determinants of health (25%), epidemiology (25%), health systems (25%), insurance (21%), policy (17%), economics (17%), racism (15%), and health disparities (8%). When asked how public health will impact their medical career, students frequently responded that it would greatly impact their clinical practice (49%), choice of residency program (17%), and decision to pursue advocacy or additional degrees (15%). CONCLUSIONS: Learners participating in this five-week online public health curriculum demonstrated a significant increase in public health knowledge. The online format allowed for high participation across five different specialty rotations, and community-specific data allowed students to recognize the importance of public health in medical practice.


Asunto(s)
Curriculum , Internet , Salud Pública/educación , Estudiantes de Medicina , Humanos , Desarrollo de Programa , Determinantes Sociales de la Salud , Encuestas y Cuestionarios
6.
J Vet Med Sci ; 81(9): 1273-1276, 2019 Sep 03.
Artículo en Inglés | MEDLINE | ID: mdl-31292333

RESUMEN

During fiscal years 2014-2018, a total of 254 internship programs were held by local government organizations under the VPcamp project, a project sponsored by the Japanese Ministry of Education, Science and Technology. We conducted a Poisson regression analysis using the number of applicants for each program as dependent variable and potential factors as independent variables that might affect the number of applicants. The factors that were found to significantly affect the number of applicants were: the program opening date; the type of venue where the program took place; the target grades of veterinary students; the regional location of the local government that organized the program; and the proximity of the local government from a veterinary school.


Asunto(s)
Educación en Veterinaria/estadística & datos numéricos , Internado no Médico/estadística & datos numéricos , Bienestar del Animal , Animales , Humanos , Japón , Salud Pública/educación
7.
Am Surg ; 85(6): 601-605, 2019 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-31267900

RESUMEN

The Stop the Bleed (STB) course teaches trainees prehospital hemorrhage control with a focus on mass education. Identifying populations most likely to benefit can help save on the significant cost and limited resources. In this study, we attempted to identify those populations and performed a cost analysis. Trainees underwent STB education and completed a survey on completion to assess demographics and prior experiences where STB skills could have been useful. Five hundred seventy-one trainees categorized as first responders (14%), students (56%), and the working public (30%) completed the survey. Most trainees found the lecture and simulation helpful, 96 per cent and 98 per cent, respectively. There were significant differences among groups who had previously been in situations where the STB course would have been helpful (88% first responders versus 40% students versus 43% public workers) (P < 0.001). Teaching a class of 10 students costs approximately $455; the cost can be as high as $1246 for a class of 50 students. Most STB trainees found the course helpful. First responders are most likely to be exposed to situations where course information could be helpful. Focusing on specific high-yield groups rather than mass education might be a more efficient approach to STB education.


Asunto(s)
Servicios Médicos de Urgencia/organización & administración , Socorristas/educación , Hemorragia/prevención & control , Incidentes con Víctimas en Masa/prevención & control , Adulto , Distribución de Chi-Cuadrado , Educación Médica/organización & administración , Educación Profesional/organización & administración , Tratamiento de Urgencia , Femenino , Personal de Salud/educación , Humanos , Masculino , Persona de Mediana Edad , Salud Pública/educación , Mejoramiento de la Calidad , Medición de Riesgo , Encuestas y Cuestionarios , Tasa de Supervivencia , Estados Unidos
8.
BMC Med Educ ; 19(1): 240, 2019 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-31262300

RESUMEN

BACKGROUND: For promoting autonomous learning motivation, the learning effect of community-oriented service is beneficial, because through community participation and service, students can transfer their implicit cognition of ethics into explicit cognition, leading to the cultivation of a sympathetic partnership between the community and medical students. Despite the proven benefits of medical students' community health service (CHS) in Western countries, CHS programs designed for medical students are not well established in mainland China, and their effects on medical students' ethical cognition are largely unknown. This study evaluated the effects of CHS programs on the ethical cognition of medical students. METHODS: A cross-sectional study was conducted on third- and fourth-year medical students and graduates working at Shantou University Medical College by using a self-administered anonymous questionnaire. Through interviews, we applied a thematic approach to analyze the responses of the participating students. The questionnaire adopted in this study was revised based on a review of the literature on medical ethics in medical students and on the CHS environment in China. The reviewed questionnaires included an evaluation questionnaire on cultivating medical ethics in a CHS context, and questionnaires used to explore the cultivation and transformation of medical ethics in medical students during the preclinical period. RESULTS: A total of 361 (54.4%) undergraduate medical students and 302 (45.6%) graduates participated in this survey. Significant differences were observed in self-evaluation of the cognitive development of ethics between those who had participated in CHS programs 1-5 times and those who had participated > 6 times. The successful identification of accepting money from the patients under the table as unethical behavior significantly differed (p = .031) among the graduates but not (p = .567) among the undergraduate students. The participants expressed the positive impact of CHS programs on their self-development. CONCLUSION: CHS programs can be widely applied in medical education in China. This educational strategy, which supports medical professionalism and incorporates humanitarian behavior as a complement to learning, should be encouraged and promoted nationally.


Asunto(s)
Servicios de Salud Comunitaria , Curriculum , Educación de Pregrado en Medicina , Ética Médica , Salud Pública/educación , Facultades de Medicina , China , Servicios de Salud Comunitaria/ética , Estudios Transversales , Humanos , Estudios Retrospectivos , Autoevaluación , Estudiantes de Medicina , Encuestas y Cuestionarios
9.
s.l; 3ie; July 3, 2019.
No convencional en Inglés | ODS | ID: biblio-1026037

RESUMEN

A multisectoral approach is needed to meet the World Health Organisation's (WHO) target to eliminate morbidity due to soil-transmitted helminthiases (STH) in children by 2020. In addition to deworming, WHO recommends improving hygiene education and sanitation to reduce soil transmitted helminthiases transmission. CLTSH, a modified form of CLTS, focusses additionally on hygiene, specifically handwashing with soap or a soap substitute and hygienic handling of drinking water. With CLTSH, there is considerable focus on 'triggering' collective awareness of the problem of open defecation and behaviour change. CLTSH in Ethiopia is a government-backed, low-cost, and locally acceptable approach to improving sanitation and hygiene. It is being scaled up throughout Amhara in Ethiopia.


Asunto(s)
Humanos , Conductas Relacionadas con la Salud , Salud Pública/educación , Saneamiento Básico/políticas , Etiopía
10.
Zhonghua Yu Fang Yi Xue Za Zhi ; 53(6): 625-627, 2019 Jun 06.
Artículo en Chino | MEDLINE | ID: mdl-31177762

RESUMEN

To investigate the current status of postgraduates training in public health and preventive medicine in China. In this study, a questionnaire survey was conducted among directors of enrollment and teaching in 22 universities with postgraduate admission qualifications in corresponding disciplines nationwide. In 2016, full-time postgraduates were mainly academic masters. In addition to the graduate entrance examination, the common enrollment mode in colleges was to enroll a high qualified student with recommendations from relevant experts or institutions and an exemption from entrance examination (20/22). The emphasis on training contents between academic and public health master was different. Currently, the scale of public health postgraduate enrollment in public health and preventive medicine in China is stable, and the training program is reasonable, but there is an issue of monotonous model and uneven distribution of enrollment.


Asunto(s)
Curriculum , Medicina Preventiva , Salud Pública , China , Humanos , Medicina Preventiva/educación , Salud Pública/educación , Encuestas y Cuestionarios , Universidades
11.
J Emerg Manag ; 17(3): 239-250, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31245835

RESUMEN

OBJECTIVE: Assess levels of disaster preparedness in institutions of higher education (IHEs) in the United States. DESIGN: An anonymous, 57-question survey targeted individuals responsible for emergency management at IHEs across the US descriptive statistics and bivariate chi-square analysis were reported. Using the established threshold score of the initial Cities Readiness Initiative from the CDC, an individual respondent's composite score of 70 percent or higher across 23 specific questions within the 57-question survey was labeled as "prepared." RESULTS: Chi-square analysis identified variables associated with lower preparedness levels at IHEs not achieving the minimum 70 percent score. Having a campus law enforcement officer serve the additional role of emergency manager had a negative association with being prepared [χ2 (1) = 10.18, p < 0.001]. Having emergency management as a separate university function from campus law enforcement had a positive relationship with being prepared [χ2 (1) = 18.55, p < 0.001]. Staffing the emergency management function with a professional having less than 3 years of emergency management experience had a negative association with being prepared. CONCLUSIONS: Our results indicate that minimizing the mission of emergency management by simply tasking a campus law enforcement officer with the extra responsibility of emergency management or entertaining less professionally qualified personnel to lead emergency management's complex mission can lead to disastrous results. Not only is preparedness impacted, but also resilience when facing disaster situations. Our nation continues to strive to become more resilient when facing such adverse events, as formally embraced and emphasized in the 2017 National Security Strategy. Research continues to offer best practices and unfortunately continues to highlight gaps. While the higher education community is not one of the 16 federal critical infrastructure sectors, identified gaps such as those presented in our findings as well as those published by the National Academies of Sciences are cause for alarm. Not only are higher education campuses generating invaluable contributions to society in general, bio-innovation, public health, and medicine, to name a few, they are a core stakeholder in resilience research and implementation. Yet, research continues to indicate preparedness and therefore resilience gaps in this sector. The authors propose implications for practice, policy, and research to assist IHEs in achieving a more comprehensive, sustainable level of resilience.


Asunto(s)
Planificación en Desastres/organización & administración , Desastres , Urgencias Médicas , Salud Pública/educación , Universidades/organización & administración , Humanos , Estados Unidos
14.
Am J Orthopsychiatry ; 89(3): 390-399, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31070424

RESUMEN

Efforts to recruit and retain public health researchers should include scholars that reflect the demographics of the United States. Innovative research mentoring programs that integrate one-to-one and small group learning experiences may result in improved engagement and research productivity among graduate school scholars from underrepresented populations in public health research fields. This study analyzed leadership characteristics and research productivity of 54 graduate scholars who participated in the Dr. James A. Ferguson Emerging Infectious Diseases Fellowship Program (Ferguson Fellowship). Ferguson Fellows participated in 9-week research experience before and after implementation of a multimodal mentorship (M3) designed to support submission of research abstracts to national scientific conferences. M3 strategies included: (a) weekly research content mentoring, (b) myIDP, (c) professional development (process) mentoring, and (d) Research Accountability Groups. Overall, transformational leadership characteristics improved following completion of the Ferguson Fellowship (M = 3.71, SD = 6.37), t(33) = 3.39, p < .01. Transformational leadership characteristics of Ferguson Fellows who received M3 improved significantly (M = 3.88, SD = 6.63), t(24) = 2.93, p < .01 during the program. Fellows who received M3 had almost 4 times (OR = 3.88; 95% CI [1.21, 12.47], p < .05) higher odds of submitting research to scientific meetings compared to their peers who did not participate in M3. Providing process mentoring and research accountability groups were associated with increased research self-efficacy. Graduate scholars from underrepresented populations may benefit from multimodal mentoring strategies that provide scholars with individualized research and professional development support based on the scholar's needs. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Asunto(s)
Enfermedades Transmisibles , Tutoría/métodos , Salud Pública/educación , Investigación , Responsabilidad Social , Estudiantes/psicología , Educación Profesional , Femenino , Humanos , Masculino , Grupos Minoritarios/estadística & datos numéricos , Desarrollo de Personal
15.
Rev Bras Enferm ; 72(2): 414-419, 2019.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31017204

RESUMEN

OBJECTIVE: to implement a pedagogical strategy in the epidemiology course of a nursing school in a public university. METHOD: This is an interventional prospective study, with a critical epidemiological approach, based on the learner's worldview for a theoretical conception about science. The development of the study started from a field recognition for the systematization of the teaching-learning strategy and ended with the evaluation of the course. RESULTS: 67 students participated in the study, 91% were female and 54% were between 20 and 29 years old. Prior knowledge was mostly clinical/biological, and the strategy used enhanced the knowledge of science in a critical, creative and reflective way, stimulating intersectionality and teamwork through the use of Information and Communication Technologies. FINAL CONSIDERATION: The pedagogical strategy provided a meaningful learning about the principles of epidemiology.


Asunto(s)
Bachillerato en Enfermería/métodos , Epidemiología/educación , Enseñanza/tendencias , Adulto , Brasil , Curriculum/normas , Bachillerato en Enfermería/normas , Femenino , Humanos , Masculino , Estudios Prospectivos , Salud Pública/educación , Salud Pública/métodos , Investigación Cualitativa , Autoinforme , Encuestas y Cuestionarios
16.
Can J Public Health ; 110(3): 327-330, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31028684

RESUMEN

There are widely divergent views as to what constitutes "public health" and "public health research". But regardless of these views, readers of this journal would likely agree that public health matters; we assert that so does the educational programming that prepares its workforce. Our voiced perspectives as authors are influenced by our respective training, occupations, and academic locales, and we believe that undergraduate public and population health education (UGPPHE) across many disciplines is crucial to strengthening public health in Canada. Existing literature and discourse related to UGPPHE in Canada tends to be concentrated around its ancillary positioning within clinical health disciplines such as medicine, nursing, and dentistry, rather than on the evolution of undergraduate degree programs. While UGPPHE programming has the important function of preparing undergraduates to enter into practice as public health professionals, it has added virtue in its capacity to improve public health literacy and produce a more robust body of informed and engaged citizens. The intent of this commentary is to draw increased attention towards the other disciplines less well known for bringing awareness to UGPPHE in Canada and to commence what will hopefully be a cascade of dialogue from stakeholders across the nation.


Asunto(s)
Promoción de la Salud/métodos , Administración en Salud Pública , Salud Pública/educación , Canadá , Humanos
17.
Zhonghua Yu Fang Yi Xue Za Zhi ; 53(4): 419-420, 2019 Apr 06.
Artículo en Chino | MEDLINE | ID: mdl-30982280

RESUMEN

In order to understand the status of the cultivation of the masters of public health (MPH) in colleges in China and improve the cultivation model, an electronic questionnaire survey were conducted among 22 schools of public health in colleges. The result showed that the size and the enrolment scale of Chinese MPH students were relatively small, and the training objectives were still unclear. There was no obvious difference between the curriculum setting for MPH and academic master degree. The practical skill-oriented courses and emergency response ability of public health practice were insufficient. The cultivation model of MPH should be improved in future.


Asunto(s)
Educación de Postgrado/organización & administración , Educación en Salud Pública Profesional/organización & administración , Salud Pública/educación , China , Curriculum , Humanos , Universidades
18.
Artículo en Inglés | MEDLINE | ID: mdl-30970548

RESUMEN

Workforce shortages in the field of public health and healthcare are significant. Due to the limitations of career opportunities and compensation, rural hospitals and healthcare centres usually have on-going career openings for all departments. As a result, university departments of public health and healthcare management, and rural hospitals and health centres may need to establish internship and training programmes for undergraduate senior-year students in order to provide opportunities and human resource opportunities for both students and public health professions. The research examined the performance, feedback, and opinions of a university-based one-year-long on-site internship training programme between a university public health and healthcare undergraduate department and a regional hospital and healthcare centre in a rural region in the United States. Individual interview data were collected from management trainees and focus group activities data were collected from hospital departmental supervisors who have completed this one-year-long on-site internship training programme. The results offered an assessment of performance and evaluation of how a one-year-long internship programme could be beneficial to hospitals and health centres in the areas of human resources, manpower management, and skill training to prospective professionals in rural and regional communities. Also, the study provided a blueprint and alternative for universities and partnered sites to redesign and improve their current internship programmes which may better fit their needs for their actual situations.


Asunto(s)
Educación de Pregrado en Medicina/organización & administración , Personal de Salud/educación , Hospitales Rurales/organización & administración , Internado y Residencia/organización & administración , Salud Pública/educación , Salud Rural/educación , Desarrollo de Personal/organización & administración , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Servicios de Salud Rural , Población Rural , Estados Unidos
19.
Injury ; 50(4): 864-868, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-30967272

RESUMEN

INTRODUCTION: The national Stop the Bleed (STB) campaign was implemented in 2015 to provide hemorrhage control education to non-medical providers to reduce the number of deaths due to uncontrolled hemorrhage. Hands on training limits the availability of this program, and its importance is not known amongst lay providers. This study aimed to evaluate the efficacy of STB training for laypersons on knowledge and skill-based abilities in the workplace setting. We hypothesized such hands on and in-person training would improve performance. METHODS: Non-medical potential first responders (PFR; N = 298) participated in STB training comprised of a lecture and hands-on component. PFRs completed a bleeding control knowledge-based pre-and post-assessment. Following the lecture, participants were divided into experimental and control groups during which hands-on practice was manipulated to determine the impact of guided practice on wound packing and tourniquet application. Wound packing and tourniquet application assessments were performed and scores compared between the experimental and control groups. RESULTS: PFRs scored higher on the bleeding control bleeding control knowledge-based post-test (M = 4.63, SD = 1.32) than on the pre-test (M = 3.21, SD = 1.14). Employees in the experimental group (M = 2.93, SD = .26) also scored significantly higher than the control group (M = 1.97, SD = .77) that attempted wound packing without any hands-on training. PFRs in the experimental group scored significantly higher (M = 7.41, SD = .91) than PFRs in the control group (M = 5.99, SD = 1.81) for tourniquet application. CONCLUSION: Knowledge related to hemorrhage control increased following the STB course. Participants who engaged in hands-on practice for tourniquet and wound packing were more proficient than those who only saw the lecture. We confirm that in person, hands on training is key to the success of lay STB training.


Asunto(s)
Educación Médica/métodos , Medicina de Emergencia/educación , Hemorragia/prevención & control , Técnicas Hemostáticas/instrumentación , Salud Pública/educación , Conocimientos, Actitudes y Práctica en Salud , Hemorragia/terapia , Humanos , Maniquíes , Salud Pública/métodos , Lugar de Trabajo
20.
Health Promot Chronic Dis Prev Can ; 39(4): 157-166, 2019 Apr.
Artículo en Inglés, Francés | MEDLINE | ID: mdl-31021067

RESUMEN

INTRODUCTION: Decades of widespread knowledge about climate change have not translated into adequate action to address impacts on population health and health equity in Canada. Research has shown that context-based perceptions and interpretations mediate engagement. Exploring climate change engagement involves inquiry into contextual experience. METHODS: This qualitative study has employed narrative methodology to interpret the meaning of climate change among community leaders in Saskatoon, Saskatchewan, Canada, age 20-40 (n = 10). Climate change narratives were explored both structurally and thematically. RESULTS: A model was developed to organize results and to describe concepts of fidelity and dissonance within participant narratives. Findings suggested that knowledge of climate change and personal motivation to act did not preclude narrative dissonance, which served as a barrier to a meaningful personal response. Dissonance can result where internal and external barriers mediate mobilization at moments in the plot: (1) moving from knowledge of the challenge to a sense of agency about it; (2) from agency to a sense of responsibility to choose to address it; (3) from responsibility to a sense of capacity to produce desirable outcomes despite contextual challenges; and (4) from capacity to a moral sense of activation in context. Without narrative fidelity, meaningful mobilization can be hindered. CONCLUSION: A narrative model is useful for exploring climate change engagement and highlights opportunities for a population health approach to address the conditions that hinder meaningful mobilization. By framing climate change narratives with emotional and moral logic, population health framing could help young leaders overcome internal and external barriers to engagement.


Asunto(s)
Cambio Climático , Participación de la Comunidad/métodos , Liderazgo , Salud Pública/educación , Adulto , Femenino , Promoción de la Salud/organización & administración , Humanos , Masculino , Narración , Evaluación de Programas y Proyectos de Salud , Investigación Cualitativa , Saskatchewan , Adulto Joven
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA