Video-based Coaching: Current Status and Role in Surgical Practice, Part II- Practical Implementation and Risk Mitigation from the Society for Surgery of the Alimentary Tract, Health Care Quality and Outcomes Committee.

INTRODUCTION: Video-based surgical coaching is gaining traction within the surgical community. It has an increasing adoption rate and growing recognition of its utility, especially an advanced continuous professional growth tool, for continued educational purposes. This method offers instructional flexibility in real-time remote settings and asynchronous feedback scenarios. In our first paper, we delineated fundamental principles for video-based coaching, emphasizing the customization of feedback to suit individual surgeon's needs. METHOD: In this second part of the series, we review into practical applications of video-based coaching, focusing on quality improvements in a team-based setting, such as the trauma bay. Additionally, we address the potential risks associated with surgical video recording, storage, and distribution, particularly regarding medicolegal aspects. We propose a comprehensive framework to facilitate the implementation of video coaching within individual healthcare institutions. RESULTS: Our paper examines the legal and ethical framework and explores the potential benefits and challenges, offering insights into the real-world implications of this educational approach. CONCLUSION: This paper contributes to the discourse on integrating video-based coaching into continuous professional development. It aims to facilitate informed decision-making in healthcare institutions, considering the adoption of this innovative educational quality tool.

Using R in Regulatory Toxicology.

Statistical analyses are an essential part of regulatory toxicological evaluations. While projects would be ideally monitored by both toxicologists and statisticians, this is often not possible in practice. Hence, toxicologists should be trained in some common statistical approaches but also need a tool for statistical evaluations. Due to transparency needed in regulatory processes and standard tests that can be evaluated with template approaches, the freely available open-source statistical software R may be suitable. R is a well-established software in the statistical community. The principal input method is via software code, which is both benefit and weakness of the tool. It is increasingly used by regulating authorities globally and can be easily extended by software packages, e.g., for new statistical functions and features. This manuscript outlines how R can be used in regulatory toxicology, allowing toxicologists to perform all regulatory required data evaluations in a single software solution. Practical applications are shown in case studies on simulated and experimental data. The examples cover a) Dunnett testing of treatment groups against a common control and in relation to a biological relevance threshold, assessing the test's assumptions and plotting the results; b) dose-response analysis and benchmark dose derivation for chronic kidney inflammation as a function of Pyridine; and c) graphical/exploratory data analysis of previously published developmental neurotoxicity data for Chlorpyrifos.

Construction of nurses level promotion training system under vertical nursing management model / 中国实用护理杂志

Objective:On the basis of the development of nurses' core competence and the hierarchical management, to construct a nursing training system that meets the development and needs of clinical nursing.Methods:The energy level system of nurses was constructed: design and develop training modules for practical nurse, competent nurse, advanced nurse and specialist nurse. Developed energy level education and training modules, and determined the access conditions and assessment standards for energy level promotion, so as to ensure that the effect of education and training was achieved and met the requirements for nurse level promotion. The satisfaction of nurses with the training system was preliminarily evaluated.Results:Nurse level training system in line with clinical nurses' career development was constructed, and established an online education platform suitable for clinical nurses' learning. Nurses had high satisfaction with level promotion training system, with an average evaluation score of 4.0-4.9 (full score is 5), and the lowest satisfaction score of A2 level (4.0).Conclusions:The training system for level promotion of clinical nurses is feasible, which can meet the training needs of clinical nurses and help to improve the comprehensive clinical nursing ability of nurses.

Evaluación de la formación ética en la psicología colombiana / Evaluation of Ethical Training in Colombian Psychology / Avaliação da formação ética em psicologia colombiana

Este artículo presenta los resultados de una investigación dirigida a evaluar la formación ética recibida en los estudios de psicología, que hizo parte del Proyecto "Razona-miento y juicio ético de profesionales de la psicología en Iberoamérica, estudio en Colombia". Para ello, se utilizó una metodología multimétodo con grupos focales en seis campos del ejercicio profesional, un cuestionario de datos sociodemográficos y una escala de valoración de la formación ética, adaptada de Pope et al. (1987). Respondieron la escala 528 psicólogas y psicólogos de diferentes regiones del país, la mayoría egresados después de la Ley 1090 de 2006. En los grupos foca-les participaron 44 psicólogas y 17 psicólogos, con experiencia en el respectivo campo disciplinar. El 86.3 % calificó como buena o excelente la formación recibida en el programa de grado, lo mismo que la mayoría de quienes la recibieron en programas de posgrado o de educación continua. En los grupos focales se comentaron las falencias de la formación ética en los programas académicos y se hicieron recomendaciones para orientarla a modelos situados, previa preparación de los docentes. Se resaltó la importancia del Colegio Colombiano de Psicólogos (Colpsic), en la función de promover espacios para análisis y discusión ética de casos, y la función de la Asociación Colombiana de Facultades de Psicología (Ascofapsi), en la promoción de una educación ética de calidad en los programas de psicología. Se discuten los resultados a la luz del proyecto y de la literatura especializada

An investigation aimed at evaluating the ethical ed-ucation received by psychologists is presented. This research is part of the project "Ethical reasoning and judgement of psychologists in Iberoamerica, a study in Colombia". A multi-method study was applied, with focus groups in six professional areas, a sociodemo-graphic data questionaire and a scale evaluating ethics education, adapted from Pope et al. (1987). The scale was responded by 528 psychologists from different parts of the country, most of them graduated after the Act 1090 of 2006. Participants in the focus groups were 44 females and 17 males, with experience in the respective professional area. Results showed that 86.3 % of the participants qualified as good or excellent the ethics education in their graduate program, similar to the majority who received ethics education in their postgraduate or continued education programs. In the focus groups, commentaries about deficiencies in the academic programs were made, and also recom-mendations to orient ethics education towards situat-ed models, with previous preparation of professors. The importance of the role of Colpsic ­Colombian Psychologists College­ in the promotion of spaces for ethical analysis and discusión, and of the role of Ascofapsi ­Colombian Association of Psychology Programs­ in promoting an ethical education of quality in the psychology programs were emphasized. Results are discussed in the light of the wider project and the specialized literature

Apresenta-se a investigação dirigida a avaliar a for-mação ética recebida nos estudos de psicologia, no marco do Projeto "Raciocínio e Julgamento Ético dos Profissionais da Psicologia na Ibero-América, Estudo na Colômbia". Utilizou-se uma metodologia multi-método, com grupos focais em seis campos do exercício profissional, um questionário de dados socio-demográficos e uma escala de valoração da formação ética, adaptada de Pope et al. (1987). Responderam a escala 528 psicólogas e psicólogos de diferentes re-giões do país, a maioria formados após a Lei 1090 de 2006. Nos grupos focais participaram 44 psicólogas e 17 psicólogos, com experiencia no respectivo campo disciplinar. O 86.3 % avaliaram como boa ou excelen-te a formação recebida no programa de grado, assim como a maioria daqueles formados em programas de pós-graduação e de educação contínua. Nos grupos focais se identificaram-se falências da formação éticas nos programas acadêmicos e fizeram-se recomendações para orientá-la a modelos situados, previa preparação dos docentes. Destacou-se a importância do Colégio Colombiano de Psicólogos (Colpsic) na função de promover espaços para analisar e discutir eticamente casos, e a função da Associação Colombiana de Fa-culdades de Psicologia (Ascofapsi) na promoção da educação ética de qualidade nos estudos de psicologia. Discutiram-se os resultados à luz do projeto maior e da literatura especializada

Training results in increased practitioner confidence and identification of depression in people with low vision: a mixed methods study.

PURPOSE: The prevalence of depression in people with low vision is high and often goes undiagnosed. There is the potential for those who provide low vision services to perform concurrent depression screening. However, prior training in depression identification and suitable referral pathways is required. The aims of this study were: (1) to assess the impact of a training programme on practitioners' confidence and behaviour in addressing depression in patients with low vision, and (2) to review the training programme and identify areas for further development. METHODS: A convergent mixed methods approach was used. Questionnaires were completed by practitioners pre-, immediately post- and 6 months post- training (n = 40) to assess practitioner confidence in approaching depression in patients with low vision. Qualitative interviews were performed with a subset of practitioners 6 months post-training (n = 9). Additionally, routine data from the Low Vision Service Wales (LVSW) database was used to determine the change in the number of practitioners identifying depression in patients, and the change in the number of patients identified at risk of depression 6 months post-training. RESULTS: Of the 148 practitioners who completed low vision assessments pre- and post-training, 28 (18.9%) documented risk of depression in their patients pre-training, which increased substantially to 65 (43.9%) post-training (p < 0.0001). Mixed methods analysis confirmed increased documentation of depressive symptoms by practitioners. Practitioner confidence increased following training, with 92.3% feeling more confident to approach emotional issues with patients and 92.2% intending to use the recommended screening tool to identify depression. Interviews provided insight into areas where confidence was still lacking. Quantitative questionnaires revealed that training content was considered appropriate by 91% of participants. Interviews confirmed these findings while expanding upon possibilities for programme improvement. CONCLUSIONS: Training for depression screening was found to be time-efficient and acceptable for LVSW practitioners and shown to increase practitioner confidence in the identification of depression. Additionally, the programme changed behaviour, resulting in an increase in the identification of depression in patients with low vision. However, this is a complex topic and ongoing development is required to embed depression screening as an integral part of low vision services.

Cross-Disciplinary Appraisal of Knowledge and Beliefs Regarding the Diagnosis of Autism Spectrum Disorders in India: A Cross-Sectional Survey.

BACKGROUND: Many healthcare professionals, including pediatricians, psychiatrists, Clinical Psychologists (CPs), Occupational Therapists (OTs), and Speech-Language Pathologists (SLPs), are involved in the identification and intervention of Autism Spectrum Disorders (ASD) in children. Distinctive training backgrounds and professional exposure can result in contrasting ideas regarding the assessment, diagnosis, and treatment of ASD. Only a few studies have addressed the cross-disciplinary perspective of knowledge, belief, and awareness about diagnostic criteria required for diagnosing ASD. MATERIALS AND METHODS: A total of 154 allied healthcare professionals (98 SLPs, 33 CPs, and 23 OTs) participated in the study. The survey tool used for this study was adapted from a previously available survey on the assessment of knowledge and belief about ASD and self-efficacy. RESULTS: The overall knowledge and belief of allied healthcare professionals regarding ASD differed significantly across the groups. However, the knowledge of Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) diagnostic criteria for ASD did not differ significantly between the groups. CONCLUSION: Our findings have salient clinical implications and advocates for the continued education of healthcare professionals in India regarding recent diagnostic criteria for ASD.

Educação Permanente na Estratégia de Saúde da Família: a prática do enfermeiro / Permanent education in family health strategy: the nurse practice

Este estudo teve como objeto a prática da Educação Permanente em Saúde (EPS) realizada pelo Enfermeiro da Estratégia de Saúde da Família. A prática da Educação Permanente em Saúde é de suma importância para qualificar a força de trabalho no SUS como também para consolidá-lo, tendo como resultado a garantia do acesso e integralidade do cuidado buscando também fortalecer a importância da prática do enfermeiro no modelo da Estratégia de Saúde da Família. A presente dissertação utilizou a pesquisa qualitativa com abordagem participativa baseando-se na Pesquisa- Ação Participativa em Saúde (PAPS) como método de pesquisa. Os dados foram coletados através da entrevista semi-estruturada com a participação de nove enfermeiros. Para o tratamento dos dados foi utilizada a análise de conteúdo de Bardin, sendo construídas três categorias: Sentidos da Educação Permanente em Saúde para os Enfermeiros, Fatores limitantes na Prática de Educação Permanente em Saúde e Formas de Realizar Educação Permanente em Saúde. Através desde estudo foi verificado um entendimento diversificado atribuído pelos enfermeiros na realização da EPS e também as limitações para a prática da EPS. Pode-se identificar como práticas dos enfermeiros: realização de capacitação no trabalho, repasse de informações, discussão de problemas e realização de palestras. Ressalto a importância da prática da EPS ser planejada e organizada de acordo com as necessidades do trabalho do território, do individuo, da família e da comunidade que está inserido. A efetividade da Politica Nacional de Educação Permanente está diretamente ligada ao comprometimento dos profissionais, ao seu conhecimento do que é a EPS, da gestão local e central, e também da sistematização e organização para o financiamento, monitoramento e avaliação das ações de EPS realizadas no cotidiano das redes de atenção a saúde

This study had as object the practice of Health Permanent Education (HPE) performed for Family Health Strategy Nurse.The practice of Health Permanent Education is fundamentally important to qualify the workforce in SUS but also to consolidation it with the result that access guaranty and care integrality seeking reinforce the importance of the nurse practice in Family Health Strategy Pattern as well. This dissertation used qualitative research with a participatory approach based on Research-Participatory Action in Health (PAPS) as a research method. Data were collected through semi-structured interview, with the participation of nine nurses. For Data treatment was used Bardin contents analysis being built three categories: Permanent Education Senses in health to the Nurses, Limiting Factors in Permanent Education Practice in Health and Ways to Perform Permanent Education in Health.Through this study was inspected a diversified understanding assigned by nurses in HPE execution and to the limitation in HPE practice as well. It must be identified as HPE nurse practice: Work capacitation execution, interest information, discuss problems, performance of lectures. It should be noted the importance of HPE practice be planned and organized according to the area and work, individual, family and community they are inserted necessities. The effectivity of the National Permanent Education Policy is directly connected to the professional commitment, to the HPE knowledge, to the central and local management and systemization and organization of financing, monitoring and evaluation to the HPE actions performed in daily health attention nets as well.

Addressing Educational Needs in Managing Complex Pain in Cancer Populations: Evaluation of APAM: An Online Educational Intervention for Nurses.

CONTEXT: Cancer-related pain is associated with significant suffering and is one of the most challenging symptoms to manage. Studies indicate that front-line clinicians often lack the knowledge on best practices in cancer pain management. OBJECTIVES: The current project, a quality improvement (QI) initiative, evaluated the outcome of an online educational intervention for nurses on complex cancer pain management. METHODS: An online 7-module educational intervention, Advanced Pain Assessment and Management, was offered from 2012 to 2017. Pre-post course evaluations included self-reported knowledge and confidence across cancer pain management domains. In-course competency assessments included knowledge examination, online discussion forum participation, opioid dosage calculation assignment, and small-group-based case study. A mixed-model statistical analysis was used to assess pre-post course change in pain management confidence level. RESULTS: In all, 306 nurses from 89 hospitals in Ontario, Canada, were enrolled in the course; 81.4% returned the precourse survey and 71.9% successfully completed the course. The average confidence level on pain management was low at baseline (57.5%) but improved significantly post-course. In-course competency assessments ranged from 81% to 89%. Mixed-model results showed post-course improvements in confidence levels, independent of sociodemographic background, clinical role, and professional educational level. Nurses with longer years of practice and more cancer cases reported greater confidence. CONCLUSION: A facilitator-led online educational intervention focusing on complex cancer pain management can significantly improve nurses' knowledge, confidence, and skills. Low baseline knowledge among nurses highlights the pressing need for health-care organizations to implement cancer pain management training as an integral part of health-care QI initiative.

Integrating cross-border emergency medicine systems: Securing future preclinical medical workforce for remote medical services.

The European Union intends to enable its citizens to interact across borders in relevant areas of society and culture to further integrate neighboring regions. Medicine has not been at the core of recent EU-funded efforts in central Europe, partially due to significant differences in health care administration, delivery, reimbursement, and culture. However, impeding changes in social structure and centralization of specialized care warrant changes in preclinical administration of medical care, which are already transforming practices across developed countries in central Europe. Moreover, demographic and social changes are transforming not only patients but also health care providers, thus leading to an increased need for specialized medical personnel, particularly in regions close to formerly secluding borders. The EU-funded cooperation project presented in this article is located in the Euroregion Pomerania, which consists of northeastern Germany and northwestern Poland. This project emerged because of the need to solve practical emergency medicine-related problems for many years, which brought partners together. Unfortunately, administrative and medical interaction has not become significantly easier with Poland joining the Schengen area in 2007 and, subsequently, initial international contracts regarding, among other things, emergency medicine being negotiated and signed thereafter. Three different interdependent areas of cooperation within the project deal with key aspects of an improved and eventually integrated cooperation. An accepted clarification of administrative and legal foundations - or the lack and thus the need thereof - needs to be defined. Specialized language and simulation-based education and practice sessions employing modern technology throughout will be introduced to the entire region. Finally, the pre-existing and developing acceptance and sustainability aspects of personnel involved in the aforementioned actions and stakeholders on both sides of the border will be evaluated. In essence, the project focuses on a multimodal improvement of professional cooperation of key providers of emergency medicine services in the Euroregion Pomerania. Thereby, it aims to improve infrastructure; interpersonal and professional skills of involved personnel, administrative, and cultural relations; and eventually identification of specialized personnel with their workplace and region to secure and retain important medical workforce in an otherwise remote area on both sides of a formerly secluded border.

Tecnologias de informação e comunicação para formação profissional em Odontologia: uma proposta do Telessaúde/ES / Information and communication technologies for professional training in Dentistry: a Telessaúde/ES proposal

O Telessaúde/ES, com o auxílio de Tecnologias de Informação e Comunicação (TIC), promove a ampliação da Educação Permanente à Saúde (EPS) aos profissionais atuantes nas equipes de Estratégia Saúde da Família (ESF) do estado do Espírito Santo. O presente estudo objetivou apresentar uma proposta de um ambiente virtual em Odontologia, no âmbito do Telessaúde/ES, proporcionando um espaço exclusivo de compartilhamento de informações às Equipes de Saúde Bucal (ESB). Trata-se de uma pesquisa-ação, método adequado para propor soluções para a melhoria do acesso e utilização das ferramentas do Telessaúde/ES pelas ESB mediante às necessidades identificadas. Em 2017, o Telessaúde Bucal iniciou suas atividades no Telessaúde/ES, disponibilizando os serviços de webpalestras, teleconsultorias assíncronas e síncronas e materiais oficiais da área, ofertados na última sexta-feira de cada mês. O ambiente virtual de Telessaúde Bucal apresentado estará incluso no espaço de "Programas Especiais", permitindo o acesso a qualquer serviço. O Telessaúde Bucal é um serviço que poderá promover conhecimento e troca de experiências para a efetivação da EPS, estimulando maior participação dos profissionais da Odontologia (AU).

Telehealth/ES, aided by Information and Communication Technologies (ICT), promotes the extension of the Permanent Health Education (EPS) for professionals working at the Family Health Strategy (ESF) of Espírito Santo. The aim of this study was to present a proposal of a virtual environment in Dentistry within Telehealth /ES in order to provide a unique space for Oral Health Teams (ESB) to share information. It is an action-research, which is suitable for proposing solutions for the improvement of access and use of Telehealth/ES tools by ESBs. In 2017, Oral Telehealth initiated its activities in the Telessaúde/ES by providing access to web seminars, delivered every last Friday of the month, asynchronous and synchronous teleconsultation and official materials of the area. The suggested virtual environment of Oral Telehealth will be included in the space of "Special Programs", providing access to any service. It was concluded that Oral Telehealth is a service that can promote knowledge and experience exchange for the implementation of EPS, stimulating the increase in the participation of Dentistry professionals (AU).

[Nationwide survey of postgraduate medical training in clinical neurology]. / Deutschlandweite Evaluation der ärztlichen Weiterbildung in der klinischen Neurologie.

BACKGROUND: Currently, no data are available, which reflect the situation of medical doctors specializing in neurology in German hospitals. In order to secure the high standard of neurological patient care it is essential to evaluate the working conditions and the specialty training in neurology. OBJECTIVE: This nationwide survey was conducted throughout Germany with the aim to address problems and to give suggestions for improvements in neurological training curricula. MATERIAL AND METHODS: The survey was online from February to May 2017 and 953 neurologists undergoing further training participated. RESULTS: More than half of the young neurologists were satisfied with their medical training. One of the main problems that complicates clinical training is the workload. In addition, organizational obstacles within the clinic, such as poor structure of education or a lack of mentors, lead to dissatisfaction among participants. The size or type of the department, as well as the prevailing service system, exert only a minor influence on the quality of specialist training, although there were differences especially in the self-assessment of the participants in connection with the type of department (university hospital versus public or private hospital). CONCLUSION: Specialist training in neurology can be improved by simple arrangements, e. g., the introduction of a binding rotation scheme, internal mentoring and structured feedback. In addition, it will be necessary to relieve medical staff of administrative duties in order to create time for training and the learning of competencies.

Health in school program: from training processes to practice scenarios / Programa saúde na escola: dos processos formativos aos cenários de práticas

INTRODUCTION: The Health in School Program (PSE) is an intersectoral policy between the ministries of health and education with the perspective of integral attention (prevention, promotion and attention) to the health of children, adolescents and young people in basic public education, within the framework of schools and basic health units. It has five structural components to be developed by professionals, who need ongoing training to reach their goals and goals OBJECTIVE: To analyse the training process of PSE health and education professionals METHODS: Qualitative research, based on the theoretical framework of Paulo Freire, whose epistemological categories were compiled by Ecco (reading of the world, significant themes, dialogue, curiosity and problematization). Collection of data was conducted through an interview with 45 professionals and analysed RESULTS: The reading of the world in relation to the training was permeated with doubts regarding the work with the adolescents. Regarding the significant themes, they expressed an interest in studying some content for the particularities of this publication. The dialogue was encouraged in the transfer of the information and determinations established by management. As for the curiosity, the professionals pointed out uncertainties about the continuity of the actions of the programme and reported learning needs that were not contemplated. The problematization was not evident in the speeches CONCLUSION: There are gaps in the professional formation in the PSE for an action that considers the promotion of health in adolescents

INTRODUÇÃO: O Programa Saúde na Escola (PSE) é uma política intersetorial entre os ministérios da saúde e da educação com a perspectiva da atenção integral (prevenção, promoção e atenção) à saúde de crianças, adolescentes e jovens do ensino público básico, no âmbito das escolas e unidades básicas de saúde. Possui cinco componentes estruturantes a serem desenvolvidos pelos profissionais, que necessitam de formação permanente para o alcance de seus objetivos e metas OBJETIVO: Analisar o processo de formação dos profissionais de saúde e educação do PSE MÉTODO: Pesquisa qualitativa, fundamentada no referencial teórico de Paulo Freire, cujas categorias epistemológicas foram compiladas por Ecco (leitura de mundo, temáticas significativas, diálogo, curiosidade e problematização). Coleta realizada por meio de entrevista com 45 profissionais e analisada a partir do referencial RESULTADOS: A leitura de mundo em relação à formação apresentou-se permeada de dúvidas para o trabalho com os adolescentes. No tocante às temáticas significativas, manifestaram interesse em estudar alguns conteúdos pelas particularidades deste público. O diálogo foi incitado no repasse das informações e determinações estabelecidas pela gestão. Quanto à curiosidade, os profissionais apontaram incertezas acerca da continuidade das ações do programa, e relataram necessidades de aprendizagem não contempladas. A problematização não foi evidenciada nas falas CONCLUSÃO: Destacam-se lacunas na formação do profissional no PSE para uma atuação que considere a promoção de saúde do adolescente

Educational strategies used in standardized language systems by nurses: an integrative review / Estratégias educativas utilizadas nos sistemas de linguagens padronizadas por enfermeiros: revisão integrativa / Estrategias educativas utilizadas en los sistemas de lenguajes estandarizadas por enfermeros: revisión integrativa

AIM: to identify educational strategies used in the training of nurses regarding the process of nursing involving standardized language systems. METHOD: this is an integrative review of the relevant literature, performed using the following databases: MEDLINE, via PUBMED; CINAHL; SCOPUS; and LILACS. RESULTS: six papers were selected. The main features of such papers were: the use of a practical guide, workshops, study groups, recording using standardized instruments, discussion of studies based on fictitious and real cases, theoretical-practical classes using clinical cases, and guided clinical reasoning. DISCUSSION: the knowledge produced regarding the strategies used to train nurses about the nursing process ­ with or without standardized language systems ­ reinforced the importance of such strategies to produce clearer recorded information, as seen in four clinical studies and two descriptive ones. CONCLUSION: educational strategies involving standardized language systems in the training of nurses promote development in the implementation of nursing processes.

OBJETIVO: identificar as estratégias educativas utilizadas no treinamento de enfermeiros sobre processo de enfermagem com sistemas de linguagens padronizadas. MÉTODO: trata-se de uma revisão integrativa da literatura, realizada a partir das seguintes bases de dados: MEDLINE via PUBMED; CINAHL; SCOPUS e LILACS. RESULTADOS: foram selecionados seis estudos. As estratégias empregadas foram: uso de um guia prático, workshop, grupo de estudos, registro em instrumentos padronizados, discussão de estudos de casos fictícios e reais, aulas teórico-práticas com utilização de casos clínicos e raciocínio clínico guiado. DISCUSSÃO: o conhecimento produzido sobre as estratégias utilizadas para o treinamento de enfermeiros sobre processo de enfermagem, com e sem sistemas de linguagens padronizadas, ressaltaram a importância destas estratégias para a incorporação de registros com maior qualidade, por meio de quatro estudos clínicos e dois descritivos. CONCLUSÃO: as estratégias educativas utilizadas para treinamento de enfermeiros promovem melhora na implementação do processo de enfermagem com sistemas de linguagem padronizadas.

OBJETIVO: identificar las estrategias educativas utilizadas en el entrenamiento de enfermeros sobre proceso de enfermería con sistemas de lenguajes estandarizados. MÉTODO: se trata de una revisión integrativa de la literatura, realizada a partir de las siguientes bases de datos: MEDLINE via PUBMED; CINAHL; SCOPUS y LILACS. RESULTADOS: fueron seleccionados seis estudios. Las estrategias empleadas fueron: uso de una guía práctica, workshop, grupo de estudios, registro en instrumentos estandarizados, discusión de estudios de casos ficticios y reales, clases teórico-prácticas con utilización de casos clínicos y raciocinio clínico guiado. DISCUSSIÓN: el conocimiento producido sobre las estrategias utilizadas para el entrenamiento de enfermeros sobre proceso de enfermería, con y sin sistemas de lenguajes estandarizadas, resaltaron la importancia de estas estrategias para la incorporación de registros con mayor calidad, por medio de cuatro estudios clínicos y dos descriptivos. CONCLUSIÓN: las estrategias educativas utilizadas para entrenamiento de enfermeros promueven mejora en la implementación del proceso de enfermería con sistemas de lenguaje estandarizadas.

Perspectivas de realização e desenvolvimento pessoal e profissional em licenciandos / Achievement prospects and personal and professional development and in undergraduate students / Perspectivas de realización y desarrollo personal y profesional en licenciandos

O artigo apresenta perspectivas pessoais e profissionais de licenciandos, a partir de vivências da formação inicial. É um estudo qualitativo em nível exploratório-descritivo, desenvolvido com 68 formandos dos cursos de Pedagogia, Educação Física e Letras de uma instituição pri-vada do estado do Paraná. Foi utilizado questionário, sendo os dados tratados com o método da análise de conteúdo. Os resultados indicam o desejo de realização pessoal e profissional e de continuidade na profissão, embora fique explícito o pensamento em optar por outra profis-são, além de um anseio por melhorias nas condições para o exercício profissional e o apro-fundamento de estudos sobre adversidades na escola. Sugerem-se investimentos em processos de intervenções preventivas sobre possíveis fatores indutores do mal-estar docente (AU).

The article presents personal and professional perspectives of undergraduate students, from experiences of initial training. It is a qualitative study of exploratory and descriptive level, developed with 68 students of Education, Physical Education and Arts of a private institution of the State of Paraná. A questionnaire was used, and the data processed with content analysis. The results indicate the desire for personal and professional fulfillment and continuity in the profession, although explicit thought to opt for another profession, improved conditions for professional practice and further studies of adversities in school. It is suggested investments in preventive interventions processes on possible inducing factors of teacher malaise (AU).

Este artículo presenta perspectivas personales y profesionales de licenciandos, a partir de ex-periencias en la formación inicial. Es un estudio cualitativo en nivel exploratorio-descriptivo, desarrollado con 68 graduandos de los cursos de Pedagogía, Educación Física y Filología de una institución privada del Estado de Paraná. Se usó un cuestionario y los datos se analizaron a partir de su contenido. Los resultados indican el deseo de realización personal y profesional y de continuidad en la profesión, aunque esté claro el pensamiento explícito de optar por otra profesión, además de eso se identificó el anhelo de mejorías en las condiciones para el ejerci-cio profesional y el perfeccionamiento de estudios relacionados a las adversidades de la es-cuela. Se sugiere inversiones en los procesos de intervenciones preventivas sobre los posibles factores inductores de malestar docente (AU).

Formação em saúde do trabalhador e saúde ambiental: avaliação de experiência com atores locais / Training in workers' and environmental health: experience assessment of local actors

RESUMO O presente estudo tem como objetivo analisar a experiência de formação em saúde do trabalhador e saúde ambiental em base territorial local, adotando como matéria principal de interpretação as avaliações dos próprios trabalhadores. Por meio da técnica de análise de conteúdo, chegou-se a duas categorias empíricas de análise, sendo a primeira a interdisciplinaridade e construção coletiva do conhecimento, e a segunda, a intersetorialidade e os saberes advindos da prática. Ao final, constataram-se elementos formativos, de caráter crítico, que contribuem para a emancipação dos atores locais e as ações de políticas públicas integradas.

ABSTRACT The study here reported had as objective to analyze the training experience in workers' and environmental health focused on local territory, adopting as interpretation main data assessments issued from the workers themselves. By means of content analysis, we arrived to two empirical categories of analysis. The first is interdisciplinarity and knowledge collective construction, and the second is intersectoriality and skills acquired through practice. At the end, formative elements of critical character were verified, which contribute to the emancipation of local players and actions of integrated public policies.

Ações de educação permanente dos enfermeiros facilitadores de um núcleo de educação em enfermagem / Acciones de educación permanente de los enfermeros facilitadores de un núcleo de educación en enfermería / Permanent education actions of nurse facilitators at a nursing education centre

RESUMO Objetivo Identificar ações desenvolvidas por enfermeiros facilitadores de um Núcleo de Educação Permanente de um Hospital de Ensino. Método Estudo de caso único com abordagem qualitativa, realizado com oito enfermeiros de um hospital no Estado do Rio Grande do Sul. A produção dos dados foi por meio de análise documental, observação sistemática e grupo focal, realizada de abril a setembro de 2013. Resultados O estudo aponta para as seguintes categorias: estratégias potentes para promover ações de Educação Permanente em Saúde a partir dos enfermeiros facilitadores e as limitações para desenvolver essas ações. Conclusão A implantação de um Núcleo de Educação Permanente em Enfermagem é um dispositivo para o desencadeamento das ações de Educação Permanente feito pelos enfermeiros em hospitais de ensino.

RESUMEN Objetivo Identificar las acciones desarrolladas por los enfermeros facilitadores de un Núcleo de Educación Permanente de un Hospital de Enseñanza a fin de promover sus acciones en referido núcleo. Método Estudio de caso único con abordaje cualitativo, realizado con ocho enfermeros de un hospital en el Estado de Rio Grande do Sul. La producción de los datos se dio a través de análisis documental, observación sistemática y grupo focal, realizado desde abril hasta septiembre de 2013. Resultados El estudio apunta a las siguientes categorías: estrategias de gran alcance para promover acciones de educación permanente en salud de las enfermeras y limitaciones facilitadores para desarrollar estas acciones. Conclusión La implantación de un Núcleo de Educación Permanente en Enfermería es un dispositivo para el desencadenamiento de las acciones de Educación Permanente hecho por los enfermeros en hospitales de enseñanza.

ABSTRACT Objective To identify actions of nurse facilitators of a permanent healthcare education centre of a teaching hospital. Methods A single case study with a qualitative approach conducted with eight nurses from a hospital in the state of Rio Grande do Sul, Brazil. The data were generated through document analysis, systematic observation, and a focus group from April to September 2013. Results The study produced the following categories: powerful strategies to promote permanent healthcare education actions from facilitating nurses and limitations for the development of these actions. Conclusions The establishment of a permanent nursing education centre can trigger the Permanent education actions of nurses in teaching hospitals.

Educação permanente e qualidade de vida: envelhecimento saudável de trabalhadores de uma escola pública / Permanent education and quality of life: healthy aging of public school workers

Este estudo tem como objeto a educação permanente como ferramenta para a melhora da qualidade de vida no processo do envelhecimento saudável dos trabalhadores da Escola Técnica Estadual do Estado do Rio de Janeiro (FAETEC) ­ Campus Marechal Hermes/ RJ. O objetivo geral foi utilizar a educação permanente com os trabalhadores dessa escola estadual, de forma a contribuir para uma qualidade de vida nas etapas do envelhecimento saudável. Os objetivos específicos foram: identificar as necessidades dos trabalhadores da escola sobre qualidade de vida no processo do envelhecimento saudável; descrever a visão dos trabalhadores sobre a possibilidade de mudança no processo do envelhecimento saudável; elaborar, em conjunto com os trabalhadores, métodos criativos e possíveis com a realidade social e econômica para melhorar a qualidade de vida no processo do envelhecimento saudável. A metodologia utilizada foi a pesquisa-ação com abordagem qualitativa. O cenário da pesquisa foi o centro de idioma e informática da Escola Técnica Estadual do Estado do Rio de Janeiro (FAETEC), localizada em Marechal Hermes, na cidade do Rio de Janeiro. A pesquisa contou com quatro etapas, e os instrumentos de coleta de dados utilizados foram: 1º) Construção, pela pesquisadora, a partir da demanda dos servidores, do projeto piloto "Ginástica Laboral" encaminhado à gestão; 2) Questionário semiestruturado por meio do qual se realizou a análise de conteúdo de Bardin; 3) Reconstrução do projeto "Ginástica Laboral" com o envolvimento dos trabalhadores, tendo como norte a política de educação permanente em saúde (PEPS) e Freire (2010), intitulado "Círculo de Convivência Laboral"; e 4) Apresentação, aprovação e institucionalização do novo projeto no conselho gestor. Destaca-se como resultados as seguintes quatro categorias que emergiram dos questionários foram: 1) Identificando-se com a educação permanente em saúde, que compreende a Educação Permanente ou reconhece o seu conceito, pois, apesar dessa política não estar no âmbito escolar, ela está embasada em Freire (2010); 2) Reconhecimento da ignorância do saber por Sócrates: "só sei que nada sei", que revelou que só 1% fez relação com a educação continuada ou não entendeu ou não respondeu; 3) Aprendendo a decidir: escolhas saudáveis, que demonstrou que os participantes reconhecem o significado do processo de envelhecimento saudável como qualidade de vida; 4) Mudanças de paradigmas: propor métodos criativos, que evidenciou que muitos participantes necessitam de uma política de educação que favoreça hábitos saudáveis com o objetivo de alcançar um novo estilo de vida. Os produtos elaborados nessa pesquisa foram: um material informativo para circular através do whatsApp, panfletos para serem distribuídos nas escolas e banner para ficar no local onde aconteceu o encontro da Ginástica Laboral: "Círculo de convivência laboral". Concluiu-se que o processo de promoção da educação permanente no ambiente escolar evidenciou seu caráter inovador, através do tema "qualidade de vida, em todas as etapas do envelhecimento saudável". Assim sendo, possibilitar-se-á uma nova demanda ao Sistema Único de Saúde (SUS), pois a proposta é sair de um modelo biomédico, em que há uma grande medicalização, e, objetivando prevenir doenças como hipertensão, diabetes e obesidades, passarmos a promover mais saúde, de modo a contribuir para as mudanças de paradigmas. Vislumbra-se a possibilidade de transformar a realidade do senso comum em senso crítico, quando se fala de saúde física, mental e alimentar, com a melhoria da qualidade de vida dos trabalhadores envolvidos na pesquisa. Esse processo deverá funcionar como uma potente ferramenta de promoção da saúde para os próprios trabalhadores da educação, e pretende-se expandir para trabalhadores de outros locais da escola

The present study has as its object the permanent education as a means to improve the quality of life in the healthy aging process of the workers from Escola Técnica Estadual do Estado do Rio de Janeiro (FAETEC) - the Marechal Hermes/RJ Campus. The general objective has been to use the permanent education with the workers from this state school, so as to contribute to a quality of life during the stages of healthy aging. The specific objectives were the following: identifying the needs of the school workers related to quality of life in the healthy aging process; describing the workers' perspective about the possibility of change in the healthy aging process; elaborating, together with the workers, creative and possible methods with respect to the social and economic reality in order to improve the quality of life in the healthy aging process. The methodology used was the Research-Action with a qualitative approach. The research's scenario was the language and computing center at the Escola Técnica Estadual do Estado do Rio de Janeiro (FAETEC), located in the neighborhood of Marechal Hermes, in the city of Rio de Janeiro. The research relied on four steps, and the data collection tools used were the following: 1st) Construction, by the researcher, from the servants' demand, of the pilot project "Labor Gymnastics" forwarded to management; 2) Semi-structured Questionnaire by which means the Bardin's content analysis was carried out; 3) Reconstruction of the "Labor Gymnastics" project with the workers' engagement, always aiming at the permanent education policy in health (PEPS) and Freire (2010) entitled "Labor Interaction Circle"; and 4) Presentation, approval and institutionalization of the new project in the managing board. Four categories must be pointed out as results which emerged from the questionnaires: 1) Identifying themselves with the permanent education in health, which either embraces the Permanent Education or recognizes its concept, given that, although this policy is not within the school environment, it is based on Freire (2010); 2) Recognition of the ignorance of knowledge by Socrates: "I know that I know nothing", which revealed that only 1% made a connection with either the continued education or did not understand or did not respond; 3) Learning to decide: healthy choices, which demonstrated that the participants recognized the meaning of the healthy aging process as quality of life; 4) Changes of paradigms: propose creative methods, which evidenced that many participants need an education policy which favors healthy habits with the objective to achieve a new life style. The products elaborated in this research were: a information material to move around through Whatsapp, pamphlets for distribution at schools and a banner to remain where the meeting of Labor Gymnastics: "Circle of Labor Interaction" took place. It has been concluded that the process of promoting the permanent education within the school environment demonstrated its innovative character, through the topic "quality of life, during all the steps of healthy aging". Therefore, it will enable a new demand to the SUS (Unified Health System), since the proposal is to move out from a biomedical model, in which there is a great medicalization, and aiming at the prevention of diseases such as hypertension, diabetes and obesities, start to promote a healthier lifestyle, so as to contribute to the changes of paradigms. We see the possibility of transforming the reality of the common sense into a critical sense, when dealing with physical, mental and nutritional health, with the improvement of the life quality of the workers involved in the research. This process will work as a powerful tool to promote health for the education workers themselves, and it is intended to expand to workers of other areas of the school

One-day workshop-based training improves physical activity prescription knowledge in Latin American physicians: a pre-test post-test study.

BACKGROUND: The physical inactivity pandemic and related non-communicable diseases have made it imperative for medical doctors (MDs) to effectively provide lifestyle counseling as part of prevention and treatment plans for patients. A one-day certification workshop was designed to improve MDs PA prescription knowledge, as part of the Exercise is Medicine® (EIM®) global health initiative. The objective was to determine knowledge gain of MDs participating in a standardized, one-day PA prescription workshop performed throughout Latin America (LA). METHODS: A 20-question multiple-choice test on PA topics, based on international guidelines, was completed before and after the workshop. Pre and post-test analyses, without a control group, were performed on 1044 MDs after the 8-h workshop that was delivered 41 times across 12 LA countries, from January 2014 to January 2015. Knowledge improvement was determined using the class-average normalized gain and individual relative gain. T-tests with 95% confidence interval levels were conducted to analyze differences between MD specialties. RESULTS: Test scores improved on average from 67 to 82% after the workshop (p <0.001). The average total individual relative gain was 29% [CI: 26 to 32%]. Relative gain by country ranged from 9.3% [CI: 2 to 16%; Nicaragua] to 73% [CI: 47 to 98%; Dominican Republic]. The mean of the 41 workshops' class-average normalized gain was 46% [CI: 42 to 51%]. The largest groups of participants were general practitioners (GPs) (33%; n = 348), internal medicine (19%; n = 194), and family medicine (9%n = 92) specialists. Relative gain for GPs was not different than for all grouped primary care specialties (30% vs. 27%, p =0.48). The knowledge gain was higher for the workshop modules on screening/risk stratification and prescription (43% [CI: 39-48%] and 38% [CI: 34-42%], than for the module on PA benefits and risks (26% [CI: 23-28%]). CONCLUSION: This one-day workshop had a positive impact on the knowledge gain of MD's on the topic of PA prescription. Although all groups of specialties increased knowledge, GPs and family medicine MDs benefited the most. This short course is an effective continuing education strategy for teaching PA assessment, counseling and prescription to MDs in Latin America, a topic rarely included in the training of MD's in the region and the world. Further follow-up is needed to ascertain impact on PA counseling practices.

Université du troisième âge : les besoins en formation continue des personnes âgées francophones au Nouveau-Brunswick.

Continuing education is the ideal mechanism to allow retired people to maintain their autonomy and health for as long as possible. Despite the importance of education in the development of human beings, very few studies have been identified on the need for continued education in older adults. This quantitative descriptive study allowed us to better understand the interests and the needs of seniors related to continuing education in French-speaking older adults in New Brunswick (n = 408), and to identify the perceptions of participants with regard to the benefits, the challenges and the preferences of seniors for continuing education. Study results indicate that the main interests of participants were for training in technology (computers), gardening and health matters. Given the lack of research in this domain, these results will be useful for future planning of continuing education initiatives for seniors.

A importância da formação continuada para a gestão intersetorial no Programa Saúde na Escola / The importance of professional education to support intersectoral management in School Health programs

Objetivo: compreender os resultados obtidos com o “Curso de Aperfeiçoamento para planejamento e atuação intersetorial em promoção da saúde na escola”, ofertado pela Fiocruz Brasília, entre 2014 e 2015, a 25 profissionais envolvidos com o Programa Saúde na Escola, no Distrito Federal. Metodologia: Descrição dos objetivos e etapas do curso; análise do processo de mobilização para a participação, das expectativas e das opiniões dos estudantes sobre cada módulo e sobre a proposta global. Resultados: Foram capacitados profissionais da educação e da saúde para planejar, atuar e refletir sobre situações práticas da gestão intersetorial e colaborativa. As etapas da formação incluem a elaboração coletiva do projeto do curso, reunindo gestores locais, regionais e federais do Programa Saúde na Escola, a mobilização no território e a metodologia participativa em nove módulos temáticos. Participaram pesquisadores e profissionais da saúde e da educação. Globalmente, o perfil do grupo foi feminino (92%), de nível superior completo (67%) e com atuação na saúde (70%). Os trabalhos finais apresentaram projetos coletivos de intervenção no território, com foco em ações voltadas para a busca de dados nas unidades de saúde e escolas, a ação educativa junto aos escolares, a formação permanente de profissionais da educação e da saúde nos espaços cotidianos de sua prática e o fortalecimento do Grupo de Trabalho Intersetorial, por meio de tecnologia de diálogo. Conclusão: É importante buscar experiências de formação articuladas à prática profissional dos participantes e reunir trabalhadores da saúde e da educação..

Objective: to understand the results obtained with the “Improvement Course for planning intersectoral action in health promotion at school” offered by Fiocruz Brasilia, between 2014 and 2015, to 25 professionals involved with the School Health Program in the Federal District. Methodology: Description of objectives and steps of the course; analysis of the mobilization process for participation, expectations and opinions of students on each module and the overall proposal. Results: Educators trained to plan, act and reflect on practical situations of inter sectoral and collaborative management. The stages of training included the collective elaboration of the project, bringing together local, regional and federal managers of the health program at the school, the mobilization in the territory and participatory methodology in nine the matic modules. Researchers and health and education professionals were the public of the course. Overall, the group’s profile was female (92%) of college graduates (67%) and health professionals (70%). The final work presented collective projects of intervention in the territory, focusing on actions to search for data in health facilities and schools, the educational action at the school, ongoing training of education and health professionals in everyday spaces of their practice and the strengthening of the Inter Sectoral Working Group, through dialogue technology. Conclusion: It is important to seek training experiences articulated to the professional practice of the participants and bring together health and educational workers.