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1.
Siglo cero (Madr.) ; 54(4): 29-48, oct.-dic. 2024.
Artigo em Espanhol | IBECS | ID: ibc-229227

RESUMO

Esta investigación busca profundizar en la segregación escolar del alumnado con necesidades educativas especiales del segundo ciclo de Educación Infantil estimando su magnitud, determinando la incidencia de la titularidad del centro y de su adscripción al Programa Bilingüe y describiendo su evolución. Para ello, se realiza un estudio ex post facto con datos de los 10.182 estudiantes del segundo ciclo de Educación Infantil matriculados en alguno de los 77 centros ordinarios públicos y privados-concertados situados en dos ciudades de tamaño medio-grande de la Comunidad de Madrid. Los resultados indican que la magnitud de la segregación escolar está en torno al 0.20 (ISG); que la incidencia de la titularidad es baja (4.6 %), pero es alta la del Programa Bilingüe (17.2 % de promedio); y que la segregación ha descendido ligeramente en los últimos años, pero las diferencias entre centros atendiendo a su titularidad y adscripción al Programa Bilingüe han crecido. Con ello, se concluye que hay que prestar atención a la segregación en Educación Infantil y tomar medidas para combatirla. También se destaca la necesidad de replantear el Programa Bilingüe por su incidencia en la segregación escolar. (AU)


This research aims to explore the school segregation of students with special educational needs in the second cycle of Early Childhood Education by estimating its magnitude, determining the incidence of school ownership and affiliation to the Bilingual Program, and describing its evolution. To achieve this, we conduct an ex post facto study with data from the 10,182 students enrolled in one of the 77 public and private-subsidised schools in the Community of Madrid. The results indicate that the magnitude of school segregation is around 0.20 (ISG); that the incidence of school ownership is low (4.6 %), while the incidence of the Bilingual Program is high (17.2 % on average); and that segregation has slightly decreased in recent years, however the differences between schools based on ownership and affiliation to the Bilingual Program have increased. Therefore, we conclude that it is necessary to address segregation in Early Childhood Education and that measures need to be taken to combat it. We also highlight the importance of reconsidering the Bilingual Program due to its impact on school segregation. (AU)


Assuntos
Humanos , Pré-Escolar , Criança , Deficiências da Aprendizagem , Educação/estatística & dados numéricos
2.
Siglo cero (Madr.) ; 54(4): 29-48, oct.-dic. 2024.
Artigo em Espanhol | IBECS | ID: ibc-EMG-557

RESUMO

Esta investigación busca profundizar en la segregación escolar del alumnado con necesidades educativas especiales del segundo ciclo de Educación Infantil estimando su magnitud, determinando la incidencia de la titularidad del centro y de su adscripción al Programa Bilingüe y describiendo su evolución. Para ello, se realiza un estudio ex post facto con datos de los 10.182 estudiantes del segundo ciclo de Educación Infantil matriculados en alguno de los 77 centros ordinarios públicos y privados-concertados situados en dos ciudades de tamaño medio-grande de la Comunidad de Madrid. Los resultados indican que la magnitud de la segregación escolar está en torno al 0.20 (ISG); que la incidencia de la titularidad es baja (4.6 %), pero es alta la del Programa Bilingüe (17.2 % de promedio); y que la segregación ha descendido ligeramente en los últimos años, pero las diferencias entre centros atendiendo a su titularidad y adscripción al Programa Bilingüe han crecido. Con ello, se concluye que hay que prestar atención a la segregación en Educación Infantil y tomar medidas para combatirla. También se destaca la necesidad de replantear el Programa Bilingüe por su incidencia en la segregación escolar. (AU)


This research aims to explore the school segregation of students with special educational needs in the second cycle of Early Childhood Education by estimating its magnitude, determining the incidence of school ownership and affiliation to the Bilingual Program, and describing its evolution. To achieve this, we conduct an ex post facto study with data from the 10,182 students enrolled in one of the 77 public and private-subsidised schools in the Community of Madrid. The results indicate that the magnitude of school segregation is around 0.20 (ISG); that the incidence of school ownership is low (4.6 %), while the incidence of the Bilingual Program is high (17.2 % on average); and that segregation has slightly decreased in recent years, however the differences between schools based on ownership and affiliation to the Bilingual Program have increased. Therefore, we conclude that it is necessary to address segregation in Early Childhood Education and that measures need to be taken to combat it. We also highlight the importance of reconsidering the Bilingual Program due to its impact on school segregation. (AU)


Assuntos
Humanos , Pré-Escolar , Criança , Deficiências da Aprendizagem , Educação/estatística & dados numéricos
4.
Epidemiol Infect ; 150: e31, 2022 01 27.
Artigo em Inglês | MEDLINE | ID: mdl-35082001

RESUMO

In Ethiopia, the magnitude of violence against girls during COVID-19 in the study area is not known. Therefore, this study aimed to assess the violence and associated factors during COVID-19 pandemic among Gondar city secondary school girls in North West Ethiopia. An institution-based cross-sectional study was conducted from January to February 2021. Data were collected from four public and two private Gondar city secondary schools. Investigators used stratified simple random sampling to select participants and the investigators used roster of the students at selected schools. Investigators collected the data using self-reported history of experiencing violence (victimisation). Investigators analysed data using descriptive statistics and multivariable logistic regression. Investigators invited a total of 371 sampled female students to complete self-administered questionnaires. The proportion of girls who experienced violence was 42.05% and psychological violence was the highest form of violence. Having a father who attended informal education (AOR = 1.95, 95% CI 1.08-3.51), ever use of social media 1.65 (AOR = 1.65, 95% CI 1.02-2.69), ever watching sexually explicit material (AOR = 2.04, 95% CI 1.24-3.36) and use of a substance (AOR = 1.92, 95% CI 1.17-3.15) were significantly associated variables with violence. Almost for every five girls, more than two of them experienced violence during the COVID-19 lockdown. The prevalence of violence might be under reported due to desirability bias. Therefore, it is better to create awareness towards violence among substance users, fathers with informal education and social media including user females.


Assuntos
COVID-19/complicações , Maus-Tratos Infantis/estatística & dados numéricos , Violência/estatística & dados numéricos , Adolescente , Adulto , COVID-19/epidemiologia , COVID-19/psicologia , Criança , Pré-Escolar , Coleta de Dados , Educação/estatística & dados numéricos , Etiópia/epidemiologia , Feminino , Humanos , Mídias Sociais/estatística & dados numéricos , Estudantes , Transtornos Relacionados ao Uso de Substâncias/complicações , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Adulto Jovem
5.
Dig Dis Sci ; 67(1): 85-92, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33611689

RESUMO

BACKGROUND: An endoscopist's adenoma detection rate (ADR) is inversely related to interval colorectal cancer risk and cancer mortality. Previous studies evaluating the impact of gastroenterology fellow participation in colonoscopy on ADR have generated conflicting results. AIMS: We aimed to determine the impact of fellow participation, duration of fellowship training, and physician sex on ADR and advanced ADR (AADR). METHODS: We retrospectively analyzed average-risk patients undergoing screening colonoscopy at Veterans Affairs New York Harbor Healthcare System Brooklyn Campus and Kings County Hospital Center. Review of colonoscopy and pathology reports were performed to obtain adenoma-specific details, including the presence of advanced adenoma and adenoma location (right vs. left colon). RESULTS: There were 893 colonoscopies performed by attending only and 502 performed with fellow participation. Fellow participation improved overall ADR (44.6% vs. 35.4%, p < 0.001), right-sided ADR (34.1% vs. 25.2%, p < 0.001), and AADR (15.3% vs. 8.3%, p < 0.001); however, these findings were institution-specific. Year of fellowship training did not impact overall ADR or overall AADR, but did significantly improve right-sided AADR (p-value for trend 0.03). Female attending physicians were associated with increased ADR (47.1% vs. 37.0%, p = 0.0037). Fellow sex did not impact ADR. CONCLUSIONS: Fellow participation in colonoscopy improved overall ADR and AADR, and female attending physicians were associated with improved ADR. Year of fellowship training did not impact overall ADR or AADR.


Assuntos
Adenoma , Pólipos do Colo , Colonoscopia/métodos , Neoplasias Colorretais , Bolsas de Estudo , Gastroenterologia , Ensino , Adenoma/diagnóstico , Adenoma/epidemiologia , Adenoma/cirurgia , Pólipos do Colo/diagnóstico , Pólipos do Colo/epidemiologia , Pólipos do Colo/cirurgia , Neoplasias Colorretais/diagnóstico , Neoplasias Colorretais/prevenção & controle , Detecção Precoce de Câncer/métodos , Educação/métodos , Educação/estatística & dados numéricos , Bolsas de Estudo/métodos , Bolsas de Estudo/organização & administração , Bolsas de Estudo/estatística & dados numéricos , Feminino , Gastroenterologia/educação , Gastroenterologia/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Ensino/organização & administração , Ensino/estatística & dados numéricos , Estados Unidos
6.
Medicine (Baltimore) ; 100(37): e27258, 2021 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-34664876

RESUMO

INTRODUCTION: More than 80% of patients who visited Emergency Department (ED) was not urgent in Taiwan in 2019. It causes insufficient medical services and a latent fiscal threat to the Nation Health Insurance (NHI). This study adopted simulation-based educating modules to explore the effect in teaching competence among primary and middle school teachers for efficient AEDRU (adequate emergency department resource usage) education in the future. METHOD: The subjects were 414 elementary and junior high school teachers in Taiwan. 214 participants attended the simulation-based workshop as the simulation-based group, whereas 200 participants took an online self-learning module as the self-learning group. The workshop was created by an expert panel for decreasing the unnecessary usage amount of ED medial resources. The materials are lecture, board games, miniature ED modules, and simulation-based scenarios. A teaching competence questionnaire including ED knowledge, teaching attitude, teaching skills, and teaching self-efficacy was conducted among participants before and after the intervention. Data were analyzed via McNemar, paired t test and the generalized estimating equations (GEE). RESULTS: The study showed that teachers who participated in the simulation-based workshop had improved more in teaching competence than those who received the online self-learning module. In addition, there were significant differences between the pre-test and post-test among the two groups in teaching competence. CONCLUSION: The simulation-based workshop is effective and it should be spread out. When students know how to use ED medical resources properly, they could affect their families. It can help the ED service to be used properly and benefits the finance of the NHI. The health care cost will be managed while also improving health.


Assuntos
Simulação por Computador/tendências , Educação/métodos , Educação/estatística & dados numéricos , Serviço Hospitalar de Emergência/organização & administração , Serviço Hospitalar de Emergência/estatística & dados numéricos , Humanos , Competência Profissional/normas , Competência Profissional/estatística & dados numéricos , Alocação de Recursos/métodos , Alocação de Recursos/normas , Professores Escolares , Inquéritos e Questionários , Taiwan
8.
MMWR Morb Mortal Wkly Rep ; 70(39): 1374-1376, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34591828

RESUMO

Beginning in January 2021, the U.S. government prioritized ensuring continuity of learning for all students during the COVID-19 pandemic (1). To estimate the extent of COVID-19-associated school disruptions, CDC and the Johns Hopkins University Applied Physics Laboratory used a Hidden Markov Model (HMM) (2) statistical approach to estimate the most likely actual learning modality based on patterns observed in past data, accounting for conflicting or missing information and systematic Internet searches (3) for COVID-19-related school closures. This information was used to assess how many U.S. schools were open, and in which learning modalities, during August 1-September 17, 2021. Learning modalities included 1) full in-person learning, 2) a hybrid of in-person and remote learning, and 3) full remote learning.


Assuntos
COVID-19/prevenção & controle , Educação/métodos , Educação/estatística & dados numéricos , Instituições Acadêmicas/organização & administração , Adolescente , COVID-19/epidemiologia , Criança , Pré-Escolar , Educação a Distância/estatística & dados numéricos , Humanos , Estados Unidos/epidemiologia
9.
J. negat. no posit. results ; 6(8): 1049-1063, Ago. 2021. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-223358

RESUMO

Introducción: Este trabajo reúne información preliminar sobre un proyecto cuya hipótesis es que la inclusión de errores en algunos temas por parte del profesor induce a los alumnos a buscarlos, localizarlos, discutirlos y conocerlos, llevando a un mejor conocimiento de la asignatura y por tanto a adquirir las competencias que marca el Plan Bolonia.Métodos: El proyecto que se concibió para aplicar un método basado en el error, pero con potenciación mediante gamificación en cinco asignaturas de tres grados de la Universidad Complutense de Madrid. A causa de la pandemia COVID-19 se tuvieron que modificar algunos objetivos planificados al solicitar la concesión del proyecto, obteniéndose datos objetivos, muchos aun sin evaluar totalmente, de dos asignaturas. Un 10% de los temas explicados tenían errores. Se hicieron evaluaciones con la plataforma Kahoot! y mediante cuestionarios tipo test. Las preguntas tenían cuatro posibles respuestas, de las que solo una era cierta. Se realizaron además un examen parcial liberatorio y un examen final donde se ubicaron preguntas de los temas con errores y sin errores.Resultados: Aunque muchos datos están aún siendo evaluados estadísticamente para conocer el grado de contribución de los temas con errores respecto a sin errores, así como de la gamificación, los resultados sugieren una nota superior y del orden de un 8,2% en los temas con errores. Estas diferencias fueron mucho mayores en el caso de los alumnos de Farmacia (15%, p<0,05) que del Doble grado de Farmacia y Nutrición Humana y Dietética (-4,3%, no significativa). Los alumnos de Farmacia mostraron una nota final superior en relación con el curso anterior, aspecto que no aconteció con los del doble grado. La gamificación se consideró, particularmente efectiva en los alumnos de Farmacia como una iniciativa estimulante y válida.(AU)


Introduction: This work gathers information about a project not yet completed which hypothesis is that the inclusion of errors, by the teacher, in some lessons induces students to search, find, discuss and know them, leading to a better knowledge of the subject and therefore, acquire the competencies set by the Bologna plan.Methods: A method based on error but enhanced by gamification in five subjects of three degrees of the Complutense University of Madrid was conseived. Due to the COVID-19 pandemic, some of the planned objectives set when applying for the funding of the project had to be modified. Having objective data, although part still has not been evaluated. A total of 10% of lessons with errors were introduced. Evaluations were conducted with the Kahoot! platform and through multiple choice questionnaires. The questions had four possible answers, of which only one was correct. In addition, partial and final examination were also carried out with questions about the lessons taught with errors and without errors.Results: Although many data are still being statistically evaluated to know the degree of contribution of the topics with errors vs. without errors, as well as gamification, the results suggest a higher score (8.2%) in the topics with errors. These differences were much greater in the case of Pharmacy students (15%, p <0.05) than in the Double degree of Pharmacy and Human Nutrition and Dietetics (-4.3%, not significant). Pharmacy students showed a higher final grade in relation to the previous year, an aspect that did not happen with the double degree students. Gamification was considered particularly effective in Pharmacy students as a stimulating and valid initiative.(AU)


Assuntos
Humanos , Masculino , Feminino , Educação/métodos , Educação/estatística & dados numéricos , Aprendizagem Baseada em Problemas/métodos , Aprendizagem Baseada em Problemas/estatística & dados numéricos , Ensino/estatística & dados numéricos , Inquéritos e Questionários , 52503 , 50054 , Espanha
10.
Proc Natl Acad Sci U S A ; 118(31)2021 08 03.
Artigo em Inglês | MEDLINE | ID: mdl-34312230

RESUMO

Despite overall improvements in health and living standards in the Western world, health and social disadvantages persist across generations. Using nationwide administrative databases linked for 2.1 million Danish citizens, we leveraged a three-generation approach to test whether multiple, different health and social disadvantages-poor physical health, poor mental health, social welfare dependency, criminal offending, and Child Protective Services involvement-were transmitted within families and whether education disrupted these statistical associations. Health and social disadvantages concentrated, aggregated, and accumulated within a small, high-need segment of families: Adults who relied disproportionately on multiple, different health and social services tended to have parents who relied disproportionately on multiple, different health and social services and tended to have children who evidenced risk for disadvantage at an early age, through appearance in protective services records. Intra- and intergenerational comparisons were consistent with the possibility that education disrupted this transmission. Within families, siblings who obtained more education were at a reduced risk for later-life disadvantage compared with their cosiblings who obtained less education, despite shared family background. Supporting the education potential of the most vulnerable citizens might mitigate the multigenerational transmission of multiple disadvantages and reduce health and social disparities.


Assuntos
Educação/estatística & dados numéricos , Escolaridade , Família , Populações Vulneráveis/estatística & dados numéricos , Adolescente , Adulto , Criança , Pré-Escolar , Dinamarca , Feminino , Acesso aos Serviços de Saúde , Humanos , Lactente , Masculino , Seguridade Social , Serviço Social , Fatores Socioeconômicos , Adulto Jovem
11.
Med Sci Monit ; 27: e931729, 2021 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-34092780

RESUMO

BACKGROUND Nursing education is an important part of the "9+3" vocational education program led by Sichuan Province. In the internship stage, nursing students of Tibetan ethnicity may have problems of intercultural adaptation in the process of getting along with patients, which may affect the effective nursing outcome. The purpose of this study was to clarify the current situation of transcultural adaptation of Tibetan trainee nurses and to provide more theoretical support and guidance. MATERIAL AND METHODS We collected 237 valid survey questionnaires, based on Ward's acculturation process model, from a total of 363 Tibetan trainee nurses in the "9+3" free vocational education program in Chengdu, Luzhou, and Nanchong of Sichuan Province. The SPSSAU project (2020), an online application software retrieved from https://www.spssau.com, was used for data coding and archiving. RESULTS The results of questionnaire and data analysis showed that the overall level of transcultural adaptation of Tibetan trainee nurses was that the number of people with poor adaptation was slightly higher than those with good adaptation, and most Tibetan trainee nurses were in the middle level. Meanwhile, sociocultural adaptation was better than psychological adaptation. There were no statistically significant differences among the 4 grouping variables: gender, student home region, the city where the internship hospital was located, and whether they were from a single-child family or not. CONCLUSIONS The results revealed that there was still transcultural maladjustment among Tibetan nurses in the internship stage, and the psychological maladjustment was more obvious than the sociocultural maladjustment. We provide countermeasures and suggestions to solve the problems of transcultural adaptation reflected in the research.


Assuntos
Aculturação , Adaptação Psicológica , Educação em Enfermagem/métodos , Ajustamento Social , Enfermagem Transcultural/métodos , Adulto , Cultura , Educação/métodos , Educação/estatística & dados numéricos , Avaliação Educacional , Feminino , Humanos , Masculino , Relações Enfermeiro-Paciente , Estudantes de Enfermagem/psicologia , Tibet/etnologia
12.
Sci Prog ; 104(2): 368504211019854, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34061685

RESUMO

COVID-19, caused by the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), was declared a pandemic by the World Health Organization (WHO) on the 11th of March 2020, leading to some form of lockdown across almost all countries of the world. The extent of the global pandemic due to COVID-19 has a significant impact on our lives that must be studied carefully to combat it. This study highlights the impacts of the COVID-19 pandemic lockdown on crucial aspects of daily life globally, including; Food security, Global economy, Education, Tourism, hospitality, sports and leisure, Gender Relation, Domestic Violence/Abuse, Mental Health and Environmental air pollution through a systematic search of the literature. The COVID-19 global lockdown was initiated to stem the spread of the virus and 'flatten the curve' of the pandemic. However, the impact of the lockdown has had far-reaching effects in different strata of life, including; changes in the accessibility and structure of education delivery to students, food insecurity as a result of unavailability and fluctuation in prices, the depression of the global economy, increase in mental health challenges, wellbeing and quality of life amongst others. This review article highlights the impacts of the COVID-19 pandemic lockdown across the globe. As the global lockdown is being lifted in a phased manner in various countries of the world, it is necessary to explore its impacts to understand its consequences comprehensively. This will guide future decisions that will be made in a possible future wave of the COVID-19 pandemic or other global disease outbreak.


Assuntos
COVID-19/epidemiologia , COVID-19/psicologia , Controle de Doenças Transmissíveis/organização & administração , Violência Doméstica/psicologia , Pandemias , Distanciamento Físico , COVID-19/transmissão , Violência Doméstica/estatística & dados numéricos , Educação/estatística & dados numéricos , Poluição Ambiental/estatística & dados numéricos , Segurança Alimentar/estatística & dados numéricos , Saúde Global/economia , Saúde Global/estatística & dados numéricos , Humanos , Atividades de Lazer/psicologia , Máscaras/provisão & distribuição , Saúde Mental/estatística & dados numéricos , Quarentena/organização & administração , Quarentena/psicologia , SARS-CoV-2/patogenicidade , Esportes/psicologia , Turismo
13.
PLoS One ; 16(6): e0252413, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34106973

RESUMO

BACKGROUND: The association between girl child marriage and education is widely acknowledged; however, there is no large body of demographic studies from Zimbabwe that have addressed this aspect. This study aimed to examine the extent to which child marriage affects one academic milestone, i.e. completion of the Ordinary Level, the first cycle of high school, which is also the most critical indicator of educational achievement in Zimbabwe. METHODS: We used the 2015 Zimbabwe Demographic and Health Survey and extracted 2380 cases of ever-married women aged between 20-29 years. We applied a propensity score-based method, which allowed us to mimic a hypothetical experiment and estimate outcomes between treated and untreated subjects. RESULTS: Our results suggest that child age at first marriage is concentrated between the ages of 15-22, with the typical age at first marriage being 18 years. Both logistic regression and PSM models revealed that early marriage decreased the chances of completing the first cycle of high school. Regression adjustment produced an estimate of prevalence ratio (PR) of 0.446 (95% CI: 0.374-0.532), while PSM resulted in an estimate (PR = 0.381; 95% CI: 0.298-0.488). CONCLUSION: These results have implications for Zimbabwe's development policy and suggest that girl-child marriage is a significant barrier to educational attainment. If not addressed, the country will most likely fail to meet sustainable development Goal 4.2 and 5.3. Social change interventions that target adults and counter beliefs about adolescent sexuality and prepubescent marriage should be put in place. Moreover, interventions that keep teenage girls in school beyond the first cycle of high school should be prioritised.


Assuntos
Educação/estatística & dados numéricos , Escolaridade , Casamento/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Feminino , Humanos , Pontuação de Propensão , Inquéritos e Questionários , Adulto Jovem
14.
Medicine (Baltimore) ; 100(23): e26177, 2021 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-34114999

RESUMO

BACKGROUND: Rational emotive education (REE) program aims to improve the behavioral and mental health of students. This study objective was to evaluate the effect of an REE program on stress among undergraduate students of religious education program in Nigerian Universities. METHOD: One hundred and fifty (150) religious education undergraduates who had high level of stress participated in the study. Participants were assigned to 2 different groups. The treatment group had 75 participants and while control group also had 75 participants. Data collection was done using the Perceived Stress Scale (PSS-10) while data analysis was done using independent sample t test and paired t test statistics at .05 probability level. RESULTS: The REE program resulted in a significant decrease in level of stress among undergraduate students of religious education program in the treatment group compared with those students in the control group. Also, the effect of the REE program was maintained during the follow-up among undergraduate students of religious education program exposed to it. CONCLUSION: The REE program can be used to assist undergraduate students of religious education program to manage their stress.


Assuntos
Educação/métodos , Religião , Estresse Psicológico/terapia , Estudantes/psicologia , Ensino/normas , Educação/normas , Educação/estatística & dados numéricos , Humanos , Nigéria , Psicometria/instrumentação , Psicometria/métodos , Estresse Psicológico/psicologia , Estudantes/estatística & dados numéricos , Ensino/psicologia , Ensino/estatística & dados numéricos
16.
Holist Nurs Pract ; 35(1): 10-18, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-32282563

RESUMO

Burnout decreases work performance and quality of care and can result in medical errors, lower patient satisfaction, and higher rates of turnover. A study of 68 000 registered nurses showed that 35% of hospital nurses were experiencing symptoms of burnout. A systematic review identified that mindfulness-based interventions for health care professionals reduced stress and burnout and increased self-compassion and general health. However, the authors determined that more high-quality research is needed. This study examined the impact of a 4-hour workshop on burnout syndrome, perceived stress, and mindfulness skills. The objective of this study was to determine whether a 4-hour mindfulness workshop was effective in reducing burnout and perceived levels of stress and increasing mindfulness. Nurses at a Midwest academic medical center were recruited through e-mail to attend a 4-hour mindfulness workshop. Participants completed the Maslach Burnout Inventory-Human Service Survey, Perceived Stress Scale, and Cognitive and Affective Mindfulness Scale-Revised prior to the start of the workshop and 1 and 6 months after the workshop. The study design allowed for comparisons preintervention and postintervention. Of the 52 nurses who completed the baseline questionnaires, 94% were female with an average age of 38 years. Thirty-one percent completed the questionnaires at 1 month and 20 nurses at 6 months. At 1 month, nurses reported statistically significant decreased perceptions of stress (-2.31, P = .01) and emotional exhaustion (-4.78, P = .03). Mindfulness skills, personal accomplishment, and depersonalization improved but were not statistically significant. At 6 months, statistically significant findings included increased perceptions of mindfulness (2.50, P = .04), personal accomplishment (4.43, P = .04), and decreased emotional exhaustion (-6.21, P = .05). Perceptions of stress and depersonalization improved but were not statistically significant. In this study, nurses reported decreases in burnout and perceived stress and increases in mindfulness after attending a 4-hour mindfulness workshop. Further research is needed to determine the long-term impact of mindfulness-based training on nurses' burnout, stress, and mindfulness skills. The results of this study add to the body of literature that supports the benefits of mindfulness-based interventions.


Assuntos
Esgotamento Profissional/terapia , Educação/normas , Atenção Plena/métodos , Enfermeiras e Enfermeiros/psicologia , Estresse Ocupacional/terapia , Adulto , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Educação/métodos , Educação/estatística & dados numéricos , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Atenção Plena/normas , Atenção Plena/tendências , Enfermeiras e Enfermeiros/estatística & dados numéricos , Estresse Ocupacional/psicologia , Inquéritos e Questionários
17.
Acad Med ; 96(2): 173-175, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-32271226

RESUMO

Calls for improvement and reform in graduate medical education (GME) have led to more detail in educational and curricular guidelines. The current level of detail in curriculum guidelines for GME training programs is high, encompassing, for example, competency frameworks, entrustable professional activities, and milestones. In addition, faculty must employ an increasing number of assessment tools and elaborate portfolio systems for their residents. It is questionable whether any further increase in curriculum detail and assessment formats leads to better GME programs. Focusing on this type of system development may even lead to less engaged faculty if faculty are not encouraged to use their own professional judgment and creativity for teaching residents. Therefore, faculty members must be empowered to engage in curricular innovation, since system development alone will not result in better training programs. Raising faculty members' awareness of their virtues and value as teachers and involving them in the debate about how GME can be enhanced might increase their engagement in resident training.


Assuntos
Currículo/normas , Educação de Pós-Graduação em Medicina/legislação & jurisprudência , Docentes de Medicina/educação , Conscientização , Competência Clínica , Educação/estatística & dados numéricos , Educação/tendências , Educação de Pós-Graduação em Medicina/normas , Empoderamento , Docentes de Medicina/ética , Guias como Assunto , Humanos , Internato e Residência/normas , Melhoria de Qualidade
18.
Acad Med ; 96(2): 236-240, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-32590468

RESUMO

PROBLEM: Primary care providers are responsible for the majority of pain care and opioid prescribing, but they are often inadequately trained. Training current providers to address the crisis of excessive opioid prescribing and inadequate pain management is a substantial workforce problem that requires urgent action. This educational need is vast and requires a staged solution to amplify its effect. APPROACH: The University of California, Davis Train-the-Trainer (T3) Primary Care Pain Management Fellowship targets the most pressing topics related to pain management, including prescription drug abuse, responsible opioid prescribing, and substance abuse, as well as broad coverage of comprehensive pain management. It offers an innovative, scalable solution to address the education gap in pain management that, in part, fuels the opioid epidemic in the United States. The T3 Fellowship incorporates a competency-based curriculum and a hybrid educational model of in-person and distance-based learning and direct faculty-fellow mentoring to comprehensively train primary care providers in pain care and prepare them to train others. Since it was established in 2017, 2 cohorts (of 17 and 26 fellows) have completed the 10-month fellowship and a third cohort of 38 fellows started the program in September 2019. OUTCOMES: Pre- and postprogram surveys for the first 2 cohorts, and a 6-month postprogram survey for the first cohort, demonstrated fellows' improvement and sustained performance in pain competencies as well as increased recognition and understanding of pain and related topics. NEXT STEPS: If adopted by other institutions and expanded across the country, the T3 Fellowship holds potential for developing an ever-growing legion of trained professionals who will locally fill the need for effective pain management, including appropriate opioid prescribing. Advancing this model will require further economic and feasibility studies to assess costs, resources, and other variables, as well as a robust comprehensive outcomes program.


Assuntos
Educação/estatística & dados numéricos , Manejo da Dor/normas , Atenção Primária à Saúde/estatística & dados numéricos , Capacitação de Professores/métodos , Analgésicos Opioides/uso terapêutico , California/epidemiologia , Educação Baseada em Competências/métodos , Bolsas de Estudo/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Modelos Educacionais , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Transtornos Relacionados ao Uso de Opioides/prevenção & controle , Padrões de Prática Médica/ética , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Inquéritos e Questionários , Estados Unidos/epidemiologia , Universidades/organização & administração
19.
Clin Pharmacol Ther ; 110(5): 1190-1195, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-33236362

RESUMO

On May 4, 2020, the US Food and Drug Administration (FDA) hosted an online public workshop titled "FY 2020 Generic Drug Regulatory Science Initiatives Public Workshop" to provide an overview of the status of the science and research priorities and to solicit input on the development of Generic Drug User Fee Amendments fiscal year 2021 priorities. This report summarizes the podium presentations and the outcome of discussions along with innovative ways to overcome challenges and significant opportunities related to model-based approaches in bioequivalence assessment for breakout session 4 titled, "Data analysis and model-based bioequivalence (BE)." This session focused on the application of model-based approaches in the generic drug development, with a vision of accelerating regulatory decision making for abbreviated new drug application assessments. The session included both podium presentations and panel discussions with three topics of interest: (i) in vitro study evaluation methods and their clinical relevance, (ii) challenges in model-based BE, (iii) emerging expertise and tools in implementing new BE approaches.


Assuntos
Análise de Dados , Controle de Medicamentos e Entorpecentes/métodos , Medicamentos Genéricos , Educação/métodos , Relatório de Pesquisa , United States Food and Drug Administration , Medicamentos Genéricos/normas , Educação/estatística & dados numéricos , Humanos , Equivalência Terapêutica , Estados Unidos , United States Food and Drug Administration/estatística & dados numéricos
20.
Ciudad de Buenos Aires; INDEC; 2021. 40 p. ilus, graf, tab.
Monografia em Espanhol | InstitutionalDB, BINACIS, UNISALUD | ID: biblio-1392642

RESUMO

El presente informe es el segundo que se realiza sobre los resultados obtenidos del Estudio sobre el impacto de la COVID-19 en los hogares del Gran Buenos Aires (EICOVID) y complementa el publicado por el INDEC en diciembre de 2020. Al igual que en el primer informe, el relevamiento de la información aquí utilizada se desarrolló entre agosto y octubre de 2020, en el Gran Buenos Aires (GBA), que abarca la Ciudad Autónoma de Buenos Aires (CABA) y los 31 partidos del conurbano bonaerense. En esta instancia, se profundizan y amplían algunas de las temáticas abordadas anteriormente y se analizan otras nuevas, también vinculadas con los impactos de la pandemia en los hogares consultados. Las temáticas abordadas son: la situación del empleo y los ingresos del hogar; las estrategias adoptadas por los hogares frente a la pandemia; las implicancias en la educación formal y en el uso de tecnologías; y los efectos en los hábitos y en la situación emocional. El objetivo de ambos informes es el de responder a la necesidad de información sobre el impacto de la pandemia de la COVID-19 en los hogares de la región del GBA. Como se mencionó en el informe anterior, al momento de decidir el alcance geográfico del relevamiento, los efectos de la pandemia estaban concentrados principalmente en el GBA, por lo que el estudio se circunscribe a este ámbito. (AU)


Assuntos
Fenômenos Psicológicos , Fatores Socioeconômicos , Educação/estatística & dados numéricos , Emprego/estatística & dados numéricos , COVID-19/prevenção & controle , COVID-19/epidemiologia
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