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2.
Rev. medica electron ; 42(4): 2140-2147, tab
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1139304

RESUMO

RESUMEN En el proceso de autoevaluación de las carreras de Estomatología y Medicina para su acreditación en la Universidad de Ciencias Médicas de Matanzas en Cuba, dentro de la variable profesores se señala como una debilidad de los claustros docentes, el no predominio de las categorías principales titular y auxiliar, con un grupo de profesores mayoritariamente en la categoría de asistente, lo que motivó que se realizara la estimación de un intervalo de confianza para el verdadero valor del porcentaje de profesores con categoría asistente en el claustro de la Universidad con el objetivo de opinar basado en un método sólido y sencillo el rango de valores donde posiblemente se encuentre el valor real, utilizando las fórmulas del intervalo estándar y el de Wilson (AU).


SUMMARY The non-predominance of the main categories of Main Professor and Lecturer, with a group of professors mostly in the category of Assistant was pointed out in the variable Teachers, as weakness of the faculties in the auto evaluation process of Stomatology and Medicine undergraduate studies for their accreditation in the University of Medical Sciences of Matanzas in Cuba; it motivated the estimation of a confidence interval for the true value of the percent of teachers with category of Assistant in the University staff with the aim of holding a position based on a solid and simple method, on the rank of values where possibly is the real value, using the standard and Wilson´s interval formula (AU).


Assuntos
Humanos , Masculino , Feminino , Programas de Autoavaliação/métodos , Capacitação de Professores/métodos , Universidades , Acreditação de Instituições de Saúde , Estudos de Avaliação como Assunto , Docentes/educação
3.
Diagnosis (Berl) ; 7(1): 21-25, 2020 01 28.
Artigo em Inglês | MEDLINE | ID: mdl-31352429

RESUMO

Background Diagnostic reasoning skills are essential to the practice of medicine, yet longitudinal curricula to teach residents and evaluate performance in this area is lacking. We describe a longitudinal diagnostic reasoning curriculum implemented in a university-based internal medicine residency program and self-evaluation assessment of the curriculum's effectiveness. Methods A longitudinal diagnostic reasoning curriculum (bolus/booster) was developed and implemented in the fall of 2015 at the University of Iowa. R1, R2, and R3 cohorts were taught the "bolus" curriculum at the beginning of each academic year followed by a "booster" component to maintain and build upon diagnostic reasoning skills taught during the "bolus" phase. Self-administered diagnostic thinking inventory (DTI) scores were collected in the spring of pre-curriculum (baseline, 2014-2015) and post-curriculum (2016-2017). Results The overall DTI scores improved in the R1 cohort, although statistically significant differences were not seen with R2s and R3s. In the original DTI categories, R1s improved in both flexibility of thinking and structure of thinking, the R2s improved in structure of thinking and the R3s did not improve in either category. R1s showed improvement in three of the four subcategories - data acquisition, problem representation, and hypothesis generation. The R2s improved in the subcategory of problem representation. R3s showed no improvement in any of the subcategories. The R3 cohort had higher mean scores in all categories but this did not reach statistical significance. Conclusions Our program created and successfully implemented a longitudinal diagnostic reasoning curriculum. DTI scores improved after implementation of a new diagnostic reasoning curriculum, particularly in R1 cohort.


Assuntos
Currículo/tendências , Educação de Pós-Graduação em Medicina/métodos , Resolução de Problemas/fisiologia , Competência Clínica/estatística & dados numéricos , Diagnóstico , Humanos , Internato e Residência/normas , Programas de Autoavaliação/métodos , Estados Unidos/epidemiologia
4.
Adv Physiol Educ ; 43(3): 339-344, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31305148

RESUMO

Physiology is one of the major foundational sciences for the medical curriculum. This discipline has proven challenging for students to master due to ineffective content acquisition and retention. Preliminary data obtained from a survey completed by "low-performance" students (those maintaining a grade average below the passing mark of 70%) at Morehouse School of Medicine reported that students lacked the ability to adequately recognize and extract important physiological concepts to successfully navigate multiple-choice assessments. It was hypothesized that a specially designed, small-group, active learning, physiology in-course enrichment program would minimize course assessment failure rates by enhancing the ability of low-performance students to effectively identify important course content, successfully perform on multiple-choice assessments, and, thereby, improve overall course performance. Using self-report surveys, study skills and test-taking deficiencies limiting successful comprehension of course material and examination performance were identified. Mini-quiz assessments and assignments in formulating multiple-choice examination questions were given to help students recognize and solidify core concepts and improve test-taking ability. Lastly, self-report surveys evaluated the effectiveness of the enrichment program on overall course performance. Results showed a marked improvement in student confidence levels with regards to approaching multiple-choice assessments, and a significant improvement in grades achieved in the physiology component of the first-year curriculum, as 100% of participants achieved a final passing grade average of ≥70%. It was concluded that students became more proficient in identifying, understanding, and applying core physiological concepts and more successful in mastering multiple-choice questions.


Assuntos
Desempenho Acadêmico/psicologia , Avaliação Educacional/métodos , Fisiologia/educação , Aprendizagem Baseada em Problemas/métodos , Programas de Autoavaliação/métodos , Estudantes de Medicina/psicologia , Currículo , Feminino , Humanos , Masculino , Inquéritos e Questionários
5.
Adv Physiol Educ ; 43(3): 345-349, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31305152

RESUMO

A small private online course (SPOC) supports blended learning on a small scale, enabling students to have a more comprehensive and deeper learning experience. It also provides instructors with a flexible and feasible model to better understand the students' learning needs and to supervise students' learning behaviors. In this study, we adopted SPOC flipped classroom blended teaching in the physiology course for clinical undergraduate students of Kunming Medical University. Compared with the control group [lecture-based learning (LBL)], the SPOC flipped classroom method significantly increased the scores of students in the preclass test (65.13 ± 12.45 vs. 53.46 ± 8.09, SPOC vs. LBL) and postclass test (80.43 ± 14.29 vs. 69.01 ± 12.81, SPOC vs. LBL), which is induced by students' increased interest in self-learning. More importantly, the significant difference between the preclass scores of the two groups suggested that the video lecture-based preview is more effective than the textbook-based preview. The study indicated that the SPOC flipped classroom was effective in enhancing the examination scores of students, reflecting an improved learning efficiency and a deeper understanding of the knowledge. In summary, the flipped classroom based on SPOC improves learning outcomes compared with LBL and has a wide application in the learning of basic medical courses.


Assuntos
Currículo , Educação a Distância/métodos , Fisiologia/educação , Aprendizagem Baseada em Problemas/métodos , Estudantes de Medicina/psicologia , Avaliação Educacional/métodos , Humanos , Programas de Autoavaliação/métodos
6.
Educ. med. super ; 32(3): 1-28, jul.-set. 2018. graf, tab
Artigo em Espanhol | LILACS, Repositório RHS | ID: biblio-989736

RESUMO

Introducción: Las instituciones de educación superior que forman recursos humanos para la salud, se esfuerzan por perfeccionar los perfiles de egreso en armonía con las necesidades de la población. Mientras, se incrementan los cuestionamientos a la calidad académica, como producto de las relaciones de poder entre el mercado y el estado. La Facultad de Enfermería es el único centro estatal responsable de la formación de grado y posgrado. Disponer de una tecnología para la autoevaluación de la calidad institucional, podría impactar en la mejora de las funciones universitarias y en la misión social. Objetivos: Diseñar una guía metodológica para implementar el proceso de autoevaluación de la calidad institucional y validar la misma, para desarrollar un proceso sistemático y confiable. Métodos: Consistió en un proyecto de desarrollo tecnológico. El diseño preliminar fue ajustado en función de la consulta a expertos y las mediciones de los coeficientes de Alfa de Cronbach y correlación de Pearson. Se implementó una prueba de autoevaluación mediante la técnica de informantes clave. Resultados: La opinión de los expertos fue favorable para la totalidad de los contenidos. Las pruebas estadísticas demostraron un alto índice de consistencia interna y confiabilidad. El diseño obtenido, integró las pautas universitarias establecidas y las particularidades del servicio. Las recomendaciones se orientaron a mejorar la información disponible y formalizar una metodología participativa. Conclusiones: El diseño de la guía fue validado y permitió un autoconocimiento de la calidad institucional con mayor rigurosidad científica. Se identificaron limitaciones en la fase de intercambio entre los evaluadores(AU)


Introduction: Higher education institutions that train human resources in health strive to improve graduation profiles in harmony with the population needs. Meanwhile, the questioning increases for academic quality, as a product of power relations between the market and the state. The School of Nursing is the only state-run center responsible for undergraduate and postgraduate training. Having a technology for the self-evaluation of institutional quality could have an impact on the improvement of the functions and social mission of the university. Objectives: To design methodological guidelines for implementing the process of self-assessment of institutional quality and to validate it, in order to develop a systematic and reliable process. Methods: This consisted in a technological development project. The preliminary design was adjusted based on expert consultation and measurements of the Cronbach's Alpha coefficients and Pearson's correlation. A self-assessment test was implemented using the key informant technique. Results: The opinion of the experts was favorable for all the contents. The statistical tests showed a high index of internal consistency and reliability. The design obtained integrated the established university guidelines and the service particularities. The recommendations were aimed at improving the available information and at formalizing a participatory methodology. Conclusions: The design of the guidelines was validated and allowed a self-knowledge about institutional quality with greater scientific rigor. Limitations were identified in the exchange phase between the evaluators(AU)


Assuntos
Humanos , Programas de Autoavaliação/métodos , Avaliação de Recursos Humanos em Saúde , Escolas de Enfermagem , Uruguai , Gestão da Qualidade Total
7.
Gac méd espirit ; 19(3)sept-dic. 2017.
Artigo em Espanhol | CUMED | ID: cum-69169

RESUMO

El perfeccionamiento de la calidad en la formación profesional ha estado en el centro de atención de la política de la Educación Superior en Cuba, con este propósito las estrategias curriculares se asumen como un sistema de saberes que se corresponden con aspectos de repercusión social y profesional. Objetivo: Exponer procedimientos metodológicos dirigidos a la concepción e implementación de las estrategias curriculares en el proceso de formación inicial. Metodología: Se utilizaron métodos teóricos, empíricos y estadísticos, los que combinados desde un enfoque dialéctico materialista permitieron la recogida y el procesamiento de la información durante la implementación de los procedimientos en una muestra seleccionada de estudiantes de la carrera Licenciatura en Educación: Pedagogía Psicología. Resultados: Se aportaron procedimientos metodológicos que facilitan la articulación sistémica y sistemática de las estrategias curriculares con los componentes académico, laboral, investigativo y extensionista del proceso. Conclusiones: La propuesta constituye una útil herramienta para la mejora continua de la calidad de la formación inicial del profesional, se concibió desde las exigencias establecidas en los documentos básicos del Sistema de Evaluación y Acreditación de Carreras Universitarias y contribuyó a que en el 2016, esta carrera alcanzará la categoría de acreditación Certificada que otorga la Junta Nacional de Acreditación de Cuba(AU)


Perfection of quality in professional formation has been in the centre of attention of politics in higher education in Cuba; with this purpose curricular strategies are increased with a knowledge system corresponding to items of social and professional results. Objective: To expose methodological procedures directed to a conception and implementation of curricular strategies in the process of initial formation. Methodology: Theoretical, empirical and statistical methods combined with dialectic and materialistic approaches were used. They permitted the collecting and processing of information during the implementation of procedures in a selected sample of students studying to be bachelors of education: Pedagogy and Psychology. Results: methodological procedures that facilitated systemic and systematic articulation of curricular strategies with labor, academic, research and extension components of the process were given. Conclusion: The proposal constitutes a useful tool to improve quality of initial formation of professionals, it was conceived by taking the demands established in basic documents of the evaluation and crediting system concerned with university studies and it contributed to make this university study reach the crediting certified category given by the Cuban National Crediting Council(AU)


Assuntos
Humanos , Política de Educação Superior , Universidades , Educação Profissionalizante/métodos , Programas de Autoavaliação/métodos
8.
Gac. méd. espirit ; 19(3): 17-28, set.-dic. 2017.
Artigo em Espanhol | CUMED | ID: cum-73662

RESUMO

Fundamento: El perfeccionamiento de la calidad en la formación profesional ha estado en el centro de atención de la política de la Educación Superior en Cuba, con este propósito las estrategias curriculares se asumen como un sistema de saberes que se corresponden con aspectos de repercusión social y profesional. Objetivo: Exponer procedimientos metodológicos dirigidos a la concepción e implementación de las estrategias curriculares en el proceso de formación inicial. Metodología: Se utilizaron métodos teóricos, empíricos y estadísticos, los que combinados desde un enfoque dialéctico materialista permitieron la recogida y el procesamiento de la información durante la implementación de los procedimientos en una muestra seleccionada de estudiantes de la carrera Licenciatura en Educación: Pedagogía Psicología. Resultados: Se aportaron procedimientos metodológicos que facilitan la articulación sistémica y sistemática de las estrategias curriculares con los componentes académico, laboral, investigativo y extensionista del proceso. Conclusiones: La propuesta constituye una útil herramienta para la mejora continua de la calidad de la formación inicial del profesional, se concibió desde las exigencias establecidas en los documentos básicos del Sistema de Evaluación y Acreditación de Carreras Universitarias y contribuyó a que en el 2016, esta carrera alcanzará la categoría de acreditación Certificada que otorga la Junta Nacional de Acreditación de Cuba.


Assuntos
Humanos , Modelos de Enfermagem , Teoria de Enfermagem , Universidades , Educação Profissionalizante/métodos , Ética em Enfermagem , Política de Educação Superior , Cuidados de Enfermagem , Autocuidado , Programas de Autoavaliação/métodos , Capacitação de Professores/métodos
10.
Index enferm ; 26(3): 226-230, jul.-sept. 2017. tab
Artigo em Espanhol | IBECS | ID: ibc-168623

RESUMO

Objetivo principal: Elaborar y validar un cuestionario para medir el aprendizaje de los cuidados enfermeros durante las prácticas en el grado de enfermería. Metodología: Elaboración de la escala inicial de 45 ítems, pilotaje de la herramienta con alumnado de la Universidad de Zaragoza y Universidad del País Vasco, mediante análisis de la fiabilidad y de estructura. Posterior consulta a expertos para validación de contenido. Resultados principales: El resultado del pilotaje reportó que el global de la herramienta presentaba buena fiabilidad (alfa=0,888), con una estructura unidimensional que explica el 66% de la varianza. El grupo de expertos confirmó la estructura unidimensional de la escala, y propuso la eliminación de 17 ítems por considerarlos redundantes. Conclusión principal: La herramienta presentada resulta útil para la evaluación del aprendizaje del alumnado. Resultaría necesario ampliar el estudio con muestras de otras universidades, e incluir herramientas que aporten validez convergente o divergente


Objective: Development and validation of a questionnaire to measure the learning of nursing care during Nurse Degree clinical practices. Methods: Elaboration of a 45-item initial scale, pilot study with students from University of Zaragoza and University of Pais Vasco, through reliability and structural analysis. Content validation through experts consulting. Results: Pilot-study result a good reliability (alpha=0,888) in the global tool, with a unidimensional structure accounting for variance 66%. The expert panel confirmed that unidimensional structure for the scale, and considered 17 items redundant, proposing its elimination. Conclusions: Presented tool is useful for students learning assessment. It would be necessary to Include samples from other universities and tools that provide convergent and divergent validity in further studies


Assuntos
Humanos , Masculino , Feminino , Adulto , Estudantes de Enfermagem/estatística & dados numéricos , Educação em Enfermagem/métodos , Educação em Enfermagem/organização & administração , Autoavaliação (Psicologia) , Programas de Autoavaliação/métodos , Aprendizagem , Inquéritos e Questionários , Projetos Piloto
11.
Nurse Educ Pract ; 26: 68-73, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28734181

RESUMO

This paper discusses the use of Nominal Group Technique (NGT) for European nursing exchange evaluation at one university. The NGT is a semi-quantitative evaluation method derived from the Delphi method popular in the 1970s and 1980s. The NGT was modified from the traditional version retaining the structured cycles and but adding a broader group discussion. The NGT had been used for 2 successive years but required analysis and evaluation itself for credibility and 'fit' for purpose which is presented here. It aimed to explore nursing students' exchange experiences and aid programme development futures exchanges and closure from exchange. Results varied for the cohorts and students as participants enthusiastically engaged generating ample data which they ranked and categorised collectively. Evaluation of the NGT itself was two fold: by the programme team who considered purpose, audience, inclusivity, context and expertise. Secondly, students were asked for their thoughts using a graffiti board. Students avidly engaged with NGT but importantly also reported an effect from the process itself as an opportunity to reflect and share their experiences. The programme team concluded the NGT offered a credible evaluation tool which made use of authentic student voice and offered interactive group processes. Pedagogially, it enabled active reflection thus aiding reorientation back to the United Kingdom and awareness of 'transformative' consequences of their exchange experiences.


Assuntos
Bacharelado em Enfermagem/métodos , Processos Grupais , Programas de Autoavaliação/métodos , Estudantes de Enfermagem/psicologia , Viagem/psicologia , Adaptação Psicológica , Técnica Delfos , Europa (Continente) , Humanos
12.
Educ. med. super ; 31(2): 0-0, abr.-jun. 2017. ilus, tab
Artigo em Espanhol | LILACS, Repositório RHS | ID: biblio-891180

RESUMO

Introducción: la práctica preprofesional ocupa el último curso de la Licenciatura en Enfermería. Contribuye a la educación y entrenamiento final del futuro egresado, lo que permite el desarrollo de habilidades relacionadas con la práctica de enfermería. Objetivo: elaborar una guía de ejercicios interactivos que propicie la autoevaluación de los estudiantes de enfermería que se encuentran en la práctica preprofesional. Métodos: se realizó un estudio de innovación tecnológica en la Facultad Tecnológica, de la Universidad de Ciencias Médicas de Camagüey, entre marzo y mayo de 2015. Para el diagnóstico se emplearon la entrevista estructurada y el análisis documental. Fueron utilizados además, la lluvia de ideas y el criterio de especialistas. El producto se elaboró a partir del programa Mediator. Resultados: el diagnóstico mostró un conjunto de deficiencias en la formación profesional de los estudiantes universitarios. Para contribuir a su erradicación se diseñó una guía de ejercicios sustentada en los objetivos del programa. La guía se elaboró a partir del programa Mediator, lo que permitió confeccionar un medio de enseñanza que propicia la autoevaluación. El criterio valorativo de los especialistas fue positivo. Estos reconocen el enfoque metodológico y didáctico del producto y emitieron sugerencias que serán tomadas en cuenta perfeccionar la propuesta. Conclusiones: la multimedia elaborada proporciona a los estudiantes un aprendizaje y autoevaluación continuos, con un enfoque metodológico y didáctico útiles para reforzar el aprendizaje teórico y práctico de la disciplina Enfermería(AU)


Introduction: The pre-profesional practice is the last course of the Nursing major. It contributes to the forthcoming graduates' education and final training, which allows the development of skills related to the nursing practice. Objective: To elaborate a set of interactive exercises that facilitates the self-assessment of the Nursing students who are in their pre-professional practice. Methods: A study of technological innovation was carried out at the University of Medical Sciences of Camagüey Technological School from March to May 2015. The structured interview and documentary analysis were used for the diagnosis. Brainstorming and the specialists' criteria were also used. The product was elaborated using the Mediator program. Results: The diagnosis showed a group of deficiencies in the professional training of university students. In order to contribute to its eradication, a set of exercises was designed based on the program's objectives. The set was developed using the program Mediator, which made it possible to create a teaching environment that encourages self-assessment. The specialists' criterion on value was positive. They recognized the product's methodological and didactic approach, and delivered suggestions that will be taken into account to perfect the proposal. Conclusions: The multimedia developed provides students with continuous learning and self-assessment, with a methodological and didactic approach useful to reinforce the theoretical and practical learning of the Nursing discipline(AU)


Assuntos
Humanos , Programas de Autoavaliação/métodos , Educação em Enfermagem/métodos , Padrões de Prática em Enfermagem , Licenciamento em Enfermagem
13.
Educ. med. super ; 31(2): 0-0, abr.-jun. 2017. ilus, tab
Artigo em Espanhol | CUMED | ID: cum-72533

RESUMO

Introducción: la práctica preprofesional ocupa el último curso de la Licenciatura en Enfermería. Contribuye a la educación y entrenamiento final del futuro egresado, lo que permite el desarrollo de habilidades relacionadas con la práctica de enfermería. Objetivo: elaborar una guía de ejercicios interactivos que propicie la autoevaluación de los estudiantes de enfermería que se encuentran en la práctica preprofesional. Métodos: se realizó un estudio de innovación tecnológica en la Facultad Tecnológica, de la Universidad de Ciencias Médicas de Camagüey, entre marzo y mayo de 2015. Para el diagnóstico se emplearon la entrevista estructurada y el análisis documental. Fueron utilizados además, la lluvia de ideas y el criterio de especialistas. El producto se elaboró a partir del programa Mediator. Resultados: el diagnóstico mostró un conjunto de deficiencias en la formación profesional de los estudiantes universitarios. Para contribuir a su erradicación se diseñó una guía de ejercicios sustentada en los objetivos del programa. La guía se elaboró a partir del programa Mediator, lo que permitió confeccionar un medio de enseñanza que propicia la autoevaluación. El criterio valorativo de los especialistas fue positivo. Estos reconocen el enfoque metodológico y didáctico del producto y emitieron sugerencias que serán tomadas en cuenta perfeccionar la propuesta. Conclusiones: la multimedia elaborada proporciona a los estudiantes un aprendizaje y autoevaluación continuos, con un enfoque metodológico y didáctico útiles para reforzar el aprendizaje teórico y práctico de la disciplina Enfermería(AU)


Introduction: The pre-profesional practice is the last course of the Nursing major. It contributes to the forthcoming graduates' education and final training, which allows the development of skills related to the nursing practice. Objective: To elaborate a set of interactive exercises that facilitates the self-assessment of the Nursing students who are in their pre-professional practice. Methods: A study of technological innovation was carried out at the University of Medical Sciences of Camagüey Technological School from March to May 2015. The structured interview and documentary analysis were used for the diagnosis. Brainstorming and the specialists' criteria were also used. The product was elaborated using the Mediator program. Results: The diagnosis showed a group of deficiencies in the professional training of university students. In order to contribute to its eradication, a set of exercises was designed based on the program's objectives. The set was developed using the program Mediator, which made it possible to create a teaching environment that encourages self-assessment. The specialists' criterion on value was positive. They recognized the product's methodological and didactic approach, and delivered suggestions that will be taken into account to perfect the proposal. Conclusions: The multimedia developed provides students with continuous learning and self-assessment, with a methodological and didactic approach useful to reinforce the theoretical and practical learning of the Nursing discipline(AU)


Assuntos
Humanos , Educação em Enfermagem/métodos , Licenciamento em Enfermagem , Padrões de Prática em Enfermagem , Programas de Autoavaliação/métodos
14.
Span. j. psychol ; 20: e48.1-e48.10, 2017. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-167282

RESUMO

Self-care agency is an important determinant of healthy aging. The Appraisal of Self-care Agency Scale (ASA-R) (Sousa et al., 2010) is one of the main instrument to assess self-care capacity. The objectives of the study were: 1) to adapt and validate ASA-R scale for use in Spanish population; 2) to examine the dimensionality, validity and reliability; 3) and to establish the convergent validity of ASA-R using a self-reported health measure. The ASA-R Scale and the 12-item Short Form Health Survey (SF-12) were administered to 488 Spanish seniors aged 65 and over. Confirmatory Factor Analysis (CFA) was used to analyze the dimensionality, validity and reliability. Convergent validity was tested by correlating the ASA-R factors with the SF-12 subscales; correlations were significant (p < .005). CFA showed that the ASA-R Three Factor Model fit well to the data, showing satisfactory fit indices, with S-Bχ2 > 0.05 (0.436), RMSEA closer to 0 (0.006), SRMR < 0.08 (0.065), GFI and AGFI close to 1 (0.924 and 0.921), and CFI and NNFI > 0.95 (0.996 and 0.995). The results also demonstrated that ASA-R is a reliable and valid instrument. The ASA-R has demonstrated to be a reliable (CR indices > 0.7) and valid (AVE > 0.5) instrument in measuring self-care agency among Spanish older population (AU)


No disponible


Assuntos
Humanos , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Serviços de Saúde para Idosos/organização & administração , Autocuidado/psicologia , Autoavaliação (Psicologia) , Psicometria/métodos , Atividades Cotidianas/psicologia , Programas de Autoavaliação/métodos , Inquéritos e Questionários , Psicometria/estatística & dados numéricos
15.
Rev. calid. asist ; 31(2): 106-112, mar.-abr. 2016. tab, ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-150385

RESUMO

Objetivo. Identificar los riesgos en la elaboración de citostáticos intravenosos de forma proactiva, priorizarlos y establecer medidas de mejora en la seguridad de los procedimientos utilizados. Material y métodos. Se utilizó la metodología «análisis modal de fallos y efectos». Un equipo multidisciplinar identificó los modos de fallo del proceso a través de tormenta de ideas. Se evaluó el impacto asociado a cada modo de fallo con el número de prioridad de riesgo (NPR), en el que intervienen 3 variables: ocurrencia, gravedad y detectabilidad. Se establecieron medidas de mejora para todos los modos de fallo identificados; se consideraron críticos aquellos con un NPR > 100. Se calculó también el NPR final (teórico) que se obtendría con las medidas propuestas y se rediseñó el proceso. Resultados. Se identificaron un total de 34 modos de fallo. El NPR inicial acumulado fue de 3022 (rango: 3-252), y tras las acciones recomendadas el NPR final fue de 1292 (rango: 3-189). Se obtuvieron puntuaciones de NPR > 100 en 13 modos de fallo; solo el subproceso de dispensación estuvo exento de puntos críticos (NPR > 100). Se consiguió una reducción del NPR final >50% en 9 modos de fallo. Conclusiones. Esta metodología de análisis de riesgo prospectiva nos permite priorizar los puntos débiles del sistema para optimizar el empleo de recursos y conseguir una mejora sustancial en la seguridad de la elaboración de citostáticos mediante la introducción del doble chequeo y el etiquetado de productos intermedios (AU)


Objective. To proactively identify risks in the preparation of intravenous cytostatic drugs, and to prioritise and establish measures to improve safety procedures. Material and methods. Failure Mode Effect Analysis methodology was used. A multidisciplinary team identified potential failure modes of the procedure through a brainstorming session. The impact associated with each failure mode was assessed with the Risk Priority Number (RPN), which involves three variables: occurrence, severity, and detectability. Improvement measures were established for all identified failure modes, with those with RPN > 100 considered critical. The final RPN (theoretical) that would result from the proposed measures was also calculated and the process was redesigned. Results. A total of 34 failure modes were identified. The initial accumulated RPN was 3022 (range: 3-252), and after recommended actions the final RPN was 1292 (range: 3-189). RPN scores > 100 were obtained in 13 failure modes; only the dispensing sub-process was free of critical points (RPN > 100). A final reduction of RPN > 50% was achieved in 9 failure modes. Conclusions. This prospective risk analysis methodology allows the weaknesses of the procedure to be prioritised, optimize use of resources, and a substantial improvement in the safety of the preparation of cytostatic drugs through the introduction of double checking and intermediate product labelling (AU)


Assuntos
Humanos , Masculino , Feminino , Citostáticos/análise , Citostáticos/farmacocinética , Citostáticos/uso terapêutico , Gestão de Riscos/normas , Gestão de Riscos , Erros de Medicação/prevenção & controle , Erros de Medicação/tendências , Programas de Autoavaliação/métodos , Assunção de Riscos , /organização & administração , Qualidade da Assistência à Saúde/normas
17.
Gac méd espirit ; 17(2)may.-ago. 2015. ilus
Artigo em Inglês | CUMED | ID: cum-65173

RESUMO

La calidad de los servicios educacionales constituye uno de los retos que enfrenta hoy la Educación Superior en Cuba, razón por la que la autoevaluación institucional es un instrumento esencial para la mejora de los procesos universitarios. Objetivo: Diseñar e implementar una estrategia de mejora para certificar la calidad en la Universidad de Ciencias Pedagógicas de Sancti Spíritus. Metodología: Se utilizó la investigación acción, que se corresponde con un enfoque metodológico predominantemente cualitativo. Resultados: Se aplicó una estrategia de mejora centrada en una visión integradora de los procesos sustantivos y contextualizados a las características de esta institución universitaria; las acciones se dirigieron a elevar la cultura de la calidad de los agentes participantes y aproximar los procesos universitarios a los estándares establecidos. Se minimizaron las debilidades y se aprovecharon las fortalezas en función del perfeccionamiento de los procesos sustantivos de la universidad. Conclusiones: La implementación de la propuesta en la Universidad Pedagógica contribuyó a alcanzar la categoría de acreditación de Institución Calificada(AU)


The quality of the educational services constitutes one of the challenges that face today the high education level in Cuba, a reason for which the institutional self-evaluation is an essential instrument to improve the university process. Objective: To design and implement a strategy of improving the registered quality in the science pedagogical university from Sancti Spiritus. Methodology: The action research was used in correspondence with a methodological approach mainly in quality. Results: An improving strategy was applied in an integrated vision of the contextualized and substantive processes to the characteristic of this university institution, the actions were gather to increase the agents and to approximate the university processes to the established standards. Were minimized the weakness in function of the improvement of the substantives processes of the university. Conclusions: The implementation of the proposal in the university contributed to enrich the accreditation category in the registered institution(AU)


Assuntos
Humanos , Programas de Autoavaliação/métodos , Universidades , Ensino/métodos , Universidades
18.
Gac. méd. espirit ; 17(2): 39-49, mayo.-ago. 2015. ilus, graf, mapas, tab
Artigo em Espanhol | LILACS | ID: lil-759135

RESUMO

Fundamento: La calidad de los servicios educacionales constituye uno de los retos que enfrenta hoy la Educación Superior en Cuba, razón por la que la autoevaluación institucional es un instrumento esencial para la mejora de los procesos universitarios. Objetivo: Diseñar e implementar una estrategia de mejora para certificar la calidad en la Universidad de Ciencias Pedagógicas de Sancti Spíritus. Metodología: Se utilizó la investigación acción, que se corresponde con un enfoque metodológico predominantemente cualitativo. Resultados: Se aplicó una estrategia de mejora centrada en una visión integradora de los procesos sustantivos y contextualizados a las características de esta institución universitaria; las acciones se dirigieron a elevar la cultura de la calidad de los agentes participantes y aproximar los procesos universitarios a los estándares establecidos. Se minimizaron las debilidades y se aprovecharon las fortalezas en función del perfeccionamiento de los procesos sustantivos de la universidad. Conclusiones: La implementación de la propuesta en la Universidad Pedagógica contribuyó a alcanzar la categoría de acreditación de Institución Calificad.


Background: The quality of the educational services constitutes one of the challenges that face today the high education level in Cuba, a reason for which the institutional self-evaluation is an essential instrument to improve the university process. Objective: To design and implement a strategy of improving the registered quality in the science pedagogical university from Sancti Spiritus. Methodology: The action research was used in correspondence with a methodological approach mainly in quality. Results: An improving strategy was applied in an integrated vision of the contextualized and substantive processes to the characteristic of this university institution, the actions were gather to increase the agents and to approximate the university processes to the established standards. Were minimized the weakness in function of the improvement of the substantives processes of the university. Conclusions: The implementation of the proposal in the university contributed to enrich the accreditation category in the registered institution.


Assuntos
Humanos , Universidades , Programas de Autoavaliação/métodos , Universidades , Ensino/ética
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