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2.
Semin Vasc Surg ; 32(1-2): 21-22, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31540651

RESUMO

The development of the 0+5 integrated vascular training program allows training to begin after medical school and is a "new" paradigm in specialty surgery training. Whether community and academic surgeons in practice will accept this training program remains an unanswered question. My perspectives as an integrated vascular resident trainee who recently entered clinical practice provide insight on the adequacy of my training and the lessons I have learned as a vascular surgery specialist.


Assuntos
Escolha da Profissão , Certificação , Cirurgiões/educação , Procedimentos Cirúrgicos Vasculares/educação , Fatores Etários , Atitude do Pessoal de Saúde , Competência Clínica , Currículo , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Relações Interpessoais , Descrição de Cargo , Avaliação de Programas e Projetos de Saúde , Cirurgiões/psicologia , Local de Trabalho/psicologia
3.
Medicine (Baltimore) ; 98(36): e16692, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31490361

RESUMO

OBJECTIVES: To ascertain bereavement practices offered by hospitals and medical practitioners (MPs), factors that influence the likelihood of MPs' involvement in funeral attendance, the benefits and barriers to attendance to a patient's funeral as perceived by MPs and the rate of attendance to patients' funeral by MPs. DESIGN: MEDLINE (Ovid), Embase, PubMed, and Google Scholar were searched with a systematic search structure for randomized controlled trials, comparative observational studies, case series, cross-sectional studies, editorials, and letters. The search was limited to English only. The study was registered with Prospero (Registration Number: CRD42018095368). RESULTS: A total of 381 articles were identified with 46 articles meeting the inclusion criteria. Of the 46, 16 were editorials and 12 were letters. Eighteen were cross-sectional studies conducted in the United States, Canada, Australia, Israel, and Ireland. Year of publication ranged from 1990 to 2017. Of these, 12 were quantitative, 3 were qualitative, and 3 were mixed-method studies. Two of the cross-sectional studies involved family members of deceased patients while others involved MPs. Bereavement practices offered by hospitals included memorial services, letters, and services provided by bereavement coordinators. Bereavement practices employed by MPs included answering or making phone calls, attending family meetings, and sending condolence letters. MPs' attendance at a patient's funeral was influenced by MPs' gender, age years of experience the medical specialty. Perceived benefits of MPs' attendance at a patient's funeral included providing support to the family, extending the professional relationship, illustrating respect to the patient and the family, resolving guilt and personal growth. Barriers to the attendance included a lack of time, blurring of professional boundaries, personal discomfort with death, emotional arousal, and discouragement by colleagues. General practice had an attendance rate of 71%. Attendance rates for palliative care, oncology, and psychiatrists ranged from 63% to 81%, 7.1% to 67%, and 15% to 67%, respectively. Intensivists had an attendance rate of 22%. CONCLUSION: Several bereavement practices are provided by hospitals and MPs. Funeral attendance is an uncommon bereavement practice. MPs' attitudes toward attending a patient's funeral are understudied in many specialties. Patient factors that influence MPs' participation in bereavement practices are poorly understood.


Assuntos
Atitude do Pessoal de Saúde , Luto , Rituais Fúnebres , Profissionalismo/normas , Fatores Etários , Estudos Transversais , Emoções , Feminino , Humanos , Masculino , Relações Profissional-Paciente , Fatores Sexuais , Fatores de Tempo
4.
Rev Col Bras Cir ; 46(4): e2146, 2019 Sep 09.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31508733

RESUMO

OBJECTIVE: to evaluate the perception of surgeons, members of the Brazilian College of Surgeons (CBC), on safety and quality issues in surgery, based on projects of Brazilian Ministry of Health (MS), CBC, World Health Organization (WHO), and American College of Surgeons (ACS). METHODS: a questionnaire based on WHO, CBC, and ACS initiatives was sent to all active and non-active CBC members, using Survey Monkey, in March 2018. RESULTS: out of 7,100 members, 171 professionals answered the questionnaire. Out of these, the majority (63.2%) declared to perform general surgery, 88.9% indicated knowing the project called Safe Surgery developed by MS, 73.1%, the CBC manual, and 14.6%, the ACS Strong for Surgery. Among those who indicated knowing the MS project, 73.1% said that they were accustomed to use it as a routine, and, among those who indicated knowing the CBC manual, 46.2% said that they were accustomed to use it. Most of the surgeons (81.3%) indicated that they had experienced severe surgical failures, being failures related to surgical material (49.7%) and presence of foreign bodies (8.2%) the most common ones. There were distinct opinions on who was responsible for checking over the checklist. CONCLUSION: the importance of safety and quality in surgery is well known by surgeons, but the practice is varied. Serious adverse events had been experienced by many surgeons, mainly related to surgical material and foreign bodies. The concept of interdisciplinarity did not seem to be common practice. Data indicated the need to develop education projects and the obligation of audits.


Assuntos
Competência Clínica , Cirurgia Geral , Cirurgiões , Atitude do Pessoal de Saúde , Brasil , Competência Clínica/estatística & dados numéricos , Cirurgia Geral/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Near Miss , Qualidade da Assistência à Saúde , Sociedades Médicas , Cirurgiões/estatística & dados numéricos , Inquéritos e Questionários
5.
J Nurs Adm ; 49(10): 509-513, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31490795

RESUMO

OBJECTIVE: The objective of this study was to discover the experience of nurse managers (NMs) who had transitioned from a staff nurse position BACKGROUND: Nurses who become NMs may receive little or no training or support during the transition process. This study sought to gain the perspective of NMs who transitioned into the role. METHODS: A phenomenology method was used to interview 10 NMs regarding their experience of transitioning into the NM role. Meleis Role Transition theory provided the theoretical framework. RESULTS: Five themes were identified that related to the research questions: expectations, essential knowledge and skills, graduate education prepared, sought support and mentoring from colleagues, and role mastery not possible. Participants experienced role insufficiency due to lack of support and resources. CONCLUSIONS: Further research is needed to understand nurses' experience after completing an NM developmental program, contributing to role mastery.


Assuntos
Atitude do Pessoal de Saúde , Escolha da Profissão , Satisfação no Emprego , Enfermeiras Administradoras/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
6.
J Nurs Adm ; 49(10): 480-486, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517755

RESUMO

OBJECTIVES: To determine the work values of Generation Z nurses, a new generation in the current workforce. BACKGROUND: A new generation of nurses is now part of the nursing workforce. Generation Z nurses, born in 1995 (aged ≤24 years), will bring new expectations and ideals about life and work into healthcare work settings. METHODS: A descriptive, cross-sectional survey design was used to assess the work values of traditional baccalaureate Generation Z nursing students using the Lyons Work Values Survey. RESULTS: The work value component ranked most important by participants was social/altruistic, followed by instrumental/extrinsic, cognitive/intrinsic, and prestige. CONCLUSION: Helping people and having a job that is interesting and engaging while also offering job security and good benefits were the most important future Generation Z nurse work values.


Assuntos
Atitude do Pessoal de Saúde , Satisfação no Emprego , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem/ética , Recursos Humanos de Enfermagem/psicologia , Local de Trabalho/psicologia , Adulto , Fatores Etários , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários , Adulto Jovem
7.
J Nurs Adm ; 49(10): 487-495, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517756

RESUMO

OBJECTIVE: The purpose of this study was to evaluate the effects of the MINDBODYSTRONG for Healthcare Professionals Program on stress, anxiety, depressive symptoms, healthy lifestyle behaviors, and job satisfaction on newly licensed RNs (NLRNs) participating in a nurse residency program. BACKGROUND: The constellation of burnout, depression, and suicide in clinicians is a public health epidemic that affects the quality and safety of healthcare. The National Academy of Medicine's Action Collaborative on Clinician Well-being and Resilience has called for an increase in evidence-based interventions to combat this alarming problem. The MINDBODYSTRONG Program is a novel adaptation of an evidence-based cognitive behavioral skills-building intervention that provides a theory-based approach to improve the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction of NLRNs. METHODS: A 2-group, cluster randomized controlled trial was used with 89 new nurses participating in a new-graduate nurse residency program. The experimental intervention, MINDBODYSTRONG, consisted of 8 manualized weekly 45-minute sessions. Data were collected at baseline, immediately following, and 3 months after intervention that measured stress, depressive symptoms, anxiety, healthy lifestyle beliefs and behaviors, and job satisfaction. Repeated-measures analysis of variance was used for data analysis. RESULTS: The intervention group scored significantly better with moderate to large positive effects on the mental health variables as well as healthy lifestyle beliefs and healthy lifestyle behaviors at both follow-up time points compared with the attention control group. Moderate to large positive effects also were found for job satisfaction. CONCLUSIONS: The MINDBODYSTRONG Program has excellent potential as an evidence-based intervention for improving the mental health, healthy lifestyle beliefs and behaviors, and job satisfaction, in NLRNs.


Assuntos
Terapia Comportamental/métodos , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Estilo de Vida Saudável , Transtornos Mentais/prevenção & controle , Transtornos Mentais/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Satisfação no Emprego , Masculino , Adulto Jovem
8.
Z Gastroenterol ; 57(9): 1059-1066, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31525798

RESUMO

BACKGROUND: In Germany, colorectal cancer (CRC) screening includes a fecal blood test or colonoscopy, but not a sigmoidoscopy, which has been shown to reduce CRC incidences and mortality. Our aim was to compile physicians' experiences with sigmoidoscopy and their assessments of this procedure being an additional, possible screening method for early CRC detection. METHODS: At the end of 2015, gastroenterologists and internists in Lower Saxony and North Rhine-Westphalia who regularly perform screening colonoscopies in outpatient care were contacted per mail. Standardized telephone interviews consisting of 17 questions and lasting 10-15 minutes were conducted. RESULTS: Nearly two-thirds (56/87) of the respondents reject sigmoidoscopy as an acceptable early detection method. Compared to colonoscopy, key features of the sigmoidoscopy include more favorable patient-related aspects, while procedural aspects, except sedation, clearly rate in favor of the colonoscopy. In the instance that colonoscopy is rejected, 75 % of the physicians consider a sigmoidoscopy to be a possible alternative. CONCLUSIONS: The survey provides important practical insights into outpatient sigmoidoscopy. A majority of the physicians does not support evidence-based sigmoidoscopy for CRC screening. However, individuals who reject a colonoscopy are, in line with the current guideline, identified as a target group for a screening sigmoidoscopy. The benefit from an additionally offered sigmoidoscopy in CRC screening should be further analyzed with special consideration given to the preferences of insurees within the German healthcare system.


Assuntos
Atitude do Pessoal de Saúde , Neoplasias Colorretais/diagnóstico , Programas de Rastreamento/métodos , Médicos/psicologia , Padrões de Prática Médica/estatística & dados numéricos , Sigmoidoscopia , Colonoscopia , Detecção Precoce de Câncer , Alemanha , Humanos , Sangue Oculto
9.
J Nurs Adm ; 49(9): 441-446, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31436743

RESUMO

OBJECTIVE: This study uses Leader-Member Exchange theory to explore the associations between contact frequency (CF) of nurse leaders and their team members, leader-member relationship, and patient safety culture. BACKGROUND: Leader-member relationships are an important part of patient safety culture development. The behaviors of leaders to achieve these relationships are unknown. This study explores CF as a leader behavior to improve patient safety culture. METHODS: Cross-sectional survey of bedside nurses (N = 746) from an 8-hospital system. RESULTS: A significant association was found between relationship strength and patient safety culture; CF's effect on relationship and patient safety culture was demonstrated. CONCLUSION: Contact frequency may support relationships between leaders and members and improve patient safety culture on nursing units. Future studies should explore factors that could be enhancing and limiting CF.


Assuntos
Atitude do Pessoal de Saúde , Relações Interprofissionais , Enfermeiras Administradoras/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Segurança do Paciente/normas , Gestão da Segurança/métodos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cultura Organizacional , Adulto Jovem
10.
J Nurs Adm ; 49(9): 411-417, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31437855

RESUMO

OBJECTIVE: The purpose of this study was to assess the relationship between demographic factors (age, gender, race, ethnicity, work status, and experience), the professional practice environment, and work satisfaction to increase understanding of millennial nurses. BACKGROUND: Millennials comprise 30% of the nursing workforce and are more likely to experience burnout, stress, high turnover, and less dedication to their workplace than other counterparts. Understanding how to retain these nurses is important to ensure work satisfaction and high-quality patient outcomes. METHODS: This descriptive study was a secondary analysis of data using the Professional Practice Work Environment Inventory survey. Descriptive statistics were used to describe the variables. Descriptive statistics and standard t tests were used. RESULTS: Demographics accounted for only 2.6% of the variance in work satisfaction, whereas supportive leadership accounted for nearly 63%. CONCLUSION: Findings demonstrate that supportive leadership is the primary factor contributing to millennial nurses' work satisfaction. This suggests that efforts to retain millennial nurses should focus on developing supportive leaders.


Assuntos
Atitude do Pessoal de Saúde , Esgotamento Profissional/psicologia , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Local de Trabalho/psicologia , Local de Trabalho/estatística & dados numéricos , Adulto , Fatores Etários , Feminino , Humanos , Masculino , Fatores Socioeconômicos , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
11.
Niger Postgrad Med J ; 26(3): 182-188, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31441457

RESUMO

Background: Despite women's adequate knowledge and the obvious unmet need for family planning (FP), contraceptive prevalence in Nigeria is low. A greater understanding of the barriers to FP that informs service utilisation and preferences is needed to improve service delivery. Aim: This study was aimed at assessing the use and preferences of FP services among women. Subjects and Methods: A community-based, descriptive, cross-sectional survey was carried out among 367 women (15-49 years of age) residing in Ikosi-Isheri, Kosofe local government area, who were selected by multistage sampling method. Data were collected using a pre-tested, semi-structured, interviewer-administered questionnaire and were analysed using SPSS software version 20. Frequency distributions and cross tabulations were generated. The Chi-square and Fisher's exact tests were used to determine associations, and the level of significance was set at P ≤ 0.05. Results: Although 64.0% were aware of FP, only 26.4% had ever used FP services. The contraceptive prevalence was 17.9%. Traditional or religious restrictions were given as the reasons for not using FP (40.9%). The preferred FP services were those offered at primary healthcare centres (45.2%) and teaching hospitals (33.9%) because of proximity (38.7%), privacy (14.5%) and health workers being female (22.6%). Age, level of education and marital status were associated with the utilisation of FP services (P < 0.001, P = 0.020 and P < 0.001, respectively). Conclusion: Although awareness was high, uptake was low. Government health facilities were preferred. Primary healthcare should be strengthened, and FP services should be scaled up to make FP more accessible. Services should be closer to where people live while providing the privacy they desire.


Assuntos
Comportamento Contraceptivo , Anticoncepção/psicologia , Serviços de Planejamento Familiar/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Preferência do Paciente , Adolescente , Adulto , Atitude do Pessoal de Saúde , Comportamento de Escolha , Anticoncepção/estatística & dados numéricos , Estudos Transversais , Escolaridade , Feminino , Humanos , Governo Local , Estado Civil , Pessoa de Meia-Idade , Nigéria , Aceitação pelo Paciente de Cuidados de Saúde/etnologia , Inquéritos e Questionários , Adulto Jovem
12.
S D Med ; 72(6): 276-277, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31461235
13.
Stud Health Technol Inform ; 264: 1680-1681, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438290

RESUMO

The objective of this survey study was to identify health professionals' attitudes towards performance evaluation and their expectations of a diabetes care performance monitoring system. On average, the professionals supported the implementation of the system, and were interested in using cost-effectiveness information. Usability and willingness to compare performance results between units were most strongly associated with support. Clinicians' involvement in developing and using performance monitoring systems is encouraged.


Assuntos
Diabetes Mellitus , Motivação , Atitude do Pessoal de Saúde , Pessoal de Saúde , Humanos , Inquéritos e Questionários
14.
Stud Health Technol Inform ; 264: 1889-1890, 2019 Aug 21.
Artigo em Inglês | MEDLINE | ID: mdl-31438392

RESUMO

On October 2018, Buenos Aires hosted the Youth Olympic Games. The organization asked the Health Information System Office to provide the health stations and clinics with an Electronic Health Record (EHR) and bring support during the duration of the games. Four hundred and fifty healthcare professionals from different disciplines were trained in the use of the EHR.


Assuntos
Atitude do Pessoal de Saúde , Registros Eletrônicos de Saúde , Adolescente , Pessoal de Saúde , Humanos
15.
Rech Soins Infirm ; 137(2): 41-48, 2019 06.
Artigo em Francês | MEDLINE | ID: mdl-31453670

RESUMO

Introduction : Problem-based learning (PBL) has been introduced in university nursing programs following the implementation of the competency-based approach (CBA). This innovation required a pedagogical reform, hence the interest in this method. PBL stimulates students to develop critical thinking, identified as the most important challenge for nursing education in the twenty-first century.Background : Several studies have been conducted to understand undergraduate nursing students' perceptions of the use of PBL in the learning process. The results have highlighted the positive and negative aspects of this method.Objective : The purpose of this article is to explore student nurses' perceptions of the evaluation of PBL in their learning process.Method : A descriptive qualitative study of twenty student nurses was carried out using semi-structured individual interviews.Results : The results of the study highlighted the positive and negative aspects of PBL, as perceived by the students. Positive aspects include the development of friendly relationships in subgroups, behavioral changes in learning, and the development of student autonomy. Negative aspects include a feeling of having insufficient knowledge, time management difficulties during learning, and the lack of cohesion in the group.Conclusion : Results from this study would help develop learning promotion strategies in order to help students become more active in their learning process.


Assuntos
Atitude do Pessoal de Saúde , Aprendizagem Baseada em Problemas , Estudantes de Enfermagem/psicologia , Educação em Enfermagem , Humanos , Líbano , Pesquisa Qualitativa
16.
S D Med ; 72(4): 150-162, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31436928

RESUMO

Within the context of medical reformation outlined by Hoffman in a series of three papers in South Dakota Medicine and the challenge of legislation involving the independent practice of advanced practice nurses, we undertook two surveys of physicians and patients. We wanted to better understand physicians' attitudes toward certain opportunities for reform and how they conformed to the viewpoints of our patients. We found that, at least with respect to nurse practice legislation, physicians' perceptions were at odds with their patients over questions of access and quality. Moreover, we found attitudinal differences among physicians depending upon whether they were independent or affiliated with a health care system and whether they were primary care physicians or specialists. We concluded that physicians do not yet share the common understanding necessary to advocate for a principle of medical practice encompassing the core needs of patients and the spectrum of caregivers.


Assuntos
Reforma dos Serviços de Saúde , Medicina , Médicos de Atenção Primária , Atitude do Pessoal de Saúde , Humanos , South Dakota , Inquéritos e Questionários
18.
Methodist Debakey Cardiovasc J ; 15(2): 162-163, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31384385

RESUMO

Through the generosity of Charles R. Millikan, DMin, vice president for Spiritual Care and Values Integration, an annual award competition was established at Houston Methodist Hospital among the resident staff. To enter the writing competition, residents must submit a poem or essay of 1,000 words or less on the topic, "On Being a Doctor." A committee of seven was selected from Houston Methodist Hospital Education Institute to establish the judging criteria and select the winning entries. The following is the first-place winning entry for 2019; the second- and third-place entries will be published in the next two issues of this journal.


Assuntos
Atitude do Pessoal de Saúde , Escolha da Profissão , Conhecimentos, Atitudes e Prática em Saúde , Obstetrícia , Médicas/psicologia , Mulheres Trabalhadoras/psicologia , Emoções , Feminino , Humanos , Equilíbrio Trabalho-Vida
19.
Dental Press J Orthod ; 24(3): 7-8, 2019 08 01.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31390452
20.
Medicine (Baltimore) ; 98(32): e16693, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31393371

RESUMO

To strengthen rural health services, the Chinese government has launched a series of policies to promote health workforce development. This study aims to understand the current status of village doctors and to explore the factors associated with village doctors' job satisfaction in western China. It also attempts to provide references for further building capacities of village doctors and promoting the development of rural health service policy.A multistage stratified sampling method was used to obtain data from a cross-sectional survey on village doctors across 2 provinces of western China during 2012 to 2013. Quantitative data were collected from village doctors face-to-face, through a self-administered questionnaire.Among the 370 respondents, 225 (60.8%) aged 25 to 44 years, and 268 (72.4%) were covered by health insurance. Their income and working time calculated by workloads were higher than their self-report results. Being healthy, working fewer years, and having government funding and facilities were the positive factors toward their job satisfaction. Village doctors working with government-funded village clinics or facilities were more likely to feel satisfied.Problems identified previously such as low income and lack of insurance, heavy workload and aging were not detected in our study. Instead, village doctors were better-paid and better-covered by social insurance than other local rural residents, with increased job satisfaction. Government policies should pay more attention to improving the quality of rural health services and the income and security system of village doctors, to maintain and increase their job satisfaction and work enthusiasm. Further experimental study could evaluate effects of government input to improve rural health human resources and system development.


Assuntos
Satisfação no Emprego , Médicos/psicologia , Serviços de Saúde Rural/organização & administração , Adulto , Atitude do Pessoal de Saúde , Fortalecimento Institucional , China , Estudos Transversais , Humanos , Serviços de Saúde Rural/legislação & jurisprudência , Autorrelato
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