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1.
J Nurs Adm ; 50(12): 618-622, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33181598

RESUMO

The nurse manager role is increasingly complex, and oftentimes, leadership competencies are learned through experience rather than an effective role transition. The need for a transition-to-practice program for new nurse managers is frequently cited in the literature. This evidence-based practice project resulted in significant improvement in leadership competencies and was used in the development of an American Organization for Nursing Leadership nurse manager transition-to-practice program to be offered in 2021.


Assuntos
Capacitação em Serviço/estatística & dados numéricos , Liderança , Enfermeiras Administradoras/organização & administração , Competência Profissional , Autoavaliação , Humanos , Internet , Recursos Humanos de Enfermagem no Hospital/organização & administração
2.
Arch Osteoporos ; 15(1): 164, 2020 10 17.
Artigo em Inglês | MEDLINE | ID: mdl-33070238

RESUMO

Based on the use of Osteoporosis Self-Assessment Tool for Asians (OSTA) to assess osteoporosis risk, we found that short sleep duration and taking a daytime nap had an increased risk of osteoporosis. PURPOSE: To explore the associations between different sleep patterns with osteoporosis. METHODS: 3659 postmenopausal women (average age of 60 years) were divided into low, middle, and high osteoporosis risk categories based on the Osteoporosis Self-Assessment Tool for Asians (OSTA). After having collected by a standard questionnaire, total and nocturnal sleep duration was collapsed to form categories of ≤ 6 h, > 6 h and ≤ 7 h, > 7 h and ≤ 8 h, > 8 h and ≤ 9 h, > 9 h, and daytime nap duration of 0 h and > 0 h. RESULTS: As a categorical variable, the total sleep duration of ≤ 6 h per day (OR = 1.34, 95% CI 1.04-1.72), nocturnal sleep duration of ≤ 6 h per night (OR = 1.65, 95% CI 1.24-2.18), and taking a daytime nap (OR = 1.33, 95% CI 1.09-1.64) had higher osteoporosis risk after adjustment for covariates. As a continuous variable, after the adjustment for covariates, both longer total (OR = 0.86, 95% CI 0.78-0.94) and nocturnal sleep duration (OR = 0.83, 95% CI 0.76-0.91) had lower risk of osteoporosis risk while taking longer daytime nap (OR = 1.10, 95% CI 1.02-1.19) had higher osteoporosis risk. CONCLUSIONS: Postmenopausal women with both short total and nocturnal sleep duration (6 h or less) and taking a daytime nap had increased osteoporosis risk as assessed by OSTA.


Assuntos
Osteoporose , Autoavaliação , Privação do Sono , Sono , Grupo com Ancestrais do Continente Asiático , Feminino , Humanos , Pessoa de Meia-Idade , Osteoporose/epidemiologia , Privação do Sono/complicações , Inquéritos e Questionários
6.
J UOEH ; 42(3): 267-274, 2020.
Artigo em Japonês | MEDLINE | ID: mdl-32879191

RESUMO

International immigration into Japan is increasing. It would make sense that investigating the health status of immigrants would be associated with improvements in their health and would be beneficial in building a complete social security system in which minorities can live safely and securely. The objective of this study is to describe the health status of immigrants in Japan and to explore the association between self-rated health status and employment status. As a result, half of those surveyed had some health problem, particularly a lot of mental stress. We did not find a significant relationship between self-rated health status and employment status, but it seems that people who stay in Japan 5 years or more tend to have poor self-rated health status. The factors associated with poor self-rated mental health status were being a non-employee, and having visited a hospital 1 time or more during the past 12 months. A system of mental stress care would be the most necessary health care for international students in Japan.


Assuntos
Emigrantes e Imigrantes/psicologia , Emprego , Nível de Saúde , Saúde do Trabalhador , Autoavaliação , Adulto , Assistência Ambulatorial/estatística & dados numéricos , Feminino , Humanos , Japão , Masculino , Saúde Mental , Serviços de Saúde Mental , Pessoa de Meia-Idade , Estresse Fisiológico , Adulto Jovem
7.
Ann Agric Environ Med ; 27(3): 401-406, 2020 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-32955222

RESUMO

When faced with a chronic disease such as rheumatoid arthritis, the patient attempts to cope with the stressful situation by applying coping strategies. The main aim of rheumatoid treatment is not only improving health but also increasing the quality of life. The research objective was to determine the relationship among socio demographic factors, duration of the disease and its associated ailments, attitude to the disease, self-assessment of one's knowledge of RA, and the application of coping strategies in stressful situations by women with rheumatoid arthritis. The study involved 193 patients of the Clinic of Rheumatology and Systemic Connective Tissue Diseases, and the Rheumatology Unit of the Specialist Outpatient Clinic of the Independent Public Teaching Hospital No. 4 in Lublin, from November 2016 - June 2017. The Coping Orientations to Problems Experienced Inventory (COPE) Questionnaire and an author's Original Questionnaire were used in the study. Analysis of variance (ANOVA) and Tukey's range test were applied for statistical analysis. A p-value<0.05 defined the statistical differences. Analysis was performed using the commercial SPSS Statistics 19 software (IBM Corp., Armonk, NY, USA). The respondents usually use instrumental social support (11.5±1.7), focus on and vent emotions (11.4±1.9), use emotional social support (11.4±1.8), employ active coping (11.4±2.1) and positive reinterpretation and growth (11.2±1.8), and least often rely on their sense of humour (5.5±1.4) or use alcohol or drugs (5±1.1). The factors which determine the types of strategy used are age, education, the duration of the disease, ailments experienced, and attitude towards the disease. Those respondents who declared a greater knowledge of RA more often applied positive reinterpretation and growth, and more rarely used alcohol or drugs. In the treatment and rehabilitation processes it is important to reinforce in the patient positive expectations for the treatment, seek advantages and benefits in one's present health status, and educate patients about the disease, its therapy and appropriate coping strategies.


Assuntos
Adaptação Psicológica , Artrite Reumatoide/psicologia , Atitude , Fatores Socioeconômicos , Estresse Psicológico/psicologia , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Autoavaliação
8.
BMC Med Educ ; 20(1): 328, 2020 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-32967669

RESUMO

BACKGROUND: The current COVID-19 pandemic has demonstrated that personal protective equipment (PPE) is essential, to prevent the acquisition and transmission of infectious diseases, yet its use is often sub-optimal in the clinical setting. Training and education are important to ensure and sustain the safe and effective use of PPE by medical interns, but current methods are often inadequate in providing the relevant knowledge and skills. The purpose of this study was to explore medical graduates' experiences of the use of PPE and identify opportunities for improvement in education and training programmes, to improve occupational and patient safety. METHODS: This study was undertaken in 2018 in a large tertiary-care teaching hospital in Sydney, Australia, to explore medical interns' self-reported experiences of PPE use, at the beginning of their internship. Reflexive groups were conducted immediately after theoretical and practical PPE training, during hospital orientation. Transcripts of recorded discussions were analysed, using a thematic approach that drew on the COM-B (capability, opportunity, motivation - behaviour) framework for behaviour. RESULTS: 80% of 90 eligible graduates participated. Many interns had not previously received formal training in the specific skills required for optimal PPE use and had developed potentially unsafe habits. Their experiences as medical students in clinical areas contrasted sharply with recommended practice taught at hospital orientation and impacted on their ability to cultivate correct PPE use. CONCLUSIONS: Undergraduate teaching should be consistent with best practice PPE use, and include practical training that embeds correct and safe practices.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Controle de Infecções/instrumentação , Internato e Residência , Pandemias/prevenção & controle , Equipamento de Proteção Individual , Pneumonia Viral/prevenção & controle , Austrália , Competência Clínica , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Currículo , Grupos Focais , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Autoavaliação
9.
Rev. psicol. trab. organ. (1999) ; 36(2): 103-110, ago. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-194180

RESUMO

This study investigated the relationship between followers' strengths-based leadership (FSBL) and innovative behavior and the mediating role of psychological well-being (PWB) and the moderating role of core self-evaluations (CSE) in the relationship. In order to test our hypotheses data from Chinese enterprises were used. Results of multiple linear regression and bootstrapping analyses showed that FSBL is positively related to follower innovative behavior and PWB significantly mediates the FSBL-innovative behavior relationship. In addition, CSE negatively moderates the direct effect of FSBL on PWB and the indirect effect of FSBL on innovative behavior via PWB such that the direct effect of FSBL on PWB and the indirect effect of FSBL on innovative behavior via PWB will be stronger for followers with a low level of CSE rather than for followers with a high level of CSE. Theoretical implications, practical implications and future research were also discussed


Este estudio analiza la relación entre el liderazgo sustentado en las fortalezas de los subordinados (FSBL), su comportamiento innovador y el papel mediador del bienestar psicológico (PWB), así como el papel que juegan en dicha relación las autoevaluaciones principales (CSE). Para poner a prueba nuestras hipótesis se dispuso de datos emparejados de empresas chinas. Los resultados de la regresión linear múltiple y de los análisis bootstrapping mostraron que el FSBL se relaciona positivamente con el comportamiento innovador de los subordinados y el bienestar psicológico mediatiza de modo significativo la relación entre el FSBL y el comportamiento innovador. Por otra parte, las evaluaciones principales moderan negativamente el efecto directo del FSBL en el bienestar psicológico y el efecto indirecto del FSBL en el comportamiento innovador a través del bienestar psicológico, de modo que dichos efectos directo e indirecto del FSBL serán mayores en los subordinados con un bajo nivel en las autoevaluaciones principales que en los subordinados que tienen un nivel elevado en las mismas. Se comentan las implicaciones teóricas y prácticas y la investigación futura


Assuntos
Humanos , Masculino , Feminino , Adulto , Capacidade de Liderança e Governança/métodos , Inovação Organizacional , Engajamento no Trabalho , 16054/psicologia , Autoeficácia , Relações Trabalhistas , Autoavaliação , Avaliação de Desempenho Profissional/tendências , Trabalho/psicologia , Eficiência/classificação
10.
Artigo em Russo | MEDLINE | ID: mdl-32827374

RESUMO

The article deals with results of anonymous questionnaire survey of patient in private dental clinics "LiderDent" (241 respondents of able-bodied age) and "GelioDent" (419 respondents of able-bodied age). The purpose of the study was to investigate peculiarities of medical and social characteristics. The questionnaire included questions concerning social status of respondents, their financial condition, self-assessment of dental health and its maintenance at the proper level for a number of parameters, as well as evaluation of work of private dental organizations. The assessment of dental health of elderly patients established that 58.1% of respondents rated their dental health as good, 27.8% as satisfactory; and 4.1% of respondents estimated their dental health as bad. The analysis included also evaluation of negative health habits of respondents resulting in dental diseases and afflict damage to teeth and oral cavity. It was found that more than half of respondents had higher education. They consider themselves as financially secure, they did not smoke and had good condition of oral cavity. They choose dentists according recommendation of friends and seek dental care only in case of obvious signs of disease. The analysis of possible reasons for seeking dental professional revealed that 75.5% of respondents seek dental care when there are "obvious signs of disease and deterioration of health", 21.2% "when first signs of disease occurred" and 3.3% "only in critical situation". It is concluded that dental professional of private medical centers should be more widely carried out sanitary and educational work with population in order to increase the medical activity of patient, as well as to increase their awareness of ways and means of maintaining the dental health.


Assuntos
Medicina Bucal , Idoso , Humanos , Autoavaliação , Fatores Sociológicos , Inquéritos e Questionários
11.
Artigo em Russo | MEDLINE | ID: mdl-32827375

RESUMO

To explore the factors potentially related to professional self-assessment of physicians, sociological survey on the basis of sampling of 223 respondents who underwent professional training in 2017 was organized. The physicians with the first qualification category more often assessed themselves as "good" than other respondents (p=0.049). On the contrary, physicians with no qualification category rated their work as "good" less often and as "satisfactory" more often than other respondents (p=0.041 and p=0.010, respectively). The rate of professional self-assessment as "excellent" significantly increased among physicians identifying themselves with highest stratum of society (p=0.00034). Statistically significant differences in age, total duration of service in profession between physicians assessing their work for "excellent", "good" and "satisfactory" were not detected (p>0.05). The most frequent problems complicating life of physicians and their families were "Fatigue, overwork" (69.06%), "lack of free time" (60.09%), "low income" (44.39%). The reliable relationship between these factors and professional self-assessment was not detected (p>0.05). The relationship between professional self-assessment and availability of qualification category, as well as stratum of society to which they relate themselves, was established.


Assuntos
Médicos , Autoavaliação , Humanos , Inquéritos e Questionários
12.
Arch Osteoporos ; 15(1): 132, 2020 08 18.
Artigo em Inglês | MEDLINE | ID: mdl-32812073

RESUMO

The osteoporosis self-assessment tool was more accurate than hand grip strength, gait speed, and calf circumference in predicting osteoporosis in women. Hand grip strength was more accurate than the osteoporosis self-assessment tool, gait speed, and calf circumference in predicting osteoporosis in men. PURPOSE: The osteoporosis self-assessment tool, functional assessment, and anthropometric measurement are different techniques to identify those at risk of osteoporosis. This study aimed to compare the performance of these techniques in predicting osteoporosis. METHODS: In this cross-sectional, hospital-based study including 1109 participants, the bone mineral density of the spine and hips was evaluated using the dual-energy X-ray absorptiometry. The Osteoporosis Self-Assessment Tool was used as a simple clinical risk assessment tool to screen for osteoporosis. Gait speed and hand grip strength were used as functional assessments to predict osteoporosis. Calf circumference was used as an anthropometric measurement to predict osteoporosis risk. RESULTS: In women, the Osteoporosis Self-Assessment Tool was better than hand grip strength, gait speed, and calf circumference in predicting osteoporosis. In contrast, in men, hand grip strength was better than the Osteoporosis Self-Assessment Tool, gait speed, and calf circumference. CONCLUSION: The application of simple, cost-effective techniques for the identification of osteoporosis risk will be beneficial for both screening and patient care when dual-energy X-ray absorptiometry is not available. We suggest that the Osteoporosis Self-Assessment Tool can be used to identify the risk of osteoporosis in women and hand grip strength measurement can be used for men.


Assuntos
Absorciometria de Fóton/métodos , Antropometria , Densidade Óssea/fisiologia , Força da Mão , Programas de Rastreamento/métodos , Osteoporose/diagnóstico por imagem , Medição de Risco/métodos , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Autoavaliação Diagnóstica , Feminino , Marcha/fisiologia , Quadril/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Autoavaliação , Coluna Vertebral/diagnóstico por imagem , Velocidade de Caminhada
13.
Artigo em Inglês | MEDLINE | ID: mdl-32708178

RESUMO

Nurse-patient interactions based on caring behaviors ensure better working conditions and better-quality healthcare. The aim of this quantitative study is to examine how nurses self-assess the frequency of applying caring behaviors in nurse-patient interactions and to identify the differences in the application frequency of caring behaviors in relation to work experience and education level. The respondents were Bachelor of Science (BSc) nurses and nurses with basic training (VET) employed in different clinical departments of the Clinical Hospital Center in Croatia. The survey used the "Caring Nurse-Patient Interactions Scale (Nurse Version)". The respondents assessed the caring behaviors from the subscale "needs" as the most frequently applied (median (Me): 4.7; interquartile range (IQR): 4.4-4.9), while the least frequently applied were the procedures from the subscale "sensitivity" (Me: 3.8; IQR: 3.2-4.3). The VET nurses reported applying caring behaviors to the subscales "hope" (p < 0.001), "problem-solving" (p = 0.003), and "environment" (p = 0.021) more frequently than BSc nurses did. Compared with less experienced respondents, the respondents with more than 30 years of work experience applied the caring behaviors on the subscales "sensitivity" (p = 0.009), "expression of emotions" (p = 0.001), "problem-solving" (p = 0.008), and especially "humanism" and "spirituality" (p < 0.001) more frequently. The results indicate that respondents are more focused on applying skills or carrying out a task than on caring behaviors which is about demonstrating compassion, loving kindness, and relationships.


Assuntos
Competência Clínica , Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital , Adulto , Croácia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autoavaliação , Inquéritos e Questionários
14.
BMC Public Health ; 20(1): 1072, 2020 Jul 06.
Artigo em Inglês | MEDLINE | ID: mdl-32631292

RESUMO

BACKGROUND: The Occupational Sitting and Physical Activity Questionnaire (OSPAQ) was developed as an easy-to-use instrument for self-reported assessment of percentage sitting, standing, walking, and performing heavy labour in a workplace setting. This study aimed to evaluate the concurrent validity of all dimensions of the OSPAQ compared to accelerometer-assessed measures of occupational physical activities in a mixed sample of sedentary and physically active professions. METHODS: Data from the Flemish Employees' Physical Activity (FEPA) study were used, including employees from the service and production sector. All participants filled in a questionnaire, underwent clinical measurements, and wore two Axivity AX3 accelerometers for at least 2 consecutive working days. Intraclass (ICC) and Spearman rho correlations (r) were analyzed to assess concurrent validity. RESULTS: The sample included 401 workers (16% sedentary profession) with a mean age of 39.2 (± 11) years. Concurrent validity was good and moderate for assessing percentage of sitting (ICC = 0.84; r = 0.53), and standing (ICC = 0.64; r = 0.53), respectively. The concurrent validity for walking was weak to moderate (ICC = 0.50; r = 0.49), and weak for performing heavy labour (ICC = 0.28; r = 0.35). Stronger validity scores were found in sedentary professions for occupational sitting and standing. In physically active professions, an underestimation of self-reported sitting and standing was found, and an overestimation of self-reported walking and heavy labour. No significant self-reported over- or underestimation was found for sitting and heavy labour in sedentary professions, but an underestimation of self-reported standing and an overestimation of self-reported walking was observed. CONCLUSIONS: The OSPAQ has acceptable measurement properties for assessing occupational sitting and standing. Accelerometer-assessed measures of occupational walking and heavy labour are recommended, since a poor concurrent validity was found for both.


Assuntos
Acelerometria/normas , Saúde do Trabalhador/normas , Inquéritos e Questionários/normas , Trabalho/estatística & dados numéricos , Local de Trabalho/estatística & dados numéricos , Acelerometria/métodos , Adulto , Exercício Físico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ocupações , Reprodutibilidade dos Testes , Comportamento Sedentário , Autorrelato , Autoavaliação , Postura Sentada , Posição Ortostática , Fatores de Tempo , Caminhada/estatística & dados numéricos
15.
Am J Occup Ther ; 74(4): 7404345030p1-7404345030p8, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32602455

RESUMO

IMPORTANCE: Assessments that evaluate health care providers' communication in acute rehabilitation settings remain scarce; this article contributes to the knowledge base. OBJECTIVE: To assess the reliability and validity of the Clinical Assessment of Modes-Therapist version (CAM-T) from the provider's perspective. DESIGN: Cross-sectional, psychometric study. SETTING: Acute care and acute inpatient rehabilitation. PARTICIPANTS: Ninety-six clients and 32 providers (occupational therapy, physical therapy, and nursing). MEASURES: The CAM-T was psychometrically evaluated using classical test theory and Rasch analytic approaches. RESULTS: The findings offer strong evidence for the CAM-T's reliability and validity for evaluating overall communication and adequate evidence for evaluating individual communication modes. CONCLUSION AND RELEVANCE: The CAM-T may be used by providers as a self-assessment of communication in occupational therapy and in associated rehabilitation professions. WHAT THIS ARTICLE ADDS: This article offers evidence in support of the CAM-T's reliability and validity for evaluating health care providers' communication with clients in acute rehabilitation settings. The CAM-T may be used to evaluate providers' overall communication and individual mode use as described in the Intentional Relationship Model.


Assuntos
Terapia Ocupacional , Estudos Transversais , Humanos , Psicometria , Reprodutibilidade dos Testes , Autoavaliação
16.
J Med Internet Res ; 22(6): e19855, 2020 06 11.
Artigo em Inglês | MEDLINE | ID: covidwho-564825

RESUMO

BACKGROUND: We developed a self-assessment and participatory surveillance web application for coronavirus disease (COVID-19), which was launched in France in March 2020. OBJECTIVE: Our objective was to determine if self-reported symptoms could help monitor the dynamics of the COVID-19 outbreak in France. METHODS: Users were asked questions about underlying conditions, sociodemographic status, zip code, and COVID-19 symptoms. Depending on the symptoms reported and the presence of coexisting disorders, users were told to either stay at home, contact a general practitioner (GP), or call an emergency phone number. Data regarding COVID-19-related hospitalizations were retrieved from the Ministry of Health. RESULTS: As of March 29, 2020, the application was opened 4,126,789 times; 3,799,535 electronic questionnaires were filled out; and 2,477,174 users had at least one symptom. In total, 34.8% (n=1,322,361) reported no symptoms. The remaining users were directed to self-monitoring (n=858,878, 22.6%), GP visit or teleconsultation (n=1,033,922, 27.2%), or an emergency phone call (n=584,374, 15.4%). Emergency warning signs were reported by 39.1% of participants with anosmia, a loss of the sense of smell (n=127,586) versus 22.7% of participants without anosmia (n=1,597,289). Anosmia and fever and/or cough were correlated with hospitalizations for COVID-19 (Spearman correlation coefficients=0.87 and 0.82, respectively; P<.001 for both). CONCLUSIONS: This study suggests that anosmia may be strongly associated with COVID-19 and its severity. Despite a lack of medical assessment and virological confirmation, self-checking application data could be a relevant tool to monitor outbreak trends. TRIAL REGISTRATION: ClinicalTrials.gov NCT04331171; https://clinicaltrials.gov/ct2/show/NCT04331171.


Assuntos
Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Transtornos do Olfato/epidemiologia , Transtornos do Olfato/virologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Autoavaliação , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Surtos de Doenças , França/epidemiologia , Humanos , Pessoa de Meia-Idade , Pandemias , Adulto Jovem
17.
J Med Internet Res ; 22(6): e19855, 2020 06 11.
Artigo em Inglês | MEDLINE | ID: covidwho-605146

RESUMO

BACKGROUND: We developed a self-assessment and participatory surveillance web application for coronavirus disease (COVID-19), which was launched in France in March 2020. OBJECTIVE: Our objective was to determine if self-reported symptoms could help monitor the dynamics of the COVID-19 outbreak in France. METHODS: Users were asked questions about underlying conditions, sociodemographic status, zip code, and COVID-19 symptoms. Depending on the symptoms reported and the presence of coexisting disorders, users were told to either stay at home, contact a general practitioner (GP), or call an emergency phone number. Data regarding COVID-19-related hospitalizations were retrieved from the Ministry of Health. RESULTS: As of March 29, 2020, the application was opened 4,126,789 times; 3,799,535 electronic questionnaires were filled out; and 2,477,174 users had at least one symptom. In total, 34.8% (n=1,322,361) reported no symptoms. The remaining users were directed to self-monitoring (n=858,878, 22.6%), GP visit or teleconsultation (n=1,033,922, 27.2%), or an emergency phone call (n=584,374, 15.4%). Emergency warning signs were reported by 39.1% of participants with anosmia, a loss of the sense of smell (n=127,586) versus 22.7% of participants without anosmia (n=1,597,289). Anosmia and fever and/or cough were correlated with hospitalizations for COVID-19 (Spearman correlation coefficients=0.87 and 0.82, respectively; P<.001 for both). CONCLUSIONS: This study suggests that anosmia may be strongly associated with COVID-19 and its severity. Despite a lack of medical assessment and virological confirmation, self-checking application data could be a relevant tool to monitor outbreak trends. TRIAL REGISTRATION: ClinicalTrials.gov NCT04331171; https://clinicaltrials.gov/ct2/show/NCT04331171.


Assuntos
Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Transtornos do Olfato/epidemiologia , Transtornos do Olfato/virologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Autoavaliação , Inquéritos e Questionários , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Surtos de Doenças , França/epidemiologia , Humanos , Pessoa de Meia-Idade , Pandemias , Adulto Jovem
18.
Nurs Educ Perspect ; 41(4): 255-257, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32574477

RESUMO

Learner self-assessment and accountability are important features in nursing education. Innovative competency sessions enhance the delivery of quality care. This project investigated the addition of video into established competency evaluations for the purpose of learner review and self-evaluation. An experimental design was used to determine the effects of video on learner self-evaluation. With 95 percent confidence, the mean total self-evaluation score for those without the video was higher than for those with the video, supporting the hypothesis that those without video recall would inflate their self-evaluation scores.


Assuntos
Competência Clínica , Educação em Enfermagem , Humanos , Autoavaliação
19.
Scand J Trauma Resusc Emerg Med ; 28(1): 53, 2020 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-32522240

RESUMO

OBJECTIVE: Telephone triage manages patient flow in acute care, but a lack of visual cues and vague descriptions of symptoms challenges clinical decision making. We aim to investigate the association between the caller's subjective perception of illness severity expressed as "degree-of-worry" (DOW) and hospital admissions within 48 h. DESIGN AND SETTING: A prospective cohort study was performed from January 24th to February 9th, 2017 at the Medical Helpline 1813 (MH1813) in Copenhagen, Denmark. The MH1813 is a primary care out-of-hours service. PARTICIPANTS: Of 38,787 calls received at the MH1813, 11,338 met the inclusion criteria (caller being patient or close friend/relative and agreement to participate). Participants rated their DOW on a 5-point scale (1 = minimum worry, 5 = maximum worry) before talking to a call handler. MAIN OUTCOME MEASURE: Information on hospitalization within 48 h after the call, was obtained from the Danish National Patient Register. The association was assessed using logistic regression in three models: 1) crude, 2) age-and-gender adjusted and 3) age, gender, co-morbidity, reason for calling and caller status adjusted. RESULTS: A total of 581 participants (5.1%) were admitted to the hospital, of whom 170 (11.3%) presented with a maximum DOW, with a crude odds ratio (OR) for hospitalization of 6.1 (95% confidence interval (CI) 3.9 to 9.6) compared to minimum DOW. Estimates showed dose-response relationship between DOW and hospitalization. In the fully adjusted model, the ORs decreased to 3.1 (95%CI 2.0 to 5.0) for DOW = 5, 3.2 (2.0 to 5.0) for DOW = 4, 1.6 (1.0 to 2.6) for DOW = 3 and 0.8 (0.5 to 1.4) for DOW = 2 compared to minimum DOW. CONCLUSION: Patients' self-assessment of illness severity as DOW was associated with subsequent hospital admission. Further, it may be beneficial in supporting clinical decision making in telephone triage. Finally, it might be useful as a measure to facilitate patient participation in the triage process.


Assuntos
Plantão Médico , Ansiedade/diagnóstico , Hospitalização , Linhas Diretas , Autoavaliação , Triagem , Adolescente , Adulto , Idoso , Ansiedade/etiologia , Criança , Pré-Escolar , Tomada de Decisão Clínica , Dinamarca , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Atenção Primária à Saúde , Estudos Prospectivos , Telefone , Adulto Jovem
20.
BMC Public Health ; 20(1): 932, 2020 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-32539697

RESUMO

BACKGROUND: The purpose of this study was to estimate individuals' expected longevity based on self-assessed survival probabilities and determine the predictors of such subjective life expectancy in a sample of elderly people (50 years and older) in Côte d'Ivoire. METHODS: Paper-based questionnaires were administered to a sample (n = 267) of older adults residing in the city of Dabou, Côte d'Ivoire in May 2017. Information on subjective expectations regarding health, comorbidities, and self-assessed survival probabilities was collected. We estimated self-assessed life expectancy and its determinants using a two-pronged approach by: (i) estimating individuals' life expectancy using the self-assessed survival probabilities (SSPs), and (ii) applying a finite mixture of regression models to form homogenous groups of individuals (clusters/components) and investigate the determinants. A spline-based approach was used to estimate the overall distribution of life expectancy for each individual using two to four points of self-assessed survival probabilities. A finite mixture of regression models was used to identify homogeneous groups of individuals (i.e. clusters/components) of the overall subjective life expectancy distribution of the study participants. RESULTS: The mean subjective life expectancy in older people varied according to four components/clusters. The average subjective life expectancy among the elderly was 79.51, 78.89, 80.02, and 77.79 years in the first, second, third, and fourth component of the subjects' overall subjective life expectancy, respectively. The effect of sociodemographic characteristics, comorbidities, and lifestyle on subjective life expectancy varied across components. For instance, a U-shape relationship between household per capita income and subjective life expectancy was found for individuals classified into the third component, and an inverse U-shape relationship was found for individuals classified into the fourth component. CONCLUSIONS: We extended the estimation of subjective life expectancy by accounting for heterogeneity in the distribution of the estimated subjective life expectancy. This approach improved the usual methods for estimating individual subjective life expectancies and may provide insight into the elderly's perception of aging, which could be used to forecast the demand for health services and long-term care needs.


Assuntos
Atitude Frente a Morte , Atitude Frente a Saúde , Idoso Fragilizado/psicologia , Idoso Fragilizado/estatística & dados numéricos , Expectativa de Vida , Longevidade , Idoso , Idoso de 80 Anos ou mais , Costa do Marfim , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autoavaliação , Inquéritos e Questionários
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