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1.
Enferm. clín. (Ed. impr.) ; 30(1): 42-46, ene.-feb. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-186283

RESUMO

Objetivo: Realizar la adaptación transcultural de la escala Caring Nurse-Patient Interactions (CNPI-70 ítems) de evaluación del nivel de competencia en la relación enfermera-paciente. Método: Adaptación cultural mediante el método de traducción y retrotraducción de la herramienta CNPI, y consenso por panel de expertos para la determinación de la validez de aspecto y contenido. Resultados: Se llevó a cabo el proceso de traducción y adaptación cultural, y el panel de expertos consensuó la versión final del cuestionario traducido al español. Conclusiones: Esta investigación aporta una versión traducida y adaptada de la escala CNPI en español, que posee validez de aspecto y de contenido. Futuros estudios deberán evaluar la consistencia interna, validez de criterio y validez de constructo del instrumento


Objective: Cross-cultural adaptation into Spanish of the Caring Nurse-Patient Interactions (CNPI - 70 items) for assessing nurse-patient relationship competence level. Method: Cross-cultural adaptation using translation and back-translation method of the CNPI, and consensus by panel of experts to determine the face and content validity. Results: The cross-cultural translation and adjustment procedure was used, and a panel of experts agreed on the final Spanish version of the scale. Conclusions: This research study provides a Spanish version of the CNPI, which has appearance and content validity. The internal consistency, criteria validity, and construct validity should be evaluated in future research studies


Assuntos
Humanos , Enfermagem Transcultural/métodos , Assistência à Saúde Culturalmente Competente , Relações Enfermeiro-Paciente , Comparação Transcultural , Tradução , Psicometria , Autoavaliação , Inquéritos e Questionários
2.
J Dent Educ ; 84(1): 5-12, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31977099

RESUMO

Prolonged and static postures among dental workforce personnel may lead to work-related musculoskeletal disorders (WMSDs). The aim of this study was to determine whether feedback involving photography and self-assessment would improve dental educators' postures and accuracy of ergonomic self-assessment. This study used a randomized control design. The Modified-Dental Operator Posture Assessment Instrument (M-DOPAI) was used for all ergonomic evaluations over a four-week period at one U.S. dental school. At week 1, all 30 participating dental educators were photographed and completed an M-DOPAI without viewing the photographs. In weeks 2 and 3, the educators in the control group (N=15) completed an M-DOPAI without any additional photographs. The educators in the training group (N=15) had additional photographs taken and used the photographs to complete an ergonomic self-assessment with the principal investigator. From week 1 to week 4, the ergonomics training utilizing photography resulted in improvements in the dental educators' ergonomic scores but not the accuracy of their ergonomic self-assessments. All participants strongly agreed it was important for both dental students and dentists to understand proper ergonomics, properly apply proper ergonomics, and have accurate ergonomic self-assessment skills in clinical practice. Although these dental educators valued ergonomic principles, they lacked training in applying these principles with dental students. Without additional training in ergonomics and self-assessment, the development of these skills in dental students will be affected.


Assuntos
Retroalimentação , Doenças Musculoesqueléticas , Doenças Profissionais , Conscientização , Ergonomia , Humanos , Postura , Autoavaliação , Estudantes de Odontologia
3.
Eur J Dent Educ ; 24(1): 42-52, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31518471

RESUMO

BACKGROUND: The Australian Dental Council's (ADC) competency framework requires graduating dental practitioners to be competent in a number of transferable skills, which includes: being scientifically versed, technically skilled and capable of safe independent work and teamwork, whilst adhering to high ethical standards (Australian Dental Council. Professional Competencies of the Newly Qualified Dentist. Melbourne, Australia: ADC; 2016). Part of the role of dental educators is to ensure graduating students acquire requisite transferable skills, in line with regulatory requirements (Chuenjitwongsa et al. Eur J Dent Educ. 2018;22:1). In order to achieve this, it is imperative to assess students' own understanding or perception of transferable skill requirement upon graduation. The objective of this study was to develop a valid and reliable scale for this assessment. METHOD: A cohort of students drawn across three different dental programmes: undergraduate dentistry (years 1-3); post-graduate dentistry (years 4-5); and Bachelor of Dental Technology/Prosthesis, participated in this study. A self-assessment questionnaire containing relevant open- and closed-ended questions was administered. The questionnaire assessed students' perception of transferable skills for their future career and attitude towards learning and developing transferable skills. RESULT: In total, we successfully assessed 388 of the 391 students sampled (99.2% response rate), their mean age was 24.3 years (SD ± 5.7), and 53.3% were females, whilst 46.7% were males. Overall, exploratory factor analysis (EFA) extracted five factors for students' perception of current skill level, and four factors for future skill requirements. The factor structures were confirmed using confirmatory factor analysis (CFA), and the structure had a good model fit and high levels of reliability, with respect to individual dimension and content validity. CONCLUSIONS: The structure derived from the transferable skill survey administered to a cohort of dental students suggests that the transferable skill survey can be utilised as a valid and reliable screening tool to test students' perception of transferable skill requirements.


Assuntos
Saúde Bucal , Autoavaliação , Adulto , Austrália , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Estudantes de Odontologia , Adulto Jovem
4.
Eur J Dent Educ ; 24(1): 63-70, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31518479

RESUMO

PURPOSE: The purpose of this study was to determine the longitudinal effects of feedback involving photography and self-assessment on the accuracy of ergonomic self-assessments and ergonomic scores amongst dental hygiene students. MATERIALS AND METHODS: The study involved an experimental design. Data collection took place over 4 months, divided into weeks 1-4 and after 3 months. At weeks 1 through 4 and 3 months, all participants completed ergonomic self-evaluations, using a Modified-Dental Operator Posture Assessment Instrument. At week 1, week 4 and 3 months, all participants were photographed, and in weeks 2 and 3, only participants in the training group were photographed and used those photographs to complete ergonomic self-assessments. All participants' photographs were evaluated by three faculty raters. RESULTS: A mixed-design ANOVA of Kappa coefficient values between student and rater scores measured the effects of the feedback with photography on the accuracy of student self-assessments. A main effect for group was not found to be significant (F(1,30) = 2.90, P = .101). A mixed-design ANOVA measured the effects of the feedback with photography on the ergonomic scores. No significant main effects were found (F(1,120) = 1.55, P = .216). CONCLUSION: Although self-assessment utilising photographs resulted in initial improvements in the accuracy of ergonomic self-assessments and ergonomic scores after 4 weeks, both ergonomic accuracy and scores significantly decreased after 3 months. Improvement in ergonomic accuracy and scores may be sustained by the continual facilitated use of photographs and self-assessment by dental and dental hygiene educators.


Assuntos
Higiene Bucal , Autoavaliação , Ergonomia , Humanos , Fotografação , Estudantes de Odontologia
5.
Ann Otol Rhinol Laryngol ; 129(3): 256-264, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31658815

RESUMO

BACKGROUND: Surgery with hypnosis avoids the use of general anesthesia (GA). It also shortens hospitalization and promotes outpatient surgery. The objective of this study has been to assess the satisfaction of operated patients. No previous study has focused on patient satisfaction in a prospective design. METHODS: In this prospective, non-randomized, observational study, all patients operated with hypnosis between 2009 and 2017 in the Ear, Nose, and Throat department of a tertiary care hospital were selected. All patients were asked to fill a questionnaire based on a previously validated questionnaire incremented with complementary questions. Questionnaires were completed immediately after surgery for 31 patients and after 6 months for 20 patients. Global Satisfaction Index (GSI) was self-assessed on a scale ranging from 1 to 10. Patients were asked; whether they felt comfortable during the operation, whether hypnosis helped them, whether the experience matched their expectations, whether they would revisit or recommend it to someone else and whether they considered to have been sufficiently informed before the procedure. The data was analyzed using a linear regression model with P < .05 considered as statistically significant. RESULTS: During the inclusion period, no patient required conversion to GA. A total of 48 questionnaires were evaluated. The median of the GSI was 8/10. GSI significantly correlated with patient comfort (P < 0.0001) and quality of preoperative information (P = .002). The percentage of patients who found hypnosis helpful correlated with the duration of surgery (P = .04). The probability for a patient to consider hypnosis as an experience matching their expectation increased with surgical team experience OR 0.55 (0.3-0.9). CONCLUSION: This study reveals that patients' global satisfaction after hypnosis is high. This is significantly related to the quality of preoperative information and to the experience of the surgical team. It also suggests that patients are more likely to benefit from hypnosis if the surgery is longer.


Assuntos
Hipnose , Procedimentos Cirúrgicos Otorrinolaringológicos , Satisfação do Paciente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anestésicos Locais/administração & dosagem , Feminino , Humanos , Lidocaína/administração & dosagem , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Educação de Pacientes como Assunto , Estudos Prospectivos , Autoavaliação , Inquéritos e Questionários , Adulto Jovem
6.
Nurs Educ Perspect ; 41(1): 41-42, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860486

RESUMO

A simulation focused on nursing theory was designed to replace one clinical day experience for 37 senior-level baccalaureate students. Pretest-posttest self-evaluations were used in the study to rate student confidence in using Locsin's technology competency as caring in nursing theory and in describing critical care equipment and monitoring technology. A dependent t-test showed improvements in confidence using theory in practice after the simulation and debriefing session. Using one-on-one debriefing sessions, students and faculty had an opportunity to discuss how nursing theory can guide nursing practice. Intentionally developed simulation and debriefing experiences can provide students experience using nursing theory.


Assuntos
Bacharelado em Enfermagem , Teoria de Enfermagem , Estudantes de Enfermagem , Competência Clínica , Humanos , Autoavaliação
7.
Support Care Cancer ; 28(1): 279-285, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31041583

RESUMO

PURPOSE: Tumor-related cancer pain often comprises mixed pain with both nociceptive and neuropathic components. Whether tumor-related cancer pain includes a neuropathic component impacts the therapeutic strategy. The aim of this cross-sectional study was to investigate the usefulness of two screening tools for neuropathic pain, painDETECT and Self-Report Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS), in identifying the neuropathic component of mixed pain among patients with tumor-related cancer pain. METHOD: This cross-sectional study recruited consecutive inpatients and outpatients at a single site. The diagnostic accuracy of painDETECT and S-LANSS was evaluated using receiver operating characteristic curve analysis and classification probability. RESULTS: Of the study group, 106 patients had tumor-related cancer pain. Analyses of the nociceptive and mixed pain groups (n = 104) showed that neither painDETECT nor S-LANSS had satisfactory areas under the curve (AUCs) for identifying the neuropathic component of mixed pain (0.59 for painDETECT and 0.56 for S-LANSS). By pain intensity, the AUC for painDETECT was significantly higher in the mild pain group than in the moderate or severe pain group (0.77 vs. 0.43, P = 0.002). All parameters of classification probability for both tools were higher in the mild pain group than in the moderate or severe pain group. CONCLUSIONS: painDETECT and S-LANSS could not identify the neuropathic component of mixed pain among patients with tumor-related cancer pain, especially when pain was moderate or severe. Contrarily, these screening tools might be useful for identifying the neuropathic component of mixed pain for mild pain.


Assuntos
Dor do Câncer/diagnóstico , Programas de Rastreamento/métodos , Neuralgia/diagnóstico , Medição da Dor/métodos , Autorrelato , Idoso , Dor do Câncer/epidemiologia , Comorbidade , Estudos Transversais , Diagnóstico Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/complicações , Neoplasias/diagnóstico , Neoplasias/epidemiologia , Neuralgia/epidemiologia , Neuralgia/etiologia , Valor Preditivo dos Testes , Autoavaliação , Inquéritos e Questionários
8.
J Surg Res ; 245: 383-389, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31425880

RESUMO

BACKGROUND: Self-assessment is fundamental in surgical training. Accuracy of self-assessment is superior with greater age, experience, and the use of video playback. Presently, there is scarce evidence in the literature regarding predictors for a surgical trainee's aptitude for self-assessment. The objective of this study was to investigate whether emotional intelligence or visual-spatial aptitude can predict effective self-assessment among novice surgeons performing laparoscopic appendectomy (LA). MATERIALS AND METHODS: Eighteen novice trainees performed a simulated LA, and two aptitude measures were evaluated: (1) emotional intelligence questionnaire and (2) visual spatial ability test. Self-assessment of their performance was conducted using the Objective Assessment of Surgical and Technical Skills global rating scale and ranking five subtasks of the procedure in order of quality of performance after watching a playback of their LA. Two blinded experts (senior consultant surgeons, performed >100 LAs) assessed surgical quality using the same scoring system. Candidates were ranked into higher and lower aptitude groups for the two aptitude measures. Spearman's rank correlation coefficient was calculated to identify if either of the two groups demonstrated greater agreement between self and expert assessment in relation to the two aptitude measures. RESULTS: Participants with a higher degree of emotional intelligence demonstrated significant agreement with expert assessment (r = 0.73, P = 0.031). CONCLUSIONS: Emotional intelligence can predict better self-assessment of surgical quality after performing a simulated LA. This may facilitate early identification of individuals who might require mentoring or guidance with self-assessment as well as contribute to selection criteria.


Assuntos
Testes de Aptidão , Inteligência Emocional , Cirurgia Geral/educação , Autoavaliação , Processamento Espacial , Adulto , Apendicectomia , Competência Clínica , Feminino , Cirurgia Geral/normas , Humanos , Laparoscopia , Masculino , Projetos Piloto , Adulto Jovem
9.
Codas ; 31(6): e20180117, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31800878

RESUMO

PURPOSE: To investigate the immediate effect of phonation into silicone tube on self-assessment and vocal quality of gospel singers. METHODS: The sample was composed of 40 gospel singers without vocal complaint, males and females, from 18 to 40 years. The singers performed semi-occluded vocal tract exercise in LaxVox® silicone tube. The end of the tube was submerged in water (2cm depth), for three minutes. Before and after exercise, voice recording was performed for perceptive-auditory evaluation, and only after exercise, the voice and comfort phonation self-assessments (CSA) were performed. The descriptive and inferential statistical analysis were performed. RESULTS: All participants reported improvement in voice. In addition, a significant higher proportion of them indicated phonation comfort improvement after exercise. According to the perceptive-auditory evaluation, there was no difference in the comparison of the proportions of pre- and post-exercise perceptive-auditory evaluation categories in gospel singers. CONCLUSION: The phonation exercise into a silicone tube caused an immediate positive effect on gospel singers' voice and comfort phonation self-assessments. There was no significant difference in the perceptive-auditory evaluation before and after phonation into silicone tube in gospel singers.


Assuntos
Fonação , Treinamento da Voz , Voz/fisiologia , Acústica , Adolescente , Adulto , Feminino , Humanos , Masculino , Estudos Prospectivos , Autoavaliação , Silicones , Canto , Qualidade da Voz , Adulto Jovem
10.
Movimento (Porto Alegre) ; 25(1): e25062, jan.- dez. 2019.
Artigo em Inglês | LILACS | ID: biblio-1047329

RESUMO

Um desafio para a pedagogia crítica da Educação Física tem sido o de como prosseguir adiante com sua agenda em circunstâncias de precariedade, ao mesmo tempo em que evita muitas armadilhas, como doutrinação, utopismo e arrogância, o que pode diminuir sua efetividade tanto quanto sua reputação. Este artigo considera a possibilidade de ser crítico em relação à própria pedagogia crítica, ao mesmo tempo em que permanece inflamado pela causa da justiça social através da Educação. Até hoje, ela parece ser suficiente para pedagogos críticos em Educação Física regularem a si mesmos, mas tem falhado em produzir qualquer concordância sobre como a pedagogia crítica pode responder, por exemplo, ao crescimento da precariedade. Cinco chaves de leitura emergem da análise de Burbules sobre ser crítico em Educação Física. Eu considero como nós deveríamos ser autoconscientes e autocríticos no âmbito da pedagogia crítica em Educação Física e, ao fazer isso, abordar seus desafios crescentes e, de fato, enfrentar a questão segundo a qual "quem vigia os próprios vigilantes"?


A challenge for critical pedagogy in physical education is how to take forward an agenda in circumstances of precarity while avoiding the many pitfalls, such as indoctrination, utopianism and self-conceit, that could diminish its effectiveness as well as its reputation. This paper considers the possibility of being critical about critical pedagogy while remaining passionate for the cause of social justice through education. To date, it has appeared to be sufficient for critical pedagogues in physical education to regulate themselves, but this has failed to produce any agreement on how critical pedagogy might respond, for example, to rising precarity. Five key points emerge from an analysis of Burbules' work on critical pedagogy. I consider how we might build self-awareness and self-critique into critical pedagogy in physical education, and by so doing address both the challenges raised by critiques of critical pedagogy and indeed the question itself of quis custodiet ipsos custodes?


Un continuo reto para la pedagogía crítica de la Educación Física ha sido como seguir adelante con su agenda en circunstancias de precariedad y, al mismo tiempo, evitar muchas trampas, como adoctrinamiento, utopismo y arrogancia, lo que puede disminuir su efectividad tanto como su reputación. Ese artículo considera la posibilidad de ser crítico en relación a la propia pedagogía crítica al mismo tiempo en que permanece motivado por la causa de la justicia social por medio de la Educación. Hasta hoy, ella parece ser suficiente para los pedagogos críticos regularse a sí mismos, pero ha fallado en producir cualquier concordancia sobre como la pedagogía crítica puede responder, por ejemplo, al crecimiento de la precariedad. Cinco claves de lectura emergen del análisis de Burbules sobre ser crítico en la Educación Física. Considero como nosotros deberíamos ser autoconscientes y autocríticos en el ámbito de la pedagogía crítica en Educación Física y, al hacer esto, abordar sus desafíos crecientes y, de hecho, enfrentar la cuestión sobre "¿quién vigila los propios vigilantes?"


Assuntos
Humanos , Educação Física e Treinamento , Autoavaliação , Ensino
11.
Beijing Da Xue Xue Bao Yi Xue Ban ; 51(6): 1085-1090, 2019 Dec 18.
Artigo em Chinês | MEDLINE | ID: mdl-31848509

RESUMO

OBJECTIVE: To explore the screening value of osteoporosis self-assessment tool for Asians (OSTA) and the optimal cut-off value in Chinese healthy physical examination population. METHODS: We selected a healthy physical examination population for bone mineral density screening at the Health Examination Center in Peking University Third Hospital from 2013 to 2016. Quantitative ultrasound (QUS) results were used as the gold standard, and T value ≤-2.5 was defined as osteoporosis patients. Diagnostic test methods were used to analyze the sensitivity, specificity, likelihood ratio and area under curve (AUC) of different cut points of OSTA. The screening accuracy of OSTA at different cut points was compared and the optimal cut-point value determined. RESULTS: A total of 5 833 subjects were included in the study, with an average age of (48.3±17.5) years and 2 594 women (44.5%). The QUS test showed 403 patients with osteoporosis (6.9% of the total population), 343 female osteoporosis patients (13.22% of the female population). In the whole age group, AUC at the international routine cut-off value (OSTA ≤-1) screening for osteoporosis was 0.815 (95%CI: 0.804-0.825), and screening accuracy was higher in the women (AUC=0.837, 95%CI: 0.823-0.851) than that in the men (AUC=0.767, 95%CI: 0.752-0.781; P<0.05). In the whole age group, when the optimal cut-off value was 0, its AUC 0.842 (95%CI: 0.832-0.851) was significantly higher than that when the cut-off value was -1 (P<0.01), and net reclassification improvement (NRI) increased by 5.5%. In the 40 to 65-year-old group, when OSTA cut-off value ≤0, the screening accuracy was significantly higher (NRI=19.5%, P=0.003) than that when it was -1. CONCLUSION: The OSTA screening tool had good osteoporosis screening value in healthy people, and the screening accuracy in women is higher than that in men. Increasing the screening cut-off value of OSTA would be helpful to improve the screening accuracy in the whole and 40 to 65-year-old population. There may be different optimal cut-off values for different age group population.


Assuntos
Osteoporose , Autoavaliação , Absorciometria de Fóton , Adulto , Idoso , Grupo com Ancestrais do Continente Asiático , Densidade Óssea , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Exame Físico , Medição de Risco , Sensibilidade e Especificidade
12.
Dermatol Surg ; 45(12): 1635-1648, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31702594

RESUMO

BACKGROUND: Racial/ethnic variations in skin structure and function may contribute to differential manifestations of facial aging in various races/ethnicities. OBJECTIVE: To examine self-assessed differences in facial aging in women by race/ethnicity and Fitzpatrick skin phototypes. METHODS: Women aged 18 to 75 years in the United States, Canada, the United Kingdom, and Australia compared their features against photonumeric rating scales depicting degrees of severity for 10 facial aging characteristics. Impact of race/ethnicity (black, Hispanic, Asian, and Caucasian) and skin phototypes on severity was assessed. RESULTS: In total, 3,267 women completed the study. Black women reported the least severe facial aging; Caucasian women reported the most severe facial aging, with Asian and Hispanic women falling between these groups. Similarly, women with a skin phototype V/VI reported lesser aging severity than women with phototypes I through IV. More than 30% of black women did not report the presence of moderate/severe aging of facial areas until 60 to 79 years; most Hispanics and Asians did not report moderate/severe facial aging until 50 to 69 years and Caucasians, 40 to 59 years. CONCLUSION: In this diverse sample, black women reported less severe aging of facial features compared with Hispanic, Asian, and Caucasian women. These results were supported by Fitzpatrick skin phototype analyses.


Assuntos
Envelhecimento/psicologia , Autoavaliação , Envelhecimento da Pele , Adolescente , Adulto , Grupo com Ancestrais do Continente Africano/psicologia , Grupo com Ancestrais do Continente Africano/estatística & dados numéricos , Idoso , Envelhecimento/etnologia , Grupo com Ancestrais do Continente Asiático/psicologia , Grupo com Ancestrais do Continente Asiático/estatística & dados numéricos , Austrália , Canadá , Estudos Transversais , Grupo com Ancestrais do Continente Europeu/psicologia , Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos , Face , Feminino , Hispano-Americanos/psicologia , Hispano-Americanos/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Reino Unido , Estados Unidos , Adulto Jovem
13.
Codas ; 31(6): e20190067, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31721891

RESUMO

PURPOSE: To analyze the self-assessment of communication resources used by sales representatives and its relation with their sales performance. METHODS: The study counted with 55 sales representatives, 46 men and 9 women, between 24 and 56 years old. In the first phase of the study, participants answered questions related to identification data, self-assessment protocols of vocal behavior and communicative resources; besides that, they were asked to select the positive and negative communication resources of their own speech during the sales. In the next phase, the participants were divided into two groups according to their sales performance: Group A (GA), individuals with better sales performance and Group B (GB), individuals with worst sales performance. The data were statistically analyzed. RESULTS: Regarding the vocal behavior self-assessment, the sales representatives considered their voice quality as normal, their vocal pitch, loudness and speech rate as regular and as having an expressive voice. Regarding the communicative behavior, there was low presence of regionalism, use of gesture and use of other support resources during the sales; contrarily, there was high occurrence of precise articulation of speech sounds, visual contact, lack of inhibition to talk, time monitoring and objectivity of the speech. CONCLUSION: The sales representatives' self-assessment was positive for the objectivity of the speech, knowledge of the subject and use of proper vocabulary; it was negative for, lack of subject domain, criticism and prejudgment, and improper vocabulary. The self-assessment was similar in GA and GB.


Assuntos
Comércio , Comunicação , Autoavaliação , Treinamento da Voz , Voz/fisiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
14.
Z Evid Fortbild Qual Gesundhwes ; 147-148: 58-66, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31767377

RESUMO

OBJECTIVE: Potential sources for errors or critical incidents in healthcare may arise not just within a healthcare facility, but also between healthcare facilities (e. g., in the communication between in- and outpatient care). This study aims to test the content validity of the reporting sheet and to optimize the cross-sectoral critical incident reporting system (CIRS-CS). METHOD: The CIRS-CS was developed as a part of the project "solimed ePflegebericht" based on the expertise of the participating organizations as well as existing literature and existing reporting systems (e. g., the recommendations of the "German Coalition for Patient Safety"). In addition, a pre-test was conducted among the organizations participating in the "solimed ePflegebericht" to assess the content validity of the reporting sheet. Content validity was assessed using cognitive interviews (N=11) with health professionals. The interviews were conducted on the basis of predefined scenarios and probing questions. RESULTS: The reporting sheet that was used for the pre-test consisted of 16 components such as reason for reporting/description of the problem, location of the patient at the time of reporting and suggested solution to the problem. The results of the pre-test indicated that participants found it challenging to relate to components such as In which type of healthcare service did the problem occur, What was the cause of the problem and Which factors contributed to the problem. For instance, some participants found it difficult to decide in which type of healthcare service (e. g., emergency care, routine care) the underlying problem occurred as this component could be reported from different perspectives, i. e. where the incident arose versus where the problem occurred. Thus, depending on the interpretation of this component, the participants questioned the feasibility since there was a lack of knowledge as to under which circumstances the incident arose. CONCLUSION: The results of the pre-test of the CIRS-CS suggest that the description of the causes as well as potential solutions via the cross-sectoral reporting sheet is unfeasible and may be better approached with an interdisciplinary investigation team panel as part of the reporting system, in which the participating representatives are able to enter a structured dialogue based on the reported problems. Furthermore, the results indicate that investigation team panels enable an interprofessional exchange and may thus promote transparency between healthcare facilities. At this point, there is little research on the content validity of reporting sheets for cross-sectoral reporting systems. Hence, our results may contribute to the development of comprehensible and feasible cross-sectoral CIRS.


Assuntos
Assistência à Saúde , Serviços Médicos de Emergência , Segurança do Paciente , Gestão de Riscos , Lista de Checagem , Alemanha , Humanos , Gestão de Riscos/métodos , Gestão de Riscos/normas , Autoavaliação
15.
Codas ; 31(5): e20180319, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31691747

RESUMO

PURPOSE: To gather information about vocal health and hygiene, voice symptoms, and voice handicap from drama students with and without vocal complaints. METHODS: A total of 57 drama students participated of this study. They were divided into two groups: no vocal complaints group (NCG), with 39 students; and with vocal complaints group (WCG), with 18 students. The participants answered to three self-assessment protocols: 1. Vocal Health and Hygiene Questionnaire (VHHQ), 2. Voice Symptom Scale (VoiSS); and 3. Voice Handicap Index (VHI-10). RESULTS: No difference was observed between groups related to the knowledge of vocal health and hygiene. The drama students from the WCG presented higher scores, more voice symptoms in all subscales of the VoiSS, and more voice handicap, e.g,higher VHI-10 scores than the NCG. The more knowledge on vocal health and hygiene (VHHQ total score) was followed by less voice symptoms, which represents lower scores in the VoiSS total score and, in emotional domain, and it was only perceived voice handicap (VHI-10 total score) in the NCG. CONCLUSION: There was no difference in knowledge of vocal health and hygiene among drama students with and without vocal complaints. However, drama students with vocal complaints presented more voice symptoms and reported greater perception of voice handicap, which was negatively correlated with knowledge of vocal health and hygiene.


Assuntos
Drama , Distúrbios da Voz/diagnóstico , Qualidade da Voz , Adolescente , Adulto , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Autoavaliação , Estudantes , Inquéritos e Questionários , Distúrbios da Voz/fisiopatologia , Adulto Jovem
17.
Codas ; 31(4): e20180143, 2019 Sep 12.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31531555

RESUMO

PURPOSE: To verify the effects of vocal warm-up (VWU) and vocal cool-down (VCD) strategies on teachers. METHODS: A quasi-experimental exploratory blind-evaluator study with control group that included teachers from a public secondary school. Teachers assigned to the experimental group (EG) performed VW prior to classes and VCD after classes. Teachers in the control group (CG) did not perform VWU and simply got voice rest after classes. Intergroup (EG vs. CG) and intragroup (pre-test versus post-test) comparisons were drawn from an auditory-perceptual evaluation, acoustic analysis, and self-reported discomfort. The mean acoustic and discomfort indicators and the percentage of improvement or worsening of vocal quality were calculated with a statistically significance level of p<0.05. RESULTS: EG and CG did not differ from each other in the intergroup analysis. The intragroup analysis showed that VWU improved voice quality and decreased the degree of body-related discomfort. VCD decreased both the fundamental frequency (f0) and the degree of discomfort, particularly in relation to the voice aspects. Vocal rest did not show any statistical difference. CONCLUSION: VWU showed positive effects on the auditory-perceptual evaluation and self-reported discomfort (body). VCD impacted f0 and self-reported discomfort (voice). Due to the exploratory nature of the research, the statistical power was not enough to demonstrate a difference in the comparison between EG and CG. However, the results indicate a potential for protecting teachers' voice and may be incorporated into daily work settings. Further controlled studies with random samples and greater numbers of participants should be conducted to confirm these results.


Assuntos
Doenças Profissionais/prevenção & controle , Patologia da Fala e Linguagem/métodos , Distúrbios da Voz/prevenção & controle , Treinamento da Voz , Adulto , Brasil , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Setor Público , Professores Escolares , Autoavaliação , Medida da Produção da Fala , Inquéritos e Questionários , Qualidade da Voz
18.
Fam Med ; 51(8): 687-690, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31509220

RESUMO

BACKGROUND AND OBJECTIVES: Many medical schools assess student clinical knowledge using the National Board of Medical Examiners (NBME) subject examinations. The Family Medicine Clinical Science Mastery Series (CSMS) self-assessments, which are made up of former Family Medicine NBME examination questions, became available in September 2017. They provide students with realistic practice questions and immediate performance feedback. To further assess the utility of various study tools available to our students, this study investigated the impact of the CSMS self-assessments for family medicine on the NBME family medicine subject examination performance. METHODS: Data analysis was conducted to compare student performance on the end-of-rotation NBME Family Medicine Clinical Subject Examination before and after the introduction of the CSMS family medicine self-assessments. The effect size was measured using a Cohen d analysis. We conducted an independent t-test analysis to determine the effect the NBME Family Medicine CSMS self-assessments had on end-of-rotation clinical subject examination scores. RESULTS: The analysis revealed statistically significant improvement in students' clinical subject examination scores after the release of the CSMS in September 2017 (n=90) compared to the students' scores prior to the availability of the CSMS (n=95). CONCLUSIONS: Student scores improved with the introduction of the NBME CSMS family medicine self-assessment. These results support recommending student use of the CSMS as a study tool for their end-of-clerkship NBME subject examinations.


Assuntos
Estágio Clínico , Avaliação Educacional/estatística & dados numéricos , Medicina de Família e Comunidade , Autoavaliação , Estudantes de Medicina/estatística & dados numéricos , Competência Clínica , Educação de Graduação em Medicina , Humanos
19.
Accid Anal Prev ; 132: 105263, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31525650

RESUMO

Work zone safety from a psychological perspective has received little attention in scientific literature. Therefore, the present study aims to explore the influence of roadwork characteristics and drivers' individual differences in terms of personality traits and self-assessment of driving skills on speed preferences in a rural work zone. Eight hundred forty-five Norwegian drivers stated their preferred speed for ten pictures of a rural work zone with a 50 km/h reduced speed limit without knowing the speed limit. The results showed that the preferred speeds were greater than the actual reduced speed limit for all pictures. The standard deviations were quite high (from 11 to 14 km/h), indicating that drivers have a rather high variation in preferred speeds. A multilevel model was used to analyse the effects of the variables on speed preference. The results indicated that preferred speeds increased with age, higher scores on the normlessness scale, and higher self-assessment of own driving skills. As for the roadwork characteristics, speed increased with the presence of road markings by 11 km/h, while it decreased by 9 km/h with the presence of road delineators and by 5 km/h with barriers. Implications for respect for the reduced speed limits in work zones were discussed, and recommendations of other countermeasures were presented.


Assuntos
Condução de Veículo/psicologia , Acidentes de Trânsito/prevenção & controle , Adulto , Tomada de Decisões , Feminino , Humanos , Individualidade , Masculino , População Rural , Segurança , Autoavaliação
20.
Psychiatr Pol ; 53(3): 551-559, 2019 Jun 30.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-31522196

RESUMO

OBJECTIVES: The aim of the study was to create a Polish version of the Self-evaluation of NegativeSymptoms (SNS) scale, to assess its internal consistency, and to make correlations between the SNS scores and the Brief Negative Symptom Scale (BNSS) scores in the group of patients with schizophrenia. MATERIAL AND METHODS: The procedure of Polish adaptation of the French-language version of the SNS scale, comprising 20 items organized in 5 subscales: asociality, blunted affect, alogia, avolition and anhedonia, was carried out. Psychometric tests were performed in 40 patients with paranoid schizophrenia (20 men and 20 women) with severity of symptoms on the Positive and Negative Syndrome Scale (PANSS) 56±16 points, receiving unchanged pharmacological treatment in the last 3 months. RESULTS: The Polish version of the SNS scale was accepted by the author of the scale, Professor Sonia Dollfus. The reliability analysis showed high values of the Cronbach's alpha coefficient for the whole scale (0.91) and for the subscales (0.61-0.85). The SNS and its subscales showed significant correlations with the total BNSS score and with the scores of the BNSS subscales, which confirms the validity of the scale. CONCLUSIONS: A statistically significant level of consistency of the whole scale and its individual domains with the results of the clinical assessment with the BNSS, speaks for the adequacy of the self - assessment of negative symptoms by a patient with schizophrenia. Good psychometric properties of the Polish version of the SNS obtained in the study can indicate its usefulness in the research on negative symptoms conducted in Poland.


Assuntos
Autoavaliação Diagnóstica , Esquizofrenia/fisiopatologia , Psicologia do Esquizofrênico , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polônia , Escalas de Graduação Psiquiátrica , Psicometria , Reprodutibilidade dos Testes , Esquizofrenia/diagnóstico , Autoavaliação , Traduções
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