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1.
J Registry Manag ; 46(1): 15-18, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31490917

RESUMO

Information on cancer stage at diagnosis is largely missing or poorly documented among population-based cancer registries in sub-Saharan Africa (SSA). In an early field trial of Essential TNM staging, it was observed that some training was needed to enable cancer registrars to abstract the correct TNM from case records. In November 2018, the Addis Ababa City Cancer Registry hosted a training course attended by 17 participants from 16 cancer registries in SSA. The participants were asked to stage 16 cancer cases (from anonymized photocopies of case records obtained from the Global Initiative for Cancer Registry Development) before and after the training. The discrepancy of the stages from before and after were scored and compared. Results showed that there was a substantial improvement in the participants' performance after the training. The application of the Essential TNM staging system, with training in its use, would allow cancer registrars in SSA to abstract cancer stage at diagnosis in a clinically recognized format, which is crucial for cancer control and public health care policy making.


Assuntos
Estadiamento de Neoplasias/normas , Neoplasias/classificação , Neoplasias/patologia , África , Avaliação Educacional , Humanos , Neoplasias/diagnóstico , Avaliação de Programas e Projetos de Saúde , Sistema de Registros
2.
Univ. salud ; 21(2): 176-187, mayo-ago. 2019. tab
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-1004856

RESUMO

Resumen Introducción: La Evaluación de Desempeño (ED) permite el desarrollo personal-profesional y contribuye al mejoramiento de la Calidad de Vida Laboral (CVL) del trabajador. Posibilita la identificación de fortalezas, genera procesos de autoevaluación y mejoramiento en el desarrollo organizacional y su competitividad. Objetivo: Definir el concepto de evaluación de desempeño y evaluar sus efectos en la calidad de vida laboral del trabajador en algunos sectores durante los últimos 10 años. Materiales y métodos: Revisión sistemática de la literatura, como estudio integrativo, observacional y retrospectivo, en el cual se combinaron investigaciones que examinan la misma temática. Se revisaron 55 artículos publicados en las bases de datos Redalyc, SciELO, ScienceDirect y Dialnet. Resultados: Se presentan los criterios de selección, definición, relación entre CVL y ED abordados en los sectores de salud, educación y organizacional. Conclusiones: La ED reconoce el aporte del trabajador al logro de los objetivos organizacionales, teniendo en cuenta la productividad, el desarrollo y la CVL de los colaboradores.


Abstract Introduction: A Performance evaluations (PE) promotes personal-professional development and contributes to the improvement of the Quality of Work Life (QWL) of employees. A PE also enables the identification of strengths, generates self-evaluation processes and improves organizational development and competitiveness. Objective: To define the concept of performance evaluation and evaluate its effects on the quality of work life of employees from some sectors, during the last 10 years. Materials and methods: A systematic literature review using an integrative, observational and retrospective approach that included research studies sharing the same scope. We reviewed 55 articles published in databases such as Redalyc, SciELO, ScienceDirect and Dialnet. Results: We present and discuss the selection criteria, definition, and association between QWL and PE related to health, education and organizational sectors. Conclusions: The PE recognizes the contribution of the employee to the achievement of the organizational objectives and it takes into consideration the productivity, development and maintenance of the QWL of coworkers.


Assuntos
Qualidade de Vida , Desempenho Psicomotor , Avaliação Educacional , Descrição de Cargo
4.
Rev. enferm. UFSM ; 9: 13, jul. 15, 2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1009352

RESUMO

"\"\\\"[{\\\\\\\"text\\\\\\\": \\\\\\\"Objetivos: avaliar a dimensionalidade e a consistência interna da escala de crenças; verificar existência\\\\\\\\r\\\\\\\\nde relações entre as variáveis-critério e variáveis crenças; investigar as variáveis preditoras de crenças no processo de avaliação de ações educativas da equipe de saúde. Método: estudo quantitativo correlacional, desenvolvido em 14 instituições de saúde, com a participação de 992 trabalhadores, em que se aplicou uma escala Likert composta por 31 itens relativos às crenças da equipe no processo de avaliação de treinamentos. A dimensionalidade/estrutura interna da escala foi realizada por meio de análises fatoriais exploratórias; análises de regressão múltipla padrão, testes t de Student, ANOVA e análises post hoc, também foram aplicadas. Resultados: encontrados três fatores; as variáveis preditoras foram \\\\\\\\\\\\\\\"número de treinamentos nos últimos 12 meses"; "participação em treinamento no momento da pesquisa" e "idade". Conclusões: a escala apresentou consistência interna e houve identificação de correlações e variáveis preditoras.\\\\\\\", \\\\\\\"_i\\\\\\\": \\\\\\\"pt\\\\\\\"}, {\\\\\\\"text\\\\\\\": \\\\\\\"Aim: to evaluate the dimensionality and internal consistency of the belief scale; to verify the existence\\\\\\\\r\\\\\\\\nof relations between criterion variables and belief variables; to investigate predictive variables of beliefs in the evaluation process of educational actions of the health team. Method: quantitative correlational study developed in 14 health institutions, with the participation of 992 workers, in which a Likert scale was applied, consisting of 31 items related to the team beliefs in the training evaluation process. The dimensionality/internal structure of the scale was carried out by means of exploratory factorial analyses; standard multiple regression analyses, Student ttests, ANOVA and post hoc analyses were also applied. Results: three factors were found; the predictive variables were \\\\\\\\\\\\\\\"number of trainings in the last 12 months\\\\\\\\\\\\\\\", \\\\\\\\\\\\\\\"participation in training at the time of the research\\\\\\\\\\\\\\\" and \\\\\\\\\\\\\\\"age.\\\\\\\\\\\\\\\" Conclusions: the scale presented internal consistency and there was identification of correlations and predictor variables.\\\\\\\", \\\\\\\"_i\\\\\\\": \\\\\\\"en\\\\\\\"}, {\\\\\\\"text\\\\\\\": \\\\\\\"Objetivos: evaluar la dimensionalidad y la consistencia interna de la escala de creencias; verificar la\\\\\\\\r\\\\\\\\nexistencia de relaciones entre variables criterio y variables creencias; investigar variables predictoras de creencias en el proceso de evaluación de acciones educativas del equipo de salud. Método: estudio cuantitativo correlacional, desarrollado en 14 instituciones de salud, con la participación de 992 trabajadores, en el cual se aplicó escala Likert, compuesta por 31 artículos relacionados a las creencias del equipo en el proceso de evaluación de entrenamientos. La dimensionalidad/estructura interna de la escala fue realizada por medio de análisis factoriales exploratorios; también se aplicó análisis de regresión múltiple estándar, pruebas t de Student, ANOVA y análisis post hoc. Resultados: encontrados tres factores; las variables predictoras fueron \\\\\\\\\\\\\\\"número de entrenamientos en los 12 meses\\\\\\\\\\\\\\\", \\\\\\\\\\\\\\\"participación en entrenamiento en el momento de la investigación\\\\\\\\\\\\\\\" y \\\\\\\\\\\\\\\"edad\\\\\\\\\\\\\\\". Conclusiones: la escala presentó consistencia interna y hubo identificación de correlaciones y variables predictoras.\\\\\\\", \\\\\\\"_i\\\\\\\": \\\\\\\"es\\\\\\\"}]\\\"\""


Assuntos
Humanos , Desenvolvimento de Pessoal , Educação Continuada , Avaliação Educacional
5.
Rev. pesqui. cuid. fundam. (Online) ; 11(4): 957-961, jul.-set. 2019. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1005813

RESUMO

Objetivo: Avaliar o conhecimento dos acadêmicos da escola da saúde de uma universidade privada sobre o atendimento de ressuscitação cardiopulmonar no suporte básico de vida. Método: Estudo descritivo, com abordagem quantitativa, realizado em uma universidade privada com 276 estudantes dos cursos de enfermagem, educação física, fisioterapia e nutrição que responderam a um questionário sobre o tema. Resultados: Constatou-se que os alunos entrevistados, em geral, obtiveram desempenho razoável sobre o conhecimento de ressuscitação cardiopulmonar. Destacaram-se os alunos do curso de enfermagem que apresentaram melhor correlação positiva de 0,8658, bem próximo do indicador 1, que representa uma correlação forte, seguidos dos alunos de fisioterapia com 0,2406. Conclusão: Foi possível identificar que apenas os alunos de dois cursos obtiveram desempenho significativo, tendo em vista que esse é um conhecimento essencial em suas profissões


Objective: To evaluate the knowledge of the academics of the health school of a private university about the care of cardiopulmonary resuscitation in basic life support. Method: Descriptive study, with a quantitative approach, carried out in a private university with 276 students from the nursing, physical education, physiotherapy and nutrition courses who answered a questionnaire on the subject. Results: It was found that the interviewed students, in general, obtained a reasonable performance on the knowledge of cardiopulmonary resuscitation. Nursing students with a better positive correlation of 0.8658, close to indicator 1, showed a strong correlation, followed by physical therapy students with 0.2406. Conclusion: It was possible to identify that only the students of two courses obtained significant performance, considering that this is an essential knowledge in their professions


Objetivo: Evaluar el conocimiento de los académicos de la escuela de salud de una universidad privada sobre la atención de la resucitación cardiopulmonar en el soporte básico de la vida. Método: Estudio descriptivo, con abordaje cuantitativo, realizado en una universidad privada con 276 estudiantes de los cursos de enfermería, educación física, fisioterapia y nutrición que respondieron a un cuestionario sobre el tema. Resultados: Se constató que los alumnos entrevistados, en general, obtuvieron desempeño razonable sobre el conocimiento de la resucitación cardiopulmonar. Se destacaron los alumnos del curso de enfermería que presentaron mejor correlación positiva de 0,8658, muy cerca del indicador 1, que representa una correlación fuerte, seguidos de los alumnos de fisioterapia con 0,2406. Conclusión: Fue posible identificar que sólo los alumnos de dos cursos obtuvieron desempeño significativo, teniendo en cuenta que ese es un conocimiento esencial en sus profesiones


Assuntos
Adolescente , Adulto , Estudantes de Ciências da Saúde/estatística & dados numéricos , Reanimação Cardiopulmonar/educação , Avaliação Educacional/estatística & dados numéricos , Fisioterapia/educação , Educação em Enfermagem/estatística & dados numéricos , Nutrição em Saúde Pública/educação
7.
Am Surg ; 85(6): 606-610, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31267901

RESUMO

The objective of this study was to assess the results of a structured remediation program for surgical residents scoring poorly on the American Board of Surgery In-Training Examination®. Residents scoring below the threshold (<20th percentile) were placed in a remediation program consisting of textbook-based review and mandatory weekly quizzes overseen by the program director. The effects of the program were assessed over a five-year period (2014-2018). Of 168 tests taken, 23 (13.7%) instances of scoring below the threshold occurred (average percentile 11, range 1-19). Postremediation scores in the subsequent year improved with a median (IQR) percentile increase of 29 [23.5, 46] (P < 0.001). Two residents scored below the threshold twice; all others continued to score above the threshold. Participation in a structured remediation program results in dramatic improvement in American Board of Surgery In-Training Examination® performance, and a single occurrence of poor performance does not necessarily lead to a permanent handicap in academic performance.


Assuntos
Competência Clínica , Educação de Pós-Graduação em Medicina/organização & administração , Cirurgia Geral/educação , Internato e Residência/organização & administração , Ensino de Recuperação/organização & administração , Adulto , Currículo , Bases de Dados Factuais , Avaliação Educacional , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde , Estudos Retrospectivos , Inquéritos e Questionários , Estados Unidos
8.
Am J Occup Ther ; 73(4): 7304205010p1-7304205010p7, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318665

RESUMO

OBJECTIVE: Despite evidence showing that team-based learning (TBL) is accepted by students, a gap in evidence exists regarding how students' experiences with TBL may change over time. In this study, we explored changes in accountability, satisfaction, and preference for TBL or traditional lecture among occupational therapy students using TBL across 1 yr of occupational therapy education. METHOD: Forty-one pairs of data from first- and third-term occupational therapy students were analyzed to determine changes in students' experience with TBL over time. RESULTS: Data analysis of first- and third-term students showed significant changes in accountability with TBL (p = .027), satisfaction with TBL (p = .021), and preference for TBL over traditional lecture (p = .019). CONCLUSION: Considerable differences were found in individual cohorts regarding satisfaction, accountability, and the overall TBL experience; however, no notable differences were found between cohorts.


Assuntos
Terapia Ocupacional , Aprendizagem Baseada em Problemas , Avaliação Educacional/estatística & dados numéricos , Processos Grupais , Humanos , Estudos Longitudinais , Estudantes
9.
Acta colomb. psicol ; 22(1): 107-117, ene.-jun. 2019. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-989077

RESUMO

Resumen La desconexión moral tiene como consecuencia efectos negativos para el desarrollo psicosocial en la niñez, por lo cual se hace necesario contar con escalas para evaluarla. En el presente estudio se analizaron las propiedades psicométricas de la escala Desconexión Moral en Situaciones de Acoso en niños (DMAE). Participaron 661 estudiantes mexicanos de 5.º (51 %) y 6.º grado (49 %), 48 % niñas (M edad = 10.51, DE = .64 años) y 52 % niños (M edad = 10.59, DE = .68 años). Se analizó la validez (estructura interna y concurrente), invarianza de medida para ambos sexos y fiabilidad de la escala. De los resultados del análisis factorial confirmatorio se infirió que el modelo de medición multidimensional que mide la justificación moral, la difusión de la responsabilidad y la atribución de la culpa presenta mejor ajuste a los datos que el unidimensional. Además, se encontró que la DMAE presenta invariancia de medición en ambos sexos y evidencias de validez concurrente. Se concluye que la escala cuenta con propiedades psicométricas adecuadas para la medición de la desconexión moral en niños mexicanos.


Resumo A desconexão moral tem como consequência efeitos negativos para o desenvolvimento psicossocial na infância, o que torna necessário contar com escalas para avaliá-la. Neste estudo, foram analisadas as propriedades psicométricas da escala Desconexão Moral em Situações de Assédio em Crianças. Participaram 661 estudantes mexicanos do 5º (51 %) e 6º anos (49 %), 48 % meninas (M idade = 10.51, DP = .64 anos) e 52 % meninos (M idade = 10.59, DP = .68 anos). Foi analisada a validade (estrutura interna e concorrente), invariância de medida para ambos os sexos e confiabilidade da escala. Dos resultados da análise fatorial confirmatória, foi inferido que o modelo de medição multidimensional que mede a justificativa moral, a difusão da responsabilidade e a atribuição da culpa apresenta melhor ajuste aos dados do que o unidimensional. Além disso, foi constatado que a escala apresenta invariância de medida em ambos os sexos e evidências de validade concorrente. Concluise que a escala possui propriedades psicométricas adequadas para a medição da desconexão moral em crianças mexicanas.


Abstract The moral disengagement has negative effects for psychosocial development in childhood, which makes it necessary to have scales to evaluate it. The present study aimed to analyze the psychometric properties of the Moral Disengagement in Children Situations of Bullying (DMAE, its initials in Spanish) scale. 661 Mexican students participated from 5th grade (51%) and 6th grade (49%), 48% girls (M age = 10.51, SD = .64 years) and 52% boys (M age = 10.59, SD = .68 years). The validity (internal and concurrent), measurement invariance for both sexes and reliability of the scale were analyzed. From the results of the confirmatory factor analysis, it was inferred that the multidimensional measurement model that measures moral justification, diffusion of responsibility and attribution of blame presents a better fit to the data than the one-dimensional one. It was also found that the DMAE presents measurement invariance in both sexes and evidence of concurrent validity. It was concluded that the scale has adequate psychometric properties for the measurement of moral disengagement in Mexican children


Assuntos
Humanos , Masculino , Feminino , Criança , Avaliação Educacional , Emoções , Bullying , Status Moral
10.
Horiz. méd. (Impresa) ; 19(2): 70-76, Jun. 2019. tab, graf
Artigo em Espanhol | LILACS, LIPECS | ID: biblio-1007094

RESUMO

Objetivo: Evaluar la validez interna del currículo de un programa de posgrado en ciencias de la salud. Materiales y métodos: Estudio descriptivo con análisis documental de un programa de maestría en Docencia e Investigación en Salud de una universidad pública. Se analizó la validez interna mediante identificación de indicadores del perfil profesional, se calificaron los sílabos de las asignaturas y se valoró la congruencia en mapa curricular. Se consideraron indicadores de personalidad (alfa) y ocupacionales (beta). Se calculó estadística descriptiva con Microsoft Excel 2013.Resultados: Se identificaron indicadores alfa (diseña, demuestra, valora y aplica) e indicadores beta (líder, investigador, docente y evaluador). Los sílabos tuvieron calificación aprobatoria, pero deficiencias en metodología, materiales y bibliografía. Los indicadores conocimiento, aplicación, ser investigador y docente, estaban articulados en el mapa curricular, y se detectó desarticulación de indicadores de valoración, comunicación, ser líder y evaluador. Conclusiones: El perfil profesional planteado está representado en el plan curricular, pero los indicadores no están articulados adecuadamente.


Objective: To evaluate the internal validity of a health sciences graduate program curriculum.Materials and methods: A descriptive study using a documentary analysis of a public university's Master of Education and Health Research Program. The internal validity was analyzed through the identification of professional profile indicators, subjects' syllabi were rated, and the congruence in the curriculum map was assessed. Personality (alpha) and occupational (beta) indicators were considered. Descriptive statistics was performed using Microsoft Excel 2013.Results: Alpha indicators such as the ability to design, demonstrate, assess and apply, and beta indicators such as being a leader, researcher, professor and assessor were identified. The syllabi achieved a passing grade, but deficiencies in the methodology, materials and bibliography were observed. The indicators "knowledge", "application", "being a researcher and professor" were interrelated in the curriculum map; however, indicators such as "assessment", "communication", "being a leader and assessor" were not interrelated.Conclusions: The proposed professional profile is represented in the curriculum, but the indicators are not adequately interrelated.


Assuntos
Ciências da Saúde , Currículo , Avaliação Educacional
11.
Revista Espaço para a Saúde ; 20(1): [75-86], jun.2019. tab, ilus
Artigo em Português | LILACS | ID: biblio-1008006

RESUMO

Trata-se de revisão da literatura com o objetivo de identificar pelas evidências na literatura como é realizada a avaliação do profissionalismo nos cursos de enfermagem no período de 2014- 2018. Foi realizada a busca dos artigos na base de dados PubMed, utilizando os descritores Profissionalism, Evaluation, Nursing.Selecionaram-se 8 artigos conforme os critérios de inclusão e a análise destes permitiu a identificação de 5 categorias que subsidiaram a discussão sobre as formas de avaliar profissionalismo nos cursos de enfermagem. Os resultados apresentaram distintas formas de avaliação, como o impacto dos modelos de avaliação, os métodos de aprendizagem que estimulam atitudes dos estudantes, a avaliação dos comportamentos e atitudes dos docentes em sala de aula ou em campo de prática e a avaliação das instituições formadoras, incluindo a forma como instituem o profissionalismo em seus currículos e planejamentos de aprendizagem.


Assuntos
Avaliação Educacional , Profissionalismo
12.
Am J Orthod Dentofacial Orthop ; 155(6): 765-766, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31153496

RESUMO

The American Board of Orthodontics has updated its clinical examination process to remove barriers to the case-based examination, strengthen the specialty, and further distinguish board-certified orthodontists from other dental practitioners providing orthodontic care. The ABO adopted a scenario-based clinical examination and discontinued case requirements. The first new exam was administered in February 2019. It consisted of 6 scenarios with 4-7 questions for each scenario. The scenarios represent a variety of problems and patients, and the questions relate to data gathering and diagnosis, treatment objectives and planning, treatment implementation and management, and critical analysis and outcomes assessment. Feedback from the February 2019 exam was positive, and 4 more have been scheduled. For more information about the ABO certification process, go to AmericanBoardOrtho.com.


Assuntos
Educação de Pós-Graduação em Odontologia , Avaliação Educacional/métodos , Ortodontia/educação , Conselhos de Especialidade Profissional , Certificação , Humanos , Estados Unidos
13.
J Dent Educ ; 83(6): 654-662, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31154435

RESUMO

The aims of this study were to implement and evaluate an innovative collaborative event with hospitalized patients to help develop dental hygiene and nursing students' interprofessional competence. The Interprofessional Collaborative Competency Attainment Survey (ICCAS) was used to assess the students' perceptions of interprofessional skill acquisition. Participants were 24 dental hygiene and 25 nursing students at the University of Southern Indiana in spring 2016. The results showed that all students had statistically significant improvement on the ICCAS items from pretest to posttest. There were no significant differences in improvement between the two groups on any single posttest item as the impact of the responses was similar. These results suggest that incorporating collaborative experiences in hospital settings can be an effective means to develop students' skills in interprofessional competence.


Assuntos
Relações Interprofissionais , Higiene Bucal/educação , Estudantes de Ciências da Saúde , Estudantes de Enfermagem , Educação em Enfermagem/métodos , Educação em Enfermagem/organização & administração , Avaliação Educacional , Hospitais , Humanos , Indiana
14.
Nurs Educ Perspect ; 40(4): 238-240, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31233435

RESUMO

Controversy surrounds the use of standardized exit exams to predict and prepare students for NCLEX success. The purpose of this study was to explore the relationships between Kaplan integrated exam scores and the HESI® exit exam score to determine early indicators of success on the exit exam. A retrospective records review was used to explore relationships between performance on integrated tests and the standardized exit exam. A solid Kaplan comprehensive medical surgical exam score was highly correlated with success on the HESI exit exam. Tracking and follow-up resulted in exit exam success for nearly all students.


Assuntos
Avaliação Educacional , Educação em Enfermagem , Humanos , Estudos Retrospectivos
15.
Med Educ Online ; 24(1): 1620544, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31184288

RESUMO

PROBLEM: This study used the principles of feedback in a faculty development curriculum to enable clinical teachers to conduct objective structured teaching exercises for performance assessment. INTERVENTION: the Flanders System of Interaction Analysis (FIA) was given to analysis of the data collected from a particular situation, to videotapes of simulated clinical teaching skills. CONTEXT: The Sparse K-Means clustering method, one-way ANOVA and post hoc tests were employed to cluster the most commonly used skills by teachers and compare the features of different clusters were then discussed. OUTCOME: The evaluation method employed in this study can be extended to more teaching methods and skills. LESSONS LEARNED: that through teaching observation, clinical teaching skills and reflection teaching can be improved.


Assuntos
Competência Clínica/normas , Avaliação Educacional/normas , Docentes de Medicina/organização & administração , Feedback Formativo , Ensino/organização & administração , Feminino , Humanos , Masculino
16.
Nurse Educ Today ; 79: 180-187, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31153088

RESUMO

BACKGROUND: The nursing education system has changed with the increased emphasis on patient safety in healthcare settings. Early education in patient safety is crucial to preparing nurses to be competent in patient care. Therefore, providing undergraduate patient safety education courses using an innovative approach is essential to enhancing patient safety and quality in nursing care. OBJECTIVES: This study aimed to examine the effects of a patient safety course using a flipped classroom approach on patient safety competency among undergraduate nursing students in South Korea. DESIGN: A pre- and post-test quasi-experimental design with a non-equivalent control group was adopted. SETTINGS: This study was conducted in the college of nursing at a university in Seoul, South Korea. PARTICIPANTS: A total of 75 undergraduate nursing students participated. All students enrolled in the patient safety course comprised the experimental group (n = 32); those with similar characteristics to the experimental group (age, gender, and year) but did not take the course comprised the control group (n = 43). METHODS: A total of 14 sessions (28 h) addressing the topics from the World Health Organization patient safety curriculum guide were delivered using a flipped classroom approach. The teaching methods included online learning and quizzes, case studies, small and large discussions, incident report tasks, and group projects including the development of strategies for patient safety. A survey including a demographic questionnaire and the Patient Safety Competency Self-Evaluation tool was administered at the beginning and end of the fall semester. RESULTS: Pre- and post-test results demonstrated a significant increase in students' patient safety competency including attitude, skills, and knowledge. Mean scores of patient safety competency in the experimental group were significantly higher than in the control group. CONCLUSIONS: The flipped-classroom patient safety course was shown to be effective in improving patient safety competency in terms of attitude, skills, and knowledge among undergraduate nursing students.


Assuntos
Currículo , Educação a Distância , Segurança do Paciente , Aprendizagem Baseada em Problemas/métodos , Estudantes de Enfermagem , Adulto , Bacharelado em Enfermagem , Avaliação Educacional/métodos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , República da Coreia , Inquéritos e Questionários , Universidades
17.
J Forensic Leg Med ; 66: 86-90, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31233969

RESUMO

The study is designed as quasi experimental including pre-test and post-test. The sample of the study is consisted of 98 students who are taking the Forensic Nursing course in the second year of the School of Nursing at a university. The mean score obtained from the test on the knowledge of forensic evidence before the training was 23.63 ±â€¯5.24 while the mean score after the training was 33.32 ±â€¯4.54. A statistically significant difference was found when the average scores of the students were compared before and after the course of forensic nursing. It was revealed that the course of forensic nursing taken by the students has a positive effect on the knowledge of forensic evidence of students and increases their knowledge level. The results suggest to add a course of forensic nursing as an elective or mandatory course to the curriculum of nursing programs and disseminate the postgraduate education on forensic nursing.


Assuntos
Avaliação Educacional , Enfermagem Forense/educação , Estudantes de Enfermagem , Feminino , Humanos , Masculino , Competência Profissional , Turquia , Adulto Jovem
18.
J Clin Pathol ; 72(9): 622-629, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31217255

RESUMO

AIMS: This is a qualitative study exploring how consultant histopathologists determine diagnostic competence in their trainees. METHODS: Semi-structured interviews were conducted with consultants and trainees and analysed using the Framework Method. RESULTS: Five major themes emerged from the data: process, person, stage of training, trust and time. Within these major themes, there were multiple subthemes which reflect the complex, longitudinal nature of the judgement, as well as the knowledge, skills and attitudes which are most relevant to diagnostic competence. A conceptual framework is proposed to illustrate the judgement ecology, which is supported by anonymised quotes from interview participants. CONCLUSIONS: Our study is the first to explore in depth how consultant histopathologists determine diagnostic competence in their trainees. This is particularly important as histopathology is a unique medical specialty for which there is little evidence to support the current assessment strategies during training. The resulting conceptual model and findings from this study may help to form an evidence base to inform future assessment tools in histopathology.


Assuntos
Competência Clínica , Consultores , Educação de Pós-Graduação em Medicina/métodos , Avaliação Educacional/métodos , Conhecimentos, Atitudes e Prática em Saúde , Patologistas/educação , Patologia/educação , Adulto , Atitude do Pessoal de Saúde , Consultores/psicologia , Humanos , Entrevistas como Assunto , Julgamento , Masculino , Pessoa de Meia-Idade , Patologistas/psicologia , Personalidade , Papel do Médico , Pesquisa Qualitativa , Fatores de Tempo , Confiança
19.
Med Educ Online ; 24(1): 1630239, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31248355

RESUMO

Background: Teaching students how to create assessments, such as those involving multiple-choice questions (MCQs), has the potential to be a useful active learning strategy. In order to optimize students' learning, it is essential to understand how they engage with such activities. Objective: To explore medical students' perceptions of how completing rigorous MCQ training and subsequently writing MCQs affects their learning. Design: In this mixed methods exploratory qualitative study, eighteen second-year medical students, trained in MCQ-writing best practices, collaboratively generated a question bank. Subsequently, the authors conducted focus groups with eight students to probe impressions of the process and the effect on learning. Responses partially informed a survey consisting of open-ended and Likert rating scale questions that the remaining ten students completed. Focus group and survey data from the eighteen participants were iteratively coded and categorized into themes related to perceptions of training and of collaborative MCQ writing. Results: Medical students felt that training in MCQ construction affected their appreciation for MCQ examinations and their test-taking strategy. They perceived that writing MCQs required more problem-solving and content-integration compared to their preferred study strategies. Specifically, generating plausible distractors required the most critical reasoning to make subtle distinctions between diagnoses and treatments. Additionally, collaborating with other students was beneficial in providing exposure to different learning and question-writing approaches. Conclusions: Completing MCQ-writing training increases appreciation for MCQ assessments. Writing MCQs requires medical students to make conceptual connections, distinguish between diagnostic and therapeutic options, and learn from colleagues, but requires extensive time and knowledge base.


Assuntos
Avaliação Educacional/métodos , Aprendizagem Baseada em Problemas/organização & administração , Estudantes de Medicina/psicologia , Adulto , Feminino , Humanos , Masculino , Pesquisa Qualitativa , Redação , Adulto Jovem
20.
Pan Afr Med J ; 32: 83, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31223374

RESUMO

Introduction: Cancer is a growing concern in Mozambique. However, the country has limited facilities and few oncologists. Surgical oncologists are an unmet need. The aim of this study was to assess residents' knowledge in prevalent cancer domains and to identify and characterize prevalent cancers treated by surgery at Maputo Central Hospital, the largest hospital in Mozambique. The expectations were that the findings shall inform the development of a comprehensive curriculum in surgical oncology fellowship fit for the Hospital. Methods: To identify and characterize prevalent cancers, we performed a retrospective analysis of individual cancer patient registries of Maputo Central Hospital (MCH), Mozambique. Information was recorded into data collection sheets and analyzed with SPSS® 21. To assess MCH residents oncologic knowledge, we invited Twenty-six junior residents (49% of all residents) of different specialties to take a 30 item multiple choice written test used elsewhere in previous studies. The test focused on the domains of Basis of oncology, Radiotherapy, Pathology, Chemotherapy, Pain management, Surgical oncology and Clinical Pathway. The test was administered anonymously and without prior notice. We analyzed the overall test and topic performance of residents. Results: The study covered a period of 3 years and 203 patients. The most prevalent malignant tumors treated by general and thoracic surgery in MCH cancer registry were esophageal (7%), female breast (6.5%) and colorectal cancer (2.8%). Globally these malignancies were diagnosed at an advanced stage of the disease and required a multimodal treatment. The mean percent correct score of residents was 37.3%. The dimension with the highest percent correct score were clinical management (46%) and surgical oncology (28%) showed the lowest correct score. Conclusion: In Maputo, Mozambique esophageal, breast and colorectal cancer were the most prevalent malignancies treated, with surgery, by thoracic or general surgery in MCH. The test scores suggest that, among residents, the knowledge in oncology needs to be improved, rendering support to the need of a surgical oncology training tailored to suit the local needs. Specific training should take into account local cancer prevalence, resources, their quality and the support of surgical oncology services with volume and experience.


Assuntos
Competência Clínica , Internato e Residência/normas , Neoplasias/cirurgia , Oncologia Cirúrgica/educação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Currículo , Avaliação Educacional , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Hospitais , Humanos , Masculino , Pessoa de Meia-Idade , Moçambique , Estadiamento de Neoplasias , Neoplasias/epidemiologia , Neoplasias/patologia , Prevalência , Sistema de Registros , Estudos Retrospectivos , Adulto Jovem
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