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2.
Edumecentro ; 13(3): 22-41, jul.-sept. 2021. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1278987

RESUMO

RESUMEN Fundamento: el Sistema Nacional de Salud cubano tiene la necesidad, la voluntad política y los instrumentos legales para incrementar la exigencia en la formación y superación de sus recursos humanos. Objetivo: diseñar una estrategia de superación profesional para el mejoramiento del desempeño del especialista en Medicina General Integral en la atención médica integral a la salud del trabajador. Métodos: se realizó un estudio de tipo cuasiexperimento en el municipio de Santa Clara, provincia de Villa Clara, en el período comprendido enero-mayo de 2019. Se utilizaron métodos teóricos: histórico-lógico, analítico-sintético, inducción-deducción, sistémico- estructural-funcional y modelación; empíricos: análisis documental, prueba de desempeño, consulta a expertos y encuesta de satisfacción; y estadísticos. Resultados: el análisis documental evidenció la ausencia en los planes de superación de actividades que aborden como contenido la salud ocupacional, dirigido a los especialistas en Medicina General Integral. La nota promedio de la prueba de desempeño antes de aplicar la estrategia fue de 59,62 puntos y posterior a su ejecución 74,54 puntos, lo cual posibilitó a los expertos medir la validez teórica de la propuesta y su pertinencia. Conclusiones: la estrategia de superación profesional para la atención médica integral a la salud del trabajador permitió resolver problemas de la práctica del médico de familia, al producir cambios en las acciones integrales de salud y aminorar las contradicciones entre el estado actual y el deseado del desempeño.


ABSTRACT Background: the Cuban National Health System has the need, the political will and the legal instruments to increase the demand in the training and improvement of its human resources. Objective: to design a professional improvement strategy to improve the performance of the specialist in Comprehensive General Medicine in comprehensive medical care for the health of the worker. Methods: a quasi-experiment study type was carried out in the municipality of Santa Clara, Villa Clara province, from January to May 2019. Theoretical methods were used: historical-logical, analytical-synthetic, induction-deduction, systemic- structural-functional and modeling; empirical ones: documentary analysis, performance test, expert consultation and satisfaction survey; and statistics. Results: the documentary analysis showed the absence in the plans for overcoming activities that address occupational health as content, aimed at specialists in Comprehensive General Medicine. The average score of the performance test before applying the strategy was 59.62 points and after its execution 74.54 points, which allowed the experts to measure the theoretical validity of the proposal and its relevance. Conclusions: the professional improvement strategy for comprehensive medical care for health worker's allowed solving problems of GPs practice, by producing changes in the comprehensive health actions and reducing the contradictions between the current and desired state of performance.


Assuntos
Estratégias de Saúde , Educação Continuada , Educação de Pós-Graduação , Capacitação em Serviço
3.
Pan Afr Med J ; 39: 41, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34422164

RESUMO

Introduction: regular in-service training of healthcare workers within the immunization program is critical to address the program needs created by the introduction of new vaccines and technologies, as well as the expanding scope of immunisation programmes beyond infant immunization and towards a life-course approach. National immunization programs conduct in-service training of health workers depending on program needs and particularly when new program elements are introduced. Methods: we conducted a survey of national and provincial level immunization program staff in 9 countries in the World Health Organization (WHO) African Region to determine the perceived needs and preferred training methods for capacity building in immunisation. Results: nearly all of the respondents (98.3%) stated that there are skill gaps at their respective levels in the immunization program which require training, with 88% indicating that mid-level program management (MLM) training was needed to train new program staff, while 78% indicated program performance gaps and 60% of the respondents stated that refresher training is needed. Program areas identified as top priorities for training included immunisation monitoring and data quality, sustainable immunization financing, adverse events monitoring and community mobilization. More than three quarters of the respondents (78%) think that online MLM training is adequate to address program gaps. Only four of the 9 immunization program managers indicated that they regularly monitor the number of MLM trained staff within their national program. Conclusion: there is a strong need for in-service training of immunization program officers in the countries surveyed, especially at the subnational levels. Program managers should conduct regular monitoring of the training status of staff, as well as conduct detailed training needs assessments in order to tailor the training approaches and topics. Online training provides an acceptable approach for capacity building of immunization program staff.


Assuntos
Pessoal de Saúde/educação , Programas de Imunização/organização & administração , Capacitação em Serviço/métodos , África , Fortalecimento Institucional , Competência Clínica , Pessoal de Saúde/normas , Humanos , Imunização/métodos , Imunização/normas , Inquéritos e Questionários , Vacinas/administração & dosagem
4.
J Nurs Adm ; 51(9): 439-447, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34432736

RESUMO

OBJECTIVE: The purpose of this study was to develop and test a tool to monitor a nursing orientee's progress to competence. BACKGROUND: The literature suggests that, during orientation, consistent documentation and communication among educators, preceptors, and nurse leaders facilitate a timely progression to independent practice for new nurses. METHODS: A 2-phase methodological study was conducted. Nurse educators clarified goals, identified essential competencies, and developed the Baptist Health Lexington Nursing Orientation Progression Tool (OPT). The tool was used to monitor orientees' progression through orientation. RESULTS: Content validity assessment of the OPT (content validity index = 0.98) demonstrated strong validity. Testing of the tool revealed 31 nurses completed orientation early, 12 completed orientation on time, and 18 nurses required extended orientation time. All requiring an extension were new graduates. CONCLUSION: The OPT guided preceptors to facilitate timely completion of orientation among newly hired nurses. Findings suggest that new graduates may need more assistance than experienced nurses.


Assuntos
Competência Clínica , Capacitação em Serviço , Liderança , Recursos Humanos de Enfermagem , Bacharelado em Enfermagem , Humanos , Preceptoria
5.
Br J Nurs ; 30(15): 920-927, 2021 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-34379473

RESUMO

BACKGROUND: Nurses are in a prime position to identify sepsis early by screening patients for sepsis, a skill that should be embedded into their daily practice. However, compliance with the sepsis bundle remains low. AIMS: To explore the effects of sepsis training on knowledge, skills and attitude among ward-based nurses. METHODS: Registered nurses from 16 acute surgical and medical wards were invited to anonymously complete a questionnaire. FINDINGS: Response rate was 39% (98/250). Nurses with sepsis training had better knowledge of the National Early Warning Score 2 for sepsis screening, and the systemic inflammatory response syndrome (SIRS) criteria, demonstrated a more positive attitude towards sepsis screening and management, were more confident in screening patients for sepsis and more likely to have screened a patient for sepsis. CONCLUSIONS: Sepsis training improves nurses' attitudes, knowledge and confidence with regards to sepsis screening and management, resulting in adherence to evidence-based care, and should become mandatory for all clinical staff.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Recursos Humanos de Enfermagem no Hospital , Sepse , Humanos , Capacitação em Serviço , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Sepse/enfermagem , Inquéritos e Questionários
6.
J Contin Educ Nurs ; 52(8): 392-396, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34324380

RESUMO

BACKGROUND: The COVID-19 pandemic requires an accessible, practice-ready nursing workforce to assist with the increase in health service delivery. Graduate nurse transition programs are the entry point for most graduates into professional practice, and this review focused on both empirical studies and gray literature to identify at what point practice readiness occurs and what can assist graduate nurses' transition to become practice ready. METHOD: A scoping review was conducted using the Joanna Briggs Institute scoping review framework. RESULTS: Consensus purports supportive environments, ideally in formal structured graduate transition to practice programs, to enhance graduate nurses' clinical skills and confidence development. With nursing confidence and competence gained through professional practice experience, it is apparent that for a sustainable nursing workforce, greater access for graduating nurses to transition programs is imperative. CONCLUSION: Recommendations include restructuring transition programs with possible time reductions, limited rotations, comprehensive orientations inclusive of preceptorship, and dedicated educators to increase and enhance supportive graduate nurse transitions. [J Contin Educ Nurs. 2021;52(8):392-396.].


Assuntos
Educação de Pós-Graduação em Enfermagem , Capacitação em Serviço , COVID-19/epidemiologia , Competência Clínica , Educação de Pós-Graduação em Enfermagem/organização & administração , Humanos , Capacitação em Serviço/organização & administração , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pandemias
7.
BMC Geriatr ; 21(1): 404, 2021 06 30.
Artigo em Inglês | MEDLINE | ID: mdl-34193054

RESUMO

BACKGROUND: Stepping into the role of an unpaid caregiver to offer help is often considered a natural expectation of family members or friends. In Canada, such contributions are substantial in terms of healthcare provision but this comes at a considerable cost to the caregivers in both health and economic terms. METHODS: In this study, we conducted a secondary analysis of a collection of qualitative interviews with 39 caregivers of people with chronic physical illness to assess how they described their particular roles in caring for a loved one. We used a model of caregiving roles, originally proposed by Twigg in 1989, as a guide for our analysis, which specified three predominant roles for caregivers - as a resource, as a co-worker, and as a co-client. RESULTS: The caregivers in this collection spoke about their roles in ways that aligned well with these roles, but they also described tasks and activities that fit best with a fourth role of 'care-coordinator', which required that they assume an oversight role in coordinating care across institutions, care providers and often advocate for care in line with their expectations. For each of these types of roles, we have highlighted the limitations and challenges they described in their interviews. CONCLUSIONS: We argue that a deeper understanding of the different roles that caregivers assume, as well as their challenges, can contribute to the design and implementation of policies and services that would support their contributions and choices as integral members of the care team. We provide some examples of system-level policies and programs from different jurisdictions developed in recognition of the need to sustain caregivers in their role and respond to such limitations.


Assuntos
Cuidadores , Atenção à Saúde , Canadá , Humanos , Capacitação em Serviço , Percepção
8.
Nurse Pract ; 46(7): 46-55, 2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-34138814

RESUMO

ABSTRACT: Trauma teams without structured team training demonstrate impaired team dynamics, which can cause delays in patient care, leading to poor patient outcomes. Improving team dynamics leads to better communication, reduced errors, and enhanced patient care. Evidence-based trauma team training was implemented and delivered within a resource-restricted ED.


Assuntos
Prática Clínica Baseada em Evidências/educação , Capacitação em Serviço/organização & administração , Corpo Clínico Hospitalar/educação , Equipe de Assistência ao Paciente/organização & administração , Ferimentos e Lesões/terapia , Adulto , Feminino , Guiana , Humanos , Masculino , Corpo Clínico Hospitalar/estatística & dados numéricos , Pessoa de Meia-Idade , Desenvolvimento de Programas
10.
J Prof Nurs ; 37(4): 696-701, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34187666

RESUMO

BACKGROUND: The largest statewide hospital system collaborated with local nursing schools to provide a patient care internship program for nursing students. The goal was to create a pipeline of future nurses by equipping students for work in the clinical setting and promoting nurse retention. PURPOSE: The purpose of this project was to determine the correlation between the student nurse internship program on the interns' NLCEX-RN pass rates, retention rates for the local hospitals, cost-savings, students' confidence, and program satisfaction. METHOD: Nursing students (n = 25) were recruited from local nursing schools for unlicensed assistant personnel positions at the system hospitals. The program included a six-week intensive to educate nursing students as non-licensed staff members of hospital units, which continues as a mentored experience during the senior year of their baccalaureate program. Qualitative and quantitative data were collected and analyzed. RESULTS: The program had a pass rate of 96% for NCLEX-RN on first attempt. Additionally, 82% of participants were retained at the hospitals. Hospitals saved $216,993. Students reported increased role satisfaction with the program. CONCLUSIONS: Program results suggest benefits of supportive NCLEX-RN pass rates, nurse retention, and cost benefit. Findings can be used to support future program expansion and improve the experience of nursing students as they transition into professional practice.


Assuntos
Bacharelado em Enfermagem , Internato e Residência , Estudantes de Enfermagem , Humanos , Capacitação em Serviço , Escolas de Enfermagem
11.
West J Emerg Med ; 22(3): 510-517, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34125020

RESUMO

INTRODUCTION: During a hospital-based active shooter (AS) event, clinicians may be forced to choose between saving themselves or their patients. The Hartford Consensus survey of clinicians and the public demonstrated mixed feelings on the role of doctors and nurses in these situations. Our objective was to evaluate the effect of simulation on ethical dilemmas during a hospital-based AS simulation. The objective was to determine whether a hospital-based AS event simulation and debrief would impact the ethical beliefs of emergency physicians relating to personal duty and risk. METHODS: Forty-eight emergency physicians and physicians-in-training participated in this cohort study based in an urban academic hospital. Simulation scenarios presented ethical dilemmas for participants (eg, they decided between running a code or hiding from a shooter). Surveys based upon the Hartford Consensus were completed before and after the simulation. Questions focused on preparedness and ethical duties of physicians to their patients during an AS incident. We evaluated differences using a chi-squared test. RESULTS: Preparedness for an AS event significantly improved after the simulation (P = 0.0001). Pre-simulation, 56% of participants felt that doctors/nurses have a special duty like police to protect patients who cannot hide/run, and 20% reported that a provider should accept a very high/high level of personal risk to protect patients who cannot hide/run. This was similar to the findings of the Hartford Consensus. Interestingly, post-simulation, percentages decreased to 25% (P = 0.008) and 5% (P = 0.041), respectively. CONCLUSION: Simulation training influenced ethical beliefs relating to the duty of emergency physicians during a hospital-based AS incident. In addition to traditional learning objectives, ethics should be another important design consideration for planning future simulations in this domain.


Assuntos
Atitude do Pessoal de Saúde , Serviço Hospitalar de Emergência/organização & administração , Violência com Arma de Fogo/prevenção & controle , Treinamento por Simulação/métodos , Estudos de Coortes , Feminino , Armas de Fogo , Violência com Arma de Fogo/psicologia , Humanos , Capacitação em Serviço/métodos , Masculino , Médicos/ética , Treinamento por Simulação/normas , Inquéritos e Questionários
12.
Med Ref Serv Q ; 40(2): 188-204, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33970820

RESUMO

The UCLA Science Libraries improved upon our single service points by creating a team-based, tiered research assistance model to foster student employee skill development. This model was further developed to expand training for public services staff, enabling librarians and student research assistants to move beyond desk-based services. This multi-phased approach involved restructured training and the development of collaborative, tiered services. Librarians utilized train-the-trainer sessions, detailed documentation toolkits, and a robust outreach plan to ensure success. After initial implementation of this new model, librarians observed above average use of the service and excellent user feedback. Its versatility has also played a direct role in the successful transition from physical to virtual services in light of the COVID-19 pandemic.


Assuntos
COVID-19/epidemiologia , Bibliotecas Médicas/organização & administração , Biblioteconomia/educação , Modelos Organizacionais , Humanos , Capacitação em Serviço , Los Angeles/epidemiologia , Estudos de Casos Organizacionais , Admissão e Escalonamento de Pessoal , Desenvolvimento de Programas , Melhoria de Qualidade , SARS-CoV-2
13.
J Nurses Prof Dev ; 37(3): 147-150, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33961359

RESUMO

Nurse educators play an important role in implementing changes within hospital orientation, supporting a learner-focused orientation. Utilizing different learning styles and delivery methods, an orientation can promote an environment where registered nurses are active participants and guide the learning. This article discusses the process of incorporating multiple learning styles and modalities into an experienced registered nurse orientation program, creating a learner-centered environment promoting engagement, increased satisfaction, and retention of experienced staff.


Assuntos
Capacitação em Serviço , Modelos Educacionais , Enfermeiras e Enfermeiros , Aprendizagem Baseada em Problemas , Desenvolvimento de Programas , Docentes de Enfermagem , Humanos , Meio-Oeste dos Estados Unidos
15.
Adv Emerg Nurs J ; 43(1): 53-70, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33952878

RESUMO

Virtually, no published research is available on the relationship between employing newly graduated nurses (NGNs) in the emergency department (ED) and the advancing of nursing practice and the optimization of patient care outcomes. Traditionally, nurses hired into these practice areas have required advanced skills in clinical assessment and experience with a variety of situations that were assumed to offer them a framework by which they could recognize and respond to potentially life-threatening changes in a patient's status. This qualitative study explored the issues of integrating NGNs into the ED. Findings clearly established the challenges to integrating NGNs into this practice context. The intersection of variables included a low level of clinical predictability accompanied by high acuity; an increased level of practitioner autonomy combined with high levels of risk when applying decision making to patient outcomes; and the potential for devolution of professional identity in the face of highly intense, morally conflicted, and socially nuanced care situations.


Assuntos
Enfermagem em Emergência , Serviço Hospitalar de Emergência , Seleção de Pessoal , Adulto , Mobilidade Ocupacional , Competência Clínica , Feminino , Humanos , Capacitação em Serviço , Masculino , Tutoria
16.
Nursing ; 51(2): 1-4, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33953107

RESUMO

ABSTRACT: Despite plans and processes designed to create a seamless transition from orientation to practice for new RNs, nurses may still struggle with this process. With a focus on preceptorship, this article discusses the transition process for newly licensed nurses during onboarding and nursing orientation. It identifies challenges and communication strategies to enhance the learning experience throughout preceptorship.


Assuntos
Capacitação em Serviço , Enfermeiras e Enfermeiros/psicologia , Preceptoria , Humanos , Aprendizagem
17.
Trends Neurosci Educ ; 23: 100155, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34006362

RESUMO

BACKGROUND: The current COVID-19 pandemic and proliferation of misinformation regarding science highlights the importance of improving general science literacy. The continued preponderance of neuromyths among educators is of concern, especially in lower- and middle-income countries. METHOD: Using an adapted questionnaire, a cross-sectional survey was conducted among teachers in a small island developing state in the Caribbean. RESULTS: Two-thirds of the sample were unable to recognise at least 50% of the myths. Regression analysis demonstrated that higher scores in brain knowledge and exposure to prior teacher-training increased belief in neuromyths. On the other hand, specific in-service training pertaining to educational neuroscience improved scores. CONCLUSION: Neuromyths are prevalent among teachers and appear to inform their teaching practice. Further research needs to be conducted to explore not just the prevalence of these myths but in what ways they may be impacting teaching and learning outcomes in the classroom.


Assuntos
Neurociência Cognitiva , Competência Profissional , Professores Escolares , COVID-19 , Comunicação , Estudos Transversais , Países em Desenvolvimento , Feminino , Humanos , Capacitação em Serviço , Masculino , Mitologia , Neurociências , SARS-CoV-2 , Inquéritos e Questionários , Capacitação de Professores , Trinidad e Tobago
18.
BMJ Open ; 11(4): e045940, 2021 04 09.
Artigo em Inglês | MEDLINE | ID: mdl-33837108

RESUMO

OBJECTIVE: To identify theoretical and technical aspects regarding treatment, prevention of spread and protection of staff to inform the development of a comprehensive training curriculum on COVID-19 management. DESIGN: Cross-sectional study. SETTING: Nine hospitals caring for patients with COVID-19 in Wuhan, China. PARTICIPANTS: 134 Chinese healthcare professionals (74 doctors and 60 nurses) who were deployed to Wuhan, China during the COVID-19 epidemic were included. A two-round Delphi process was initiated between March and May 2020. In the first round, the participants identified knowledge, technical and behavioural (ie, non-technical) skills that are needed to treat patients, prevent spread of the virus and protect healthcare workers. In round 2, the participants rated each item according to its importance to be included in a training curriculum on COVID-19. Consensus for inclusion in the final list was set at 80%. PRIMARY OUTCOME MEASURES: Knowledge, technical and behavioural (ie, non-technical) skills that could form the basis of a training curriculum for COVID-19 management. RESULTS: In the first round 1398 items were suggested by the doctors and reduced to 67 items after content analysis (treatment of patients: n=47; infection prevention and control: n=20). The nurses suggested 1193 items that were reduced to 70 items (treatment of patients: n=49; infection prevention and control: n=21). In round 2, the response rates were 82% in doctors and 93% in nurses. Fifty-eight items of knowledge, technical and behavioural skills were agreed on by the doctors to include in the final list. For the nurses, 58 items were agreed on. CONCLUSIONS: This needs assessment process resulted in a comprehensive list of knowledge, technical and behavioural skills for COVID-19 management. Educators can use these to guide decisions regarding content of training curricula not only for COVID-19 management but also in preparation for future viral pandemic outbreaks.


Assuntos
COVID-19/prevenção & controle , COVID-19/terapia , Currículo , Pandemias , China/epidemiologia , Estudos Transversais , Técnica Delfos , Educação Médica , Educação em Enfermagem , Feminino , Humanos , Capacitação em Serviço , Masculino , Enfermeiras e Enfermeiros , Pandemias/prevenção & controle , Médicos
19.
J Nurses Prof Dev ; 37(4): 216-219, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33899784

RESUMO

Traditional in-person delivery of nursing orientation programs at a large academic hospital could not occur because of the COVID-19 pandemic, with the need to limit group sizes and adhere to physical distancing guidelines. A nurse educator team pivoted the orientation program to a virtual model combined with the review of select clinical skills and buddy shifts. This model effectively met the nurses' needs required to practice safely on an inpatient environment.


Assuntos
COVID-19 , Competência Clínica/normas , Educação à Distância , Capacitação em Serviço/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Distanciamento Físico , Docentes de Enfermagem , Humanos , Inovação Organizacional , Inquéritos e Questionários
20.
J Am Vet Med Assoc ; 258(7): 776-785, 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33754811

RESUMO

OBJECTIVE: To characterize how class rank and other criteria are used to evaluate applicants for veterinary internship and residency positions. SAMPLE: Program directors for 572 internship and residency programs. PROCEDURES: A survey was sent to program directors asking them to score the importance of 7 items (cover letter, letters of reference, curriculum vitae, veterinary class rank, grade point average, grades for classes specifically related to the internship or residency specialty area, and interview) they could use in evaluating applicants for an internship or residency and to rank those 7 items, along with an open item asking participants to list other criteria they used, from most to least important. RESULTS: Responses were obtained for 195 internship and 222 residency programs. For both internship programs and residency programs, mean importance scores assigned to the 7 items resulted in the same ordering from most to least important, with letters of reference, interview, curriculum vitae, and cover letter most important. Rankings of the importance of the 7 items, along with an "other" item, were similar for internship and residency programs; the most important item was a candidate's letters of reference, followed by the interview, cover letter, and curriculum vitae. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggested that although most veterinary internship and residency programs consider class rank and overall grade point average when evaluating applicants, these 2 items were not the most important. For both internship and residency programs, the most important items were an applicant's letters of reference, followed by the interview, cover letter, and curriculum vitae. (J Am Vet Med Assoc 2021;258:776-785).


Assuntos
Internato e Residência , Animais , Capacitação em Serviço , Inquéritos e Questionários
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