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1.
Elife ; 92020 11 04.
Artigo em Inglês | MEDLINE | ID: mdl-33143847

RESUMO

Scientific conferences have an important role in the exchange of ideas and knowledge within the scientific community. Conferences also provide early-career researchers with opportunities to make themselves known within their field of research. Although the COVID-19 pandemic has brought traditional in-person conferences to a halt for the foreseeable future, the growth of virtual conferences has highlighted many of the disadvantages associated with the in-person format and demonstrated the advantages of moving these events online. Here, based on data from in-person and virtual conferences in a range of subjects, we describe how virtual conferences are more inclusive, more affordable, less time-consuming and more accessible worldwide, especially for early-career researchers. Making conferences more open and inclusive will provide both immediate and long-term benefits to the scientific community.


Assuntos
Acesso à Informação , Congressos como Assunto , Infecções por Coronavirus , Disseminação de Informação , Relações Interprofissionais , Pandemias , Pneumonia Viral , Isolamento Social , Realidade Virtual , Congressos como Assunto/economia , Comportamento Cooperativo , Difusão de Inovações , Humanos , Cooperação Internacional
2.
Artigo em Inglês | MEDLINE | ID: mdl-33081367

RESUMO

BACKGROUND: The COVID-19 pandemic has swept the world like a gigantic tsunami, turning social and economic activities upside down. METHODS: This paper presents some of the innovative response strategies implemented by the public health system, healthcare facilities, and government in South Korea, which has been hailed as the model country for its success in containing COVID-19. Korea reinvented its public health infrastructure with a sense of urgency. RESULTS: Korea's success rests on its readiness, with the capacity for massive testing and obtaining prompt test results, effective contact tracing based on its world-leading mobile technologies, timely provision of personal protective equipment (PPE) to first responders, effective treatment of infected patients, and invoking citizens' community and civic conscience for the shared goal of defeating the pandemic. The lessons learned from Korea's response in countering the onslaught of COVID-19 provide unique implications for public healthcare administrators and operations management practitioners. CONCLUSION: Since many epidemic experts warn of a second wave of COVID-19, the lessons learned from the first wave will be a valuable resource for responding to the resurgence of the virus.


Assuntos
Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Infecções por Coronavirus/epidemiologia , Difusão de Inovações , Governo , Administração de Instituições de Saúde , Humanos , Pneumonia Viral/epidemiologia , Administração em Saúde Pública , República da Coreia/epidemiologia
4.
J Am Dent Assoc ; 151(11): 808-809, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33121597
5.
J Am Dent Assoc ; 151(11): 809-810, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33121598
6.
J Nurs Educ ; 59(9): 522-525, 2020 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-32865587

RESUMO

BACKGROUND: Amidst the COVID-19 pandemic, university instruction was transitioned online, including an undergraduate nursing clinical course. Charged with developing and executing virtual simulations, an online clinical course was conceived. METHOD: Simulated clinical experiences were crafted using a combination of student preassignments and video-conferencing facilitated by faculty. Each experience included the collective review of a case study and student-developed care plans before viewing and debriefing a series of videos. Students summarized their experience in a weekly written reflection. RESULTS: Student feedback was examined through their reflections and verbal responses. The videos served as catalysts for robust discussion. Feedback was overwhelmingly positive related to an interactive experience, a heightened sense of teamwork, and enhanced comprehension by sharing differing perspectives of common experiences. CONCLUSION: This educational innovation was successful in creating an engaging environment that facilitated student learning and a sense of togetherness during a global pandemic. The use of technology enabled the continuity of a productive teaching-learning experience. [J Nurs Educ. 2020;59(9):522-525.].


Assuntos
Currículo , Educação a Distância/organização & administração , Bacharelado em Enfermagem/organização & administração , Treinamento por Simulação/organização & administração , Infecções por Coronavirus/epidemiologia , Difusão de Inovações , Humanos , Aprendizagem , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Pandemias , Pneumonia Viral/epidemiologia , Estudantes de Enfermagem/psicologia
7.
Sante Publique ; 32(2): 221-228, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32985838

RESUMO

Digital technologies play a central role in strategies to improve access, quality and efficiency of health care and services. However, many digital health projects have failed to become sustainable and spread across health organizations and systems. This situation is partly due to the fact that these projects are often developed and evaluated by reducing the issues linked mainly to the technological dimension. Such tradition has paid little attention to the fact that technology is introduced into pluralistic and complex sociotechnical systems such as health organizations and systems. The aim of this article is to propose practical and theorical, non-prescriptive, elements of reflection that can serve as a basis for evaluating complex and innovative digital health projects. This reflection builds on the lessons learned from the application of a strategic framework for evaluating three major complex and innovative digital health projects in Quebec over the last 15 years.


Assuntos
Tecnologia Biomédica , Assistência à Saúde/organização & administração , Difusão de Inovações , Pesquisa sobre Serviços de Saúde , Humanos , Quebeque
8.
Nursing ; 50(10): 58-63, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32976304

RESUMO

Work-related stress is common within the nursing profession, especially in the ED. Studies have shown that interventions to improve hospital working environments positively impact retention and help prevent burnout. This nursing practice innovation project describes the development, implementation, and evaluation of a restorative space (the "Serenity Room") in a busy regional ED. The evaluation of this project focused on the effectiveness of the room at reducing stress and the value ED staff place on having access to a restorative space. Data were gathered through pre- and postimplementation surveys.


Assuntos
Serviço Hospitalar de Emergência , Arquitetura Hospitalar , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/prevenção & controle , Resiliência Psicológica , Difusão de Inovações , Humanos , Pesquisa em Avaliação de Enfermagem , Inquéritos e Questionários
9.
Nurs Sci Q ; 33(4): 299-302, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32940164

RESUMO

At times of perceived rapid and significant change, such as the world has experienced with the current COVID-19 pandemic, the unrepeatable ebb and flow of the paradoxical rhythms inherent in humanuniverse patterning seem to come to the forefront of awareness. What was previously known and familiar seemingly disintegrated in the emergence of the unfamiliar experience of a global quarantine. While difficulties abounded across the discipline of nursing, these challenges created new opportunities for visioning anew in thinking beyond the restrictions of the COVID-19 pandemic. A challenge is presented to nurse administrators and faculty charged with preparing the next generation of nurses to meet the challenges of an unknowable future by thinking beyond the traditional boundaries of classroom and clinic to co-create new ways of living the teaching-learning mission of nurse education programs.


Assuntos
Infecções por Coronavirus/epidemiologia , Difusão de Inovações , Bacharelado em Enfermagem , Docentes de Enfermagem , Saúde Global , Pandemias , Pneumonia Viral/epidemiologia , Ensino , Betacoronavirus/isolamento & purificação , Humanos , Aprendizagem , Estudantes de Enfermagem
11.
Ann Glob Health ; 86(1): 104, 2020 08 19.
Artigo em Inglês | MEDLINE | ID: mdl-32874935

RESUMO

Despite predictions that the number of deaths in Africa due to COVID-19 will reach 10 million, overall, the continent has reported relatively few cases compared to the rest of the world. Many African countries have been successful in containing initial outbreaks by rapidly using evidence-based interventions through implementation strategies adapted from other countries' COVID-19 response as well as from prior epidemics. However, it is unclear whether these interventions will lead to long-term and complete success in stopping COVID-19 spread. Implementation research is a tool that can be used by countries to learn how to identify and understand contextual factors impacting COVID-19 prevention and control and select evidence-based interventions and strategies known to reduce spread of the virus. We identify seven key contextual factors that are facilitators or barriers to implementation of these interventions, and several strategies that can be leveraged if the factor is present or ones to strengthen if weak to improve implementation. These factors are: a culture of accountability, national coordination, financial stability of the population, culture of innovation, culture and capacity for research, health systems strength, and cross-border economies. Implementation science methods can serve to develop knowledge at a country and regional level on how to identify, utilize, and address these and other contextual factors, and inform relevant evidence-based interventions and implementation strategies. This approach can support African countries' ability to address key challenges as they arise, both in fighting COVID-19 and future health systems challenges.


Assuntos
Controle de Doenças Transmissíveis , Infecções por Coronavirus , Prática Clínica Baseada em Evidências , Pandemias , Pneumonia Viral , Pesquisa/organização & administração , Organizações de Assistência Responsáveis , África/epidemiologia , Betacoronavirus/isolamento & purificação , Controle de Doenças Transmissíveis/métodos , Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Difusão de Inovações , Transmissão de Doença Infecciosa/prevenção & controle , Prática Clínica Baseada em Evidências/métodos , Prática Clínica Baseada em Evidências/normas , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Fatores Socioeconômicos
13.
PLoS One ; 15(9): e0238414, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32881933

RESUMO

In the face of the rapid evolution of the COVID-19 pandemic, healthcare professionals on the frontline are in urgent need of frequent updates in the accomplishment of their practice. Hence, clinicians started to search for prompt, valid information on sources that are parallel to academic journals. Aim of this work is to investigate the extent of this phenomenon. We administered an anonymous online cross-sectional survey to 645 Italian clinicians. Target of the survey were all medical figures potentially involved in the management of COVID-19 cases. 369 questionnaires were returned. 19.5% (n = 72) of respondents were younger than 30 years-old; 49,3% (n = 182) worked in Infectious Diseases, Internal Medicine or Respiratory Medicine departments, 11.5% (n = 42) in Intensive Care Unit and 7.4% (n = 27) were general practitioner. 70% (n = 261) of respondents reported that their use of social media to seek medical information increased during the pandemic. 39.3% (n = 145) consistently consulted Facebook groups and 53.1% (n = 196) Whatsapp chats. 47% (n = 174) of respondents reported that information shared on social media had a consistent impact on their daily practice. In the present study, we found no difference in social media usage between age groups or medical specialties. Given the urgent need for scientific update during the present pandemic, these findings may help understanding how clinicians access new evidences and implement them in their daily practice.


Assuntos
Infecções por Coronavirus/epidemiologia , Troca de Informação em Saúde/estatística & dados numéricos , Pessoal de Saúde/estatística & dados numéricos , Disseminação de Informação , Pneumonia Viral/epidemiologia , Mídias Sociais/estatística & dados numéricos , Adulto , Fatores Etários , Idoso , Infecções por Coronavirus/psicologia , Difusão de Inovações , Feminino , Pessoal de Saúde/psicologia , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/psicologia
14.
J Interprof Care ; 34(5): 716-718, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32935613

RESUMO

The response to a pandemic crisis requires strong preparedness and an action plan that is well defined yet flexible enough to address the uncertainties that accompany an infectious disease outbreak. Interprofessional collaboration is an integral component when implementing a robust and comprehensive response to such a crisis. As the needs of our academic medical center evolved during the COVID-19 pandemic, the COVID-19 Mobilizer Team used an interprofessional approach to respond to the diverse and complex needs of the organization. Team members included employees deployed from diverse departments such as Physical and Occupational Therapy, Nursing Education, Hospital Operations, and Advance Practice Providers. The team's function transitioned from ensuring compliance with infection control policy and procedure and use of personal protective equipment to ensuring a two way channel of communication between front line staff and the Hospital Incident Command System (HICS) concerning testing and isolation procedures, supplies, visitor restrictions, and staff wellness issues. The Mobilizer Team members became integral contributors to the HICS and provided members of our staff outside of the COVID-19 care units an opportunity to partner with colleagues from professions they may have never worked with and the chance to contribute to the COVID-19 pandemic response.


Assuntos
Comportamento Cooperativo , Infecções por Coronavirus , Relações Interprofissionais , Pandemias , Equipe de Assistência ao Paciente , Pneumonia Viral , Centros Médicos Acadêmicos , Betacoronavirus , Difusão de Inovações , Eficiência Organizacional , Humanos , Liderança , Equipamento de Proteção Individual
16.
Rev. psicol. trab. organ. (1999) ; 36(2): 125-134, ago. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-194182

RESUMO

Apoyándose en el modelo de componentes de creatividad, este estudio analiza de qué manera el intercambio de conocimientos entre los empleados produce comportamientos laborales innovadores en el trabajo. También se analiza el efecto moderador del factor situacional (intercambio de conocimientos de los supervisores) y del factor personal (progreso de los empleados) con el fin de explorar las condiciones contextuales singulares que pueden afectar a esta relación. Se dispuso de una muestra de 374 empleados de distintos puestos y sectores para poner a prueba estas relaciones. Se planteó la hipótesis de que el intercambio de conocimientos de los supervisores se desdibujaría mientras que el progreso de los empleados en el trabajo fortalecería la relación positiva entre el intercambio de conocimientos de los trabajadores y los comportamientos innovadores. Confirmaron estas supuestas relaciones los resultados de la regresión múltiple, gráficos y análisis de pendientes. Se abordan las implicaciones teóricas que puede conllevar para el comportamiento innovador en el trabajo


Drawing on a componential model of creativity, this study examines how coworker knowledge sharing drives employee innovative work behaviors in the workplace. Furthermore, the moderating effect of situational factor (supervisor knowledge sharing) and personal factor (employee thriving) were analyzed to explore the unique contextual conditions which could influence this relationship. A sample of 374 employees across a variety of jobs and industries was used to test these relationships. Supervisor knowledge sharing was hypothesized to dampen, while employee thriving at workplace was hypothesized to strengthen the positive relationship between coworker knowledge sharing and employee innovative work behaviors. Results of the hierarchal multiple regression, plots, and slope analysis confirmed the hypothesized relationships. The theoretical and practical implications for employee innovative work behavior at work are discussed


Assuntos
Humanos , Masculino , Feminino , Adulto , Comportamento Cooperativo , Engajamento no Trabalho , Difusão de Inovações , Gestão do Conhecimento , Satisfação no Emprego , Desenvolvimento de Pessoal/métodos , Pesquisa Comportamental/métodos
17.
J Nurs Adm ; 50(9): 481-488, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32804705

RESUMO

A pediatric teaching hospital developed a comprehensive leadership training program for midlevel nurse leaders with varying levels of management knowledge and experience. Content was based on American Organization for Nursing Leadership nurse manager competencies and data from a comprehensive needs assessment. Learners identified differentiating between leadership and management, influencing behavior, managing change, and communication as areas of increased confidence. This program is applicable to any hospital with multiple midlevel nurse leaders new to the role.


Assuntos
Liderança , Determinação de Necessidades de Cuidados de Saúde/organização & administração , Enfermeiras Administradoras/educação , Desenvolvimento de Pessoal , Comunicação , Difusão de Inovações , Hospitais Pediátricos , Humanos , Modelos Organizacionais , Enfermeiras Administradoras/organização & administração
18.
Hu Li Za Zhi ; 67(4): 33-38, 2020 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-32748377

RESUMO

Oropharyngeal dysphagia, a swallowing disorder, is a common problem faced by older adults living in residential care. A direct management strategy for this disorder is to modify the texture of foods prior to serving using techniques such as chopping, mashing, liquid thickening, and reshaping. However, the process of texture modification causes foods to lose a significant amount of their nutritional value and reduces the motivation and fun of eating for diners. Eating is part of the enjoyment of life, and managing the nutrition status of older adults living in residential care is an important issue in aged societies. In this article, issues related to modified-texture foods, including their generally lower nutritional value, are discussed. In addition, combinations of cooking techniques that may increase tenderness in meat are explored to promote the future development of the soft-food meals for older adults living in residential care. One of the described techniques uses fresh fruits to pickle meat and vacuum low-temperature cooking technology that preserves the shape of meat after cooking and makes meat sufficiently soft to be broken up by the tongue. Vacuum low-temperature cooking allows for the precise control of cooking time and temperature, and professional cooking techniques may be used to improve the quality of the texture-softened foods. It is the hope of the authors that this article is used a reference for the future development of texture-softened foods for older adults living in residential care.


Assuntos
Culinária/métodos , Transtornos de Deglutição/dietoterapia , Alimentos , Instituições Residenciais , Idoso , Difusão de Inovações , Humanos , Carne , Vácuo
19.
Cochrane Database Syst Rev ; 8: CD004398, 2020 07 31.
Artigo em Inglês | MEDLINE | ID: mdl-32748975

RESUMO

BACKGROUND: Printed educational materials are widely used dissemination strategies to improve the quality of healthcare professionals' practice and patient health outcomes. Traditionally they are presented in paper formats such as monographs, publication in peer-reviewed journals and clinical guidelines. This is the fourth update of the review. OBJECTIVES: To assess the effect of printed educational materials (PEMs) on the practice of healthcare professionals and patient health outcomes. To explore the influence of some of the characteristics of the printed educational materials (e.g. source, content, format) on their effect on healthcare professionals' practice and patient health outcomes. SEARCH METHODS: We searched MEDLINE, Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), HealthStar, CINAHL, ERIC, CAB Abstracts, Global Health, and EPOC Register from their inception to 6 February 2019. We checked the reference lists of all included studies and relevant systematic reviews. SELECTION CRITERIA: We included randomised trials (RTs), controlled before-after studies (CBAs) and interrupted time series studies (ITSs) that evaluated the impact of PEMs on healthcare professionals' practice or patient health outcomes. We included three types of comparisons: (1) PEM versus no intervention, (2) PEM versus single intervention, (3) multifaceted intervention where PEM is included versus multifaceted intervention without PEM. Any objective measure of professional practice (e.g. prescriptions for a particular drug), or patient health outcomes (e.g. blood pressure) were included. DATA COLLECTION AND ANALYSIS: Two reviewers undertook data extraction independently. Disagreements were resolved by discussion. For analyses, we grouped the included studies according to study design, type of outcome and type of comparison. For controlled trials, we reported the median effect size for each outcome within each study, the median effect size across outcomes for each study and the median of these effect sizes across studies. Where data were available, we re-analysed the ITS studies by converting all data to a monthly basis and estimating the effect size from the change in the slope of the regression line between before and after implementation of the PEM. We reported median changes in slope for each outcome, for each study, and then across studies. We standardised all changes in slopes by their standard error, allowing comparisons and combination of different outcomes. We categorised each PEM according to potential effects modifiers related to the source of the PEMs, the channel used for their delivery, their content, and their format. We assessed the risks of bias of all the included studies. MAIN RESULTS: We included 84 studies: 32 RTs, two CBAs and 50 ITS studies. Of the 32 RTs, 19 were cluster RTs that used various units of randomisation, such as practices, health centres, towns, or areas. The majority of the included studies (82/84) compared the effectiveness of PEMs to no intervention. Based on the RTs that provided moderate-certainty evidence, we found that PEMs distributed to healthcare professionals probably improve their practice, as measured with dichotomous variables, compared to no intervention (median absolute risk difference (ARD): 0.04; interquartile range (IQR): 0.01 to 0.09; 3,963 healthcare professionals randomised within 3073 units). We could not confirm this finding using the evidence gathered from continuous variables (standardised mean difference (SMD): 0.11; IQR: -0.16 to 0.52; 1631 healthcare professionals randomised within 1373 units ), from the ITS studies (standardised median change in slope = 0.69; 35 studies), or from the CBA study because the certainty of this evidence was very low. We also found, based on RTs that provided moderate-certainty evidence, that PEMs distributed to healthcare professionals probably make little or no difference to patient health as measured using dichotomous variables, compared to no intervention (ARD: 0.02; IQR: -0.005 to 0.09; 935,015 patients randomised within 959 units). The evidence gathered from continuous variables (SMD: 0.05; IQR: -0.12 to 0.09; 6,737 patients randomised within 594 units) or from ITS study results (standardised median change in slope = 1.12; 8 studies) do not strengthen these findings because the certainty of this evidence was very low. Two studies (a randomised trial and a CBA) compared a paper-based version to a computerised version of the same PEM. From the RT that provided evidence of low certainty, we found that PEM in computerised versions may make little or no difference to professionals' practice compared to PEM in printed versions (ARD: -0.02; IQR: -0.03 to 0.00; 139 healthcare professionals randomised individually). This finding was not strengthened by the CBA study that provided very low certainty evidence (SMD: 0.44; 32 healthcare professionals). The data gathered did not allow us to conclude which PEM characteristics influenced their effectiveness. The methodological quality of the included studies was variable. Half of the included RTs were at risk of selection bias. Most of the ITS studies were conducted retrospectively, without prespecifying the expected effect of the intervention, or acknowledging the presence of a secular trend. AUTHORS' CONCLUSIONS: The results of this review suggest that, when used alone and compared to no intervention, PEMs may slightly improve healthcare professionals' practice outcomes and patient health outcomes. The effectiveness of PEMs compared to other interventions, or of PEMs as part of a multifaceted intervention, is uncertain.


Assuntos
Disseminação de Informação/métodos , Manuais como Assunto , Avaliação de Processos e Resultados em Cuidados de Saúde , Prática Profissional , Análise de Variância , Estudos Controlados Antes e Depois , Difusão de Inovações , Análise de Séries Temporais Interrompida , Publicações Periódicas como Assunto , Guias de Prática Clínica como Assunto , Padrões de Prática Médica , Melhoria de Qualidade , Ensaios Clínicos Controlados Aleatórios como Assunto , Fatores de Tempo
20.
Can J Public Health ; 111(5): 645-648, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32860103

RESUMO

Under normal circumstances, healthcare innovation is costly and time-consuming. However, the COVID-19 pandemic has produced the silver lining of inspiring healthcare innovation around the world, with collaboration across multiple disciplines all working toward the same goal of saving lives. Healthcare innovation can develop at unprecedented speed when individuals focus on solving real-world problems, and collaborate with cross-functional teams. Anyone can innovate, from anywhere, at any age, and this open-minded perspective allows innovation to occur at its finest when motivated to find solutions toward a well-defined problem.


Assuntos
Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Difusão de Inovações , Pandemias , Pneumonia Viral/epidemiologia , Humanos
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