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1.
Enferm. clín. (Ed. impr.) ; 30(supl.1): 60-64, feb. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-189616

RESUMO

The study aimed to determine the perceived importance, impact, and challenges of CPD among educators in selected Colleges of Nursing. The study uses descriptive-evaluative, descriptive-comparative and descriptive-correlation research designs. Researcher-made questionnaire was used to capture the responses of 105 purposively selected nurse educators in the Philippines. For about three months, data was collected personally and analyzed using SPSS version 21. The result shows that the importance, impact, and challenges of CPD has a significant effect to the success of the CPD programs. The study reveals that the important CPD attributes and the impact of CPD programs can affect the success of the CPD programs


No disponible


Assuntos
Humanos , Masculino , Feminino , Educação Continuada em Enfermagem/estatística & dados numéricos , Filipinas , Inquéritos e Questionários
2.
Nurse Educ Today ; 84: 104225, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31698290

RESUMO

BACKGROUND: Nurses caring for elderly patients with a high risk of pressure ulcer at long-term care hospitals require the necessary knowledge, behaviors, and attitudes regarding preventing pressure ulcers. OBJECTIVES: To identify the effects of pressure ulcer prevention training on nurses' knowledge, behaviors, and attitudes regarding pressure ulcer prevention. DESIGN: A comparison group pretest-posttest design. SETTINGS: Long-term care hospitals in a metropolitan area of the Republic of Korea. PARTICIPANTS: Participants were conveniently assigned to team-based learning (n = 30) or lecture-based learning (n = 30) groups. METHODS: We examined pre-post differences in the scores for pressure ulcer prevention knowledge, behaviors, and attitudes in each group using the paired t-test. Additionally, pre-post difference scores were compared between the two groups using the independent samples t-test. RESULTS: Both groups exhibited significant increases in scores for pressure ulcer prevention knowledge, behaviors, and attitudes after the intervention as compared before it. However, we found no significant differences in the pre-post difference scores for any of the variables between the two groups. CONCLUSIONS: Pressure ulcer prevention training, regardless of whether it utilizes team-based or lecture-based learning, is useful for enhancing nurses' pressure ulcer prevention knowledge, behaviors, and attitudes. Further study is needed to verify the longitudinal effects of pressure ulcer prevention training on nurses' actual performance and the incidence of pressure ulcers among patients.


Assuntos
Educação Continuada em Enfermagem/normas , Conhecimentos, Atitudes e Prática em Saúde , Assistência de Longa Duração/normas , Enfermeiras e Enfermeiros/estatística & dados numéricos , Lesão por Pressão/prevenção & controle , Adulto , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/estatística & dados numéricos , Feminino , Humanos , Assistência de Longa Duração/métodos , Assistência de Longa Duração/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Casas de Saúde/organização & administração , Casas de Saúde/estatística & dados numéricos , Lesão por Pressão/epidemiologia , República da Coreia/epidemiologia , Inquéritos e Questionários
3.
Pediatr Int ; 61(7): 634-640, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31119808

RESUMO

In July 2007, the Neonatal Cardiopulmonary Resuscitation (NCPR) program in Japan was launched to ensure that all staff involved in perinatal and neonatal medicine can learn and practice NCPR based on the Consensus on Science with Treatment Recommendations developed by the International Liaison Committee on Resuscitation. In 1978 in North America, a working group on pediatric resuscitation was formed by the American Heart Association Emergency Cardiac Care Committee and concluded that the resuscitation of newborns required a different strategy than the resuscitation of adults. The original first edition of the Neonatal Resuscitation Program textbook was published in 1987. The NCPR program consists of three courses for health-care providers and two courses for instructors. A course and B course are for newly certified health-care providers and course S is for health-care providers who are renewing their certification. As of 31 March 2019, 3,227 advanced instructors (I instructor) and 1,877 basic instructors (J instructor) were trained to teach A, B, and S courses to health-care providers on the basis of their license. In total 7,075 A courses and 4,012 B courses were held; 131 651 people attended A course or B course of the NCPR program, and 77 367 were certified. A total of 1,865 S courses, which were developed in 2015, were held and 12 875 people attended this course. Here, we introduce the background, purpose, history, and content of the development of the NCPR program in Japan.


Assuntos
Reanimação Cardiopulmonar/educação , Educação Médica Continuada/métodos , Educação Continuada em Enfermagem/métodos , Auxiliares de Emergência/educação , Tocologia/educação , Neonatologia/educação , Educação Médica Continuada/organização & administração , Educação Médica Continuada/estatística & dados numéricos , Educação Continuada em Enfermagem/organização & administração , Educação Continuada em Enfermagem/estatística & dados numéricos , Humanos , Recém-Nascido , Japão , América do Norte , Assistência Perinatal/métodos , Assistência Perinatal/organização & administração , Guias de Prática Clínica como Assunto , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde
4.
Pain Manag Nurs ; 20(3): 214-221.e3, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31101559

RESUMO

BACKGROUND: Advanced practice registered nurses (APRNs) are essential partners in the management of pain, both in primary care and in pain specialty practices. One of the more controversial treatment practices surrounds the use of opioid analgesic medication for the relief of pain in persons with chronic pain. Although several guidelines have been developed, the extent and impact of APRN knowledge, attitudes, and values about pain management and opioid prescribing practices are not known. In addition, regulatory mandates may encumber APRN scope of pain management practice. AIMS: This manuscript describes the development and pilot testing of the Achieving Effective & Safe Opioid Prescribing-APRN (AESOP-APRN) Survey conceptualized to address these topics. DESIGN: Instrument development. PARTICIPANTS/SUBJECTS: Advanced practice registered nurses. METHODS: Phase I addressed development, content validity determination, and survey refinement. APRN-focused discussion groups, expert review, and analysis of content were conducted. In phase II, pilot testing was conducted to determine reliability. RESULTS: APRNs are aware of regulatory restrictions to practice and potential implications on patient outcomes. The Initial Content Validity Index suggested refinement of survey questions. After content revision, final ratings were acceptable. A sample of APRNs (N = 23) completed the survey. Cronbach's α range (.65-.91) suggests acceptable internal consistency for a new survey. CONCLUSIONS: Even at this initial phase, the newly developed AESOP-APRN Survey accurately represents the underlying thematic concepts of interest; however further psychometric analyses are required, and instrument refinement is possible. Additional study should include analysis of members from a variety of health care disciplines, as was the intention of the development of the Core Competencies for Pain Management from which many items were derived.


Assuntos
Prática Avançada de Enfermagem/educação , Prescrições de Medicamentos/enfermagem , Educação Continuada em Enfermagem/normas , Psicometria/normas , Prática Avançada de Enfermagem/estatística & dados numéricos , Prescrições de Medicamentos/estatística & dados numéricos , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/estatística & dados numéricos , Avaliação Educacional/métodos , Humanos , Epidemia de Opioides/estatística & dados numéricos , Epidemia de Opioides/tendências , Projetos Piloto , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , Inquéritos e Questionários
5.
J Contin Educ Nurs ; 50(1): 26-34, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30645656

RESUMO

BACKGROUND: The diffusion of telehealth into hospital care is still low, partially because of a lack of telehealth competence among nurses. In an earlier study, we reported on the knowledge, skills, and attitudes (KSAs) nurses require for the use of telehealth. The current study describes hospital nurses' confidence in possessing these telehealth KSAs. METHOD: In a cross-sectional study, we invited 3,543 nurses from three hospitals in the Netherlands to rate their self-confidence in 31 telehealth KSAs on a 5-point Likert scale, using an online questionnaire. RESULTS: A total of 1,017 nurses responded to the survey. Nine KSAs were scored with a median value of 4.0, 19 KSAs with a median value of 3.0, and three KSAs with a median value of 2.0. CONCLUSION: Given that hospital nurses have self-confidence in only nine of the 31 essential telehealth KSAs, continuing education in additional KSAs is recommended to support nurses in gaining confidence in using telehealth. [J Contin Educ Nurs. 2019;50(1):26-34.].


Assuntos
Competência Clínica/normas , Educação Continuada em Enfermagem/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Autoimagem , Telemedicina/normas , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Países Baixos , Autorrelato , Inquéritos e Questionários
6.
Nurs Outlook ; 67(3): 270-279, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30611545

RESUMO

BACKGROUND: A survey of nursing administrators in the United States was conducted to solicit opinions about health economics (HE) course competencies for baccalaureate nursing programs. PURPOSE: To provide rationale for intensifying educational efforts to increase nurses' awareness about the value of HE skills in their everyday work. METHODS: Participants were asked to rate six HE competencies using a Likert scale. Paired-samples t tests, bivariate correlations, and standard multiple linear regressions were used to analyze survey results. DISCUSSION: A strong direct relationship exists between the amount of prior knowledge nursing administrators have about HE and the perceived level of usefulness of HE skills. CONCLUSION: Nurses' contributions to creating value in healthcare must be encouraged. Increasing the share and accessibility of the HE content in continuing education offerings could be one way to expand HE knowledge among practicing nurses and promote cost-effective delivery of healthcare in the United States.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica/estatística & dados numéricos , Currículo , Economia da Enfermagem , Bacharelado em Enfermagem/organização & administração , Educação Continuada em Enfermagem/organização & administração , Enfermeiras Administradoras/psicologia , Adulto , Bacharelado em Enfermagem/estatística & dados numéricos , Educação Continuada em Enfermagem/estatística & dados numéricos , Feminino , Humanos , Masculino , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
7.
Nurse Educ Pract ; 34: 43-47, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30445293

RESUMO

The purpose of this study was to investigate the nursing competency and educational needs of nurses on clinical nursing practice in order to provide basic evidences for a developing nursing education program. Participants of this study were 211 nurses working at a general hospital in Seoul, Korea. The data were collected using self-report questionnaires on nursing competencies and educational needs. Collected data were analysed using an SPSS program for frequency, mean, standard deviation, t-test, ANOVA, and Scheffe's post-hoc comparison. The participants' nursing competency was significantly different based on their age, marital condition, level of education, current working department, and clinical experience. Among the subcategories of nursing competency, the ethical nursing competency was found to be the highest, whereas scientific nursing competency was shown the lowest competency. The order of top three educational needs of the participants was emergency nursing, intensive nursing care, and cardiopulmonary resuscitation in that order. To ensure the provision of nursing performances to healthcare service recipients grounded in a higher level of nursing competency, it is important to support nurses via evidence based effective clinical nursing education that is developed for the nurses' educational needs in relation to their clinical experiences.


Assuntos
Competência Clínica/normas , Educação Continuada em Enfermagem/métodos , Determinação de Necessidades de Cuidados de Saúde , Enfermeiras e Enfermeiros/normas , Adulto , Análise de Variância , Competência Clínica/estatística & dados numéricos , Educação Continuada em Enfermagem/normas , Educação Continuada em Enfermagem/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , República da Coreia , Inquéritos e Questionários
8.
J Contin Educ Nurs ; 49(12): 575-580, 2018 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-30496600

RESUMO

BACKGROUND: The purpose of this study is to form a better understanding of job satisfaction and retention of clinical teachers in the dedicated education unit (DEU) and in non-DEU clinical education models. METHOD: This follow-up study uses the tested Nurse Faculty Query survey to investigate job satisfaction and retention of the University of Portland area DEUs and non-DEU clinical teachers. Surveys were administered in person at local clinical sites. RESULTS: Findings indicate overall high job satisfaction among DEU and non-DEU clinical teachers. CONCLUSION: Although not statistically significant, data trends indicated a need for improved communication between didactic faculty and clinical sites, as well as increased recognition and reward for clinical teachers in the DEU and non-DEU clinical sites. [J Contin Educ Nurs. 2018;49(12):575-580.].


Assuntos
Educação Continuada em Enfermagem/estatística & dados numéricos , Docentes de Medicina/psicologia , Docentes de Medicina/estatística & dados numéricos , Satisfação no Emprego , Reorganização de Recursos Humanos/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Oregon
9.
Am J Nurs ; 118(11): 22-31, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30325746

RESUMO

: Purpose: Despite the evidence supporting safe patient handling and mobility (SPHM) practices, anecdotal evidence suggests that such practices are not universally taught in academic nursing programs. The primary goal of this cross-sectional descriptive study was to understand what nursing programs teach students about lifting, turning, transferring, repositioning, and mobilizing patients. METHODS: Faculty from baccalaureate and associate's degree nursing programs in the United States were invited via e-mail to complete a 64-item survey questionnaire, which was accessible through an online link. Participants were also invited to send documents related to SPHM course content to the research team. RESULTS: Faculty from 228 baccalaureate and associate's degree nursing programs completed the questionnaire. Most curricula included outdated manual techniques, taught reliance on body mechanics to reduce the risk of musculoskeletal injuries, and made use of nonergonomic aids such as draw sheets. Elements of SPHM in the curricula were less common, and nearly half of the respondents didn't know whether their affiliated clinical facilities had an SPHM program. CONCLUSIONS: The survey results suggest many possibilities for improvement-such as partnering with faculty in physical and occupational therapy departments, clinical partnering, and working with equipment vendors-to better incorporate evidence-based SPHM principles and practices into nursing curricula.


Assuntos
Currículo , Educação Continuada em Enfermagem/estatística & dados numéricos , Movimentação e Reposicionamento de Pacientes/métodos , Recursos Humanos de Enfermagem no Hospital/educação , Traumatismos Ocupacionais/prevenção & controle , Gestão da Segurança/métodos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos
10.
J Am Assoc Nurse Pract ; 30(11): 603-605, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30211784

RESUMO

BACKGROUND AND PURPOSE: Sudden cardiac death occurs predominantly at home where cardiopulmonary resuscitation (CPR) is often not provided. We tested the hypothesis that a self-teaching kit distributed to patients would effectively increase self-confidence in CPR. METHODS: Patients seen by an advanced registered nurse practitioner in a general cardiology clinic were offered a self-teaching kit to learn CPR. Four-point scale survey questions were assessed at distribution and via phone call at 30 days. CONCLUSIONS: Kits were distributed to 21 patients; of whom, 17 (81%) patients used the kit. Patients reported greater self-confidence of performing CPR (2.6 before versus 3.2 after, p < .05) and greater comfort if someone needed CPR (2.4 before versus 3.1 after, p < .05). IMPLICATIONS FOR PRACTICE: Self-teaching CPR kits were used by the substantial majority of patients and were effective at increasing both self-confidence and willingness to perform CPR. Similar nurse-run programs could increase awareness and impact of CPR in communities.


Assuntos
Competência Clínica/normas , Profissionais de Enfermagem/normas , Ressuscitação/normas , Autoeficácia , Competência Clínica/estatística & dados numéricos , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/estatística & dados numéricos , Humanos , Profissionais de Enfermagem/psicologia , Profissionais de Enfermagem/estatística & dados numéricos , Melhoria de Qualidade/estatística & dados numéricos , Ressuscitação/enfermagem , Inquéritos e Questionários
11.
Hosp Top ; 96(2): 47-53, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29474131

RESUMO

In this semiexperimental study conducted at the university hospitals in an urban area of Iran, the number of reported incidents-as per the information from offices-was evaluated and recorded for the improvement of the quality of hospitals. Subsequently, an educational intervention was conducted for nursing managers. Three months later, the number of reported incidents was again evaluated and recorded. According to the results, the number of reported incidents increased in the hospitals after the educational intervention. The results of this study could be helpful for hospital personnel, especially nurses, to improve the culture of incident self-reporting.


Assuntos
Educação Continuada em Enfermagem/normas , Enfermeiras Administradoras/normas , Gestão de Riscos/estatística & dados numéricos , Adulto , Atitude do Pessoal de Saúde , Educação Continuada em Enfermagem/estatística & dados numéricos , Feminino , Hospitais Universitários/organização & administração , Humanos , Irã (Geográfico) , Pessoa de Meia-Idade , Enfermeiras Administradoras/estatística & dados numéricos , Inquéritos e Questionários
12.
J Nurses Prof Dev ; 33(6): 287-295, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28991064

RESUMO

Nursing professional development practitioners are in a key position to use tools that foster nurses' interpretation of research findings for increased use of evidence in practice. An online course was developed to teach statistics as language. The feasibility and efficacy of this "Language of Data" program were examined in a pilot study with a convenience sample from inpatient settings. Recognition and interpretation of statistical symbols significantly improved after the intervention. Knowledge, confidence, and accuracy also improved. The Language of Data program may be used by nursing professional development practitioners to improve nurses' adoption of evidence-based practice by furthering their ability to translate science.


Assuntos
Educação Continuada em Enfermagem/normas , Enfermagem Baseada em Evidências/métodos , Estatística como Assunto/educação , Adulto , Idoso , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/estatística & dados numéricos , Avaliação Educacional/estatística & dados numéricos , Enfermagem Baseada em Evidências/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Estudos Prospectivos , Inquéritos e Questionários , Recursos Humanos
13.
J Wound Ostomy Continence Nurs ; 44(3): 262-266, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28328643

RESUMO

Many nurses have limited experience with ostomy management. We sought to provide a standardized approach to ostomy education and management to support nurses in early identification of stomal and peristomal complications, pouching problems, and provide standardized solutions for managing ostomy care in general while improving utilization of formulary products. This article describes development and testing of an ostomy algorithm tool.


Assuntos
Algoritmos , Serviços de Assistência Domiciliar/normas , Estomia/enfermagem , Melhoria de Qualidade/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Colostomia/efeitos adversos , Colostomia/enfermagem , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/normas , Educação Continuada em Enfermagem/estatística & dados numéricos , Enfermagem Baseada em Evidências/métodos , Enfermagem Baseada em Evidências/estatística & dados numéricos , Serviços de Assistência Domiciliar/estatística & dados numéricos , Humanos , Ileostomia/efeitos adversos , Ileostomia/enfermagem , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Estomia/estatística & dados numéricos , Pennsylvania , Projetos Piloto , Avaliação de Programas e Projetos de Saúde/métodos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Autoeficácia , Pele/lesões , Higiene da Pele/enfermagem , Higiene da Pele/estatística & dados numéricos , Estomas Cirúrgicos/efeitos adversos , Estomas Cirúrgicos/estatística & dados numéricos , Recursos Humanos
14.
Worldviews Evid Based Nurs ; 14(5): 358-366, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28267902

RESUMO

BACKGROUND: Implementation of evidence-based practice (EBP) at the bedside has been difficult to achieve. Significant gaps between current research and actual practice have been identified and must be addressed in effort to increase utilization of EBP. AIMS: The purpose of this study was to evaluate the efficacy of an online EBP educational intervention and to examine the relationship between educational preparation and years of nursing experience on nurses' practice, attitudes, and knowledge and skills of EBP. METHODS: An experimental pretest-posttest design study with three randomized groups utilizing the EBPQ instrument was conducted. RESULTS: No significant differences were noted in EBPQ subscale scores of practice, attitude, or knowledge and skills from pre- to posttest. In addition, no statistical difference in EBPQ subscale scores regarding educational preparation or years of experience were noted. LINKING EVIDENCE TO PRACTICE: While nurses report positive attitudes toward EBP, their perceptions of practice and knowledge and skills score much lower. Educational interventions are needed for practicing nurses to overcome this knowledge deficit to successfully implement EBP. However, the use of online, independent, computer-based learning modules, while cost-efficient and offer several benefits when educating nurses, may not necessarily be the most effective method for teaching EBP knowledge and skills to practicing nurses.


Assuntos
Educação Continuada em Enfermagem/métodos , Enfermeiras e Enfermeiros/normas , Ensino/normas , Adulto , Atitude do Pessoal de Saúde , Competência Clínica/normas , Competência Clínica/estatística & dados numéricos , Educação Continuada em Enfermagem/estatística & dados numéricos , Enfermagem Baseada em Evidências , Feminino , Humanos , Internet , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Ensino/estatística & dados numéricos
15.
Rev. cuba. enferm ; 33(1): 101-110, ene.-mar. 2017. tab
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1093181

RESUMO

Introducción: la actualización permanente de los profesionales de enfermería es un deber y una necesidad, contribuye al desarrollo de nuevas competencias, a un mejor desempeño y, por tanto, a lograr excelencia en los servicios de salud. Objetivo: identificar la participación de los licenciados en enfermería en la superación postgraduada y su contribución al desempeño de excelencia. Métodos: estudio descriptivo y transversal realizado con 178 licenciados en enfermería (33 % de los 538 que constituyen el universo) que laboraban en cuatro áreas del hospital universitario "Dr. Gustavo Aldereguía Lima". El estudio se realizó en enero y febrero de 2014 y la muestra fue seleccionada por el método estratificado (considerando cada área un estrato) y aleatorio simple para seleccionar los enfermeros. Con el criterio de expertos, a través de una encuesta y con la revisión de documentos, se recogieron las variables del estudio. Los datos fueron procesados con SPSS realizando análisis porcentual y los resultados se muestran en tablas.Resultados: el 79,77 por ciento tenían 6 o más años de graduados, el 74,70 por ciento llevaban ese tiempo en el servicio. El 82,58 por ciento participó en alguna forma de superación; el 52,80 por ciento refirió satisfacción con las ofertas que reciben y el 96,63 por ciento lo considera muy necesario. El 95,50 por ciento asegura que la superación contribuye a la excelencia en los servicios. Conclusiones: la superación postgraduada se ha incrementado de forma progresiva y contribuye al desempeño de excelencia de los profesionales, lo que garantiza una mejor calidad de las intervenciones de enfermería(AU)


Introduction: The constant updating of the nursing professionals is a duty and a need that contributes to the development of the upcoming competence, to a better performance as well as to accomplish the excellence in the health services. Objective: Identifying the participation in the post- graduate preparation in the nursing bachelors and its contribution to a performance of excellence. Methods: A tranversal and descriptive study applied to 178 bachelors that work in 4 areas of the teaching hospital "Dr. Gustavo Aldereguía Lima". The study was made in January and February 2014, and a sample of the 33 percent, of the total group was taken and selected by using the stratum based and simple random study. Using the experts` criteria, a poll applied and the revision of documents it was selected the variables of the study. Data was processed with SPSS and the results were showed by using charts. Results: 79,77 percent of the studied group have 8 or more year of post-graduate professional experience, while the 74,70 percent have been working in the field all that time. 82,58 percent participated in some way of preparation and the 52,80 percent manifested to be satisfied with the offers. For a 96,63 percent of the studied group their preparation is a need. On the other hand, 95,50 percent assures that the preparation contributes to the excellence in the services. Conclusions: The post-graduate preparation has increased progressively and contributes to the performance in the excellence of our professionals and it garanties a top quality in the nursing training(AU)


Assuntos
Humanos , Educação Continuada em Enfermagem/estatística & dados numéricos , Educação Profissionalizante/métodos , Atenção à Saúde , Epidemiologia Descritiva , Estudos Transversais
16.
Rev. cuba. enferm ; 33(1): 40-51, ene.-mar. 2017. tab
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1093175

RESUMO

Introducción: la bioseguridad, componente vital del sistema de garantía de la calidad, está encaminada a lograr actitudes y conductas que disminuyan el riesgo del trabajador de adquirir infecciones en el medio laboral. Objetivo: evaluar la efectividad de una guía de buenas prácticas en el manejo de la bioseguridad hospitalaria. Métodos: estudio experimental de intervención con antes y después, en unidades de mayor riesgo biológico del hospital "Mártires del 9 de abril" de Sagua la Grande, Villa Clara, durante 2015. El universo fue de 56 profesionales de enfermería, a los que se aplicó una encuesta y se les realizó una observación participante. Se recogió además el criterio de especialistas de grupos nominales. La intervención consistió en la implementación de una guía de buenas prácticas en el manejo de la bioseguridad. Resultados: consideraron tener insuficientes conocimientos sobre la bioseguridad, el 57,14 por ciento adquirió los conocimientos por cursos de capacitación, el 94,65 por ciento reflejó la necesidad de la guía. Los aspectos evaluados antes de aplicada la guía no alcanzaron más que el 46,42 por ciento, logrando después más del 80,35 por ciento. La evaluación de la guía resultó ser de 94,65 por ciento. Conclusiones: la guía de buenas prácticas en el manejo de la bioseguridad hospitalaria aplicada resultó efectiva en el mejoramiento del nivel de conocimientos de los profesionales de enfermería que trabajaban en las unidades de mayor riesgo biológico(AU)


Introduction: Biosecurity, vital system component quality assurance, is aimed at achieving attitudes and behaviors that reduce the risk of getting infections worker in the workplace. Objective: To evaluate the effectiveness of a guide of good practices in the management of hospital biosecurity. Methods: An experimental intervention study was conducted before and after in units of biological risk of Martyrs Hospital April 9, Sagua la Grande, Villa Clara, in 2015. The universe was 56 nurses, who a survey was applied and was made to a participant observation. the criterion of specialists Nominal groups were also collected. The intervention consisted of the implementation of a code of good practices in the management of biosafety. Results: They considered to have insufficient knowledge about biosecurity, 57.14 percent acquired knowledge by training courses, the 94.65 percent reflected the need for the guide. The aspects evaluated before applied the guide did not reach more than 46.42 percent, achieved after more than 80.35 percent. The evaluation guide of 94.65 percent was found to be. Conclusions: good practice guide in the management of hospital biosecurity applied was effective in improving the level of knowledge of nurses working in units greater biological risk(AU)


Assuntos
Humanos , Precauções Universais/métodos , Guia de Prática Clínica , Contenção de Riscos Biológicos/métodos , Educação Continuada em Enfermagem/estatística & dados numéricos
17.
Intensive Crit Care Nurs ; 40: 44-50, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28190550

RESUMO

OBJECTIVES: To increase adherence with intensive care unit mobility by developing and implementing a mobility training program that addresses nursing barriers to early mobilisation. DESIGN: An intensive care unit mobility training program was developed, implemented and evaluated with a pre-test, immediate post-test and eight-week post-test. Patient mobility was tracked before and after training. SETTING: A ten bed cardiac intensive care unit. MAIN OUTCOME MEASURES: The training program's efficacy was measured by comparing pre-test, immediate post-test and 8-week post-test scores. Patient mobilisation rates before and after training were compared. Protocol compliance was measured in the post training group. RESULTS: Nursing knowledge increased from pre-test to immediate post-test (p<0.0001) and pre-test to 8-week post-test (p<0.0001). Mean test scores decreased by seven points from immediate post-test (80±12) to 8-week post-test (73±14). Fear significantly decreased from pre-test to immediate post-test (p=0.03), but not from pre-test to 8-week post-test (p=0.06) or immediate post-test to 8-week post-test (p=0.46). Post training patient mobility rates increased although not significantly (p=0.07). Post training protocol compliance was 78%. CONCLUSION: The project successfully increased adherence with intensive care unit mobility and indicates that a training program could improve adoption of early mobility.


Assuntos
Deambulação Precoce/enfermagem , Enfermeiras e Enfermeiros/psicologia , Melhoria de Qualidade , Adolescente , Adulto , Deambulação Precoce/psicologia , Deambulação Precoce/estatística & dados numéricos , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/estatística & dados numéricos , Feminino , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/normas , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/normas , Enfermeiras e Enfermeiros/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde/métodos
18.
Nurs Ethics ; 24(7): 856-867, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26822299

RESUMO

BACKGROUND: Patients' rights are universal values that must be respected; however, it is not easy to put such values and principles into effect as approaches and attitudes differ from individual to individual, from society to society, and from country to country. If we want to reach a general conclusion about the status of patient rights in the world as whole, we should examine the situation in individual countries. OBJECTIVE: To study the effect of training sessions for nurses about patients' rights on the perceptions of nurses and patients in two Egyptian hospitals. METHODS: Quasi-experimental with pre- and posttest design was used in this study. Two groups of participants were included in the study: the first with 97 nurses and the second with 135 patients. A questionnaire sheet was used for nurses and patients to assess their perceptions about patients' rights before starting sessions. The training sessions were developed based on the baseline information gathered in the assessment phase and related literature. After the implementation of the sessions, a posttest was immediately conducted for nurses, while for patients the posttest was conducted 1 month after implementation to evaluate the effect of the nurses' training sessions on the patients' perceptions. The same tools were used in pretest and posttest. Ethical considerations: Written approval was sought and obtained from the administrators of the studied hospitals prior to conducting the study. Oral consent was obtained from nurses and patients willing to participate. Confidentiality and anonymity of the participants were strictly maintained through code numbers on the questionnaires. RESULTS: The improvement in nurses' knowledge and perceptions about patients' rights after implementation of the training sessions was remarkable. Moreover, an improvement in patients' perceptions regarding their rights was reported. CONCLUSION: Repetition of the training sessions is suggested to achieve continuous improvement. Provision of posters and booklets about a bill of patient rights within the hospitals and conduction of further study to examine nurses' performance and patients' satisfaction based on code of ethics are recommended.


Assuntos
Atitude do Pessoal de Saúde , Enfermeiras e Enfermeiros/psicologia , Direitos do Paciente/ética , Percepção , Ensino/normas , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/normas , Educação Continuada em Enfermagem/estatística & dados numéricos , Egito , Humanos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Direitos do Paciente/normas , Psicometria/instrumentação , Psicometria/métodos , Psicometria/estatística & dados numéricos , Inquéritos e Questionários , Ensino/estatística & dados numéricos
19.
Pain Manag Nurs ; 18(1): 24-32, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27964909

RESUMO

Accurate assessment of pain and its management is a challenging aspect of pediatric care. Nurses, usually the primary caregivers, showed inadequate knowledge and restrictive attitudes toward pain assessment. We evaluated an educational intervention to improve nurses' assessment of pain in a teaching hospital in India. A convenient sample of nurses working in the neonatal intensive care unit, pediatric ward, pediatric intensive care unit, and pediatric cardiac intensive care unit were included in the study. Workshops to improve understanding of pain, its assessment, and management strategies were conducted. A modified and consensually validated Knowledge and Attitudes Survey Regarding Pain questionnaire-2008 consisting of 25 true/false questions, eight multiple choice questions, and two case scenarios was administered before, immediately after, and 3 months after the workshops to evaluate impact of the intervention. Eighty-seven nurses participated. Mean (standard deviation) experience was 4.04 (5.9) years. Thirty-seven percent felt that they could assess pain without pain scales. About half (49.4%) of the nurses had not previously heard of pain scales, while 47.1% reported using a pain scale in their routine practice. Significant improvement was observed between pretest and post-test total scores (15.69 [2.94] vs. 17.51 [3.47], p < .001) as well as the pretest and retention score (15.69 [2.94] vs. 19.40 [4.6], p < .001). Albeit the study site and sampling frame may limit the reliability of the findings, the educational intervention was successful, and better retention test scores suggest a cascading effect. Pain assessment and management education of children should be incorporated in the nursing curriculum and should be reinforced in all pediatric units.


Assuntos
Educação Continuada em Enfermagem/métodos , Enfermeiras e Enfermeiros/normas , Medição da Dor/normas , Dor/enfermagem , Adulto , Educação Continuada em Enfermagem/estatística & dados numéricos , Feminino , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Dor/fisiopatologia , Manejo da Dor/enfermagem , Manejo da Dor/estatística & dados numéricos , Medição da Dor/métodos , Medição da Dor/enfermagem , Enfermagem Pediátrica/educação , Enfermagem Pediátrica/métodos , Enfermagem Pediátrica/estatística & dados numéricos , Inquéritos e Questionários
20.
Am J Crit Care ; 26(1): 70-76, 2016 12.
Artigo em Inglês | MEDLINE | ID: mdl-27965232

RESUMO

BACKGROUND: Society demands competent and safe health care, which obligates professionals to deliver quality patient care using current knowledge and skills. Participation in continuous professional development programs is a way to ensure quality nursing care. Despite the importance of continuous professional development, however, critical care nurse practitioners' attendance rates at these programs is low. OBJECTIVE: To explore critical care nurses' reasons for their unsatisfactory attendance at a continuous professional development program. METHODS: A nominal group technique was used as a consensus method to involve the critical care nurses and provide them the opportunity to reflect on their experiences and challenges related to the current continuous professional development program for the critical care units. Participants were 14 critical care nurses from 3 critical care units in 1 private hospital. RESULTS: The consensus was that the central theme relating to the unsatisfactory attendance at the continuous professional development program was attitude. In order of importance, the 4 contributing priorities influencing attitude were communication, continuous professional development, time constraints, and financial implications. CONCLUSION: Attitude relating to attending a continuous professional development program can be changed if critical care nurses are aware of the program's importance and are involved in the planning and implementation of a program that focuses on the nurses' individual learning needs.


Assuntos
Atitude do Pessoal de Saúde , Enfermagem de Cuidados Críticos/estatística & dados numéricos , Educação Continuada em Enfermagem/estatística & dados numéricos , Competência Clínica , Comunicação , Humanos , África do Sul , Fatores de Tempo
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