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1.
J Nurs Adm ; 49(12): 610-616, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725059

RESUMO

Creating a nursing journal club is an initiative to promote nurses' use of best evidence in practice. A virtual nursing journal club (VNJC) was implemented in a Magnet-designated, midsize community hospital. The VNJC fostered nurses' reading nursing research studies and subsequent interaction with other nurses. The VNJC's formation, implementation, and evaluation are described. Quantitative and qualitative research critique items and an evaluation form are included that are essential to the site's ongoing processes.


Assuntos
Educação Continuada em Enfermagem/métodos , Disseminação de Informação/métodos , Bibliotecas Digitais/organização & administração , Informática em Enfermagem/organização & administração , Pesquisa em Enfermagem/educação , Recursos Humanos de Enfermagem no Hospital/educação , Publicações Periódicas como Assunto , Adulto , Feminino , Hospitais Comunitários , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
2.
Rev Lat Am Enfermagem ; 27: e3179, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596414

RESUMO

OBJECTIVE: to evaluate the effect of an educational program on blood pressure recording for nursing professionals in relation to theoretical knowledge and the quality of these records. METHOD: quasi-experimental study conducted in a hospital service located in the city of São Paulo. The theoretical knowledge of 101 professionals was measured using a validated questionnaire before and after the educational intervention; the quality of blood pressure records was evaluated using a validated form which was applied to 354 records in the pre-intervention period and 288 in the post-intervention period. The educational program was based on active teaching-learning methodologies and consisted of two strategies: expository/dialogue class and a board game. The Wilcoxon, Mann-Whitney, Fisher and Chi-Square tests were used for comparisons, adopting a level of significance of α=0.05. RESULTS: the median of the professionals' scores increased from 19 to 22 points in the post-intervention period (p<0.001). There was an improvement in the quality of the blood pressure recordings regarding the variables: cuff size (p<0.001), arm used in the procedure (p<0.001) and patient position (p<0.001). CONCLUSION: the educational program showed positive results in the promotion of knowledge among nursing professionals and in the improvement of the quality of blood pressure recording.


Assuntos
Determinação da Pressão Arterial/enfermagem , Educação Continuada em Enfermagem/métodos , Recursos Humanos de Enfermagem no Hospital/educação , Adulto , Pressão Sanguínea , Determinação da Pressão Arterial/instrumentação , Brasil , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/normas , Melhoria de Qualidade , Inquéritos e Questionários
3.
J Surg Res ; 244: 579-586, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31446322

RESUMO

BACKGROUND: Introducing new surgical devices into the operating room (OR) can serve as a critical opportunity to address patient safety. The effectiveness of OR briefings to improve communication, teamwork, and safety has not been evaluated in this setting. METHODS: Ariadne Labs and Johnson and Johnson (J&J) collaborated to develop and assess an intervention including a Device Briefing Tool (DBT) and novel multidisciplinary team training for clinicians (surgeons and nurses) around the introduction of a new device in the OR. J&J sales representatives trained clinicians to use the DBT, a communication tool to improve patient safety when a new device is used for the first time. Surveys were administered to representatives (n = 10), surgeons (n = 15), and nurses (n = 30) at the baseline, after trainings, and after using the DBT in an operation at six different Thai hospitals. RESULTS: Familiarity with the Surgical Safety Checklist (SURGICAL SAFETY CHECKLIST) varied but increased post-training. Regarding trainings, 90% of representatives felt they very much or completely met all learning objectives but 50% felt only slightly prepared to train clinicians on using DBT. Post-training, clinician confidence in using a new device rose from 47 to 85%. Regarding the DBT, 90% of clinicians felt confident using it and reported they were very likely to use it in the future. Overall, over 90% of all clinicians and representatives felt safe having surgery in their hospitals. CONCLUSIONS: There is high acceptability and feasibility of the multidisciplinary trainings and the DBT among representatives and clinicians, albeit in a limited number of participants from a small number of institutions.


Assuntos
Competência Clínica/normas , Educação Médica Continuada/métodos , Educação Continuada em Enfermagem/métodos , Salas Cirúrgicas/normas , Equipe de Assistência ao Paciente , Segurança do Paciente/normas , Instrumentos Cirúrgicos , Atitude do Pessoal de Saúde , Lista de Checagem , Estudos de Viabilidade , Humanos , Enfermagem de Centro Cirúrgico/educação , Projetos Piloto , Desenvolvimento de Programas , Melhoria de Qualidade , Cirurgiões/educação , Tailândia
4.
Rev Gaucha Enferm ; 40: e20180483, 2019 Aug 05.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31389479

RESUMO

OBJECTIVE: To recognize how educational technologies are not up-to-date and do not care about head and neck oncology. METHODS: Qualitative, exploratory-descriptive research. Held with 12 nurses, at a cancer reference center in the south of the country, in July/2017. Through a semi-structured interview and data analyzed by Minayo Thematic Analysis. RESULTS: Results of two categories: "The techniques of updating the nurse" and "The use of educational technologies in the nurses' daily life". In this context, a version of the present in the training of students stands out, since the data of secondary education are permanent, evidencing a small use of technological resources for this purpose. CONCLUSION: It is suggested to integrate the use of technologies with lifelong education in order to become popular in professional practice.


Assuntos
Educação Continuada em Enfermagem/métodos , Tecnologia Educacional , Neoplasias de Cabeça e Pescoço/enfermagem , Enfermagem Oncológica/educação , Ferimentos e Lesões/enfermagem , Adulto , Institutos de Câncer , Feminino , Neoplasias de Cabeça e Pescoço/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Ferimentos e Lesões/etiologia
5.
Rev Gaucha Enferm ; 40: e20190012, 2019 Aug 05.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31389480

RESUMO

OBJECTIVE: To elaborate and validate a teaching virtual contemporary object, video-lesson, about resuscitation cardiopulmonary with adult in life support care using automatic external defibrillator in the hospital environment. METHOD: This is an applied research of techonlogical productions in witch the video-lesson elaboration was according to the methodological trajectory proposed by Fleming, Reynolds and Wallace. The research was accomplished in the Minas Gerais University State and in the Ribeirão Preto Nursing School (Brazil). Sixteen expertises nurses in the area of urgency and emergency participated of this research. The AC1 Gwet's statistic was used to the interobsevers agreement. RESULTS: The validation of script and storyboard to the video-lesson development was reached the interobsevers agreement, classified as "moderate agreenment" according to Landis and Kock, with AC1=0.59 and p<0.0001. CONCLUSIONS: The video-lesson elaborated and validated in this research represent an adequate contemporary important strategy to aplication in the teaching-learning process.


Assuntos
Reanimação Cardiopulmonar/educação , Desfibriladores , Educação Continuada em Enfermagem/métodos , Gravação em Vídeo/métodos , Adulto , Tecnologia Educacional , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prática Profissional/estatística & dados numéricos
6.
Rev Esc Enferm USP ; 53: e03482, 2019 Jul 29.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31365728

RESUMO

OBJECTIVE: To evaluate the knowledge and attitudes of Family Health Strategy nurses regarding sexuality in old age. METHOD: Cross-sectional, exploratory, descriptive, quantitative study with nurses of the Family Health Strategy of the city of Sobral-CE. The instruments used were a socio-demographic and professional questionnaire and the Aging Sexual Knowledge and Attitudes Scale, Brazilian version. Data were processed in GraphPad Prism 5®, and the significance level was set at p<0.05. RESULTS: The participants were 56 nurses, most of them female, young adults, who reported they were able to provide orientations about sexuality. The mean score in the knowledge dimension was 29.95 (SD=2.21), in a range of 20 to 60; the mean score in the attitude dimension was 27.14 (SD=2.19), in a range of eight to 40. Participants who declared receiving permanent health education and conducting health education on sexuality presented a significantly favorable knowledge, but no statistically significant attitude. CONCLUSION: Nurses have adequate knowledge about sexuality in old age, but still present conservative attitudes. Investing in processes of continuing health education can improve the knowledge and practice of nurses.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Enfermeiras e Enfermeiros/estatística & dados numéricos , Comportamento Sexual/psicologia , Sexualidade/psicologia , Adulto , Idoso , Envelhecimento/psicologia , Atitude do Pessoal de Saúde , Brasil , Estudos Transversais , Educação Continuada em Enfermagem/métodos , Saúde da Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Inquéritos e Questionários , Adulto Jovem
7.
Int J Health Care Qual Assur ; 32(6): 910-926, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31282262

RESUMO

PURPOSE: The purpose of this paper is to provide an empirical basis for considering in-service training, tenure prolongation and continuing education as methods for enhancing nursing performance. DESIGN/METHODOLOGY/APPROACH: A self-reported questionnaire was used to collect data from 532 nurses, who were selected using the simple random sampling method from ten hospitals in Accra North, Ghana. Confirmatory factor analysis (CFA) was used to test the study's hypotheses. FINDINGS: The resulting model is of good fit at 5 per cent significance level (χ2=1.492, p=0.222), with in-service training found to be the ultimate method for enhancing nursing performance. The fitted CFA model also shows that in-service training is positively associated with education and tenure at 1 per cent significance level (p<0.001). The overall evidence suggests that training, continuing formal education and tenure prolongation are methods for improving nursing performance. ORIGINALITY/VALUE: Apart from its contribution to the literature, this study applies validated primary data to empirically identify key methods for enhancing nursing performance.


Assuntos
Competência Clínica , Educação Continuada em Enfermagem/métodos , Capacitação em Serviço/organização & administração , Recursos Humanos de Enfermagem no Hospital/educação , Inquéritos e Questionários , Adulto , Países em Desenvolvimento , Gana , Humanos , Análise e Desempenho de Tarefas
8.
Br J Nurs ; 28(13): 870-877, 2019 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-31303048

RESUMO

BACKGROUND: In 2016 the Nursing and Midwifery Council in the UK introduced revalidation, which is the process nurses are required to follow to renew their registration. This provides an opportunity for nurses to shape, develop and evolve social media to meet their professional requirements. AIMS: to examine different ways nurses can use social media tools for continuous professional development (CPD) and revalidation. METHODS: using a qualitative reflective design, data were gathered from content on the @WeNurses platform and activities organised with other leading health organisations in England. These data were analysed using the social media relationship triangle developed by the authors with a thematic analysis approach. FINDINGS: analysis revealed that social media was used in six categories: publishing, sharing, messaging, discussing, collaborating, and networking. Organised social media events such as: blogs, tweetchats, Twitter storms, webinars, infographics, podcasts, videos and virtual book clubs can support nurses with revalidation and professional development. CONCLUSION: Through using a participatory CPD approach and embracing professional social media applications nurses have moved social media from the concept of a revolution to an evolution.


Assuntos
Certificação , Educação Continuada em Enfermagem/métodos , Mídias Sociais/estatística & dados numéricos , Humanos , Pesquisa em Avaliação de Enfermagem , Reino Unido
9.
Rev Gaucha Enferm ; 40: e20180031, 2019 Jun 10.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31188979

RESUMO

OBJECTIVE: To know the resources used and the necessary skills to the nurse for the management of educational practices in health services. METHOD: This is an integrative literature review, carried out in the Latin American and Caribbean databases on Health Sciences Information (BIREME), PubMed Central (PMC), Scopus and Web of Science (WoS). After analysis resulted in 18 studies, published between the period 2011 to 2017, which were presented in three categories. RESULTS: The results were presented in the categories: instrumental resources used in health education, technological resources applied to educational practices and competencies for management of educational practices. CONCLUSION: This study brings as a contribution to the practice of nurses subsidies for the development of management of educational practices in health services through technological and instrumental resources and professional skills that aim at team development, user autonomy and institutional growth.


Assuntos
Educação em Saúde/métodos , Conhecimentos, Atitudes e Prática em Saúde , Cuidados de Enfermagem/métodos , Educação de Pacientes como Assunto/métodos , Satisfação do Paciente , Educação Continuada em Enfermagem/métodos , Humanos , Pesquisa Qualitativa
10.
Nurs Adm Q ; 43(3): 267-273, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31162346

RESUMO

Innovation and creativity are part of everyday life for the bedside nurse. Nursing clinicians continuously innovate and create to meet each patient's unique needs. However, policies, regulations, and drama can inhibit that creativity when clinicians move into management. Three nurse leaders discuss their journeys to bring innovation into their leadership practices through participation in a yearlong program, the "Executive Fellowship in Innovation Health Leadership."The authors share insights gained after they participated in a cohort of health care leaders who took part in this yearlong fellowship. Details of the fellowship program are discussed, along with the benefits of entering such a program. Three separate innovation projects are reviewed. In Iowa, an Assistant Vice President of Nursing led the restructure and development of a support role to remove unnecessary tasks from nurse managers. In California, a Director of Education, Practice, and Informatics took a personal journey to enhance her senior leadership skills. In Florida, a Chief Nursing Officer created a program designed to teach nurse leaders to be innovative in health care. Each author addresses the innovation model/methodologies that they applied in the execution of their individual projects.


Assuntos
Educação Continuada em Enfermagem/métodos , Bolsas de Estudo/tendências , Liderança , Enfermeiras Administradoras/educação , Currículo , Humanos , Tutoria/métodos , Tutoria/tendências
12.
Nurse Educ Pract ; 38: 7-13, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31170627

RESUMO

The aim of this randomized controlled trial was to develop a web-based acute pain management education program for nurses and to evaluate its effectiveness. The developed program consisted of a total duration of 400 min with eight modules and 29 topics in pain management. Fifty nurses from the post-anesthesia care unit in two university-affiliated hospitals in Seoul, Korea were randomly assigned to either the experimental group (n = 25) or the control group (n = 25) and a total of 46 nurses, 23 for each group, completed the pre and post-tests. The pre and post-tests were performed to evaluate the changes of the nurses' knowledge, attitude, and self-efficacy regarding acute pain management. The experimental group showed a significant increase in knowledge and in self-efficacy about pain management compared to the control group (u = 389.0, p = .006; u = 360.0, p = .030, respectively). The results support the effective use of these web-based modules as part of a continuing education program on pain management for nurses working in an acute care setting. The findings of this study can be the basis for the development of evidence-based guidelines and training tailored to the Korean culture and similar settings.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Manejo da Dor/enfermagem , Adulto , Competência Clínica/normas , Educação Continuada em Enfermagem/métodos , Feminino , Humanos , Internet , Masculino , Manejo da Dor/tendências , República da Coreia , Autoeficácia , Inquéritos e Questionários
13.
Nurs Womens Health ; 23(3): 200-216, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31171242

RESUMO

OBJECTIVE: To improve nurses' comfort in helping laboring woman void on a bedpan after initiation of epidural analgesia, to increase the frequency of bedpan use in the labor and birth unit, and to decrease the use of continuous indwelling Foley catheters during the intrapartum period. DESIGN: Quality improvement project. SETTING: A single large, midwestern U.S. hospital (>3,000 births annually), where bedpans are infrequently used after epidural placement. PARTICIPANTS: Registered nurses on a labor and birth unit. INTERVENTION/MEASUREMENTS: A 20-minute educational presentation that included current urinary catheter evidence-based practice, preferential use of bedpans, and methods to help women void successfully was taught to all registered nurses in the author's labor unit. Nurses rated on a scale of 0 (not comfortable at all) to 10 (extremely comfortable) their comfort level at helping a woman with a bedpan. Primary data were collected through a convenience sample of anonymous surveys (n = 52) completed by registered nurses regarding their experience with bedpan and catheter use during labor and their comfort level helping women be successful with voiding. This was followed by a retrospective chart audit for women with term, singleton pregnancies who labored with epidural analgesia. RESULTS: Nurses' comfort levels increased from an average of 5.7 to 7.2 (p = .067). Postepidural bedpan use increased from 5.5% (n = 12) to 19% overall (n = 20; p < .001), with five women using bedpans exclusively. When assisted with bedpan use, 38% (n = 12) of women were able to void 34 of the 53 times it was offered (64%). Use of continuous indwelling Foley catheters decreased from 61.7% (n = 137) to 54.7% (n = 58), and use of intermittent catheterization increased from 30.6% (n = 68) to 37.7% (n = 40). CONCLUSION: When assisted by nurses educated in and comfortable with different voiding techniques, women may be able to avoid medically unnecessary use of urinary catheters during labor.


Assuntos
Analgesia Epidural/enfermagem , Aparelho Sanitário/normas , Trabalho de Parto/psicologia , Relações Enfermeiro-Paciente , Enfermeiras e Enfermeiros/psicologia , Adulto , Educação Continuada em Enfermagem/métodos , Feminino , Humanos , Gravidez
14.
Indian Pediatr ; 56(5): 369-373, 2019 05 15.
Artigo em Inglês | MEDLINE | ID: mdl-31102378

RESUMO

OBJECTIVE: To document the impact of neonatal resuscitation capacity building of birth attendants at district and sub-district level on fresh stillbirth within the public health system in India. DESIGN: An implementation research using pre-post study design. SETTING: 3 high-infant and neonatal mortality districts (Gonda, Aligarh and Raebareli) of Uttar Pradesh, India. PARTICIPANTS: Pregnant women who delivered at the health facilities and their newborns. INTERVENTIONS: An intervention package with (i) training on essential newborn care resuscitation; (ii) skill laboratories establishment for peer-interactive learning; (iii) better documentation; and (iv) supportive supervision was implemented at all health facilities in the districts. MAIN OUTCOME MEASURES: Impact on fresh stillbirth rates and resuscitation practices were documented at 42 health facilities (Gonda-17, Aligarh-8 and Raebareli-17) over 12-18 months. RESULTS: Out of the 3.3% (4431/133627) newborns requiring resuscitation, 58.5% (n=2599) were completely revived, 19% (n=842) had some features of hypoxic insult after birth and 1.4% (n=62) were stillbirths. There was 15.6% reduction in still birth rate in the three districts with the intervention package. CONCLUSIONS: The reduction in still birth rate and improvement in newborn resuscitation efforts in the three districts indicated feasibility of implementation and scalability of the intervention package. However sustenance of the impact over longer period needs documentation.


Assuntos
Fortalecimento Institucional , Educação Médica Continuada/métodos , Educação Continuada em Enfermagem/métodos , Hospitais de Distrito , Tocologia/educação , Ressuscitação/educação , Natimorto/epidemiologia , Educação Médica Continuada/organização & administração , Educação Continuada em Enfermagem/organização & administração , Estudos de Viabilidade , Feminino , Humanos , Índia/epidemiologia , Lactente , Mortalidade Infantil , Recém-Nascido , Gravidez
15.
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
16.
S Afr Med J ; 109(4): 241-245, 2019 Mar 29.
Artigo em Inglês | MEDLINE | ID: mdl-31084689

RESUMO

BACKGROUND: The institutional maternal mortality ratio (iMMR) in South Africa (SA) is still unacceptably high. A key recommendation from the National Committee on Confidential Enquiries into Maternal Deaths has been to improve the availability and quality of care for women suffering obstetric emergencies. OBJECTIVES: To determine whether there was a change in the number of maternal deaths and in the iMMR over time that could be attributed to the training of >80% of healthcare professionals by means of a specifically designed emergency obstetric care (EmOC) training programme. METHODS: A before-and-after study was conducted in 12 healthcare districts in SA, with the remaining 40 districts serving as a comparison group. Twelve 'most-in-need' healthcare districts in SA were selected using a composite scoring system. Multiprofessional skills-and-drills workshops were held off-site using the Essential Steps in Managing Obstetric Emergencies and Emergency Obstetric Simulation Training programme. Eighty percent or more of healthcare professionals providing maternity care in each district were trained between October 2012 and March 2015. Institutional births and maternal deaths were assessed for the period January 2011 - December 2016 and a before-and-after-training comparison was made. The number of maternal deaths and the iMMR were used as outcome measures. RESULTS: A total of 3 237 healthcare professionals were trained at 346 workshops. In all, 1 248 333 live births and 2 212 maternal deaths were identified and reviewed for cause of death as part of the SA confidential enquiries. During the same period there were 5 961 maternal deaths and 5 439 870 live births in the remaining 40 districts. Significant reductions of 29.3% in the number of maternal deaths (risk ratio (RR) 0.71, 95% confidence interval (CI) 0.66 - 0.77) and 17.5% in the number of maternal deaths from direct obstetric causes (RR 0.825, 95% CI 0.73 - 0.93) were recorded. When comparing the percentage change in iMMR for equivalent before-and-after periods, there was a greater reduction in all categories of causes of maternal death in the intervention districts than in the comparison districts. CONCLUSIONS: Implementing a skills-and-drills EmOC training package was associated with a significant reduction in maternal deaths.


Assuntos
Parto Obstétrico/métodos , Educação Médica Continuada/métodos , Educação Continuada em Enfermagem/métodos , Serviços Médicos de Emergência/métodos , Morte Materna/prevenção & controle , Complicações do Trabalho de Parto/terapia , Treinamento por Simulação , Competência Clínica , Parto Obstétrico/mortalidade , Emergências , Feminino , Humanos , Morte Materna/tendências , Complicações do Trabalho de Parto/mortalidade , Gravidez , Melhoria de Qualidade/tendências , Indicadores de Qualidade em Assistência à Saúde/tendências , África do Sul
17.
Nurse Educ Today ; 78: 44-49, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31071584

RESUMO

INTRODUCTION: Simulation has been used extensively to train students and health professionals in the assessment and early intervention of patients with acutely deteriorating conditions. These simulations evoke psychophysiological stress in learners which may affect performance. We examined the relationship between stress variables, confidence, and performance during repeated scenarios in clinically-based emergency simulations. METHODS: Twenty-six registered nurses completed three simulation scenarios focussing on life-threatening clinical events in a single group pre-test/post-test study design. Trait anxiety was measured at baseline. Visual analogue ratings of anxiety and stress were measured before ('pre'), recalled 'during', and immediately following ('post') each simulation scenario, with a self-rating of confidence completed after each simulation scenario. Heart rate was measured continuously throughout the simulation program. Participants self-rated their clinical performance prior to and following the simulation program ('pre' and 'post'). RESULTS: Participants' trait anxiety was not elevated at baseline (mean: 39.6, SD 6.1). Across the three simulation scenarios, anxiety and stress was elevated 'during' simulation compared to 'pre' and 'post' time points. However, the magnitude of elevation of stress and anxiety during all time points ('pre', 'during' and 'post' simulation) decreased significantly (p < 0.05) with progressive simulations. Heart rate increased significantly during all simulations compared to 'pre'-levels but returned to similar levels following the simulation. The amount of increase in heart rate over progressive simulations was attenuated during simulation 3 compared with 1 and 2 (Sim 1: 103.6 bpm (SD 22.1), Sim 2: 101.9 bpm (SD 18.9), and Sim 3: 99.5 bpm (SD 23.4)). Confidence increased across the three simulations (p < 0.001), with most of the increase observed after the first two simulations. Performance scores increased by 19.0% 'pre-post' simulation program (p < 0.001) and were not confounded by previous ALS or simulation experience. DISCUSSION: We observed temporal-dependent changes in psychophysiological stress variables across the simulation scenarios, with decreased magnitudes of elevations of psychological (self-reported anxiety and stress) and physiological (heart rate) stress variables during successive simulation scenarios. This study has shown that simulation increased stress, especially before and during scenarios; however, the learning effect decreased the magnitude of the stress response with repeated simulation scenarios. Simulation educators need to create simulations that change stress in a purposeful manner to enhance learning.


Assuntos
Serviços Médicos de Emergência/normas , Enfermeiras e Enfermeiros/psicologia , Simulação de Paciente , Estresse Psicológico/etiologia , Desempenho Acadêmico/psicologia , Desempenho Acadêmico/normas , Adulto , Estudos de Coortes , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/normas , Avaliação Educacional/métodos , Serviços Médicos de Emergência/métodos , Feminino , Humanos , Masculino , Estudos Prospectivos , Autoeficácia , Estresse Psicológico/psicologia
18.
J Contin Educ Nurs ; 50(5): 211-217, 2019 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-31026321

RESUMO

BACKGROUND: Nosocomial infection (NI) is common in health care settings. Educational strategies such as mobile teaching methods for health care providers may help to resolve this problem. This pilot study assessed the influence of a text messaging program to improve intensive care unit nurses' knowledge, attitude, and practice related to NI prevention. METHOD: In this single-group experimental study, 32 nurses received an educational intervention via short text messages on their cell phones. Information on knowledge, attitude, and practice regarding NI prevention was collected using a standard scale. Preventive messages about NI were prepared and sent to participants during a 2-month trial. Results were assessed 2 weeks after the intervention, and data were analyzed by paired t test. RESULTS: Knowledge, attitude, and practice of participants increased by 17%, 3%, and 9%, respectively, from baseline to follow up. The average score on the knowledge dimension was lower than for other components. Knowledge components such as hand hygiene, work safety, and protective equipment increased to a lesser degree from pre- to posttest, compared with other aspects (p < .05 versus p < .001). CONCLUSION: An education-based program operating through short text messages may be a useful in-service training strategy for intensive care unit nurses. [J Contin Educ Nurs. 2019;50(5):211-217.].


Assuntos
Competência Clínica , Cuidados Críticos/métodos , Infecção Hospitalar/enfermagem , Educação Continuada em Enfermagem/métodos , Conhecimentos, Atitudes e Prática em Saúde , Recursos Humanos de Enfermagem no Hospital/educação , Mensagem de Texto , Adulto , Feminino , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Inquéritos e Questionários
19.
Rev Gaucha Enferm ; 40(spe): e20180302, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30970108

RESUMO

OBJECTIVE: To demonstrate the role of nurses as project managers in the planning and development phases of an educational game about safe medication management for nursing technicians. METHOD: Case report of the experience in the use of the Agile Scrum Methodology with the objective of creating an educational game in the fortnightly sessions of the participating group, between December 2015 and December 2018, in a university hospital in Curitiba. RESULTS: The nurse's abilities to lead the group using the Scrum Methodology were demonstrated in an effective way, which led to the achievement of the objectives. CONCLUSIONS: By sharing their clinical and educational experience, combining management skills developed throughout their professional practice, the nurse is able to contribute not only with scientific knowledge about patient quality and safety, but also in management of projects and achievement of goals set by the team.


Assuntos
Tratamento Farmacológico/normas , Educação Continuada em Enfermagem/métodos , Jogos Experimentais , Papel do Profissional de Enfermagem , Segurança do Paciente , Humanos
20.
Rev Bras Enferm ; 72(2): 321-328, 2019.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31017192

RESUMO

OBJECTIVE: To understand the education/training of nurses working in an intensive care unit. METHOD: Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques, mainly document analysis, interview and field observation. RESULTS: The data highlights feelings of well-being, satisfaction and motivation as important for education and training in a work context. Some organizational practices seem to promote interpersonal relationships and, consequently, increase the willingness of these professionals to adopt a reward perspective regarding continuing education and training, establishing a close relationship between the formal, the non-formal and the informal. FINAL CONSIDERATION: The attractiveness of this organization is related to the valorization and recognition that it can offer to the professionals. There is a reciprocity between a hospital that endorses up-to-date care and professionals who seek scientific evidence.


Assuntos
Escolaridade , Unidades de Terapia Intensiva/estatística & dados numéricos , Enfermeiras e Enfermeiros/psicologia , Atitude do Pessoal de Saúde , Brasil , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/normas , Humanos , Unidades de Terapia Intensiva/organização & administração , Entrevistas como Assunto/métodos , Satisfação no Emprego , Enfermeiras e Enfermeiros/estatística & dados numéricos , Prática Profissional/normas , Prática Profissional/tendências , Pesquisa Qualitativa , Inquéritos e Questionários
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