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1.
Enferm. foco (Brasília) ; 11(1,n.esp): 228-233, ago. 2020. graf, tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1116823

RESUMO

Objetivo: relatar a experiência da realização de atividades educativas sobre Paramentação e Desparamentação de Equipamentos de Proteção Individual (EPI) em um hospital da rede federal situado no município do Rio de Janeiro. Método: estudo descritivo, do tipo relato de experiência, realizado em um hospital a partir de ações educativas. Resultados: foram desenvolvidas ações educativas com 894 colaboradores da instituição onde a maioria era do sexo feminino (80,6%), 70% das categorias de enfermagem e mais de 48% dos serviços de internação de adultos. Houve demonstração de insegurança quanto às técnicas, especialmente a de desparamentação. Conclusão: as atividades possibilitaram um cuidado da instituição com os seus colaboradores, da equipe de enfermagem e multiprofissional, dando-lhes ferramentas no uso correto dos EPI para enfrentamento da COVID-19. (AU)


Objective: to report the experience of carrying out educational activities on Personal Protective Equipment (PPE) placement and safe removal in a federal hospital located in the city of Rio de Janeiro. Method: descriptive study, the type of experience report realized in a hospital based on educational actions. Results: educational activities were developed with 894 participants of the institution, most were female (80.6%), 70% from the nursing category and more than 48% from adult inpatient services. There was demonstration of insecurity regarding the techniques, especially on withdrawal of personal protective equipment. Conclusion: the activities made it possible to care for the institution with its collaborators, the nursing and multidisciplinary team, giving them tools for the correct use of PPE to face COVID-19. (AU)


Objetivo: informar sobre la experiencia de llevar a cabo actividades educativas sobre colocación y retiro de equipos de protección personal (EPP) en un hospital federal ubicado en la ciudad de Río de Janeiro. Método: estudio descriptivo, informe de experiencia, realizado en un hospital basado en acciones educativas. Resultados: las acciones educativas se desarrollaron con 894 participantes de la institución, la mayoría eran mujeres (80,6%), 70% de la categoría de enfermería y más del 48% de los servicios de hospitalización de adultos. Hubo demostración de inseguridad con respecto a las técnicas, especialmente la eliminación de equipos Conclusión: las actividades permitieron atender a la institución con sus colaboradores, el equipo de enfermería y multidisciplinario, brindándoles herramientas para el uso correcto del EPP para hacer frente à COVID-19. (AU)


Assuntos
Enfermagem , Infecções por Coronavirus , Educação Continuada , Equipamento de Proteção Individual
2.
Artigo em Inglês | PAHO-IRIS | ID: phr-52619

RESUMO

[ABSTRACT]. Objective. To analyze characteristics, enrollments and completion rates of healthcare professionals enrolled in Self-Instructional Online Courses of the Home Health Care Multicentre Qualification Program, developed by the Ministry of Health and the Universidade Aberta do SUS (UNASUS), and its relationship with Home Health Care Teams implementation. Methods. Data were extracted from the Self-Instructional Online Courses’ UNASUS enrollment platform database (2012-2018), cross-referenced with the Health Facilities’ National Database and compared to Home Care General Coordination team’s database. Main outcomes were completion rates and number of courses enrollments, analyzed by sex, age, region, location, profession, workplace, health teams and course type. Results. Men applied to courses slightly more than women and completion rates were higher (37.1 vs 30.5, p < 0.001); there was a small decline in completion rates by age groups (from 32.8% in 18-29 yr to 31.1% in 46-50 yr age group, p < 0.001) and a rise in course enrollment number, probably related to progressively “digital native” generations. Self-Instructional Online Courses were attended in all Brazilian states and reached all municipality sizes, with completion rates rising from 29.9% in the North to 37.3 in the South; 30-hour courses were completed by almost twice as many professionals as 45-hour and 60-hour courses, suggesting that modularity may improve completion rates. State distribution and national coverage suggest adequate range and coincidence between enrollment and Home Health Care Teams distribution. Conclusions. Regional aspects influence professional interaction with courses; the feminization of health professions and women’s lower completion rates suggest the need for a deeper gender perspective in health facilities and training services. Self- Instructional Online Courses for Home Health Care were an important outreach strategy, with professional’s doubts answered more contextually.


[RESUMEN]. Objetivo. Analizar las características, inscripciones y tasas de finalización de los profesionales de la salud inscritos en los cursos de autoaprendizaje en línea del Programa de Cualificación Multicéntrico de Atención Domiciliaria (desarrollado por el Ministerio de Salud de Brasil y la Universidad Aberta do SUS, UNASUS), y su relación con la implementación de Equipos de Atención Domiciliaria. Métodos. Se extrajeron los datos de la base de datos de la plataforma de inscripción de cursos de autoaprendizaje en línea de la UNASUS (2012-2018); estos se cruzaron con los datos de la Base de Datos Nacional de Establecimientos de Salud y se compararon con la base de datos del equipo de Coordinación General de Atención Domiciliaria. Se analizaron las tasas de finalización y el número de inscripciones en los cursos según sexo, edad, región, ubicación, profesión, lugar de trabajo, equipo de salud y tipo de curso. Resultados. Los varones se inscribieron ligeramente más que las mujeres y las tasas de finalización fueron más elevadas (37,1 frente a 30,5, p < 0,001); hubo una pequeña disminución en las tasas de finalización según la edad (de 32,8% en el grupo de 18 a 29 años a 31,1% en el grupo de 46 a 50 años, p < 0,001) y un aumento en el número de inscripciones en los cursos, probablemente relacionado con generaciones progresivamente más “nativas digitales”. Los cursos tuvieron participantes de todos los estados brasileños y de municipios de todos los tamaños, con tasas de finalización que aumentaron del 29,9% en el norte del país al 37,3% en el sur; los cursos de 30 horas fueron completados por casi el doble de profesionales que los cursos de 45 y 60 horas, lo que sugiere que la modularidad puede mejorar las tasas de finalización. La distribución por estados y la cobertura nacional sugieren un rango adecuado y una coincidencia entre la matrícula de inscriptos y la distribución de los equipos de atención de salud domiciliaria. Conclusiones. Existen factores regionales que influyen en la interacción de los profesionales con los cursos; la feminización de las profesiones sanitarias y las menores tasas de finalización de las mujeres sugieren la necesidad de una perspectiva de género más profunda en los centros de salud y los servicios de capacitación. Los cursos de autoaprendizaje en línea para profesionales de atención de salud domiciliaria fueron una importante estrategia de divulgación, en la que las dudas de los profesionales se resolvieron de manera más contextual.


Assuntos
Serviços de Assistência Domiciliar , Educação Continuada , Educação , Educação a Distância , Mão de Obra em Saúde , Brasil , Serviços de Assistência Domiciliar , Educação Continuada , Educação , Educação a Distância , Mão de Obra em Saúde , Brasil
3.
Rev Assoc Med Bras (1992) ; 66(7): 937-942, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32844945

RESUMO

OBJECTIVE Analyze the health actions carried out by the Cuban cooperated physicians and their relationship with socioeconomic characteristics of the municipalities, contained in the first supervision visit report, in 2015. METHODS This is a quantitative research that used secondary data from the reports of the 1st supervision visit of the "More Doctors Program". The dependent variables were the health actions, and the independent variables were the type of municipality, Human Development Index (HDI), Investment in Primary Health Care (PHC), health center coverage, rural population, and total population. Multiple correspondence analysis was used to identify the latent variable, related to the profile of the professional with respect to the actions/procedures carried out to which the characteristics of the municipalities were associated through frequency analysis. RESULTS Three profiles of professionals were obtained, who have their practices associated with the professional training, consolidating as a determining factor for carrying out actions compatible with the actual needs of the population. Such findings were associated with the socioeconomic variables, with emphasis on funding, health center infrastructure, and coverage. CONCLUSIONS From the observed results, we suggest strategies to expand the scope of the practices carried out in Primary Health Care, from the perspective of training and continuing education of health professionals, and the focus on the everyday life of the service being of paramount importance.


Assuntos
Médicos , Padrões de Prática Médica , Atenção Primária à Saúde , Cuba , Educação Continuada , Humanos , População Rural , Fatores Socioeconômicos
4.
Palmas; s.n; ago. 08, 2020. 3 p.
Não convencional em Português | Coleciona SUS, CONASS, SES-TO | ID: biblio-1118828

RESUMO

Trata de relato de experiência apresentado na 1ª Mostra Estadual Educação Permanente em Saúde da SES Tocantins que relata as ações coordenadas por duas Psicólogas e uma Assistente Social e com o Núcleo de Apoio à Saúde de Família (NASF). Apresenta a realização de ações de Educação Permanente em Saúde (EPS) a partir da identificação de problemas e dificuldades detectadas nas equipes. Assim foi criado um espaço destinado a compartilhar saberes, processos de trabalho, gestão compartilhada, atuação profissional e em equipe, tecnologias leves, como aborda Merhy (2002). As ações ocorriam nos bairros Taquari e Aureny III, onde tinham uma demanda considerável de pacientes com transtorno mental, alguns eram acompanhados pelos Centros de Atenção Psicossocial. Percebeu-se que as equipes não tinham o hábito em realizar momentos de discussão sobre os processos de trabalho realizados, dificuldades e potencialidades encontradas para dirimir algumas situações de saúde, principalmente no que tange à saúde mental.


It deals with an experience report presented at the 1st State Permanent Education in Health Show of SES Tocantins, which reports the actions coordinated by two Psychologists and a Social Worker and with the Family Health Support Center (NASF). It presents the implementation of Permanent Education in Health (EPS) actions based on the identification of problems and difficulties detected in the teams. Thus, a space was created to share knowledge, work processes, shared management, professional and team performance, light technologies, as discussed by Merhy (2002). The actions took place in the neighborhoods of Taquari and Aureny III, where there was a considerable demand from patients with mental disorders, some were monitored by the Psychosocial Care Centers. It was noticed that the teams were not in the habit of having moments of discussion about the work processes performed, difficulties and potentialities found to resolve some health situations, especially with regard to mental health.


Assuntos
Humanos , Educação Continuada , Atenção Primária à Saúde , Relatos de Casos , Serviços de Saúde Mental
5.
Rev Lat Am Enfermagem ; 28: e3297, 2020.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-32609263

RESUMO

METHOD: to determine the global offer of Massive Open Online Courses (MOOCs) in health and nursing, and to know the characteristics of its content, for continuing education in nursing professionals in Peru. Exploratory study was carried out on the websites: Coursera, edX, FutureLearn, XuetangX and Udacity, Class Central and MOOC List. The courses were classified according to the five nursing areas recognized by the Peruvian College of Nurses (Colegio de Enfermeros del Perú, CEP). From each course, data was collected on institution and country of origin, hours per week and total duration in weeks, audio and subtitle language. RESULTS: a total of 654 courses in this modality are offered in health were found, covering the five areas contemplated by the Peruvian College of Nurses. Fourteen courses were specifically developed for nursing with an average duration of five weeks (3.2 hours per week of activities). Eleven came from Anglo-Saxon institutions, with content in English. Only two courses were offered in Spanish and one in Turkish. CONCLUSION: Massive Open Online Courses would be a useful tool for the continuing education of the Peruvian nurse given the wide offer, including some specifically for nurses, in the different areas of nursing. The content of the course is mostly in English. Expanding the range of languages or subtitles would facilitate the participation of a larger audience.


Assuntos
Educação a Distância , Educação em Enfermagem , Educação Continuada , Humanos , Internet , Peru , Universidades
6.
Rev Lat Am Enfermagem ; 28: e3315, 2020.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-32609268

RESUMO

OBJECTIVES: to verify which organizational, methodological, and resource-related characteristics of Continuing Health Education (CHE) help to best predict the professionals´ satisfaction. METHOD: a cross-sectional study with multivariate logistic regressions to predict a high mean satisfaction with different dimensions of educational actions used: Overall satisfaction, Utility, Methodology, Organization and resources, and Teaching Capacity. 25,281 satisfaction questionnaires have been analysed completed by health professionals attending 1,228 training activities in Andalusia (Spain), during the period from March 2012 to April 2015. RESULTS: the characteristics that best predict a high overall satisfaction are the following: clinical session type as opposed to the workshop (Odds Ratio [OR]=2.07, p<0.001); face-to-face attendance modality (OR=3.88, p<0.001) or semi-personal-attendance (OR=2.83, p<0.001), as opposed to e-learning; and 1-2 days in duration (OR=2.38, p<0.001) as opposed to those of between 3 and 14 days. A lower number of hours (OR=0.99, p<0.001) and a lower number of professionals (OR=0.98, p<0.05) also increase the probability. Having the educational actions accredited increases the probabilities in the following dimensions: Utility (OR=1.33, p<0.05), Methodology (OR=1.5, p<0.01) and Teaching capacity (OR=1.5, p<0.01). CONCLUSION: the study provides relevant information on aspects that improve professional satisfaction, such as that e-learning activities should improve their content, teaching methods, and styles, or that face-to-face clinical sessions are the type of CHE with the greatest satisfaction.


Assuntos
Pessoal de Saúde , Satisfação Pessoal , Estudos Transversais , Educação Continuada , Humanos , Espanha , Inquéritos e Questionários
7.
F1000Res ; 9: 583, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32595962

RESUMO

Background:  TDR, The Special Programme for Research and Training hosted at the World Health Organization, has long supported Low- and Middle-Income Countries in strengthening research capacity through three training programmes: the Postgraduate Training Scheme (PGTS), the Clinical Research and Development Fellowship (CRDF), and the Structured Operational Research Training InitiaTive (SORT IT). In the advent of the COVID-19 pandemic, we assessed whether those trained through these programmes were involved in the COVID-19 response and if so, in which area(s) of the emergency response they were applying their skills. Methods: From the records for each training programme, we identified the individuals who had completed training during the relevant timespan of each programme: 1999-2018 for the CRDF scheme, 2015-2020 for PGTS, and 2009-2019 for SORT-IT. Between March and April 2020, we sent trainees an online questionnaire by e-mail. Results: Out of 1254 trained, 1143 could be contacted and 699 responded to the survey. Of the latter, 411 were involved with the COVID-19 response, of whom 315 (77%) were applying their acquired skills in 85 countries. With some overlap between programmes, 84% of those trained through CRDF were applying their skills in 27 countries, 91% of those trained through PGTS were applying their skills in 19 countries, and through SORT IT, this was 73% in 62 countries.  Skills were being applied in various areas of the emergency response, including: emergency preparedness, situation analysis/surveillance, infection control and clinical management, data generation, mitigating the effect of COVID on the health system, and research.  Depending on the type of training programme, 26-74% were involved in implementation, operational or clinical research. Conclusion: Research training programmes build research capacity and equip health workers with transferable core competencies and skillsets prior to epidemics. This becomes invaluable in building health system resilience at a time of pandemics.


Assuntos
Pesquisa Biomédica/organização & administração , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Avaliação de Programas e Projetos de Saúde , Betacoronavirus , Estudos Transversais , Educação Continuada/organização & administração , Bolsas de Estudo , Humanos , Inquéritos e Questionários
8.
Pediatr Clin North Am ; 67(4): 759-772, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32650871

RESUMO

Lack of access to subspecialty care and persistent suboptimal outcomes for insulin-requiring patients with diabetes mandates development of innovative health care delivery models. The workforce shortage of endocrinologists in the United States results in primary care providers taking on the role of diabetes specialists despite lack of confidence and knowledge in complex diabetes management. The telementoring model Project ECHO amplifies and democratizes specialty knowledge to reduce disparities in care and improve health outcomes. Project ECHO can be applied to type 1 diabetes and other complex medical conditions to address health disparities and urgent needs of complex patients throughout the lifespan.


Assuntos
Diabetes Mellitus Tipo 1/terapia , Educação Continuada/métodos , Educação a Distância/métodos , Endocrinologia/educação , Visitas com Preceptor , Telemedicina/métodos , Humanos , Modelos Educacionais , Populações Vulneráveis
9.
PLoS Comput Biol ; 16(7): e1007976, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32702016

RESUMO

ELIXIR is a pan-European intergovernmental organisation for life science that aims to coordinate bioinformatics resources in a single infrastructure across Europe; bioinformatics training is central to its strategy, which aims to develop a training community that spans all ELIXIR member states. In an evidence-based approach for strengthening bioinformatics training programmes across Europe, the ELIXIR Training Platform, led by the ELIXIR EXCELERATE Quality and Impact Assessment Subtask in collaboration with the ELIXIR Training Coordinators Group, has implemented an assessment strategy to measure quality and impact of its entire training portfolio. Here, we present ELIXIR's framework for assessing training quality and impact, which includes the following: specifying assessment aims, determining what data to collect in order to address these aims, and our strategy for centralised data collection to allow for ELIXIR-wide analyses. In addition, we present an overview of the ELIXIR training data collected over the past 4 years. We highlight the importance of a coordinated and consistent data collection approach and the relevance of defining specific metrics and answer scales for consortium-wide analyses as well as for comparison of data across iterations of the same course.


Assuntos
Biologia Computacional/educação , Controle de Qualidade , Algoritmos , Pesquisa Biomédica , Biologia Computacional/normas , Currículo , Coleta de Dados , Bases de Dados Factuais , Educação Continuada , Europa (Continente) , Avaliação de Programas e Projetos de Saúde , Reprodutibilidade dos Testes , Pesquisadores , Software , Interface Usuário-Computador
10.
Rev Lat Am Enfermagem ; 28: e3311, 2020.
Artigo em Português, Espanhol, Inglês | MEDLINE | ID: mdl-32696922

RESUMO

OBJECTIVE: to create an animated infographic on the concept of Permanent Health Education according to the National Policy and its main differences compared to continuing education and health education. METHOD: a methodological study that analyzed context and knowledge gaps with a literature review and brainstorming; synthesized knowledge into a concept map; built and validated a script; created a didactic design; and produced infographic media. 18 representatives from the Center for Permanent Education and Humanization participated in the stages of context analysis and synthesis of knowledge, and six specialists participated in the validation of the script. RESULTS: through the combination of texts, images, audios, animations and transitions, the concepts, principles and legal journey of the Permanent Education policy were presented with examples from daily work and, at the end, the difference compared to continuing education and health education is presented. The specialist on the theme evaluated the infographic positively as it has clear information that meet the needs of the target audience; favors learning; and is able to circulate in the scientific environment. CONCLUSION: the infographic includes content on Permanent Health Education as it represents the daily work scenario and encourages reflection by the health care workers.


Assuntos
Educação Continuada , Educação em Saúde , Pessoal de Saúde , Humanos , Aprendizagem
11.
J Dent Hyg ; 94(3): 16-28, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32554412

RESUMO

Purpose: The purpose of this study was to investigate the effect a continuing education (CE) course had on dental hygienists' knowledge, attitudes, and practices regarding human papillomavirus (HPV) related oropharyngeal cancer (OPC).Methods: A two-group, experimental post-test only design was used for this study. Randomly selected, licensed dental hygienists in the state of Florida, were recruited by email and assigned to either an experimental or control group. An investigator designed, questionnaire was developed and tested for validity and reliability. The experimental group received a one-hour web-based CE course on HPV related OPC. Six weeks later, a post-test questionnaire was administered to the experimental and control groups via an online platform, Qualtrics®. Data were analyzed using descriptive statistics and analysis of variance (ANOVA).Results: Out of 302 dental hygienists who agreed to participate, 133 completed the study for a participation rate of 44.0%. The knowledge score for the experimental group was 72.6% while the control group scored 58.4%. Results demonstrated statistically significant differences between the groups in terms of knowledge (F=33.81, df=1, p=0.00) and attitudes (F=13.91, df=1, p=0.00). No differences were found in oral examination procedures; however, statistically significant differences (F=7.47, df=1, p=0.007) were noted for items related to HPV specific examination practices between the two groups.Conclusion: Additional research is needed to identify what specific types of educational interventions are effective in increasing the HPV-related OPC knowledge and practice behaviors of dental hygienists.


Assuntos
Neoplasias Orofaríngeas , Papillomaviridae , Infecções por Papillomavirus , Atitude do Pessoal de Saúde , Higienistas Dentários , Educação Continuada , Florida , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Reprodutibilidade dos Testes , Inquéritos e Questionários
12.
PLoS One ; 15(6): e0235258, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32589647

RESUMO

OBJECTIVE: This study investigated whether the presence of care workers who completed a specialization course on family health was associated with improved care and maternal and child health indicators in municipalities in the state of Mato Grosso do Sul, Brazil. METHODS: Negative binomial regression models with fixed effects were used for the 79 municipalities in the state of Mato Grosso do Sul, with repeated observations for the period 2009-2015. For our reference, the parameter "number of professionals who completed the course" calculated the proportion of professionals who completed the course, and was divided by the total number of primary health care professionals in the municipality to create a ratio. The cutoff points used represented tertile distribution: T3: high (0.35-1.00), T2: intermediate (0.02-0.33) and T1: low (0.00-0.01); to avoid biased results, the analysis was also performed for the years prior to the beginning of the course in question (2009 and 2010). RESULTS: During the study period, enrollment of pregnant women, exclusive breastfeeding for children under 4 months, and up-to-date vaccinations in children younger than 1 year to 23 months increased (high to intermediate categories) in municipalities where professionals who completed the specialization course worked. Growth in the intermediate ratio was also observed in indicators related to cervical cancer screening and new diagnoses of congenital syphilis in infants under one year of age. CONCLUSIONS: The presence of care workers who completed a specialization course on family health was seen to be associated with improved care and indicators for maternal and child health in municipalities in the state of Mato Grosso do Sul, Brazil. These findings reaffirm the importance and effectiveness of policies on training and continuing education for the Brazilian Unified Health System.


Assuntos
Saúde da Criança/estatística & dados numéricos , Educação Continuada , Pessoal de Saúde/educação , Saúde Materna/estatística & dados numéricos , Adulto , Feminino , Humanos , Lactente , Masculino , Gravidez , Sistema de Registros
13.
Artigo em Inglês | PAHO-IRIS | ID: phr-52152

RESUMO

[RESUMEN]. Objetivo. Identificar las principales categorías de análisis en los trabajos de conclusión de curso de los médicos egresados de la especialización en Salud de la Familia del Programa Mais Médicos. Métodos. Estudio de carácter bibliométrico de los 3021 trabajos de conclusión del curso disponibles en la base de datos del Acervo de Recursos Educativos en Salud, Universidad Abierta del Sistema Único de Salud, entre los años de 2016 y 2019. Para analizar los principales temas abordados se realizó un análisis por grupos, en dos etapas, de los descriptores referentes a cada trabajo. Resultados. De los 3021 trabajos de conclusión de curso, se analizaron 2750 con datos completos. En cuanto al perfil de los autores, hay una predominancia del sexo femenino, origen cubano y grupo etario de 31 a 40 años. Los resultados también evidencian una concentración de los núcleos de formación de los profesionales, así como de algunos conceptos alineados a los preceptos trabajados con mayor frecuencia relacionados al objeto de la atención primaria de salud. Conclusiones. El análisis del perfil de los trabajos de conclusión de curso destacó que los conceptos trabajados a lo largo del proceso de formación de los profesionales del Programa Mais Médicos se orientaron sobre todo a fortalecer la comprensión de las directrices estructurantes de la atención primaria. También logra el objetivo de acercar la capacitación médica sobre los problemas más relevantes en cada región del país.


[ABSTRACT]. Objective. Identify the main categories of analysis in the end-of-course projects completed by physicians who graduated in the family health specialization in the Mais Médicos Program. Methods. Bibliometric study of the 3,021 end-of-course projects found in the database of the Health Education Resources Collection (Open University of the Unified Health System) for the years 2016 to 2019. In order to analyze the main topics addressed in the projects, a two-step cluster analysis was conducted of the descriptors for each project. Results. Of the 3,021 end-of-course projects, 2,750 with complete data were analyzed. The profile of the authors was predominantly female, Cuban, and in the 31-40 years age group. The results show that professional training was concentrated in specific topics, most of them closely related to the goals of primary health care. Conclusions. The analysis of the profile of the end-of-course projects showed that the topics studied throughout the process of training the professionals in the Mais Médicos Program were focused mainly on greater understanding of the structural directives of primary care. Furthermore, the objective of focusing medical training on the most relevant problems in each region of the country was achieved.


[RESUMO]. Objetivo. Identificar as principais categorias de análise nos trabalhos de conclusão de curso realizados por médicos formados na especialização em saúde da família do Programa Mais Médicos (PMM). Métodos. Realizou-se um estudo bibliométrico que incluiu 3 021 trabalhos de conclusão identificados na base de dados da Coleção de Recursos Educativos em Saúde da Universidade Aberta do Sistema Único de Saúde (UMA-SUS) para os anos de 2016 a 2019. Os principais tópicos abordados nos projetos foram estudados a partir da análise em duas etapas dos descritores. Resultados. Dos 3 021 trabalhos de conclusão, 2 750 com dados completos foram analisados. Os autores foram predominantemente do sexo feminino, cubanos e na faixa etária de 31 a 40 anos. Os resultados mostram uma concentração em temas específicos, a maioria intimamente relacionada com os objetivos da atenção primária à saúde. Conclusões. A análise do perfil dos trabalhos de conclusão mostrou que os temas estudados ao longo do processo de formação dos profissionais do PMM enfocaram principalmente a maior compreensão das diretrizes estruturais da atenção primária. Além disso, foi alcançado o objetivo de direcionar a formação médica aos problemas mais relevantes em cada região do país.


Assuntos
Atenção Primária à Saúde , Educação Continuada , Capacitação de Recursos Humanos em Saúde , Brasil , Atenção Primária à Saúde , Educação Continuada , Capacitação de Recursos Humanos em Saúde , Brasil , Atenção Primária à Saúde , Educação Continuada , Capacitação de Recursos Humanos em Saúde
14.
PLoS One ; 15(6): e0234416, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32520943

RESUMO

AIM: Describe brief (less than half a day) interventions aimed at improving healthcare team functioning. METHODS: A systematic review on brief team interventions aimed at role clarification and team functioning (PROSPERO Registration Number: CRD42018088922). Experimental or quasi-experimental studies were included. Database searches included CINAHL, Medline, EMBASE, PUBMED, Cochrane, RCT Registry-1990 to April 2020 and grey literature. Articles were screened independently by teams of two reviewers. Risk of bias was assessed. Data from the retained articles were extracted by one reviewer and checked by a second reviewer independently. A narrative synthesis was undertaken. RESULTS: Searches yielded 1928 unique records. Final sample contained twenty papers describing 19 studies, published between 2009 and 2020. Studies described brief training interventions conducted in acute care in-patient settings and included a total of 6338 participants. Participants' socio-demographic information was not routinely reported. Studies met between two to six of the eight risk of bias criteria. Interventions included simulations for technical skills, structured communications and speaking up for non-technical skills and debriefing. Debriefing sessions generally lasted between five to 10 minutes. Debriefing sessions reflected key content areas but it was not always possible to determine the influence of the debriefing session on participants' learning because of the limited information reported. DISCUSSION: Interest in short team interventions is recent. Single two-hour sessions appear to improve technical skills. Three to four 30- to 60-minute training sessions spread out over several weeks with structured facilitation and debriefing appear to improve non-technical skills. Monthly meetings appear to sustain change over time. CONCLUSION: Short team interventions show promise to improve team functioning. Effectiveness of interventions in primary care and the inclusion of patients and families needs to be examined. Primary care teams are structured differently than teams in acute care and they may have different priorities.


Assuntos
Pessoal de Saúde/educação , Pessoal de Saúde/psicologia , Equipe de Assistência ao Paciente/tendências , Assistência à Saúde/métodos , Educação Continuada/métodos , Humanos , Aprendizagem , Equipe de Assistência ao Paciente/normas
15.
J Occup Environ Med ; 62(6): 420-423, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-432934

RESUMO

OBJECTIVE: To develop an emergency training program of personal protective equipment (PPE) for general healthcare workers (HCWs) who may be under the threat of Corona Virus Disease 2019 (COVID-19) and evaluate the effect of the program. METHODS: A three-stage training program was designed. The complete clinical workflow together with infectious disease ward was simulated. To verify the effect of the program, an experimental training with pre- and post-test was conducted before large-scale training. RESULTS: Post-test scores were significantly improved when compared with the pre-test scores. Among all PPE, N95 respirator and protective coverall needed training most. Meanwhile, "proficiency level" and "mutual check & help" also needed to be strengthened as independent scoring points. CONCLUSION: This training program significantly improved the performances of participants. It may therefore be applied for general HCWs on a larger scale.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Educação Continuada/métodos , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias/prevenção & controle , Equipamento de Proteção Individual , Recursos Humanos em Hospital/educação , Pneumonia Viral/prevenção & controle , China , Competência Clínica , Infecções por Coronavirus/transmissão , Feminino , Humanos , Controle de Infecções/instrumentação , Masculino , Modelos Educacionais , Pneumonia Viral/transmissão , Avaliação de Programas e Projetos de Saúde , Treinamento por Simulação/métodos , Centros de Atenção Terciária
17.
J Occup Environ Med ; 62(6): 420-423, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-594706

RESUMO

OBJECTIVE: To develop an emergency training program of personal protective equipment (PPE) for general healthcare workers (HCWs) who may be under the threat of Corona Virus Disease 2019 (COVID-19) and evaluate the effect of the program. METHODS: A three-stage training program was designed. The complete clinical workflow together with infectious disease ward was simulated. To verify the effect of the program, an experimental training with pre- and post-test was conducted before large-scale training. RESULTS: Post-test scores were significantly improved when compared with the pre-test scores. Among all PPE, N95 respirator and protective coverall needed training most. Meanwhile, "proficiency level" and "mutual check & help" also needed to be strengthened as independent scoring points. CONCLUSION: This training program significantly improved the performances of participants. It may therefore be applied for general HCWs on a larger scale.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Educação Continuada/métodos , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias/prevenção & controle , Equipamento de Proteção Individual , Recursos Humanos em Hospital/educação , Pneumonia Viral/prevenção & controle , China , Competência Clínica , Infecções por Coronavirus/transmissão , Feminino , Humanos , Controle de Infecções/instrumentação , Masculino , Modelos Educacionais , Pneumonia Viral/transmissão , Avaliação de Programas e Projetos de Saúde , Treinamento por Simulação/métodos , Centros de Atenção Terciária
19.
J Korean Med Sci ; 35(20): e138, 2020 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-32449322

RESUMO

Peer review is a crucial part of research and publishing. However, it remains imperfect and suffers from bias, lack of transparency, and professional jealousy. It is also overburdened by an increasing quantity of complex papers against the stagnant pool of reviewers, causing delays in peer review. Additionally, many medical, nursing, and healthcare educators, peer reviewers, and authors may not be completely familiar with the current changes in peer review. Moreover, reviewer education and training have unfortunately remained lacking. This is especially crucial since current initiatives to improve the review process are now influenced by factors other than academic needs. Thus, increasing attention has recently focused on ways of streamlining the peer review process and implementing alternative peer-review methods using new technologies and open access models. This article aims to give an overview of the innovative strategies for peer review and to consider perspectives that may be helpful in introducing changes to peer review. Critical assessments of peer review innovations and incentives based on past and present experiences are indispensable. A theoretical appraisal must be balanced by a realistic appraisal of the ethical roles of all stakeholders in enhancing the peer review process. As the peer review system is far from being perfect, identifying and developing core competencies among reviewers, continuing education of researchers, reviewer education and training, and professional engagement of the scientific community in various disciplines may help bridge gaps in an imperfect but indispensable peer review system.


Assuntos
Revisão por Pares , Pesquisa Biomédica , Educação Continuada
20.
J Occup Environ Med ; 62(6): 420-423, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32469194

RESUMO

OBJECTIVE: To develop an emergency training program of personal protective equipment (PPE) for general healthcare workers (HCWs) who may be under the threat of Corona Virus Disease 2019 (COVID-19) and evaluate the effect of the program. METHODS: A three-stage training program was designed. The complete clinical workflow together with infectious disease ward was simulated. To verify the effect of the program, an experimental training with pre- and post-test was conducted before large-scale training. RESULTS: Post-test scores were significantly improved when compared with the pre-test scores. Among all PPE, N95 respirator and protective coverall needed training most. Meanwhile, "proficiency level" and "mutual check & help" also needed to be strengthened as independent scoring points. CONCLUSION: This training program significantly improved the performances of participants. It may therefore be applied for general HCWs on a larger scale.


Assuntos
Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Educação Continuada/métodos , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pandemias/prevenção & controle , Equipamento de Proteção Individual , Recursos Humanos em Hospital/educação , Pneumonia Viral/prevenção & controle , China , Competência Clínica , Infecções por Coronavirus/transmissão , Feminino , Humanos , Controle de Infecções/instrumentação , Masculino , Modelos Educacionais , Pneumonia Viral/transmissão , Avaliação de Programas e Projetos de Saúde , Treinamento por Simulação/métodos , Centros de Atenção Terciária
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