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1.
Rev Saude Publica ; 53: 54, 2019 Aug 15.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31432911

RESUMO

Guidelines emphasize the importance of approaching substance use by adolescents, particularly in primary health care. However, there are problems with its incorporation. The objective of this study was to present the training stages on the theme for professionals in primary health care. Researchers conducted logistic structuring, content elaboration and evaluation of difficulties before and after training. Sixty percent of professionals involved in the care of adolescents in a medium-sized city participated in the study. More than half of them stated having difficulties in the approach, mainly theoretical limitations and short consultations. After the training, the professionals informed whether they felt more prepared, but practical difficulties remained.


Assuntos
Educação Continuada , Atenção Primária à Saúde/organização & administração , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle , Adolescente , Serviços de Saúde do Adolescente , Adulto , Brasil , Usuários de Drogas , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Prevenção Primária/métodos
2.
Rev. enferm. UFSM ; 9: 13, jul. 15, 2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1009352

RESUMO

"\"\\\"[{\\\\\\\"text\\\\\\\": \\\\\\\"Objetivos: avaliar a dimensionalidade e a consistência interna da escala de crenças; verificar existência\\\\\\\\r\\\\\\\\nde relações entre as variáveis-critério e variáveis crenças; investigar as variáveis preditoras de crenças no processo de avaliação de ações educativas da equipe de saúde. Método: estudo quantitativo correlacional, desenvolvido em 14 instituições de saúde, com a participação de 992 trabalhadores, em que se aplicou uma escala Likert composta por 31 itens relativos às crenças da equipe no processo de avaliação de treinamentos. A dimensionalidade/estrutura interna da escala foi realizada por meio de análises fatoriais exploratórias; análises de regressão múltipla padrão, testes t de Student, ANOVA e análises post hoc, também foram aplicadas. Resultados: encontrados três fatores; as variáveis preditoras foram \\\\\\\\\\\\\\\"número de treinamentos nos últimos 12 meses"; "participação em treinamento no momento da pesquisa" e "idade". Conclusões: a escala apresentou consistência interna e houve identificação de correlações e variáveis preditoras.\\\\\\\", \\\\\\\"_i\\\\\\\": \\\\\\\"pt\\\\\\\"}, {\\\\\\\"text\\\\\\\": \\\\\\\"Aim: to evaluate the dimensionality and internal consistency of the belief scale; to verify the existence\\\\\\\\r\\\\\\\\nof relations between criterion variables and belief variables; to investigate predictive variables of beliefs in the evaluation process of educational actions of the health team. Method: quantitative correlational study developed in 14 health institutions, with the participation of 992 workers, in which a Likert scale was applied, consisting of 31 items related to the team beliefs in the training evaluation process. The dimensionality/internal structure of the scale was carried out by means of exploratory factorial analyses; standard multiple regression analyses, Student ttests, ANOVA and post hoc analyses were also applied. Results: three factors were found; the predictive variables were \\\\\\\\\\\\\\\"number of trainings in the last 12 months\\\\\\\\\\\\\\\", \\\\\\\\\\\\\\\"participation in training at the time of the research\\\\\\\\\\\\\\\" and \\\\\\\\\\\\\\\"age.\\\\\\\\\\\\\\\" Conclusions: the scale presented internal consistency and there was identification of correlations and predictor variables.\\\\\\\", \\\\\\\"_i\\\\\\\": \\\\\\\"en\\\\\\\"}, {\\\\\\\"text\\\\\\\": \\\\\\\"Objetivos: evaluar la dimensionalidad y la consistencia interna de la escala de creencias; verificar la\\\\\\\\r\\\\\\\\nexistencia de relaciones entre variables criterio y variables creencias; investigar variables predictoras de creencias en el proceso de evaluación de acciones educativas del equipo de salud. Método: estudio cuantitativo correlacional, desarrollado en 14 instituciones de salud, con la participación de 992 trabajadores, en el cual se aplicó escala Likert, compuesta por 31 artículos relacionados a las creencias del equipo en el proceso de evaluación de entrenamientos. La dimensionalidad/estructura interna de la escala fue realizada por medio de análisis factoriales exploratorios; también se aplicó análisis de regresión múltiple estándar, pruebas t de Student, ANOVA y análisis post hoc. Resultados: encontrados tres factores; las variables predictoras fueron \\\\\\\\\\\\\\\"número de entrenamientos en los 12 meses\\\\\\\\\\\\\\\", \\\\\\\\\\\\\\\"participación en entrenamiento en el momento de la investigación\\\\\\\\\\\\\\\" y \\\\\\\\\\\\\\\"edad\\\\\\\\\\\\\\\". Conclusiones: la escala presentó consistencia interna y hubo identificación de correlaciones y variables predictoras.\\\\\\\", \\\\\\\"_i\\\\\\\": \\\\\\\"es\\\\\\\"}]\\\"\""


Assuntos
Humanos , Desenvolvimento de Pessoal , Educação Continuada , Avaliação Educacional
4.
Vínculo ; 16(1): 89-97, jan.-jun. 2019.
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1014769

RESUMO

O autor parte do princípio de que Grupo é uma forma específica de agrupamento em que ocorrem interações vinculares. Os fenômenos grupais são os mesmos em qualquer grupo, mudando a atitude do terapeuta conforme a finalidade. É enfatizada a importância dos grupos na saúde. Atualmente há uma redução da procura de psicoterapias de inspiração psicanalítica, individuais ou grupais, por razões, que serão expostas no trabalho. É lembrado então, o potencial da rede pública e suas vicissitudes, entre elas, a quantidade de profissionais sem conhecimento sobre grupos. São estudadas a formação clássica e os desafios para uma formação realista nos dias atuais. Dificuldades e particularidades são expostas, e é realizada uma reflexão sobre as possibilidades e desafios para uma formação hoje, enfatizando a importância dos Grupos de Reflexão. Conclui que somente a somatória da análise, supervisão, Grupo de Reflexão e estudo teórico, é que permitirá ao terapeuta em formação, maior desenvolvimento na arte e na técnica de trabalhar psicanaliticamente com o dispositivo vincular.


The author assumes that group is a specific form of grouping in which linking interactions occur. The group phenomena are the same in all groups, changing the attitude of the therapist according to the purpose. The importance of groups in health is emphasized. Currently, there is a reduction in the demand for psychoanalytic, individual or group-inspired psychotherapies, for reasons that will be exposed at work. It is remembered, then, the potential of the public network and its vicissitudes, among them, the number of professionals without knowledge about groups. Classical training and the challenges for realistic training are studied in the present day. Difficulties and particularities are exposed, and a reflection is made about the possibilities and challenges for a training today, emphasizing the importance of the reflection groups. It concludes that only the sum of the analysis, supervision, reflection Group and theoretical study, is that it will allow the therapist in training, greater development in the art and the technique of working psychoanalytically with the device to link.


El autor asume que el grupo es una forma específica de agrupación en la que se producen interacciones de enlace. Los fenómenos grupales son los mismos en todos los grupos, cambiando la actitud del terapeuta según el propósito. Se enfatiza la importancia de los grupos en la salud. Actualmente, hay una reducción en la demanda de psicoterapias psicoanalíticas, individuales o inspiradas en grupo, por razones que serán expuestas en el trabajo. Se recuerda, entonces, el potencial de la red pública y sus vicisitudes, entre ellos, el número de profesionales sin conocimiento sobre los grupos. La formación clásica y los desafíos para la formación realista se estudian en la actualidad. Se exponen las dificultades y particularidades, y se hace una reflexión sobre las posibilidades y los retos para una formación en la actualidad, destacando la importancia de los grupos de reflexión. Concluye que sólo la suma del análisis, la supervisión, el grupo de reflexión y el estudio teórico, es que permitirá al terapeuta en formación, un mayor desarrollo en el arte y la técnica de trabajar psicoanalíticamente con el dispositivo para enlazar.


Assuntos
Equipe de Assistência ao Paciente , Grupos de Autoajuda , Educação Continuada
6.
Stud Health Technol Inform ; 260: 162-169, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31118333

RESUMO

BACKGROUND: Nurses are increasingly confronted with IT-based systems as part of their daily work. However, they often lack basic competencies in managing these complex systems. OBJECTIVES: To analyze the need for continuous education in health informatics among Austrian nurses. METHODS: Survey within five of the largest healthcare organizations in Austria. Overall, 280 nursing practitioners with IT responsibilities and nursing managers from middle and top management participated. RESULTS: Participants assessed five topics (IT project management, IT in nursing, eHealth, nursing terminologies, and computer science basics) as important for continuous education in health informatics. Top management rated the importance of most topics higher than middle management did. Nursing practitioners gave ratings in between middle and top management. CONCLUSION: Austrian nursing practitioners with IT responsibilities and nursing managers see a need for continuous education in health informatics. This supports findings of international recommendations of nursing informatics continuous education. There is, however, a lack of suitable opportunities for continuous education in Austria.


Assuntos
Educação em Enfermagem , Informática Médica , Informática em Enfermagem , Áustria , Educação Continuada , Humanos , Informática em Enfermagem/educação , Inquéritos e Questionários
7.
Med Educ Online ; 24(1): 1622365, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31122181

RESUMO

Background: Traditional journal clubs have been limited by the geography of participants. Web based modalities and social media platforms are now being used to bridge this barrier. Medical education journal club, given the diversity of its community would lend well to these platforms. To date there is very little published regarding online medical education journal clubs. Objective: To bridge geographical barriers; enhance interdisciplinary and interprofessional discussion and collaboration; and to provide opportunities for continuing medical education and faculty development; a monthly synchronous medical education journal club was created for faculty. Design/Methods: From April 2015 to November 2016, 11 online journal clubs were held for the faculty at Northwell Health and the Barbara and Donald Zucker School of Medicine at Hofstra/Northwell (Zucker SOM). All articles picked were relevant to medical education and participants were from multiple disciplines. Results: 74% of respondent participants agreed that the content covered during the sessions would positively impact personal and/or professional life and 58% of respondents reported that their overall knowledge/skill level changed positively. Conclusions: On-line medical education journal club can provide a valuable opportunity for continuing education and faculty development for both the participant and the presenter.


Assuntos
Educação Continuada , Educação Médica Continuada/métodos , Mídias Sociais , Humanos , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários
8.
Actas urol. esp ; 43(4): 176-181, mayo 2019. graf
Artigo em Espanhol | IBECS | ID: ibc-181082

RESUMO

Objetivo: Analizar la evolución y adecuación de las derivaciones de Atención Primaria a Urología tras la implantación de protocolos sobre las enfermedades urológicas más frecuentes y la instauración de un programa de formación continuada. Material y métodos: En el 2011 se creó un grupo de trabajo Atención Primaria-Urología. Se instauraron inicialmente protocolos de actuación y práctica clínica en enfermedad prostática (HBP y PSA), que se apoyaron con sesiones formativas a los médicos de Atención Primaria. Tras analizar su efecto, en el 2015 se añadieron otros 3(enfermedad escrotal, infecciones urinarias e incontinencia urinaria). Analizamos y comparamos las derivaciones y su adecuación antes y después de la instauración. Resultados: El motivo más frecuente de derivación son los síntomas del tracto urinario inferior (STUI) por HBP que, inicialmente, suponían un 22,8% del total, y que han disminuido al 16,9%. Tras la introducción de los demás algoritmos, observamos una disminución de las derivaciones sobre enfermedad escrotal (del 13-14 al 7,8%), que permanecen estables (en torno al 10%) las relacionadas con infecciones urinarias y que aumentan las derivaciones por incontinencia urinaria (del 3 al 10,3%). La adecuación a los protocolos fue mejorando progresivamente en las relacionadas con STUI (del 46 al 65,3%); en PSA (del 55 al 84,4%) y en incontinencia urinaria (del 66,2 al 73,1%). Descendió la adecuación en cuanto a enfermedad escrotal (del 67,1 al 63,3%) y se mantuvo similar en ITU (en torno al 76%). Conclusiones: El trabajo conjunto entre Urología y Atención Primaria consigue mejorar la adecuación de las derivaciones en las enfermedades urológicas más frecuentes


Objective: To analyse the evolution and adequacy of referrals from Primary Care to Urology, after the implementation of referral protocols on the most frequent urological diseases and the establishment of a continuing education program. Material and methods: A Primary Care-Urology work group was created in 2011. Initially, performance and clinical practice protocols in prostatic pathology (BPH and PSA) were established. These were supported by training sessions for primary care physicians. After analysing the effect of the mentioned joint work, 3more (scrotal pathology, urinary tract infections and urinary incontinence) were included. We analysed and compared the referrals and their adequacy before and after the establishment of the protocols. Results: The most common referral causes were symptoms of the lower urinary tract due to BPH, which initially represented 22.8% of the total, and decreased to 16.9%. After the introduction of the new algorithms, we observed a decrease in referrals for scrotal pathology (13-14% to 7.8%), an increase in urinary incontinence referrals (3% al 10.3%) and those related to urinary tract infections remained stable. The adequacy to the protocols improved progressively: LUTS from 46% to 65.3%; PSA from 55% to 84.4% and urinary incontinence from 66.2% to 73.1%. Adequacy in scrotal pathology decreased (de 67.1% a 63.3%), while in UTI it stayed much the same (around 76%). Conclusions: The joint work between Urology and Primary Care achieves an improvement in referrals adequacy regarding the most frequent urological pathologies


Assuntos
Atenção Primária à Saúde/organização & administração , Educação Continuada/métodos , Continuidade da Assistência ao Paciente/organização & administração , Unidade Hospitalar de Urologia , Encaminhamento e Consulta/tendências , Atenção Primária à Saúde/estatística & dados numéricos , Atenção Primária à Saúde/normas
9.
ABCS health sci ; 44(1): 40-46, 02 maio 2019.
Artigo em Português | LILACS | ID: biblio-995025

RESUMO

INTRODUÇÃO: O aumento progressivo da população idosa e das enfermidades crônicas torna cada vez mais prioritário a educação permanente dos profissionais de saúde visando o atendimento das necessidades dos idosos. OBJETIVO: Conhecer as concepções da equipe multiprofissional e de gestores sobre Educação Permanente de um Programa de Assistência Integral à Pessoa Idosa. MÉTODOS: Trata-se de um estudo descritivo com abordagem qualitativa. O cenário foi um Programa Gerontológico desenvolvido em um Instituto de Atenção à Saúde de uma Universidade Pública, no município do Rio de Janeiro. Os participantes foram 10 profissionais de saúde incluindo os gestores do referido programa. Foi utilizado como técnica de coleta de dados o grupo focal, cujas reflexões ocorreram a partir de análise de conteúdo na modalidade temática. RESULTADOS: A pesquisa permitiu a construção de duas categorias: 1) Educação Permanente como movimento de atualização profissional e 2) Educação Permanente: aproximando o interesse pessoal, iniciativa institucional e necessidades dos usuários. Pode-se observar que a educação permanente ocorre a partir da identificação de problemas cotidianos e necessidades dos serviços e usuários do sistema de saúde, que se envolve com a responsabilidade de melhorar as condições de saúde da população de idosos atendida. CONCLUSÃO: O estudo contribuiu para uma reflexão que se traduza na organização do processo de trabalho e na busca pelo aprimoramento da prática assistencial qualificada e resolutiva, com vistas à operacionalização futura de processos de Educação Permanente.


INTRODUCTION: The progressive increase of the elderly population and chronic diseases turns the permanent education of health professionals more and more urgent in order to meet the needs of the elderly. OBJECTIVE: To know the conceptions of the multiprofessional team and of managers on Permanent Education of a Program of Integral Assistance to the Elderly. METHODS: This is a descriptive study with a qualitative approach. The scenario was a Geriatric Program offered in a Health Care Institute of a Public University in the city of Rio de Janeiro. The participants were 10 health professionals including the managers of the program. Focal group was used as data collection technique, whose reflections occurred from content analysis in the thematic modality. RESULTS: The research allowed the construction of two categories: 1) Permanent Education as a professional updating movement and 2) Permanent Education: approaching personal interest, institutional initiative and users needs. It can be observed that permanent education occurs from the identification of daily problems and the needs of the services and the users of the health system, being involved with the responsibility of improving the health conditions of the elderly population served. CONCLUSION: The study contributed to a reflection that translates into the organization of the work process and the search for the improvement of the qualified and resolutive assistance practice, with a view to the future operationalization of Permanent Education processes.


Assuntos
Humanos , Assistência a Idosos , Educação em Saúde , Pessoal de Saúde , Educação Continuada
10.
J Dent Educ ; 83(8): 914-923, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30962312

RESUMO

With the closure of the Canadian dental therapy program in Saskatchewan in 2011 and the increasing need for oral health providers, there have been growing discussions at the national and provincial levels regarding the re-establishment of a provider with dental therapy abilities. The aims of this study were to define models for dental therapy education in Canada and explore how dental therapy abilities could best be integrated into Canadian post-secondary education. In 2017, purposeful sampling was used to invite key informants to participate in a semi-structured interview. Participants were individuals from government, education, and regulation and those working with underserved populations in Canada and internationally. A 75% response rate (n=53) was achieved. Thematic analysis was employed for coding of data and generation of themes. Respondents highlighted the need to include minimally invasive restorative services in the current scope of dental hygiene practice across all Canadian jurisdictions and to build dental therapy abilities with or upon accredited dental hygiene curricula. The models supported by respondents were a fourth-year option built on three-year diploma education, a one-year postgraduate diploma based on a baccalaureate degree and a current dental hygiene registration, and a three-year dental therapy diploma incorporating core courses in accredited dental hygiene diploma education. While the respondents' views were divergent, the educational model that received the most support involved a two- to three-term addition to current three-year dental hygiene diploma education. In contrast to international trends, the respondents valued learner flexibility to exit with a diploma dental hygiene credential, thus making the dental therapy scope optional. These educational models provide a starting point for further analysis and exploration.


Assuntos
Competência Clínica , Credenciamento , Higienistas Dentários/educação , Educação em Odontologia , Modelos Educacionais , Canadá , Currículo , Educação Continuada , Humanos , Higiene Bucal/educação , Prática Profissional , Saskatchewan
11.
Rev Bras Enferm ; 72(2): 552-565, 2019 Mar-Apr.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31017221

RESUMO

OBJECTIVE: Evaluate, from the literature, the effectiveness of the implementation of the multimodal strategy for health professionals compliance with Hand Hygiene and its sustainability over time. METHOD: Integrative review, with a view to answering the following question: "Is the implementation of the multimodal strategy effective in health professionals compliance with Hand Hygiene and can it be sustained over time?". The MEDLINE, SCOPUS, LILACS and CINAHL databases were used to retrieve the primary articles. RESULTS: Twenty-five studies were analyzed. Among the components of the multimodal strategy, three need to be better worked: health education, feedback from practices and management involvement. Although it needs to focus more on its five elements, interventions based on the multimodal strategy have favored HH compliance and its long-term sustainability. CONCLUSION: The strategy proved to be effective for HH compliance, especially when all integrating components are adequately addressed.


Assuntos
Educação Continuada/normas , Fidelidade a Diretrizes/normas , Higiene das Mãos/normas , Educação Continuada/métodos , Higiene das Mãos/métodos , Humanos
12.
Rev. Asoc. Odontol. Argent ; 107(1): 1-4, ene.-mar. 2019.
Artigo em Espanhol | LILACS | ID: biblio-998412

RESUMO

El uso de las nuevas tecnologías en la enseñanza universitaria no consiste solo en emplear dispositivos o softwares, sino que involucra cambios en por lo menos tres ejes: nuevas relaciones con el conocimiento, la transformación de la didáctica y la posibilidad de contribuir como nunca antes a la igualdad educativa. Asimismo, los entornos virtuales son potentes espacios educativos, tanto en la educación a distancia como en la presencial (AU)


The use of new technologies in university education not only consists of using devices or software, but involves changes in at least three axes: new relationships with knowledge, the transformation of pedagogical approaches and the possibility of contributing as never before to educational equality. Also, virtual environments are powerful educational spaces, both in online and face to face education (AU)


Assuntos
Tecnologia Educacional , Educação a Distância , Internet , Educação Continuada , Universidades , Acesso à Informação , Bibliotecas Digitais , Projetos de Tecnologias de Informação e Comunicação
13.
Vox Sang ; 114(4): 386-393, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30834546

RESUMO

BACKGROUND AND OBJECTIVES: Fetal RHD genotyping of cell-free fetal DNA from RhD-negative pregnant women can be used to guide targeted antenatal and postnatal anti-D prophylaxis for the prevention of RhD immunization. To assure the quality of clinical testing, we conducted an external quality assessment workshop with the participation of 28 laboratories. MATERIALS AND METHODS: Aliquots of pooled maternal plasma were sent to each laboratory. One sample was positive, and the second sample was negative for fetal RHD, verified by pre-workshop testing using quantitative real-time PCR (qPCR) analysis of RHD exons 4, 5, 7 and 10. Plasma samples were shipped at room temperature. A reporting scheme was supplied for data collection, including questions regarding the methodological setup, results and clinical recommendations. Different methodological approaches were used, all employing qPCR with a total of eight different combinations of RHD exon targets. The samples were tested blindly. RESULTS: Fetal RHD genotyping was performed with no false-negative and no false-positive results. One inconclusive result was reported for the RHD-positive sample, and four inconclusive results were reported for the RHD-negative sample. All clinical conclusions were satisfactory. CONCLUSION: This external quality assessment workshop demonstrates that despite the different approaches taken to perform the clinical assays, fetal RHD genotyping is a reliable laboratory assay to guide targeted use of Rh prophylaxis in a clinical setting.


Assuntos
Doenças Fetais/prevenção & controle , Reação em Cadeia da Polimerase em Tempo Real , Isoimunização Rh/prevenção & controle , Sistema do Grupo Sanguíneo Rh-Hr/sangue , Imunoglobulina rho(D)/genética , Educação Continuada , Éxons , Feminino , Doenças Fetais/genética , Feto , Genótipo , Humanos , Gravidez , Diagnóstico Pré-Natal/métodos , Garantia da Qualidade dos Cuidados de Saúde , Controle de Qualidade , Qualidade da Assistência à Saúde , Reprodutibilidade dos Testes , Isoimunização Rh/genética , Sistema do Grupo Sanguíneo Rh-Hr/genética , Imunoglobulina rho(D)/sangue , Imunoglobulina rho(D)/química
15.
J Child Sex Abus ; 28(4): 417-434, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30762481

RESUMO

Child serving professionals need increased understanding of the identification and therapeutic needs of child victims of commercial sexual exploitation. This study evaluated the effectiveness of a training program aimed to increase awareness of commercial sexual exploitation of children (CSEC) among professionals likely to encounter victims in their work. Professionals' (N = 227) knowledge level was examined prior to the training, immediately thereafter, and in a 6-12 month follow-up. Despite professional position or years of experience, participants had similar levels of CSEC knowledge before the training and all showed a significant improvement in their knowledge after the training. However, follow-up testing on a smaller subsample demonstrated that knowledge gains were not maintained. The analysis of the participants' responses to how their behavior would change subsequent to the training revealed important themes including: (1) greater ability to identify/assess or recognize CSEC victims, (2) greater understanding and knowledge of CSEC, (3) increased ability to communicate, interact, and engage with CSEC victims, and (4) heightened desire to educate others and raise awareness about CSEC. Results also indicated that participants were very satisfied with the training and found it highly relevant to their work.


Assuntos
Abuso Sexual na Infância , Vítimas de Crime , Educação Continuada , Conhecimentos, Atitudes e Prática em Saúde , Tráfico de Pessoas , Avaliação de Programas e Projetos de Saúde , Adulto , Criança , Feminino , Seguimentos , Humanos , Masculino
16.
J Athl Train ; 54(1): 106-114, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30721095

RESUMO

CONTEXT: Health care systems are increasing their emphasis on interprofessional collaborative practice (IPCP) as a necessary component to patient care. However, information regarding the challenges athletic trainers (ATs) perceive with respect to participating in IPCP is lacking. OBJECTIVE: To describe collegiate ATs' perceptions of challenges to and resources for participation in IPCP. DESIGN: Qualitative study. SETTING: College and university. PATIENTS OR OTHER PARTICIPANTS: The response rate was 8% (513 ATs [234 men, 278 women, 1 preferred not to disclose sex], years in clinical practice = 10.69 ± 9.33). DATA COLLECTION AND ANALYSIS: Responses to survey-based, open-ended questions were collected through Qualtrics. A general inductive qualitative approach was used to analyze data and establish relevant themes and categories for responses. Multianalyst coding and an external auditor confirmed coding saturation and assisted in triangulation. RESULTS: Challenges were reported in the areas of needing a defined IPCP team structure, respect for all involved health care parties, and concerns when continuity of care was compromised. Communication was reported as both a perceived challenge and a resource. Specific resources seen as beneficial to effective participation in IPCP included communication mechanisms such as shared patient health records and educational opportunities with individuals from other health care professions. CONCLUSIONS: As ATs become more integrated into IPCP, they need to accurately describe and advocate their roles, understand the roles of others, and be open to the dynamic needs of team-based care. Development of continuing interprofessional education opportunities for all relevant members of the health care team can help to delineate roles more effectively and provide more streamlined care with the goal of improving patient outcomes.


Assuntos
Atitude do Pessoal de Saúde , Relações Interprofissionais , Medicina Esportiva/organização & administração , Atletas , Comunicação , Educação Continuada/organização & administração , Educação Profissionalizante/organização & administração , Escolaridade , Feminino , Humanos , Masculino , Assistência ao Paciente/métodos , Percepção , Pesquisa Qualitativa , Comportamento Social , Estudantes , Inquéritos e Questionários , Universidades
17.
Hum Resour Health ; 17(1): 14, 2019 02 26.
Artigo em Inglês | MEDLINE | ID: mdl-30808347

RESUMO

BACKGROUND: From 2006, the Association of South East Asian Nations (ASEAN) has been developing Mutual Recognition Arrangements (MRAs) across key professions, including medicine, dentistry and nursing, that would facilitate the development of an ASEAN Economic Community, with shared regional standards and easier mobility of the workforce. This paper examines the interface between those agreements and the registration, professional education and mobility of health personnel in Cambodia. METHODS: This qualitative health policy analysis combined documentary and policy review with key informant interviews with 16 representatives of agencies relevant to the development and implementation of the MRAs in health. Thematic analysis identified three themes: registration, education and mobility. RESULTS: Cambodia is an active participant in the ASEAN MRA processes for doctors, dentists and nurses reporting progress annually. Education of health professionals has been increasingly formalised in the past 25 years, with nursing moving towards a 4-year bachelor degree. The private university sector has substantially increased, with English increasingly used as a language of instruction. Recent legislation provides for enforcement through fines and/or imprisonment to ensure all practising health professionals hold initial registration as a health professional and a renewable licence to practise as a health practitioner. Continuing Professional Development is a mandatory requirement for licence renewal. This is consistent with the MRA guidelines, though the capacity for enforcement appears limited. The Medical Council of Cambodia (MCC), and more recently, the Dental and Nursing Councils, have introduced continuing professional development initiatives, using them strategically as a positive reinforcer of registration. Midwifery education and registration in Cambodia does not conform with ASEAN guidelines. In education, course durations in medicine and dentistry are longer than regional counterparts, though anxiety around maintaining clinical standards has resulted in the introduction of a National Exit Examination and reluctance to abbreviate courses. The introduction of reforms appears to reference regional standards, though parity is still some way off. Mobility at present is infrequent and more likely to result from informal mechanisms than through the MRA mechanisms. CONCLUSION: The Royal Government of Cambodia is committed to the ASEAN MRA process. Developments in registration appear to use regional standards as benchmarks, as do reforms in the education of health professionals, though domestic factors appear to more directly impact on developments. Informal mechanisms facilitate the limited mobility currently occurring, with little formal application of the MRA provisions evident at this point.


Assuntos
Comportamento Cooperativo , Pessoal de Saúde , Política de Saúde , Mão de Obra em Saúde , Cooperação Internacional , Qualidade da Assistência à Saúde , Local de Trabalho , Ásia Sudeste , Camboja , Competência Clínica , Educação Continuada , Educação Profissionalizante , Avaliação Educacional , Feminino , Pessoal Profissional Estrangeiro , Governo , Pessoal de Saúde/educação , Humanos , Licenciamento , Tocologia , Organizações , Formulação de Políticas , Gravidez , Sistema de Registros , Inquéritos e Questionários
18.
Rev. enferm. UFPE on line ; 13(2): 307-314, fev. 2019. ilus, tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1009892

RESUMO

Objetivo: identificar o conhecimento dos profissionais de Enfermagem sobre a reação transfusional, antes e após atividade de educação permanente. Método: trata-se de um estudo qualiquantitativo e explicativo, desenvolvido em um hospital de pequeno porte. Usou-se a estatística do Teste T pareado para testar a diferença entre as médias dos grupos e o software R para gerar as medidas-resumo. Resultados: compôs-se a amostra por 37 profissionais, sendo 22 técnicos de Enfermagem, oito enfermeiros e sete estagiários de Enfermagem, sendo a maioria do sexo feminino, jovem, solteira e trabalhando há menos de cinco anos na instituição e na Enfermagem. Quanto às avaliações, o percentual de acerto foi de 56% no pré-teste, enquanto, no pós-teste, esse percentual subiu para 87%, uma melhora de 31% no percentual de acerto. Conclusão: mostrou-se, pelo desempenho dos profissionais entre as avaliações do pré e do pós-teste, que o treinamento em reação transfusional se deu de maneira satisfatória, pois, de acordo com o teste estatístico utilizado, a HA das médias dos grupos serem significativamente diferentes foi aceita, sendo que o teste atingiu 82% da equipe de Enfermagem do hospital.(AU)


Objective: to identify the knowledge of nursing professionals about the transfusion reaction, before and after the activity of permanent education. Method: it is a qualitative and explanatory study, developed in a small hospital. The paired T-test statistic was used to test the difference between the means of the groups and the software R to generate the summary measures. Results: the sample consisted of 37 professionals, of whom 22 were nursing technicians, eight were nurses and seven were Nursing trainees, the majority being female, young, single and working less than five years in the institution and in Nursing. Regarding the evaluations, the percentage of correctness was 56% in the pre-test, while in the post-test, this percentage rose to 87%, a 31% improvement in the percentage of correctness. Conclusion: it was shown by the professionals' performance, between the pre-and post-test evaluations, that training in transfusion reaction occurred satisfactorily, since, according to the statistical test used, the averages of the groups were significantly different was accepted, and the test reached 82% of the hospital's nursing team.(AU)


Objetivo: identificar el conocimiento de los profesionales de enfermería sobre la reacción transfusional, antes y después de la actividad de educación permanente. Método: se trata de un estudio cuali-cuantitativo y explicativo, desarrollado en un hospital de pequeño porte. Se utilizó la estadística del Test T pareado para probar la diferencia entre los promedios de los grupos y el software R para generar las medidas-resumen. Resultados: se compuso la muestra por 37 profesionales, siendo 22 técnicos de enfermería, ocho enfermeros y siete pasantes de enfermería, siendo la mayoría del sexo femenino, joven, soltera y trabajando desde hace menos de cinco años en la institución y en la enfermería. En cuanto a las evaluaciones, el porcentaje de acierto fue del 56% en el pre-test, mientras que en el post-test, ese porcentaje subió al 87%, una mejora del 31% en el porcentaje de acierto. Conclusión: se mostró, por el desempeño de los profesionales entre las evaluaciones del pre y del post-test, que el entrenamiento en reacción transfusional se dio de manera satisfactoria, pues, de acuerdo con el test estadístico utilizado, la HA de las media de los grupos haber sido significativamente diferentes fue aceptada, siendo que la prueba alcanzó el 82% del equipo de Enfermería del hospital.(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Conhecimentos, Atitudes e Prática em Saúde , Educação Continuada , Reação Transfusional , Reação Transfusional/enfermagem , Recursos Humanos de Enfermagem no Hospital , Equipe de Enfermagem , Segurança do Sangue
19.
Rev. enferm. UFPE on line ; 13(2): 526-531, fev. 2019.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1014945

RESUMO

Objetivo: pretende-se relatar a experiência do uso de vídeos em ações educativas para a promoção da identificação segura do paciente. Método: trata-se de um estudo qualitativo, do tipo relato de experiência, com profissionais de saúde. Relatou-se sobre o desenvolvimento do primeiro ciclo educativo, tendo, como tema, a meta da identificação segura. Realizou-se diversas sessões da atividade buscando viabilizar a participação do maior número possível de profissionais. Resultados: registrou-se, no primeiro ciclo educativo, incluindo, como público-alvo, os profissionais da saúde de um hospital de grande porte da região oeste do estado de Santa Catarina, a participação de 380 pessoas. Optou-se, como estratégia educativa, pelo uso de vídeos de curta-metragem, com caráter comparativo de práticas seguras e inseguras, buscando promover a reflexão, o debate, o conhecimento, a interação e o envolvimento dos profissionais. Conclusão: verificou-se que o uso dos vídeos foi um instrumento para a construção da análise crítica sobre as ações mecanizadas do cotidiano, colaborando para o processo de construção da segurança do paciente e para o desenvolvimento da cultura de segurança.(AU)


Objective: to report the experience of using videos in educational actions to promote the patient´s safe identification. Method: this is a qualitative, experience-type study with health professionals. There was a report on the development of the first cycle of education, having the goal of safe identification as its theme. There were several sessions of the activity, seeking to enable the participation of as many professionals as possible. Results: The health professionals of a large hospital in the western region of the State of Santa Catarina were enrolled in the first cycle of education, including 380 people. As an educational strategy, it was opted for the use of short videos, with a comparative character of safe and insecure practices, seeking to promote reflection, debate, knowledge, interaction and the involvement of professionals. Conclusion: it was verified that the use of the videos was an instrument for the construction of the critical analysis on the mechanized actions of the daily life, collaborating for the construction process of patient safety and for the development of the safety culture.(AU)


Objetivo: relatar la experiencia del uso de videos en acciones educativas para la promoción de la identificación segura del paciente. Método: se trata de un estudio cualitativo, del tipo relato de experiencia, con profesionales de salud. Se relató sobre el desarrollo del primer ciclo educativo, teniendo como tema la meta de la identificación segura. Se realizaron diversas sesiones de la actividad, buscando viabilizar la participación del mayor número posible de profesionales. Resultados: se registraron en el primer ciclo educativo, incluyendo como público-objetivo, los profesionales de la salud de un hospital de grande porte de la región oeste del Estado de Santa Catarina, la participación de 380 personas. Se optó como estrategia educativa el uso de videos de corta-metraje, con carácter comparativo de prácticas seguras e inseguras, buscando promover la reflexión, el debate, el conocimiento, la interacción y el envolvimiento de los profesionales. Conclusión: se verificó que el uso de los videos fue un instrumento para la construcción del análisis crítica sobre las acciones mecanizadas del cotidiano, colaborando para el proceso de construcción de la seguridad del paciente y para el desarrollo de la cultura de seguridad.(AU)


Assuntos
Humanos , Masculino , Feminino , Equipe de Assistência ao Paciente , Sistemas de Identificação de Pacientes , Recursos Audiovisuais , Pessoal de Saúde , Educação Continuada , Segurança do Paciente , Gestão da Segurança , Pesquisa Qualitativa
20.
Rev. bras. med. fam. comunidade ; 14(41): e1758, 02/2019.
Artigo em Português | LILACS, Coleciona SUS | ID: biblio-996052

RESUMO

Objetivo: Relatar uma experiência de educação em saúde com agentes comunitários de saúde acerca da saúde da população LGBT na atenção básica. Métodos: Foi realizada uma ação de educação continuada por meio do estudo de casos escolhidos pelos agentes de saúde dentro de suas microáreas de atuação seguida de discussão em grupo e reflexão sobre as práticas vigentes. Resultados: Foram discutidos três casos apresentados pelos agentes de saúde que abordavam as temáticas de: (1) a escola e o preconceito; (2) a importância do apoio familiar e social; e (3) o papel da estratégia saúde da família e da educação em saúde. Percebeu-se que o tema permanece excluído das grandes discussões, sobretudo nas escolas médicas e na atenção básica, que é o primeiro contato do usuário com o Sistema Único de Saúde. Dessa forma, estratégias que objetivem discutir as peculiaridades da prevenção, promoção e assistência à saúde desses grupos devem ser estimuladas e reproduzidas tendo em vista uma melhor qualidade do atendimento a fim de captar esses pacientes em um ambiente favorável a práticas integrativas com respeito à diversidade sexual. Conclusão: Conclui-se que a atividade educacional realizada foi de extrema importância para desmistificar mitos e preconceitos envolvendo a saúde LGBT no cenário da atenção básica. Observou-se que após a atividade educacional os ACS se mostraram mais confiantes e sensibilizados sobre as temáticas abordadas e mudaram concepções no sentido de respeitar as decisões dos pacientes e realizar abordagem adequada para o acolhimento a esses usuários.


Objective: To report a health education experience with community health agents about the health of the LGBT population in basic care. Methods: A continuous education action was carried out by means of the study of cases chosen by health agents within their micro-areas of action followed by group discussion and reflection on current practices. Results: Three cases presented by the health agents that dealt with the themes of: (1) school and prejudice; (2) the importance of family and social support; and (3) the role of family health strategy and health education. It was noticed that the theme remains excluded from the great discussions, especially in medical schools and primary care, the first contact with the Brazilian health system (SUS), thus strategies that aim to discuss the peculiarities of prevention, promotion and health care of these groups should be stimulated and reproduced with a view to a better quality of care in order to capture these patients in an environment favorable to integrative practices with respect to sexual diversity. Conclusion: It was concluded that the educational activity performed was extremely important to demystify myths and prejudices involving LGBT health in the primary care setting. It was observed that after the educational activity the CHAs were more confident and sensitized on the topics addressed and changed conceptions in order to respect the decisions of the patients and to carry out an appropriate approach to the reception of these users.


Objetivo: Informar una experiencia de educación en salud con agentes comunitarios de salud acerca de la salud de la población LGBT en la atención básica. Métodos: Se realizó una acción de educación continuada por medio del estudio de casos escogidos por los agentes de salud dentro de sus microáreas de actuación seguido de discusión en grupo y reflexión sobre las prácticas vigentes. Resultados: Hemos discutido tres casos presentados por los funcionarios de salud que abordaron los siguientes temas: (1) la escuela y el prejuicio; (2) la importancia del apoyo familiar y social; y (3) el papel de la estrategia sanitaria de la familia y de la educación en salud. Se percibió que el tema permanece excluido de las grandes discusiones, sobre todo en las escuelas médicas. Estrategias que objetiven discutir las peculiaridades de la promoción y asistencia a la salud de esos grupos deben ser estimuladas teniendo en vista una mejor calidad de la atención a fin de captar esos pacientes en un ambiente favorable a prácticas integrativas con respecto a la diversidad sexual. Conclusión: Se concluye que la actividad educativa realizada fue de extrema importancia para desmitificar mitos y prejuicios involucrando la salud LGBT en el escenario de la atención básica. Se observó que después de la actividad educativa los ACS se mostraron más confiados y sensibilizados sobre las temáticas abordadas y cambiaron concepciones en el sentido de respetar las decisiones de los pacientes y realizar un abordaje adecuado para la acogida a esos usuarios.


Assuntos
Agentes Comunitários de Saúde , Direitos Sexuais e Reprodutivos , Educação Continuada , Homofobia , Minorias Sexuais e de Gênero
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