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1.
Prof Inferm ; 74(1): 21-30, 2021.
Artigo em Italiano | MEDLINE | ID: mdl-34089638

RESUMO

INTRODUCTION: In the Italian and European literature there are still few studies describing the impact of the COVID-19 pandemic on the organization of nursing care in hospitals, on the actions taken by nursing leaders to contain it, and on the outcomes of these interventions. AIM: To describe nursing leaders' experiences with reorganizing healthcare pathways, through management data and personal accounts. METHODS: A retrospective quali-quantitative observational study was conducted at the Mauriziano Hospital in Turin, with 484 beds and over 1,700 workers. Quantitative data were analyzed through descriptive statistical indices and integrated with qualitative data collected through semi-structured telephone interviews. The analysis of the quantitative and qualitative data provided an objective and experiential representation of the implemented interventions. RESULTS: We described the impact of interventions introduced by the nursing leadership during the pandemic on hospital services. In particular, the reorganization of the emergency department and of the prevention and psychological support services for the hospital's health workers. In addition, specific initiatives to support the discharge of COVID-19 positive patients, and to support and manage contacts with family members both during the hospitalization of their loved ones and following death are described. DISCUSSION AND CONCLUSION: This study contributes to the discussion on some crucial issues: the increasingly clear relationship between adequate staffing and safety of patients and professionals, the importance of a good working environment and a solid leadership, the importance of continuing education for professionals and adequate skill mixes; all highlighted by the pandemic.


Assuntos
COVID-19/enfermagem , Liderança , Cuidados de Enfermagem/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Educação Continuada , Humanos , Entrevistas como Assunto , Itália , Enfermeiras Administradoras/organização & administração , Alta do Paciente , Estudos Retrospectivos
2.
Korean J Med Educ ; 33(2): 87-96, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34062640

RESUMO

PURPOSE: With the ongoing coronavirus disease 2019 (COVID-19) pandemic, health institutions and hospitals are increasingly relying on e-learning for continuing education. However, in many countries there is still limited data on the effectiveness of online learning particularly in the healthcare field. This study aims to evaluate whether webinar as a form of online educational intervention is satisfactory and effective for the continuing education of health professionals in Indonesia. METHODS: We collected participants' demographic information including health profession, place of work, work unit, and year of graduation. There were six independent webinars included in this study. Webinar outcomes included satisfaction and learning scores. Regarding satisfaction, participants were told to complete a satisfaction survey and asked whether they would recommend the webinar to their colleagues. Regarding learning, information on their mean pre-test and post-test scores was collected. RESULTS: A total of 3,607 health professionals were enrolled, with the highest participation in webinars about emergency cases and COVID-19 management. The response towards satisfaction was overwhelmingly positive. In all six webinars, post-test scores were statistically significantly higher than pre-test scores. Recently graduated physicians scored higher in learning than senior physicians, while place of work and work unit did not significantly affect the scores. CONCLUSION: The use of webinar for health professionals training in Indonesia was well-received amid the ongoing pandemic. In the future, health institutions and teaching hospitals should optimize the implementation of webinar training as it is associated with low cost, high flexibility, and less time commuting.


Assuntos
COVID-19 , Educação Continuada/métodos , Educação à Distância , Pessoal de Saúde , Pandemias , Análise Custo-Benefício , Gerenciamento Clínico , Avaliação Educacional , Hospitais de Ensino , Humanos , Indonésia , Aprendizagem , Satisfação Pessoal , Médicos , SARS-CoV-2 , Ensino
3.
Rev. SPAGESP ; 22(1): 22-38, ene.-jun. 2021. ilus
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1155512

RESUMO

Objetivou-se compreender os procedimentos de recebimento e encaminhamento de notificações de casos de violência sexual realizados por conselheiros tutelares. Para isso, foram realizadas 10 entrevistas semiestruturadas com conselheiros/as tutelares de duas cidades do norte do Rio Grande do Sul. Os resultados indicaram pouca clareza na definição de violência sexual e de notificação. Foram consideradas notificações exitosas aquelas em que há informações de identificação de prováveis vítimas e agressores/as, enquanto as notificações não exitosas possuem poucas informações desses. Referente aos encaminhamentos, observou-se que há êxito quando os serviços da rede dialogam e se articulam e não êxito quando aspectos burocráticos predominam. Buscando uma melhoria no recebimento e nos encaminhamentos das notificações sobre violência sexual faz-se necessária a formação continuada por meio de capacitações, bem como a construção de fluxogramas para o efetivo trabalho.


We aim to understand the procedures of receiving and forwarding notifications of cases involving sexual violence against children performed by Child Protective Services (CPS). We carried out 10 semi-structured interviews with counselors from two cities of Rio Grande do Sul (a southernmost state in Brazil). The main results indicated little accuracy in defining sexual violence and notification. Successful notifications were those in which there is information that could identify victims and perpetrators. Unsuccessful notifications usually contain little information. Counselors observed successful outcomes in forwarding notifications when the services of the system dialogue and articulate, and unsuccessful ones when bureaucratic aspects predominate. We conclude it is necessary to invest in continuing education through capacitation, as well as constructing flowcharts for effective work in CPS.


El objetivo fue comprender los procedimientos para recibir y reenviar notificaciones de casos de violencia sexual realizados por Consejos Tutelares (CT). Fueron hechas 10 entrevistas semiestructuradas con 10 consejeros tutelares de dos ciudades de Rio Grande do Sul. Los resultados indicaron poca claridad en la definición de violencia sexual y notificación. Las notificaciones exitosas son las que incluyen informaciones que permiten identificar posibles víctimas y agresores. Las notificaciones no exitosas contienen pocas informaciones. Se observó que hay éxito en las derivaciones cuando los servicios de la red dialogan y se articulan y no éxito cuando prevalecen los aspectos burocráticos. La formación continua a través de capacitaciones es necesaria, así como la construcción de diagramas de flujo para el trabajo efectivo del CT.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Encaminhamento e Consulta , Delitos Sexuais , Aconselhamento , Notificação , Educação Continuada , Serviços de Proteção Infantil , Conselheiros , Defesa da Criança e do Adolescente
4.
Rev. SPAGESP ; 22(1): 6-21, ene.-jun. 2021. tab
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1155511

RESUMO

Este artigo visa a analisar o uso dos Registros Reflexivos como recursos conversacionais para a facilitação de processos grupais, organizados como parte de um processo de Educação Permanente em Saúde (EPS). A EPS é uma proposta de educação em serviço pautada no cotidiano das práticas como fonte de aprendizagem. Realizamos sete encontros para EPS com profissionais de saúde mental, a partir da perspectiva construcionista social. Para cada encontro realizado, construímos um Registro Reflexivo que era lido no início de cada encontro subsequente. A análise enfocou a produção dos Registros e os efeitos de sua leitura na interação grupal. Com isso, pudemos entender que os Registros Reflexivos se configuraram em importantes recursos para promoção da dialogia e para a preparação da facilitadora.


This article aims to analyze the Reflective Records as conversational resources for the facilitation of group processes, organized as part of a process of Continuing Education in Health (CEH). CEH is a proposal for permanent education based on daily practices as a source of learning. CEH meetings were held with mental health professionals, guided by the social constructionist perspective. For each meeting held, we built a Reflective Record that was read at the beginning of each subsequent meeting. The analysis focused on the production of the Records and the effects of their reading on group interaction. With this, we showed that Reflective Records configured important resources for the promotion of dialogism and preparation of the facilitator's action.


Este artículo analiza los Registros Reflexivos como recursos de conversación para facilitar los procesos grupales, organizados como parte de un proceso de Educación Permanente en Salud (EPS). EPS es una propuesta de educación en el servicio basada en prácticas diarias como fuente de aprendizaje. Realizamos reuniones de EPS con profesionales de la salud mental, desde la perspectiva construcionista social. Para cada reunión realizada, creamos un Registro Reflexivo que se leía al comienzo de cada reunión posterior. El análisis se centró en la producción de los Registros y los efectos de su lectura en la interacción grupal. Con esto, pudimos entender que los Registros Reflexivos se configuraron como recursos importantes para la promoción del dialogismo y para la preparación del facilitador.


Assuntos
Registros , Pessoal de Saúde , Educação Continuada , Processos Grupais , Recursos em Saúde , Aprendizagem
5.
J Contin Educ Health Prof ; 41(2): 104-110, 2021 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-34009840

RESUMO

INTRODUCTION: With the proliferation of virtual learning programs during the COVID-19 pandemic, there is increased need to understand learner experiences and impact on developing expertise. Project Extension for Community Healthcare Outcomes (Project ECHO®) is an established hub-and-spoke tele-education model aimed at building capacity and expertise in primary care providers. Our qualitative study explored how learning experiences within an ECHO mental health care program supported provider learning and ability to solve complex clinical problems. METHODS: We sampled ECHO sessions across a 34-week cycle and analyzed audio transcribed data. Two individuals coded participant interactions during 2-hour recorded sessions using an iterative, constant comparative methodology. RESULTS: The authors identified four key mechanisms of learning in ECHO: (1) fostering participants' productive struggle with cases, (2) development of an integrated understanding, (3) collaborative reformulation of cases, and (4) generation of conceptual solutions based on a new understanding. Throughout the ECHO sessions, learning was observed to be multidirectional from both the hub-to-spoke and between spoke sites. DISCUSSION: Despite the widespread implementation of Project ECHO and other virtual learning models, a paucity of research has focused on mechanisms of virtual learning within these models. Our study demonstrated a bidirectional exchange of knowledge between hub specialist teams and primary care provider spokes that aligned with the development of adaptive expertise through specific learning experiences in Project ECHO. Moreover, the ECHO structure may further support the development of adaptive expertise to better prepare participants to address patients' complex mental health needs.


Assuntos
Competência Clínica , Educação Continuada/organização & administração , Pessoal de Saúde/educação , Atenção Primária à Saúde/organização & administração , Educação à Distância/métodos , Humanos , Saúde Mental/estatística & dados numéricos , Modelos Educacionais , Avaliação de Programas e Projetos de Saúde
6.
Nursing (Säo Paulo) ; 24(276): 5670-5685, maio.2021.
Artigo em Português, Francês | LILACS, BDENF - Enfermagem | ID: biblio-1247608

RESUMO

Objetivo: Verificar e discutir as metodologias ativas de ensino adotadas na educação de enfermeiros em cursos à distância. Método: A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade Federal de São Paulo. Realizou-se revisão integrativa da literatura em bases de dados utilizando os seguintes descritores e suas combinações: Educação a Distância, Enfermagem e Metodologias ativas. Resultados: Observou-se que 33,3% dos estudos promoviam aprendizagem por meio de ambiente virtual de aprendizagem, 30,3% usavam o formato e-learning e 12,1% utilizavam método híbrido. Considerações finais: As metodologias ativas de ensino têm sido empregadas em cursos de capacitação de profissionais de saúde, inclusive enfermagem, e têm contribuído positivamente na qualidade da assistência prestada aos pacientes. (AU)


Objective: To verify and discuss the active teaching methodologies adopted in the education of nurses in distance learning courses. Method: The research was approved by the Research Ethics Committee of the Federal University of São Paulo. An integrative literature review was carried out on databases using the following descriptors and their combinations: Distance Education, Nursing and Active Methodologies. Results: It was observed that 33,3% of the studies promoted learning through a virtual learning environment, 30,3% used the e-learning format and 12.1% used a hybrid method. Conclusion: Active teaching methodologies have been used in training courses for health professionals, including nursing, and have contributed positively to the quality of care provided to patients.(AU)


Objetivo: Verificar y discutir las metodologías activas de enseñanza utilizadas en los cursos de educación a distancia para la educación en enfermería. Métodos: El estudio fue aprobado por el Comité de Ética en Investigación de la Universidad Federal de São Paulo. Se realizó una revisión bibliográfica integradora utilizando los siguientes descriptores y sus combinaciones: educación a distancia, enfermería y metodologías activas. Resultados: Se observó que el 33,3% de los estudios promovió el aprendizaje a través del entorno de aprendizaje virtual, el 30,3% utilizó el formato de aprendizaje electrónico y el 12,1% utilizó el método híbrido. Consideraciones finales: Se han empleado metodologías de Aprendizaje Activo en cursos de capacitación para profesionales de la salud, incluida la enfermería, que han contribuido positivamente a la calidad de la atención brindada a los pacientes.(AU)


Assuntos
Humanos , Educação à Distância , Educação Continuada em Enfermagem , Cursos de Capacitação , Enfermeiras e Enfermeiros , Qualidade da Assistência à Saúde , Pesquisa em Educação de Enfermagem , Aprendizagem Baseada em Problemas , Educação Continuada/métodos
8.
Artigo em Inglês | MEDLINE | ID: mdl-33801232

RESUMO

This study aimed to identify knowledge gaps regarding coronavirus disease 2019 (COVID-19) and develop an integrated educational program for healthcare workers. First, we designed and validated ten multiple-choice questions to identify knowledge gaps among healthcare workers. Within one month of the online test and curriculum offering, 5533 staff had completed the test, with a completion rate of 84.97%. There were 2618 healthcare workers who answered the pre-test 100% correctly. Those who did not answer the pre-test 100% correctly took multiple tests after learning through the online teaching materials. Eventually, 5214 staff passed the test (pre-test or post-test with 100% correct answers). The result showed that all staff had a low correct rate for personal protective equipment (PPE) use recommendations. The Infection Control Center conducted training sessions for hospital staff on how to wear protective clothing. Information on the selection and use of PPE for infection prevention was provided, and participants were allowed time to practice and familiarize themselves with the correct way to wear PPE. Moreover, the Department of Education and Research continued updating the online learning materials based on the most important updated peer-reviewed published articles. The attending teaching physicians helped to search, translate, and take notes on articles in the local language (traditional Chinese) for other colleagues to read easily. We expect to increase learning opportunities for healthcare workers, even during uncertain times such as the current coronavirus pandemic through (1) the hospital-wide course announcements, (2) the continuous placement of test questions and learning files on the digital learning platform, (3) the placement of journal highlights in cloud folders, and (4) the use of the digital learning platform on mobile phones accessible outside the hospital.


Assuntos
COVID-19 , Coronavirus , Educação Continuada , Pessoal de Saúde , Humanos , Pandemias , SARS-CoV-2 , Taiwan/epidemiologia
9.
BMC Med Educ ; 21(1): 245, 2021 Apr 29.
Artigo em Inglês | MEDLINE | ID: mdl-33926419

RESUMO

BACKGROUND: Access to high quality continuing professional development (CPD) is necessary for healthcare professionals to retain competency within the ever-evolving worlds of medicine and health. Most low- and middle-income countries, including Rwanda, have a critical shortage of healthcare professionals and limited access to CPD opportunities. This study scoped the literature using review articles related to the use of information and communication technology (ICT) and video conferencing for the delivery of CPD to healthcare professionals. The goal was to inform decision-makers of relevant and suitable approaches for a low-income country such as Rwanda. METHODS: PubMed and hand searching was used. Only review articles written in English, published between 2010 and 2019, and reporting the use of ICT for CPD were included. RESULTS: Six review articles were included in this study. Various delivery modes (face to face, pure elearning and blended learning) and technology approaches (Internet-based and non-Internet based) were reported. All types of technology approach enhanced knowledge, skills and attitudes. Pure elearning is comparable to face-to-face delivery and better than 'no intervention', and blended learning showed mixed results compared to traditional face-to-face learning. Participant satisfaction was attributed to ease of use, easy access and interactive content. CONCLUSION: The use of technology to enhance CPD delivery is acceptable with most technology approaches improving knowledge, skills and attitude. For the intervention to work effectively, CPD courses must be well designed: needs-based, based on sound educational theories, interactive, easy to access, and affordable. Participants must possess the required devices and technological literacy.


Assuntos
Educação Médica Continuada , Pessoal de Saúde , Comunicação , Educação Continuada , Feminino , Pessoal de Saúde/educação , Humanos , Gravidez , Ruanda , Tecnologia
10.
J Prof Nurs ; 37(2): 255-260, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33867077

RESUMO

Unprecedented financial and logistical barriers in educating nurses during COVID-19 have threatened nursing education. The purpose of this article is to provide a template to facilitate the maintenance and stability of teaching and learning in a pandemic environment for nursing school administration and faculty leaders. The National Incident Management System (NIMS), previously used in training nurses for emergency preparation and response, has been applied as a guiding framework. The framework consists of five elements: Preparedness, Communication/Information Management, Resource Management, Command and Ongoing Management/Maintenance. This paper addresses how schools of nursing may apply each of these elements to address both the needs of the institution and community. The Comprehensive Vulnerability Management paradigm is further offered as a lens for professional development. Free preparedness education is showcased from leading nursing and healthcare professional and government organizations. Finally, the Quality and Safety Education for Nurses competencies are used for integrating NIMS and social dimensions of disaster. Such tools may equip academic leaders at schools of nursing to surmount challenges posed by the pandemic, and to ensure educational readiness to respond to global health crisis through use of the NIMS framework.


Assuntos
COVID-19 , Competência Clínica , Educação Continuada/métodos , Educação em Enfermagem/métodos , Educação Profissionalizante/métodos , Enfermeiras e Enfermeiros/psicologia , Escolas de Enfermagem/organização & administração , Docentes de Enfermagem , Humanos , Pandemias , SARS-CoV-2
11.
Nursing (Säo Paulo) ; 24(275): 5582-5591, abr.-2021.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1224402

RESUMO

Objetivo: Os sentidos da Educação Permanente em Saúde promovem significados e atribuições distintas. O objetivo geral do estudo foi analisar os sentidos da Educação Permanente em Saúde atribuídos pelas enfermeiras de um hospital infantil localizado na região sul do Brasil. Método: A abordagem do estudo foi qualitativa e, a coleta de dados, ocorreu mediante entrevistas individuais realizadas com nove participantes que integram um hospital infantil de referência. As categorias de análise foram compostas nos eixos: perfil das enfermeiras atuantes e Educação Permanente em Saúde pautada no Quadrilátero da Formação. Resultados: Os resultados indicam um perfil de enfermeira com média de idade de 40 anos, levando em consideração que apenas 33,3% participam mensalmente das formações em Educação Permanente em Saúde com discussão de temas relacionados à gestão e à assistência. Conclusão: A pesquisa contribui para as discussões a respeito da sensibilização dos profissionais enfermeiros quanto aos sentidos do trabalho e a essência do cuidado à profissão.(AU)


Objective: To analyze the meanings of work attributed to nurses at a children's hospital located in southern Brazil. Method: The study approach was qualitative and the data collection occurred through individual interviews with nine participants. The analysis categories were composed in the following axes: profile of the active nurses and Permanent Education in Health based on the Quadrilátero da Formação. Conclusion: The results indicate a nurse profile with an average age of 40 years and that only 33.3% participate monthly in Permanent Health Education with discussion of topics related to management and care. Considerations: The research contributes to the discussions regarding the awareness of nursing professionals regarding the meanings of work and the essence of care for the profession.(AU)


Objetivo: Analizar los significados del trabajo atribuidos a los enfermeros en un hospital infantil ubicado en el sur de Brasil. Método: El enfoque del estudio fue cualitativo y la recolección de datos se realizó a través de entrevistas individuales con nueve participantes. Las categorías de análisis se compusieron en los siguientes ejes: perfil de las enfermeras activas y Educación Permanente en Salud con base en el Quadrilátero da Formação. Conclusión: Los resultados indican un perfil de enfermero con una edad promedio de 40 años y que solo el 33,3% participa mensualmente en Educación Permanente en Salud con discusión de temas relacionados con la gestión y el cuidado. Consideraciones: La investigación contribuye a las discusiones sobre la concienciación de los profesionales de enfermería sobre los significados del trabajo y la esencia del cuidado para la profesión.(AU)


Assuntos
Humanos , Adulto , Educação Continuada , Educação Continuada em Enfermagem , Capacitação de Recursos Humanos em Saúde , Enfermeiras e Enfermeiros , Educação em Saúde , Coleta de Dados , Pesquisa Qualitativa , Hospitais
12.
Palmas, TO; Secretaria de Estado da Saúde; 20210000. 59 p. ilus.
Monografia em Português | LILACS, Coleciona SUS, CONASS, SES-TO | ID: biblio-1150754

RESUMO

A organização do Coletivo da Educação Profissional em Saúde - EPS/Humanização no contexto da pandemia. Trata dos caminhos e pistas metodológicas para a estruturação do Planejamento, Monitoramento e Avaliação. Apresenta as memórias e instrumentos como dispositivo de PMA.


The organization of the Collective of Professional Education in Health - EPS / Humanization in the context of the pandemic. It deals with the methodological paths and clues for structuring Planning, Monitoring and Evaluation. It presents memories and instruments as a PMA device.


Assuntos
Humanos , Políticas, Planejamento e Administração em Saúde , Avaliação Educacional , Relatórios Anuais como Assunto , Gestão da Informação/educação , Educação Continuada/tendências
13.
Palmas, TO; Secretaria da Saúde; 23 março 2021. 48 p. ilus.
Monografia em Português | LILACS, Coleciona SUS, CONASS, SES-TO | ID: biblio-1151469

RESUMO

Trata de parâmetros da Educação Permanente em Saúde e a humanização sob a perspectiva do apoio institucional na escola de Saúde pública do Tocantins (Etsus-TO). Trata ainda a organização do coletivo EPS/Humanização no contexto da pandemia da covid-19, as competências da GEPSUS e objetivos da assessoria de humanização, o apoio institucional, a produção de coletivos e de redes, os caminhos e pistas metodológicas para a estruturação do PMA bem como seus objetivos e arranjo de gestão além da modalidade e dinâmica do trabalho no contexto da pandemia da covid-19 e da matriz de planejamento 2021. Traz o diagnostico de estratégias de planejamento, monitoramento e avaliação, o percurso proposto para o PMA na dinâmica dos coletivos do plano de 2020 e a indissociabilidade entre planejamento, monitoramento e avaliação para o plano 2021. Mostra ainda os instrumentos de monitoramento e avaliação e as reflexões acerca do trabalho colaborativo.


It deals with parameters of Permanent Education in Health and humanization from the perspective of institutional support in the public health school of Tocantins (Etsus-TO). It also deals with the organization of the EPS / Humanization collective in the context of the covid-19 pandemic, the skills of GEPSUS and objectives of humanization assistance, institutional support, the production of collectives and networks, the methodological paths and tracks for structuring the PMA as well as its objectives and management arrangement in addition to the modality and dynamics of work in the context of the pandemic of the covid-19 and the planning matrix 2021. It brings the diagnosis of planning, monitoring and evaluation strategies, the proposed route for the PMA in the dynamics of the 2020 plan collectives and the inseparability between planning, monitoring and evaluation for the 2021 plan. It also shows the monitoring and evaluation instruments and reflections on collaborative work.


Se trata de parámetros de Educación Permanente en Salud y humanización desde la perspectiva del apoyo institucional en la escuela de salud pública de Tocantins (Etsus-TO). También se ocupa de la organización del colectivo EPS / Humanización en el contexto de la pandemia del covid-19, las competencias del GEPSUS y los objetivos de la humanización asistencial, el apoyo institucional, la producción de colectivos y redes, los caminos y pistas metodológicas para estructurar PMA así como sus objetivos y arreglo de gestión además de la modalidad y dinámica de trabajo en el contexto de la pandemia del covid-19 y la matriz de planificación 2021. Trae el diagnóstico de estrategias de planificación, seguimiento y evaluación, la ruta propuesta para el PMA en la dinámica de los colectivos del plan 2020 y la inseparabilidad entre planificación, seguimiento y evaluación para el plan 2021. También muestra los instrumentos de seguimiento y evaluación y reflexiones sobre el trabajo colaborativo.


Il traite des paramètres de l'Education Permanente à la Santé et à l'humanisation dans la perspective de l'appui institutionnel à l'école de santé publique de Tocantins (Etsus-TO). Il traite également de l'organisation du collectif EPS / Humanisation dans le cadre de la pandémie de covid-19, des compétences de GEPSUS et des objectifs d'aide à l'humanisation, de soutien institutionnel, de la production de collectifs et de réseaux, des pistes méthodologiques et des pistes de structuration du PMA ainsi que ses objectifs et son dispositif de gestion en plus de la modalité et de la dynamique de travail dans le cadre de la pandémie du covid-19 et de la matrice de planification 2021. Il apporte le diagnostic des stratégies de planification, de suivi et d'évaluation, le tracé proposé pour le PMA dans la dynamique des collectifs du plan 2020 et l'inséparabilité entre planification, suivi et évaluation pour le plan 2021. Il montre également les instruments de suivi-évaluation et les réflexions sur le travail collaboratif.


Assuntos
Humanos , Regionalização da Saúde/organização & administração , Relatório Anual , Educação Continuada , Avaliação Educacional , Humanização da Assistência
14.
BMC Med Educ ; 21(1): 101, 2021 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-33579258

RESUMO

BACKGROUND: Continuing health professions education (CHPE) is an important policy intervention for the opioid epidemic. Besides effectiveness or impact, health policy implementation should be studied to understand how an intervention was delivered within complex environments. Implementation outcomes can be used to help interpret CHPE effects and impacts, help answer questions of "how" and "why" programs work, and inform transferability. We evaluated Safer Opioid Prescribing (SOP), a national CHPE program, using implementation outcomes of reach, dose, fidelity, and participant responsiveness. METHODS: We conducted a retrospective quantitative implementation evaluation of the 2014-2017 cohorts of SOP. To measure reach and dose, we examined participation and completion data. We used Ontario physician demographic data, including regulatory status with respect to controlled substances, to examine relevant trends. To measure fidelity and participant responsiveness, we analyzed participant-provided evaluations of bias, active learning, and relevance to practice. We used descriptive statistics and measures of association for both continuous and categorical variables. We used logistic regression to determine predictors of workshop participation and analysis of covariance to examine variation in satisfaction across different-sized sessions. RESULTS: Reach: In total, there were 472 unique participants, 84.0% of whom were family physicians. Among Ontario physician participants, 90.0% were family physicians with characteristics representative of province-wide demographics. Dose: Webinar completion rate was 86.2% with no differences in completion based on rurality, gender, or controlled substance prescribing status with medical regulatory authorities. Fidelity and participant responsiveness: Nearly all participants rated the three webinars and workshop as balanced, and each element of SOP was also rated as highly relevant to clinical practice. CONCLUSIONS: This evaluation demonstrates that Safer Opioid Prescribing was implemented as intended. Over a short period and without any external funding, the program reached more than 1% of the Ontario physician workforce. This suggests that the program may be a good model for using virtual CHPE to reach a critical mass of prescribers. This study represents a methodological advance of adapting evaluation methods from health policy and complex interventions for continuing health professions education. Future studies will assess effectiveness and impact on opioid prescribing and utilization within evaluation models of complex interventions.


Assuntos
Analgésicos Opioides , Padrões de Prática Médica , Educação Continuada , Humanos , Ontário , Estudos Retrospectivos
15.
Phys Ther Sport ; 49: 68-76, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33621760

RESUMO

OBJECTIVES: The primary objective of the study was to investigate rehabilitation strategies of Flemish physical therapists before and after anterior cruciate ligament (ACL) reconstruction. Secondly, we aimed to investigate physical therapists' preferences on continuing education and evaluate their self-rated confidence and competence when treating patients before and after ACL reconstruction. DESIGN: Survey-based study. SETTING: Online survey platform. PARTICIPANTS: Flemish physical therapists (n = 283). MAIN OUTCOME MEASURES: The online survey consisted of a combination of 40 open- and closed-ended questions, divided across 5 sections: (1) participant demographics and clinical practice information, (2) patient population information, (3) continued education practices, (4) rehabilitation strategies, and (5) physical therapist self-rated confidence and competence to treat patients with ACL reconstruction. RESULTS: A wide variability in rehabilitation strategies were found across the whole ACL rehabilitation continuum, which were in general not in line with best available evidence. Nevertheless, the overall self-rated confidence and competence of physical therapists treating patients before and after ACL reconstruction were high. CONCLUSION: Our findings indicate a need to improve rehabilitation practices before and after ACL reconstruction. Advanced research dissemination and implementation are required to achieve better rehabilitation outcomes.


Assuntos
Lesões do Ligamento Cruzado Anterior/cirurgia , Reconstrução do Ligamento Cruzado Anterior/reabilitação , Modalidades de Fisioterapia , Adulto , Competência Clínica , Tomada de Decisão Clínica , Educação Continuada , Feminino , Finlândia , Pesquisas sobre Serviços de Saúde , Humanos , Masculino , Fisioterapeutas/educação , Resultado do Tratamento
16.
Artigo em Inglês | MEDLINE | ID: mdl-33567721

RESUMO

(1) Background: The aim of this systematic review was to identify key factors for inclusion in continuing education for Korean school nurses to improve their competence in managing students with type 1 diabetes mellitus (T1DM). (2) Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. (3) Results: Twelve studies were included in this systematic literature review. The factors identified for inclusion in continuing education on Type 1 diabetes mellitus included 6 competencies. These were strengthening competence in managing students with Type 1 diabetes mellitus, facilitating networking with experts and peers, the perspective of the school nurse as a leader, use of a type 1 diabetes mellitus-specific evidence-based standardized approach of care, supporting self-management to promote healthy learners, and communication and collaboration between key stakeholders. Identified barriers to accessing continuing education on type 1 diabetes mellitus were work demands, difficulty taking time off during the school year, and limited support from administrators. (4) Conclusions: Based on the findings of this study, online or e-learning continuing education on type 1 diabetes mellitus must be developed for school nurses who manage students with this condition.


Assuntos
Diabetes Mellitus Tipo 1 , Pessoal de Educação , Educação Continuada , Humanos , República da Coreia , Instituições Acadêmicas
17.
Rev. enferm. UFPE on line ; 15(1): [1-18], jan. 2021.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1145725

RESUMO

Objetivo: explorar as potencialidades e ressignificações do cotidiano do trabalho de uma equipe de saúde da família como cenário para a Educação Permanente em Saúde. Método: trata-se de um estudo qualitativo, descritivo, com a utilização do método cartográfico. Registra-se que participaram 13 trabalhadores da Estratégia Saúde da Família. Produziram-se os dados por meio do grupo focal e da observação participante. Resultados: aponta-se que a cartografia explora três de muitos planos de sentidos possíveis: a EPS como recurso presente no processo de trabalho na Estratégia Saúde da Família; a construção e reconstrução dos sentidos da Educação Permanente em Saúde e ela reafirmando a relação entre o trabalho e a produção de conhecimento. Conclusão: entende-se que os trabalhadores atualizaram e reconstruíram os sentidos da Educação Permanente em Saúde nas reuniões, nas visitas domiciliares e na interação com usuários e colegas. Confirmamse os cenários da Educação Permanente em Saúde como settings de aprendizagens que podem ser explorados pela Educação Permanente em Saúde para a produção de novos saberes e a transformação das práticas em saúde.(AU)


Objective: to explore the potentialities and resignifications of the daily work of a family health team as a scenario for Permanent Education in Health. Method: This is a qualitative, descriptive study, using the cartographic method. It is registered that 13 workers of the Family Health Strategy participated. The data were produced through the focal group and participant observation. Results: it is pointed out that cartography explores three of many possible sense plans: the PEH as a resource present in the work process in the Family Health Strategy; the construction and reconstruction of the senses of Permanent Education in Health and it reaffirms the relationship between work and the production of knowledge. Conclusion: It is understood that the workers have updated and reconstructed the meanings of Permanent Education in Health in meetings, home visits and interaction with users and colleagues. The scenarios of Permanent Education in Health are confirmed as learning settings that can be explored by Permanent Education in Health for the production of new knowledge and the transformation of practices in health.(AU)


Objetivo: explorar las potencialidades y resignificaciones del trabajo diario de un equipo de salud familiar como escenario de Educación Permanente en Salud Método: es un estudio cualitativo, descriptivo, utilizando el método cartográfico. Se registra que participaron 13 trabajadores de la Estrategia Salud de la Familia. Los datos se produjeron a través del grupo focal y la observación participante. Resultados: se señala que la cartografía explora tres de los múltiples planes de sentido posibles: EPS como recurso presente en el proceso de trabajo en la Estrategia Salud de la Familia; la construcción y reconstrucción de los significados de la Educación Permanente en Salud y reafirmando la relación entre trabajo y producción de conocimiento. Conclusión: se entiende que los trabajadores actualizaron y reconstruyeron los significados de la Educación Permanente en Salud en reuniones, visitas domiciliarias e interacción con usuarios y colegas. Los escenarios de Educación Permanente en Salud se confirman como settings de aprendizaje que pueden ser explorados por la Educación Permanente en Salud para la producción de nuevos conocimientos y la transformación de las prácticas de salud.(AU)


Assuntos
Humanos , Masculino , Feminino , Atenção Primária à Saúde , Pessoal de Saúde , Estratégia Saúde da Família , Educação Continuada , Capacitação em Serviço , Epidemiologia Descritiva , Pesquisa Qualitativa , Fluxo de Trabalho
18.
Rev. enferm. UFPE on line ; 15(1): [1-11], jan. 2021.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1145773

RESUMO

Objetivo: analisar a atenção à saúde das mulheres acerca do manejo do climatério por enfermeiros de Atenção Primária à Saúde. Método: trata-se de um estudo qualitativo, descritivo, que tem, como referencial teórico, o conceito de percepção. Analisaram-se os dados transcritos por meio de Análise Temática Dedutiva. Resultados: informa-se que surgiram quatro categorias temáticas: Educação permanente e continuada; Organização dos serviços; Abordagem às mulheres em climatério e Utilização de terapias complementares. Acredita-se que os resultados contribuirão para novas perspectivas na atenção à saúde da mulher. Conclusão: conclui-se que a atenção à saúde da mulher em climatério ocorre de forma fragmentada e descontínua. Percebeu-se a necessidade de realizar educação permanente voltada ao tema climatério, bem como a elaboração de protocolos, normas e diretrizes atuais que orientem a atuação profissional.(AU)


Objective: to analyze women's health care regarding climateric management by Primary Health Care nurses. Method: it is a qualitative, descriptive study, which has, as theoretical reference, the concept of perception. The data transcribed was analyzed by means of a Deductive Thematic Analysis. Results: It is informed that four thematic categories have emerged: Permanent and continuous education; Organization of services; Approach to climacteric women and Use of complementary therapies. It is believed that the results will contribute to new perspectives in women's health care. Conclusion: it is concluded that the women's health care in the climacteric period occurs in a fragmented and discontinuous way. The need for permanent education on the subject of the climacteric period was perceived, as well as the elaboration of protocols, norms and current guidelines that guide the professional action.(AU)


Objetivo: analizar la atención de la salud de la mujer sobre el manejo del climaterio por enfermeros de Atención Primaria de Salud Método: se trata de un estudio cualitativo, descriptivo, que tiene como referencia teórica el concepto de percepción. Los datos transcritos fueron analizados mediante Análisis Temático Deductivo. Resultados: se informa que han surgido cuatro categorías temáticas: Educación permanente y continua; Organización de servicios; Aproximación a la mujer en climaterio y uso de terapias complementarias. Se cree que los resultados contribuirán a nuevas perspectivas en la atención de la salud de la mujer. Conclusión: se concluye que la atención a la salud de la mujer en el climaterio se da de forma fragmentada y discontinua. Se advirtió la necesidad de realizar una educación permanente enfocada en el tema climatérico, así como la elaboración de protocolos, reglas y pautas vigentes que orienten el desempeño profesional.(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Percepção , Atenção Primária à Saúde , Climatério , Menopausa , Saúde da Mulher , Assistência Integral à Saúde , Enfermeiras e Enfermeiros , Epidemiologia Descritiva , Pesquisa Qualitativa , Educação Continuada
19.
Rev. enferm. UFPE on line ; 15(1): [1-23], jan. 2021.
Artigo em Português | BDENF - Enfermagem | ID: biblio-1145786

RESUMO

Objetivo: compreender a percepção dos trabalhadores da equipe de enfermagem sobre a educação permanente em saúde mental. Método: estudo qualitativo, descritivo, exploratório, desenvolvido em três unidades de internação de um hospital geral. Realizou-se a coleta de dados por meio de entrevistas semiestruturadas com 15 trabalhadores da equipe de enfermagem. Fundamentou-se a análise dos dados no método de Análise do Fenômeno Situado. Resultados: aponta-se que os trabalhadores identificaram experiências com usuários de saúde mental marcadas por dificuldades no exercício do cuidado, em virtude da carência de conhecimento específico e experiência. Verificou-se que, quando as ações de educação permanente abordam temáticas técnicoassistenciais, motiva-se a necessidade de buscar informação, por meio das discussões entre pares e/ou da pesquisa individual. Conclusão: a educação permanente em saúde mental permite que a equipe de enfermagem repense as práticas, o processo de trabalho e o cuidar em saúde mental, de modo mais humanizado e em conformidade com a Reforma Psiquiátrica. Observa-se que a Enfermagem deve ser capaz de desenvolver habilidades para o manejo de situações específicas e gerar segurança e conforto aos profissionais para a oferta do cuidado.(AU)


Objective: to understand the perception of nursing team workers about permanent education in mental health. Method: qualitative, descriptive, exploratory study, developed in three inpatient units of a general hospital. Data were collected through semi-structured interviews with 15 workers on the nursing team. Data analysis was based on the Situated Phenomenon Analysis method. Results: the workers reported experiences with mental health patients marked by difficulties in the exercise of care due to the lack of specific knowledge and experience. When permanent education actions address technical-assistance issues, the need to seek information is motivated through peer discussions and/or individual research. Conclusion: permanent education in mental health allows the nursing team to rethink practices, the work processes, and mental health care ina more humane way and in accordance with the psychiatric reform. It is observed that the nursing team must be able to develop skills for handling specific situations and generate safety and comfort for professionals to provide care.


Objectivo: compreender la percepción del personal de enfermeira sobre la educación permanente en salud mental. Método: estúdio cualitativo, descriptivo, exploratorio, desarrollado en tres unidades de internación de un hospital general. Los datos fueron recolectados a través de entrevistas semiestructuradas con 15 trabajadores del equipo de enfermería. El análisis de datos se basó en el método de Análisis de Fenómeno Situado. Resultados: se señala que los trabajadores indentificaron experiências con usuarios de salud mental marcadas por dificultades en el ejercício del cuidado, debido a la falta de conocimientos y experiencia específicos. Se encontró que, cuando las acciones de educación permanente abordan temas de asistencia técnica, se motiva la necesidad de buscar información, a través de discusiones entre pares y / o investigación individual. Conclusión: la educación permanente en salud mental permite al equipo de enfermería repensar las prácticas, el proceso de trabajo y el cuidado de la salud mental, de una manera más humanizada y acorde con la Reforma Psiquiátrica. Se observa que na Enfermería debe ser capaz de desarrollar habilidades para el manejo de situaciones específicas y generar seguridad y comodidad para que los profesionales brinden cuidados.(AU)


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Percepção , Saúde Mental , Pessoas Mentalmente Doentes , Educação Continuada , Hospitalização , Hospitais Gerais , Equipe de Enfermagem , Epidemiologia Descritiva , Pesquisa Qualitativa
20.
Arch Pathol Lab Med ; 145(2): 231-239, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33501496

RESUMO

CONTEXT.­: Continuing education improves the quality of medical care and is a required part of most health care professions. Although a variety of educational modules are available online or at external conferences, completion of these activities can be expensive and time-consuming. In addition, externally produced modules may have limited applicability to a local practice. OBJECTIVE.­: To assess the ability of an economically efficient, locally produced, department-wide pathology educational seminar to efficiently meet education requirements for a large number of employees in a large health system. DESIGN.­: A multiday continuing education symposium was produced annually from 2013 through 2019 at no cost to participants. Metrics related to attendance, number of educational sessions available for registration, and participant satisfaction were tabulated, trended, and compared with similar metrics tabulated from an external continuing education conference that was offered from 2011 through 2012. RESULTS.­: The production of an internal, hospital-based educational symposium increased employee attendance (mean of 635 attendees per year versus 247 at the external program; P < .001) while reducing mean annual cost per attendee ($51 versus $140, P < .001). The number of sessions produced for the internal symposium was 39 per year on average, compared with 12 per year at the external program. Technical staff, residents, fellows, and faculty all contributed to internal educational programming, helping to build a team culture in the department. Overall employee satisfaction was 96.2%. CONCLUSIONS.­: An internal educational pathology symposium led to cost-efficient distribution of continuing education credits to a large number of technical staff, with a high degree of reported employee satisfaction.


Assuntos
Educação Continuada/economia , Pessoal de Laboratório Médico/educação , Patologia Clínica/educação , Análise Custo-Benefício , Hospitais , Humanos , Laboratórios Hospitalares , Patologia Clínica/economia , Desenvolvimento de Programas
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