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1.
Nurs Educ Perspect ; 41(1): 4-9, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860477

RESUMO

AIM: As an initial approach to determining representation of the NLN Core Competencies for Nurse Educators in Master's of Science in Nursing Education and Post-Master's Certificate programs, the study identified the presence of the competencies in course descriptions. BACKGROUND: The competencies are the gold standard to ensure academic nurse educators have the knowledge and skill to teach, assist learners, develop curricula, and implement effective evaluation methods. METHOD: A descriptive design that applied web scraping techniques was used to collect data from school web pages, including course descriptions, credit hours, practica information, distance accessibility, and Certified Nurse Educator exam preparation. RESULTS: Four competencies were well represented (≥85 percent), and four competencies were poorly represented (<50 percent) in a sample of 529 schools. CONCLUSION: Programs should review courses and course descriptions for inclusion of all competency areas that prepare nurse educators and make revisions to address poorly represented competencies.


Assuntos
Educação em Enfermagem , Docentes de Enfermagem , Competência Profissional , Certificação , Currículo , Humanos
2.
Nurs Educ Perspect ; 41(1): 61-62, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31860494

RESUMO

Lack of clinical sites and disparate experiences contribute to the challenge for RN-to-BS nursing programs to provide sufficient leadership and quality improvement opportunities. A virtual clinical learning experience using WordPress was developed as a faculty-graduate student think tank project and implemented in an RN-BS hybrid nursing leadership course. The unfolding case study created an interactive experience to portray use of systems thinking and transformational leadership. Mann-Whitney U analysis identified no significant difference in learning outcomes. The low-cost, easy-to-develop technology counteracted limited clinical sites, allowing for learning on the go with equivalent learning outcomes.


Assuntos
Aprendizagem , Estudantes de Enfermagem , Interface Usuário-Computador , Educação em Enfermagem , Humanos , Liderança
3.
Enferm. intensiva (Ed. impr.) ; 30(4): 181-191, oct.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184482

RESUMO

Introducción: Las competencias que abordan en su entorno laboral las enfermeras de cuidados intensivos (UCI), han aumentado con la adquisición de nuevas responsabilidades asociadas a cuidados y dispositivos a realizar al paciente crítico. Múltiples estudios avalan la necesidad de la especialización de las enfermeras que trabajan en este tipo de unidades. Apoyado en estas evidencias, la European Federation of Critical Care Nurse, recomienda unificar la formación de las enfermeras de cuidados intensivos. Por tanto, nos planteamos el siguiente objetivo: valorar las necesidades formativas que detectan las enfermeras de UCI a través de sus vivencias y experiencias profesionales. Método: Estudio cualitativo descriptivo, con enfoque fenomenológico, a través de una entrevista semiestructurada donde se estudiaron los 4 ámbitos que la European Federation of Critical Care Nurse recoge (clínico, profesional, gestión y educativo). Se entrevistaron a 15 enfermeras de una UCI polivalente. Resultados: Los entrevistados reconocen que la formación previa era deficiente para los cuidados y medidas de soporte que tuvieron que afrontar. Consideran que la formación posterior y la experiencia fueron determinantes para poder desarrollar efectivamente su labor profesional. Además afirman que las medidas de soporte y los cuidados son temas a desarrollar continuamente mediante una formación dirigida. Conclusión: Las enfermeras reconocen que debe existir una formación destinada a cumplir las competencias que las UCI requieren, y que estas se ven afectadas por el tipo de unidad y el tipo de pacientes atendidos


Introduction: The competences of intensive care (ICU) nurses in their healthcare environment, have increased with the acquisition of new responsibilities associated with new care and devices for critical patients. Many studies suggest the need for specific training of nurses that work in these units. Based on this evidence, the European Federation of Critical Care Nurses Associations, recommends unifying the training of intensive care nurses. Therefore we set ourselves the following objective: to assess the training needs detected by ICU nurses through their experience and practical knowledge. Method: Descriptive qualitative study, with a phenomenological approach, through semi-structured interview where the four areas (clinical practice, professional, management and educational) covered by the European Federation of Critical Care Nurses Associations were studied. Fifteen nurses from an adult polyvalent ICU were interviewed. Results: The interviewees acknowledged that the previous training was deficient for the care and support measures that they had to face. They considered that subsequent training and experience were decisive in order to carry out their work effectively. They also stated that support measures and care are topics to be developed continuously through targeted training. Conclusion: The nurses in this research study acknowledged that training is needed to achieve the competences required in ICU, and these are affected by the type of unit and patients


Assuntos
Humanos , Masculino , Feminino , Enfermeiras e Enfermeiros/estatística & dados numéricos , Cuidados Críticos/tendências , Educação em Enfermagem/tendências , Unidades de Terapia Intensiva/estatística & dados numéricos , Análise Qualitativa , Competência Clínica , Entrevistas como Assunto/estatística & dados numéricos
4.
Enferm. clín. (Ed. impr.) ; 29(6): 336-343, nov.-dic. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-184653

RESUMO

Objetivo: Conocer el grado el interés de los residentes en áreas formativas transversales de Enfermería Familiar y Comunitaria (EFyC) al inicio de su formación. Valorar el desarrollo de actividades comunitarias en los centros de salud y determinar el grado de satisfacción de los residentes con la formación recibida y actividades realizadas. Método: Se presenta una experiencia sobre metodología docente en salud pública y comunitaria en los residentes de EFyC desde el 2014 hasta el 2017. La formación se dividió en 3módulos formativos de 21h y se completó con 2actividades de campo: un programa de Educación para la Salud (EpS) y un mapeo de activos en la zona básica de salud (ZBS). Se cumplimentó un cuestionario de satisfacción del curso y de las actividades realizadas. Resultado: Durante este período se formaron 27 residentes. El 86,9% consideró la formación en atención comunitaria como muy necesaria. Se realizaron 26 programas de EpS y 17 mapeos de activos de sus ZBS. Con respecto a la satisfacción de la formación, se obtuvo una media global de 4,5 ± 0,1 sobre 5. Conclusiones: Los resultados evidencian un alto grado de interés en atención comunitaria, así como una valoración muy alta sobre las actividades realizadas y la formación recibida. La formación en salud comunitaria durante el período de residencia es un elemento esencial para integrar estas competencias en el rol profesional. Resulta imprescindible la dedicación por parte de las Unidades Docentes en el impulso en esta competencia, capacitando a los residentes en la integración del abordaje biopsicosocial, la orientación comunitaria y el trabajo en equipo en Atención Primaria


Objective: To determine the interest of nursing residents in the training areas of Family and Community Nursing (EFyC) at the beginning of their training, to evaluate community activities in health centres and to determine satisfaction with the training received and activities carried out. Method: We present the experience of training in the public and community health competencies of EFyC Nursing from 2014 to 2017 in a multiprofessional teaching unit. The training was divided into 3 theoretical modules. The training was completed with 2 activities: the design and development of a health education programme and an asset mapping in the basic health area. A questionnaire was completed on satisfaction with the course and the activities carried out. Result: During this period, 27 residents received training. As part of the training process, 26 health education programmes and 17 asset mappings were conducted in accredited health centres. The areas of intervention addressed were: lifestyles, life transitions and health problems. The overall satisfaction with the course was 4.5 ±.1 out of 5. Conclusions: The results show a high degree of interest in this area, as well as high evaluation of the activities carried out and the training received. Training in community health and health education during the period of residence is essential to include these competencies in the professional role. The dedication and involvement of the multiprofessional teaching units is essential in the development of these competences, training the residents through the integration of a biopsychosocial approach, community health and teamwork in primary care


Assuntos
Humanos , Enfermagem em Saúde Comunitária/educação , Enfermagem Familiar/educação , Educação em Enfermagem/tendências , Enfermeiras Especialistas/educação , Saúde Pública/educação , Estudos Transversais , Inquéritos e Questionários , Análise de Dados , Internato não Médico/métodos , Internato não Médico/organização & administração
6.
Rev Lat Am Enfermagem ; 27: e3189, 2019.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-31596420

RESUMO

OBJECTIVE: analyze professional implication with the support of humanization and articulators of permanent education in health as a tool of Permanent Education in Health. METHOD: this is an interventional study of qualitative approach, based on the theoretical reference of Institutional Analysis. Thirty-five humanization supporters and/or permanent education articulators participated in this study. Semi-structured interviews, monthly meetings, restitution meetings and a daily logbook were used as tools for data production. The material was analyzed according to the principles of the study reference and the results were presented according to the ideological, organizational and libidinal dimensions of professional implication. RESULTS: this study identified a contradiction when finding a professional profile for the development of support and articulation; feelings of discouragement, pessimism and optimism in the development of these roles; influences of the nursing profession on the development of support and articulation; length of professional service; and the absence/presence of desire in such development. CONCLUSION: the analysis of professional implication consisted of a powerful tool generating training processes. It allowed learning and reflection of the practice through analysis of the actions performed by the professionals, generating changes in the conception of work in health.


Assuntos
Educação Continuada , Pessoal de Saúde/educação , Enfermagem em Saúde Pública/organização & administração , Brasil , Competência Clínica , Educação em Enfermagem , Humanismo , Humanos , Pesquisa Qualitativa
9.
Nurs Educ Perspect ; 40(6): E16-E18, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31609818

RESUMO

The relationships between social identity, stereotype threat, and academic success were explored among prenursing students. Stereotype threat has been linked to academic success in students from underrepresented populations within the social sciences and educational literature but has not been explored in nursing. A descriptive correlational design was used with Picho and Brown's Social Identities and Attitudes Scale emailed to 159 prenursing students. Stereotype threat was significantly related to race/ethnicity with no significant relationship between stereotype threat and academic success. Further exploration of stereotype threat in nursing is warranted; there may be implications for retention and support of diverse students.


Assuntos
Sucesso Acadêmico , Identificação Social , Estereotipagem , Estudantes/psicologia , Educação em Enfermagem , Humanos , Estudantes/estatística & dados numéricos
10.
Nursing (Säo Paulo) ; 22(257): 3249-3254, out.2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1026163

RESUMO

Objetivo: Descrever o processo de criação do Curso de Enfermagem na Universidade Castelo Branco. Método: A pesquisa tratou-se de um estudo histórico de 2003 a 2018 com uma abordagem qualitativa descritiva, utilizando como fontes primárias, entrevista e documentos pertencentes ao acervo do Curso de Enfermagem da Universidade Castelo Branco, localizada na Zona Oeste do Rio de Janeiro. Aplicou-se a análise de dados feita das atas de reuniões, vídeos, antecedentes históricos e eventos que constituíram os marcos históricos. Resultados: A história do Curso de Enfermagem na UCB corroborou com a formação e profissionalização do Ensino de Enfermagem na Zona Oeste RJ, contribuindo para elevar o campo da saúde, sendo assim, determinante na profissão que à época tinha certa carência de profissionais. Os cursos através das concepções pedagógicas acompanham a evolução da aquisição do saber, permitem fazer o cuidar na sua essência e desenvolvem atividades sociais que facilitam a interação entre aluno e comunidade. Conclusão: O Curso de Enfermagem da UCB apresenta um diferencial humanizado, voltado para ações sociais e educativas para a comunidade.(AU)


Objective: Describe the process of creating the Nursing Course at Castelo Branco University. Method: The research was a historical study from 2003 to 2018 with a qualitative descriptive approach, using as primary sources, interview and documents belonging to the Nursing Course collection of the Castelo Branco University, located in the West Zone of Rio de Janeiro. Data analysis of the minutes of meetings, videos, historical background and events that constituted the historical landmarks was applied. Results: The history of the Nursing Course at UCB corroborated the formation and professionalization of Nursing Education in West Zone RJ, contributing to raise the health field, thus determining the profession that at that time had a lack of professionals. The courses through the pedagogical conceptions accompany the evolution of the acquisition of knowledge, allow to take care in its essence and develop social activities that facilitate interaction between student and community. Conclusion: The UCB Nursing Course presents a humanized differential, focused on social and educational actions for the community.(AU)


Objetivo: Describir el proceso de creación del Curso de Enfermería en la Universidad Castelo Branco. Método: La investigación fue un estudio histórico de 2003 a 2018 con un enfoque descriptivo cualitativo, utilizando como fuentes primarias, entrevistas y documentos pertenecientes a la colección del Curso de Enfermería de la Universidad Castelo Branco, ubicada en la Zona Oeste de Río de Janeiro. Se aplicó el análisis de datos de las actas de reuniones, videos, antecedentes históricos y eventos que constituyeron los hitos históricos. Resultados: La historia del Curso de Enfermería en la UCB corroboró la formación y profesionalización de la Educación en Enfermería en la Zona Oeste de RJ, contribuyendo a elevar el campo de la salud, determinando así la profesión que en ese momento carecía de profesionales. Los cursos a través de las concepciones pedagógicas acompañan la evolución de la adquisición de conocimientos, permiten cuidar en su esencia y desarrollar actividades sociales que faciliten la interacción entre el alumno y la comunidad. Conclusión: El Curso de Enfermería de la UCB presenta un diferencial humanizado, enfocado en acciones sociales y educativas para la comunidad.(AU)


Assuntos
Humanos , Ensino , Educação Superior , Educação , Educação em Enfermagem , História da Enfermagem
11.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 11(5): 1167-1172, out.-dez. 2019. tab, ilus
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1022192

RESUMO

Objetivo: Desvelar a percepção dos estudantes de enfermagem sobre o exame Papanicolau no diagnóstico das doenças ginecológicas. Métodos: descritivo e exploratório, com abordagem quali-quantitativa. A pesquisa foi realizada nas Faculdades Integradas de Patos no curso de enfermagem. A amostra composta por 100 estudantes de enfermagem que aceitaram participar da pesquisa. Resultados: Todos os estudantes sabem da eficácia do exame, porém nem todos tiveram a oportunidade de realizar o mesmo durante os estágios, além disso, nota-se que os estudantes sabem a importância do exame Papanicolau e as orientações necessárias para a saúde da mulher. Conclusão: Evidenciou-se a importância do conhecimento teórico e prático dos estudantes e futuros profissionais da enfermagem, sobre a conduta do exame e orientações a serem repassadas para as usuárias que venham a realizar o papanicolau


Objective: The study's purpose has been to present the nursing students' perception with regards to the Papanicolaou test (Pap smear, also called Pap test) for gynecological diseases diagnosis. Methods: It is a descriptive-exploratory study with both qualitative and quantitative approaches. The research was carried out in the Nursing Graduation Course from the Higher Education Institution named Faculdades Integradas de Patos. The sample consisted of 100 nursing students who accepted to participate. Results: The results have shown that all students were aware about the efficacy of the exam, and only 32% did not have the opportunity to do such procedure during the internships. Furthermore, it was noted that students have a positive perception about the Pap smear and the necessary guidelines for promoting women's health. Conclusion: It was possible to underline the importance of both theoretical and practical knowledge of students and future nursing professionals, concerning the exam conduct and also the guidelines to be passed on to the users who will perform the Pap smear


Objetivo: Desvelar la percepción de los estudiantes de enfermería sobre el examen Papanicolau en el diagnóstico de las enfermedades ginecológicas. Métodos: descriptivo y exploratorio, con abordaje cuali-cuantitativo. La investigación fue realizada en las Faculdades Integradas de Patos en el curso de enfermería. La muestra fue compuesta por 100 estudiantes de enfermería que aceptaron participar en la investigación. Resultados: Todos los estudiantes saben de la eficacia del examen, pero no todos tuvieron la oportunidad de realizar lo mismo durante las prácticas, además, se nota que los estudiantes saben de la importancia del examen Papanicolau y las orientaciones necesarias para la salud de la mujer. Conclusión: Se evidenció la importancia del conocimiento téorico y práctico de los estudiantes y futuros profesionales de enfermería, sobre la conducta del examen y orientaciones que van ser repasadas para las usuarias que vengan a realizar el papanicolau


Assuntos
Humanos , Masculino , Feminino , Estudantes de Enfermagem , Educação em Enfermagem , Teste de Papanicolaou , Brasil , Neoplasias do Colo do Útero
13.
Enferm. clín. (Ed. impr.) ; 29(5): 264-270, sept.-oct. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184150

RESUMO

Objetivo: Explorar la percepción de los estudiantes de cuarto curso del Grado en Enfermería sobre el entorno asistencial donde tiene lugar su proceso formativo en prácticas clínicas. Método: Estudio cualitativo fenomenológico basado en la filosofía hermenéutica de Gádamer que contó con el desarrollo de grupos focales y entrevistas semiestructuradas en estudiantes de cuarto curso del Grado de Enfermería de la Universidad de Almería. El periodo de recogida fue en febrero de 2016. La información obtenida se transcribió y analizó mediante estrategias inductivas en busca de categorías emergentes. Resultados: El análisis reveló dos categorías principales: (1) influencia del entorno clínico en el desempeño asistencial y docente de las enfermeras y en el aprendizaje de los estudiantes y (2) formación y perspectivas laborales para los futuros profesionales. Cada una de ellas mostró dos subcategorías con sus correspondientes códigos. La información recogida reflejó las experiencias y percepciones de los estudiantes de Enfermería sobre el entorno asistencial donde tiene lugar su proceso formativo en prácticas clínicas. Conclusiones: Este estudio permitió conocer la percepción de los estudiantes de cuarto curso del Grado de Enfermería sobre el entorno donde tiene lugar su proceso formativo en prácticas clínicas. Conocer dicho fenómeno ayuda a identificar déficits en el aprendizaje clínico de los estudiantes y a adaptar los planes de estudios de las universidades a sus necesidades formativas a fin de garantizar su éxito como profesionales ante las futuras demandas del contexto clínico-laboral


Aim: To explore the perception of fourth-year nursing students of the healthcare environment where their training process in clinical practices takes place. Methods: Phenomenological qualitative study based on the hermeneutical philosophy of Gádamer that included the development of focus groups and semi-structured interviews in a sample of fourth-year nursing students from the University of Almería. The collection period was in February 2016. The information obtained was transcribed and analyzed by inductive strategies in search of emerging categories. Results: The analysis revealed two main categories: (1) influence of the clinical environment on the healthcare and teaching performance of nurses and on student learning and (2) training and job prospects for the future professionals. Each of them showed two subcategories with their corresponding codes. The information collected showed the experiences and perceptions of Nursing students regarding the healthcare environment where their training process in clinical practices takes place. Conclusions: This study enabled us to discover the perception of fourth-year nursing students of the environment where their training process in clinical practices takes place. Knowledge of this phenomenon helps to identify deficits in students' clinical learning and to adapt university curricula to their training needs in order to guarantee their success as professionals facing future clinical-labour demands


Assuntos
Humanos , Percepção , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Estágio Clínico/métodos , Estágio Clínico/normas , Enfermagem Prática , Análise Qualitativa , Educação em Enfermagem , Aprendizagem
14.
Enferm. clín. (Ed. impr.) ; 29(5): 271-279, sept.-oct. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184151

RESUMO

Objetivo: Conocer las opiniones de los tutores y de los estudiantes del Grado en Enfermería sobre las prácticas clínicas e identificar estrategias y propuestas de mejora para el desempeño de la labor docente. Método: Estudio cualitativo con perspectiva fenomenológica mediante grupos focales con enfermeros tutores de prácticas clínicas y estudiantes de Enfermería. Los participantes se segmentaron en 3 grupos: estudiantes, tutores del área médica y tutores del área quirúrgica. El número de grupos lo determinó la saturación de la información. Se transcribieron los discursos y se realizó un análisis manual sintáctico y semántico de los discursos para extraer las variables de análisis. Se obtuvieron los permisos del Comité de Ética de la Investigación Provincial y del centro correspondiente. Resultados: Tanto los tutores como los estudiantes destacan la necesidad de capacitar a los tutores en las habilidades formativas y proporcionarles herramientas que faciliten su labor, así como el reconocimiento formal de su función docente. En sus discursos, ambos colectivos proponen un cambio de visión y, sobre todo, de actitudes en el desarrollo de la enseñanza-aprendizaje. Y, por último, se manifiesta la necesidad de un cambio en el modelo de relaciones entre la Universidad y los servicios sanitarios. Conclusiones: Con base en lo anteriormente expuesto, se identifica la necesidad de incentivar y formar a los profesionales clínicos para la función tutorial y de plantear un cambio de modelo que propicie un acercamiento entre la Universidad y el sistema sanitario


Objective: To discover the opinions of the tutors and students of the Degree in Nursing on clinical practices and identify strategies and improvement proposals for teacher performance. Method: A qualitative study with a phenomenological perspective through focus groups with clinical nurse tutors and nursing students. The participants were divided into 3 groups: students, tutors from the medical area and tutors from the surgical area. The number of groups was determined by saturation of the information. The discourse was transcribed and a syntactic and semantic manual analysis of the discourse was made to extract the analysis variables. Permission was obtained from the Provincial Research Ethics Committee and the corresponding centre. Results: Both the tutors and the students emphasized the need to train tutors in teaching skills and provide them with tools that facilitate their work, as well as the need for formal recognition of their teaching function. In their discourse, both groups proposed a change of vision, and above all of attitudes, in the development of teaching-learning. Finally, there is a need for a change in the model of relations between the University and health services. Conclusions: Based on the above, the need to encourage and train clinical professionals as tutors is identified and a change of model proposed to bring the University and the health system closer together


Assuntos
Humanos , Estágio Clínico/organização & administração , Padrões de Prática em Enfermagem/organização & administração , Padrões de Prática em Enfermagem/normas , Melhoria de Qualidade , Mentores , Análise Qualitativa , Estudantes de Enfermagem/estatística & dados numéricos , Educação em Enfermagem/organização & administração
18.
Rev Infirm ; 68(253): 28-29, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31472780

RESUMO

At the crossroads between the care delivered in the hospital and community nursing care, private practice nurses occupy a central role in supporting children with haemophilia and their family. Dedicated training helps to maintain the link with hospital structures and enables them to exchange with other professionals regarding practices, treatment difficulties and the contribution of new technologies in the care provision.


Assuntos
Educação em Enfermagem , Hemofilia A/enfermagem , Prática Privada de Enfermagem , Criança , Humanos , Papel do Profissional de Enfermagem
20.
Med. intensiva (Madr., Ed. impr.) ; 43(6): 346-351, ago.-sept. 2019. ilus, graf, tab
Artigo em Espanhol | IBECS | ID: ibc-183253

RESUMO

Objetivo: Comparar en un maniquí de lactante la calidad de las compresiones torácicas según el método tradicional (MT) o según la nueva técnica de 2pulgares con puños cerrados (NM). Diseño: Estudio controlado, aleatorizado y cruzado en profesionales. Ámbito: Hospital Universitario con UCI Pediátrica del norte de España. Participantes: Residentes y enfermeros de Pediatría, habiendo superado un curso de RCP básica y avanzada pediátrica. Intervenciones: Análisis cuantitativo de calidad de compresiones torácicas en escenario de RCP en lactante durante 2 min, mediante el sistema SimPad(R) con SkillReporter(TM) de Laerdal. Variables de interés principales: Frecuencia media y porcentaje de compresiones en rango recomendada, profundidad media y porcentaje de compresiones en rango recomendado, porcentaje de compresiones con descompresión adecuada y porcentaje de compresiones realizadas con los dedos en el centro del tórax. Resultados: La calidad global de las compresiones (NM: 84,2±23,7% vs. MT: 80,1±25,4% [p=0,25; no sig.]), el porcentaje de compresiones con profundidad correcta (NM: 59,9±35,8% vs. MT: 59,5±35,7% [p=0,76; no sig.]), la profundidad media alcanzada (NM: 37,3±3,8mm vs. MT: 36±5,3mm [p=0,06; no sig.]), el porcentaje de reexpansión completa de la caja torácica (NM: 94,4±9,3% vs. MT: 92,4±18,3% [p=0,58; no sig.]) y el porcentaje de compresiones con la frecuencia recomendada (NM: 62,2±34,6% vs. MT: 51±37,2% [p=0,13; no sig.]) fueron similares con los 2métodos. Conclusiones: La calidad de compresiones torácicas con el nuevo método (pulgares con los puños cerrados) es similar a la obtenida con el método tradicional


Objective: To compare the quality of chest compressions performed according to the classical technique (MT) versus a new technique (NM) (compression with 2thumbs with closed fists) in an infant manikin. Design: A controlled, randomized cross-over study was carried out in professionals assisting pediatric patients. Setting: A University Hospital with a Pediatric ICU in the north of Spain. Participants: Residents and nurses in Pediatrics who had completed a basic and an advanced pediatric cardiopulmonary resuscitation course. Interventions: Quantitative analysis of the variables referred to chest compression quality in a 2-minute cardiopulmonary resuscitation scenario in infants. Laerdal's SimPad(R) with SkillReporter(TM) system was used. Main variables of interest: Mean rate and percentage of compressions in the recommended rate range, mean depth and percentage of compressions within the depth range of recommendations, percentage of compressions with adequate decompression, and percentage of compressions performed with the fingers in the center of the chest. Results: Global quality of the compressions (NM: 84.2±23.7% vs. MT: 80.1±25.4% [p=0.25; p=ns]), percentage of compressions with correct depth (NM: 59.9±35.8% vs. MT: 59.5±35.7% [p=0.76; p=ns]), mean depth reached (NM: 37.3±3.8mm vs. MT: 36±5.3mm [p=0.06; p=ns]), percentage of complete re-expansion of the chest (NM: 94.4±9.3% vs. MT: 92.4±18.3% [p=0.58; p=ns]), and percentage of compressions with the recommended rate (NM: 62.2±34.6% vs. MT: 51±37.2% [p=0.13; p=ns]) proved similar with both methods. Conclusions: The quality of chest compressions with the new method (thumbs with closed fists) is similar to that afforded by the traditional method


Assuntos
Humanos , Masculino , Feminino , Adulto , Reanimação Cardiopulmonar/educação , Reanimação Cardiopulmonar/métodos , Simulação de Paciente , Manequins , Massagem Cardíaca/métodos , Reanimação Cardiopulmonar/instrumentação , Pessoal de Saúde/educação , Educação em Enfermagem/métodos , Internato e Residência , Análise Quantitativa , Massagem Cardíaca/instrumentação , Massagem Cardíaca/enfermagem , Unidades de Terapia Intensiva Pediátrica/estatística & dados numéricos
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