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3.
Fertil Steril ; 112(2): 275-282.e1, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31200972

RESUMO

OBJECTIVE: To study the impact of an educational program on the knowledge base of reproductive endocrinology nurses on embryology and genetics topics to determine both improvement in knowledge and confidence in the nurses' ability to counsel patients on such topics. DESIGN: Interventional study. SETTING: Clinics. PATIENT(S): None; subjects were reproductive endocrinology nurses. INTERVENTION(S): Preintervention knowledge self-efficacy test, educational exposure, and 2-week follow-up testing. MAIN OUTCOME MEASURE(S): Knowledge test scores, self-efficacy scores. RESULT(S): Nurses, regardless of educational attainment, demonstrated statistically significant increases in knowledge of both embryology and genetics, which was retained at least 2 weeks after the educational intervention. Furthermore, nurse self-efficacy increased after intervention, and qualitative data support the desire for increased educational opportunities. CONCLUSION(S): Nurses benefit from focused educational efforts, resulting in improved knowledge in embryology and genetics. This improved knowledge base resulted in improved nurse confidence in patient education.


Assuntos
Aconselhamento/educação , Educação em Enfermagem , Embriologia/educação , Testes Genéticos , Conhecimentos, Atitudes e Prática em Saúde , Diagnóstico Pré-Implantação , Adulto , Competência Clínica/normas , Aconselhamento/normas , Educação em Enfermagem/métodos , Educação em Enfermagem/normas , Avaliação Educacional , Endocrinologia/educação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa em Educação de Enfermagem , Diagnóstico Pré-Implantação/enfermagem , Autoeficácia , Adulto Jovem
5.
Nurs Philos ; 20(3): e12251, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31157941

RESUMO

Nursing and midwifery is, in the UK, regulated by the Nursing and Midwifery Council (NMC). Regulatory duties include establishing standards for education, and from January 2019, new educational programmes will be approved against standards detailed in the document Future nurse: Standards of proficiency for registered nurses (NMC, 2019-hereafter "the standards"). This publication lists "the knowledge and skills that registered nurses must demonstrate when caring for people" (NMC, 2019, p.3), and from September 2020, registration (licence) will require the successful completion of programmes that have been ratified against these standards. The importance of this document in a UK context cannot be understated. However, less parochially, learning outcomes contained in section 7 of the standards raise questions that require educator attention whenever politically sensitive topics (broadly conceived) are discussed. This study explores these questions insofar as they relate to the stance (neutrality or partisanship) that educators adopt in politicized discussion, and the management of student speech/expression. Pratt, Boll and Collins' (2007) paper Towards a plurality of perspectives for nurse educators is recruited to structure argument.


Assuntos
Educação em Enfermagem/normas , Política , Educação em Enfermagem/tendências , Ética em Enfermagem , Humanos
6.
Gerokomos (Madr., Ed. impr.) ; 30(2): 87-92, jun. 2019. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-183947

RESUMO

Introducción: Las heridas crónicas suponen un problema de salud en todos los ámbitos, desde la calidad de vida de los pacientes que las sufren hasta el gasto sanitario que generan. Las intervenciones formativas sobre profesionales han demostrado ser beneficiosas, y la evidencia existente sobre el abordaje de heridas crónicas precisa de acrónimos que ayuden o guíen a profesionales sanitarios en su labor. Objetivos: evaluar el impacto de una intervención formativa en preparación del lecho de la herida (PLH) de las heridas de difícil cicatrización mediante los acrónimos TIME y DOMINATE en estudiantes de enfermería. Metodología: estudio cuasi experimental con diseño pre-postest mediante una intervención formativa y test ad hoc realizados sobre 427 estudiantes y análisis de datos con SPSS22.0 mediante prueba de McNemar. Resultados: en 11 de las preguntas se superó en más del 50% la varianza entre respuestas pre- y postest. En el 83,6% de los casos, DOMINATE fue el acrónimo elegido para realizar un abordaje integral de la lesión. Conclusiones: la formación en herida crónica en los planes de estudio de las universidades es uno de los aspectos que queda al descubierto o segmentado en asignaturas en la formación académica. El conocimiento y uso de acrónimos sirve como mecanismo sencillo, aplicable y lógico para desarrollar el concepto de PLH fundamental en un proceso cicatricial correcto y ordenado como objetivo final del plan de cuidados de enfermería


Background: chronic wounds represent a health problem in all areas, from the quality of life of patients who suffer them to the health care they generate. Training interventions on professionals have proven to be beneficial and the existing evidence on the approach to chronic wounds requires acronyms that help or guide health professionals in their work. Objectives: to evaluate the impact of a training intervention in preparation of the wound bed (PLH) of wounds difficult to heal by the acronyms TIME and DOMINATE in nursing students. Methodology: quasi-experimental study with pre-test design through a training intervention and ad hoc test performed on 427 students and data analysis with SPSS22.0 using the McNemar test. Results: in 11 of the questions, more than 50% of variance between pre and post test responses was exceeded. In 83.6% of the cases, DOMINATE was the acronym chosen to perform an integral approach to the lesion. Conclusions: the formation in chronic wound in the curricula of the universities is one of the aspects that remains uncovered or segmented in subjects in the academic formation. The knowledge and use of acronyms serves as a simple, applicable and logical mechanism to develop the concept of fundamental PLH in a correct and ordered cicatricial process as the final objective of the nursing care plan


Assuntos
Humanos , Ferimentos e Lesões/complicações , Ferimentos e Lesões/enfermagem , Educação em Enfermagem/normas , Abreviaturas como Assunto , Doença Crônica/enfermagem , Estudantes de Enfermagem/estatística & dados numéricos , Cicatrização
7.
Revista Espaço para a Saúde ; 20(1): 75-86, jun.2019. tab, ilus
Artigo em Português | LILACS, Repositório RHS | ID: biblio-1008006

RESUMO

Trata-se de revisão da literatura com o objetivo de identificar pelas evidências na literatura como é realizada a avaliação do profissionalismo nos cursos de enfermagem no período de 2014- 2018. Foi realizada a busca dos artigos na base de dados PubMed, utilizando os descritores Profissionalism, Evaluation, Nursing.Selecionaram-se 8 artigos conforme os critérios de inclusão e a análise destes permitiu a identificação de 5 categorias que subsidiaram a discussão sobre as formas de avaliar profissionalismo nos cursos de enfermagem. Os resultados apresentaram distintas formas de avaliação, como o impacto dos modelos de avaliação, os métodos de aprendizagem que estimulam atitudes dos estudantes, a avaliação dos comportamentos e atitudes dos docentes em sala de aula ou em campo de prática e a avaliação das instituições formadoras, incluindo a forma como instituem o profissionalismo em seus currículos e planejamentos de aprendizagem.


This is a literature review to identify, through the evidence in the literature, how the assessment of professionalism in nursing courses in the 2014-2018 period is performed. The search of articles was performed in PubMed database, using the descriptors Professionalism, Evaluation, Nursing. Eight articles were selected according to the inclusion criteria, and their analysis allowed the identification of 5 categories that subsidized the discussion on ways of assessing professionalism in nursing courses. The results showed different forms of assessment, such as the impact of assessment models, learning methods that stimulate students' attitudes, the assessment of teachers' behaviurs and attitudes in the classroom or in the field of practice and the evaluation of the institutions, including how they establish professionalism in their curricula and learning plans


Revisión de la literatura para identificar la evidencia en la literatura como es realizada la evaluación de la profesionalidad en cursos de enfermería en el período 2014-2018. Se realizó una búsqueda en la base de datos de artículos en PubMed, utilizando los descriptores de profesionalismo, evaluación, enfermería. Fueron seleccionados 8 artículos según sus criterios de inclusión y análisis, eso permitió la identificación de las 5 categorías que subsidiaron la discusión sobre las formas de evaluar la profesionalidad en los cursos de enfermería. Los resultados mostraron diferentes formas de evaluación, como el impacto de los modelos de evaluación, métodos de aprendizaje que estimulan actitudes de los estudiantes, la evaluación del comportamiento y actitudes de los docentes en el aula o en el campo de esa práctica y la evaluación de las instituciones de formación, incluyendo cómo establecer profesionalismo en sus currículos y planes de aprendizaje


Assuntos
Educação em Enfermagem/normas , Avaliação Educacional/normas , Literatura de Revisão como Assunto , Avaliação de Desempenho Profissional/métodos , Profissionalismo , Profissionais de Enfermagem
9.
Int J Health Care Qual Assur ; 32(2): 375-384, 2019 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-31017071

RESUMO

PURPOSE: The purpose of this paper is to share insights, research findings and discuss key issues relating to quality practices and quality assurance in cross-border nursing education program development and implementation. DESIGN/METHODOLOGY/APPROACH: The authors used a qualitative, multiple case-study approach, by sampling local, national and international nursing education institutions, academia and nurse graduates to identify challenges and best operating practices in implementing and facilitating cross-border education. FINDINGS: The authors reveal that quality assurance affects cross-border nursing education program design, delivery and implementation. RESEARCH LIMITATIONS/IMPLICATIONS: Quality assurance plays an important role in cross-border nursing education, by enhancing the reputation and recognizing the effectiveness and capacity of the educational institution. These findings of this study can offer valuable insight to forthcoming as well as existing nursing education curriculum developers who plan to engage in national or international educational partnerships. PRACTICAL IMPLICATIONS: Quality assurance plays an important role in cross-border nursing education, by enhancing the reputation and recognizing the educational institution's effectiveness and capacity. The findings offer valuable insight into forthcoming and existing nursing education for curriculum developers who plan to engage in national or international educational partnerships. ORIGINALITY/VALUE: This paper explores inherent challenges in cross-border nursing education and maximized data collection opportunities by sampling participants from both national and international settings.


Assuntos
Educação em Enfermagem/organização & administração , Enfermeiras Internacionais/educação , Garantia da Qualidade dos Cuidados de Saúde/normas , Educação em Enfermagem/normas , Humanos , Controle de Qualidade
10.
Nurs Womens Health ; 23(2): e1-e22, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30975290

RESUMO

This education guide provides a framework for educational content and skills verification for nurses who care for women and their newborns in basic, high-risk, and critical care obstetric settings.


Assuntos
Educação em Enfermagem/métodos , Enfermagem Obstétrica/educação , Livros de Texto como Assunto/normas , Competência Clínica/normas , Cuidados Críticos/métodos , Cuidados Críticos/normas , Currículo/normas , Currículo/tendências , Educação em Enfermagem/normas , Humanos , Enfermagem Obstétrica/normas
13.
Can Bull Med Hist ; 36(1): 1-26, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30901267

RESUMO

This article is the Presidential Address to the 2018 meeting of the Canadian Society for the History of Medicine at the University of Regina. It examines the organization of the nursing service in Newfoundland during the 1950s and 1960s, as well as the recruitment and retention of nurses in cottage hospitals and nursing stations in outport communities. A number of interconnected strategies were used by the Newfoundland government to staff the nursing service, including recruiting internationally educated nurses, adjusting expectations with respect to registration standards, and using both trained and untrained workers to support nurses' labour. Although this article is intended more as a reconnaissance suggesting the possibilities of such research, it does analyze the interconnected issues of geography, funding and pay, the nursing shortage, and the renegotiation of nursing labour that characterized this period. Furthermore, although this is a case study of Newfoundland and Labrador, it is worth considering how, or whether, the linked strategies used in the province were transferable to other communities across rural, remote, or northern Canada.


Assuntos
Educação em Enfermagem/normas , Administração de Serviços de Saúde/história , Serviços de Saúde/história , História da Enfermagem , Enfermeiras e Enfermeiros/provisão & distribução , Seleção de Pessoal/história , Serviços de Saúde/economia , Administração de Serviços de Saúde/economia , História do Século XX , Terra Nova e Labrador , Seleção de Pessoal/economia
14.
BMC Med Educ ; 19(1): 85, 2019 Mar 18.
Artigo em Inglês | MEDLINE | ID: mdl-30885172

RESUMO

BACKGROUND: The Tajik medical education system is undergoing a complex reform to enhance the transition of the healthcare system from its soviet legacy of emphasizing secondary level care/specialisation to become more family medicine and primary health care oriented. The current study presents the first empirical evaluation of the educational environment for nursing students in Tajikistan using the Dundee Ready Educational Environment Measure (DREEM). The study results contribute to the benchmarking efforts of monitoring and positively steering the educational environment over time. METHOD: The study was based on a cross-sectional survey involving 630 nursing students at two nursing colleges in Tajikistan. Students' perception of the learning environment was measured using the DREEM. Internal consistency was examined using Cronbach's alpha. General scores were calculated and measured against international benchmarks. Data was further interpreted by comparing DREEM scores between students of different sex, at different colleges and different study years using T tests. RESULTS: Cronbach's alpha ranged from 0.30 to 0.75 with an overall alpha of 0.89. General DREEM scores were slightly above average compared to similar studies with nursing students in other countries. In particular, results showed that students' academic self-perception and teachers' technical competences were generally favourably rated. Teachers' pedagogical skills were critically perceived by the study participants and teaching was generally viewed as too teacher-centred with an over-emphasis on factual learning. CONCLUSIONS: Statistical results indicated acceptable levels of reliability of the DREEM tool when applied to the Tajik nursing educational context. Students rated the learning environment as generally satisfactory with average scores similar or slightly higher than comparable scores from similar studies involving nursing students. However, the on-going educational reform could have placed more emphasis on developing faculty pedagogical skills in nursing schools. Teaching approaches would benefit from being more competency based rather than so heavily focused on factual knowledge.


Assuntos
Educação Baseada em Competências/estatística & dados numéricos , Educação em Enfermagem/normas , Docentes de Medicina/psicologia , Aprendizagem , Meio Social , Estudantes de Enfermagem/psicologia , Atitude do Pessoal de Saúde , Estudos Transversais , Avaliação Educacional , Feminino , Humanos , Masculino , Percepção , Reprodutibilidade dos Testes , Tadjiquistão , Adulto Jovem
15.
Midwifery ; 73: 69-77, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30903921

RESUMO

OBJECTIVE: This study assesses the genesis of stress among midwifery students in Ghana and its impact on their academic performance. DESIGN: A contextual cross-sectional design was used, and data were drawn from a 17-modified-item response from the College Undergraduate Stress Scale (CUSS), a rating of students' academic performance and stress management techniques. SETTING: The study took place at the Saint Michael's Midwifery Training School located at Pramso, within the Bosomtwe District, Ashanti Region, Ghana. MEASUREMENTS: The data was analysed using descriptive statistics, factor analysis, χ2 test and ordinal logistic regression models. FINDINGS: Result indicates that academic stressors (schoolwork and less vacation), interpersonal stressors (extracurricular groups, family obligations), intrapersonal stressor (bills/overspending) and environmental stressor (mistakes with expecting mothers) are direct stressors among midwifery students. The study discovered a statistically significant difference in stress management techniques among the study participants (p < 0.05). The multivariate analysis found that respondents' reactions when stressed had a significant effect on their academic performance. However, after adjusting for the stressors, having less vacation had significant effect on respondents' academic performance. Meanwhile, the interaction term significantly strengthens for respondents who had sufficient resting time during vacation. CONCLUSIONS: Considering the extensive and intense nature of midwifery training per the prescribed curriculum, there is the need for orientation of students on the effect of stress on their academic performance and effective coping mechanisms. IMPLICATIONS FOR PRACTICE: Regulation and planning of midwifery curricula in the future should incorporate adequate vacation periods to facilitate synthesis of knowledge among students.


Assuntos
Desempenho Acadêmico/normas , Enfermeiras Obstétricas/psicologia , Estresse Psicológico/etiologia , Desempenho Acadêmico/psicologia , Adolescente , Adulto , Distribuição de Qui-Quadrado , Educação em Enfermagem/métodos , Educação em Enfermagem/normas , Feminino , Gana , Humanos , Masculino , Enfermeiras Obstétricas/educação , Enfermeiras Obstétricas/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Estresse Psicológico/psicologia , Estudantes de Enfermagem/psicologia , Estudantes de Enfermagem/estatística & dados numéricos , Universidades/organização & administração , Universidades/estatística & dados numéricos
16.
BMC Med Educ ; 19(1): 53, 2019 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-30744704

RESUMO

BACKGROUND: Nurses are responsible for implementing appropriate measures to reduce hospital infections, especially with multidrug resistant bacteria, so nursing students should learn about microbiology. This helps them to understand bacterial dissemination and infectious disease control. Because of tight schedules, however, its teaching is limited in undergraduate nursing classes in Japan. We therefore tested whether a simple short practical session in a microbiology class could help to improve undergraduate nursing students' awareness of bacterial traits and how to prevent infections. METHODS: This study involved second-grade nursing students (n = 76). Two short practical sessions (a total of 3 h, across 2 days) were used to assess the effectiveness of washing or disinfection on hand bacteria in a 16-class microbiology course (total class time was 24 h, plus an exam). Hand bacteria were sampled on LB agar plates with orientation during the first half-day, and the plates examined for colonies with distinct color or morphological traits, and discussed, in the second session, a week later. Questionnaires before and after the exercise were used to assess changes in awareness of unseen bacteria inhabiting around us connecting bacterial traits and how to prevent infections. RESULTS: The results showed that the practical increased the nursing students' awareness of fomites (utensils) (p = 0.0115), fomites (contact-based) (p = 0.0016), habitats (body surface) (p = 0.0127), action facilitating hospital infection (p = 0.0166), and changes in physical condition caused by bacterial infections (p = 0.0136). There were no changes in word associations (p = 0.627) or habitats (inside body) (p = 0.308). Difficulty score, which is an element in questionnaire psychometric properties, tended to be close to the expected score through the practical, but not statistical significant. In addition, regardless of before or after practical, Cronbach α score, which is an indicator of the reliability among items of multi-choice questions, showed > 0.8, indicating validity of evaluation items. Thus, the student's awareness of unseen bacteria inhabiting around us was significantly increased as compared to those before practical in microbiology class. CONCLUSIONS: The simple short practical effectively improved nursing students' awareness of unseen bacteria inhabiting around us in microbiology course, useful for even tight teaching schedules.


Assuntos
Infecção Hospitalar/enfermagem , Infecção Hospitalar/prevenção & controle , Educação de Graduação em Medicina/normas , Educação em Enfermagem/normas , Microbiologia/educação , Estudantes de Enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Reprodutibilidade dos Testes
18.
Rev Neurol (Paris) ; 175(3): 189-193, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30683450

RESUMO

Epilepsy, often considered as a stigmatizing disease, affects 65 million people worldwide and is frequently associated with comorbidities that increase both direct and indirect costs. The degree of impact on quality of life and the cost of care differs depending on the social and health care organizations in place, political, medico-economic and/or socio-cultural contexts. Across the globe, healthcare is provided by nurses in primary care, urgent or emergency care, and within specialized domains of practice. In Epilepsy the global care could be enhanced by developing standardized nursing education in close collaboration with other caregivers. The impact of epilepsy nursing care has been documented in some developed countries, but the diversity of nursing practices and professional education of nurses raise difficulties in generalizing these findings. Specialized education in epilepsy will improve access, treatment and ultimately the quality of life of patients.


Assuntos
Educação em Enfermagem/normas , Epilepsia/enfermagem , Neurocirurgia/enfermagem , Enfermeiras Especialistas , Papel do Profissional de Enfermagem , Padrões de Prática em Enfermagem/normas , Educação em Enfermagem/estatística & dados numéricos , Epilepsia/epidemiologia , Geografia , Humanos , Neurocirurgia/educação , Neurocirurgia/estatística & dados numéricos , Enfermeiras Especialistas/educação , Enfermeiras Especialistas/normas , Enfermeiras Especialistas/estatística & dados numéricos , Padrões de Prática em Enfermagem/estatística & dados numéricos
19.
Int Emerg Nurs ; 43: 119-125, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30424946

RESUMO

BACKGROUND: Triage is a complex nursing task to prioritise patient care, based on acuity. Triage decisions can affect patient safety and must employ critical thinking. Graduate registered nurses are expected to triage in rural facilities, which is in contrast to current guidelines. The purpose of this review was; to discover how effective education support programs were in developing clinical decision-making skills for graduates at triage; and to determine what is known about triage education support programs for graduate or novice registered nurses undertaking triage in rural and remote settings. METHOD: A scoping review was undertaken to identify and analyse primary research articles following PRISMA guidelines, sourced from four electronic databases. RESULTS: 6158 retrieved articles were found, after duplicate removal and screening against inclusion/exclusion criteria; fourteen articles were included. Themes included 'variability of triage accuracy and assessment'; 'education qualifications and experience'; and 'training and supervision'. CONCLUSION: This review demonstrates significant gaps in the literature reporting on this topic area, particularly in the rural context. Common recommendations include standardised triage education strategies, and strategies that account for differences in resourcing levels. Further research is required to attempt to link education strategies in rural contexts to acceptable triage outcomes like triage accuracy.


Assuntos
Educação em Enfermagem/métodos , População Rural/tendências , Triagem , Competência Clínica/normas , Educação em Enfermagem/normas , Humanos
20.
Emerg Med Australas ; 31(1): 105-111, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30472768

RESUMO

OBJECTIVES: To summarise recent developments in emergency care in Kiribati, a developing Pacific Island nation. Multiple donor countries and agencies have partnered in this process. Changes in medical training, staffing models and planned infrastructure developments are all described, with a particular focus on a recent emergency nurse training programme. METHODS: A bespoke nurse education course was developed by external clinical nurse specialists in collaboration with local administrators and clinicians, incorporating WHO Basic Emergency Care course. The nine-day course was delivered to 18 nurses, over a 3-week period to accommodate rostering requirements. Pre- and post-course assessment was undertaken. RESULTS: Quantitative assessment improved from 87.11 ± 7.46 (mean ± SD) to 94.89 ± 5.95 (t = 5.45, P < 0.001). Qualitative scenario-based assessment confirmed marked improvement. CONCLUSIONS: A multifaceted development strategy has proven essential for progression in emergency care. Nurse education is an essential component of this, and the existing model has potential for other similar nations.


Assuntos
Medicina de Emergência/tendências , Enfermagem em Emergência/educação , Tratamento de Emergência/normas , Educação Médica/métodos , Educação Médica/organização & administração , Educação Médica/normas , Educação em Enfermagem/métodos , Educação em Enfermagem/organização & administração , Educação em Enfermagem/normas , Avaliação Educacional/métodos , Enfermagem em Emergência/normas , Tratamento de Emergência/métodos , Humanos , Micronésia
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