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1.
Eur. j. psychol. appl. legal context (Internet) ; 13(1): 21-28, ene.-jun. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-201545

RESUMO

Employees in the healthcare sector are the professionals who are the most exposed to violence. The severity of its consequences makes it necessary to inquire into its effects and associated factors. The objective of this study was to analyze the relationship between violence toward nursing staff and job satisfaction, and to find out the mediating role of social support in this relationship. The sample was made up of 1,357 nurses aged 22 to 58, who were administered the Negative Acts Questionnaire, Healthcare-Workers Aggressive Behaviour Scale-Users, Brief Perceived Social Support Questionnaire, and Overall Job Satisfaction. The results showed that violence and bullying by coworkers, users, family members, or other people accompanying the patient had a direct negative effect on internal and external job satisfaction, and this effect was mediated by perceived social support. These outcomes suggest the need to stimulate a firm healthcare support network to improve nurses' job satisfaction by buffering the adverse effects of workplace violence


Los trabajadores del sector sanitario son los más expuestos a situaciones de violencia laboral. La gravedad de sus consecuencias hace necesario indagar en sus efectos y los factores asociados. El objetivo del presente trabajo fue analizar la relación entre la violencia hacia el personal de enfermería y la satisfacción laboral, así como establecer el papel mediador del apoyo social en esta relación. La muestra estuvo formada por 1,357 profesionales de enfermería de entre 22 y 58 años, a quienes se les administró el Negative Acts Questionnaire, la Healthcare-Workers Aggressive Behaviour Scale-Users, el Brief Perceived Social Support Questionnaire y la Overall Job Satisfaction. Los resultados mostraron que la violencia y acoso por parte de compañeros, usuarios y acompañantes o familiares ejercía un efecto directo negativo sobre la satisfacción laboral interna y externa, siendo este efecto mediado por el apoyo social percibido. Estos resultados muestran la necesidad de estimular una red de apoyo firme en el sector sanitario para mejorar la satisfacción con el trabajo entre los profesionales de enfermería, amortiguando los efectos adversos de la violencia laboral


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Violência no Trabalho/psicologia , Exposição à Violência/psicologia , Enfermeiras e Enfermeiros/psicologia , Esgotamento Profissional/psicologia , Condições de Trabalho , Satisfação no Emprego , Apoio Social , Equipe de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos
2.
Sci Rep ; 11(1): 11485, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-34075094

RESUMO

In the wake of the COVID-19 pandemic, it has been mandated to keep enlarged distances from others. We interviewed 136 German subjects over five weeks from the end of March to the end of April 2020 during the first wave of infections about their preferred interpersonal distance (IPD) before, during, and after the COVID-19 pandemic. In response to the pandemic, subjects adapted to distance requirements and preferred a larger IPD. This enlarged IPD was judged to partially persist after the pandemic crisis. People anticipated keeping more IPD to others even if there was no longer any risk of a SARS-CoV-2 infection. We also sampled two follow-up measurements, one in August, after the first wave of infections had been flattened, and one in October 2020, at the beginning of the second wave. Here, we observed that IPD varied with the incidence of SARS-CoV-2 within Germany. Overall, our data indicated that adaptation to distance requirements might happen asymmetrically. Preferred IPD rapidly adapted in response to distance requirements, but an enlargement of IPD may partially linger after the COVID-19 pandemic-crisis. We discuss our findings in light of proxemic theory and as an indicator for socio-cultural adaptation beyond the course of the pandemic.


Assuntos
Adaptação Psicológica , COVID-19/psicologia , Distanciamento Físico , Isolamento Social/psicologia , Adolescente , Adulto , Teorema de Bayes , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/transmissão , Medo , Feminino , Seguimentos , Alemanha/epidemiologia , Humanos , Incidência , Masculino , Modelos Psicológicos , Pandemias/prevenção & controle , Estigma Social , Inquéritos e Questionários/estatística & dados numéricos , Fatores de Tempo , Adulto Jovem
3.
Sci Rep ; 11(1): 11416, 2021 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-34075173

RESUMO

The first COVID-19 contagion wave caused unprecedented restraining measures worldwide. In Italy, a period of generalized lockdown involving home confinement of the entire population was imposed for almost two months (9 March-3 May 2020). The present is the most extensive investigation aimed to unravel the demographic, psychological, chronobiological, and work-related predictors of sleep disturbances throughout the pandemic emergency. A total of 13,989 Italians completed a web-based survey during the confinement period (25 March-3 May). We collected demographic and lockdown-related work changes information, and we evaluated sleep quality, insomnia and depression symptoms, chronotype, perceived stress, and anxiety using validated questionnaires. The majority of the respondents reported a negative impact of confinement on their sleep and a delayed sleep phase. We highlighted an alarming prevalence of sleep disturbances during the lockdown. Main predictors of sleep disturbances identified by regression models were: female gender, advanced age, being a healthcare worker, living in southern Italy, confinement duration, and a higher level of depression, stress, and anxiety. The evening chronotype emerged as a vulnerability factor, while morning-type individuals showed a lower predisposition to sleep and psychological problems. Finally, working from home was associated with less severe sleep disturbances. Besides confirming the role of specific demographic and psychological factors in developing sleep disorders during the COVID-19 pandemic, we propose that circadian typologies could react differently to a particular period of reduced social jetlag. Moreover, our results suggest that working from home could play a protective role against the development of sleep disturbances during the current pandemic emergency.


Assuntos
COVID-19/prevenção & controle , Pandemias/prevenção & controle , Transtornos do Sono do Ritmo Circadiano/epidemiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Teletrabalho , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , COVID-19/psicologia , COVID-19/transmissão , Ritmo Circadiano/fisiologia , Controle de Doenças Transmissíveis/normas , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Fotoperíodo , Prevalência , SARS-CoV-2/patogenicidade , Sono/fisiologia , Transtornos do Sono do Ritmo Circadiano/etiologia , Transtornos do Sono do Ritmo Circadiano/fisiopatologia , Transtornos do Sono do Ritmo Circadiano/psicologia , Distúrbios do Início e da Manutenção do Sono/etiologia , Distúrbios do Início e da Manutenção do Sono/fisiopatologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
4.
PLoS One ; 16(6): e0252735, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34138877

RESUMO

BACKGROUND AND OBJECTIVE: During the COVID-19 pandemic the organization of maternity care changed drastically; this study into the experiences of maternity care professionals with these changes provides suggestions for the organization of care during and after pandemics. DESIGN: An online survey among Dutch midwives, obstetricians and obstetric residents. Multinomial logistic regression analyses were used to investigate associations between the respondents' characteristics and answers. RESULTS: Reported advantages of the changes were fewer prenatal and postpartum consultations (50.1%). The necessity and safety of medical interventions and ultrasounds were considered more critically (75.9%); 14.8% of community midwives stated they referred fewer women to the hospital for decreased fetal movements, whereas 64.2% of the respondents working in hospital-based care experienced fewer consultations for this indication. Respondents felt that women had more confidence in giving birth at home (57.5%). Homebirths seemed to have increased according to 38.5% of the community midwives and 65.3% of the respondents working in hospital-based care. Respondents appreciated the shift to more digital consultations rather than face-to-face consultations. Mentioned disadvantages were that women had appointments alone, (71.1%) and that the community midwife was not allowed to join a woman to obstetric-led care during labour and subsequently stay with her (56.8%). Fewer postpartum visits by family and friends led to more tranquility (59.8%). Overall, however, 48.0% of the respondents felt that the safety of maternity care was compromised due to policy changes. CONCLUSIONS: Maternity care professionals were positive about the decrease in routine care and the increased confidence of women in home birth, but also felt that safety in maternity care was sometimes compromised. According to the respondents in a future crisis situation it should be possible for community midwives to continue to deliver a personal handover after the referral of women to the hospital, and to stay with them.


Assuntos
COVID-19/prevenção & controle , Serviços de Saúde Materna/estatística & dados numéricos , Tocologia/estatística & dados numéricos , Cuidado Pré-Natal/estatística & dados numéricos , SARS-CoV-2/isolamento & purificação , Adulto , COVID-19/epidemiologia , COVID-19/virologia , Feminino , Parto Domiciliar/métodos , Parto Domiciliar/estatística & dados numéricos , Hospitais/estatística & dados numéricos , Humanos , Trabalho de Parto , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Países Baixos , Gravidez , Cuidado Pré-Natal/métodos , SARS-CoV-2/fisiologia , Inquéritos e Questionários/estatística & dados numéricos
5.
PLoS One ; 16(6): e0252670, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34138893

RESUMO

In March of 2020, the United States was confronted with a major public health crisis caused by the coronavirus disease (COVID-19). This study aimed to identify what factors influence adherence to recently implemented public health measures such as mask-wearing and social distancing, trust of scientific organizations like the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) on information pertaining to the pandemic, and level of perceived risk. Data were collected from June 30, 2020 to July 22, 2020 on 951 adult residents of the United States using an online survey through Microsoft Forms. Multiple linear regression was used to identify the strongest predictors for compliance to pandemic-related health measures, trust in the scientific community, and perceived risk. Results showed that the strongest predictor of all variables of interest was degree of policy liberalism. Additionally, participants who consumed more conservative news media conformed less to the pandemic health guidelines and had less trust in the scientific community. Degree of policy liberalism was found to have a significant moderating effect on the relationship between gender and conformity to pandemic-related health behaviors. These findings have concerning implications that factors like degree of policy liberalism and source of news are more influential in predicting adherence to life-saving health measures than established risk factors like pre-existing health conditions.


Assuntos
COVID-19/prevenção & controle , Comportamentos Relacionados com a Saúde , Meios de Comunicação de Massa/estatística & dados numéricos , Políticas , SARS-CoV-2/isolamento & purificação , Confiança , Adulto , Idoso , COVID-19/epidemiologia , COVID-19/virologia , Centers for Disease Control and Prevention, U.S. , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Política , Saúde Pública/métodos , Saúde Pública/estatística & dados numéricos , SARS-CoV-2/fisiologia , Inquéritos e Questionários/estatística & dados numéricos , Estados Unidos , Adulto Jovem
6.
Health Qual Life Outcomes ; 19(1): 162, 2021 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-34112207

RESUMO

BACKGROUND: The EQ-5D-3L is a widely used generic health-related quality of life measure commonly applied to describe health outcomes and to measure disease burden. The aim of this study was to generate Brazilian population norms, stratified by age and gender, based on Brazilian preference weights for EQ-5D-3L. METHODS: A multicenter cross-sectional study was conducted in three Brazilian urban areas. The final sample consisted of 5774 respondents, aged from 18 to 64 years. Amongst other information, respondents were asked to self-report their health status using the EQ-5D-3L descriptive system and visual analog scale (EQ-VAS). Data on socio-demographic characteristics was obtained through specific questionnaires. The Brazilian TTO scoring algorithm was used to derive the utility values. Multivariate logistic regression models were fitted to analyze the influence of age, sex, education status and sample site on the presence of any problem for each dimension of EQ5D. RESULTS: Mean values were computed for both weighted index scores and self-rated health status (EQ-VAS), and stratified by gender and age groups. Health status declines with age, ranging between 0.87 for the youngest group 18-29 year-olds and 0.76 for 60-64-year-old. Men reported higher scores (0.85) than the woman (0.79). Lower education levels were associated with lower EQ-5D index score in most age groups. CONCLUSION: This study provides EQ-5D reference values for the Brazilian population. These values can be used by local decision-makers and researchers in economic evaluations and population health studies.


Assuntos
Nível de Saúde , Inquéritos Epidemiológicos/estatística & dados numéricos , Psicometria/instrumentação , Qualidade de Vida/psicologia , Inquéritos e Questionários/estatística & dados numéricos , Inquéritos e Questionários/normas , Adolescente , Adulto , Fatores Etários , Brasil , Estudos Transversais , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Valores de Referência , Fatores Sexuais , Fatores Socioeconômicos , Adulto Jovem
7.
PLoS One ; 16(6): e0252423, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34129597

RESUMO

Dynamic capabilities, resulting from activities that allow conscious and skillful modification of a firm's strategic potential, are seen as one of the key drivers of a firm's value creation, competitive advantage and above-average performance in changing environments. However, little is known about how dynamic capabilities can shape business survival and performance during crises. The research objective of this paper is twofold. First, through a literature review, we seek to identify which first-order dynamic capabilities-managerial decisions under uncertainty-are vital for rapid response to a crisis. Second, we present the results of research carried out among 151 small and medium-sized companies in Poland immediately after the beginning of the economic lockdown (April 2020). The survey that we developed identifies which dynamic capabilities were essential for businesses to survive during this unexpected black swan event. We also present dependence and regression analyses showing the links between the identified dynamic capabilities and value creation, understood as retaining employees and production levels, as well as value capture, understood as maintaining cash flow and current revenues.


Assuntos
COVID-19/epidemiologia , Empreendedorismo/organização & administração , Pandemias/economia , Quarentena/economia , Empresa de Pequeno Porte/organização & administração , COVID-19/economia , COVID-19/prevenção & controle , Empreendedorismo/economia , Empreendedorismo/estatística & dados numéricos , Empreendedorismo/tendências , Humanos , Pandemias/prevenção & controle , Polônia/epidemiologia , Quarentena/normas , Empresa de Pequeno Porte/economia , Empresa de Pequeno Porte/estatística & dados numéricos , Empresa de Pequeno Porte/tendências , Inquéritos e Questionários/estatística & dados numéricos , Desenvolvimento Sustentável , Incerteza
8.
Plast Reconstr Surg ; 148(1): 133e-139e, 2021 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-34181621

RESUMO

SUMMARY: The coronavirus disease of 2019 pandemic became a global threat in a matter of weeks, with its future implications yet to be defined. New York City was swiftly declared the epicenter of the pandemic in the United States as case numbers grew exponentially in a matter of days, quickly threatening to overwhelm the capacity of the health care system. This burgeoning crisis led practitioners across specialties to adapt and mobilize rapidly. Plastic surgeons and trainees within the New York University Langone Health system faced uncertainty in terms of future practice, in addition to immediate and long-term effects on undergraduate and graduate medical education. The administration remained vigilant and adaptive, enacting departmental policies prioritizing safety and productivity, with early deployment of faculty for clinical support at the front lines. The authors anticipate that this pandemic will have far-reaching effects on the future of plastic surgery education, trends in the pursuit of elective surgical procedures, and considerable consequences for certain research endeavors. Undoubtedly, there will be substantial impact on the physical and mental well-being of health care practitioners across specialties. Coordinated efforts and clear lines of communication between the Department of Plastic Surgery and its faculty and trainees allowed a concerted effort toward the immediate challenge of tempering the spread of coronavirus disease of 2019 and preserving structure and throughput for education and research. Adaptation and creativity have ultimately allowed for early rebooting of in-person clinical and surgical practice. The authors present their coordinated efforts and lessons gleaned from their experience to inform their community's preparedness as this formidable challenge evolves.


Assuntos
COVID-19/epidemiologia , Controle de Doenças Transmissíveis/normas , Pandemias/prevenção & controle , Cirurgia Plástica/tendências , Centros Médicos Acadêmicos/normas , Centros Médicos Acadêmicos/estatística & dados numéricos , Centros Médicos Acadêmicos/tendências , COVID-19/prevenção & controle , COVID-19/transmissão , Educação de Pós-Graduação em Medicina/organização & administração , Educação de Pós-Graduação em Medicina/normas , Educação de Pós-Graduação em Medicina/tendências , Procedimentos Cirúrgicos Eletivos/educação , Procedimentos Cirúrgicos Eletivos/normas , Procedimentos Cirúrgicos Eletivos/tendências , Docentes/organização & administração , Docentes/psicologia , Docentes/estatística & dados numéricos , Previsões , Humanos , Internato e Residência/estatística & dados numéricos , Cidade de Nova Iorque/epidemiologia , Admissão e Escalonamento de Pessoal/organização & administração , Admissão e Escalonamento de Pessoal/tendências , Procedimentos Cirúrgicos Reconstrutivos/educação , Procedimentos Cirúrgicos Reconstrutivos/normas , Procedimentos Cirúrgicos Reconstrutivos/tendências , Cirurgiões/organização & administração , Cirurgiões/psicologia , Cirurgiões/estatística & dados numéricos , Cirurgia Plástica/educação , Cirurgia Plástica/organização & administração , Cirurgia Plástica/normas , Inquéritos e Questionários/estatística & dados numéricos , Incerteza , Universidades/normas , Universidades/estatística & dados numéricos , Universidades/tendências
9.
Ann R Coll Surg Engl ; 103(7): 520-523, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34192482

RESUMO

INTRODUCTION: In light of the COVID-19 recommendations from the Association of Coloproctology of Great Britain and Ireland, we aimed to study patient and clinician satisfaction with a newly established telephone (TP) colorectal clinic service in lieu of traditional face-to-face (FTF) appointments. Comparative outcomes included patient versus clinician satisfaction; patient versus clinician desire to continue TP clinics postpandemic; and views of Specialty Trainee 3+ (ST3+)/Specialty Associate Specialist (SAS) doctors versus consultants on TP compared with FTF appointments. METHODS: We conducted a prospective service evaluation of patient and clinician satisfaction with colorectal surgery TP clinics between 1 June 2020 and 30 June 2020 in a British District General Hospital. RESULTS: Patients had higher satisfaction than clinicians with TP clinics: 91.5% versus 66.6% reported above-average experience [odds ratio (OR) = 5.35, 95% confidence interval (CI) 1.53 to 18.75, p = 0.01]. Clinicians had lower demand to continue TP clinics post-COVID-19 versus patients, with a trend towards significance (60% versus 82.9%, OR = 0.31, 95% CI 0.10 to 0.97, p = 0.08). ST3+/SAS doctors were more likely than consultants to find TP clinics inferior to FTF consultation for patient assessment (48.3% versus 23.7%, OR = 3.00, 95% CI 1.17 to 7.71, p = 0.03). CONCLUSIONS: While clinicians may be concerned that patient assessment suffers, patient satisfaction with TP clinics is high. There should be a place for TP clinics post-COVID-19 but there must be a robust process for patient selection as well as adequate training for current and future generations of clinicians.


Assuntos
COVID-19/prevenção & controle , Neoplasias Colorretais/diagnóstico , Oncologia/métodos , Consulta Remota/métodos , Telefone , Assistência ao Convalescente/métodos , Assistência ao Convalescente/normas , Assistência ao Convalescente/estatística & dados numéricos , COVID-19/epidemiologia , COVID-19/transmissão , Neoplasias Colorretais/terapia , Humanos , Controle de Infecções/normas , Satisfação no Emprego , Oncologia/normas , Oncologia/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Estudos Prospectivos , Consulta Remota/normas , Consulta Remota/estatística & dados numéricos , Cirurgiões/psicologia , Cirurgiões/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Reino Unido/epidemiologia
10.
Ann R Coll Surg Engl ; 103(7): 530-535, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34192483

RESUMO

INTRODUCTION: The purpose of this study was to analyse SRS-22 outcomes measures recorded on the British Spine Registry (BSR) for adolescent idiopathic scoliosis (AIS) surgery in the UK. METHODS: All cases having completed an SRS-22 outcome score and labelled with a diagnosis code of 'AIS' on the BSR were analysed. The SRS-22 score for primary cases was analysed by both individual domains and as a total score over time following surgery. RESULTS: A total of 3,860 cases were labelled as AIS recorded from 3,481 individuals. For primary cases, surgery improved the SRS-22 scores in every domain and as a total score, and this was maintained over time. There was no significant change in the scores recorded between 1 and 2 years of follow up apart from in function (and thus total score) for primary cases. CONCLUSIONS: Surgery for AIS in the UK improves quality of life assessed using SRS-22. Mandatory follow up to 2 years postoperatively adds little information not already known at 1 year. We recommend that the Best Practice Tariff incorporates the collection of outcomes data as this is likely to reduce missing data.


Assuntos
Avaliação de Resultados da Assistência ao Paciente , Qualidade de Vida , Escoliose/cirurgia , Fusão Vertebral/estatística & dados numéricos , Adolescente , Criança , Seguimentos , Humanos , Reoperação/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Reino Unido , Adulto Jovem
11.
Medicine (Baltimore) ; 100(25): e26433, 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34160433

RESUMO

ABSTRACT: The subclinical severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rate in hospitals during the pandemic remains unclear. To evaluate the effectiveness of our hospital's current nosocomial infection control measures, we conducted a serological survey of anti-SARS-CoV-2 antibodies (immunoglobulin [Ig] G) among the staff of our hospital, which is treating coronavirus disease 2019 (COVID-19) patients.The study design was cross-sectional. We measured anti-SARS-CoV-2 IgG in the participants using a laboratory-based quantitative test (Abbott immunoassay), which has a sensitivity and specificity of 100% and 99.6%, respectively. To investigate the factors associated with seropositivity, we also obtained some information from the participants with an anonymous questionnaire. We invited 1133 staff members in our hospital, and 925 (82%) participated. The mean age of the participants was 40.0 ±â€Š11.8 years, and most were women (80.0%). According to job title, there were 149 medical doctors or dentists (16.0%), 489 nurses (52.9%), 140 medical technologists (14.2%), 49 healthcare providers (5.3%), and 98 administrative staff (10.5%). The overall prevalence of seropositivity for anti-SARS-CoV-2 IgG was 0.43% (4/925), which was similar to the control seroprevalence of 0.54% (16/2970) in the general population in Osaka during the same period according to a government survey conducted with the same assay. Seropositive rates did not significantly differ according to job title, exposure to suspected or confirmed COVID-19 patients, or any other investigated factors.The subclinical SARS-CoV-2 infection rate in our hospital was not higher than that in the general population under our nosocomial infection control measures.


Assuntos
Anticorpos Antivirais/sangue , Infecções Assintomáticas/epidemiologia , COVID-19/epidemiologia , Pessoal de Saúde/estatística & dados numéricos , Estudos Soroepidemiológicos , Adulto , COVID-19/sangue , COVID-19/imunologia , COVID-19/transmissão , Estudos Transversais , Feminino , Hospitais Urbanos/organização & administração , Hospitais Urbanos/normas , Hospitais Urbanos/estatística & dados numéricos , Humanos , Imunoglobulina G/sangue , Controle de Infecções/organização & administração , Controle de Infecções/normas , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Paciente para o Profissional/estatística & dados numéricos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Pandemias/estatística & dados numéricos , Prevalência , Fatores de Risco , SARS-CoV-2/imunologia , Inquéritos e Questionários/estatística & dados numéricos
12.
Medicine (Baltimore) ; 100(25): e26459, 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34160446

RESUMO

ABSTRACT: Evaluating students' professional training satisfaction with operative dentistry teaching and curriculum can help identify their educational needs and improve the quality of the education imparted. This study aimed to assess the professional training satisfaction of senior undergraduate dental students in Saudi Arabia from the operative dentistry course teaching and its curriculum at different levels and among genders.A total of 193 (109 male, 56.48%; and 84 female, 43.52%) students participated in the survey. The respondents were at the 10th, 11th, and 12th levels of the Operative Dentistry course in a ratio of 34.2%, 32.1%, and 33.7%, respectively. Data were collected from survey items (18 questions) covering 6 areas: learning objectives, course materials, content relevance, instructor knowledge, instructor delivery and style, and facility and environment. Descriptive and analytical tests were performed using SPSS Software 19, with the significance level set at 0.05.A high level of satisfaction was seen among level 10 (68.18%), 11 (79.03%), and 12 (86.15%) students. A significant statistical difference was observed among level 10 students with a low level of satisfaction and a high level of satisfaction (P = .045). The percentage of satisfaction increased with the level. A high level of satisfaction was seen among male (78.90%) and female (76.19%) students, with a total satisfaction level of 77.72%.Continuous evaluation and assessment of teaching and curriculum can be a tool to improve the quality of education imparted, especially in clinical courses such as operative dentistry. This helps to prepare students for their professional life as healthcare providers. The role of teaching skills related to amalgam must be re-evaluated. It is recommended to include student representation and participation in course development committees, as they are the final recipients of the educational process.


Assuntos
Dentística Operatória/educação , Educação em Odontologia/métodos , Satisfação Pessoal , Estudantes de Odontologia/psicologia , Currículo , Educação em Odontologia/estatística & dados numéricos , Feminino , Humanos , Masculino , Aprendizagem Baseada em Problemas , Arábia Saudita , Estudantes de Odontologia/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Ensino/estatística & dados numéricos
13.
Medicine (Baltimore) ; 100(25): e26500, 2021 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-34160466

RESUMO

ABSTRACT: This study aimed to perform cluster analysis in patients with chronic pain to extract groups with similar circadian rhythms and compare neuropathic pain and psychological factors among these groups to identify differences in pain-related outcomes. A total of 63 community-dwellers with pain lasting at least 3 months and Numerical Rating Scale scores of ≥2 were recruited from 3 medical institutions. Their pain circadian rhythms were evaluated over 7 days by measuring pain intensity at 6-time points per day using a 10-cm visual analog scale. Cluster analysis was performed using 6 variables with standardized visual analog scale values at 6-time points for individual participants to extract groups with similar pain circadian rhythms. The results of the Neuropathic Pain Symptom Inventory and psychological evaluations in each group were compared using the Kruskal-Wallis test. The results revealed 3 clusters with different circadian rhythms of pain. The total and evoked pain subscale Neuropathic Pain Symptom Inventory scores differed among the 3 clusters. The results suggest that a thorough understanding of circadian pain rhythms in chronic pain patients may facilitate the performance of activities of daily living and physical exercise from the perspective of pain management.


Assuntos
Dor Crônica/diagnóstico , Ritmo Circadiano/fisiologia , Neuralgia/diagnóstico , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Dor Crônica/fisiopatologia , Dor Crônica/psicologia , Dor Crônica/terapia , Cronoterapia/métodos , Terapia por Exercício/métodos , Feminino , Humanos , Vida Independente , Masculino , Pessoa de Meia-Idade , Neuralgia/fisiopatologia , Neuralgia/psicologia , Neuralgia/terapia , Manejo da Dor/métodos , Medição da Dor/estatística & dados numéricos , Psicometria , Estatísticas não Paramétricas , Inquéritos e Questionários/estatística & dados numéricos
14.
Health Qual Life Outcomes ; 19(1): 159, 2021 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-34059073

RESUMO

BACKGROUND: The National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) was developed to accurately assess the pain, urinary symptoms, and quality of life related to chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). This study aimed to evaluate the cross-cultural adaptations of the NIH-CPSI. METHOD: PubMed, Embase, CINAHL, and SciELO databases were searched from their established year to September 2020. Cross-cultural adaptations and the quality control of measurement properties of adaptations were conducted by two reviewers independently according to the Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures and the Quality Criteria for Psychometric Properties of Health Status Questionnaire. RESULTS: Area total of 21 papers with 16 adaptations, and six studies of the original version of the NIH-CPSI were enrolled in the systematic review. Back translation was the weakest process for the quality assessment of the cross-cultural adaptations of the NIH-CPSI. Internal consistency was analyzed for most of the adaptations, but none of them met the standard. Only 11 adaptations reported test reliability, then only the Arabic-Egyptian, Chinese-Mainland, Danish, Italian, Persian, and Turkish adaptations met the criterion. Most adaptations reported the interpretability, but only the Danish adaptation reported the agreement. The other measurement properties, including responsiveness, and floor as well as ceiling effects were not reported in any of the adaptations. CONCLUSIONS: The overall quality of the NIH-CPSI cross-cultural adaptations was not organized as expected. Only the Portuguese-Brazilian, Italian, and Spanish adaptations reached over half the process for the cross-cultural adaptation. Only the Turkish adaptations finished half of the measurement properties of cross-cultural adaptations.


Assuntos
Dor Crônica/psicologia , Comparação Transcultural , Prostatite/fisiopatologia , Prostatite/psicologia , Qualidade de Vida/psicologia , Inquéritos e Questionários/normas , Avaliação de Sintomas/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Dor Crônica/fisiopatologia , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , National Institutes of Health (U.S.) , Psicometria , Reprodutibilidade dos Testes , Autorrelato/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Traduções , Estados Unidos
15.
Health Qual Life Outcomes ; 19(1): 157, 2021 May 31.
Artigo em Inglês | MEDLINE | ID: mdl-34059079

RESUMO

BACKGROUND: The 12-item Short-Form Health Survey version 2 (SF-12v2), a widely used, generic patient-reported measure of health status that provides summary scores of physical and mental health. No study to date has examined the measurement properties of the SF-12v2 in patients with lung cancer using Rasch analysis. The aim of this study was to extend the psychometric evaluations of the SF-12 within the lung cancer population to ensure its validity and reliability to assess the health status in this population. METHODS: Participants in the Victorian Lung Cancer Registry (VLCR) who completed the SF-12v2 between 2012 and 2016 were included in this study. The structural validity of the SF-12v2 was assessed using Rasch analysis. Overall fit to the Rasch measurement model was examined as well as five key measurement properties: uni-dimensionality, response thresholds, internal consistency, measurement invariance and targeting. RESULTS: A total of 342 participants completed the SF-12v2 three months following their lung cancer diagnosis. The SF-12 Physical Component Score (PCS-12) did not fit the overall Rasch measurement model (χ2 107.0; p < 0.001). Three items deviated significantly from the Rasch model (item fit residual beyond ± 2.5) with signs of dependency between item responses and disordered thresholds. Nevertheless, the PCS-12 was uni-dimensional with good internal consistency (person separation index [PSI] 0.83) and reasonable targeting. In contrast, the SF-12 Mental Component Score (MCS-12) had good overall model fit (χ2 35.1; p = 0.07), reasonable targeting and good internal consistency (PSI 0.81). CONCLUSIONS: Rasch analysis suggests that there is general support for the reliability of the SF-12v2 as a measure of physical and mental health in people with lung cancer. However, the appropriateness of some items (e.g. pain) in the PCS-12 is questionable and further refinement of the scale including changing the response options may be required to improve the ability of the SF-12v2 to more appropriately assess the health status of this population.


Assuntos
Nível de Saúde , Inquéritos Epidemiológicos/normas , Neoplasias Pulmonares/fisiopatologia , Psicometria/normas , Inquéritos e Questionários/normas , Avaliação de Sintomas/estatística & dados numéricos , Avaliação de Sintomas/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Austrália , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Inquéritos e Questionários/estatística & dados numéricos
16.
BMC Pregnancy Childbirth ; 21(1): 397, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34020600

RESUMO

BACKGROUND: Coronavirus disease is now a global concern with the non-availability of antiviral treatment and attacks all groups of the population. Hence, applying preventive measures is the most critical intervention to control the infection. Pregnant women are particularly susceptible to respiratory pathogens because of their immunosuppressive state and physiological adaptive change during pregnancy. Therefore, this study was aimed to assess knowledge and practice to prevent coronavirus disease and its associated factors among pregnant women in Debre Tabor Town. METHODS: Community-based cross-sectional study was conducted among 422 participants from May 25-June 15, 2020. A simple random sampling technique was employed. Data were collected by face-to-face interview using a structured and pre-tested questionnaire and analysis using SPSS version 23. Bivariable and multivariable logistic regression analysis was carried out and p-value < 0.05 at 95% CI were considered as statistically significant. RESULTS: Overall 46.8 and 47.6% of women were knowledgeable and had good practice to prevent coronavirus respectively. Women's age (15-24 years) (AOR = 4.85, 95% CI: 1.34-5.42), educational status (AOR:3.70; 95% CI: 1.16-5.40) being civil servant (AOR:2.84; 95% CI: 1.55-5.21), wanted pregnancy (AOR:3.37; 95% CI: 1.20-9.45), antenatal care follow-up (AOR:2.07; 95% CI: 1.03-4.13) were significantly associated with COVID-19 knowledge, whereas educational status (AOR:3.78; 95% CI: 1.19-5.11), number of children (AOR:2.89; 95% CI: 1.29-6.45) and knowledge (AOR:8.42;95% CI: 4.50-15.85), were also found to be statistically significant with practice. CONCLUSIONS: Most of the participants had poor knowledge and inappropriate practice. Increasing health education programs via different media, coordinated and combined efforts of authorities and all individuals will be needed to battles the spread of the infection.


Assuntos
COVID-19/prevenção & controle , Complicações Infecciosas na Gravidez/prevenção & controle , Cuidado Pré-Natal/estatística & dados numéricos , Inquéritos e Questionários/normas , Adolescente , Adulto , COVID-19/diagnóstico , COVID-19/epidemiologia , COVID-19/virologia , Estudos Transversais , Escolaridade , Etiópia/epidemiologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Modelos Logísticos , Gravidez , Complicações Infecciosas na Gravidez/epidemiologia , Complicações Infecciosas na Gravidez/virologia , SARS-CoV-2/genética , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
17.
Medicine (Baltimore) ; 100(20): e25761, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011037

RESUMO

ABSTRACT: This study was to evaluate the impact of the symptoms of overactive bladder (OAB) syndrome on female sexual function. Seventy nine patients with OAB (OAB group) and 79 healthy women (control group) underwent physical examination at our center, and had their sexual function evaluated using the female sexual function index (FSFI). In accordance with the presence or absence of urge incontinence, the OAB group was further divided into the wet and dry groups. The sexual function was evaluated again after 3 months of pharmacotherapy. We investigate the difference of sexual function between OAB and control group. The effect of OAB severity and OAB pharmacotherapy on sexual function was also explored. There were no significant differences between OAB group and control group, including age, body mass index (BMI), education, occupation, fertility, parity, childbirth, and menopause. Compared with the control group, the OAB group had significantly lower FSFI scores. The respective mean ±â€Šstandard error FSFI scores in the control group and the OAB group were 2.98 ±â€Š1.07 and 2.27 ±â€Š0.96 for desire, 3.48 ±â€Š1.16 and 2.32 ±â€Š1.44 for arousal, 4.60 ±â€Š1.13 and 3.10 ±â€Š1.95 for lubrication, 3.37 ±â€Š0.87 and 2.63 ±â€Š1.04 for orgasm, 3.58 ±â€Š1.02 and 2.41 ±â€Š1.35 for sexual satisfaction, 3.58 ±â€Š1.02 and 2.41 ±â€Š1.35 for sexual pain, and 22.24 ±â€Š5.29 and 15.59 ±â€Š7.47 for the total score (P < .05 for all comparisons). The scores for desire, lubrication, orgasm, sexual satisfaction, pain, and total FSFI between the OAB-dry and OAB-wet subgroup were similar while score of arousal in OAB-wet subgroup was significantly increased compared with that of OAB-dry. OABSS score was commonly used in the assessment of OAB severity. The difference of the FSFI scores among mild OAB group, moderate OAB group, and severe OAB group was statistically significant (P < .05). Female FSFI sexual function scores were significantly improved after OAB pharmacotherapy (P < .05). Women with OAB syndrome have poorer sexual function than healthy women. Patients with more serious OAB experience more disturbing sexual dysfunction. Female sexual function scores were significantly improved after OAB pharmacotherapy.


Assuntos
Dispareunia/epidemiologia , Orgasmo , Excitação Sexual , Bexiga Urinária Hiperativa/complicações , Agentes Urológicos/uso terapêutico , Adulto , Estudos de Casos e Controles , Dispareunia/tratamento farmacológico , Dispareunia/etiologia , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Qualidade de Vida , Inquéritos e Questionários/estatística & dados numéricos , Resultado do Tratamento , Bexiga Urinária Hiperativa/tratamento farmacológico , Bexiga Urinária Hiperativa/psicologia
18.
Medicine (Baltimore) ; 100(20): e25853, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011051

RESUMO

ABSTRACT: Teaching resource of nursing students play an important role in improving clinical performance, while there is a little know and dearth of the access and development criteria or guidance of teaching resources for nursing undergraduates.To develop the admission and development criteria of education resources for nursing undergraduates, and to explore and determine its composition and connotation.A cross-sectional survey has been used.A total of 22 Chinese nursing schools and affiliated teaching bases (hospitals and community health centers).A total of 20 nursing experts were consulted to develop the questionnaire of admission and development criteria of teaching resource for nursing undergraduates in China, and then 285 valid experts from 22 Chinese nursing schools and affiliated teaching bases (hospitals and community health centers) conducted the questionnaire survey to evaluate experts' consensus rate and view on the composition and connotation of the developed criteria.There were 6 domains and 43 items included in the admission and development criteria of teaching resource for nursing undergraduates, which domains included educational budget and allocation of resources, infrastructure, clinical teaching bases, books and information services, educational experts, and educational exchanges. The experts' consensus rate was more than 90.2%.The standard is helpful to guide the future admission and development of teaching resource for nursing undergraduates, and favor the education quality improvement of nursing undergraduates.


Assuntos
Educação em Enfermagem/organização & administração , Pessoal de Educação/organização & administração , Seleção de Pessoal/normas , Escolas de Enfermagem/organização & administração , Ensino/organização & administração , Adulto , China , Estudos Transversais , Educação em Enfermagem/métodos , Educação em Enfermagem/normas , Pessoal de Educação/normas , Pessoal de Educação/estatística & dados numéricos , Escolaridade , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Educacionais , Seleção de Pessoal/organização & administração , Melhoria de Qualidade , Escolas de Enfermagem/normas , Escolas de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos
19.
Medicine (Baltimore) ; 100(20): e25918, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011060

RESUMO

ABSTRACT: We aimed to explore the application of three-dimensional (3D) printing technology with problem-based learning (PBL) teaching model in clinical nursing education of congenital heart surgery, and to further improve the teaching quality of clinical nursing in congenital heart surgery. In this study, a total of 132 trainees of clinical nursing in congenital heart surgery from a grade-A tertiary hospital in 2019 were selected and randomly divided into 3D printing group or traditional group. The 3D printing group was taught with 3D printed heart models combined with PBL teaching technique, while the traditional group used conventional teaching aids combined with PBL technique for teaching. After the teaching process, the 2 groups of nursing students were assessed and surveyed separately to evaluate the results. Compared to the traditional group, the theoretical scores, clinical nursing thinking ability, self-evaluation for comprehensive ability, and teaching satisfaction from the questionnaires filled by the 3D printing group were all higher than the traditional group. The difference was found to be statistically significant (P < .05). Our study has shown the 3D printing technology combined with the PBL teaching technique in the clinical nursing teaching of congenital heart surgery achieved good results.


Assuntos
Procedimentos Cirúrgicos Cardíacos/educação , Educação em Enfermagem/métodos , Cardiopatias Congênitas/cirurgia , Impressão Tridimensional , Aprendizagem Baseada em Problemas/métodos , Estudos de Casos e Controles , Competência Clínica/estatística & dados numéricos , Feminino , Coração/anatomia & histologia , Humanos , Masculino , Modelos Anatômicos , Avaliação de Programas e Projetos de Saúde , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Centros de Atenção Terciária , Adulto Jovem
20.
Medicine (Baltimore) ; 100(20): e25939, 2021 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-34011070

RESUMO

ABSTRACT: Although collaborative treatment by traditional Korean medicine doctors (KMDs) and medical doctors occurs, it is mainly done by referral. As no survey of the general public's preference for the type of collaboration has ever been conducted, we aimed to investigate Koreans' preferences for a collaborative treatment type.The responders were extracted by random digit dialing and then reextracted using the proportional quota sampling method by sex and age. From July to October 2017, telephone interviews were conducted and the participant responses regarding treatment history for spinal or joint diseases, experiences with collaborative treatment, and preferred type of collaborative treatment were recorded.Of the 1008 respondents, 44.64% reported a history of treatment for spinal or joint diseases at a medical institution. The concurrent collaborative treatment system, in which both KMDs and medical doctors are present in one location participating in the treatment concurrently, was the most preferred system among the respondents. Respondents who reported experience with traditional Korean medicine hospitals were more likely to prefer a one-stop treatment approach than those who did not have experience with traditional Korean medicine hospitals (adjusted odds ratio: 1.73; 95% confidence interval: 1.12-2.68). Respondents who were familiar with collaborative treatment but did not report any personal experience with it were more likely to prefer a one-stop treatment approach than those who were not familiar with collaborative treatment (adjusted odds ratio: 1.82; 95% confidence interval: 1.37-2.44).Koreans prefer a concurrent type of collaborative treatment system by KMDs and medical doctors. Therefore, efforts and support are needed to increase the application of the concurrent type of collaborative system.


Assuntos
Colaboração Intersetorial , Artropatias/terapia , Preferência do Paciente/estatística & dados numéricos , Padrões de Prática Médica/organização & administração , Doenças da Coluna Vertebral/terapia , Adulto , Idoso , Terapia Combinada/métodos , Terapia Combinada/estatística & dados numéricos , Feminino , Saúde Holística/estatística & dados numéricos , Humanos , Masculino , Medicina Tradicional Coreana/métodos , Medicina Tradicional Coreana/estatística & dados numéricos , Pessoa de Meia-Idade , Ortopedia/organização & administração , Ortopedia/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , República da Coreia , Inquéritos e Questionários/estatística & dados numéricos
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