Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 9.395
Filtrar
1.
Gesundheitswesen ; 82(11): 920-930, 2020 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-33049791

RESUMO

AIM: The aim of this article was to present key results of the graduates' survey VAMOS. The study examined the professional status of the graduates of 12 model study courses in the health professions in North Rhine-Westphalia. The focus of the article was on the employment characteristics of the current main jobs and the application of the academic competencies in everyday professional life. METHODS: In the early summer of 2018 (April to June), 515 graduates of the model study courses in nursing (N=244), physiotherapy (N=97), speech therapy (N=95), occupational therapy (N=47), and midwifery (N=32) were included in an online cross-sectional survey. Graduating classes between the winter semester 2013/2014 and the summer semester 2017 were included. In addition, employers (N=109) were interviewed who hired graduates from the model study courses. RESULTS: The main jobs of the graduates were mostly located in hospitals and outpatient therapy practices. Eight out of ten graduates (84%) performed tasks in direct contact with patients as the main part of their employment. In 71% of these cases, the regular tasks were combined with extended activities in comparison to colleagues without an academic degree. On average, the graduates felt confident in all competency dimensions examined in this study. In all dimensions, employers perceived a "competence advantage" for graduates compared to colleagues without an academic degree. CONCLUSION: The results of this graduate survey support the current recommendation to have the study programs in the five health care professions governed by professional laws and to enable the programs to be carried out at universities.


Assuntos
Emprego , Ocupações em Saúde , Prática Profissional , Estudos Transversais , Alemanha , Humanos , Inquéritos e Questionários
3.
Hum Resour Health ; 18(1): 71, 2020 10 20.
Artigo em Inglês | MEDLINE | ID: mdl-33076909

RESUMO

Regulation of the health workforce and accreditation of educational institutions are intended to protect the public interest, but evidence of the impact of these policies is scarce and occasionally contradictory. The body of research that does exist primarily focuses on policies in the global north and on the major health professions. Stress on accreditation and regulatory systems caused by surges in demand due to the COVID-19 pandemic, privatization of education, rising patient expectations, and emergence of new health worker categories has created urgency for innovation and reform. To understand and evaluate this innovation, we look forward to receiving manuscripts which contribute to the evidence base on the implementation, management, and impact of health worker education and practice regulation, including the intersection of education accreditation and workforce regulation policy. We particularly look forward to manuscripts from underrepresented parts of the globe and underrepresented health workforce sectors that address policy effectiveness, explore different models of regulation, and present innovations that we can all learn from.


Assuntos
Acreditação/normas , Ocupações em Saúde/educação , Mão de Obra em Saúde/normas , Infecções por Coronavirus/epidemiologia , Política de Saúde , Humanos , Pandemias , Pneumonia Viral/epidemiologia
4.
Cell ; 183(2): 296-300, 2020 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-33064983

RESUMO

The SARS-CoV-2 pandemic has revealed that Africa needs a new public health order to be resilient, to adapt, and to cope with 21st-century disease threats. The new order will need strengthened continental and national public health institutions; local manufacturing of vaccines, therapeutics, and diagnostics; attraction, training, and retention of a public health workforce; and fostering of respectful local and international partnerships.


Assuntos
Doenças Transmissíveis/terapia , Saúde Pública , África , Controle de Doenças Transmissíveis , Doenças Transmissíveis/diagnóstico , Ocupações em Saúde/educação , Mão de Obra em Saúde , Humanos , Cooperação Internacional , Saúde Pública/educação , Administração em Saúde Pública
5.
Annu Int Conf IEEE Eng Med Biol Soc ; 2020: 284-287, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-33017984

RESUMO

As hospital workers face a growing number of patients and have to meet increasingly rigorous standards of care, their ability to successfully modulate their emotional reactions and flexibly handle stress presents a significant challenge. This paper examines a multimodal signal-driven way to quantify emotion self-regulation and stress spillover through a dynamical systems model (DSM). The proposed DSM models day-to-day changes of emotional arousal, captured through speech, physiology, and daily activity measures, and its interplay with daily stress. The parameters of the DSM quantify the degree of self-regulation and stress spillover, and are associated with work performance and cognitive ability in a multimodal dataset of 130 full-time hospital workers recorded over a 10-week period. Linear regression experiments indicate the effectiveness of the proposed features to reliably estimate individuals' work performance and cognitive ability, providing significantly higher Pearson's correlations compared to aggregate measures of emotional arousal. Results from this study demonstrate the importance of quantifying oscillatory behaviors from longitudinal ambulatory signals and can potentially deepen our understanding of emotion self-regulation and stress spillover using signal-driven measurements, which complement self-reports and provide estimates of the psychological constructs of interest in a fine-grained time resolution.


Assuntos
Regulação Emocional , Fala , Atividades Cotidianas , Emoções , Ocupações em Saúde , Humanos
6.
Sante Publique ; 32(2): 149-159, 2020 09 15.
Artigo em Francês | MEDLINE | ID: mdl-32989944

RESUMO

OBJECTIVE: “Health service”, a French national service-learning program for health profession students, was launched in 2018. It aimed at developing knowledge and skills in health promotion and prevention. The purpose of this study was to assess the local implementation of this program, among medical, pharmacy, midwifery and physical therapy students at the Grenoble Alps University. METHODS: Relevant data were extracted from the placement reports, the directors’ feedback forms and an on-line questionnaire for students. We described the teams, the actions, the targeted publics, the students’ satisfaction and directors’ satisfaction. RESULTS: 400 students participated in this service-learning program (207 medical students, 93 pharmacy students, 39 midwifery students and 61 physical therapy students). 92 teams took actions in 91 institutions, including 90 secondary schools. 96.0% of the students were in interprofessional teams. Of 7,926 people reached, 7,872 (99.3%) were secondary school pupils. The main issues addressed were the substance-use prevention program based on life skills development, Unplugged (55 schools) and screen time and cyberstalking (17 schools). CONCLUSIONS: This program achieved interprofessional education and practice, with health-student-delivered activities. Interdisciplinarity was a core strength of the “Health service”. Areas for improvement were the communication and the reimbursement of transportation expenses.


Assuntos
Ocupações em Saúde/educação , Relações Interprofissionais , Estudantes de Ciências da Saúde/psicologia , França , Humanos , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários , Universidades
7.
PLoS One ; 15(9): e0238797, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32966288

RESUMO

OBJECTIVES: Interprofessional education is important for increasing the quality of patient care, but organising it in primary healthcare is still challenging. The aim of this study was to develop and assess a virtual patient model for primary healthcare and to investigate students' perceptions of learning with this interprofessional virtual patient model. METHODS: The virtual patient case described a patient with several medical conditions who had returned home after surgery. The virtual patient included text files, short videos, and links to illustrate different health professions' roles in home care. Ten interprofessional groups with 39 students assessed the virtual patient from four different study programmes: nursing, physiotherapy, medicine, and occupational therapy. The students answered a questionnaire about how they perceived the usability of the virtual patient and participated in group interviews. Qualitative content analysis was used to analyse the data from the semi-structured group interviews. RESULTS: The analysis of the interviews resulted in four main categories: The virtual patient model facilitated the learning process; It was beneficial to have students from different programmes in the group when working with the virtual patient; Working with the virtual patient helped the students to understand the roles and competencies of their own and other professions and All professions are needed in clinical work in order to help the patient. The students perceived that the mixture of text and multimedia made the virtual patient seem authentic and stimulated their group discussions, which they valued most. The students gave generally high points for usability in the questionnaire, but they also gave input for improvement of the program in their comments. CONCLUSIONS: The interprofessional virtual patient model facilitated interactions and discussions between students and may be a useful complement for interprofessional education in clinical contexts and might be a suitable tool in preparing students for future teamwork.


Assuntos
Ocupações em Saúde/educação , Adulto , Comportamento Cooperativo , Feminino , Humanos , Relações Interprofissionais , Aprendizagem , Masculino , Atenção Primária à Saúde , Estudantes de Ciências da Saúde , Estudantes de Medicina , Estudantes de Enfermagem , Inquéritos e Questionários , Realidade Virtual
9.
Sante Publique ; 32(2): 149-159, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32985831

RESUMO

OBJECTIVE: “Health service”, a French national service-learning program for health profession students, was launched in 2018. It aimed at developing knowledge and skills in health promotion and prevention. The purpose of this study was to assess the local implementation of this program, among medical, pharmacy, midwifery and physical therapy students at the Grenoble Alps University. METHODS: Relevant data were extracted from the placement reports, the directors’ feedback forms and an on-line questionnaire for students. We described the teams, the actions, the targeted publics, the students’ satisfaction and directors’ satisfaction. RESULTS: 400 students participated in this service-learning program (207 medical students, 93 pharmacy students, 39 midwifery students and 61 physical therapy students). 92 teams took actions in 91 institutions, including 90 secondary schools. 96.0% of the students were in interprofessional teams. Of 7,926 people reached, 7,872 (99.3%) were secondary school pupils. The main issues addressed were the substance-use prevention program based on life skills development, Unplugged (55 schools) and screen time and cyberstalking (17 schools). CONCLUSIONS: This program achieved interprofessional education and practice, with health-student-delivered activities. Interdisciplinarity was a core strength of the “Health service”. Areas for improvement were the communication and the reimbursement of transportation expenses.


Assuntos
Ocupações em Saúde/educação , Relações Interprofissionais , Estudantes de Ciências da Saúde/psicologia , França , Humanos , Avaliação de Programas e Projetos de Saúde , Estudantes de Ciências da Saúde/estatística & dados numéricos , Inquéritos e Questionários , Universidades
10.
J Interprof Care ; 34(5): 587-592, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32811213

RESUMO

Globally, the advent and rapid spread of the COVID-19 virus has created significant disruption to health professions education and practice, and consequently interprofessional education, leading to a model of learning and practicing where much is unknown. Key questions for this ongoing evolution emerge for the global context leading to reflections on future directions for the interprofessional education field and its role in shaping future practice models. Health professions programs around the world have made a dramatic shift to virtual learning platforms in response to closures of academic institutions and restrictions imposed on learners accessing practice settings. Telemedicine, slow to become established in many countries to date, has also revolutionized practice in the current environment. Within the state of disruption and rapid change is the awareness of a silver lining that provides an opportunity for future growth. Key topics explored in this commentary include reflection on the application of existing competency frameworks, consideration of typology of team structures, reconsideration of theoretical underpinnings, revisiting of core dimensions of education, adaptation of interprofessional education activities, and the role in the future pandemic planning. As an international community of educators and researchers, the authors consider current observations relevant to interprofessional education and practice contexts and suggest a response from scholarship voices across the globe. The current pandemic offers a unique opportunity for educators, practitioners, and researchers to retain what has served interprofessional education and practice well in the past, break from what has not worked as well, and begin to imagine the new.


Assuntos
Infecções por Coronavirus , Ocupações em Saúde/educação , Comunicação Interdisciplinar , Pandemias , Pneumonia Viral , Currículo , Humanos , Internacionalidade , Aprendizagem Baseada em Problemas , Síndrome Respiratória Aguda Grave
12.
PLoS One ; 15(8): e0238229, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32853227

RESUMO

This paper examines the role of gender in the formation of research collaboration networks, by investigating the composition of networks through connections to diverse professional communities. Drawing on an ego network approach, we examine gender differences among researchers' networks in terms of partner diversity, openness and brokerage roles. We use data from 897 valid responses to a questionnaire administered to biomedical scientists in Spain, which enquired into multiple aspects of personal research networks. Our findings show that women form more diverse networks and brokerage triads than men. This result is reinforced if we consider the most heterogeneous brokerage triads in terms of professional differences among network partners (i.e., consultant and liaison). Our results suggest that women are more likely to access non-redundant knowledge and richer research perspectives via their knowledge-flow intermediary roles. This research suggests the need for analyses of gender and networks that go beyond a gender-to-gender approach.


Assuntos
Pesquisadores/psicologia , Pesquisa Biomédica , Feminino , Ocupações em Saúde , Humanos , Conhecimento , Masculino , Espanha
13.
PLoS One ; 15(8): e0237670, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32790797

RESUMO

BACKGROUND: Efforts to characterize healthcare professional students' lesbian, gay, bisexual, and transgender (LGBT) cultural competency are necessary to recommend educational initiatives. Very few studies have evaluated LGBT cultural competency across multiple healthcare disciplines, and no known studies have included students of other healthcare disciplines such as occupational therapy, pharmacy, physical therapy, and physician assistant. METHODS: Healthcare professional students (N = 1701) at three universities across the United States completed a survey consisting of demographics, experiential variables (i.e., LGBT patients and LGBT curricular hours), and the 7-point Likert LGBT-Development of Clinical Skills Scale (LGBT-DOCSS). LGBT-DOCSS scores, annual LGBT patients, and annual LGBT curricular hours were compared across healthcare disciplines. RESULTS: While students reported very high Attitudinal Awareness (M = 6.48, SD = 0.92), they endorsed moderate Basic Knowledge (M = 5.54, SD = 1.16) and low Clinical Preparedness (M = 3.78, SD = 1.28). After controlling for several demographic and experiential variables, there were significant differences among healthcare disciplines on LGBT-DOCSS scores, with social work students reporting the highest on all scores, and dental students reporting the lowest on all scores except Clinical Preparedness. There were also significant differences among healthcare disciplines on annual LGBT patients [mean range: 0.57 (dental) to 7.59 (physician assistant)] and annual LGBT curricular hours [mean range: 0.51 (occupational therapy) to 5.64 (social work)]. Experiential variables were significant predictors for Overall LGBT-DOCSS, Clinical Preparedness, and Basic Knowledge (all p < 0.001); LGBT patients was also a significant predictor for Attitudinal Awareness (p < 0.05). CONCLUSIONS: Taken together, significant differences in LGBT cultural competency exist across healthcare disciplines, which may result from inadequate experiences with LGBT patients and LGBT curricular education. Future efforts should consider increasing LGBT patient contact hours and LGBT formal education hours to enhance healthcare students' LGBT cultural competency.


Assuntos
Competência Clínica/estatística & dados numéricos , Competência Cultural , Ocupações em Saúde/educação , Minorias Sexuais e de Gênero/psicologia , Estudantes de Ciências da Saúde/estatística & dados numéricos , Adulto , Currículo , Feminino , Humanos , Masculino , Estados Unidos , Adulto Jovem
14.
Artigo em Inglês | MEDLINE | ID: mdl-32635499

RESUMO

BACKGROUND: Satisfactory experience about basic life support (BLS) is crucial to ensure rapid and efficient delivery of essential life-saving care during emergency situations. OBJECTIVES: To assess BLS experience among health profession students at King Khalid University (KKU), Southwestern Saudi Arabia. METHODS: A cross-sectional study was conducted on a representative sample of male and female health profession students, during the academic year 2019-2020. A self-reported questionnaire was utilized to collect data about BLS experiences, which included receiving BLS training, reasons for not having BLS training, suggestions to improve BLS training, encountering a situation that required the use of BLS, practicing BLS when needed and reasons for not practicing BLS when needed. RESULTS: Out of 1261 health profession students, 590 received formal BLS training with a prevalence rate of 46.8% (95% CI: 44.0-49.6), and 46.0% of them trained at the university. Important obstacles for non-attendance included busy academic schedule (54.7%) and high cost of the training course (18%). Overall, 84.1% supported integration of BLS training into their college curricula. Almost 26% encountered a situation that required BLS; however, only 32.4% responded. Through multivariate regression, the significant determinant of response was having formal BLS training (aOR = 4.24, 95% CI: 2.38-7.54). The frequent reasons for non-response were lack of adequate BLS knowledge (35.0%), nervousness (22.8%), and that the victim was of opposite sex (9.0%). CONCLUSION: It is recommended that more emphasis should be given to BLS training among undergraduates of health profession colleges in Southwestern Saudi Arabia. It is recommended that BLS training be integrated into health profession college curricula. Including BLS training as a graduation requirement for health profession students might motivate students to attain BLS training courses.


Assuntos
Reanimação Cardiopulmonar/educação , Conhecimentos, Atitudes e Prática em Saúde , Ocupações em Saúde/educação , Cuidados para Prolongar a Vida/métodos , Estudantes de Ciências da Saúde/psicologia , Adulto , Reanimação Cardiopulmonar/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Masculino , Parada Cardíaca Extra-Hospitalar/terapia , Arábia Saudita , Estudantes de Ciências da Saúde/estatística & dados numéricos , Inquéritos e Questionários , Universidades
16.
Med Oncol ; 37(8): 75, 2020 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-32728951

RESUMO

Italy was the first European country to be hit by COVID-19 pandemic. As a consequence, Italian oncologists had to guarantee essential treatments although minimizing exposure to the virus, and accidental infection, of patients and healthcare professionals. As Department of Medical Oncology of the University Hospital of Udine, in this short report, we describe the measures that we have taken, and gradually updated, since February 26, 2020. All accesses to our Oncology facilities are currently regulated by entrance check-points where patients are screened for infections following dedicated algorithms. Up to date, after 6 weeks of systematic execution of swabs no physician, nurse or other individual of the staff has been found positive to COVID-19. Only one patient admitted for therapy has been identified as COVID-19 positive. The aim of our work is to propose a model, made up of a set of operative procedures, that may be adopted by all the oncologists that daily struggle to guarantee safety and care in Oncology during this COVID-19 emergency.


Assuntos
Betacoronavirus/efeitos dos fármacos , Infecções por Coronavirus/terapia , Pneumonia Viral/terapia , Europa (Continente) , Ocupações em Saúde , Humanos , Oncologia/métodos , Pandemias
17.
Am J Public Health ; 110(S2): S186-S190, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32663085

RESUMO

The seminal Consensus Study by the National Academies of Science, Engineering, and Medicine released in September 2019 describes the benefits of integrating health and social care service delivery, underscoring the central role of social determinants of health (SDOH) in health outcomes. Although the report's focus on the integration of health and social care contributes a much needed perspective to the national discourse on SDOH and offers a useful framework for organizing service delivery activities, the omission of prevention and health promotion throughout the report is a substantial limitation.We call for increased attention to and investment in prevention and health promotion in the proposed 5As framework. We contend that effectively addressing SDOH and improving alignment between health and social systems require reconceptualization of the traditional health care workforce and renewed state and national advocacy efforts.A paradigm shift encompassing a broader "workforce for health" that is well trained in prevention, health promotion, and advocacy is critical to addressing SDOH, improving population health outcomes, and achieving health equity. Given their professional mission, training, expertise, and scope of practice, social workers are well positioned to lead this effort.


Assuntos
Promoção da Saúde/economia , Mão de Obra em Saúde , Medicina Preventiva/economia , Serviço Social , Defesa do Consumidor , Ocupações em Saúde , Humanos
18.
N Z Med J ; 133(1518): 19-32, 2020 07 17.
Artigo em Inglês | MEDLINE | ID: mdl-32683429

RESUMO

AIM: To extend a previous investigation published in the New Zealand Medical Journal in 2017 into the state of quality improvement and patient safety teaching within health professional curricula and inform further investigation. This detailed analysis of actual curricula investigated the extent to which the nine quality and safety domains outlined by New Zealand's Health Quality & Safety Commission (HSQC) are included in eight health professional degrees in disciplines covered by the Health Practitioners Competence Assurance (HPCA) Act as they were delivered to 2,869 students in 2019. An extended set of terms was identified for exploring the key concepts. METHOD: The key concepts within the nine quality and safety domains previously published by HSQC were identified and used to conduct electronic searches of undergraduate curricula. A detailed analysis of the findings indicated that a range of terms, beyond those used in the descriptions in the 2017 study, were utilised to convey the key concepts. An extended list of terms was developed, and further analyses undertaken to check the context of them and ensure relevance. The final analysis identified the terms from the extended list across curricula. Further cross-checking was undertaken to verify the meaning and context of them. RESULTS: The development of an extended list of terms relating to the quality and safety domains enabled a detailed analysis of eight undergraduate health professional curricula preparing students for registration under the HPCA. All the quality and safety domains are represented within health professional degrees and one curriculum in particular was identified as an exemplar in relation to the extent the domains were incorporated. The extended list of terms provides a tool for exploring these domains in other curricula and institutions. CONCLUSION: This detailed analysis of curricula presents a more reassuring picture of the presence of quality improvement and patient safety within undergraduate education in Aotearoa New Zealand than had been previously presented following interviews with educators. An extended list of terms relating to the HSQC domains identified during this analysis adds to the interprofessional vocabulary for considering quality and safety as curricula are continuously evaluated and refined. The curriculum of one discipline provides an exemplar of how key concepts may be incorporated across all levels of a programme of study.


Assuntos
Currículo , Educação de Graduação em Medicina/normas , Ocupações em Saúde/educação , Segurança do Paciente/normas , Melhoria de Qualidade , Humanos , Nova Zelândia , Estudos Retrospectivos
19.
J Evid Based Soc Work (2019) ; 17(5): 611-623, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32615876

RESUMO

PURPOSE: This study aims to measure growth in interprofessional knowledge, skills, and values in MSW students from three universities who participated in a Behavioral Health Workforce Education and Training program focused on serving children, adolescents, and transition-age youth. METHODS: Students participated in an interprofessional field placement and specialized educational sessions that addressed interprofessional team-based care, engaging at-risk youth and families, and working with vulnerable populations. The Interprofessional Socialization and Valuing Scale (ISVS) was administered pre- and post-experience. RESULTS: Paired t-tests of the ISVS total score and each subscale showed statistically significant increases over time. Multiple regression models indicated only the pretest score was a significant predictor of the posttest score for the total or subscale of the ISVS. CONCLUSION: Social work programs that create interprofessional education and training opportunities can achieve positive outcomes in student attitudes toward interprofessional practice.


Assuntos
Comportamento Cooperativo , Ocupações em Saúde/educação , Relações Interprofissionais , Serviço Social/educação , Estudantes de Ciências da Saúde/psicologia , Adulto , Feminino , Humanos , Masculino , Inquéritos e Questionários , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA