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1.
Guatemala; MSPAS, Coordinación de Hospitales; 27 mar 2020. graf.
Não convencional em Espanhol | LILACS, LIGCSA | ID: biblio-1096347

RESUMO

Este documento da orientación provisional procura fortalecer la respuesta de los servicios hospitalarios ante la posibilidad de tener casos en el país de COVID-19, especialmente en la parte de prevención de la transmisión a del fortalecimiento de las precauciones estándar para la prevención y control de infecciones, con énfasis en el lavado de manos y el uso de equipo protección personal por parte del personal de salud. Además, provee orientaciones para organizar los servicios hospitalarios para adecuar áreas de aislamiento, cuidados intermedios y áreas de triage. El documento también orienta para la proyección de costos de insumos: Material medico quirúrgico, medicamentos, recursos humanos, entre otros como preparación para la respuesta (AU).


Assuntos
Humanos , Organização e Administração/normas , Pneumonia Viral/diagnóstico , Infecções por Coronavirus/diagnóstico , Betacoronavirus , Assistência ao Paciente/métodos , Cadáver , Preparações Farmacêuticas/economia , Contenção de Riscos Biológicos/normas , Sistema de Vigilância Sanitária , Programa de Controle de Infecção Hospitalar , Guatemala , Resíduos de Serviços de Saúde/prevenção & controle
2.
J Nurs Manag ; 27(8): 1700-1711, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31486150

RESUMO

AIM: To evaluate the impacts of introducing administrative support for nurse unit managers. BACKGROUND: Increased administrative load for nurse unit managers causes role stress and reduced opportunities for clinical leadership (state-wide review, Queensland, Australia). In response, a health organisation implemented a clerical 'Nurse Unit Manager Support Officer' position. METHODS: Qualitative descriptive evaluation, convenience sample (37 nurse unit managers and NUM Support Officers) and focus groups (13) provided data that were thematically analysed. RESULTS: Six impacts were identified: (a) improved nurse unit manager well-being; (b) more time to undertake clinical leadership; (c) greater efficiencies in finance, payroll and HR processes; (d) improved capacity for strategic leadership; (e) increased staff satisfaction and improved unit culture; and (f) improved succession planning. CONCLUSION: Findings reveal significant gains and benefits from the introduction of administrative support for the nurse unit manager role for the nurse unit manager and the units they manage. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse unit manager role stress can negatively impact organisational climate, performance outcomes, staff satisfaction and retention. Health organisations need to implement strategies to reduce the administrative burden for nurse unit managers. The introduction of administrative support frees up time for nurse unit managers to engage in clinical leadership, positively impacting organisational climate, performance outcomes, and staff satisfaction and retention.


Assuntos
Enfermeiras Administradoras/psicologia , Organização e Administração/normas , Percepção , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/estatística & dados numéricos , Pesquisa Qualitativa , Queensland
3.
Clin Respir J ; 13(8): 505-512, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31207148

RESUMO

INTRODUCTION: One of the most serious problems in TB control is non-adherence to treatment leading to the risk of drug resistance and subsequent treatment failure. OBJECTIVES: To assess the impact of an educational strategy intervention and remote supervision on the post-discharge management of new cases of TB diagnosed in hospital on TB cure rate. Secondarily, to assess the impact of this intervention on default rate. METHODS: Randomized control trial conducted at a general, tertiary care, university affiliated hospital. New cases of TB diagnosed in hospital were included. The primary outcome was cure rate and secondary outcome was default rate. Analysis was carried out by modified intention to treat. RESULTS: A total of 169 new tuberculosis patients were enrolled. Among them, 80 were assigned to intervention group and 89 to control group. The cure rate was 71.3% in the intervention group and 58.4% in the control group. In the multivariate binary logistic regression model to evaluate the effect of the intervention, controlled by age, sex, current smoking status and directly observed treatment short, intervention was independently associated with cure rate (OR = 0.47; 95% CI: 0.24-0.94; P = 0.033).There was a significant difference in the default rate between the control and intervention groups (18.0% vs 5.0%, respectively, P = 0.039). CONCLUSION: An educational strategy intervention and remote supervision on the post-discharge management of new cases of TB with in-hospital diagnosis had a positive effect of small magnitude on cure rate. Secondarily, the treatment default rate has been significantly decreased with the intervention.


Assuntos
Intervenção Educacional Precoce/métodos , Organização e Administração/normas , Alta do Paciente/normas , Tuberculose/tratamento farmacológico , Adulto , Idoso , Brasil/epidemiologia , Feminino , Hospitais/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente/psicologia , Estudos Prospectivos , Atenção Terciária à Saúde/normas , Falha de Tratamento , Tuberculose/diagnóstico , Tuberculose/mortalidade
4.
Curationis ; 42(1): e1-e10, 2019 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-31170797

RESUMO

BACKGROUND:  The nurse educators' role in clinical learning is to define the necessary prerequisites of an ideal clinical learning environment. OBJECTIVES:  The purpose of the study was to explore and describe the Kamuzu College of Nursing (KCN) undergraduate nursing students' perspectives on clinical supervision and support in their clinical learning environment and their preferences in the clinical learning environment. METHOD:  A mixed method research approach was used to explore and describe clinical supervision from the students' perspectives on the features of their actual and preferred clinical learning environment. The study's population comprised all third- and fourth-year undergraduate nursing students (n = 219). A sample (n = 125) was randomly selected from the population for the quantitative survey of which 120 questionnaires (96%) were valid for analysis. The data collection for qualitative arm of the study comprised interviews conducted through purposive sampling interviewing 20 participants. Survey results were analysed using the Statistical Package for the Social Science (Version 16) and the qualitative data were analysed using the content analysis approach where themes were generated. RESULTS:  The study found that the participants were not satisfied with clinical supervision and support during clinical learning. The participants preferred improved clinical supervision and support in their clinical learning. Comparing the difference between actual and the preferred items of supervision the results were statistically significant at p < 0.05. CONCLUSION:  There is a need to improve students' clinical supervision and support at KCN. Nurse educators need to plan for clinical supervision and support effectively to promote proficient nursing graduates.


Assuntos
Bacharelado em Enfermagem/normas , Organização e Administração/normas , Preceptoria/normas , Estudantes de Enfermagem/psicologia , Competência Clínica/normas , Bacharelado em Enfermagem/métodos , Docentes de Enfermagem/psicologia , Docentes de Enfermagem/normas , Humanos , Malaui , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários
5.
Work ; 63(1): 99-111, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31127748

RESUMO

BACKGROUND: The frequency of being exposed to work-related violence and threats is high in employees working in the human service sector. The question is whether certain employees are particularly exposed to violence and threats than others. OBJECTIVE: This study examined whether particular employees were especially exposed to work-related violence and threats due to personal characteristics, coping styles, attitudes or participating in violence prevention training. We also examined the role played by supervisors. METHODS: Questionnaire data were collected in 2010 and 2011. In all, 3584 employees from special schools, psychiatric wards, eldercare and the Prison and Probation Service participated. We used multivariate logistic regression analyses. RESULTS: We found persons high on the extroversion and introversion scales were associated with statistical significant increased risk for work-related threats. Furthermore, accepting attitudes concerning work-related violence were also statistical significant associated with increased the risk for both work-related threats and violence. Associations between coping styles and work-related threats and violence were very small and statistically non-significant and we found no effect of violence prevention training. The risk for work-related threats for persons high on the extroversion scale was decreased if supervisor violence prevention behaviour was high. Furthermore, if supervisor prevention behaviour was high, prevention training decreased the risk for work-related violence. However, these associations weren't statistically significant. CONCLUSION: The results stress that effective prevention requires involvement of both employees and supervisors.


Assuntos
Organização e Administração/normas , Violência no Trabalho/psicologia , Adaptação Psicológica , Adulto , Estudos de Coortes , Extroversão Psicológica , Feminino , Humanos , Introversão Psicológica , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Organização e Administração/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Fatores de Risco , Autoeficácia , Inquéritos e Questionários , Violência no Trabalho/estatística & dados numéricos
7.
GMS J Med Educ ; 36(1): Doc7, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30828607

RESUMO

Objective: To compare the cumulative pregnancy rate (CPR) for experienced clinicians and trainees naive to the skill of embryo transfer (ET) during an assisted reproductive treatment (ART) cycle. To establish the minimum number of procedures required to achieve consistent outcomes. Method: A non-interventional retrospective observational cohort study looking at all consecutive ETs undertaken over a 5-year study period. The CPR was determined by a self-reported urinary home pregnancy test undertaken 16 days after oocyte retrieval. Results: The CPR did not differ between an experienced clinician (39%) and trainee (45%) for the first 50 (p=0.41) and last 50 (40.7% versus 42.7%) (p=0.81) ET procedures. The CPR for the individuals remained consistent with their peaks and troughs mirroring the overall success rate of the unit. This pattern continued when the data was further stratified for co-variables (age [≤37 years of age], catheter type [soft] and embryo quality [expanded blastocyst of grade ≥2]): CPRs for experienced clinicians was 65.7% (first 50 transfers) and 40.9% (last 50 transfers); CPR for trainees was 66.7% (first 50 transfers) and 53.6% (last 50 transfers); p=0.95 and p=0.37, respectively. The trainees, however, were more likely to use a stylet catheter with a 2-step transfer technique, with a cost over clinical implication. Furthermore, patients expressed a preference for an experienced clinician to perform their procedure, despite being informed that the grade of the clinician had no impact on the cycle outcome after an analysis of the unit's data. Conclusion: The clinician's grade and duration of service have not been shown to significantly impact the outcome of the ART cycle. The findings, however, should be interpreted with caution, as they reflect the culture of training in the unit, where there is a strong emphasis on adequate direct and indirect supervision. Furthermore, the relationship between the volume of work and outcomes is established in postgraduate medical education, with the exact number required to achieve clinical competence being dependent on the procedure and intensity of the workload.


Assuntos
Competência Clínica/normas , Transferência Embrionária/normas , Organização e Administração/normas , Adulto , Estudos de Coortes , Transferência Embrionária/métodos , Feminino , Humanos , Gravidez , Taxa de Gravidez , Estudos Retrospectivos , Inquéritos e Questionários
8.
Nurse Educ Pract ; 34: 48-55, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30458410

RESUMO

Effective clinical practice supervision for health students is essential prior to commencing their respective professions. Students require adequate preparation before their clinical practice event with an experienced clinical supervisor able to impart professional 'know how' and skills to students. The purpose of this study was to describe final year health students' perspectives and experiences of clinical supervision, and to develop an interprofessional model of clinical supervision. Focus groups and semi-structured interviews were conducted with undergraduate health students across a range of disciplines. Some students provided email comments. Qualitative data was analysed thematically using NVivo (V11). Six key themes and their various sub-themes (refer Table 1) were identified: (1) undergraduate learning valued by the CP provider; (2) effective connections (communications) between student, CS, CP provider and university; (3) undergraduate student learning not being valued; (4) ineffective connections; (5) mitigating factors for students; and (6) the impact of increasing student numbers. Undergraduate health student clinical placement requires careful educational preparation, structuring and adequate support for both the student undergoing the practice event and for the clinical supervisor stewarding the undergraduate health professional. A prospective plan to ensure an excellent experience is required (Fig. 1).


Assuntos
Pessoal de Saúde/educação , Organização e Administração/normas , Preceptoria/normas , Estudantes/psicologia , Competência Clínica/normas , Grupos Focais , Humanos , Entrevistas como Assunto/métodos , New South Wales , Estudantes/estatística & dados numéricos , Universidades/organização & administração
9.
Early Interv Psychiatry ; 13(3): 627-632, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-29527832

RESUMO

AIM: Specialized early intervention (SEI) treatment in meta-analysis has proven to be effective, compared to usual treatment, in treating first-episode psychosis, and the dissemination of SEI services is increasing. A prerequisite for upholding positive effects is to ensure fidelity to the treatment concept once tested. The aim of this study was to map programme fidelity of SEI teams in Denmark by testing a newly developed fidelity scale. METHODS: The 18-item SEI fidelity scale was assessed by visiting SEI teams in person. The scale is divided into 2 dimensions: one concerning the structure and the other concerning the character and content of the treatment. Interviews were conducted with team leaders, patients and members of the staff, and team conferences were observed. Satisfactory fidelity can be obtained at 2 levels: an elite level and an adequate level. RESULTS: In total, 96% (n = 22) of the Danish SEI teams participated in the fidelity study. An elite fidelity score was achieved by 32% of the teams, scoring 15 or 16 on the 18-point scale; 27% reached adequate level. With regard to the structural domain of the scale, we found variation among the teams. CONCLUSIONS: The multimodal approach was found to be very efficient in evaluating elements critical to SEI teams in Denmark. A low score on the structural domain could, in the long term, lead to an inability to maintain a well-functioning team and provide high-quality treatment.


Assuntos
Intervenção Médica Precoce , Avaliação de Programas e Projetos de Saúde , Transtornos Psicóticos/terapia , Adolescente , Adulto , Administração de Caso/normas , Competência Clínica/normas , Terapia Combinada/normas , Dinamarca , Feminino , Humanos , Masculino , Organização e Administração/normas , Equipe de Assistência ao Paciente/normas , Adulto Jovem
10.
Infant Ment Health J ; 39(5): 608-617, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30088281

RESUMO

Despite widespread belief in the early childhood field of the benefits of reflective supervision, there has been limited empirical evidence to support the effectiveness of reflective supervision for home visitors and the children and families they serve. The present study examined the psychometric properties of four adapted self-report measures assessing supervisors' reflective supervision capacities; the study also investigated whether these measures captured change in reflective capacity over time as supervisors participated in professional development activities focused on reflective supervision. Results from 33 participants (home visiting supervisors and program managers) suggested that three of the four measures demonstrated acceptable internal consistency, and these three measures were correlated with each other. Two of these measures also captured significant change over time. Finally, there was some evidence that those with less education demonstrated more substantial improvement in their reflective supervision capacities than did those with an advanced degree. Findings provide initial evidence for reliable, efficient, and cost-effective supervisor self-report measures that could be used in research and program evaluation to assess change in supervisor reflective capacity over time.


Assuntos
Visita Domiciliar , Organização e Administração/normas , Adulto , Criança , Intervenção Educacional Precoce/métodos , Eficiência Organizacional , Feminino , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Humanos , Masculino , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/normas , Avaliação de Programas e Projetos de Saúde , Reprodutibilidade dos Testes , Autoimagem
11.
Rev Bras Enferm ; 71(suppl 4): 1514-1521, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30088619

RESUMO

OBJECTIVE: to analyze nursing university students' perception of the professional skills to act in the hospital setting developed during their academic training, and what strategies are being created for the development of these skills during their performance. METHOD: an exploratory, qualitative study in which 40 nursing university students participated. The data were collected from September to December 2016 and conducted thematic inductive analysis. RESULTS: clinical skills were identified that could be learned and previously developed at the undergraduate level; and management skills learned during undergraduate education and developed only in the hospital environment. Strategies for the development of skills were identified, such as individual study and Permanent Education, by the employing institution. FINAL CONSIDERATIONS: it was evidenced that college contributed in significant proportions for learning and development of some clinical and management skills in the hospital. Still, despite the identified strategies, managers and training centers need to continuously implement strategies for the development of new skills in nurses.


Assuntos
Competência Clínica/legislação & jurisprudência , Recursos Humanos de Enfermagem no Hospital/normas , Organização e Administração/normas , Estudantes de Enfermagem/psicologia , Adulto , Bacharelado em Enfermagem/métodos , Feminino , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/psicologia , Percepção , Pesquisa Qualitativa , Universidades/organização & administração
12.
ANZ J Surg ; 88(9): 865-869, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29984457

RESUMO

BACKGROUND: Delays to surgery for patients requiring an acute operation are associated with increased morbidity and mortality. A recent study from our institution observed long waiting times for patients booked for an acute operation. The aim of this study was to evaluate the patient's progress from presentation to arrival in the operating theatre and to identify where delays occurred. METHODS: Patients undergoing acute general surgery between July 2016 and May 2017 were studied. Data were obtained for time of presentation, imaging, theatre and booking. A time interval from presentation to booking for theatre of greater than 6 h was defined as a diagnostic delay. A time interval from booking to theatre greater than the category defined time (four-level priority system) was defined as a logistic delay. RESULTS: A total of 683 patients were included. A diagnostic delay was observed in 55.1%. This occurred more frequently in patients who required imaging prior to their operation (82.5 versus 41.1%, P < 0.001). Logistic delay occurred in 31.0% of the patients, and this was most common for patients booked as a category 3 (requiring surgery within 6 h, 41.8%, P < 0.001). Patients who had a diagnostic delay were significantly more likely to have a post-operative complication compared to patients who did not (17.2 versus 10.0%, P = 0.009). CONCLUSION: There are significant delays associated with patients presenting to the acute general surgery service and their transition to theatre. Addressing both the diagnostic and the logistic delays in our institution should result in a significant improvement in patient care.


Assuntos
Diagnóstico Tardio/mortalidade , Assistência à Saúde/normas , Cirurgia Geral/estatística & dados numéricos , Salas Cirúrgicas/organização & administração , Adulto , Idoso , Diagnóstico Tardio/estatística & dados numéricos , Assistência à Saúde/estatística & dados numéricos , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Cirurgia Geral/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Nova Zelândia/epidemiologia , Salas Cirúrgicas/estatística & dados numéricos , Organização e Administração/normas , Estudos Retrospectivos , Fatores de Tempo
13.
Mil Med ; 183(9-10): e405-e410, 2018 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-29548024

RESUMO

INTRODUCTION: Inefficiencies in the command approval process for publications and/or presentations negatively impact DoD Graduate Medical Education (GME) residency programs' ability to meet ACGME scholarly activity requirements. A preliminary review of the authored works approval process at Naval Medical Center San Diego (NMCSD) disclosed significant inefficiency, variation in process, and a low level of customer satisfaction. In order to facilitate and encourage scholarly activity at NMCSD, and meet ACGME requirements, the Executive Steering Council (ESC) chartered an interprofessional team to lead a Lean Six Sigma (LSS) Rapid Improvement Event (RIE) project. MATERIALS AND METHODS: Two major outcome metrics were identified: (1) the number of authored works submissions containing all required signatures and (2) customer satisfaction with the authored works process. Primary metric baseline data were gathered utilizing a Clinical Investigations database tracking publications and presentations. Secondary metric baseline data were collected via a customer satisfaction survey to GME faculty and residents. The project team analyzed pre-survey data and utilized LSS tools and methodology including a "gemba" (environment) walk, cause and effect diagram, critical to quality tree, voice of the customer, "muda" (waste) chart, and a pre- and post-event value stream map. The team selected an electronic submission system as the intervention most likely to positively impact the RIE project outcome measures. RESULTS: The number of authored works compliant with all required signatures improved from 52% to 100%. Customer satisfaction rated as "completely or mostly satisfied" improved from 24% to 97%. For both outcomes, signature compliance and customer satisfaction, statistical significance was achieved with a p < 0.0001. CONCLUSION: This RIE project utilized LSS methodology and tools to improve signature compliance and increase customer satisfaction with the authored works approval process, leading to 100% signature compliance, a comprehensive longitudinal repository of all authored work requests, and a 97% "completely or mostly satisfied" customer rating of the process.


Assuntos
Autoria/normas , Organização e Administração/normas , Gestão da Qualidade Total/métodos , Centros Médicos Acadêmicos/organização & administração , Centros Médicos Acadêmicos/estatística & dados numéricos , California , Currículo/normas , Educação de Pós-Graduação em Medicina/métodos , Educação de Pós-Graduação em Medicina/normas , Avaliação Educacional/métodos , Humanos , Organização e Administração/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde/métodos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Redação
14.
Nurse Educ Today ; 65: 11-16, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29522961

RESUMO

BACKGROUND: The supervision process is characterized by differences between the supervisors' and the students' expectations before the start of writing a bachelor thesis as well as after its completion. A review of the literature did not reveal any scientifically tested questionnaire for evaluating nursing students' expectations of the supervision process when writing a bachelor thesis. OBJECTIVES: The aim of the study was to determine the construct validity and internal consistency reliability of a questionnaire for measuring nursing students' expectations of the bachelor thesis supervision process. DESIGN & METHODS: The study had a developmental and methodological design carried out in four steps including construct validity and internal consistency reliability statistical procedures: construction of the items, assessment of face validity, data collection and data analysis. SETTINGS & PARTICIPANTS: This study was conducted at a university in southern Sweden, where students on the "Nursing student thesis, 15 ECTS" course were consecutively selected for participation. Of the 512 questionnaires distributed, 327 were returned, a response rate of 64%. RESULTS: Five factors with a total variance of 74% and good communalities, ≥0.64, were extracted from the 10-item STQ. The internal consistency of the 10 items was 0.68. The five factors were labelled: The nature of the supervision process, The supervisor's role as a coach, The students' progression to self-support, The interaction between students and supervisor and supervisor competence. CONCLUSIONS: A didactic, useful and secure questionnaire measuring nursing students' expectations of the bachelor thesis supervision process based on three main forms of supervision was created.


Assuntos
Organização e Administração/normas , Adulto , Bacharelado em Enfermagem/métodos , Bacharelado em Enfermagem/tendências , Feminino , Humanos , Masculino , Organização e Administração/estatística & dados numéricos , Reprodutibilidade dos Testes , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários , Suécia
15.
J Public Health Manag Pract ; 24 Suppl 3: S69-S71, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29595604

RESUMO

As part of accreditation, Public Health Accreditation Board site visitors recommended that the New Orleans Health Department strengthen its quality improvement program. With support from the Public Health Accreditation Board, the New Orleans Health Department subsequently embarked on a data-driven planning process through which it prioritized quality improvement projects for 2016. One of these projects aimed to improve referrals to New Orleans Health Department's direct services programs from local clinics and hospitals to better provide our most vulnerable residents with a continuum of care. After completing a cause-and-effect analysis, we implemented a solution involving increased outreach to health care institutions and saw annual participation increase in 3 out of 4 of our programs. We leveraged this work to successfully apply for funding to create a centralized referral system, which will facilitate partnerships among local health and human service agencies and improve access to services. This is one example of how accreditation has benefited our health department and our community. We have found that the accreditation process promotes a culture of quality and helps health departments identify and address areas for improvement.


Assuntos
Organização e Administração/normas , Melhoria de Qualidade , Encaminhamento e Consulta/normas , Acreditação/normas , Humanos , Nova Orleans
17.
Am J Pharm Educ ; 82(10): 7066, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30643316

RESUMO

Examinations are typically used in higher education to objectively assess student learning, and they are also used as a frequent assessment tool in the Doctor of Pharmacy curriculum. This paper describes best practices and provides examples for faculty to build reliable and valid examinations, ensure examination security and deter academic misconduct, and enhance student learning and achievement of course objectives. Colleges and schools of pharmacy can incorporate these concepts into comprehensive examination policies and focus faculty development efforts on improving the examination purpose, design, and experience for both faculty and students.


Assuntos
Educação em Farmácia/normas , Avaliação Educacional/métodos , Avaliação Educacional/normas , Guias de Prática Clínica como Assunto/normas , Desempenho Acadêmico , Currículo , Docentes , Retroalimentação , Humanos , Organização e Administração/normas , Políticas , Faculdades de Farmácia , Estudantes de Farmácia , Universidades
18.
J Couns Psychol ; 65(1): 36-50, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28541059

RESUMO

In the supervision literature, research on sexual orientation considerations often focuses on sexual minority supervisees and less often on their work with sexual minority clients. Yet both heterosexual and sexual minority supervisees serve sexual minority clients and may have different supervision needs. Twelve predoctoral interns from 12 APA-accredited counseling center internships were interviewed about how they made use of supervision for their work with a sexual minority client. The sample consisted of 6 heterosexual-identified supervisees and 6 supervisees who identified as lesbian, gay, or queer (LGQ). Data were analyzed using consensual qualitative research. All participants reported positive gains from supervision that carried over to their work with heterosexual and sexual minority clients, even when not all supervisors disclosed or discussed their own sexual orientation. Heterosexual supervisees used supervision to ensure that their heterosexuality does not interfere with an affirmative experience for their sexual minority client, whereas LGQ supervisees used supervision to explore differences in sexual identity development between themselves and their client to minimize the negative impact of overidentification. Thus, affirmative supervision may unfold with different foci depending on supervisees' sexual identity. Implications for training and supervision are discussed. (PsycINFO Database Record


Assuntos
Heterossexualidade/psicologia , Internato não Médico/normas , Psicologia/normas , Psicoterapia/normas , Pesquisa Qualitativa , Minorias Sexuais e de Gênero/psicologia , Adulto , Feminino , Identidade de Gênero , Humanos , Internato não Médico/métodos , Masculino , Organização e Administração/normas , Psicologia/métodos , Psicoterapia/métodos , Comportamento Sexual/psicologia
19.
Int J Occup Saf Ergon ; 24(3): 329-340, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28854865

RESUMO

Human and organizational factors have been proven to be the prime causes of Chinese hazardous chemical accidents (HCAs). A modified version of the Human Factors Analysis and Classification System (HFACS), namely the HFACS-Hazardous Chemicals (HC), was developed to identify the human factors involved in Chinese HCAs. The '8.12' Tianjin Port fire and explosion, the costliest HCA in recent years, was reanalyzed using this framework, and the results were compared with the official accident inquiry report to determine their differences related to the identification of human and organizational factors. The study revealed that interacting human factors from different levels in Ruihai Company led to this catastrophe, and the inquiry report had limitations in the identification of human factors and the guidance for similar accident prevention. This study showed the applicability of the HFACS-HC in HCA analyses as well as the necessity to recommend this approach for future HCA investigations.


Assuntos
Acidentes de Trabalho , Explosões , Fogo , Substâncias Perigosas , Vazamento de Resíduos Químicos , China , Ergonomia/normas , Humanos , Organização e Administração/normas
20.
Emerg Med Australas ; 29(6): 672-677, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29143448

RESUMO

OBJECTIVES: To determine the proportion of unused peripheral intravenous cannulas (PIVCs) inserted in a paediatric emergency department (PED) and to assess clinicians' abilities to predict future usage of PIVC. METHODS: Prospective concealed observational study in a tertiary PED. Healthcare workers (HCWs) completed questionnaires upon insertion and removal of PIVC with review of patient notes if required. The primary outcome was the number of unused, unnecessary PIVCs. Secondary outcomes included demographic factors affecting unused cannulas, a clinician's ability to predict PIVC use and the incidence of complications from PIVC insertion. RESULTS: From 806 returned questionnaires, 719 patients were recruited. Twenty-two per cent of PIVCs remained unused after initial insertion for all patients. There was no significant difference in the rate of unused cannulas among any age or sex category, with the lowest rate of unused PIVCs in triage category 2 patients. HCW seniority when deciding to insert a PIVC did not affect usage rates. Likert scale analyses showed that HCWs could correctly predict ongoing use of PIVCs in 90% of cases. The overall rate of PIVCs removed for infected or inflamed insertion sites was low at 0.8%. CONCLUSION: This study is consistent with the idle PIVC rates observed in PEDs but there is potential to further reduce this rate with targeted insertion. The paediatric clinicians' reliability in predicting PIVC use has been demonstrated for the first time and we have identified four groups where targeted phlebotomy rather than i.v. cannulation would reduce unused cannulas.


Assuntos
Cateterismo Periférico/estatística & dados numéricos , Organização e Administração/normas , Pediatria/métodos , Adolescente , Cateterismo Periférico/instrumentação , Criança , Pré-Escolar , Serviço Hospitalar de Emergência/organização & administração , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Humanos , Incidência , Lactente , Masculino , Organização e Administração/economia , Estudos Prospectivos , Inquéritos e Questionários , Centros de Atenção Terciária/estatística & dados numéricos
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