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1.
Br J Community Nurs ; 26(6): 266-270, 2021 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-34105371

RESUMO

COVID-19 provided significant challenges for community services and care homes. Residential and nursing care patients are considered highly vulnerable to the coronavirus due to their physical needs and environmental factors. Significant concern was raised with personal protective equipment (PPE) availability and appropriate training and support in local care homes. Members of the district nursing team and community services formed a team to deliver face to face training and support to care home workers to improve PPE adherence and reduce risks of transmission. Visits were offered to all 46 care homes in the locality and over 55 visits for teaching were performed in the first month. Challenges were faced with managing and prioritising frontline clinical duties. Feedback was overwhelmingly positive and care staff benefited from face-to-face delivery of education to support best practice.


Assuntos
Pessoal Técnico de Saúde/educação , COVID-19/prevenção & controle , Enfermagem em Saúde Comunitária/educação , Controle de Infecções/métodos , Casas de Saúde , Equipamento de Proteção Individual , Humanos , Equipamento de Proteção Individual/provisão & distribuição , Avaliação de Programas e Projetos de Saúde , SARS-CoV-2 , Reino Unido
3.
J Prim Care Community Health ; 12: 21501327211004285, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33764223

RESUMO

INTRODUCTION: Medical assistants (MAs) were once limited to obtaining vital signs and office work. Now, MAs are foundational to team-based care, interacting with patients, systems, and teams in many ways. The transition to Virtual Health during the COVID-19 pandemic resulted in a further rapid and unique shift of MA roles and responsibilities. We sought to understand the impact of this shift and to place their new roles in the context of national professional competency standards. METHODS: In this qualitative, grounded theory study we conducted semi-structured interviews with 24 MAs at 10 primary care sites at a major academic medical center on their experiences during the shift from in-person to virtual care. MAs were selected by convenience sample. Coding was done in Dedoose version 8.335. Consensus-based inductive and deductive approaches were used for interview analysis. Identified MA roles were compared to national MA, Institute of Medicine, physician, and nursing professional competency domains. RESULTS: Three main themes emerged: Role Apprehension, Role Expansion, and Adaptability/Professionalism. Nine key roles emerged in the context of virtual visits: direct patient care (pre-visit and physical care), panel management, health systems ambassador, care coordination, patient flow coordination, scribing, quality improvement, and technology support. While some prior MA roles were limited by the virtual care shift, the majority translated directly or expanded in virtual care. Identified roles aligned better with Institute of Medicine, physician, and nursing professional competencies, than current national MA curricula. CONCLUSIONS: The transition to Virtual Health decreased MA's direct clinical work and expanded other roles within interprofessional care, notably quality improvement and technology support. Comparison of the current MA roles with national training program competencies identified new leadership and teamwork competencies which could be expanded during MA training to better support MA roles on inter-professional teams.


Assuntos
Pessoal Técnico de Saúde , COVID-19 , Ocupações em Saúde , Pandemias , Competência Profissional , Papel Profissional , Telemedicina , Centros Médicos Acadêmicos , Pessoal Técnico de Saúde/educação , Continuidade da Assistência ao Paciente , Currículo , Humanos , Relações Interprofissionais , Liderança , Informática Médica , Equipe de Assistência ao Paciente , Assistência Centrada no Paciente , Atenção Primária à Saúde , Competência Profissional/normas , Pesquisa Qualitativa , Melhoria de Qualidade , SARS-CoV-2
4.
Medicine (Baltimore) ; 100(6): e24666, 2021 Feb 12.
Artigo em Inglês | MEDLINE | ID: mdl-33578597

RESUMO

BACKGROUND: Cardiopulmonary resuscitation (CPR) performance depends on individual ability and training. Well-trained or professional rescuers can maintain high-quality CPR for longer than laypeople. This study aimed to examine the effects of reducing resting intervals on CPR performance, physiological parameters, and hemodynamic parameters during prolonged CPR in well-trained providers. METHODS: The study enrolled 90 volunteers from the paramedic students of our institution. They were randomly divided into 3 groups: 2 minutes, 1 minute 45 seconds, and 1 minute 30 seconds rest groups. Each participant performed 5 cycles of chest compression only CPR (2 min/cycle) with different resting intervals according to grouping. CPR quality, physiological variations, and hemodynamic variations were measured for each cycle and compared across the groups. RESULTS: Of the 90 volunteers, 79 well-trained providers were finally included. The variation of the average chest compression depth across the 5 cycles showed significant differences between the 3 groups: from cycle 1 to 2: 1.2 (3.1) mm, -0.8 (2.0) mm, and -2.0 (3.0) mm in the 2 minutes, 1 minute 45 seconds, and 1 minute 30 seconds groups, respectively (P < .001); from cycle 1 to 3: 0.0 (3.0) mm, -0.7 (3.2) mm, and -2.6 (3.9) mm, respectively (P = .030). However, all 3 groups maintained the recommended rate and chest compression depth for all 5 cycles. Physiological and hemodynamic parameters showed no significant differences between the groups. CONCLUSIONS: Well-trained providers were able to maintain high-quality CPR despite reducing rest intervals. Adjusting the rest interval may help maintain overall CPR quality in special situations or where layperson rescuers are involved.


Assuntos
Reanimação Cardiopulmonar/educação , Hemodinâmica/fisiologia , Qualidade da Assistência à Saúde/estatística & dados numéricos , Descanso/fisiologia , Pessoal Técnico de Saúde/educação , Pessoal Técnico de Saúde/estatística & dados numéricos , Reanimação Cardiopulmonar/estatística & dados numéricos , Oscilação da Parede Torácica/estatística & dados numéricos , Oscilação da Parede Torácica/tendências , Auxiliares de Emergência/educação , Auxiliares de Emergência/estatística & dados numéricos , Fadiga , Feminino , Humanos , Masculino , Fenômenos Fisiológicos/fisiologia , Estudos Prospectivos , Treinamento por Simulação/métodos , Estudantes , Fatores de Tempo , Adulto Jovem
5.
N Z Med J ; 133(1527): 116-122, 2020 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-33332334

RESUMO

Across New Zealand, a huge programme of work is being initiated to improve the health information systems of our sector. The goals of this plan are to address major risks and issues such as cybersecurity and our inability to securely share health data across organisations for clinical care. To fulfil the promise of planned health IT initiatives, we must involve clinicians of all disciplines to help lead, design and implement projects. However, there is currently little pragmatic training available for clinicians to learn how to do so. In 2019, Waitemata District Health Board and the National Institute for Health Innovation developed and delivered a 'hands-on' Clinical Digital Academy training programme for multidisciplinary clinicians. This paper describes the programme, the initial cohort's evaluation feedback and recommendations for the future.


Assuntos
Sistemas de Informação em Saúde , Pessoal de Saúde/educação , Liderança , Informática Médica/educação , Pessoal Técnico de Saúde/educação , Humanos , Nova Zelândia , Enfermeiras e Enfermeiros , Médicos , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Autoeficácia , Design Centrado no Usuário
7.
Antimicrob Resist Infect Control ; 9(1): 185, 2020 11 10.
Artigo em Inglês | MEDLINE | ID: mdl-33168097

RESUMO

BACKGROUND: Prehospital professionals such as emergency physicians or paramedics must be able to choose and adequately don and doff personal protective equipment (PPE) in order to avoid COVID-19 infection. Our aim was to evaluate the impact of a gamified e-learning module on adequacy of PPE in student paramedics. METHODS: This was a web-based, randomized 1:1, parallel-group, triple-blind controlled trial. Student paramedics from three Swiss schools were invited to participate. They were informed they would be presented with both an e-learning module and an abridged version of the current regional prehospital COVID-19 guidelines, albeit not in which order. After a set of 22 questions designed to assess baseline knowledge, the control group was shown the guidelines before answering a set of 14 post-intervention questions. The e-learning group was shown the gamified e-learning module right after the guidelines, and before answering post-intervention questions. The primary outcome was the difference in the percentage of adequate choices of PPE before and after the intervention. RESULTS: The participation rate was of 71% (98/138). A total of 90 answer sets was analyzed. Adequate choice of PPE increased significantly both in the control (50% [33;83] vs 25% [25;50], P = .013) and in the e-learning group (67% [50;83] vs 25% [25;50], P = .001) following the intervention. Though the median of the difference was higher in the e-learning group, there was no statistically significant superiority over the control (33% [0;58] vs 17% [- 17;42], P = .087). The e-learning module was of greatest benefit in the subgroup of student paramedics who were actively working in an ambulance company (42% [8;58] vs 25% [- 17;42], P = 0.021). There was no significant effect in student paramedics who were not actively working in an ambulance service (0% [- 25;33] vs 17% [- 8;50], P = .584). CONCLUSIONS: The use of a gamified e-learning module increases the rate of adequate choice of PPE only among student paramedics actively working in an ambulance service. In this subgroup, combining this teaching modality with other interventions might help spare PPE and efficiently protect against COVID-19 infection.


Assuntos
Betacoronavirus/fisiologia , Infecções por Coronavirus/prevenção & controle , Pessoal de Saúde/educação , Pandemias/prevenção & controle , Equipamento de Proteção Individual , Pneumonia Viral/prevenção & controle , Adulto , Pessoal Técnico de Saúde/educação , Pessoal Técnico de Saúde/normas , Betacoronavirus/genética , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Educação à Distância/estatística & dados numéricos , Europa (Continente) , Feminino , Pessoal de Saúde/normas , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional , Internet , Conhecimento , Aprendizagem , Masculino , Equipamento de Proteção Individual/normas , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Estudantes/psicologia , Adulto Jovem
8.
Hu Li Za Zhi ; 67(5): 6-11, 2020 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-32978760

RESUMO

In this article, technologies that have been widely adopted and used in the field of allied health education in recent years are identified and introduced. These technologies may be distinguished based on education content and approach into the following three categories: online-offline digital education, which uses massive open online courses, CD-ROM, and similar learning tools; mobile learning, which uses mobile phones, tablets, and other devices to connect to the Internet of things; and digital simulation education, which uses virtual reality, virtual patient simulation, serious gaming, and gamification. Preliminary positive findings regarding the effectiveness of using the above technologies have been reported in the literature. Therefore, to better understand the impact of new technology, it is recommended that relevant medical/nursing educators should continue introducing practical courses to evaluate their impact on learning. However, funding limitations and the declining birthrate / population aging are two key threats to education that remain to be effectively addressed and overcome.


Assuntos
Pessoal Técnico de Saúde/educação , Comunicação , Educação em Saúde/organização & administração , Tecnologia da Informação , Humanos
11.
Soins ; 65(843-844): 42-44, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32563508

RESUMO

Medical and social interpreters are a new breed of colleague in the healthcare sector. Their presence aims to establish reliable dialogue between a caregiver and a non-French-speaking person. They act as a verbal interface providing oral translations to render a message into another language. Liaison interpreters, they always work in the presence of both parties. They are not meant to be social assistants, counsellors, cultural experts, friends or popularisers. Their professional role is centred on the act of translation in sensitive health care situations. Part of a defined structure, they contribute to a health promotion and interprofessional cooperation approach. To address all these challenges, they need to be supported and trained.


Assuntos
Pessoal Técnico de Saúde/educação , Atenção à Saúde/organização & administração , Capacitação em Serviço , Tradução , Humanos
13.
Medicine (Baltimore) ; 99(17): e19812, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32332624

RESUMO

The European Higher Education Area was implemented more than a decade ago with the aim of improving internationally the competitiveness of European university education putting the spotlight on skills and competence development (and not only on knowledge acquisition). This work intends to analyze the impact of competence-based teaching methodologies on university students, as well as to contribute to the study of the individual personality traits differences regarding this impact. For this, a descriptive, quantitative, cross-sectional study was conducted with a non-randomised sample of university students. The sample was composed of a total of 499 students of the University of Huelva (350 from the Health Sciences degree, and 149 form other degrees), who completed a questionnaire on professional skills and teaching methods developed ad hoc for this research, as well as the brief version of the Spanish adaptation of the NEO Five-Factor Inventory. The results show that Health Sciences students feel more satisfied with the most participative and active methodologies, and they consider these better contribute to their future professional competence development. On the other hand, in relation to the big 5 personality traits studied, links have been found between competence development perception and personal preferences and the dimensions of extraversion, agreeableness, conscientiousness and openness to experience. This last factor, openness to experience, appears when analyzing the main differences among both groups, being Health Sciences students more intellectually curious, showing more openness and diversity of interests, in addition to being more creative, innovative, and flexible.


Assuntos
Pessoal Técnico de Saúde/educação , Pessoal Técnico de Saúde/psicologia , Inventário de Personalidade/estatística & dados numéricos , Adolescente , Adulto , Pessoal Técnico de Saúde/estatística & dados numéricos , Educação Baseada em Competências/métodos , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes de Personalidade/estatística & dados numéricos , Inquéritos e Questionários
14.
Artigo em Russo | MEDLINE | ID: mdl-32119222

RESUMO

The comparative analysis of training of nursing staff in the territories of subjects of the Russian Federation, included in the Siberian Federal Okrug was implemented, based on data of the federal statistical monitoring of corresponding educational organizations in 2018. The analysis of calculated indices permitted to identify uncoordinated nature of provision of nursing staff and volumes of its training at the level of number of subjects of the RF on the territory of the Siberian Federal Okrug, and group them according to combination of level of the given indicators. The assessment was implemented concerning validity of manpower policy in the case of nursing staff in territories of mentioned regions. The study results permitted to determine role and place of the analyzed regions in training of nursing personnel considering groups of criteria characterizing training activities, infrastructure of educational organizations, financial economic aspects of implementation of educational process and employment of graduates with nursing education. The mentioned results are the basis for further research on issues of education of nursing staff at the level of particular subjects of the Russian Federation, analysis of indices in dynamics, factors determining level of development of manpower potential of medical organizations and other elements of scientifically grounded manpower policy in health care sector.


Assuntos
Pessoal Técnico de Saúde , Educação em Enfermagem , Emprego , Pessoal Técnico de Saúde/educação , Humanos , Federação Russa
15.
Scand J Trauma Resusc Emerg Med ; 28(1): 16, 2020 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-32131894

RESUMO

BACKGROUND: If transport under ongoing cardiopulmonary resuscitation (CPR) from an upper floor is indicated, the ideal CPR-method and evacuation route is unknown hitherto. We aimed to elaborate a strategy for evacuation of patients under ongoing CPR from an upper floor, comparing three different evacuation routes and manual and mechanical chest compressions. METHODS: A CPR-training manikin recording CPR-quality was placed on the fifth floor and was evacuated to an ambulance via lift, turntable ladder, or staircase. Chest compressions were performed manually or with a mechanical CPR-device. Efficiency endpoints were compression depth and frequency, sufficiency of chest release, compared with European Resuscitation Council (ERC) Guidelines, and duration of the evacuation. Adverse outcomes were disconnection/dislocation of devices and hazards/accidents to the personnel. RESULTS: For all evacuation routes, compression depth and frequency were significantly more compliant with ERC-guidelines under mechanical CPR. Manual CPR was associated with considerable deviations from correct compression depth and frequency. Chest release only slightly differed between groups. Evacuation via lift under mechanical CPR was fastest and evacuation via turntable ladder under manual CPR was slowest. No device disconnections or accidents occurred, but hazard to personnel was perceived during evacuation via ladder under manual CPR. CONCLUSIONS: In this study, a mechanical CPR-device proved to deliver better CPR-quality during evacuation from an upper floor. If a lift accessible with a stretcher is available, this route should be preferred, regardless of manual or mechanical CPR. Turntable ladders can only be meaningfully used with mechanical CPR, otherwise CPR-quality is poor and hazard to the personnel is increased. Not all evacuation routes may be useable in a specific real-life scenario. TRIAL REGISTRATION: German Clinical Trials Registry, www.drks.de, registration number DRKS00012885, registration date 17.08.2017.


Assuntos
Reanimação Cardiopulmonar/métodos , Serviços Médicos de Emergência , Parada Cardíaca Extra-Hospitalar/terapia , Trabalho de Resgate , Adolescente , Adulto , Pessoal Técnico de Saúde/educação , Feminino , Alemanha , Humanos , Masculino , Manequins , Pessoa de Meia-Idade , Treinamento por Simulação , Adulto Jovem
16.
BMC Med Educ ; 20(1): 60, 2020 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-32111209

RESUMO

BACKGROUND: Improving pain education for undergraduate health professionals is hampered by lacking shared education outcomes. This study describes how educators and pain experts operationalize content and competency levels deemed necessary for a undergraduate pain education core curriculum for health professionals (physical and occupational therapists, nurses, psychologists). METHODS: Educators and experts on pain and pain education gave their opinion on content and competency level for each individual item of the International Association for the Study of Pain (IASP) inter professional curriculum. Participants decided whether or not to include each item in the undergraduate curriculum. Items were included when > 70% of the respondents agreed. The required competency for each item was rated using ordinal Dublin Descriptors. RESULTS: Overall, 22 experts rated the curriculum, with > 70% agreement on inclusion on 62% of the IASP items. Within the IASP domain 'Multidimensional nature of pain' there was full agreement on the inclusion of 12 items. 'Ethics' was considered less important with only 1 item deemed necessary. There is a high number of items selected within the domains 'Pain Assessment and measurement' (78%) and 'Management of Pain' (74%). Considerably less items were chosen in the domain 'Clinical Conditions' (41%). For most items the median required skills and competency level was either Knowledge and Understanding, or Applying Knowledge and Understanding. CONCLUSION: Overall, educators and experts in pain agreed on content and competency levels for an undergraduate pain curriculum based on the IASP. Defining a shared competency level will help improve definition of education outcome.


Assuntos
Pessoal Técnico de Saúde/educação , Currículo/normas , Educação de Graduação em Medicina , Manejo da Dor , Competência Clínica/normas , Feminino , Humanos , Masculino
18.
Niger J Clin Pract ; 23(1): 54-58, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31929207

RESUMO

Objectives: The first aid implemented just after the traumatic dental injury (TDI) is of vital importance. This study aims to evaluate the attitudes of emergency medical technicians (EMTs) and paramedics toward TDI and their levels of knowledge about the issue. Subjects and Methods: A questionnaire, which comprised 14 questions, was applied to 389 EMTs and paramedics all across Turkey. The questionnaires were sent to the participants through e-mails, and the results were obtained by an online system. Results: 336 out of 389 EMTs and paramedics (86.4%) mentioned that they did not have any training about the TDI issue. On the other hand, among the ones who mentioned that they received this training, 50.9% suggested that the training was not sufficient. It was observed that 63.5% of the participants encountered cases of injuries in oral and dental regions, and in 83% of these cases the only treatment applied was bleeding intervention. About 75.6% of them think that an avulsed tooth cannot be reimplanted. Conclusion: In conclusion, it was determined that the EMTs and paramedics did not have sufficient and accurate information about the TDI. Lack of knowledge about TDI prevents rapid and accurate intervention to the cases.


Assuntos
Pessoal Técnico de Saúde/educação , Auxiliares de Emergência/educação , Conhecimentos, Atitudes e Prática em Saúde , Fraturas dos Dentes , Traumatismos Dentários , Adulto , Pessoal Técnico de Saúde/psicologia , Atitude do Pessoal de Saúde , Serviços Médicos de Emergência , Auxiliares de Emergência/psicologia , Feminino , Humanos , Masculino , Inquéritos e Questionários , Avulsão Dentária , Turquia , Adulto Jovem
19.
J Emerg Nurs ; 46(1): 44-50, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31787349

RESUMO

INTRODUCTION: The delivery of emergency medical services is primarily performed by emergency medical technicians and paramedics in the United States. More recently, nurses and physicians have become more involved in the delivery of emergency medical services. Advanced placement paramedic education bridging programs have been developed to prepare the workforce, but the success of these programs is unknown. This study evaluated the demographics and performance of nonemergency medical services health care professionals who attended an advanced placement paramedic education program at a Midwestern university. METHODS: This was a retrospective evaluation of student data from 2007 to 2017. Descriptive statistics were used to tabulate demographics, program performance, and individual performance in the National Paramedic Certification Examination. RESULTS: The program admitted 305 students; registered nurses (95%) were the majority of students. Of the 305 admitted students, 271 (88.9%) fulfilled all program requirements and were eligible to take the National Registry of Emergency Medical Technicians paramedic certification examination. Of these 271 eligible students, 201 (74.2%) took the National Paramedic Certification Examination. A total of 195 (97%) obtained certification at the first test attempt, whereas 200 (99.5%) obtained certification within 3 attempts. Of the 200 who passed the test, 175 (88%) successfully demonstrated entry-level competency in paramedic-level psychomotor testing. DISCUSSION: The advanced placement paramedic program evaluated in this study had high rates of successful program completion, as well as high first-time and cumulative passing rates for the National Paramedic Certification Examination. Further research is needed to identify the best practices in determining student requirements and the methodologies in delivering advanced placement paramedic education bridging programs.


Assuntos
Pessoal Técnico de Saúde/educação , Avaliação Educacional/métodos , Serviços Médicos de Emergência/métodos , Adulto , Feminino , Humanos , Masculino , Estudos Retrospectivos , Estados Unidos
20.
Int J Lang Commun Disord ; 55(1): 70-84, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31566861

RESUMO

BACKGROUND: Tracheostomy management is considered an area of advanced practice for speech-language therapists (SLTs) internationally. Infrequent exposure and limited access to specialist SLTs are barriers to competency development. AIMS: To evaluate the benefits of postgraduate tracheostomy education programme for SLTs working with children and adults. METHODS & PROCEDURES: A total of 35 SLTs participated in the programme, which included a 1-day tracheostomy simulation-based workshop. Before the workshop, SLTs took an online knowledge quiz and then completed a theory package. The workshop consisted of part-task skill learning and simulated scenarios. Scenarios were video recorded for delayed independent appraisal of participant performance. Manual skills were judged as (1) completed successfully, (2) completed inadequately/needed assistance or (3) lost opportunity. Core non-medical skills required when managing a crisis situation and overall performance were scored using an adapted Ottawa Global Rating Scale (GRS). Feedback from participants was collected and self-perceived confidence rated prior, immediately post and 4 months post-workshop. OUTCOMES & RESULTS: SLTs successfully performed 94% of manual tasks. Most SLTs (29 of 35) scored > 5 of 7 on all elements of the adapted Ottawa GRS. Workshop feedback was positive with significant increases in confidence ratings post-workshop and maintained at 4 months. CONCLUSIONS & IMPLICATIONS: Postgraduate tracheostomy education, using a flipped-classroom approach and low- and high-fidelity simulation, is an effective way to increase knowledge, confidence and manual skill performance in SLTs across patient populations. Simulation is a well-received method of learning.


Assuntos
Pessoal Técnico de Saúde/educação , Terapia da Linguagem/educação , Fonoterapia/educação , Traqueostomia/educação , Competência Clínica , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde , Treinamento por Simulação
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