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1.
Enferm. clín. (Ed. impr.) ; 29(6): 357-364, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184656

RESUMO

La instauración de las especialidades de Enfermería iniciada en 1953 ha contribuido de forma decisiva en la calidad de la atención sanitaria proporcionada en el Sistema Nacional de Salud. En la actualidad, un elevado número de enfermeras poseen un título oficial de especialista obtenido a través de las distintas modalidades de acceso que establece el Real Decreto sobre especialidades de Enfermería. Por otra parte, los programas formativos tienen que seguir desarrollándose para culminar el catálogo establecido en la mencionada normativa. Cabe destacar que muchos especialistas tienen dificultad para llevar a cabo un ejercicio profesional acorde a su formación y capacitación, debido a la escasa descripción de puestos de trabajo e identificación de competencias en los procesos de selección y acceso a los puestos de trabajo, necesarias para un buen desempeño profesional. Por ello, resulta imprescindible elaborar un catálogo de puestos de trabajo específico de cada una de las especialidades, para dar respuesta a las expectativas de las enfermeras y fortalecer el avance en la calidad de la atención de cuidados


The establishment of nursing specialties that started in 1953 has contributed decisively to the quality of the medical care provided by the National Health System. Nowadays, a large number of nurses have an official specialist qualification achieved through different means of access established by Royal Decree on nursing specialties. Furthermore, the training programmes must continue to develop in order to complete the catalogue established under the aforementioned regulation. It should be pointed out that many specialists face difficulties in carrying out professional practice according to their education and training, due to the lack of job descriptions and identification of competences during recruitment processes and access to job positions, needed for appropriate professional performance. Therefore, it is essential to create a catalogue for specific job positions for each of the specialties to meet the expectations of professional nursing and enhance progress in quality patient care


Assuntos
Humanos , Especialidades de Enfermagem/tendências , Prática Profissional/organização & administração , Prática Profissional/tendências , Competência Profissional , Especialidades de Enfermagem/legislação & jurisprudência
2.
Br J Nurs ; 28(15): 993-1000, 2019 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-31393771

RESUMO

This article discusses the development of a professional practice model (PPM) within NHS Grampian. A shared governance approach was used to develop the model, supported by the findings from a Florence Nightingale Travel Scholarship, which included visiting hospitals in Australia to explore the principles adopted by Magnet-designated organisations. The process of developing the PPM is described: this involved senior nurses and staff across various nursing, midwifery and allied health professional teams and collaborating with graphic design colleagues and communication design students. The article then describes how the model was disseminated and used across the health board in presentations, and at conferences and workshops.


Assuntos
Modelos Organizacionais , Prática Profissional/organização & administração , Medicina Estatal/organização & administração , Comunicação , Humanos , Estudantes/psicologia , Reino Unido
3.
Med Care ; 57(9): 680-687, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31295166

RESUMO

BACKGROUND: Properties of social networks and shared patient networks of physicians are associated with important outcomes, including costs, quality, information exchange, and organizational effectiveness. OBJECTIVES: To determine whether practice consolidation affects size, strength, and stability of US practice-based physician shared patient networks. RESEARCH DESIGN: We used a dynamic difference-in-differences (event study) design to determine how 2 types of vertical consolidation (hospital and health system practice acquisition) and 2 types of horizontal consolidation (medical group membership and practice-practice mergers) affect individual shared patient network characteristics, controlling for physician fixed effects and geographic market (metropolitan statistical area). SUBJECTS: Practice-based US physicians whose practices consolidated 2009-2014 are identified via health system, hospital, and medical group affiliation information and appearance/disappearance of listed practice affiliations in the SK&A Physician Database. MEASURES: Outcomes measured were network size (number of individual physicians with whom a physician shares patients within 30 d), strength (average number of shared patients within those relationships), and stability (percent of shared patient relationships that persist in the current and prior year), all generated from Medicare Shared Patient Patterns (30-d) data. RESULTS: Shared patient network stability increases significantly after acquisition of practices by horizontal practice-practice mergers [ßt=1=0.041 (P<0.001), ßt=2=0.047 (P<0.001), ßt=3=0.041 (P<0.001), ßt=4=0.031 (P<0.05), where t is the number of years after the consolidation event]. These effects were robust to sensitivity analyses. Shared patient network size and strength are not observably associated with practice consolidation events. CONCLUSIONS: Practice consolidation can increase the stability of physician networks, which may have positive implications for organizational effectiveness.


Assuntos
Redes Comunitárias/estatística & dados numéricos , Assistência ao Paciente/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Prática Profissional/organização & administração , Redes Comunitárias/organização & administração , Humanos , Médicos/organização & administração , Padrões de Prática Médica/organização & administração , Atenção Primária à Saúde/organização & administração , Estados Unidos
4.
Am J Health Syst Pharm ; 76(10): 667-676, 2019 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-30933253

RESUMO

PURPOSE: This article identifies, prioritizes, and summarizes published literature on the medication use process (MUP) from calendar year 2017 that can impact health-system pharmacists' daily practice. The MUP is the foundational system that provides the framework for safe medication use within the health care environment. The MUP is defined in this article as having the following components: prescribing/transcribing, dispensing, administration, and monitoring. Articles that evaluated one of the steps were gauged for their usefulness toward daily practice change. METHODS: A PubMed search was conducted in March 2018 for calendar year 2017 using targeted Medical Subject Headings (MeSH) keywords, providing a total of 2,288 articles. RESULTS: A thorough review identified 45 potentially significant articles: 19 for prescribing/transcribing, 5 for dispensing, 4 for administration, and 17 for monitoring. Peer review ranking for importance led to the selection of key articles from each category. The highest ranked articles are briefly summarized, with a mention of why this article is important within health-system pharmacy. The other articles are listed for further review and evaluation. CONCLUSION: It is important to routinely review the published literature and to incorporate significant findings into daily practice. This article assists in identifying and summarizing those that are most impactful. Health-system pharmacists have an active role in improving the MUP in their institution and awareness of the significant published studies can assist in changing practice at the institutional level.


Assuntos
Publicações Periódicas como Assunto/estatística & dados numéricos , Farmacêuticos , Serviço de Farmácia Hospitalar/normas , Prática Profissional/normas , Humanos , North Carolina , Serviço de Farmácia Hospitalar/organização & administração , Prática Profissional/organização & administração
5.
J Nurses Prof Dev ; 35(2): E1-E5, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30762845

RESUMO

Nursing professional development practitioners led the evaluation of the graphic representation of a health system's professional practice model (PPM) based on evolving expectations and key constructs of a PPM. The aim was to capture direct care nurse perceptions to guide adoption of a revised graphical depiction of the PPM. The specific benefit for nursing professional development practitioners is the ongoing relatability of the PPM to nursing for sustainability of clinical excellence.


Assuntos
Prática Clínica Baseada em Evidências , Modelos Organizacionais , Enfermagem/organização & administração , Prática Profissional/organização & administração , Humanos , Liderança , Teoria de Enfermagem , Supervisão de Enfermagem/organização & administração , Inquéritos e Questionários
6.
Obstet Gynecol ; 133(3): 477-483, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30741798

RESUMO

OBJECTIVE: To estimate the proportion of obstetrician-gynecologists (ob-gyns) who provided induced abortion in the prior year, disaggregated by surgical and medication methods, and document barriers to provision of medication abortion. METHODS: In 2016-2017, we conducted a cross-sectional survey of a national sample of American College of Obstetricians and Gynecologists Fellows and Junior Fellows who were part of the Collaborative Ambulatory Research Network. We sent the survey by email, and mailed nonresponders paper surveys. We performed descriptive statistics, χ tests, and logistic regression analyses. RESULTS: Sixty-seven percent (655/980) of Collaborative Ambulatory Research Network members responded. Ninety-nine percent reported seeing patients of reproductive age, and 72% reported having a patient in the prior year who needed or wanted an abortion. Among those seeing patients of reproductive age, 23.8% (95% CI 20.5%-27.4%) reported performing an induced abortion in the prior year; 10.4% provided surgical and medication abortion, 9.4% surgical only, and 4.0% medication only. In multivariable analysis, physicians practicing in the Midwest (adjusted odds ratio [AOR] 0.31, 95% CI 0.16-0.60) or South (AOR 0.22, 95% CI 0.11-0.42) had lower odds of provision compared with those practicing in the Northeast, whereas those practicing in an urban inner city (AOR 2.71, 95% CI 1.31-5.60) or urban non-inner-city area (AOR 2.89, 95% CI 1.48-5.64 vs midsize towns, rural areas, or military settings) had higher odds of provision. The most common reasons for not providing medication abortion were personal beliefs (34%) and practice restrictions (19%). Among those not providing medication abortion, 28% said they would if they could write a prescription for mifepristone. CONCLUSION: Compared with the previous national survey in 2008-2009, abortion provision may be increasing among practicing ob-gyns, although important geographic disparities persist. Few provide medication abortion, but uptake might increase if mifepristone could be prescribed.


Assuntos
Abortivos , Aborto Induzido/métodos , Aborto Induzido/estatística & dados numéricos , Ginecologia/estatística & dados numéricos , Obstetrícia/estatística & dados numéricos , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Feminino , Ginecologia/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Mifepristona , Obstetrícia/tendências , Política Organizacional , Prática Profissional/organização & administração , Serviços de Saúde Rural/estatística & dados numéricos , Serviços de Saúde Suburbana/estatística & dados numéricos , Estados Unidos , Serviços Urbanos de Saúde/estatística & dados numéricos
7.
Osteoporos Int ; 30(4): 923-927, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30680429

RESUMO

Intervals between dual-energy X-ray absorptiometry (DXA) scans were evaluated in a large cohort of typical clinical practice. Intensive DXA scanning (intervals < 23 months) decreased substantially, from 16.7% in 2006 to 6.7% in 2015. INTRODUCTION: Serial dual-energy X-ray absorptiometry (DXA) measurements are suggested for patients at high risk of fractures. However, little is known about how often DXA testing occurs in clinical practice. METHODS: We examined time intervals between DXA testing for monitoring purpose at two academic medical centers in the US between 2004 and 2017. The primary outcome was the presence of testing intervals < 23 months (termed "intensive DXA testing"). A generalized linear mixed model was used to evaluate the association between selected patient-level clinical factors and intensive DXA testing. RESULTS: Forty-nine thousand four hundred ninety-four DXA tests from 20,200 patients were analyzed. The mean time interval between scans was 36 ± 21 months. Only 11.1% of the repeated DXA testing met the criterion for intensive testing. The percentage of intensive DXA testing dropped from 16.7% in 2006 to 6.7% in 2015 (p for trend < 0.001). After adjusting for age, gender, number of outpatient visits, and calendar year, correlates of intensive DXA testing included a baseline T-score < -2.5 at any anatomic site (OR, 4.8; 95%CI, 4.0-5.7), active use of drugs for osteoporosis (OR, 1.6; 95%CI, 1.3-1.9), and active use of glucocorticoids (OR, 1.3; 95%CI, 1.2-1.4). CONCLUSIONS: The predictors of intensive DXA testing suggest that this practice is used preferentially in patients with multiple risk factors and to monitor the response to pharmacotherapy. However, intensive DXA testing has become less common in real-world clinical practice over the last decade. Further studies are required to better define the optimal use of bone mineral density testing in this vulnerable population.


Assuntos
Absorciometria de Fóton/métodos , Densidade Óssea/fisiologia , Osteoporose/diagnóstico , Prática Profissional/estatística & dados numéricos , Centros Médicos Acadêmicos , Idoso , Densidade Óssea/efeitos dos fármacos , Conservadores da Densidade Óssea/uso terapêutico , Monitoramento de Medicamentos/métodos , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Osteoporose/tratamento farmacológico , Osteoporose/fisiopatologia , Fraturas por Osteoporose/prevenção & controle , Prática Profissional/organização & administração , Estudos Retrospectivos , Fatores de Risco , Fatores de Tempo , Estados Unidos
9.
Ann Palliat Med ; 8(Suppl 1): S30-S38, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30180730

RESUMO

Advanced practice registered nurses (APRNs) are leaders in clinical practice, systems-level care delivery, nursing practice, and policy. The challenge is that in the current environment, their leadership is not highlighted. With the national shortage of palliative care clinicians, APRN leaders will be necessary to care for all the patients and their families with serious illness. While many programs describe their APRNs as leader in clinical care, there is not much written about their leadership in other areas. This paper provides a description of APRN palliative care leadership and opportunities across all domains of clinical care, education, advocacy/policy, research, and administration/management.


Assuntos
Prática Avançada de Enfermagem/organização & administração , Enfermagem de Cuidados Paliativos na Terminalidade da Vida/organização & administração , Liderança , Cuidados Paliativos/organização & administração , Pessoal Administrativo , Educação em Enfermagem , Política de Saúde , Humanos , Papel do Profissional de Enfermagem , Processo de Enfermagem/organização & administração , Pesquisa em Enfermagem/organização & administração , Medicina Paliativa/educação , Prática Profissional/organização & administração
10.
Midwifery ; 70: 38-45, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30576898

RESUMO

OBJECTIVE: The introduction of the best available evidence into health care practice is a complicated and uncertain process. Attempts to translate even highly reliable evidence into care provision are known to flounder. The objective of this study was to investigate midwives' experiences of leading practice change. DESIGN: This study was conducted using Glaserian Grounded Theory methodology. SETTING: Australian midwifery practice contexts provided the setting for this study. PARTICIPANTS: Midwives who had led practice change initiatives. FINDINGS: Sixteen Australian midwife change leaders participated in this study. Each had sought to implement a workplace practice change. The core problem experienced by the participants was labelled 'So many barriers on so many levels'. KEY CONCLUSIONS: Although some participants were encouraged, supported and enabled to enact change to some degree, even when the change was initiated by the practice site, all participants experienced a number of obstacles at many levels in their implementation efforts. For most, this meant that their endeavours to move the best available evidence into practice took many years or did not progress at all. IMPLICATIONS FOR PRACTICE: The findings of this study will be of interest to midwives, midwifery leaders and midwifery educators. Understanding the factors in midwifery care environments that support or limit the uptake of best evidence into practice will help to inform and develop midwifery context-specific mechanisms to expedite sustained practice innovation.


Assuntos
Enfermeiras Obstétricas/psicologia , Inovação Organizacional , Austrália , Grupos Focais , Teoria Fundamentada , Humanos , Acontecimentos que Mudam a Vida , Tocologia/métodos , Tocologia/tendências , Prática Profissional/organização & administração , Prática Profissional/tendências , Pesquisa Qualitativa
11.
Rev. Rol enferm ; 41(11/12,supl): 173-180, nov.-dic. 2018. graf
Artigo em Inglês | IBECS | ID: ibc-179959

RESUMO

Introduction: In the current health care environment, the needs of the population provided the perfect opportunity for nurses to (re)define their practice and professional career. Within this framework, this study aimed thus at identifying the bases that are underlying the practice, as well as the factors that stimulate or jeopardise the quality of care and a practice that is consistent with the desired grounding. Method: Qualitative study with a phenomenological nature carried out in 19 public hospitals in mainland Portugal with the participation of 56 nurses. The tool used for collecting data was a semi-structured interview. Results: Regarding the factors that stimulate or jeopardise the quality of care a prac-tice that is consistent with the desired grounding, we could highlight features that were perfectly integrated in the triad structure, process and result. In relation to "structure", we could point out the following: organizational resources, human and material resources, service organization, nursing sustainment practices and organization of nursing care. Concerning "process", we could analyse: decision-making process, guiding principles for the professional practice, scientific methodology of health care service, health care documentation process, communication process, collaborative practice and management practice. In what concerns "result", the features were less evident in the participants' speech, and more stressed among clients and nurses. Conclusion: The explanatory approach to the grounding of the professional nursing practice, outlined in a three-dimensional perspective, makes clear the theoretical framework that grounds the practice, as well as the factors in hospital environment, that stimulate or jeopardise the quality of the nursing care


No disponible


Assuntos
Humanos , Avaliação em Enfermagem/tendências , Cuidados de Enfermagem/tendências , Processo de Enfermagem/organização & administração , Prática Profissional/organização & administração , Competência Profissional/estatística & dados numéricos , Qualidade da Assistência à Saúde/tendências , Gestão da Qualidade Total/tendências
12.
Pharm. pract. (Granada, Internet) ; 16(4): 0-0, oct.-dic. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-180988

RESUMO

Background: The expansion of pharmacist scope of practice to include provision of immunizations has occurred or is being considered in various countries. There are limited data evaluating the experiences of Canadian pharmacists in their role as immunizers. Objective: To describe the experiences of pharmacists in the Canadian province of New Brunswick as immunizers, including vaccines administered and perceived barriers and facilitators to providing immunizations. Methods: An anonymous, self-administered, web-based questionnaire was offered via email by the New Brunswick Pharmacists' Association to all its members. The survey tool was adapted, with permission, from a tool previously used by the American Pharmacists Association and validated using content validity and test-retest reproducibility. Pharmacist reported immunization activities and perceived facilitators and barriers to providing immunization services were assessed. Results: Responses from 168 (response rate of 26%) were evaluable. Approximately 90% of respondents worked in community practice full time, 65% were female and 44% were practicing for 20 or more years. Greater than 75% reported administering: hepatitis A and B, influenza, and zoster vaccines. The majority of respondents felt fully accepted (agreed or strongly agreed) as immunization providers by patients, local physicians, and the provincial health department (97%, 70%, and 78%, respectively). Most commonly reported barriers were: lack of a universally funded influenza immunization program, insufficient staffing and space, and concerns around reimbursement for services. Conclusions: Pharmacists in New Brunswick, Canada are actively participating in the provision of a variety of immunizations and felt fully supported by patients and other healthcare providers. Barriers identified may provide insight to other jurisdictions considering expanding the role of pharmacists as immunizers


No disponible


Assuntos
Humanos , Assistência Farmacêutica/tendências , Vacinação/tendências , Imunização/tendências , Canadá/epidemiologia , Programas de Imunização/organização & administração , Prática Profissional/organização & administração , Inquéritos e Questionários/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde
13.
BMC Health Serv Res ; 18(1): 859, 2018 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-30428869

RESUMO

BACKGROUND: Many asylum-seekers to Denmark come from war-torn countries where conflict and insufficient health care infrastructures disrupt vaccine programmes and result in very few children and their families presenting documentation of vaccinations on their arrival in asylum-centers. There is a need to explore how healthcare providers, in the absence of vaccine documentation, determine the vaccination needs of newly arrived refugee children. METHODS: To explore the tactics employed by healthcare professionals who screen and vaccinate asylum-seeking children in Denmark, we conducted semi-structured interviews between December 2015 and January 2016 with six healthcare professionals, including three doctors and three public health nurses. The interviews were digitally recorded, transcribed and subjected to a thematic network analysis. RESULTS: The analysis revealed that healthcare providers adopt a number of tactics to ascertain children's immunization needs. They ask into the children's vaccination history through the use of qualified interpreters; consult WHO lists of immunization programmes worldwide; draw on tacit knowledge about country vaccination programmes; consider the background of parents; err on the side of caution and revaccinate. CONCLUSIONS: This is one of the first studies to demonstrate the tactics employed by healthcare providers to ascertain the immunization needs of asylum-seeking children in a western receiving country. The findings suggest a need for clear guidance at a national level on how to determine the vaccination needs of asylum-seeking children, and an international effort to secure reliable immunization documentation for migrant populations, for example through virtual immunization records.


Assuntos
Pessoal de Saúde/organização & administração , Prática Profissional/organização & administração , Refugiados/estatística & dados numéricos , Vacinação , Adolescente , Idoso , Pessoal Técnico de Saúde/organização & administração , Criança , Pré-Escolar , Dinamarca , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Pais , Pesquisa Qualitativa , Encaminhamento e Consulta , Vacinas
14.
BMC Health Serv Res ; 18(1): 899, 2018 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-30482195

RESUMO

BACKGROUND: New approaches to control healthcare expenditures and increase access to quality care are required by decision-makers in high-income countries. One strategy is to reallocate tasks from doctors to nurses. Evidence suggests that quality, effectiveness and efficiency of task shifting are context sensitive and affected by implementation. However, little is known about implementability of task shifting in specialised healthcare. We aimed to identify factors perceived to influence implementation of doctor-to-nurse task shifting in a hospital setting and improve understanding of task shifting implementability by using theory-based frameworks for analysing behaviour. Nurse-led bone marrow examination exemplified task shifting from the medical to the nursing domain. METHODS: Doctors and nurses (n = 17) in a haematology department at a Norwegian university hospital were asked about factors perceived to influence implementation of nurse-led bone marrow aspirations and biopsies. Methods included in-depth semi-structured interviews (n = 11) and focus-group discussion (n = 6). Data were analysed using the Capability, Opportunity, and Motivation behaviour model and the Theoretical Domains Framework. RESULTS: Ten factors perceived to influence implementation were identified. Three factors were related to capability, including (1) knowledge and acceptability of task shifting rationale; (2) dynamic role boundaries; and (3) technical skills to perform biopsies and aspirations. Five factors were related to motivation, including (4) beliefs about task shifting consequences, such as efficiency, quality and patient satisfaction; (5) beliefs about capabilities, such as technical, communicative and emotional skills; (6) job satisfaction and esteem; (7) organisational culture, such as team optimism; and (8) emotions, such as fear of informal nurse hierarchy and envy. The last two factors were related to opportunity, including (9) project planning and leadership, and voluntariness; and (10) patient preferences. CONCLUSION: Task shifting from doctors to nurses in specialised healthcare requires not only development of technical skills but also complex changes in organisation, clinical routines and role identity. Educational and organisational interventions to build a team-oriented culture could potentially increase the possibility of successful task shifting and stimulate nurses to take on untraditional responsibilities. Environmental restructuring to support doctors using their time in activities only doctors can perform may be needed to realise potential efficiency gains.


Assuntos
Exame de Medula Óssea/enfermagem , Enfermeiras e Enfermeiros/normas , Prática Profissional/organização & administração , Atitude do Pessoal de Saúde , Competência Clínica/normas , Hospitais Universitários , Humanos , Satisfação no Emprego , Liderança , Noruega , Enfermeiras e Enfermeiros/organização & administração , Cultura Organizacional , Satisfação do Paciente , Percepção , Médicos/organização & administração , Qualidade da Assistência à Saúde , Estudos Retrospectivos
15.
PLoS One ; 13(10): e0206096, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30359391

RESUMO

BACKGROUND: High quality primary care is fundamental to achieving health for all. Research priority setting is a key facilitator of improving how research activity responds to concrete needs. There has never before been an attempt to identify international primary care research priorities, in order to guide resource allocation and to enhance global primary care. This study aimed to identify a list of top 10 primary care research priorities, as identified by members of the public, health professionals working in primary care, researchers, and policymakers. METHODS: We adapted the James Lind Alliance Priority Setting Partnership process, to conduct multiple rounds of stakeholder recruitment and prioritization. The study included an online survey conducted in three languages, followed by an in-person priority setting exercise involving primary care stakeholders from 13 countries. FINDINGS: Participants identified a list of top 10 international primary care research priorities. These were focused on diverse topics such as enhancing use of information and communication technology, and improving integration of indigenous communities' knowledge in the design of primary care services. The main limitations of the study related to challenges in engaging an adequate diversity and number of appropriate stakeholders, particularly members of the public, in aggregating the diverse set of responses into coherent categories representative of the participants' perspectives and in adequately representing the diversity of submitted responses while ensuring research priorities on the final list are sufficiently actionable to guide resource allocation. CONCLUSIONS: The top 10 identified research priorities have the potential to guide research resource allocation, supporting funding agencies and initiatives to promote global primary care research and practice.


Assuntos
Pesquisa Biomédica , Técnica Delfos , Prioridades em Saúde , Atenção Primária à Saúde , Pesquisa Biomédica/métodos , Pesquisa Biomédica/organização & administração , Pesquisa Biomédica/normas , Consenso , Ocupações em Saúde/normas , Prioridades em Saúde/organização & administração , Prioridades em Saúde/normas , Prioridades em Saúde/estatística & dados numéricos , Humanos , Internacionalidade , Linguagem , Médicos de Família/estatística & dados numéricos , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/organização & administração , Atenção Primária à Saúde/normas , Atenção Primária à Saúde/estatística & dados numéricos , Prática Profissional/organização & administração , Prática Profissional/normas , Prática Profissional/estatística & dados numéricos , Pesquisa/organização & administração , Pesquisa/estatística & dados numéricos , Inquéritos e Questionários
16.
Rev Lat Am Enfermagem ; 26: e3045, 2018 Oct 11.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-30328973

RESUMO

OBJECTIVE: to analyze elements of the nursing work process in the Street Medical Offices, highlighting the challenges and potentialities of care for homeless people. METHOD: this is an exploratory research of qualitative nature supported by the perspective of the health work process. The study was conducted through semi-structured interviews with nurses from the teams of the street medical offices at the city of Maceió and data were analyzed according to the content analysis technique, approaching issues related to the object, instruments and purposes of the nursing work process. RESULTS: the identified themes were: Need for health care in the context of social and health vulnerability; Strategic planning and teamwork as tools for organizing the work process; Purposes and products of work: guaranteeing the right to access and care. . Before a work object designed by serious health needs resulting from the social vulnerability of this population, nurses use different instruments in their work process: strategic planning, acting in multiprofessional team and valorization of the light technologies of reception and bonding. CONCLUSION: apart from the difficulties, the study presents a successful experience that explores the potentiality of sharing relationships of humanized care.


Assuntos
Centros Comunitários de Saúde/organização & administração , Pessoas em Situação de Rua/psicologia , Enfermeiras de Saúde Comunitária/psicologia , Populações Vulneráveis/psicologia , Adulto , Feminino , Humanos , Masculino , Enfermeiras de Saúde Comunitária/organização & administração , Equipe de Assistência ao Paciente/organização & administração , Prática Profissional/organização & administração , Pesquisa Qualitativa , Planejamento Estratégico
20.
Am J Pharm Educ ; 82(5): 6478, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-30013245

RESUMO

Objective. To determine professionalism factors of interest to the University of South Florida (USF) College of Pharmacy (COP) and develop a programmatic plan to monitor the professionalization of students, faculty, preceptors and staff. Methods. In 2013, the USF COP began investigating how best to incorporate processes to capture professionalism across all aspects of the program. A Professionalism Task Force was convened to identify key professionalism factors valued by faculty and preceptors to be incorporated in pharmacy practice experiences, didactic courses, faculty, and preceptor performance evaluations. A factor analysis was performed to identify items for inclusion in professional practice experience evaluations, course syllabi, faculty, preceptor and staff evaluations. Results. The analysis identified 11 factors for practice experiences, three for syllabi, and five for performance evaluations. The information from the factor analysis spurred additional discussion that led to the development of a programmatic plan for professionalization. Conclusion. A brief description of the programmatic professionalization plan is provided, including possible assessment processes. The goal of this endeavor was to ensure appropriate support and development of professionalization across the COP community.


Assuntos
Educação em Farmácia/métodos , Educação em Farmácia/normas , Prática Profissional/normas , Faculdades de Farmácia/normas , Competência Clínica , Serviços Comunitários de Farmácia , Currículo , Docentes , Florida , Humanos , Motivação , Farmacêuticos , Farmácia , Preceptoria , Aprendizagem Baseada em Problemas , Prática Profissional/organização & administração , Profissionalismo , Avaliação de Programas e Projetos de Saúde , Faculdades de Farmácia/organização & administração
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