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2.
Laryngoscope ; 131 Suppl 4: S1-S42, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33729584

RESUMO

OBJECTIVES/HYPOTHESIS: Facial nerve monitoring (FNM) has evolved into a widely used adjunct for many surgical procedures along the course of the facial nerve. Even though majority opinion holds that FNM reduces the incidence of iatrogenic nerve injury, there are few if any studies yielding high-level evidence and no practice guidelines on which clinicians can rely. Instead, a review of the literature and medicolegal cases reveals significant variations in methodology, training, and clinical indications. STUDY DESIGN: Literature review and expert opinion. METHODS: Given the lack of standard references to serve as a resource for FNM, we assembled a multidisciplinary group of experts representing more than a century of combined monitoring experience to synthesize the literature and provide a rational basis to improve the quality of patient care during FNM. RESULTS: Over the years, two models of monitoring have become well-established: 1) monitoring by the surgeon using a stand-alone device that provides auditory feedback of facial electromyography directly to the surgeon, and 2) a team, typically consisting of surgeon, technologist, and interpreting neurophysiologist. Regardless of the setting and the number of people involved, the reliability of monitoring depends on the integration of proper technical performance, accurate interpretation of responses, and their timely application to the surgical procedure. We describe critical steps in the technical set-up and provide a basis for context-appropriate interpretation and troubleshooting of recorded signals. CONCLUSIONS: We trust this initial attempt to describe best practices will serve as a basis for improving the quality of patient care while reducing inappropriate variations. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:S1-S42, 2021.


Assuntos
Eletromiografia/métodos , Nervo Facial/fisiologia , Nervo Facial/cirurgia , Monitorização Intraoperatória/instrumentação , Guias de Prática Clínica como Assunto/normas , Idoso , Lista de Checagem , Análise Custo-Benefício , Traumatismos do Nervo Facial/epidemiologia , Traumatismos do Nervo Facial/prevenção & controle , Feminino , Humanos , Doença Iatrogênica/epidemiologia , Doença Iatrogênica/prevenção & controle , Incidência , Masculino , Pessoa de Meia-Idade , Monitorização Intraoperatória/métodos , Neurofisiologia/métodos , Neurofisiologia/estatística & dados numéricos , Preceptoria/normas , Qualidade da Assistência à Saúde , Reprodutibilidade dos Testes
3.
Artigo em Inglês | MEDLINE | ID: mdl-33535632

RESUMO

Smartphones have become an indispensable item for nursing students. The use of these devices in the clinical setting could have various effects on the clinical work of nursing students. This study was to explore nursing students' perceptions of their lived experiences of smartphone use in the clinical setting, in regard to patient safety. A descriptive phenomenological study was carried out. A total of 24 nursing students from a university in the southeast of Spain participated in this study. There were 10 in-depth interviews and two focal groups from January to May 2020. The data analysis was performed using ATLAS.TI software to identify the emergent topics. The COREQ Checklist was used to prepare the manuscript. Three principal topics were identified that illustrated the nursing students' experiences and perceptions of smartphone use in the clinical setting (1): Using smartphones in the clinical setting as a personal resource, (2) smartphones as a support mechanism for making clinical decisions, (3) impact of smartphones on patient care. The nursing students perceived smartphones as a support mechanism for making clinical decisions and for patient care. Smartphone use during clinical practicums may influence the quality of patient-centred communication and threaten clinical safety. The results of this study provide knowledge on the use of smartphones by nursing students in the clinical setting, which could help to establish measures that guarantee adequate patient care and responsible use of these devices.


Assuntos
Smartphone , Estudantes de Enfermagem , Humanos , Percepção , Preceptoria , Espanha
4.
Artigo em Inglês | MEDLINE | ID: mdl-33562861

RESUMO

This study aimed to evaluate the effects of a flipped learning contact model and a flipped learning "untact" model with Korean nursing students undergoing a clinical practicum, and to examine the factors of self-directed learning readiness and self-esteem considering these learning models. The participants included 85 students. Participants were randomly allocated to two models. This study measured self-directed learning readiness, self-esteem, learner motivation, professor-student and clinical instructor-student interactions, confidence in performing core skills, participating in online activities, clinical practice stress, and the friendliness of the two models. Participants' characteristics were analyzed using frequencies and percentages, and between-group differences regarding characteristics were analyzed using the χ2 test, independent t-test, and one-way ANOVA with a Scheffe test. This study conducted independent t-tests for comparison of the between-group adjusted mean difference of the pretest and posttest scores. The influence of the dependent variables on self-directed learning readiness and self-esteem was measured using a stepwise multiple regression method. Among the two models in the practicum, the flipped-mastery contact model (FMCM) showed higher self-directed learning (SDL) readiness and professor-student interaction than those of the flipped-mastery untact model (FMUM) after the clinical practicum was completed. The three influencing factors of SDL readiness were FMCM, learner motivation, and ward friendliness, with an explanatory power of 31.6% (F = 13.96, p < 0.001). Learner motivation, professor-student interaction, and ward friendliness influenced self-esteem, with an explanatory power of 54.7% (F = 34.86, p < 0.001).


Assuntos
Bacharelado em Enfermagem , Estudantes de Enfermagem , Adulto , Competência Clínica , Humanos , Aprendizagem , Preceptoria
5.
Nurse Educ Pract ; 51: 102986, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33621926

RESUMO

This study explores final year undergraduate nursing and midwifery students and their preceptors' experiences of a newly introduced Clinical School Supervision (CSS) model, which was implemented to reduce a perceived disconnect between theory and practice. A descriptive design was used with qualitative data collected through open-ended survey questions. Respondents included 43 undergraduate nursing and midwifery students involved in the final year and 13 clinical preceptors from a large metropolitan tertiary health service in Victoria, Australia. Qualitative data were analysed using thematic analysis. Students described the CSS as a favoured supervision model with students being able to take advantage of support from both the academic supervisor and nursing staff in the clinical setting, a model which also supported student's sense of belonging. Students experiences indicated the CSS model facilitated consolidation of knowledge, reflective practice and transition to graduate nursing. The preceptors described a commitment to and preparedness for the role, although they found they had little break from teaching and their rosters did not always align with their students'. Preceptors also shared experiences of unfulfilled expectations, lack of recognition and incentives for supervising students. Further studies are needed to identify effective ways to support preceptors in their roles.


Assuntos
Bacharelado em Enfermagem , Estudantes de Enfermagem , Competência Clínica , Feminino , Humanos , Preceptoria , Gravidez , Instituições Acadêmicas , Vitória
6.
Nurse Educ Pract ; 51: 102995, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33631499

RESUMO

This paper explores Intensive Care nurses' perceptions of benefits, rewards, supports and their commitment to the role of preceptor. A questionnaire, consisting of Likert-scales and open-ended questions was used to collect data during October 2018. Preceptors were committed to their role. Correlations were found between preceptors' perceptions of benefits or rewards and commitment to the role (p = 0.003, r2 = 0.39) and perceptions of support and commitment to the role (p = .001, r2 = 0.46). Altruistic benefits were perceived to be of the greatest importance. Participants who recognised the importance of preceptorship for the organisation were more likely to be committed to the role. Eighty-three percent of respondents reported a lack of consistency in allocation to work with their preceptee. Qualitative results elucidated themes of helping, personal professional development, the opportunity to teach, and organisational improvement. Supports as barriers and enablers to successful preceptorship were discussed in terms of peer and leadership support, role preparation, the logistics of the environment, role conflict, and consistency of allocation to work in a preceptorship dyad. Commitment to the preceptor role may be increased by highlighting organisational benefits of preceptorship, increasing consistency of contact between preceptorship dyads, and increasing access to supports and preparation.


Assuntos
Preceptoria , Recompensa , Humanos , Unidades de Terapia Intensiva , Percepção , Inquéritos e Questionários
7.
Nurse Educ Today ; 99: 104746, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33545565

RESUMO

BACKGROUND: The impact of the COVID-19 pandemic on our society is profound, not least for the healthcare sector. On the one hand, this exceptional situation created unprecedented learning opportunities for nursing students. Yet, on the other hand, this situation can jeopardise nursing students learning trajectory. OBJECTIVES: To study nursing students' experiences during clinical placement during the COVID-19 pandemic. DESIGN: Cross-sectional survey design. SETTINGS: Clinical placements during the COVID-19 pandemic. PARTICIPANTS: Nursing students from nine Belgian nursing schools. METHODS: All students enrolled in nursing education are eligible to participate. The survey consists of five dimensions: demographics, risk perception, self-efficacy, support and communication, and resilience. RESULTS: The gaps that were identified by students focused on the need for more psychosocial support, establishing (regular) contact with their clinical placement supervisor, recognition of the difficult work situation, and the need for more space to unwind. CONCLUSIONS: Nursing students expressed a strong need to be heard, prepared, and supported. Most students felt supported by their nursing schools. Because of COVID-19, the role of the preceptor became more important. However, due to several reasons, the perceptor did not always meet the student's expectations. Preparing students for specific competencies is needed. In spite of the efforts of nursing schools and clinical sites, students often got lost in the chaos of the pandemic. This resulted in practical worries, fewer learning opportunities, and even fundamental doubts about their choice to become a nurse. Finally, it crucial that nursing schools and clinical sites communicate about matters such as the responsibility for testing nursing students, the provisions of uniforms and personal protective equipment, and structurally sharing guidelines with students to provide safe patient care.


Assuntos
Competência Clínica , Tutoria , Saúde do Trabalhador , Preceptoria , Estudantes de Enfermagem/psicologia , Adulto , Bélgica , Estudos Transversais , Bacharelado em Enfermagem , Feminino , Humanos , Masculino , Medição de Risco , Inquéritos e Questionários
8.
Hu Li Za Zhi ; 68(1): 19-23, 2021 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-33521915

RESUMO

Psychiatric nursing is a relatively abstract thus difficult discipline for students to master. Moreover, the prevalent stigmatization of mental illness in society inhibits the learning motivation and effectiveness of nursing students in this discipline and increases the anxiety of these students during their initial psychiatric clinical practicum. The experiential learning strategy, which allows direct interactions between students and community-based patients enrolled in psychological rehabilitation programs, is discussed in this article. As patients share their illness journey in class, nursing students are better able to experience these patients' sufferings and thus in a better position to clarify related knowledge, develop empathy, and ease self-perceived anxiety prior to beginning their psychiatric clinical practicum.


Assuntos
Enfermagem Psiquiátrica , Reabilitação Psiquiátrica , Estudantes de Enfermagem , Bacharelado em Enfermagem , Humanos , Preceptoria , Ensino
9.
Artigo em Inglês | MEDLINE | ID: mdl-33499327

RESUMO

Only few studies have examined the preceptor training courses and their effects on clinical teaching behaviors (CTBs) of preceptors. This study investigated preceptors' experiences in educating new graduate nurses and the effect they had on clinical teaching behavior (CTB) based on whether they participated in a preceptor training program. A descriptive online survey method was used, and the participants included 180 registered nurses who were preceptors. The Clinical Teaching Behavior Inventory (CTBI-22) was used, and perceptions of teaching experiences were measured by six items. Data were analyzed using multiple linear regression. Preceptors working at general hospitals or hospitals were less likely to have participated in a preceptor training program than those working at tertiary hospitals. The overall mean score of CTB was 89.30, and "guiding inter-professional communication" showed the lowest mean score. Positive perceptions of preceptorship experiences were positively related with CTB, and the number of precepting experiences affected CTB only for nurses having undergone preceptor training courses. The use of role-playing as a method in training courses positively affected preceptors' CTB. These findings suggest that preceptors need support from nurse managers and colleagues, and preceptor training programs should be developed.


Assuntos
Educação em Enfermagem , Preceptoria , Humanos , Inquéritos e Questionários , Ensino
11.
Monaldi Arch Chest Dis ; 91(1)2021 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-33478203

RESUMO

Dear Editor, There is an increasing pressure on healthcare systems around the globe since the onset of the current coronavirus disease 2019 (COVID-19) pandemic to cope up with the increasing workload...


Assuntos
/psicologia , Pessoal de Saúde/psicologia , Preceptoria/métodos , /diagnóstico , /virologia , Assistência à Saúde/organização & administração , Assistência à Saúde/estatística & dados numéricos , Pessoal de Saúde/educação , Humanos , Índia/epidemiologia , Carga de Trabalho/psicologia
12.
Nurse Educ Pract ; 50: 102951, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33310507

RESUMO

The work adaptation of newly graduated nurses exerts a vital impact on their career developments. It is of great significance to guide newly graduated nurses to get acclimatized to the student-to-nurse transition. This study aimed to investigate the work adaptability disorder from the perspective of the organizational socialization and explore the potential factors of work adaptability disorder of newly graduated nurses. A cross-sectional study was performed. Convenience sampling was adopted to recruit 206 newly graduated nurses at four tertiary hospitals in China. The Work Adaptability Disorder Scale, the Transition Shock of Newly Graduated Nurses Scale, and the Organizational Socialization Questionnaire were utilized to measure the work adaptability disorder. The results showed the level of work adaptability disorder was mediocre among newly graduated nurses in China. The variables of gender, education, only child, family residence, transition shock, and organizational socialization could serve as predictors of work adaptability. Our research showed countermeasure of improving organizational socialization and relieving transition shock should be added to the training program of newly graduated nurses with purpose of promoting their adaptation.


Assuntos
Enfermeiras e Enfermeiros , Estudantes de Enfermagem , Adaptação Psicológica , China , Estudos Transversais , Humanos , Preceptoria , Socialização , Inquéritos e Questionários
14.
Afr J Prim Health Care Fam Med ; 12(1): e1-e3, 2020 Nov 06.
Artigo em Inglês | MEDLINE | ID: mdl-33181875

RESUMO

The health-service redesign that came with the preparation for the surge of COVID-19 had a potential of disrupting the Family Medicine internship programme like it did to many other health and academic programmes. A team of Cape-Town based Community Health Centre (CHC) doctors mitigated this challenge by designing an innovative tool that facilitated ongoing supervision of the interns in order to achieve the outcomes of the Health Professions Council of South Africa (HPCSA).


Assuntos
Centros Comunitários de Saúde , Infecções por Coronavirus , Aconselhamento , Medicina de Família e Comunidade/educação , Internato e Residência , Pandemias , Pneumonia Viral , Preceptoria , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/terapia , Infecções por Coronavirus/virologia , Pessoal de Saúde , Humanos , Médicos , Pneumonia Viral/epidemiologia , Pneumonia Viral/terapia , Pneumonia Viral/virologia , África do Sul
15.
Artigo em Inglês | MEDLINE | ID: mdl-33121028

RESUMO

Due to the coronavirus disease (COVID-19) pandemic, there are many restrictions in effect in clinical nursing practice. Since effective educational strategies are required to enhance nursing students' competency in clinical practice, this study sought to evaluate the effectiveness of simulation problem-based learning (S-PBL). A quasi-experimental control group pretest-post-test design was used. Nursing students were allocated randomly to the control group (n = 31) and the experimental group (n = 47). Students in the control group participated in a traditional maternity clinical practicum for a week, while students in the experimental group participated S-PBL for a week. The students in the experimental group were trained in small groups using a childbirth patient simulator (Gaumard® Noelle® S554.100, Miami, USA) based on a standardized scenario related to obstetric care. The students' learning attitude, metacognition, and critical thinking were then measured via a self-reported questionnaire. Compared with the control group, the pre-post difference in learning attitude and critical thinking increased significantly (p < 0.01) in the experimental group. S-PBL was found to be an effective strategy for improving nursing students' learning transfer. Thus, S-PBL that reflects various clinical situations is recommended to improve the training in maternal health nursing.


Assuntos
Educação Baseada em Competências/métodos , Metacognição , Aprendizagem Baseada em Problemas/métodos , Treinamento por Simulação/métodos , Estudantes de Enfermagem/psicologia , Pensamento , Betacoronavirus , Competência Clínica , Infecções por Coronavirus/epidemiologia , Bacharelado em Enfermagem/métodos , Avaliação Educacional , Feminino , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Preceptoria , Gravidez
16.
Niger J Clin Pract ; 23(10): 1470-1476, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33047708

RESUMO

Background: In midwifery practice, the education model used for skill acquisition is extremely important for the management of students' stress, anxiety and self-efficacy. Innovative practices aim to improve the students' cognitive, emotional and psychomotor skills, and new research needs to be performed to evaluate the results of such practices. Aims: The present study aimed to evaluate the effects of the education model and clinical practice features, such as practice time, laboratory practice and exam evaluation, on the students' state and continuous anxiety and self-efficacy status. Methods: This was a semi-experimental non-randomised study, including three steps. Research was conducted in two institutions. Sample selection was not made in the research. The sample consisted of two groups. Group 1 included students (n = 39), who get educated in 1st institution. Group 2 included students (n = 40), who get educated in 2nd institution. In the collection of research data; Introductory Information Form, Self- Efficacy Scale, Spielberger's State/Continuous Anxiety Inventory was used. Data were analysed by Shapiro Wilk Tests, numbers, percentages, Chi-square test, analysis of single factor variance in repeated measurements, repeated measures analysis of variance, t test in indepentdent samples. Results: A significant difference was found between the three data collection steps, regarding self-efficacy as well as state and continuous anxiety scores (P < 0.001). A significant correlation was found between the mean self-efficacy scores of each group (P < 0.001). Conclusions: The results indicate that students have a high level of self-efficacy using the daily life activities model, engaging in 8 hours of clinical practice, performing clinical practice under the supervision of a midwife or a nurse.


Assuntos
Ansiedade/psicologia , Tocologia/educação , Preceptoria , Autoeficácia , Estudantes/psicologia , Adulto , Estágio Clínico , Feminino , Humanos , Masculino , Modelos Educacionais , Adulto Jovem
17.
Nursing (Säo Paulo) ; 23(269): 4695-4702, out.2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1145378

RESUMO

Objetivo: relatar a elaboração de um projeto pedagógico em preceptoria para enfermeiros em terapia intensiva cardiológica. Método: estudo descritivo, exploratório, com abordagem qualitativa, do tipo relato de experiência, realizado em um Hospital Universitário Federal. Relato baseado na experiência de enfermeiras preceptoras em residência multiprofissional na área de concentração Enfermagem e atuantes na terapia intensiva cardiológica durante o ano de 2019. Resultados: a elaboração de um planejamento pedagógico para preceptoria de enfermeiros em terapia intensiva cardiológica contribui para sistematizar as atividades de estágio do residente, aprimorando o binômio teoria e prática, favorecendo assim, que os enfermeiros desenvolvam no exercício de sua profissão, atitudes reflexivas, críticas, humanitárias e éticas, com responsabilidade e competência para atuar em terapia intensiva cardiológica. Conclusão: por meio desse projeto pedagógico de estágio proporcionamos a melhoria da educação e formação dos residentes no âmbito da terapia intensiva cardiológica, bem como fomentamos a educação permanente e constante atualização.(AU)


Objective: to report the development of a pedagogical project in preceptorship for nurses in cardiac intensive care. Method: a descriptive, exploratory study with a qualitative approach, of the experience report type, carried out in a Federal University Hospital. Report based on the experience of preceptor nurses in multidisciplinary residency in the area of concentration Nursing and working in cardiac intensive care during 2019. Results: the elaboration of a pedagogical planning for preceptorship of nurses in cardiac intensive care contributes to systematize the internship activities of the resident, improving the binomial theory and practice, thus favoring that nurses develop reflexive, critical, humanitarian and ethical attitudes in the exercise of their profession, with responsibility and competence to work in cardiac intensive therapy. Conclusion: through this pedagogical internship project we provide the improvement of education and training of residents in the scope of cardiac intensive care, as well as promoting permanent education and constant updating.(AU)


Objetivo: informar la elaboración de un proyecto pedagógico en preceptoría para enfermeras en cuidados intensivos cardíacos. Método: estudio exploratorio descriptivo con enfoque cualitativo, del tipo de informe de experiencia, realizado en un Hospital de la Universidad Federal. Informe basado en la experiencia de las enfermeras preceptoras en residencia multiprofesional en el área de concentración Enfermería y activa en cuidados intensivos cardíacos durante 2019. Resultados: la elaboración de una planificación pedagógica para la preceptación de enfermeras en cuidados intensivos cardíacos contribuye a sistematizar las actividades de pasantía del residente, mejorando la teoría y la práctica binomial, favoreciendo así que las enfermeras desarrollen actitudes reflexivas, críticas, humanitarias y éticas en el ejercicio de su profesión, con responsabilidad y competencia para trabajar en terapia intensiva cardíaca. Conclusión: a través de este proyecto de pasantía pedagógica, brindamos la mejora de la educación y la capacitación de los residentes en el ámbito de la atención intensiva cardíaca, así como promovemos la educación permanente y la actualización constante.(AU)


Assuntos
Humanos , Preceptoria , Educação de Pós-Graduação em Enfermagem , Enfermagem Cardiovascular/educação , Modelos de Assistência à Saúde , Internato não Médico , Unidades de Cuidados Coronarianos/métodos , Educação Continuada em Enfermagem
18.
Nurse Educ Pract ; 48: 102892, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32980557

RESUMO

The COVID-19 outbreak in Winter (2020) has caused widespread disruption for health sciences students undergoing clinical placements-vital periods of experiential learning that cannot be substituted with distance alternatives. For students placed in rural areas, already coping with isolation, precarious supply chains and shortages of essential personnel, the effects of the COVID-19 outbreak may have far-reaching implications for psychosocial wellness, self-efficacy and clinical judgment. Four nursing and eight medical students (n = 12) supplied photographs and commentary documenting the experience of withdrawing suddenly from clinical sites in rural Alberta. Collaborative, thematic analysis revealed continuities between pre- and post-outbreak life, both for the students and their rural hosts. Social determinants of health such as seclusion, environmental hazards, and health-seeking behaviors carried over and compounded the effects of the outbreak on the placement communities and clinical sites. Other continuities included the reliance on technology for clinical and social connectivity, and capitalizing on natural settings to cope with isolation and confinement. Prolonged liminality, lack of closure, and the loss of team identity were the greatest stressors brought on by the suspension of clinical activities. However, the participants felt well equipped to deal with these circumstances through the resilience, adaptability, and community ethos acquired during their placements.


Assuntos
Infecções por Coronavirus/epidemiologia , Surtos de Doenças , Pneumonia Viral/epidemiologia , Preceptoria/organização & administração , Serviços de Saúde Rural/organização & administração , Estudantes de Medicina/psicologia , Estudantes de Enfermagem/psicologia , Alberta/epidemiologia , Humanos , Pandemias , Fotografação
20.
Artigo em Inglês | MEDLINE | ID: mdl-32630320

RESUMO

Sexual harassment not only endangers nursing students' physical and mental health but also considerably affects their future willingness to engage in the field of nursing. To identify experiences, knowledge, coping behaviors, and determinants of sexual harassment among nursing students during clinical practicum, this study conducted a cross-sectional survey where a structured self-report questionnaire was used. A total of 291 senior nursing students were recruited from four universities in Central Taiwan. Sixty-six nursing students (22.7%), including 59 women (23.3%) and 7 men (18.4%), reported experiencing sexual harassment during clinical practicum. Male students scored significantly higher than female students did on knowledge of sexual harassment (p = 0.028). Female students scored significantly higher than male students did on attitudes toward preventing and coping with sexual harassment (p = 0.05). Nursing students who were older, had fathers who had higher education levels, or had undergone gender-related courses were more likely to experience sexual harassment. More than one-fifth of nursing students experienced sexual harassment during their clinical practicum, making this a formidable challenge in nursing education. Education is required to prevent sexual harassment and enhance gender sensitivity among nursing students, who are at a greater risk of experiencing sexual harassment in clinical practicum.


Assuntos
Assédio Sexual , Estudantes de Enfermagem , Adaptação Psicológica , Estudos Transversais , Feminino , Humanos , Masculino , Preceptoria , Inquéritos e Questionários , Taiwan
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