ABSTRACT
INTRODUCCIÓN: La simulación es una herramienta que promueve la confianza y desarrollo de habilidades en los participantes. En la evaluación de programas formativos la percepción de utilidad se vincula a la confianza y aprendizaje, y corresponde al primer nivel de evaluación según Kirkpatrick. OBJETIVO: Evaluar la percepción de internos y residentes de obstetricia y ginecología en escenarios de simulación. MATERIAL Y MÉTODOS: Investigación descriptiva cuantitativa, en una muestra a conveniencia de internos y residentes, quienes contestaron una escala de valoración global y de preferencias sobre sus simulaciones. RESULTADOS: Se obtuvieron 63 respuestas de internos (63%) y 7 de residentes (78%). La valoración promedio de las simulaciones fue de 6,42 en los internos y de 6,64 de los residentes. El 67% de los internos y el 86% de los residentes no eliminaría ninguna simulación. Los internos repetirían todas las simulaciones, en tanto que los residentes repetirían tres simulaciones de un total de 11. CONCLUSIONES: La valoración de las simulaciones fue alta en ambos grupos, difiriendo en las actividades que prefieren repetir, lo cual puede relacionarse con las competencias inherentes al rol de especialista en comparación al rol del médico general o a las diferencias en autoconfianza de internos y residentes.
INTRODUCTION: Clinical simulation is a training tool that promotes confidence and the development of procedural skills in participants, from initial training to the training of professional teams. In the evaluation of training programs, the measurement of perceived usefulness is linked to confidence and learning and corresponds to a first level of evaluation of the quality of training according to Kirkpatricks model. OBJECTIVE: To evaluate the perception of medical interns and Obstetrics and Gynecology fellows regarding simulation scenarios. MATERIAL AND METHODS: Quantitative descriptive research, in a convenience sample of interns and fellows, who answered a scale of global assessment and preferences about simulations. RESULTS: The average score was 6.42 for the interns and 6.64 for the scholarship recipients. With odd answers about the repetition of scenarios. 67% of the interns and 86% of the fellows responded that they would not eliminate any simulation. Conclusions: The evaluation of the scenarios was excellent and satisfactory by the participants.
Subject(s)
Humans , Male , Female , Education, Medical/methods , Simulation Training , Gynecology/education , Internship and Residency , Obstetrics/education , Perception , Program Evaluation , Epidemiology, Descriptive , Patient Simulation , High Fidelity Simulation TrainingABSTRACT
Background: Clinical simulation allows the acquisition of procedural skills among medical students. The anticipatory study of these skills may improve the efficiency of simulation sessions. Aim: To Compare two anticipatory study guides in the simulation of airway management, in a cohort of medical students from Chile. Material and Methods: Fifth year medical students were randomly assigned to prepare the simulation of tracheal intubation with a theoretical guide, an audiovisual guide, and a control group without study. The skills acquired were evaluated in a simulated scenario. Results: All groups increased their successful orotracheal intubation (OTI) rate and decreased the time to achieve a successful OTI after each attempt. The study group with a theoretical guide had the higher rate of success in the 1st OTI attempt without feedback. In contrast, the group without any anticipatory study had more failed attempts (1st and 2nd attempt), achieving their first successful OTI in the 3rd attempt after feedback. Conclusions: Study guides improve practice effectiveness. Our results indicate that the best results are obtained by simulation accompanied with immediate directed feedback and opportunities to repeat the procedures, independent of the type of anticipatory study.
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Background: The effects of hysterectomy on sexuality has been extensively studied. Aim: To establish a model to predict the quality of sexual life in hysterectomized women, six months after surgery. Material and Methods: Analytical, longitudinal and prospective study of 90 hysterectomized women aged 45±7 years. Two structured interviews at the time of surgery and six months later were carried out to determine the characteristics of sexuality and communication within the couple. Results: In the two interviews, communication and the quality of sexual life were described as "good" in 72 and 77 percent of women, respectively (NS). The variables that had a 40 percent influence on the quality of sexual life sixth months after surgery, were oophorectomy status, the presence of orgasm, the characteristics of communication and the basal sexuality with the couple. Conclusions: The sexuality of the hysterectomized women will depend, on a great extent, of pre-surgical variables. Therefore, it is important to consider these variables for the education of hysterectomized women.
Subject(s)
Female , Humans , Middle Aged , Hysterectomy/psychology , Quality of Life , Sexual Behavior/psychology , Coitus/psychology , Hysterectomy/adverse effects , Interview, Psychological , Marital Status , Orgasm/physiology , Ovariectomy/psychology , Predictive Value of Tests , Prospective Studies , Sexual Behavior/physiologyABSTRACT
A partir do entendimento de que o ato de cuidar e o trabalho de enfermagem são essencialmente humanos, procuramos problematizá-los na atualidade...
Subject(s)
Humans , Philosophy, Nursing , Ethics, Nursing , Humanism , Nursing CareABSTRACT
Se evaluó el rendimiento de un medio de cultivo semipreparado, conteniendo lisado globular equino, para el aislamiento de Campylobacter bajo dos atmósferas de incubación (5% O2 y jarra de vela). Se estudiaron 19 cepas conocidas de C. jejuni, 151 muestras de heces humanas y 230 muestras fecales obtenidas de animales, las que fueron sembradas en medio convencional (MC) y en medio con lisado globular (MLG) e incubadas a 42§C por 24 y 48 horas. El desarrollo de Campylobacter fure significativamente superior, en número y tamaño de las colonias, a las 48 horas de incubación en 5% O2 en ambos medios de cultivo. Todas las cepas que crecieron o fueron aisladas en MC 5% O2, también lo fueron en MLG incubado en jarra de vela. Campylobacter fue aislado en el 5,3% de las muestras de heces humanas tanto en MC como en MLG, independentemente de la atmósfera de incubación. En la smuestras de origen animal el porcentaje de aislamiento fue del 35,2% en medio Skirrow modificado y del 34,3% en MLG con un 99,13% de concordancia entre ambos medios