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Objetivo: realizar a autoavaliação dos Programas de Residência em Saúde Cardiovascular sob a ótica dos residentes em curso. Método: estudo observacional, transversal desenvolvido em hospital público cardiológico de São Paulo, cuja coleta foi realizada, após aprovação do Comitê de Ética em Pesquisa, por questionário junto aos residentes em curso, no segundo semestre de 2021. Resultados: residentes com idade média de 25,7 anos, mulheres, brancas, procedentes de São Paulo e região nordeste avaliaram sua satisfação relacionada às dimensões de Infraestrutura (74%), Organização didático-pedagógica (91,1%), Produção científica (92%) e Satisfação com o programa (92,4%). Verificou-se como ponto de melhoria a necessidade de investimentos em locais de repouso (79.5%), de convívio (70,5%), de estudo (15,9%), e em ações de educação permanente (27,3%) aos preceptores. Conclusão: o estudo possibilitou identificar prioridade de investimentos em infraestrutura e a necessidade de fortalecer a capacitação pedagógica dos preceptores fomentando o aprimoramento dos programas.
Objective: to assess Residency Programs in Cardiovascular Health from the perspective of ongoing residents. Method: observational, cross-sectional study carried out in a public cardiology hospital in São Paulo, whose collection was carried out, after approval by the Research Ethics Committee, through a questionnaire with ongoing residents, in the second half of 2021. Results: residents with an average age of 25.7 years old, female, white, from São Paulo and the northeast region, evaluated their satisfaction related to the dimensions of Infrastructure (74%), Didactic-pedagogical organization (91.1%), Scientific production (92%) and Satisfaction with the program (92.4%). It was verified as a point of improvement the need for investments in resting places (79.5%), socializing (70.5%), study (15.9%), and permanent education actions (27.3%) to the preceptors. Conclusion: the study made it possible to identify priority investments in infrastructure and the need to strengthen the pedagogical training of preceptors, fostering the improvement of programs.
Objetivo: realizar una autoevaluación de los Programas de Residencia en Salud Cardiovascular desde la perspectiva de los residentes en curso. Método: estudio observacional, transversal, desarrollado en un hospital público de cardiología de São Paulo, cuya recolección fue realizada, previa aprobación por el Comité de Ética en Investigación, a través de cuestionario con residentes en curso, en el segundo semestre de 2021. Resultados: residentes con edad promedio de 25,7 años, mujeres, blancas, de São Paulo y región Nordeste, evaluaron su satisfacción respecto a las dimensiones Infraestructura (74%), Organización didáctico-pedagógica (91,1%), Producción científica (92%). y Satisfacción con el programa (92,4%). Se constató como punto de mejora la necesidad de inversiones en lugares de descanso (79,5%), socialización (70,5%), estudio (15,9%) y acciones de educación permanente (27,3%) a los preceptores. Conclusión: el estudio permitió identificar la prioridad de inversiones en infraestructura y la necesidad de fortalecer la formación pedagógica de los preceptores, fomentando el perfeccionamiento de los programas.
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Education, Nursing , Patient Care Team , Nursing , Health Postgraduate Programs , Internship, NonmedicalABSTRACT
ABSTRACT Objective: to identify funding demands in the light of CNPq's knowledge subareas, as well as data on researchers and research groups, their distribution in the regions and their approximation with health research priorities of the Ministry of Health and the new knowledge tree framework of the area. Method: a descriptive study developed with data from 2009 to 2014 about researchers, funding and research areas provided by the Diretoria de Ciências Agrárias Biológicas e Saúde (Department of Agriculture, Biology and Health Sciences). Results: there is a concentration of researchers and research groups in the Southeast region. The research priorities in the health field most frequently addressed were: Noncommunicable Diseases, Child and Adolescent Health, Women's Health and Communicable diseases. The grants could be classified in the current framework of knowledge areas. Final considerations: this analysis enabled visualizing subarea demands and relevance of changing the nomenclature of the classification of knowledge framework in order to represent the scientific production generated in the nursing area.
RESUMEN Objetivo: identificar demandas de financiamiento de las subáreas de conocimiento del CNPq, datos sobre investigadores, grupos de investigación, su distribución en las regiones de Brasil y su aproximación con prioridades de investigación en salud del Ministerio de Salud y de la nueva estrutura del árbol de conocimiento del área. Método: estudio descriptivo desarrollado con datos entre 2009 a 2014 sobre investigadores, financiamiento y áreas de investigación suministrados por la Diretoria de Ciências Agrárias Biológicas e Saúde (Dirección de Ciencias Agrarias Biológicas y Salud). Resultados: hay concentración de investigadores y grupos de investigación en la región Sudeste. Las áreas de la agenda de prioridades de investigación en salud más contempladas fueron: Enfermedades no Transmisibles, Salud del Niño y del Adolescente, Salud de la Mujer y Enfermedades Transmisibles. Las concesiones realizadas pudieron ser clasificadas en el actual árbol del conocimiento. Consideraciones finales: el análisis permite la visualización de las demandas de las subáreas y la pertinencia de la modificación de la nomenclatura del árbol del conocimiento, reflejando la producción generada por el área de enfermería.
RESUMO Objetivo: identificar demandas de financiamento das subáreas de conhecimento do CNPq, dados sobre pesquisadores, grupos de pesquisa, sua distribuição nas regiões do Brasil e sua aproximação com prioridades de pesquisa em saúde do Ministério da Saúde e do novo arcabouço da árvore de conhecimento da área. Método: estudo descritivo desenvolvido com dados entre 2009 e 2014, sobre pesquisadores, financiamento e áreas de pesquisa, fornecidos pela Diretoria de Ciências Agrárias Biológicas e Saúde. Resultados: há concentração de pesquisadores e grupos de pesquisa no Sudeste. As áreas da Agenda Nacional de Prioridades de Pesquisa em Saúde mais contempladas foram: Doenças Não Transmissíveis, Saúde da Criança e do Adolescente, Saúde da Mulher e Doenças Transmissíveis. As concessões realizadas puderam ser classificadas na atual árvore do conhecimento. Considerações finais: A análise permite a visualização das demandas das subáreas e pertinência da modificação da nomenclatura da árvore do conhecimento, refletindo a produção gerada pela área.
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Humans , Research/statistics & numerical data , Nursing Research/methods , Science/trends , Science/methods , Brazil , Nursing Research/trendsABSTRACT
@#The practice of safe and effective nursing care is what a Bachelor of Science in Nursing graduate can provide based on the established competencies of the curriculum. However, they need to be on the list of registered nurses before entry into practice. This study analyzed the academic and licensure examination performances of Bachelor of Science in Nursing graduates in a state college to ascertain relationships and predictors of the licensure examination as the basis for future planning. Descriptive-retrospective design was utilized where 208 graduates who took their licensure examination from 2013 to 2017 were conveniently chosen. Statistical Package for Social Sciences Version 22.0 was used where Pearson product-moment correlation coefficient and Simple Regression Analysis were employed. The academic and nurse licensure performances of graduates were found lower than the ideal and are opposite in terms of skewness and kurtosis. Moreover, a strong positive relationship was noted between the graduates' performances in their academics and licensure examinations. 5 from 21 nursing courses are significant predictors with strong unique contributions to the nurse licensure examination at which 2 from the 5 were found common in all parts of the examination. Thus, it is vital to always look into predictors as basis in the modification of institutional policy on curriculum implementation.
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Humans , Philippines , Licensure, Nursing , Academic PerformanceABSTRACT
Objective To understand the status quo of clinical practice teaching quality based on undergraduate nursing program interns perspective, analysis the problems existing in the clinical practice teaching process, provide the basis for next making improvement scheme and measures. Methods Adopt the clinical practice teaching quality gap scale to survey the 82 undergraduate nursing program interns in the tumor affiliated hospital of Harbin medical university, to observe the clinical practice teaching quality score, and adopted the quadrant analysis method to do in-depth analysis of clinical practice teaching quality evaluation factors. Results the overall score of clinical practice teaching quality in a certain Class-three hospital was 74.65 points, responsive dimension was the highest score 81.00 points, assurance dimension was the lowest score 72.30 points. the indexes need to improve were to provide the corresponding channels of consulting for students, training hospital could listen to the opinions of the protection of life and the suggestion;the indexes need to reshape were easy to get teachers′guidance and help in the internship time, special attention will be given special case for individual nursing students, training hospital introduces many policies as the starting point of the nursing students′ interests. Conclusion The hospital has larger improvement and promotion space on clinical practice teaching quality. Clinical practice teaching quality evaluation based on service quality gap model is helpful that practice hospital targeted to carry out the continuous improvement, enhance the level of practice teaching hospital.
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Objective To discuss the effect of Quality Control Circle activity optimize Traditional Chinese Medicine (TCM) nursing program in improving the recovery of gastrointestinal function after cesarean section. Methods In the management of applying QCC method to optimize TCM nursing program to promote the recovery of gastrointestinal function after cesarean section. The study was conducted on patients with cesarean section of the department of obstetrics and gynecology of shenzhen hospital of Guangzhou university of traditional chinese medicine (Futian). 36 cases of the control group were patients before the optimization of TCM nursing program by QCC on February 13-26, 2017, and 36 cases of the intervention group were patients after that on July 2 to 15, 2017. Before and after the QCC program, the time of postoperative of cesarean section patients' first anus exhaust, anal exhaust rate in 18 hours and lactation time were compared. The postoperative of cesarean section patients′first anus exhaust time, 18 hours anal exhaust rate and lactation time were investigated , and essential factors and really causes of the anal exhaust rate in 18 hours were analyzed, and a corresponding countermeasures were made. Results After TCM nursing program, the postoperative of cesarean section patients′ first anus exhaust time and lactation time were significant reduced (P<0.05);anal exhaust ratein 18 hours wasrise from 22.2％(8/36) to 86.1％(31/36). The patients after cesarean sectionwhose anal exhaust rate in 18 hours was increased significantly. The target success rate was as high as 116％, and the recovery rate was as high as 287.8％. Conclusions QCC activity optimize TCM nursing program can improve the recovery of gastrointestinal function after cesarean section. It enriched the connotation of TCM nursing programs, promote the implementation and standardizes the operation process of it. It also improved the clinical efficacy of TCM nursing program, and indeed promoted the patients′ gastrointestinal function after cesarean section, so that it is worthy of clinical application.
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This study was aimed to investigate the requirement of our hospital nurses in the effect evaluation of fifteen traditional Chinese medicine (TCM) nursing programs,and to make it as the basis for making feasible evaluation tables of TCM nursing programs.The investigation survey was given among 78 nurses from the internal medicine ward,surgical ward and the department of orthopedics in our hospital.The questionnaire was graded according to the Likert 5 scoring method,including 3 themes and 11 items.The SPSS 17.0 package was used for statistical processing.The results showed that 93％ nurses participated in the training of effect evaluation table of unified TCM nursing program in the hospital or department,but the overall attitude was negative in terms of the operability and objectivity on the effect evaluation of the program.Requirements of guidelines for effectiveness evaluation of TCM nursing program showed that most nurses agreed that the new TCM nursing program needed to increase quantifiable indicators and to increase its objectivity and reproducibility.It was concluded that nurses generally considered that the evaluation system of nursing program of TCM had no quantitative indicators,but with strong subjective.In the clinical practice,it is in urgent need of an objective TCM nursing program with quantitative indicators and strong operability.
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ResumenIntroducción: El siguiente artículo es el resultado de la investigación realizada para optar por la licenciatura en Enfermería, en la modalidad de práctica dirigida, el cual consistió en un programa educativo desde Enfermería de habilidades para la vida como estrategia de promoción de la salud en niños y niñas en riesgo social del Hogar Vista del Mar en San José, Costa Rica durante el año 2014.Metodología: participaron 23 niños y niñas en edades entre 9 a 11 años (cuantos del personal de la institución). Se aplicó una metodología cualitativa. Primeramente, se realizó un diagnóstico en el que participaron tanto los niños (as) del programa así como personal que labora para la institución. A partir de los resultados obtenidos en el diagnóstico, se diseñó el programa educativo, desarrollado mediante la metodología de taller con siete sesiones y una actividad de cierre en las que se empleó la estrategia de rally. La evaluación del programa se realizó al finalizar cada una de las sesiones, además de una evaluación general al terminar todo el programa (actividad de rally).Resultados: Los resultados fueron analizados a la luz del modelo conceptual de sistema abiertos de la teorizante en enfermería Imogene King, entre los que se destaca la importancia de la implementación y el reforzamiento constante de este tipo de programas que, desde Enfermería, proporcionan herramientas para que los infantes cuenten con un mayor control sobre su cuidado, de modo que implementen medidas para promover su salud de manera integral.Conclusión: Se evidencia la necesidad de reforzar las habilidades para la vida en las poblaciones en condición de riesgo social.
AbstractIntroduction. The following article is the result of research conducted to opt for a degree in nursing, which consisted of an educational program from Nursing life skills as a strategy for promoting health in children at social risk Home Vista del Mar in San Jose, Costa Rica in 2014.Methods. 23 children participated in ages between 9-11 years (how many staff of the institution). A qualitative methodology was applied. First, a diagnosis, which involved both, children and staff working for the institution was performed. From the results of the diagnosis, the education program developed by the methodology workshop with seven sessions and a closing activity in which strategy was employed rally was designed. Program evaluation was performed at the end of each session, along with a general assessment at the end of the entire program (activity rally).Result. The results were analyzed in the light of the conceptual model of open system theorist in nursing Imogene King, including the importance of implementation and constant reinforcement of these types of programs, from Nursing, provide tools for stands that infants have a greater control over their care, so that implement measures to promote their health holistically.Conclusion. The need to strengthen life skills in populations at social risk condition is evident.
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Humans , Male , Female , Child , Aptitude , Social Vulnerability , Adaptation to Disasters , Group Homes/trends , Costa RicaABSTRACT
Objective To develop the Applied nursing undergraduate students training framework objective, clear the entry of applied training target for undergraduate nursing students. Methods Through literature review and panel discussions, Delphi expert consultation questionnaires were preliminary designed. 23 experts were issued via email and paper questionnaires, conducted two expert advice and analysis. Results A total of 20 valid questionnaires were recovered after two consultation. The expert advice of good scientific reliability:experts had positive reply, and the authority level was 0.857, Kendall were 0.130-0.293, it showed a good level of coordination (P < 0.05). By two rounds of expert advice, three capacity index target level for Applied nursing undergraduate students training were gotten: attitudes, values and basic literacy; knowledge of the target; the ability. The secondary capacity index for target had 15 items, and the third capacity index had 63 items. Conclusions TheAppliednursing undergraduate students training objectives and targets were refined through Delphi which provide the basis for the Applied nursing undergraduate training model and curriculum reform.
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Objective To explore the weight for the training target of Applied nursing undergraduate. And find the degree of importance for the indexes of the target , thus highlighting theApplied training objective characteristics. Methods Developed by Bloom's teaching objectives classification theory and educational objectives theory to refined indexes, using Delphi method to establish the Applied nursing undergraduate training objectives. By the importance assignment from experts on each index, using analytic hierarchy process (AHP) method to construct the judgment matrix. Then calculate the weight of each index weight, and test its logical consistency. Results The weight of theattitudes and valueswas 0.56, andknowledgeandabilitywere 0.22. For the secondary indicators, in the values dimension,professional attitudeandideological qualityhad relatively high weight.Under the knowledge dimension, the professional knowledge had the highest weight; and for the ability dimension,communication skillsandapplicationswere heavily maximum. All the random consistency rates (CR) for the indexes were less than 0.10, so there was no logical confusion. ConclusionsAppliednursing undergraduate talents need to combine theory and practice quickly into clinical work. By weight setting, this study provides basis to further quantify and highlight the Applied nursing undergraduate training features, and provides the basis for the application-oriented undergraduate nursing personnel reforms.
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Aim: The environment of the nursing program dean or director within a community college or state university can be politically, fiscally, and emotionally challenging. There are few studies that investigate that environment. The purpose of this study was to describe the major barriers and incentives facing these nursing deans or directors as they implemented their proposed interventions related to the Central Valley Nursing Diversity Project. Additionally, we sought to identify successful strategies used to keep the programs competitive for resources and status within their institutions and within their local communities. Methodology: The study is descriptive; the data collection method was structured interviews and data were analyzed using content analysis. Findings: Findings indicate that among the most difficult barriers faced by the directors and the faculty was the over subscribed status (more applicants than positions) of the programs. The deans or directors described three significant points that acted as barriers. These were 1) limited space in science laboratory pre-requisite courses, 2) limited classroom space in nursing courses, and 3) limited space in clinical (hospital) sites. The largest single external pressure reported was the reduction in funding and all deans or directors indicated they had difficulty hiring qualified or credentialed faculty. Conclusion: Colleges must manage more effectively student demand by modifying admissions criteria to be more selective and admit students with greater likelihood of graduating; encourage innovative partnerships between employers and schools of nursing; and increasing funding for nursing faculty salaries, classrooms, and laboratories.
Objetivo: El ambiente de un(a) decano(a) o director(a) o de un Programa de Enfermería en un colegio comunitario o una universidad estatal puede ser un reto político, físico y emocional. Hay pocos estudios que investiguen ese ambiente. El propósito de este estudio fue describir las principales barreras e incentivos que enfrentan las(os) decanas(os) o directoras(es) al implementar las intervenciones del Proyecto de Diversidad en Enfermería en el Valle Central. Adicionalmente, se identificaron estrategias exitosas para mantener competitivos a los programas en cuanto a recursos y estatus en las comunidades locales. Metodología: El estudio es descriptivo; la información se recolectó mediante entrevistas estructuradas y fue analizada mediante análisis de contenido. Hallazgos: La barrera más difícil fue la demanda exagerada de los programas. Las(os) decanas(os) o directoras(es) describieron tres barreras significativas: 1) espacio limitado en laboratorios de ciencias para los cursos pre-requisito, 2) espacio limitado en los salones de clase para los cursos de enfermería, 3) espacio limitado en los sitios de práctica clínica. La principal presión externa fue la reducción de financiación, lo que produce dificultades para conseguir docentes calificados. Conclusión: Las instituciones deben manejar más efectivamente la demanda estudiantil, modificar los criterios de admisión para hacerlos más selectivos y admitir estudiantes con mayor posibilidad de graduarse; promover alianzas innovadoras entre empleadores y escuelas de enfermería e incrementar la financiación para salarios de docentes, aulas de clase y laboratorios.
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Education, Nursing , Health Programs and Plans , Physician Executives , Students, NursingABSTRACT
By referring to the development trend in nursing education of foreign countries,this paper explores curriculum reforms from the respects of teaching plans,curriculum setup and teaching modes of international nursing program,so as to highlight the features of international nursing program,and train the advanced competitive nurses adaptive to social requirements.
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Objetivamos compreender a experiência de enfermeiras, na implantação de uma proposta assistencial, visando a adesão à Iniciativa Hospital Amigo da Criança. É uma pesquisa qualitativa, realizada na seção de alojamento conjunto do Hospital Universitário da USP, da qual participaram cinco enfermeiras. A coleta de dados foi realizada através de entrevistas e as narrativas analisadas na perspectiva de Janesick. Dessas narrativas foram extraídas quatro categorias interpretadas sob a ótica de autores que investigam o tema mudança. O estudo permitiu verificar a importância do envolvimento dos clientes internos nos processos de mudança, fornecendo subsídios para a reorganização das atividades assistenciais e gerenciais do referido serviço.
In this study, we seek to understand the experience of nurses in setting up a health care proposal to attain compliance to the initiative: Hospital, a Child's Friend. It is a qualitative survey carried out in the mother-infant joint-lodging of the University Hospital of the University of São Paulo, with the participation of five nurses. Data was collected through interviews and narrative was analyzed from the point of view of Janesick. From these narratives, we extracted for categories interpreted from the point-of-view of authors who research the "change" theme. We found that the involvement of the nurses in processes of change is important and provides input for reorganizing the health care and managerial activities of the service.
Se busca entender la experiencia de enfermeras al implantar una propuesta asistencial con miras a la adherencia a la Iniciativa Hospital Amigo del Niño. Se trata de una investigación cualitativa realizada en la sección del alojamiento conjunto del Hospital Universitario de la USP (Universidad de San Pablo), en la que han participado cinco enfermeras. La recogida de datos ha sido efectuada con entrevistas y los relatos se han analizado dentro de la perspectiva de Janesick. A partir de los relatos se han establecido cuatro categorías interpretadas desde la óptica de autores que investigan sobre cambios. El estudio ha permitido comprobar la importancia del compromiso de los clientes internos en los procesos de cambios, proporcionando subsidios para reorganizar actividades asistenciales y de gestión.