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1.
Article in English | LILACS, INDEXPSI | ID: biblio-1346631

ABSTRACT

Abstract The program Eu Pertenço ao Meu Futuro! (I Belong to My Future!) has evidence of effectiveness in the career adaptability of 9th-year Portuguese students. This study evaluates its effectiveness in two consecutive school years, 2015/16 and 2016/17 - a period with a series of government changes that impacted school educational projects. This study was conducted with 2,376 students (1201 (50.5%) boys; age M = 14.53 years; SD = .836), 1138 of whom were randomized into the experimental group and 816 in the control group. Data were collected by means of the Adaptability Scale, administered in a pre- and posttest with a seven-weeks interval, and treated using the MANOVA. The intervention achieved the expected results regarding confidence and control in 2016/17. The program had different effects in the two school years, reaching more favorable outcomes in the second year, which may be explained by contextual factors and the intervention process.


Resumo O programa Eu Pertenço ao Meu Futuro! tem evidências de eficácia na adaptabilidade de carreira de alunos/as portugueses do 9.º ano escolar. Contudo, variações desta eficácia, nunca foram analisadas. Este estudo teve por objetivo avaliar a eficácia daquele em dois anos letivos consecutivos, 2015/16 e 2016/17, período de mudanças governamentais, com impacto nos projetos educativos das escolas. Participaram 2376 alunos/as [1201 (50.5%) rapazes; idade M = 14.53 anos; DP = .836], 1138 do grupo experimental e 816 do grupo de controlo. Respostas à Escala sobre Adaptabilidade, num pré e pós-teste, intervalados sete semanas, foram tratadas por meio da MANOVA. Os resultados indicam que a intervenção atingiu resultados esperados, na confiança e no controlo, em 2016/17. O programa teve efeitos distintos nos dois anos letivos, mais favoráveis no segundo ano. Torna-se necessário considerar os fatores contextuais e do processo da intervenção que possam explicar tais efeitos.


Resumen El programa Eu Pertenço ao Meu Futuro! ("¡Pertenezco a mi futuro!") tiene evidencia de eficacia en la adaptación de los/las estudiantes portugueses/as del 9.º año. Pero todavía no se han estudiado las variaciones de esta eficacia. Este estudio pretende evaluar la eficacia de esta adaptación en dos años escolares consecutivos, 2015/16 y 2016/17, un período de cambios de gobierno con impactos en los proyectos educativos escolares. Participaron 2.376 estudiantes [1.201 (50,5%) niños; edad M = 14,53 años; DE = .836], 1.138 del grupo experimental y 816 del grupo control. Las respuestas a la Escala de Adaptabilidad, en un pre-test y post-test, con un intervalo de siete semanas, se trataron con MANOVA. Los resultados indican que la intervención logró los resultados esperados en confianza y control en el 2016/17. El programa tuvo diferentes efectos en los años escolares, más favorables en el segundo año. Es necesario considerar los factores contextuales y el proceso de intervención que pueden explicar tales efectos.


Subject(s)
Humans , Adolescent , Vocational Guidance , Career Choice , Compliance , Psychosocial Intervention
2.
Article in Spanish | LILACS | ID: biblio-1281095

ABSTRACT

Introducción: La adherencia al tratamiento de la hipertensión arterial constituye uno de los principales factores para la obtención de un buen control de la tensión arterial y la disminución de complicaciones crónicas que la misma condiciona. Objetivos: El objetivo de este estudio fue determinar la adherencia terapéutica en pacientes hipertensos que acuden al Consultorio Externo de Clínica Médica del Hospital de Clínicas de la Universidad Nacional de Asunción. Materiales y métodos: diseño observacional, descriptivo, de corte transversal. Se incluyó a pacientes adultos con diagnóstico de hipertensión arterial que acudieron al consultorio externo de Clínica Médica del Hospital de Clínicas en el mes de octubre de 2019. Se les aplicó el cuestionario de Morisky de adherencia a la medicación de ocho ítems (MMAS-8) para valorar el cumplimiento terapéutico y se recabaron datos sociodemográficos. Los datos fueron analizados mediante estadística descriptiva. Resultados: se incluyeron 80 sujetos, la media de edad fue de 56,4±12,6 años, 56 (70%) fueron mujeres. Más de la mitad presentó alta adherencia terapéutica (56,25%). Se encontró un nivel de adherencia similar en ambos sexos (57,14% en mujeres y 54,17% en varones). Pacientes en el rango de 18 a 40 años fueron los de mayor cumplimiento (62,5%). La mayoría procedía del Área Metropolitana (71%). La ocupación predominante fue el de quehaceres domésticos (51,25%). La mayor parte de la población presentaba algún grado de formación académica (85%). Se encontró mayor adherencia en pacientes con hipertensión de menos de 5 años de evolución (65%), solteros (66%) y en pacientes que recibían una dosis diaria de la medicación (68,75%). Conclusión: más de la mitad de los hipertensos tiene buen apego terapéutico. Se encontró mayor adherencia en pacientes solteros, menores de 40 años, con algún grado de formación académica, con hipertensión de menos de 5 años de evolución y tratados con monodosis de fármacos.


Introduction: Adherence to the treatment of arterial hypertension constitutes one of the main factors for obtaining a good control of blood pressure and the reduction of chronic complications that it conditions. Objectives: The objective of this study was to determine therapeutic adherence in hypertensive patients who attend the Outpatient Clinic of the Medical Clinic of the Hospital de Clínicas of the National University of Asunción. Materials and methods: observational, descriptive, cross-sectional design. Adult patients with a diagnosis of hypertension who attended the outpatient clinic of the Clínica Médica del Hospital de Clínicas in October 2019 were included. The Morisky questionnaire of adherence to medication of eight items (MMAS-8) was applied. to assess therapeutic compliance and sociodemographic data were collected. The data were analyzed using descriptive statistics. Results: 80 subjects were included, the mean age was 56.4 ± 12.6 years, 56 (70%) were women. More than half had high therapeutic adherence (56.25%). A similar level of adherence was found in both sexes (57.14% in women and 54.17% in men). Patients in the range of 18 to 40 years were those with the highest compliance (62.5%). The majority came from the Metropolitan Area (71%). The predominant occupation was that of housework (51.25%). Most of the population had some degree of academic training (85%). Greater adherence was found in patients with hypertension of less than 5 years of evolution (65%), single (66%) and in patients who received a daily dose of the medication (68.75%). Conclusion: more than half of hypertensive patients have good therapeutic adherence. Greater adherence was found in single patients, under 40 years of age, with some degree of academic training, with hypertension of less than 5 years of evolution and treated with single doses of drugs.


Subject(s)
Hypertension , Surveys and Questionnaires , Compliance , Diagnosis
3.
Article in English | AIM, AIM | ID: biblio-1292354

ABSTRACT

Background: The novel Coronavirus was first detected in Wuhan, China in December 2019. In Ethiopia, The COVID-19 pandemic was expanding geopgraphically overtime. Understanding the spatial variation of the pandemic and the level of compliances towards COVID-19 prevention strategies is important to guide focused prevention and control efforts. Aim: This study aimed to explore the level of compliance and spatial variation in COVID-19 prevention strategies in major cities and towns in the Amhara region, Ethiopia. Methods: A community based observational survey was conducted from June 25 to August 10, 2020, in 16 selected cities and towns of the Amhara region. The level of compliance with hand hygiene, physical distancing and mask utilization as per the WHO recommendations were observed from 6,002 individuals and 346 transport services. Getis-Ord Gi* statistics were used to identify hot spot areas with a low level of compliance with COVID19 preventive strategies. Spatial interpolation was performed to predict the level of compliance for un-sampled areas in the region. Results: The practice of hand hygiene, physical distancing and mask utilization were 12.0%, 13% and 26%, respectively. COVID-19 prevention strategies were found to be spacially non-random in Amhara region (Global Moran's I = 0.23, z-score = 9.5, P-value < 0.001). Poor (Hot Spot Areas) COVID-19 Prevention practices were spatially clustered at Northern Amhara (Metema, Gondar, and Woghemira town) and Western Amhara (Moarkos, Enjibara, And Bahir Dar town).Southern (Shewa Robit, and Kemissie Twon) and Eastern (Dessie, Kombolcha, Wolidiya, and Kobo) parts of the Amhara region were spatially clustered as cold spots (better practice) for COVID19 prevention strategies. With regards to the practice of COVID19 prevention strategies, practices were low in northern and northwestern parts of the region ( 5%), whereas this was found to be much higher in the southern part of the region (41%). Conclusion: The level of compliance with regards to hand hygiene, physical distancing and mask utilization exhibit spatial variation across the region. Continuous community-based education using different modalities are necessary to increase the practice of hand hygiene, physical distancing and mask utilization


Subject(s)
Humans , Compliance , Hand Hygiene , Physical Distancing , COVID-19 , Facial Masks
4.
Rev. bras. orientac. prof ; 21(2): 123-136, jul.-dez. 2020. tab
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1156174

ABSTRACT

A avaliação do processo das intervenções de carreira é uma lacuna da investigação vocacional. Este estudo apresenta a avaliação qualitativa do processo de um programa de gestão pessoal da carreira para universitários, com seis sessões semanais de 120 minutos cada, realizadas com oito grupos distintos. Participaram 42 estudantes, três psicólogas e uma supervisora. Analisou-se o conteúdo das respostas a questões abertas, no início, durante e final do processo de intervenção. As expectativas dos estudantes foram satisfeitas, sobretudo, quanto ao fomento do apoio e à adaptabilidade de carreira. As primeiras sessões satisfizeram expectativas de maior conhecimento de si, do meio e de certeza vocacional e, as últimas, de projeção futura e planejamento. A avaliação do processo demonstra o impacto do programa.


The evaluation of the career intervention process is a research gap. This study presents the qualitative evaluation of the process of a career self-management program for university students, with six weekly sessions of 120 minutes each, held with eight distinct groups. Forty-two students, three psychologists and one supervisor participated. The content of the answers to open questions at the beginning, during and at the end of the intervention process was analyzed. The students’ expectations were met, above all, in terms of fostering support and career adaptability. The first sessions satisfied expectations of greater knowledge of oneself, of the environment and of career certainty, and the last ones of future projection and planning. The evaluation of the process demonstrates the impact of the program.


La evaluación del proceso de intervenciones en la carrera es una laguna en la investigación vocacional. Este estudio presenta la evaluación cualitativa del proceso de un programa de gestión personal de la carrera para estudiantes universitarios, con seis sesiones semanales de 120 minutos cada una, celebradas con ocho grupos distintos. Participaron 42 estudiantes, tres psicólogos y un supervisor. Se analizó el contenido de las respuestas a las preguntas abiertas al principio, durante y al final del proceso de intervención. Las expectativas de los estudiantes se cumplieron, sobre todo, en lo que respecta a la promoción del apoyo y la adaptabilidad de la carrera. Las primeras sesiones satisficieron las expectativas de un mayor conocimiento de sí mismo, del entorno y de la certeza vocacional, y las últimas de proyección y planificación futuras. La evaluación del proceso demuestra el impacto del programa.


Subject(s)
Humans , Male , Female , Organization and Administration , Research , Students , Universities , Vocational Guidance , Compliance , Evaluation Studies as Topic , Planning , Motivation , Occupational Groups
5.
Rev. chil. nutr ; 47(4): 580-587, ago. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1138592

ABSTRACT

RESUMEN El propósito del presente estudio fue determinar la prevalencia de presbifagia en adultos mayores que viven en la comunidad y estudiar el estado nutricional e ingesta alimentaria. Material y métodos: Estudio de caso-control con personas mayores de 65 años, pertenecientes a clubes de adultos mayores de Chillán, Chile. La ingesta alimentaria se evaluó a través de la encuesta de tendencia de consumo cuantificada y encuesta de modificación alimentaria creada y validada para este estudio. La presencia de presbifagia se diagnosticó mediante el cuestionario EAT-10 y el diagnóstico de disfagia por MECV-V realizado por fonoaudiólogo. El estado nutricional se evaluó a través del índice de masa corporal. Resultados: La prevalencia de presbifagia fue de 29,5% y disfagia 14,5%. El 74% de los adultos mayores con presbifagia tenía malnutrición por exceso versus 48% de los con disfagia, el 55,5% tenía un cumplimiento insuficiente de energía, situación que no coincide con el estado nutricional predominante de malnutrición por exceso. Las calorías consumidas fueron en base a carbohidratos y proteínas. Tenían una baja ingesta de agua, fibra, calcio y vitamina D y alto consumo de sodio. Los adultos mayores con disfagia demoran más tiempo en comer y han dejado de consumir alimentos que dificultan la deglución como frutas, carnes y arroz. Conclusión: La prevalencia de adultos mayores que viven en la comunidad con presbifagia fue de 29,5%, con malnutrición por exceso en el 74%, para facilitar el proceso deglutorio los adultos mayores con disfagia realizan modificaciones alimentarias a los sólidos.


ABSTRACT The purpose of the present study was to determine the prevalence of presbyphagia in community-living elderly persons and to study nutritional status and dietary intake. Material and methods: We conducted a case-control study with persons over 65 years of age, belonging to clubs for the elderly in Chillán, Chile. Dietary intake was evaluated through a food frequency questionnaire and food modification survey created and validated for this study. Presbyphagia was diagnosed by means of the EAT-10 questionnaire and dysphagia by a speech therapist with MECV-V. The nutritional status was evaluated through the body mass index. Results: The prevalence of presbyphagia was 29.5% and dysphagia 14.5%. 74% of those with presbyphagia had excess malnutrition versus 48% of those with dysphagia, 55.5% had insufficient energy compliance, a situation that does not coincide with the prevailing nutritional status of excess malnutrition. The calories consumed were based on carbohydrates and proteins. They had a low intake of water, fiber, calcium and vitamin D and high sodium in-take. Elderly persons with dysphagia took longer to eat and reported having stopped eating foods difficult to swallow such as fruits, meats and rice. Conclusion: The prevalence of community-living elderly persons with presbyphagia was 29.5% and, among those with presbyphagia, 74% had excess malnutrition. To facilitate the swallowing process, active elderly persons with dysphagia make food modifications to solid food intake.


Subject(s)
Aged , Aged, 80 and over , Nutritional Status , Compliance , Food , Deglutition Disorders , Body Mass Index , Malnutrition
6.
Rev. Eugenio Espejo ; 14(1): 85-94, 20200615.
Article in Spanish | LILACS | ID: biblio-1117193

ABSTRACT

La presente investigación tuvo como propósito de determinar el nivel de conocimientos sobre prevención radiológica en estudiantes y tutores de la carrera Odontología de la Universidad Nacional de Chimborazo, que participaron en la formación práctica en clínicas integrales de convenio. El estudio fue observacional, descriptivo y de corte transversal. La población estuvo conformada por los 169 estudiantes y 19 docentes tutores de ese entorno de enseñanza; a partir de un muestreo no probabilístico intencional se estableció una muestra de 118 alumnos y 17 profesores. Las técnicas aplicadas fueron la observación y la medición, se diseñó un test de conocimientos sobre prevención radiológica, a través de constructo y compuesto por 10 preguntas, que arrojó un alfa de Cronbach de 0,81. Entre los estudiantes que participaron en el estudio, la mayoría mostró un nivel de conocimiento de prevención radiológica catalogado como No aceptable (62,7%), mientras que entre los docentes primó Aceptable (60%). En relación con el cumplimiento de las medidas de protección radiológica se observaron los mejores resultados en las clínicas III y IV, con valores típicos de 0,43 y 0,40 respectivamente. Existieron diferencias significativas entre el cumplimiento de las medidas de protección radiológica y los conocimientos mostrados a través del test aplicado.


This research aimed to determine the level of knowledge on radiological prevention in students and tutors that participated in practical training of clinics in the dentistry school of Universidad Nacional de Chimborazo. The study was observational, descriptive, and cross-sectional. The population was made up of 169 students and 19 tutors from that teaching environment. A sample of 118 students and 17 teachers was established based on an intentional non-probability sampling. The applied techniques were observation and measurement, a knowledge test on radiological prevention was designed, through a construct and made up of 10 questions, which showed a Cronbach's alpha of 0.81. Among the students who participated in the study, the majority presented a level of knowledge of radiological prevention cataloged as Not acceptable (62.7%), while among the teachers it was acceptable (60%). In relation to compliance with radiological protection measures, the best results were observed in clinics III and IV, with typical values of 0.43 and 0.40, respectively. There were significant differences between compliance with radiological protection measures and the knowledge shown through the applied test.


Subject(s)
Humans , Male , Female , Radiology , Security Measures , Mentors , Compliance , Dentistry , Professional Training
7.
Rev. cub. inf. cienc. salud ; 31(2): e1487, abr.-jun. 2020. fig
Article in Portuguese | LILACS, CUMED | ID: biblio-1149840

ABSTRACT

A implementação de programas de compliance vem sendo cada vez mais difundida nos ambientes organizacionais, se destacando o compliance, com vistas a estar em conformidade com as questões jurídicas, aumentando a eficiência e minimizando os riscos. O objetivo do presente artigo situa-se na análise da difusão do compliance a partir da perspectiva na gestão da informação, bem como seu impacto nos aspectos jurídicos no Brasil, e com isso, refletir sobre as vantagens da adoção desses mecanismos como forma de ganho de competitividade. Dessa maneira, a presente pesquisa realizou um levantamento bibliográfico com o objetivo de realizar uma análise preliminar da gestão da informação enquanto ferramenta organizacional no contexto da saúde. Também foi analisado como o processo de compliance pode fazer uso da informação gerida com o intuito de diminuir o risco e aumentar a competitividade no contexto das organizações que possuem a saúde como área fim. Ressalta-se que se trata de uma pesquisa de caráter preliminar, que buscou chamar a atenção das organizações brasileiras do setor da saúde quanto ao uso da gestão da informação como ferramenta para o compliance. Sendo assim, concluiu-se preliminarmente que a prática do compliance, alinhada ao uso estratégico da informação, pode ser fundamental para a minimização de riscos e aumento da competitividade, especialmente pelo ganho de confiabilidade de ambiente, pautado na integridade e na segurança de investimentos(AU)


La implementación de programas de compliance (cumplimiento normativo) se ha generalizado cada vez más en entornos organizacionales, con miras a cumplir con los problemas legales, aumentar la eficiencia y minimizar los riesgos. El objetivo de este artículo es determinar la difusión del compliance desde la perspectiva de la gestión de la información, así como su impacto en los aspectos legales en Brasil, y con eso, reflexionar sobre las ventajas de adoptar estos mecanismos como una forma de obtener competitividade. En la presente investigación realizó una encuesta bibliográfica con el fin de realizar un análisis preliminar de la gestión de la información como herramienta organizativa en el contexto de la salud. También se analizó cómo el proceso de compliance puede hacer uso de la información administrada para reducir el riesgo y aumentar la competitividad en el contexto de las organizaciones que tienen la salud como área final. Esta es una investigación preliminar, que intenta atraer la atención de las organizaciones brasileñas del sector de la salud en cuanto al uso de la gestión de la información como herramienta para el compliance. Por lo tanto, se concluyó preliminarmente que la práctica del compliance, alineada con el uso estratégico de la información, puede ser fundamental para minimizar los riesgos y aumentar la competitividad, especialmente por la ganancia en la confiabilidad del entorno basada en la integridad y la seguridad de las inversiones(AU)


The implementation of compliance programs has been increasingly widespread in organizational environments, highlighting compliance, with a view to being in compliance with legal issues, increasing efficiency and minimizing risks. The objective of this article is to analyze the diffusion of compliance from the perspective of information management, as well as its impact on legal aspects in Brazil, and with that, to reflect on the advantages of adopting these mechanisms as a way of gaining competitiveness. In this way, the present research carried out a bibliographic survey with the objective of carrying out a preliminary analysis of information management as an organizational tool in the context of health. It was also analyzed how the compliance process can make use of managed information in order to reduce risk and increase competitiveness in the context of organizations that have health as an end area. It should be noted that this is a preliminary research, which sought to draw the attention of Brazilian organizations in the health sector regarding the use of information management as a tool for compliance. Therefore, it was preliminarily concluded that the practice of compliance, in line with the strategic use of information, can be fundamental to minimize risks and increase competitiveness, especially due to the gain in the reliability of the environment based on the integrity and security of investments(AU)


Subject(s)
Humans , Compliance , Diffusion , Information
8.
Rev. colomb. anestesiol ; 48(1): 12-19, Jan.-Mar. 2020. graf
Article in English | LILACS, COLNAL | ID: biblio-1092915

ABSTRACT

Abstract Introduction: In the age of healthcare safety, compliance with checklists and time tracking in surgery continue to be a gray zone in care processes. The technology applied to approach this issue and other scenarios, may contribute to solve a problem that impacts welfare and the healthcare sector economics. Objective: To introduce the design and construction of the MyCheckTime® software that incorporates Toyota's Lean methodology under the concept of Bundles. Materials and methods: Using a conceptual map, 5 measures were incorporated into the bundle; the MyCheckTime® platform was built based on a software code developed in Java8, PHP, Javascript, HTML5, Angular4, MongoDB-MySQL databases, and Docker, Ionic, VertX, Laravel-implemented technologies. Results: A software (MyCheckTime®) was constructed based on an App available for tablets and IOS and Android system-based mobile devices; a web-based platform and a database. The software captures the patient's circuit in the surgical area in real time, and records the times in which the checklists were conducted. Conclusion: MyCheckTime® is a Lean Methodology-based software that potentially enables the surgical team to deliver more efficient, safer, and timely care, allowing real time recording of the patient's circuit in the surgery area.


Resumen Introducción: En la era de la seguridad en la atención en salud, la de atención. La tecnología aplicada a esta problemática, al igual que adherencia a las listas de verificación y el seguimiento de tiempos otros escenarios, podrá contribuir a solucionar un problema que en el área de cirugía, continúan siendo puntos grises en los procesos de atención. La tecnología aplicada a esta problemática, al igual que otros escenarios, podrá contribuir a solucionar un problema que impacta el bienestar y la economía en el sector salud. Objetivo: Presentar el diseño y construcción del software MyCheckTime® que incorpora la metodología Lean de Toyota, bajo el concepto Bundles. Materiales y métodos: Mediante un mapa conceptual se incorporaron cinco medidas al paquete y se construyó una plataforma llamada MyCheckTime® con un código de software desarrollado en Java8, PHP, Javascript, HTML5, Angular4, bases de datos MongoDB-MySQL y tecnologías implementadas Docker, Ionic, VertX, Laravel. Resultados: Se construyó un software (MyCheckTime® ), compuesto por una App disponible para tabletas y móviles con sistema IOS o Android; una plataforma en la web y una base de datos. El software captura en tiempo real el circuito del paciente en el área de cirugía y registra los momentos en que se realizaron las listas de verificación. Conclusión: MyCheckTime® es un software basado en la Metodología Lean que potencialmente permitirá al equipo quirúrgico brindar una atención más eficiente, segura, y oportuna, permitiendo el registro en tiempo real del circuito que el paciente hace en el área de cirugía.


Subject(s)
Humans , Software , Aftercare , Compliance , Delivery of Health Care , Quality of Health Care , Surgical Equipment , Technology , Health Care Sector , Computers, Handheld
9.
Acta bioquím. clín. latinoam ; 54(1): 45-54, mar. 2020. ilus, graf, tab
Article in Spanish | LILACS | ID: biblio-1130578

ABSTRACT

Los valores criticos (VC) son resultados de laboratorio que deben comunicarse inmediatamente al profesional responsable, representan una amenaza para la vida del paciente y requieren atencion clinica urgente. La deteccion y comunicacion efectiva de valores criticos (CEVC) impacta directamente en la seguridad del paciente y es responsabilidad del laboratorio. Entes acreditadores y la International Organization of Standardization (ISO- 15189:2012) incluyen los VC entre sus requisitos. En 2017 se desarrollo un proyecto para garantizar la CEVC en el Hospital Garrahan. Se reviso el proceso de CEVC documentado en 2015. Se realizaron encuestas y reuniones dentro del laboratorio que evidenciaron falta de adherencia al mismo. Los VC no se comunicaban de la forma estandarizada y frecuentemente no se registraban. Se evaluaron las causas utilizando el diagrama de Ishikawa, lo que reflejo ausencia de consenso para elaborar el documento inicial. Se realizaron encuestas y reuniones intralaboratorio y con los servicios medicos, para consensuar aspectos relacionados con la CEVC y umbrales para diferentes analitos. Se acordo un nuevo listado de VC y otro de valores de informe inmediato en los que era necesario garantizar la comunicacion efectiva, aunque no requirieran intervencion medica urgente. Se protocolizo la CEVC: informe telefonico al medico tratante registrado en un formulario estandar. Se redacto y difundio un nuevo procedimiento. Se desarrollo un sistema de monitoreo con indicadores de calidad. Promover la mejora continua y desarrollar proyectos interdisciplinarios favorece la atencion centrada en el paciente y su familia. El trabajo mancomunado de diferentes servicios permitio consensuar la lista de VC y un protocolo de comunicacion acorde a las necesidades de esta institucion pediatrica.


The critical values (CV) are laboratory results that should be reported immediately to the responsible professionals, representing a threat to the patient's life and being required for urgent clinical attention. Detection and effective communication of the critical values (ECCV) impacts directly on the patient's College of Americans Pathologists (CAP), Joint Commission on Accreditation of Health Care Organizations (JCAHO), Clinical Laboratory Improvements Amendments (CLIA) e safety and it is the laboratory's responsibility. Accrediting bodies and the International Organization of Standardization (ISO 15189:2012) include CV among their mandatory requisites. In 2017, a project was developed to guarantee the ECCV at the Hospital Garrahan. The ECCV process documented in 2015 was reviewed. Surveys and assemblies were carried out within the laboratory, finding evidence of the lack of compliance with standard procedures. The CV were neither reported according to the expected standardized rules nor registered regularly. The causes were evaluated using the Ishikawa diagram, which reflected the absence of consensus to elaborate the initial document. Surveys and intra-laboratory assemblies were performed alongside with medical Departments staff, in order to come to terms on aspects related to the ECCV as well as thresholds for different analytes. Agreement was reached on a new CV list and another list for immediate reporting, in which it is essential to guarantee effective communication, even though they do not require urgent medical intervention. The ECCV was standardized through a telephone report to the treating physician registered in standard forms. A new operation procedure was edited and shared. A monitoring system with quality indicators was developed. Promoting continuous improvements as well as developing interdisciplinary projects enhance patient and family-centred care. The joint work of different Service Departments made it possible to issue the CV list and a communication protocol according to the needs of this pediatric institution.


Os valores críticos (VC) são resultados laboratoriais que devem ser imediatamente comunicados ao profissional responsável, representam uma ameaça para a vida do paciente e requerem atenção clínica urgente. A detecção e comunicação efetiva de valores críticos (CEVC) é de responsabilidade do laboratório e impacta diretamente na segurança do paciente. Organismos de acreditação e a Organização Internacional de Padronização (ISO-15189: 2012) incluem os VC entre seus requisitos. Em 2017, um projeto foi desenvolvido para garantir a CEVC no Hospital Garrahan. O processo do CEVC documentado em 2015 foi revisado. Pesquisas e reuniões foram realizadas dentro do laboratório, evidenciando a falta de adesão a ele. VC não se comunicavam de maneira padronizada e frequentemente não se registravam. As causas foram avaliadas, usando o diagrama de Ishikawa, refletindo a ausência de consenso para preparar o documento inicial. Pesquisas e reuniões foram realizadas dentro do laboratório e com os serviços médicos, para acordar aspectos relacionados à CEVC e limiares para diferentes analitos. Uma nova listagem de VC foi acordada e outra de valores de relatório imediato nas quais era necessário garantir a comunicação efetiva, mesmo que não exijissem intervenção médica urgente. O CEVC foi registrado: relatório telefônico para o médico responsável pelo tratamento registrado em um formulário padrão. Um novo procedimento foi escrito e divulgado. Um sistema de monitoramento com indicadores de qualidade foi desenvolvido. Promover a melhoria contínua e desenvolver projetos interdisciplinares favorece o cuidado centrado no paciente e sua família. O trabalho conjunto de diferentes serviços permitiu chegar a um consenso sobre a lista de VC e um protocolo de comunicação de acordo com as necessidades dessa instituição pediátrica.


Subject(s)
Pediatrics , Patient-Centered Care , Patient Safety , Laboratories/standards , Reference Standards , Attention , Records , Causality , Compliance , Life , Quality Management , Protocols , Notification , Patient Safety/standards , Laboratory Critical Values , Accreditation , Joints , Laboratories/ethics
10.
Cienc. enferm. (En línea) ; 26: 3, 2020. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1114712

ABSTRACT

Objetivo: Determinar a relação existente entre inteligência emocional e estresse académico dos estudantes de enfermagem. Material e Método: Estudo ex post facto, descritivo, transversal na Faculdade de Enfermagem de uma universidade peruana. De uma população de 320 estudantes de Enfermagem matriculados no semestre VII, foi obtida uma amostra não probabilística de 30 estudantes que foram informados e consentiram sua participação. Foram utilizados 2 instrumentos: Um preparado pelo Bar-On, validado para o Peru para medir Inteligência Emocional e o inventário SISCO para Estresse académico. Para medidas psicométricas foi usado o alfa de Cronbach, análise descritiva em tabelas de distribuição de frequências, medidas de tendência central e dispersão. Para encontrar uma associação entre Inteligência Emocional e Estresse acadêmico utilizou-se o Chi2 . O estudo foi aprovado pelo Comitê de Ética do Instituto de Pesquisa da Faculdade de Enfermagem. Resultados: Os estudantes têm pouca Inteligência emocional em relação às dimensões Intrapessoais e Adaptabilidade; a Inteligência interpessoal e as dimensões gerais do humor são as mais desenvolvidas. As cinco dimensões da Inteligência emocional estão relacionadas com episódios de estresse em estudantes que já apresentaram essa situação. Conclusões: Não foi encontrada associação entre as dimensões da Inteligência Emocional e o Estresse acadêmico em Estudantes de Enfermagem do semestre VII. É preciso trabalhar para melhorar a qualidade da educação durante o processo de formação profissional e considerar o aspecto emocional para desenvolver um processo abrangente de ensino-aprendizagem.


Objetivo: Determinar la relación que existe entre inteligencia emocional y estrés académico de los estudiantes de enfermería. Material y Método: Estudio ex post facto, descriptivo, transversal en una Facultad de Enfermería de una universidad peruana. De una población de 320 estudiantes de Enfermería, matriculados en VII semestre, se obtuvo una muestra no probabilística de 30 discentes que consintieron informadamente a participar. Se emplearon 2 instrumentos: Uno elaborado por Bar-On, validado en Perú para medir Inteligencia Emocional y el Inventario SISCO para Estrés académico. Para medidas psicométricas se empleó el alfa de Cronbach y análisis descriptivo en tablas de distribución de frecuencias, medidas de tendencia central y dispersión. Para buscar asociación entre Inteligencia emocional y Estrés académico se utilizó Chi-cuadrado (X2). El estudio fue aprobado por el Comité de Ética del Instituto de Investigación de la Facultad de Enfermería. Resultados: Los estudiantes poseen escaza inteligencia emocional en relación con las dimensiones Intrapersonal y Adaptabilidad; las dimensiones Inteligencia interpersonal y Estado de ánimo general son las más desarrolladas en ellos. Las cinco dimensiones de la Inteligencia emocional están relacionadas con episodios de estrés en estudiantes que alguna vez presentaron esta situación. Conclusiones: No se encontró asociación entre las dimensiones de la Inteligencia emocional y la frecuencia del Estrés académico en estudiantes de Enfermería del VII semestre. Es necesario trabajar por mejorar la calidad educativa durante el proceso de formación profesional y considerar el aspecto emocional para desarrollar un proceso enseñanza-aprendizaje integral.


Objective: To determine the relationship between emotional intelligence and academic stress among nursing students. Material and Method: Ex post facto, descriptive, cross-sectional study carried out in the Faculty of Nursing of a Peruvian University. A non-probabilistic sample of 30 students, who informedly consented to participate, was obtained from a population of 320 nursing students enrolled in the 7th semester. Two instruments were used: one prepared by Bar-On, validated for Peru to measure emotional intelligence and the SISCO Inventory for Academic Stress. For psychometric measurements, Cronbach's alpha, descriptive analysis in frequency distribution tables, central tendencies and dispersion measurements were used. To establish a relationship between emotional intelligence and academic stress, Chi-squared (X2) test was used. The study was approved by the Ethics Committee of the Research Institute of the Faculty of Nursing. Results: The students showed a lack of Emotional intelligence in relation to the Intrapersonal and Adaptability dimensions. The Interpersonal intelligence and general mood are the most developed. The five dimensions of Emotional intelligence are related to stress episodes of students who have been affected by this situation. Conclusions: There is no significant relationship between emotional intelligence and frequency of academic stress among nursing students in the 7th semester. Nevertheless, it is necessary to work in order to improve the educational quality during the process of professional training and to consider the emotional component to develop a comprehensive teaching and learning process.


Subject(s)
Humans , Stress, Psychological/epidemiology , Students, Nursing , Emotional Intelligence , Peru , Universities , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Compliance , Social Skills
12.
Rev. iberoam. psicol. (En línea) ; 13(2): 69-78, 2020. tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1247645

ABSTRACT

Las conductas violentas en el noviazgo de adolescentes han sido objeto de especial interés en las últimas décadas. En su estudio se han abordado diversos factores individuales, relacionales, familiares y sociales. En el caso de los aspectos familiares, se ha sugerido que la vivencia de experiencias negativas en el seno familiar podría funcionar como factor de riesgo para la aparición de conductas violentas. Por ello, el presente estudio explora las diferencias por sexo en cuanto a la violencia sufrida y cometida, así como la posible asociación entre la cohesión y la adaptabilidad familiar con la frecuencia de conductas violentas cometidas o sufridas en una muestra participantes. Participaron 161 mujeres y 151 hombres, con edades entre los 15 y 19 años (M= 16.73; DT=1.093), originarios del estado de Colima, México. Entre los diversos resultados obtenidos destaca que no se hallaron diferencias estadísticamente significativas en los diversos tipos de violencia evaluados, aunque los hombres señalaron haber sufrido más violencia que las mujeres. Añadido a ello, ambos sexos señalaron mayor frecuencia en conductas específicas de control hacia su pareja y presión para sostener relaciones sexuales. Con respecto a la asociación teórica entre funcionamiento familiar, evaluado a través de la cohesión y adaptabilidad, y la violencia cometida y sufrida, solo se hallaron correlaciones muy débiles. Se discuten los resultados enfatizando la prevención de la minimización o normalización de conductas específicas de control entre los y las jóvenes.


Violent behavior in adolescent dating has been an object of special interest in recent decades. Individual, relational, family and social factors have been prioritized in its research. In the case of family aspects, it has been suggested that the experience of negative experiences in the family could work as a risk factor for the manifestation of violent behavior. Therefore, the present study explores the differences by sex in terms of violence suffered and committed, as well as the possible association between cohesion and family adaptability with the frequency of violent behaviors committed or suffered in the participating sample. 161 women and 151 men participated, aged between 15 and 19 years (M = 16.73; DT = 1.093), originating in the state of Colima, Mexico. Among the various results obtained, it is pointed out that no statistically significant differences were found in the different types of violence evaluated, although men indicated that they suffered more violence than women. Besides, both sexes indicated greater frequency in specific behaviors of control towards their partner and pressure to sustain sexual relations. With respect to the theoretical association between family functioning, assessed through cohesion and adaptability, and the violence committed and suffered, only very weak correlations were found. The results are discussed emphasizing the prevention of the minimization or normalization of specific control behaviors among young people


Subject(s)
Humans , Research , Models, Psychological , Schools , Students , Behavior , Risk Factors , Compliance , Faculty , Respect
13.
Rev. iberoam. psicol. (En línea) ; 13(2): 71-82, 2020. tab
Article in Spanish | LILACS, COLNAL | ID: biblio-1247656

ABSTRACT

Las conductas violentas en el noviazgo de adolescentes ha sido objeto de interés en las últimas décadas. En su estudio se han priorizado diversos factores individuales, relacionales, familiares y sociales. En el caso de los aspectos familiares, se ha sugerido que la vivencia de experiencias negativas en el seno familiar podría funcionar como factor de riesgo para la aparición de conductas violentas. Por ello, el presente estudio explora las diferencias por sexo en cuanto a la violencia sufrida y cometida, así como la posible asociación entre la cohesión y la adaptabilidad familiar con la frecuencia de conductas violentas cometidas o sufridas en la muestra participante. Participaron 161 mujeres y 151 hombres, con edades entre los 15 y 19 años (M= 16.73; DT=1.093), originarios del estado de Colima, México. Entre los diversos resultados obtenidos destaca que no se hallaron diferencias estadísticamente significativas en los diversos tipos de violencia evaluados, aunque los hombres señalaron haber sufrido más violencia que las mujeres. Añadido a ello, ambos sexos señalaron mayor frecuencia en conductas específicas de control hacia su pareja y presión para sostener relaciones sexuales. Con respecto a la asociación teórica entre funcionamiento familiar, evaluado a través de la cohesión y adaptabilidad, y la violencia cometida y sufrida, solo se hallaron correlaciones muy débiles. Se discuten los resultados enfatizando la prevención de la minimización o normalización de conductas específicas de control entre los y las jóvenes.


Violent teen dating behavior has been the subject of interest in recent decades. In his study, various individual, relational, family and social factors have been prioritized. In the case of family aspects, it has been suggested that the experience of negative experiences within the family could function as a risk factor for the appearance of violent behaviors. Therefore, the present study explores the differences by sex in terms of violence suffered and committed, as well as the possible association between cohesion and family adaptability with the frequency of violent behaviors committed or suffered in the participating sample. 161 women and 151 men participated, aged between 15 and 19 years (M = 16.73; SD = 1,093), originally from the state of Colima, Mexico. Among the various results obtained, it stands out that no statistically significant differences were found in the various types of violence evaluated, although men reported having suffered more violence than women. Added to this, both sexes reported a higher frequency in specific behaviors of control towards their partner and pressure to have sexual relations. Regarding the theoretical association between family functioning, evaluated through cohesion and adaptability, and the violence committed and suffered, only very weak correlations were found. The results are discussed emphasizing the prevention of the minimization or normalization of specific control behaviors among young people.


Subject(s)
Humans , Violence , Intimate Partner Violence , Sex , Behavior , Family , Compliance
14.
Article in Korean | WPRIM | ID: wpr-811246

ABSTRACT

This paper reviews the updated findings, including the current clinical guidelines and recent research trends, on the pathophysiology, diagnosis, and treatment of obstructive sleep apnea (OSA), a common sleep disorder associated with medical and mental disorders. The pathophysiology of OSA is believed to be related not only to the anatomical causes of the upper airway but also to the comparative anatomical mechanisms, such as the upper airway muscle function, arousal threshold, and loop gain. When OSA is suspected of being a clinical symptom or sign, a sleep study should be used for a diagnosis of OSA. Traditionally, continuous positive airway pressure has been the most effective first-line treatment for OSA. On the other hand, there could be a limitation of long-term compliance and new therapies that are suitable for the diverse mechanisms of OSA have been proposed or studied. In the future, the treatment of enhancing the effect through a more individualized consideration should be applied for OSA.


Subject(s)
Arousal , Compliance , Continuous Positive Airway Pressure , Diagnosis , Hand , Mental Disorders , Respiration , Sleep Apnea, Obstructive , Sleep Wake Disorders
17.
Article in English | WPRIM | ID: wpr-785394

ABSTRACT

BACKGROUND: Poor reporting quality in diagnostic accuracy studies hampers an adequate judgment of the validity of the study. The Standards for Reporting of Diagnostic Accuracy Studies (STARD) statement was published to improve the reporting quality of diagnostic accuracy studies. This study aimed to evaluate the adherence of diagnostic accuracy studies published in Annals of Laboratory Medicine (ALM) to STARD 2015 and to identify directions for improvement in the reporting quality of these studies.METHODS: Two independent authors assessed articles published in ALM between 2012–2018 for compliance with 30 STARD 2015 checklist items to identify all eligible diagnostic accuracy studies published during this period. We included 66 diagnostic accuracy studies. A total of the fulfilled STARD items were calculated, and adherence was analyzed on an individual-item basis.RESULTS: The overall mean±SD number of STARD items reported for the included studies was 11.2±2.7. Only five (7.6%) studies adhered to more than 50% of the 30 items. No study satisfied more than 80% of the items. Large variability in adherence to reporting standards was detected across items, ranging from 0% to 100%.CONCLUSIONS: Adherence to STARD 2015 is suboptimal among diagnostic accuracy studies published in ALM. Our study emphasizes the necessity of adherence to STARD to improve the reporting quality of future diagnostic accuracy studies to be published in ALM.


Subject(s)
Checklist , Compliance , Diagnostic Tests, Routine , Judgment
18.
Korean Circulation Journal ; : 432-440, 2020.
Article in English | WPRIM | ID: wpr-816673

ABSTRACT

BACKGROUND AND OBJECTIVES: Although dietary management is strongly recommended in patients with hypertension, little is known about how many manage their diet and follow the guidelines for hypertension. We investigated the prevalence of dietary management among adults with known hypertension and evaluated their compliance to the dietary guidelines.METHODS: Data from the Korea National Health and Nutrition Examination Survey 2013–2016 were used. Among 15,870 adults aged 30–79 years, 4,162 reported a physician-diagnosed hypertension. Diet management behavior was defined by self-report response. Actual dietary intake was assessed by a 24-hour dietary recall. Dietary quality was evaluated using the Korean Healthy Eating Index (KHEI).RESULTS: Among adults with hypertension, 28.0% reported that they were managing their diet. Those with hypertension consumed significantly less dietary sodium (p value<0.01), but also less potassium (p value<0.01), resulting in no difference of sodium-to-potassium ratio compared to those without hypertension (p value=0.66). Among those with hypertension, diet-managing adults had better KHEI score (66.9, p value<0.01) and consumed less sodium (3,354.3 mg, p value<0.01) than not-managing adults (63.6 score and 3,554.5 mg, respectively). However, total KHEI score was rather lower in those with hypertension (p value<0.01) than those without hypertension and their sodium intake was still over the recommended amount.CONCLUSIONS: More than two-thirds of Korean adults with hypertension did not manage their diet in daily life. More effective strategies are needed to increase the level of compliance with dietary recommendations for people with high blood pressure.


Subject(s)
Adult , Compliance , Diet Therapy , Diet , Eating , Humans , Hypertension , Korea , Nutrition Policy , Nutrition Surveys , Potassium , Prevalence , Self Care , Sodium , Sodium, Dietary
19.
Rev. chil. ter. ocup ; 19(2): 73-86, dic. 2019. tab
Article in Spanish | LILACS | ID: biblio-1121471

ABSTRACT

La presente investigación tuvo como objetivo analizar los factores contextuales ambientales que se vinculan al desempeño ocupacional de personas en situación de discapacidad en las áreas trabajo / estudio y tiempo libre / ocio (actividades recreativas); y a partir de estos resultados comprender sus vivencias de inclusión social. Se propuso un diseño transversal exploratorio y descriptivo, empleando una metodología cualitativa que permitiera analizar, comprensiva e interpretativamente, la perspectiva del sujeto estudiado a partir de escenarios particulares. El grupo de estudio, seleccionado por conveniencia, se conformó de veinte personas en situación de discapacidad, cuyas edades oscilaron entre 19 y 60 años. Los datos se obtuvieron a través de entrevistas estandarizadas no programadas. Los resultados más destacados indican que existen factores contextuales ambientales, físicos y sociales que interfieren en el desempeño ocupacional autónomo de las personas del grupo estudiado; especialmente barreras arquitectónicas, ausencia de dispositivos tecnológicos de ayuda, falta de cumplimiento de legislación vigente y en algunos casos las actitudes negativas de las personas del entorno inmediato, ya sea educativo como comunitario. De las experiencias subjetivas relatadas emerge el sentido de inclusión como la capacidad de sentirse productivo y autónomo en igualdad de condiciones. Quedan abiertas varias líneas para continuar investigando, vinculadas a cada uno de los factores estudiados y a la concepción de inclusión.


The objective of this research was to analyze the environmental contextual factors that are linked to the occupational performance of people with disabilities in the areas of work / study and leisure time / leisure; and from these results to understand their experiences of social inclusion. An exploratory and descriptive cross-sectional design was proposed, using a qualitative methodology that allowed analyzing, comprehensively and interpretively, the perspective of the subject studied from particular scenarios. The study group, selected for convenience, was made up of twenty people with disabilities, whose ages ranged between 19 and 60 years. The data was obtained through standardized unscheduled interviews. The most outstanding results indicate that there are environmental, physical and social contextual factors that interfere in the autonomous occupational performance of the people of the group studied; especially architectural barriers, absence of technological aid devices, lack of compliance with current legislation, and in some cases, the negative attitudes of people in the immediate environment, whether educational or community. From the subjective experiences reported, the sense of inclusion emerges as the ability to feel productive and autonomous under equal conditions. Several lines are open to continue research, linked to each of the factors studied and the conception of inclusion.


Subject(s)
Occupational Therapy , Disabled Persons , Compliance , Environment , Argentina
20.
rev. psicogente ; 22(41): 112-139, ene.-jun. 2019. tab, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-1014778

ABSTRACT

Resumen Objetivo: Explicar el desempeño de una red de conocimiento, entendida desde la psicología de la inclusión como un sistema de gestión, producción y transferencia entre las demandas del entorno y las capacidades de la organización. Método: Se realizó un estudio no experimental, transversal y correlacional con una selección muestral no probabilística de 300 administrativos, docentes y estudiantes de una universidad pública, considerando su interacción en prácticas profesionales. Se utilizó la Escala de Complejidad Organizacional de García (2016), la cual es una síntesis de 1) Inventario de Estrategias de Pensamiento (Torkamani & Mahmoudi, 2016); 2) Escala de Inteligencia Competitiva (Saleh, Rahimi & Amirnejad, 2015); 3) Cuestionario de Aprendizaje Organizacional (Erfani & Jafari, 2013), los cuales se procesaron con la técnica Delphi. Resultados: El grado de aprendizaje de la red de conocimiento siguió un patrón selectivo, ya que las posibles combinaciones de las redes de conocimiento sugieren que la capa de entrada al estar regulada por la capa intermedia refleja, en la capa de salida, una gestión, producción y transferencia de conocimiento en función de las tareas más que de los objetivos o las metas. Se advierte la emergencia de una inteligencia organizacional centrada en cuatro factores: Autorregulación, disipación, adaptabilidad y dinamismo. Conclusión: Se advierten líneas de investigación alusivas a las posibles relaciones entre factores tales como la motivación al logro, la utilidad esperada o la facilidad de llevar a cabo una tarea en red como determinantes del clima de tareas, principal factor emergente de la red de conocimiento.


Abstract Objective: To explain the performance of a knowledge network, understood as a system of management, production and transfer between the demands of the environment and the capabilities of the organization. Method: A non-experimental, cross-sectional and correlational study was carried out with a non-probabilistic sample selection of 300 administrative staff, teachers and students of a public university, considering their interaction in professional practices. The Organizational Complexity Scale de García (2016) was used, which is a synthesis of 1) Inventory of Thinking Strategies (Torkamani & Mahmoudi, 2016); 2) Scale of Competitive Intelligence (Saleh, Rahimi & Amirnejad, 2015); 3) Organizational Learning Questionnaire (Erfani & Jafari, 2013) which were processed with the Delphi technique. Results: The degree of learning of the knowledge network followed a selective pattern because, the possible combinations of the knowledge networks suggest that the input layer, when regulated by the intermediate layer, reflects in the output layer; management, production and transfer of knowledge in terms of tasks rather than objectives or goals. One can see the emergence of an organizational intelligence centered on four factors: self-regulation, dissipation, adaptability and dynamism. Conclusion: There are lines of research alluding to the possible relationships between factors such as the motivation to achieve, the expected utility or the ease of carrying out a network task as determinants of the task climate, the main emerging factor of the knowledge network.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Organization and Administration , Organizational Culture , Organizations , Environment , Knowledge Management , Professional Practice , Universities , Delphi Technique , Compliance , Economics , Intelligence , Motivation
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