ABSTRACT
Introducción. El jefe de residentes es una figura estratégica en el liderazgo y cohesión entre los residentes.Objetivo. Caracterizar actividades desarrolladas por jefes de residentes e identificar logros y dificultades.Métodos. Se realizó una encuesta; sobre variables demográficas, actividades desarrolladas, situaciones más y menos gratificantes, necesidad de capacitación.Resultados. Contestaron el 88 % de los jefes de residentes; el 46 % fueron mujeres. Las actividades fueron asistenciales (el 26 %), gestión académica (el 25 %), docentes (el 24 %), administrativas (el 16 %) e investigación (el 10 %).La situación más gratificante fue el desarrollo del rol docente, y la menos gratificante, las dificultades en el manejo de relaciones interpersonales. El 57 % reconoció la falta de capacitación, y el 95 % recomendaría realizar la jefatura de residentes.Conclusión. La situación más gratificante fue el desarrollo del rol docente, y la menos gratificante, las dificultades en el manejo de relaciones interpersonales
Introduction. The chief resident plays a strategic role in terms of leadership and cohesion among residents.Objective. To characterize the activities developed by chief residents and identify their achievements and difficulties.Methods. A survey about demographic outcome measures, activities performed, most and least gratifying situations, and training needs was completed.Results. In total, 88 % of chief residents completed the survey; 46 % were females. Activities were related to health care (26 %), academic management (25 %), teaching (24 %), administration (16 %), and research (10 %). The most gratifying situation was playing a teaching role, and the least gratifying one were difficulties in the management of interpersonal relations. A lack of training was recognized by 57 %, whereas 95 % would recommend becoming a chief resident.Conclusion. The most gratifying situation was playing a teaching role, and the least gratifying one were difficulties in the management of interpersonal relations
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Teaching , Hospitals, Teaching , Leadership , Role , Surveys and Questionnaires , Education, Graduate , Faculty , Internship and ResidencyABSTRACT
INTRODUCTION: The chief resident plays a strategic role in terms of leadership and cohesion among residents. OBJECTIVE: To characterize the activities developed by chief residents and identify their achievements and difficulties. METHODS: A survey about demographic outcome measures, activities performed, most and least gratifying situations, and training needs was completed. RESULTS: In total, 88 % of chief residents completed the survey; 46 % were females. Activities were related to health care (26 %), academic management (25 %), teaching (24 %), administration (16 %), and research (10 %). The most gratifying situation was playing a teaching role, and the least gratifying one were difficulties in the management of interpersonal relations. A lack of training was recognized by 57 %, whereas 95 % would recommend becoming a chief resident. CONCLUSION: The most gratifying situation was playing a teaching role, and the least gratifying one were difficulties in the management of interpersonal relations.
Introducción. El jefe de residentes es una figura estratégica en el liderazgo y cohesión entre los residentes. Objetivo. Caracterizar actividades desarrolladas por jefes de residentes e identificar logros y dificultades. Métodos. Se realizó una encuesta; sobre variables demográficas, actividades desarrolladas, situaciones más y menos gratificantes, necesidad de capacitación. Resultados. Contestaron el 88 % de los jefes de residentes; el 46 % fueron mujeres. Las actividades fueron asistenciales (el 26 %), gestión académica (el 25 %), docentes (el 24 %), administrativas (el 16 %) e investigación (el 10 %). La situación más gratificante fue el desarrollo del rol docente, y la menos gratificante, las dificultades en el manejo de relaciones interpersonales. El 57 % reconoció la falta de capacitación, y el 95 % recomendaría realizar la jefatura de residentes. Conclusión. La situación más gratificante fue el desarrollo del rol docente, y la menos gratificante, las dificultades en el manejo de relaciones interpersonales.
Subject(s)
Hospitals, Community/organization & administration , Hospitals, Teaching/organization & administration , Internship and Residency/organization & administration , Leadership , Physician's Role , Adult , Argentina , Attitude of Health Personnel , Clinical Competence , Female , Humans , Interprofessional Relations , Job Satisfaction , Male , Physician's Role/psychology , Surveys and QuestionnairesABSTRACT
Education for communication in the encounter between patients and colleagues is often absent in the curricula of careers related to the field of health. This article draws on some experiences, achievements and questions raised during teaching and learning activities on narrative skills. From a collaborative and dialogic perspective, these proposals aim to contribute to the dissolution of a binary perspective and to facilitate processes of understanding and construction of meanings and possibilities.
Subject(s)
Health Personnel , Narrative Medicine , Humans , TeachingABSTRACT
Objetivo. Evaluar la percepción de la calidad de la comunicación en el pase de guardia en las áreas de cuidados intensivos. Materiales y métodos. Estudio de corte transversal en un hospital universitario. Se evaluó la percepción de la calidad de la información sobre los pacientes recibida en el pase de guardia y la posibilidad de confundir la información de un paciente con la de otro, en los médicos que realizan guardias en las áreas de cuidados intensivos. Resultados. La información fue percibida como de "buena" calidad si el pase de guardia se desarrollaba en las áreas pediátricas (85,7%), en un ámbito tranquilo (74,4%), siguiendo una sistemática de presentación de pacientes (82,9%), si el médico estaba a cargo de menos de 17 pacientes (91%) y si había recibido formación para comunicarse en los pases de guardia (87,5%). No se observó una asociación significativa con las otras variables analizadas. La posibilidad de confundir la información de un paciente con la de otro fue percibida como "baja" si el pase se realizaba en áreas pediátricas (95,2%), se seguía una sistemática de presentación (80%), no existían más de tres interrupciones (84,6%), el médico estaba a cargo de menos de 17 pacientes (90,9%), había recibido formación para comunicar en el pase de guardia (91,7%) y era médico de planta (77,1%). Conclusiones. La percepción de la calidad de la información recibida en el pase de guardia y la posibilidad de confundir la información de un paciente con la de otro se asociaron con aspectos ambientales, organizativos y educacionales potencialmente mejorables.
Objective. To assess how the quality of communication is perceived during patient handoff in areas of intensive care. Materials and Methods. Cross-sectional study conducted at a university hospital. The study assessed the perception of the quality of information received during patient handoff and the chance of physicians working on-call shifts in intensive care areas mistaking the information of one patient with that of another one. Results. Information was perceived as being "good" quality when patient handoff took place in pediatric areas (85.7%), it was conducted in a calm environment (74.4%), it was performed according to a case presentation system (82.9%), the physician was responsible for less than 17 patients (91%), and training on handoff communication had been provided (87.5%). No significant association with the rest of the analyzed outcome measures was observed. The chance of mistaking information of one patient with that of another one was perceived as "low" when handoff took place in pediatric areas (95.2%), it was performed according to a case presentation system (80%), there were not more than three interruptions (84.6%), the physician was responsible for less than 17 patients (90.9%), training on handoff communication had been provided (91.7%), and the physician was a staff doctor (77.1%). Conclusions. The quality of information received during patient handoff and the chance of mistaking the information of one patient with that of another one were associated with environmental, organizational and educational aspects that can potentially be improved.
Subject(s)
Humans , Communication , Intensive Care Units , Patient Handoff , Attitude of Health Personnel , Cross-Sectional Studies , Hospitals, University , Medical Staff, HospitalABSTRACT
Objetivo. Evaluar la percepción de la calidad de la comunicación en el pase de guardia en las áreas de cuidados intensivos. Materiales y métodos. Estudio de corte transversal en un hospital universitario. Se evaluó la percepción de la calidad de la información sobre los pacientes recibida en el pase de guardia y la posibilidad de confundir la información de un paciente con la de otro, en los médicos que realizan guardias en las áreas de cuidados intensivos. Resultados. La información fue percibida como de "buena" calidad si el pase de guardia se desarrollaba en las áreas pediátricas (85,7%), en un ámbito tranquilo (74,4%), siguiendo una sistemática de presentación de pacientes (82,9%), si el médico estaba a cargo de menos de 17 pacientes (91%) y si había recibido formación para comunicarse en los pases de guardia (87,5%). No se observó una asociación significativa con las otras variables analizadas. La posibilidad de confundir la información de un paciente con la de otro fue percibida como "baja" si el pase se realizaba en áreas pediátricas (95,2%), se seguía una sistemática de presentación (80%), no existían más de tres interrupciones (84,6%), el médico estaba a cargo de menos de 17 pacientes (90,9%), había recibido formación para comunicar en el pase de guardia (91,7%) y era médico de planta (77,1%). Conclusiones. La percepción de la calidad de la información recibida en el pase de guardia y la posibilidad de confundir la información de un paciente con la de otro se asociaron con aspectos ambientales, organizativos y educacionales potencialmente mejorables.(AU)
Objective. To assess how the quality of communication is perceived during patient handoff in areas of intensive care. Materials and Methods. Cross-sectional study conducted at a university hospital. The study assessed the perception of the quality of information received during patient handoff and the chance of physicians working on-call shifts in intensive care areas mistaking the information of one patient with that of another one. Results. Information was perceived as being "good" quality when patient handoff took place in pediatric areas (85.7%), it was conducted in a calm environment (74.4%), it was performed according to a case presentation system (82.9%), the physician was responsible for less than 17 patients (91%), and training on handoff communication had been provided (87.5%). No significant association with the rest of the analyzed outcome measures was observed. The chance of mistaking information of one patient with that of another one was perceived as "low" when handoff took place in pediatric areas (95.2%), it was performed according to a case presentation system (80%), there were not more than three interruptions (84.6%), the physician was responsible for less than 17 patients (90.9%), training on handoff communication had been provided (91.7%), and the physician was a staff doctor (77.1%). Conclusions. The quality of information received during patient handoff and the chance of mistaking the information of one patient with that of another one were associated with environmental, organizational and educational aspects that can potentially be improved.(AU)
ABSTRACT
OBJECTIVE: To assess how the quality of communication is perceived during patient handoff in areas of intensive care. MATERIALS AND METHODS: Cross-sectional study conducted at a university hospital. The study assessed the perception of the quality of information received during patient handoff and the chance of physicians working on-call shifts in intensive care areas mistaking the information of one patient with that of another one. RESULTS: Information was perceived as being "good" quality when patient handoff took place in pediatric areas (85.7%), it was conducted in a calm environment (74.4%), it was performed according to a case presentation system (82.9%), the physician was responsible for less than 17 patients (91%), and training on handoff communication had been provided (87.5%). No significant association with the rest of the analyzed outcome measures was observed. The chance of mistaking information of one patient with that of another one was perceived as "low" when handoff took place in pediatric areas (95.2%), it was performed according to a case presentation system (80%), there were not more than three interruptions (84.6%), the physician was responsible for less than 17 patients (90.9%), training on handoff communication had been provided (91.7%), and the physician was a staff doctor (77.1%). CONCLUSIONS: The quality of information received during patient handoff and the chance of mistaking the information of one patient with that of another one were associated with environmental, organizational and educational aspects that can potentially be improved.
Subject(s)
Communication , Intensive Care Units , Patient Handoff , Attitude of Health Personnel , Cross-Sectional Studies , Hospitals, University , Humans , Medical Staff, HospitalABSTRACT
OBJECTIVE: To assess how the quality of communication is perceived during patient handoff in areas of intensive care. MATERIALS AND METHODS: Cross-sectional study conducted at a university hospital. The study assessed the perception of the quality of information received during patient handoff and the chance of physicians working on-call shifts in intensive care areas mistaking the information of one patient with that of another one. RESULTS: Information was perceived as being "good" quality when patient handoff took place in pediatric areas (85.7
), it was conducted in a calm environment (74.4
), it was performed according to a case presentation system (82.9
), the physician was responsible for less than 17 patients (91
), and training on handoff communication had been provided (87.5
). No significant association with the rest of the analyzed outcome measures was observed. The chance of mistaking information of one patient with that of another one was perceived as "low" when handoff took place in pediatric areas (95.2
), it was performed according to a case presentation system (80
), there were not more than three interruptions (84.6
), the physician was responsible for less than 17 patients (90.9
), training on handoff communication had been provided (91.7
), and the physician was a staff doctor (77.1
). CONCLUSIONS: The quality of information received during patient handoff and the chance of mistaking the information of one patient with that of another one were associated with environmental, organizational and educational aspects that can potentially be improved.
ABSTRACT
En este artículo nos proponemos relatar una de las actividades del curso Habilidades narrativas para el cuidado de la salud que, desde el Departamento de Docencia e Investigación del Hospital Italiano de Buenos Aires, realizamos durante el año 2012 con grupos de enfermeros de la institución. Estos cursos, de un mes de duración, surgieron de la intención de hacer lugar a las historias que a diario damos y recibimos, tomando su potencial para explorar posibilidades y aliviar el sufrimiento. Nos propusimos acompañar a los participantes a descubrir y potenciar sus habilidades para narrar experiencias, cultivar su capacidad de escuchar y desarrollar empatía y cambiar el foco de los estados a los procesos apreciando la singularidad, subjetividad y expresividad de pacientes y colegas.
Subject(s)
Humans , Male , Female , Aptitude , Comprehension , Education, Nursing , Language , Narration , Nursing , Professional CompetenceABSTRACT
En este artículo nos proponemos relatar una de las actividades del curso Habilidades narrativas para el cuidado de la salud que, desde el Departamento de Docencia e Investigación del Hospital Italiano de Buenos Aires, realizamos durante el año 2012 con grupos de enfermeros de la institución. Estos cursos, de un mes de duración, surgieron de la intención de hacer lugar a las historias que a diario damos y recibimos, tomando su potencial para explorar posibilidades y aliviar el sufrimiento. Nos propusimos acompañar a los participantes a descubrir y potenciar sus habilidades para narrar experiencias, cultivar su capacidad de escuchar y desarrollar empatía y cambiar el foco de los estados a los procesos apreciando la singularidad, subjetividad y expresividad de pacientes y colegas.(AU)
Subject(s)
Humans , Male , Female , Narration , Nursing , Education, Nursing , Language , Aptitude , Professional Competence , ComprehensionABSTRACT
INTRODUCTION: The "Open Space Technology" (OST) is an innovative group process introduced by Harrison Owen in 1997. There is some evidence for its effectiveness in education quality improvement. However, its application in higher education has not been reported. Our objective was to apply a modified OST as a quality improvement tool in a postgraduate training quality improvement program at a university hospital in Argentina. METHODS: OST is a method in which a program's participants propose and discuss topics of their interest with an aim that had been defined for them by coordinators. After proposing and writing down themes important to improving the quality of their postgraduate training, residents were divided into small groups to discuss the suggested topics for 90 minutes. They then reconvened in the large group and presented the conclusions of their small group discussions. RESULTS: Thirty-six percent of residents (75/208) participated in one of the two OST sessions. Topics suggested by participants were similar in both sessions: (1) work hours, (2) work conditions, (3) residency curriculum, (4) residents' duties, (5) salaries, (6) professional burnout, (7) patient care load, and (8) interdisciplinary activities. DISCUSSION: In only four hours, residents were able to share their concerns and proposals for improving the quality of their residencies with their faculty. Most of the topics they suggested were subsequently included in the program's quality improvement agenda.
Subject(s)
Internship and Residency/standards , Quality Improvement , Curriculum/standards , Humans , Internship and Residency/organization & administration , Program Evaluation/methodsSubject(s)
Humans , Male , Female , Education, Medical , Health Communication , Narration , Physician-Patient RelationsABSTRACT
El uso de fármacos inmunomoduladores para el tratamientode la enfermedad inflamatoria intestinal es cada vez más común.Las complicaciones infecciosas son uno de los efectosadversos más habituales asociados a este tipo de fármacos.En los últimos años se ha prestado especial atención a determinadasinfecciones latentes dado que, en pacientes bajotratamiento inmunomodulador, pueden reactivarse y cursarde forma fatal. Por esta razón, ya se han establecido estrategiasde cribado para el virus de la hepatitis B o la tuberculosisantes de iniciar este tipo de terapias. El virus de Epstein-Barr es un herpesvirus cuya primoinfección suele cursar deforma asintomática, pero puede presentarse con formas clínicasagresivas o quedar acantonado y ser causa del posteriordesarrollo de linfoma. Se presentan 2 casos de mononucleosisinfecciosa de presentación atípica en pacientes conenfermedad inflamatoria intestinal tratados con azatioprinay se revisa la literatura médica en relación con la actitudque cabe adoptar en este tipo de pacientes (AU)
The use of immunomodulators for the treatment of inflammatorybowel disease is increasing. One of the most commonadverse effects associated with this kind of drugs are infectiouscomplications. In recent years, special attention hasbeen paid to certain latent infections which, in patients underimmunomodulatory therapy, can be reactivated andprove lethal. Consequently, preventive actions have beenadopted, such as screening for hepatitis B virus and tuberculosisinfection before starting these treatments.Primary infection with the Epstein-Barr herpesvirus isusually asymptomatic. However, this virus can have an aggressivecourse and even lead to the development of lymphoma.We report two cases of atypical infectious mononucleosisin patients with inflammatory bowel disease under azathioprinetherapy and review the available evidence on the mostappropriate therapeutic approach in this subset of patients (AU)
