ABSTRACT
One strategy for reducing the primary cesarean surgery rate and length of labor is using a peanut-shaped exercise ball for women laboring under epidural analgesia. A randomized, controlled study was conducted to determine whether use of a "peanut ball" decreased length of labor and increased the rate of vaginal birth. Women who used the peanut ball (n = 107) versus those who did not (n = 91) demonstrated shorter first stage labor by 29 min (p = .053) and second stage labor by 11 min (p < .001). The intervention was associated with a significantly lower incidence of cesarean surgery (OR = 0.41, p = .04). The peanut ball is potentially a successful nursing intervention to help progress labor and support vaginal birth for women laboring under epidural analgesia.
ABSTRACT
La orientación profesional en Cuba es tarea priorizada y la carrera de Medicina no está ajena a este proceso, el cual se ha visto sujeto a cambios por las transformaciones de los programas de estudio. Algunos estudiantes aún expresan su preferencia por el plan tradicional diseñado con anterioridad. Es opinión de los autores de esta investigación que existe falta de información de los estudiantes que aspiran a ingresar a la carrera, sus profesores y familiares, del nuevo modelo de formación, dada por una insuficiente orientación profesional, por lo se trazó como objetivo de la investigación caracterizarla. Se aplicaron encuestas a estudiantes y profesores directamente vinculados con el proceso de formación. Se obtuvieron los resultados siguientes: los estudiantes no reciben una adecuada orientación profesional previo al ingreso a la carrera, los profesores valoran como deficiente la orientación profesional que reciben los estudiantes y aunque a niveles superiores está bien definida, la metodología actualmente utilizada para el trabajo de orientación profesional, a nivel de la base, resulta insuficiente. Se propone la implementación de un plan de actividades encaminadas al fortalecimiento de la orientación profesional para estudiantes que aspiran a ingresar en la carrera de Medicina(AU)
Vocational guidance is a priority task in Cuba and the medical career is not exempted from this process that has varied several times due to curricular changes. Some students still prefer the previously designed traditional curriculum. The authors of this research study believes that the students who wish to apply for the medical career, their teachers and relatives generally lack suitable information about the new formative model, as a result of inadequate vocational guidance, and therefore, the objective of this paper was to characterize it. Some surveys were administered to students and to professors who were directly linked to the formative process. The results were as follows: the students did not receive adequate vocational guidance prior to entering their career; the professor assessed the vocational guidance as poor, and although the methodology for the vocational guidance work is well-defined at higher levels, the opposite occurs at lower levels. The study suggested the implementation of a plan to strengthen the vocational guidance directed to students who wish to apply for the medical career(AU)
Subject(s)
Humans , Education, Medical/methods , Vocational Guidance , AptitudeABSTRACT
La orientación profesional en Cuba es tarea priorizada y la carrera de Medicina no está ajena a este proceso, el cual se ha visto sujeto a cambios por las transformaciones de los programas de estudio. Algunos estudiantes aún expresan su preferencia por el plan tradicional diseñado con anterioridad. Es opinión de los autores de esta investigación que existe falta de información de los estudiantes que aspiran a ingresar a la carrera, sus profesores y familiares, del nuevo modelo de formación, dada por una insuficiente orientación profesional, por lo se trazó como objetivo de la investigación caracterizarla. Se aplicaron encuestas a estudiantes y profesores directamente vinculados con el proceso de formación. Se obtuvieron los resultados siguientes: los estudiantes no reciben una adecuada orientación profesional previo al ingreso a la carrera, los profesores valoran como deficiente la orientación profesional que reciben los estudiantes y aunque a niveles superiores está bien definida, la metodología actualmente utilizada para el trabajo de orientación profesional, a nivel de la base, resulta insuficiente. Se propone la implementación de un plan de actividades encaminadas al fortalecimiento de la orientación profesional para estudiantes que aspiran a ingresar en la carrera de Medicina
Vocational guidance is a priority task in Cuba and the medical career is not exempted from this process that has varied several times due to curricular changes. Some students still prefer the previously designed traditional curriculum. The authors of this research study believes that the students who wish to apply for the medical career, their teachers and relatives generally lack suitable information about the new formative model, as a result of inadequate vocational guidance, and therefore, the objective of this paper was to characterize it. Some surveys were administered to students and to professors who were directly linked to the formative process. The results were as follows: the students did not receive adequate vocational guidance prior to entering their career; the professor assessed the vocational guidance as poor, and although the methodology for the vocational guidance work is well-defined at higher levels, the opposite occurs at lower levels. The study suggested the implementation of a plan to strengthen the vocational guidance directed to students who wish to apply for the medical career
