Interprofessional education in Brazilian nursing undergraduate course syllabi.

The objective of this study was to analyze aspects related to interprofessional education in healthcare through the assessment of the syllabi of undergraduate nursing programs in Brazil. An observational, descriptive study was conducted in two phases. The first phase involved identification of programs, and the second phase involved documental analysis of the syllabi through a script created for this purpose. One thousand two hundred and twenty nursing undergraduate programs were identified; 229 were included in the sample for the document analysis. In 2.6% of the programs, the term "interprofessional" was identified in the purpose of the programs. Seventeen percent of the programs valued interprofessional education, and 8% assessed interprofessional learning. Recognizing (9.2%) and respecting (6.6%) the attributes and roles of different professionals were the least identified interprofessional values in the syllabi. Interprofessional education was not institutionalized/stated in the documents, even though the documents indicated use of interprofessional relationships in training scenarios, especially in primary care, and in activities not included in the formal curriculum.

Cultura de Segurança do Paciente no Serviço Médico de Urgência: estudo transversal / Patient Safety Culture in the Emergency Medical Service: cross-sectional study / Cultura de Seguridad del Paciente en el Servicio de Emergencias Médicas: estudio transversal

Introdução: Os problemas relacionados à segurança do paciente no contexto pré-hospitalar são pouco explorados, porém essenciais, dada a vulnerabilidade para a ocorrência de incidentes. Objetivo: analisar o clima de segurança do paciente na perspectiva da equipe multiprofissional que atua no Atendimento Pré-Hospitalar Móvel (APH). Materiais e Métodos: estudo transversal, conduzido em um Atendimento Pré-Hospitalar Móvel. A coleta de dados foi realizada por meio do Safety Attitudes Questionnaire (SAQ), com amostragem por conveniência e taxa de participação de 94,3% dos profissionais elegíveis. Empregou-se estatística descritiva e o teste Mann-Whitney para análise de dados. Resultados: Dentre os 151 profissionais participantes, predominaram aqueles do sexo masculino (54,6%), auxiliares e técnicos de enfermagem (42,0%), atuantes há 10 ou mais anos (61,0%), em atendimentos adultos e pediátricos (93,4%). O SAQ Total apresentou mediana de 70, indicando percepção negativa dos participantes acerca da segurança do paciente no APH. Os domínios com percepção negativa foram: Clima de Segurança, Reconhecimento de Estresse, Percepção da Gestão e Condições de Trabalho; enquanto os domínios Clima de Trabalho em Equipe e Satisfação no Trabalho apresentaram percepção positiva. Na análise comparativa entre os profissionais, foram observadas diferenças entre algumas categorias para os domínios Satisfação no Trabalho, Reconhecimento de Estresse e Condições de Trabalho. Conclusões: Este estudo apresenta as peculiaridades dos serviços de médicos de emergência e a necessidade de sensibilizar profissionais e gestores acerca da temática segurança do paciente, com vistas a melhor compreensão do atual cenário e possibilidades de redução de eventos adversos para a melhoria da assistência ofertada.

Introduction: Problems related to patient safety in the pre-hospital context are little explored, but essential, given the vulnerability to incidents. Objective: to analyze the patient safety climate from the perspective of the multidisciplinary team that works in Mobile Pre-Hospital Care (PHC). Materials and Methods: cross-sectional study, conducted in a Mobile Pre-Hospital Care. Data collection was performed through Safety attitudes Questionnaire (SAQ), with convenience sampling and participation rate of 94.3% of eligible professionals. Descriptive statistics and the Mann-Whitney test were used for data analysis. Results: Among the 151 participating professionals, males predominated (54.6%), nursing assistants and technicians (42.0%), working for 10 or more years (61.0%), in adult and pediatric care (93.4%). The SAQ Total had a median of 70, indicating a negative perception of the participants about patient safety in the APH. The domains with a negative perception were: Safety Climate, Stress Recognition, Management Perception and Working Conditions; while the Teamwork Climate and Job Satisfaction domains showed a positive perception. In the comparative analysis among professionals, differences were observed between some categories for the domains of Job Satisfaction, Stress Recognition and Working Conditions. Conclusions: This study presents the peculiarities of emergency medical services and the need to sensitize professionals and managers about patient safety, with a view to better understanding the current scenario and possibilities of reducing adverse events to improve the care offered.

Introducción: Los problemas relacionados con la seguridad del paciente en el contexto prehospitalario son poco explorados, pero esenciales, dada la vulnerabilidad a incidentes. Objetivo: analizar el clima de seguridad del paciente desde la perspectiva del equipo multidisciplinario que actúa en la Atención Prehospitalaria Móvil (APS). Materiales y Métodos: estudio transversal, realizado en una Atención Prehospitalaria Móvil. La recolección de datos se realizó a través de Seguridad actitudes Cuestionario (SAQ), con muestreo por conveniencia y tasa de participación del 94,3% de los profesionales elegibles. Para el análisis de los datos se utilizó estadística descriptiva y la prueba de Mann-Whitney. Resultados: Entre los 151 profesionales participantes, predominaron los del sexo masculino (54,6%), auxiliares y técnicos de enfermería (42,0%), con 10 o más años de actuación (61,0%), en la atención de adultos y pediátrica (93,4%). El SAQ Total tuvo una mediana de 70, indicando una percepción negativa de los participantes sobre la seguridad del paciente en la APH. Los dominios con percepción negativa fueron: Clima de Seguridad, Reconocimiento del Estrés, Percepción de la Gestión y Condiciones de Trabajo; mientras que los dominios Clima de Trabajo en Equipo y Satisfacción Laboral mostraron una percepción positiva. En el análisis comparativo entre profesionales, se observaron diferencias entre algunas categorías para los dominios de Satisfacción en el Trabajo, Reconocimiento del Estrés y Condiciones de Trabajo. Conclusiones: Este estudio presenta las peculiaridades de los servicios médicos de emergencia y la necesidad de sensibilizar a los profesionales y gestores sobre la seguridad del paciente, con el fin de comprender mejor el escenario actual y las posibilidades de reducción de eventos adversos para mejorar la atención ofrecida.

The Relationship of the Spiritual and Religious Dimensions with Quality of Life and Health of Patients with Chronic Kidney Disease: An Integrative Literature Review.

An integrative literature review examining the relationship of the spiritual and religious dimensions in quality of life (QoL) to the health of patients with chronic kidney disease was conducted. Questions included: "What is the relationship of the religious and spiritual dimension with QoL and health of people with chronic kidney disease (CKD)?" and "How does religious and spiritual coping influence the patient with CKD?" From the studies selected for review, it appears patients' spiritual and religious dimensions can positively influence the patients' QoL, increase their survival rate, and improve their health status.