RESUMO
Problem-based learning, which emphasizes group collaboration to solve real-world case scenarios, is an instructional approach that is well suited to occupational and environmental health nursing education. Learners actively work through case studies rather than passively receive information presented through lectures. Problem-based learning methods promote critical thinking skills and motivate learning, preparing learners for professional practice in complex, ever-changing environments. Despite these advantages, problem-based learning is under-utilized in nursing education compared to more traditional lecture methods. This article presents key concepts of problem-based learning, discusses problem-based learning in educating occupational and environmental health nurses, and describes the development of a problem-based learning case aimed at increasing occupational and environmental health nurses capacity to address pesticide exposure among migrant and seasonal agricultural workers.
Assuntos
Doenças dos Trabalhadores Agrícolas/enfermagem , Educação de Pós-Graduação em Enfermagem/métodos , Enfermagem do Trabalho/educação , Aprendizagem Baseada em Problemas/métodos , Migrantes , Doenças dos Trabalhadores Agrícolas/induzido quimicamente , Saúde Ambiental/educação , Humanos , Praguicidas/efeitos adversosAssuntos
Doenças dos Trabalhadores Agrícolas/induzido quimicamente , Exposição Ocupacional/efeitos adversos , Praguicidas/efeitos adversos , Saúde da Mulher , Doenças dos Trabalhadores Agrícolas/epidemiologia , Agricultura/métodos , Estudos de Coortes , Feminino , Humanos , Indonésia , Roupa de Proteção/estatística & dados numéricos , Estudos Retrospectivos , Medição de RiscoRESUMO
This pilot program was designed to: 1) determine whether farmers could use a simple self-reporting system to estimate the incidence of occupationally related, self-limited pesticide poisonings; 2) describe the frequencies and types of pesticide products used in spraying operations; and 3) assess whether self-reporting and feedback would influence spraying behaviors. For 12 months, 50 farmers in northern Vietnam recorded after every spraying session any adverse health effect and the pesticide used. Data were also gathered from 50 controls. Of the 1,798 recorded spray operations, 8% were asymptomatic, 61% associated with vague ill-defined effects, and 31% accompanied by a least one clear or symptom of poisoning. After six months, the self-reporting farmers' spraying frequency and use of highly hazardous products (Ia/Ib) had declined more significantly than in the controls, as had their moderate adverse health effects. This low-cost surveillance method influenced the behaviors of farmers given access to IPM farmer field schools. The study also demonstrated the value of farmers as informants.
