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Fotocópia
Id: 171856
Autor: Tegegn, Henok Getachew; Abdela, Ousman Abubeker; Mekuria, Abebe Basazn; Bhag Avathula, Akshaya Srikanth; Ayele, Asnakew Achaw.
Título: Challenges and opportunities of clinical pharmacy services in Ethiopia: a qualitative study from healthcare practitioners' perspective
Fuente: Pharm. pract. (Granada, Internet);16(1):0-0, ene.-mar. 2018. tab.
Idioma: en.
Resumen: Background: Currently, clinical pharmacists have in-depth therapeutic knowledge and scientific skills to act as drug therapy experts in healthcare settings. Objective:The aim of this study was to assess the opportunities and challenges of clinical pharmacy services from the health practitioners' perspective in University of Gondar (UOG) hospital Ethiopia. Methods: A qualitative study was performed using face-to-face in-depth interviews with health practitioners who were directly involvedin clinical pharmacy services (clinical pharmacists, physicians, and nurses) in UOG hospital. Results: A total of 15 health professionals from various specialties were interviewed to express their views towards clinical pharmacists' competencies and identified challenges and opportunities regarding their clinical services. Based on inter-viewees report,the opportunities for clinical pharmacists includes acceptance of their clinical services among health specialties, new government policy and high patient load in hospital. However, inadequacy of service promotions, lack of continuity of clinical pharmacy services in wards, poor drug information services, lack of commitment, lack of confidence among clinical pharmacists, conflict of interest due to unclear scope of practice, and absence of cooperation with health workers were some of the challenges identified by the interviewees. Conclusion: We identified health professionals working in UOG hospital are receptive towards clinical pharmacy services, but identified some of the potential challenges that needed to be focused to strengthen and promote clinical pharmacy services. Further, the opportunities at hand also need to be utilized astutely to boost the services (AU)

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Id: 171853
Autor: Saade, Sylvia; Ghazala, Fatima; Farhat, Ali; Hallit, Souheil.
Título: Attitudes towards continuous professional development: a study of pharmacists in Lebanon
Fuente: Pharm. pract. (Granada, Internet);16(1):0-0, ene.-mar. 2018. tab.
Idioma: en.
Resumen: Objective: To investigate the views and assess motivation, attitudes of pharmacists in Lebanon towards mandatory continuous education (CE), its transition to Continuous Professional Development (CPD), and identify barriers to participation in CPD. Methods: A cross-sectional observational study, conducted between February and May 2017, enrolled 591 pharmacists. The questionnaire used in this study was developed after an extensive literature review and based on previous similar studies in different countries. Results: Half of the pharmacists who completed the questionnaire agreed that all the factors that were mentioned in the questionnaire motivated completing CPD, whereas 55.4% felt confident that CPD meets their needs. 78.4% felt confident in their abilities to assess what they have learned. 71.6% felt confident in their abilities to assess what additional CPD activity may be necessary. The majority of the pharmacists agreed that accessibility of group learning activities location/distance) (69.6%), job restrictions (76.3%) and lack of time (80.6%) were the most essential barriers against participation in CPD. Motivation was significantly and positively correlated with attitude (r= 0.718), but negatively correlated with barriers (r= -0.243). Attitude was significantly and negatively correlated with barriers (r= -0.120). Conclusion: Our findings contribute to informing the forward pathway for the profession. Attitude and motivation to CPD were positive in this study. Accessibility of group learning activities due to distance and location, job restrictions and lack of time were the major barriers to participation in CPD. Potential solutions can be sought to address these issues (AU)

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Fotocópia
Id: 171849
Autor: Guirguis, Lisa M; Hughes, Christine A; Makowsky, Mark J; Sadowski, Cheryl A; Schindel, Theresa J; Yuksel, Nese; Faruquee, Chowdhury F.
Título: Development and validation of a survey instrument to measure factors that influence pharmacist adoption of prescribing in Alberta, Canada
Fuente: Pharm. pract. (Granada, Internet);16(1):0-0, ene.-mar. 2018. tab, graf.
Idioma: en.
Resumen: Objective: Study objectives were to develop a questionnaire to assess factors influencing pharmacists' adoption of prescribing (i.e., continuing, adapting or initiating therapy), describe use of pre-incentive and mixed mode survey, and establish survey psychometric properties. Methods: Questions were developed based on prior qualitative research and Diffusion of Innovation theory. Expert review, cognitive testing, survey pilot, and main survey were used to test the questionnaire. Six content experts reviewed the questionnaire to establish face and content validity. Ten pharmacists from diverse practice settings were purposefully recruited for a cognitive interview to verify question readability. Content analysis was used to analyze the results. A pre-survey introduction letter with a monetary incentive was mailed via post to 100 (i.e. pilot) and 700 (i.e., main survey) randomly selected pharmacists. This was followed by an e-mail with a personalized link to the online questionnaire, e-mail reminders, and a telephone reminder if required. The psychometric properties of scales were evaluated with an exploratory factor analysis and Cronbach's alpha. Scale responses were described. Results: Engagement of six experts and ten pharmacists clarified definitions (e.g., prescribing), terminology, recall periods, and response options for the 34-item response scale. Fifty-six pharmacists completed the online pilot survey. Based on this data, ambiguous questions and routing issues were addressed. Three hundred and seventy-eight pharmacists completed the online main survey for a response rate of 54.6%. The factors analysis resulted in 27 questions in eight scales: (1) self-efficacy, (2) support from practice environment, (3) support fro interprofessional relationship, (4) impact on professionalism, (5) impact on patient care), (6) prescribing beliefs, (7) technical use of electronic health record (EHR) and (8) patient care use of the EHR. Prescribing beliefs and technical use of the EHR scales had low reliabilit while the remaining six scales had strong evidence for reliability and validity. Conclusion: Through a multistage process, a survey instrument was developed to capture pharmacists' perceptions of prescribing influences. This questionnaire may support future research to develop interventions to enhance adoption of prescribing and enhance direct patient care by pharmacists (AU)

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Id: 171699
Autor: Retamal Matus, H; Fernández Elgueta, A; Barría Torres, Á; Osorio Muñoz, M; Rodríguez Santana, D.
Título: Valoración del rol profesional del fisioterapeuta en Educación Escolar: estudio descriptivo y correlacional / Evaluation of the professional role of the physiotherapist in the School Environment: A descriptive and correlational study
Fuente: Fisioterapia (Madr., Ed. impr.);40(2):73-78, mar.-abr. 2018. graf, tab.
Idioma: es.
Resumen: Introducción: El rol del fisioterapeuta muchas veces es cuestionado en el ámbito escolar por ser un profesional ligado a disciplinas relacionadas con las ciencias de salud. Objetivo: Determinar la valoración que tienen los profesionales de la comunidad escolar hacia el rol y/o función del fisioterapeuta en los establecimientos educacionales de la ciudad de Punta Arenas, Chile. Material y método: Se realizó una investigación no experimental transversal, exploratoria, descriptiva y correlacional; compuesta por una muestra de 287 profesionales de 18 establecimientos de educación escolar. Se aplicó una encuesta para determinar la valoración que otorgan a la función del fisioterapeuta dentro de los establecimientos educacionales. Resultados: La función del fisioterapeuta fue altamente valorada en todas las áreas, destacándose la alta valoración del área de desempeño relacionada con la inclusión y discapacidad. Conclusión: El profesional fisioterapeuta posee las competencias necesarias para participar en la comunidad educativa, potenciando el bienestar y el aprendizaje de los estudiantes (AU)

Introduction: The role of the physiotherapist is often questioned within the school environment, due to being a profession linked to the health sciences disciplines. Aim: To determine the assessment of the role and/or function of the physiotherapist made by school community professionals in Punta Arenas, Chile. Material and method: A non-experimental, cross-sectional exploratory, descriptive and correlational research was carried using a sample of 287 professionals from 18 schools. A survey was conducted to determine the assessment of the role of the physiotherapist within educational institutions. Results: The functions :of physiotherapist were highly valued in all areas. Their high performance evaluation in the inclusion and disability areas was highlighted. Conclusion: The physiotherapist, as a professional, possesses the necessary skills to participate in the educational community, increasing the student well-being and learning (AU)
Responsable: ES1.1
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Id: 171222
Autor: Moreno Gelabert, Gerard.
Título: Diseño de un proyecto de evaluación de una intervención enfermera en Educación Primaria / Project design for the evaluation of a nursing intervention on primary school students
Fuente: Rev. Rol enferm;41(3):218-229, mar. 2018. tab.
Idioma: es.
Resumen: La escuela es un agente de socialización y aprendizaje muy destacado en la vida de los niños y, por lo tanto, es el lugar ideal donde pueden trabajar las enfermeras promoviendo unos hábitos de vida y un entorno más saludable, que se transmitirá directa o indirectamente a todos los miembros de la comunidad. La Educación para la Salud es un proceso de enseñanza-aprendizaje cuyo objetivo principal es la mejora de la salud de las personas de manera biopsicosocial mediante la promoción de comportamientos y estilos de vida saludables. Los centros educativos son el lugar idóneo para realizar una intervención enfermera a alumnos de Educación Primaria con el objetivo de conocer si se incrementa el grado de salud individual. La metodología utilizada para este estudio de intervenciones es de tipo cuasiexperimental con diseño cruzado y prospectivo, centrada en dos grupos educativos de una escuela. La muestra es de 100 alumnos y las variables principales estudiadas son la eficacia de un programa de promoción de salud (PPS) y el grado de salud individual. Para evaluar la eficacia del programa se utilizaba cuestionarios, encuestas y diarios. La duración del programa será de tres meses. La intervención de promoción para la salud habrá sido eficaz cuando el grado de salud individual de ≥ 50 % de los alumnos incluidos se haya incrementado en un 25 % al finalizar el PPS con respecto al momento basal (antes de iniciar el PPS), a corto o largo plazo. Las principales implicaciones prácticas para las enfermeras son que pueden tener un impacto funcional en el papel educativo de la enfermera escolar, lo cual es fundamental para realizar la promoción de la salud (AU)

Schools are very prominent socialization agents in children's lives. They offer a framework in which nurses can promote a healthier lifestyle and environement, resulting in possible trickle-down effects to all members of a community. Health education is a teaching-learning process, with the main objective of improving people's bio-psychosocial health and promoting healthy behaviors and lifestyles. Schools are an ideal place to perform educational nursing interventions to primary school students, in order to determine whether such measures increase the degree of individual health. The methodology proposed to determine the effectiveness of such an intervention would consist of a quasi-experimental study with a prospective cross-over design, implemented on two groups within the same school. The sample would include 100 students. The proposed main studied variables sare the effectiveness of a health promotion program (HPP) and the degree of individual health. To evaluate program effectiveness, questionnaires, surveys and diaries would be used. Program duration should be approximately three months. The intervention of health promotion will be considered effective when the degree of individual health of at least ≥ 50 % of students included in the sample has increased by 25 % after the HPP from baseline levels (before starting the HPP), at a short or long term. The main practical implications of this study design for nursing is the functional impact on the educational role of the school nurse, an essential figure for health promotion (AU)
Responsable: ES1.1
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Id: 171216
Autor: García Díaz, Silvia; Torre-Aboki, Jenny de la.
Título: La consulta de enfermería en Reumatología. Nuevos roles ante nuevos escenarios / No disponible
Fuente: Rev. Rol enferm;41(3):167-167, mar. 2018.
Idioma: es.
Resumen: No disponible
Responsable: ES1.1
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Id: 170909
Autor: Jiménez Arroyo, Vanesa; Rangel Flores, Yesica Yolanda.
Título: Las representaciones sociales como marco para comprender las respuestas humanas en el cuidado enfermero / Representações sociais como um quadro para a compreensão das respostas humanas nos cuidados de enfermagem / Social representations as a framework for understanding human responses in nursing care
Fuente: Cult. cuid;21(49):147-154, sept.-dic. 2017.
Idioma: es.
Resumen: Las repuestas humanas son complejas y dependen de manera relevante de las condiciones sociales, culturales, económicas y políticas de los contextos micro, meso y macro en los que las personas se desenvuelven. El profesional de enfermería requiere desarrollar una perspectiva epistémica, filosófica y metodológica que le posibilite comprender que las maneras en que las personas se posicionan frente a los procesos salud-enfermedad no derivan exclusivamente de una decisión personal, sino también de una postura colectivamente construida. El objetivo del ensayo es reflexionar sobre las aportaciones que hace la teoría de las representaciones sociales (RS) a la comprensión de la complejidad de las respuestas humanas frente al cuidado. Para la construcción del ensayo se revisaron las aportaciones de autores clásicos a la teoría de las RS, estos aportes se reflexionan desde experiencias del cuidado de la salud. Se identifica que este marco teórico posibilita explicar la diversa complejidad y variabilidad de las respuestas humanas de las personas frente a los procesos de salud y enfermedad, y de los contextos sociales e históricos en que los sujetos y su grupo social se desarrollan (AU)

Respostas humanas são complexas e de-pendem fortemente das condições sociais, culturais, económicos e políticos do micro, meso e macro em que as pessoas vivem contextos. A enfermeira precisa desenvolver uma perspectiva epistemológica, filosófica e metodológica que lhe permite compreender as maneiras pe-las quais as pessoas estão posicionados con-tra processos de saúde-doença não derivam exclusivamente de uma decisão pessoal, mas também uma postura construído coletivamente. O objetivo deste artigo é refletir sobre as contribuições feitas pela teoria das representações sociais (RS) para a compreensão da com-plexidade das respostas humanas a cuidados humanos. Eles foram revistos contribuições clássicas para a teoria da RS autores refletem suas contribuições são baseadas em experiên-cias de cuidados de saúde. Identificou-se que este quadro teórico permite explicar a comple-xidade e variabilidade das respostas humanas de pessoas processos de saúde e doença, e contextos sociais e históricos nos quais os indiví-duos que enfrentam variados e desenvolver seu grupo social (AU)

Human responses are complex and are based on how relevant social, cultural, eco-nomic and political micro, meso and macro in which people operate contexts conditions. The nurse needs an epistemological, philosophical and methodological perspective that allows him to understand the ways in which people are positioned against health-disease processes depend not only on a personal decision but a posture collectively built. The aim is to reflect on the contributions made by the theory of social representations (RS) to understanding the complexity of human responses to human care. For the construction of the document the contributions of classic authors to the theory of RS, these contributions reflect from the experiences of health care were recovered. It identifies possible that this theoretical frame-work to explain the complexity and variability of human responses of people facing processes of health and disease, and social and historical contexts in which subjects and develop their social group (AU)
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Id: 170901
Autor: Sánchez-Gras, Selene.
Título: Imagen de la enfermería a través de la prensa escrita ¿necesitamos visibilizar los cuidados enfermeros? / Imagem da enfermagem por meio da imprensa. Será que precisamos visibilizar os cuidados enfermeiros? / Nursing's image in the press. Do we need greater recognition for nursing care?
Fuente: Cult. cuid;21(49):74-80, sept.-dic. 2017.
Idioma: es.
Resumen: Introducción: diversos estudios muestran que la imagen pública de las enfermeras no siempre coincide con su imagen profesional. La imagen social de una profesión está muy condicionada por la forma en que es reproducida en los medios de comunicación. Por ello, el objetivo del estudio fue presentar un análisis crítico y exhaustivo del tratamiento que recibe la profesión y el profesional de Enfermería en la prensa escrita. Material y método: en la primera fase del estudio se ha realizado una revisión bibliografía para conocer el estado de la cuestión. Posteriormente, se propone un estudio cualitativo y analítico utilizando como fuentes las noticias publicadas en la prensa escrita regional y nacional en las que aparece la Enfermería. Resultados: se seleccionaron y analizaron un total de 235 noticias. Tras el análisis de con-tenido de las mismas, emergieron 8 categorías que ayudan a explicar la imagen que se refleja de la enfermería en la prensa. Discusión / Conclusiones: en general, la imagen que tansmite la prensa es la imagen de alguien con un papel secundario asociado a otra profesión, sin responsabilidad, autonomía o capacidad en la toma de decisiones. Cambiar la imagen que transmitimos se encuentra en nuestras propias manos (AU)

Introdução: Vários estudos mostram que a imagem pública de enfermeiros nem sempre coincidem com a sua imagem profissional. A imagem social de uma profissão é muito con-dicionada pela forma como ele é reproduzido na mídia. Portanto, o objetivo do estudo foi apresentar uma análise crítica e abrangente do tratamento recebido pela profissão e do profis-sional de enfermagem na imprensa. Material e métodos: na primeira fase do estudo foi conduzido revisões de literatura de saber o estado da questão. Posteriormente, um estudo qualitativo e analítico utilizando como fontes publicadas em jornais regionais e nacionais em que notícias aparece Enfermagem é proposto. Resultados: Foram selecionados e analisados um total de 235 notícias. Após a análise do seu conteúdo, eles emergiram oito categorias que ajudam a explicar a imagem refletida da enfermagem na imprensa. Discussão / Conclusão: No geral, a imagem através da imprensa transmite é a imagem de alguém com um papel secundário associado a outra profissão, sem responsabilidade, autonomia ou habilidade na tomada de decisões. Você alterar a imagem que transmitimos esta-mos em nossas próprias mãos (AU)

Introduction: several studies show that the public image of nurses and their professional image are not related. The social image of a profession is very conditioned by the way it is represented in the media. Therefore, the aim of the study was to present a critical and exhaustive analysis of the treatment received by the profession and the professional nursing in the daily press. Material and Methods: in the first phase of the study has been conducted a literature reviews to know the status of the matter. Subsequently, is proposed a qualitative and analytical study about the sources published in regional and national newspapers in which news apperars nursing. Results: a total of 235 news were selected and analyzed. After analysis of their content, eight categories that help explain the reflected image of nursing in the press emerged. Discussion / Conclusions: in general, the image is transmitted in the press is the image of someone with a secondary role associated with another profession, without responsibility, autonomy or ability in decision process. This image must be changed by ourselves (AU)
Responsable: ES1.1
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Id: 170722
Autor: Sanz-Cervera, Pilar; Fernández-Andrés, M Inmaculada; Pastor-Cerezuela, Gemma; Tárraga-Mínguez, Raúl.
Título: Efectividad de las intervenciones basadas en metodología TEACCH en el trastorno del espectro autista: un estudio de revisión / The effectiveness of TEACCH intervention in autism spectrum disorder: a review study
Fuente: Pap. psicol;39(1):40-50, ene.-abr. 2018. tab.
Idioma: es.
Resumen: Este trabajo incluye una revisión de la literatura para analizar la efectividad de la metodología TEACCH, así como el efecto de esta metodología en el nivel de estrés de los padres y los maestros de niños con trastorno del espectro autista (TEA). Considerando los criterios de inclusión, se analizaron un total de 14 estudios. Independientemente del contexto de intervención, todos los estudios revelaron mejoras en el desarrollo de los niños y una reducción en los síntomas autistas y comportamientos desadaptativos. En 11 de los 14 estudios se obtuvieron mejoras estadísticamente significativas. En cuanto al efecto en el nivel de estrés de los padres o maestros, de los 7 estudios que evaluaron el estrés, 5 de ellos obtuvieron una disminución significativa entre las mediciones pre y post. Teniendo en cuenta estos resultados, la metodología TEACCH puede ser eficaz no sólo para mejorar el desarrollo del niño, sino también para mejorar el nivel de bienestar de los adultos (AU)

This work includes a review of the literature to analyze the effectiveness of the TEACCH intervention, as well as the effect of this intervention on the level of parental and teachers' stress of children with autism spectrum disorder (ASD). Considering the inclusion criteria, a total of 14 studies were analyzed. Regardless of the context of intervention, all the studies revealed developmental abilities improvements and a reduction in autistic symptoms and maladaptative behaviors. In 11 of the 14 studies, statistically significant improvements were obtained. As for the effect of the TEACCH intervention in the level of the parents or teachers stress, out of the 7 studies that evaluated stress, 5 of them obtained a significant decrease between pre and post measurements. Considering these results, TEACCH intervention could be effective not only improving the child's development, but also enhancing the adults' level of well-being (AU)
Responsable: ES1.1
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Id: 170721
Autor: Gratacós Torras, Marcel; Pousa Tomàs, Esther.
Título: Intervenciones para mejorar la adherencia terapéutica en sujetos con esquizofrenia / Interventions to improve therapeutic adherence in subjects with schizophrenia
Fuente: Pap. psicol;39(1):31-39, ene.-abr. 2018. tab.
Idioma: es.
Resumen: Actualmente existe un amplio consenso en afirmar que la falta de adherencia terapéutica es uno de los principales problemas del tratamiento de la esquizofrenia. Las elevadas tasas de no adherencia a la medicación antipsicótica que presentan los sujetos con esquizofrenia ponen en entredicho la eficacia de la farmacoterapia y se relaciona con un peor pronóstico de la enfermedad. El presente trabajo tiene como objetivo ofrecer una visión general sobre las características y la eficacia de las intervenciones diseñadas para mejorar la adherencia a la mediación en la esquizofrenia. Así mismo, se revisan los datos disponibles acerca de los aspectos más relevantes de la adherencia con el objetivo de examinar y conceptualizar sus características y particularidades (AU)

Today it is broadly accepted that the lack of therapeutic adherence is one of the main problems in schizophrenia treatment. High nonadherence rates to antipsychotic medication call into question the efficacy of pharmacotherapy and are related to a worse prognosis of the disease. The purpose of the current report is to give a general overview of the characteristics and the effectiveness of interventions designed to improve medication adherence in schizophrenia. In addition, the available scientific literature on the main aspects of adherence is reviewed in order to examine and conceptualize its characteristics and attributes (AU)
Responsable: ES1.1
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