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Id: 173473
Autor: Serrano Morón, P; Delgado Galán, M.
Título: Somos una banda: Los médicos como grupo antropológico / We are a band: an anthropological vision of the medical community
Fuente: SEMERGEN, Soc. Esp. Med. Rural Gen. (Ed. Impr.);44(3):211-215, abr. 2018. tab.
Idioma: es.
Resumen: Este artículo trata de explicar cómo, desde el punto de vista antropológico, el colectivo médico se comporta como una tribu similar a las que pueblan el Amazonas o la sabana africana. La familia como unidad fundamental de la banda de cazadores define a su vez el centro de salud y a los médicos que lo habitan, como grupo igualitario en el que los miembros trabajan por el bien de la tribu. Los líderes de la tribu, también llamados directores de centro, también son similares a los grandes hombres de la Polinesia o a los aborígenes que lideran la partida de caza. Incluso los enfrentamientos entre médicos, en torno a sus competencias respecto a los pacientes, han sido descritas a lo largo de la historia por los antropólogos y repiten los patrones de los grupos segmentarios. Se concluye con que esta visión de tribus enfrentadas se ha de superar para avanzar hacia la mejora de la salud de la población

In this paper we try to explain, using an anthropological point of view, how the medical community behaves like a tribe like those who inhabit the Amazon forests or the African Savanna. The Family as fundamental unit of a band of hunter-gatherers also defines the Primary Care Centre and the professionals who work there, as an egalitarian group in which every member works for the good of the tribe. The leaders of the tribe, also called "Health Centre Managers", are also comparable to the "big men" of Polynesia or the aborigines, who leads hunting parties. Even the clashes between physicians about the responsibilities as regards patients have been described throughout history in the anthropological literature, and they repeat the patterns of the segmental groups. We finish by concluding that this vision of warring tribes has to be overcome in order to advance towards the improvement of our community's health
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  2 / 233 IBECS  
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Fotocópia
Id: 173077
Autor: Rizany, Ichsan; Hariyati, Rr Tutik Sri; Handayani, Hanny.
Título: Factors that affect the development of nurses' competencies: a systematic review
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):154-157, feb. 2018. graf, tab.
Idioma: en.
Resumen: Objective: To investigate factors affecting the development of nursing competency based on a review of the literature. Method: A systematic review was utilized. The articles were taken from the databases of Pro-Quest, ScienceDirect, SpringerLink, and Scopus. They were retrieved using the following keywords: nursing competence, nurse competencies and clinical competence. Twenty-one papers were selected. Results: Competence development is a continuous process of improving knowledge, attitudes and skills, and is influenced by a myriad of factors. Six factors were identified that affected the development of nursing competence in our systematic review: (1) work experience, (2) type of nursing environment, (3) educational level achieved, (4) adherence to professionalism, (5) critical thinking, and (6) personal factors. Work experience and education were shown to significantly influence the development of competency of nurses. Conclusions: Nurse managers need to support staffing competence through ongoing education, mentoring-preceptorship training, and case-reflection-discussion teaching programs

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Fotocópia
Id: 173076
Autor: Hariyati, Rr Tutik Sri; Ungsianik, Titin.
Título: Improving the interpersonal competences of head nurses through Peplau's theoretical active learning approach
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):149-153, feb. 2018. tab, graf, ilus.
Idioma: en.
Resumen: Background: Effective interpersonal skills are essential for head nurses in governing and managing their work units. Therefore, an active learning strategy could be the key to enhance the interpersonal competences of head nurses. Purpose: This study aimed to investigate the effects of Peplau's theoretical approach of active learning on the improvement of head nurses' interpersonal skills. Method: This study used a pre-experimental design with one group having pretests and posttests, without control group. A total sample of 25 head nurses from inpatient units of a wellknown private hospital in Jakarta was involved in the study. Data were analyzed using the paired t-test. Results: The results showed a significant increase in head nurses' knowledge following the training to strengthen their interpersonal roles (P=.003). The results also revealed significant increases in the head nurses' skills in playing the roles of leader (P=.006), guardian (P=.014), and teacher/speaker (P=.015). Nonetheless, the results showed no significant increases in the head nurses' skills in playing the roles of counselor (P=.092) and stranger (P=.182). Conclusions and recommendations: Training in strengthening the interpersonal roles of head nurses significantly increased the head nurses' knowledge and skills. The results of the study suggested the continuation of active learning strategies to improve the interpersonal abilities of head nurses. Furthermore, these strategies could be used to build the abilities of head nurses in other managerial fields

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Id: 173075
Autor: Hariyati, Rr Tutik Sri; Safril, Satina.
Título: The relationship between nurses' job satisfaction and continuing professional development
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):144-148, feb. 2018. tab.
Idioma: en.
Resumen: Objective: To identify the correlation between nurse's perception of the continuing professional development (CPD) and the satisfaction of nursing career ladder system (NCLS) implementation. Method: A non-experimental survey design was used for this study. The respondents were selected using proportional random sampling technique with the total sample size of 149 nurses. Data were measured using proportion, central tendency and Pearson product-moment correlation. Results: There was a moderate, positive correlation between the CPD and the NCLS satisfaction (R: 0.42, p= 0.0001). Conclusions: The results of this research should be used as recommendation for improving CPD at the hospitals in Indonesia

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Fotocópia
Id: 172984
Autor: Buitrago Leal, Rosa M; Martínez Martín, M Luisa.
Título: La enfermera, clave en el cuidado de los pacientes con síndrome de intestino irritable / The key role of nurses in care for patients with irritable bowel syndrome
Fuente: Metas enferm;21(9):70-76, nov. 2018.
Idioma: es.
Resumen: Objetivo: determinar el rol de la enfermera en el proceso asistencial de las personas con síndrome de intestino irritable. Método: revisión narrativa a partir de búsqueda bibliográfica en diferentes bases de datos de Ciencias de la Salud: PubMed, Cinhal y Web of Science (WOS). Se utilizaron los siguientes términos de lenguaje controlado (MeSH): "irritable bowel syndrome", "nursing", "patient education as topic", "selfcare, self-management", "quality of life", "adaptation, psychological", "attitude to health", "patient acceptance of health care" y "patient compliance". Resultados: se seleccionaron 20 artículos considerados relevantes para dar respuesta al objetivo de la revisión, de cuyo análisis se generaron dos categorías: a) barreras que dificultanel afrontamiento y el autocuidado en personas con síndrome de intestino irritable y b) intervenciones enfermeras dirigidas a la mejora de su calidad de vida. Se destacaba que la atención recibida era en ocasiones poco empática, la escasez de información ofertada por los profesionales sobre la enfermedad y que las intervenciones han de estar centradas en la educación al paciente. Conclusiones: la educación al paciente genera resultados muy favorecedores en la calidad de vida y el alivio de los síntomas, así como en la comprensión de la enfermedad y su manejo en la vida diaria. El rol de la enfermera en este proceso educativo se centra en una relación terapéutica eficaz para el afrontamiento de la enfermedad. Los profesionales de Enfermería han de tomar conciencia de su importancia en este proceso, adquiriendo un rol activo en el cuidado del paciente con síndrome de intestino irritable

Objective: to determine the role of nurses in the process of care for persons with irritable bowel syndrome. Method: a narrative review based on the bibliographic search in different Health Sciences databases: PubMed, CINHAL and Web of Science (WOS). The following controlled vocabulary terms (MeSH) were used: "irritable bowel syndrome", "nursing", "patient education as topic", "selfcare, self-management", "quality of life", "adaptation, psychological", "attitude to health", "patient acceptance of health care" and "patient compliance". Results: there was a selection of 20 articles considered relevant in order to give an answer to the objective of the review; two categories were generated from their analysis: a) barriers that impede coping and self-care in persons with irritable bowel syndrome, and b) Nursing interventions targeted to an improvement in their quality of life. It was pointed out that low empathy was occasionally present in the care received, that there was limited information offered by professionals about the disease, and that interventions must be focused on patient education. Conclusions: patient education generates very encouraging results in quality of life and symptom relief, as well as in terms of understanding the disease and its management in daily life. The role of the nurse in this education process must be focused on an effective therapeutic relationship in order to cope with the disease. Nursing professionals must be aware of their importance during this process, acquiring an active role in the care for patients with irritable bowel syndrome
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Fotocópia
Id: 172706
Autor: Chaer-Yemlahi Serroukh, Sana.
Título: Enfermería penitenciaria, la gran desconocida / Penitentiary Nursing, the great unknown
Fuente: Metas enferm;21(7):62-66, sept. 2018.
Idioma: es.
Resumen: La Enfermería ha experimentado grandes transformaciones y es evidente pensar que la Enfermería penitenciaria no ha sido ajena a estos cambios. La Enfermería penitenciaria tiene una realidad muy compleja, dado su pasado histórico, junto con el tipo de institución donde se desarrolla la actividad profesional y su estricto régimen interno que limita la actividad enfermera independiente frente a un desarrollo mayoritariamente de actividades colaborativas. El desempeño de la actividad enfermera autónomo en instituciones penitenciarias es escaso, difícil de aplicar, poco valorado e incluso incomprendido. Sin embargo, aunque la institución penitenciaria no facilite el desarrollo profesional de los/as enfermeros/as, la labor enfermera penitenciaria poco a poco ha ido asumiendo nuevos proyectos, retos, más responsabilidades y más autonomía. El presente manuscrito tiene como objetivo dar a conocer la figura de la Enfermería penitenciaria y su desarrollo profesional dentro del entorno laboral donde se lleva a cabo su trabajo, dadas sus particularidades

Nursing has experienced major transformations, and it would be obvious to think that Penitentiary Nursing has also been subject to these changes. The reality of Penitentiary Nursing is very complex, given its historic past within the type of institution where this professional activity is conducted, and its strict internal regimen which limits an independent nursing activity vs. the main development of collaborative activities. Conducting an independent nursing activity in penitentiary institutions is rare, difficult to implement, not really appreciated, and even misunderstood. However, even though the penitentiary institution does not encourage the professional development of nurses, Penitentiary Nursing has gradually taken on new projects and challenges, more responsibilities and higher independence. The objective of the present manuscript is to introduce the role of Penitentiary Nursing and its professional development within the occupational setting where this work is conducted, given its distinctive features
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  7 / 233 IBECS  
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Fotocópia
Id: 172702
Autor: Martínez Rioja, Elena; González Expósito, Josefina; Bustamante Revuelta, Eva; Gutiérrez-Martínez, Virginia; Prado-Amores, María; Maamar-el Asri, Meryam.
Título: Participación de las enfermeras de Cantabria en el Sistema Español de Farmacovigilancia / Participation of Cantabrian nurses in the Spanish Pharmacovigilance System
Fuente: Metas enferm;21(7):18-23, sept. 2018. tab, graf.
Idioma: es.
Resumen: Objetivo: describir la participación de las enfermeras de Cantabria en el Sistema de Farmacovigilancia Español mediante la notificación de sospechas de reacciones adversas a medicamentos (RAM) y determinar si su ámbito laboral influye en la notificación de las RAM graves. Método: estudio descriptivo longitudinal retrospectivo de las sospechas de RAM notificadas por profesionales enfermeros al Centro de Farmacovigilancia de Cantabria, entre 2010 y 2016. Se estudiaron variables relacionadas con la RAM (medicamento implicado, síntomas y gravedad) y el ámbito profesional de la enfermera que realizó la notificación. Se llevó a cabo estadística descriptiva y prueba de contraste de hipótesis Chi cuadrado de Pearson para determinar la asociación entre la gravedad de las sospechas de RAM y el ámbito profesional del notificador. Resultados: de las 3.008 notificaciones de sospechas de RAM recogidas en el Centro de Farmacovigilancia de Cantabria entre 2010 y 2016, las enfermeras aportaron 34, lo que supuso un 1,1% del total de notificaciones recibidas. El 59% fue clasificada como grave y de ellas el 70% provenía del ámbito hospitalario, sin encontrarse diferencias estadísticamente significativas entre la gravedad de la RAM y el ámbito profesional donde se notificó (p= 0,51). Conclusiones: la participación de las enfermeras cántabras en el Sistema de Farmacovigilancia Español es mínima. La mayoría de notificaciones es grave y proviene del ámbito hospitalario. Es necesario indagar acerca de las razones de la infranotificación, así como establecer medidas formativas e informativas dirigidas al colectivo enfermero en materia de farmacovigilancia

Objective: to describe the participation of Cantabrian nurses in the Spanish Pharmacovigilance System through reporting suspected drug-related adverse events (DRAEs), and to determine if their work setting has an impact on reporting severe DRAEs. Method: a descriptive cross-sectional retrospective study of the suspected DRAEs reported by nursing professionals to the Pharmacovigilance Centre in Cantabria between 2010 and 2016. Variables associated with the DRAE were studied (medication involved, symptoms and severity), and the professional setting of the reporting nurse. Descriptive statistics and Pearson's Chi Square hypothesis contrast test were used to determine any association between the severity of suspected DRAEs and the professional setting of the reporter. Results: nurses contributed 34 out of the 3,008 reports of suspected DRAEs collected at the Pharmacovigilance Centre of Cantabria between 2010 and 2016; this represented 1.1% of the total reports received. Of these, 59% were classified as severe, and 70% of them came from the hospital setting; no statistically significant differences were found between DRAE severity and the professional setting where it was reported (p= 0.51). Conclusions: there is a minimal participation of Cantabrian nurses in the Spanish Pharmacovigilance System. The majority of reports were severe and came from the hospital setting. It is necessary to find out the reasons for this under-reporting, as well as to implement training and informative measures targeted to the nursing community in terms of pharmacovigilance
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Id: 172689
Autor: Zacharias, Fabiana Machado; Schönholzer, Tatiele Estefâni; Figueira, Brisa Polyana; Viola, Carolina Grigolato; Fabriz, Luciana Aparecida; Arcêncio, Ricardo Alexandre; Pinto, Ione Carvalho.
Título: Evaluación de la satisfacción profesional de Enfermería en unidades de urgencias en Brasil / Evaluation of professional satisfaction among Emergency Unit Nurses in Brazil
Fuente: Metas enferm;21(5):5-9, jun. 2018. tab.
Idioma: es.
Resumen: Objetivo: describir la satisfacción en el trabajo, así como de sus componentes incluidos en el Index of Work Satisfaction (IWS), en el equipo de Enfermería de los servicios de urgencias en una ciudad del interior del estado de São Paulo en Brasil. Método: estudio descriptivo transversal, desarrollado en cinco unidades de urgencias de una ciudad del interior de São Paulo (Brasil), sobre 208 trabajadores del equipo de Enfermería. Se utilizó el instrumento IWS, que recorre seis componentes: autonomía, interacción, estatus profesional, requisitos del trabajo, normas organizacionales y remuneración, y oscila entre 0,9 (menos satisfacción) y 37,1(más satisfacción). Resultados: los componentes con más y menos satisfacción profesional son, respectivamente, remuneración y estatus profesional, tanto para enfermeros/as como para auxiliares de Enfermería. La puntuación de satisfacción global evaluada por el IWS fue de 9,5 para enfermeros/as y 10,1 en auxiliares. En el caso de los profesionales de Enfermería, y en relación al apartado ôimportancia asignadaö, el componente autonomía obtuvo la mayor puntuación. Conclusiones: ante los resultados obtenidos, mediante el análisis de los componentes del IWS, el personal de Enfermería de los servicios de urgencias, de una ciudad del interior de São Paulo (Brasil), presentaron bajo índice de satisfacción profesional. Es importante la concienciación de los gestores relativo a la mejora de las condiciones laborales y la profundización en la investigación de las variables que corroboraron a una puntuación por debajo del mínimo

Objective: to describe the satisfaction in work, as well as in the components included in the Index of Work Satisfaction (IWS), among the Nursing Team of the Emergency Units in a city from inner São Paulo, Brazil. Method: a descriptive cross-sectional study, conducted in five Emergency Units from a city in inner São Paulo (Brazil), with 208 workers from the Nursing Team. The IWS instrument was used, which covers six components: autonomy, interaction, professional status, work requirements, organization rules and remuneration; it ranges from 0.9 (lower satisfaction) to 37.1 (higher satisfaction). Results: the components with the highest and lowest professional satisfaction were, respectively, remuneration and professional status, both for nurses and for nursing assistants. The overall satisfaction score assessed by the IWS was 9.5 for nurses and 10.1 for assistants. In the case of Nursing professionals, the Autonomy component obtained the highest score in the section ôImportance assignedö. Conclusions: according to the results obtained through the analysis of the IWS components, the Nursing staff from the Emergency Units of a city in inner São Paulo (Brazil) presented a low rate of professional satisfaction. It is important to create awareness in managers regarding the improvement in working conditions, and to conduct a deeper research into the variables that led to a score below the minimum level
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  9 / 233 IBECS  
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Id: 172519
Autor: Malinauskas, Romualdas; Sniras, Sarunas; Malinauskiene, Vilija.
Título: Social self-efficacy training programme for basketball-playing students: A case study / Programa de capacitación social de autoeficacia para estudiantes que juegan baloncesto: Caso de estudio
Fuente: Rev. psicol. deport;27(1):165-185, 2018. tab.
Idioma: en.
Resumen: In this study, the effectiveness of an educational programme for enhancing social self-efficacy prepared for basketball-playing students was investigated. Fifty-four male basketball-playing students (Mage = 16.47; SD = .73), practicing on two teams, participated in this study. The teams were randomly assigned into an experimental (n=26) and a control (n=28) group. The intervention was designed to help basketball-playing students to determine their social self-efficacy by engaging in interactive activities and role play scenarios. To assess the effectiveness, a Social Self-efficacy Subscale, and a Multi-dimensional Control, Agency, and Means-ends Inventory for Friends were used. The findings showed that this educational programme for enhancing social self-efficacy was effective for basketball-playing students' social self-efficacy, and social self-efficacy beliefs in personal controllability and in control expectancy (AU)

En este estudio, se investigó la efectividad de un programa educativo para mejorar la autoeficacia social preparado para los estudiantes que practican baloncesto. Participaron en este estudio cincuenta y cuatro estudiantes masculinos que practican baloncesto (Mage = 16.47; SD = .73), divididos en dos equipos. Los equipos fueron asignados aleatoriamente a un grupo experimental (n = 26) y uno de control (n = 28). La intervención fue diseñada para ayudar a los estudiantes que practican baloncesto a determinar su autoeficacia social al participar en actividades interactivas y escenarios de juego de roles. Para evaluar la efectividad, se usó una subescala de autoeficacia social, un control multidimensional, agencia y un inventario de medios y fines para amigos. Los resultados mostraron que este programa educativo para mejorar la autoeficacia social fue efectivo para los estudiantes que practican baloncesto, y las creencias de autoeficacia social en la capacidad de control personal y en la expectativas de control (AU)
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  10 / 233 IBECS  
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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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