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Pesquisa : Z01.678.100.373 [Categoria DeCs]
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Fotocópia
Id: 179478
Autor: Alcaide, Fernando; Esteban, Jaime.
Título: Infecciones cutáneas y de partes blandas por micobacterias no tuberculosas / Cutaneous and soft skin infections due to non-tuberculous mycobacteria
Fonte: Enferm. infecc. microbiol. clín. (Ed. impr.);28(supl.1):46-50, ene 2010. ilus, tab.
Idioma: es.
Resumo: En los últimos años se ha observado un aumento en el número de aislamientos y variedad de especies de micobacterias no tuberculosas (MNT). Aunque la totalidad de las MNT patógenas pueden causar infecciones cutáneas y de tejidos blandos, las más frecuentes son las de crecimiento rápido (Mycobacterium fortuitum, Mycobacterium chelonae y Mycobacterium abscessus), Mycobacterium marinum y Mycobacterium ulcerans. La mayoría de las micobacteriosis cutáneas están causadas por especies de distribución mundial, como las micobacterias de crecimiento rápido, M. marinum, complejo Mycobacterium avium, Mycobacterium kansasii o Mycobacterium xenopi. Sin embargo, otras tienen una delimitación geográfica, como M. ulcerans, que produce una infección cutánea endémica, sobre todo en África central y occidental (úlcera de Buruli) y Australia (úlcera de Bairnsdale), donde es la tercera enfermedad micobacteriana más frecuente tras la tuberculosis y la lepra. Las micobacteriosis cutáneas suelen producirse por la exposición de heridas traumáticas o quirúrgicas al agua o productos contaminados con MNT, o bien por una enfermedad diseminada, mayormente, en los pacientes inmunodeprimidos. Para el diagnóstico, es necesario un elevado grado de sospecha ante lesiones cutáneas crónicas en pacientes con antecedentes de heridas cutáneas y exposición de riesgo, y con estudios microbiológicos convencionales negativos. En la mayoría de las MNT no se suele recomendar las pruebas de sensibilidad convencionales a los fármacos, salvo en ciertas especies, o en caso de fracaso terapéutico. El tratamiento se basará en la combinación de diversos antimicrobianos, teniendo en cuenta que las MNT presentan una mayor resistencia a los antituberculosos convencionales. En los casos graves y con afectación de tejidos o estructuras profundas se deberá recurrir al tratamiento quirúrgico

The frequency of isolation as well as the number of species of non-tuberculous mycobacteria (NTM) has increased in the last years. Nearly every pathogenic species of NTM may cause skin and soft tissue infections, but rapidly growing mycobacteria (Mycobacterium fortuitum, Mycobacterium chelonae and Mycobacterium abscessus), Mycobacterium marinum and Mycobacterium ulcerans are the most commonly involved. Many of these cutaneous mycobacteriosis, such as rapidly growing mycobacteria, M. marinum, Mycobacterium avium complex, Mycobacterium kansasii or Mycobacterium xenopi are world-wide distributed. In contrast, some others have a specific geographical distribution. This is the case of M. ulcerans, which causes a cutaneous diseases endemic of Central and West Africa (Buruli ulcer) and Australia (Bairnsdale ulcer), being the third mycobacterial infection after tuberculosis and leprosy. Cutaneous mycobacteriosis usually appear either after contact of traumatic or surgical wounds with water or other contaminated products, or, secondarily, as a consequence of a disseminated mycobacterial disease, especially among immunosuppressed patients. For an early diagnosis, it is necessary to maintain a high degree of suspicion in patients with chronic cutaneous diseases and a history of trauma, risk exposure and negative results of conventional microbiological studies. In general, individualized susceptibility testing is not recommended for most NTM infections, except for some species, and in case of therapeutic failure. Treatment includes a combination of different antimicrobial agents, but it must be taken into account that NTM are resistant to conventional antituberculous drugs. Severe cases or those with deep tissues involvement could also be tributary of surgical resection
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  2 / 31 IBECS  
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Texto completo SciELO Espanha
Id: 174807
Autor: Tan, Rachel; Cvetkovski, Biljana; Kritikos, Vicky; Yan, Kwok; Price, David; Smith, Peter; Bosnic-Anticevich, Sinthia.
Título: Management of allergic rhinitis in the community pharmacy: identifying the reasons behind medication self-selection
Fonte: Pharm. pract. (Granada, Internet);16(3):0-0, jul.-sept. 2018. tab, graf.
Idioma: en.
Resumo: Background: Community pharmacists have a key role to play in the management of allergic rhinitis (AR). Their role is especially important because the majority of medications used to treat AR are available for purchase over-the-counter (OTC), allowing patients to self-select their own medications and bypass the pharmacists. Patients' self-selection often results in suboptimal treatment selection, undertreated AR and poor clinical outcomes. In order for pharmacists to optimise the care for AR patients in the pharmacy, pharmacists need to be able to identify patient cohorts who self-select and are at high risk of mismanagement. Objectives: This study aimed to compare the demographics, clinical characteristics and medication selected, between pharmacy customers who choose to self-select and those who speak with a pharmacist when purchasing medication for their AR in a community pharmacy and identify factors associated with AR patients' medication(s) self-selection behaviour. Methods: A cross-sectional observational study was conducted in a convenience sample of community pharmacies from the Sydney metropolitan area. Demographics, pattern of AR symptoms, their impact on quality of life (QOL) and medication(s) selected, were collected. Logistic regressions were used to identify factors associated with participants' medication self-selection behaviour. Results: Of the 296 recruited participants, 202 were identified with AR; 67.8% were female, 54.5% were >40 years of age, 64.9% had a doctor's diagnosis of AR, and 69.3% self-selected medication(s). Participants with AR who self-select were 4 times more likely to experience moderate-severe wheeze (OR 4.047, 95% CI 1.155-14.188) and almost 0.4 times less likely to experience an impact of AR symptoms on their QOL (OR 0.369, 95% CI 0.188-0.727). Conclusions: The factors associated with AR patients' self-selecting medication(s) are the presence of wheeze and the absence of impact on their QOL due to AR symptoms. By identifying this cohort of patients, our study highlights an opportunity for pharmacists to engage these patients and encourage discussion about their AR and asthma management

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Texto completo SciELO Espanha
Id: 174795
Autor: Mostaghim, Mona; Snelling, Tom; Katf, Hala; Bajorek, Beata.
Título: Paediatric antimicrobial stewardship and safe prescribing: an assessment of medical staff knowledge and behaviour
Fonte: Pharm. pract. (Granada, Internet);16(2):0-0, abr.-jun. 2018. tab, graf.
Idioma: en.
Resumo: Objective: Determine baseline knowledge of antimicrobial stewardship, and safe prescribing among junior medical officers, monitor their level of participation in interactive education during protected teaching time and assess day-to-day prescribing behaviours over the subsequent 3-month period. Methods: A voluntary and anonymous survey of all non-consultant level medical officers was conducted with the use of an audience response system during mandatory face-to-face orientation sessions at a tertiary paediatric hospital. Routine prescribing audits monitored compliance with national and locally derived quality use of medicines indicators. Results: Eighty-six percent of medical officers participated by responding to at least one question (171/200). Response rate for individual questions ranged between 31% and 78%. Questions that addressed adverse drug reactions, documentation and monitoring for empiric antibiotics and the error-prone abbreviations IU and U were correctly answered by over 90% of participants. Other non-standard and error-prone abbreviations were less consistently identified. In practice, 68% of patients had complete adverse drug reaction documentation (113/166). Error-prone abbreviations were identified on 5% of audited medication orders (47/976), approximately half included a documented indication and intended dose. Conclusions: Participants demonstrated a good understanding of safe prescribing and antimicrobial stewardship. Audits of prescribing identified potential discrepancies between prescribing knowledge and behaviours

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  4 / 31 IBECS  
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Texto completo SciELO Espanha
Id: 171852
Autor: Yiu, Angela W; Bajorek, Beata V.
Título: Health literacy and knowledge in a cohort of Australian patients taking warfarin
Fonte: Pharm. pract. (Granada, Internet);16(1):0-0, ene.-mar. 2018. tab, graf.
Idioma: en.
Resumo: Objectives: To 1) characterise older patients taking warfarin, 2) assess these patients' level of warfarin knowledge, and 3) describe their strengths and limitations in health literacy, and 4) explore relationships between participants' characteristics, warfarin knowledge and health literacy. Methods: A warfarin knowledge questionnaire and Health Literacy Questionnaire (HLQ) were administered to older patients (aged >65 years, N=34) taking warfarin in an Australian general practice setting. Results: Key gaps in participant knowledge pertained to the consequences of an international normalized ratio (INR) being below the target INR range and safety issues such as when to seek medical attention. A limitation for participants with a lower level of health literacy was the ability to appraise health information. Patients who needed assistance in completing the HLQshad significantly lower warfarin knowledge scores (p=0.03). Overseas-bornparticipants and those taking 5 or more long-term medications had lower HLQ scores for specific scales (p<0.05).Conclusion: In this study warfarin knowledge gaps and a limitation of health literacy amongst a small sample of older patients were identified. The findings suggest that education and resources may need to be tailored to the needs of older patients taking warfarin and their carers to address these knowledge gaps and limitations in health literacy. Patients who may need greater support include those that need assistance in completing the HLQ, are overseas-born, or are taking 5or morelong-term medications (AU)

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  5 / 31 IBECS  
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Texto completo SciELO Espanha
Id: 169680
Autor: Santos, A; Tavares, F.
Título: The Introduction stage of Basketball players. A view from Basketball Experts / La etapa de introducción de los jugadores de baloncesto. Consideraciones de expertos de baloncesto / A fase de introdução dos jogadores de basquete. Uma visão de especialistas em basquete
Fonte: Cuad. psicol. deporte;17(3):169-174, sept. 2017. tab.
Idioma: en.
Resumo: This study aimed to examine the introduction stage of basketball participants in countries that are ranked within the top 20 basketball countries by FIBA. Through the use of semi structured interviews, data was collected from 16 technical experts from 6 countries. We analyzed the introductory phase determining: the age at which participants start in the programs; the different avenues or forms of entry in to the sport; the objectives defined and pursued in these stages; the structure of the competitive contests and the multi-sport involvement and specialization. The data revealed an age range of 5 to 12 years for the introduction of participants to basketball. Various settings for the introduction in the sport were found to exist. USA stands out with a maximum of 7 options. Regarding the main objectives in basketball introduction, the data revealed a balance between the three learning domains, with a slight increase of the affirmative and psychomotor over the cognitive. In terms of competition there is a common standard across countries that contests during the period of introduction are focused in enjoyment and stimulation. Several strategies are used in all countries, (e.g. reducing the size of the ball, number of players, height of the basket) are used to accommodate the game to the children abilities and to the objectives of the introductory stage. In terms of multi-sport participation and the ages at which specialization in basketball should occur, opinions are favorable to a multi-sport diversification, and the average age of specialization was 15 (AU)

Este estudio tuvo como objetivo examinar la etapa de presentación de los participantes de baloncesto de los países que se clasifican dentro de los 20 países de baloncesto superior por la FIBA. Mediante el uso de entrevistas semiestructuradas, se recogieron datos de 16 expertos técnicos de 6 países. Hemos analizado la fase de introducción determinando: la edad en que los participantes comienzan en los programas; las diferentes vías o formas de entrada en el deporte; los objetivos perseguidos y definidos en estas etapas; la estructura competitiva y la participación multe-deportiva y la edad de especialización. Los datos revelaron un rango de edad de 5 a 12 años para la presentación de los participantes al baloncesto. Se comprueba la existencia de varios parámetros para la introducción en el deporte. USA se destaca con un máximo de 7 opciones. En cuanto a los principales objetivos en la introducción de baloncesto, los datos revelaron un equilibrio entre los tres dominios de aprendizaje, con un ligero aumento de la afirmativa y psicomotor sobre el desarrollo cognitivo. En cuanto a la competición, hay un estándar común en los países definiéndose el disfrute y la estimulación como los objetivos principales. Varias estrategias se utilizan en todos los países, (por ejemplo, la reducción del tamaño de la bola, número de jugadores, la altura de la canasta) se utilizan para acomodar el juego de las habilidades de los niños y para los objetivos de la etapa de introducción. En cuanto a la participación del multe-deporte y las edades en las que la especialización en el baloncesto debe ocurrir, las opiniones son favorables a una diversificación multe-deporte, y la edad media de especialización fue de 15 anos (AU)

Este estudo teve como objetivo analisar a fase de introdução de participantes de basquete de países que são classificados dentro dos primeiros 20 países de basquete pela FIBA. Através do uso de entrevistas semiestruturados, os dados foram recolhidos a partir de 16 especialistas técnicos de 6 países. Analisou-se a fase introdutória determinando: a idade em que os participantes começam nos programas; os diferentes caminhos ou formas de entrada para a modalidade; os objetivos definidos e perseguidos nessa fase; a estrutura competitiva, o envolvimento multidesportivo e a especialização. Os dados revelaram uma faixa etária de 5 a 12 anos para a introdução de participantes para o basquete. Foram reveladas várias formas de introdução na modalidade. Os EUA destaca-se com um máximo de 7 opções. Em relação aos principais objetivos, os dados revelaram um equilíbrio entre os três domínios de aprendizagem, com um ligeiro aumento da afirmativa e psicomotor sobre o cognitivo. Em termos de competição há um padrão comum entre os países centrando-se os objetivos competitivos na diversão e estimulação. Várias estratégias são utilizadas em todos os países, (por exemplo, reduzindo o tamanho da bola, o número de jogadores, altura do cesto) para acomodar o jogo às capacidades crianças e aos objetivos da fase introdutória. As opiniões dos especialistas são favoráveis à participação multidesportiva e a idade em que a especialização deve ocorrer em basquetebol, foi em média de 15 anos (AU)
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  6 / 31 IBECS  
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Texto completo SciELO Espanha
Id: 156627
Autor: Chan, Vincent; Tran, Hung.
Título: Purchasing Over-the-counter medicines from Australian pharmacy: what do the pharmacy customers value and expect?
Fonte: Pharm. pract. (Granada, Internet);14(3):0-0, jul.-sept. 2016. tab.
Idioma: en.
Resumo: Background: Over-the-counter medicines (OTC) are widely available and can be purchased without a prescription. Their availability means that a customer may choose to purchase them without the involvement of a pharmacy/pharmacist. It is important to understand customer OTC purchasing perceptions and behaviour from a pharmacy to better understand the needs and opportunities in this space. Objective: This study aimed to examine customers' key expectations and what they value when purchasing OTC and how the effect of health status/stress and perceived risks/benefits of purchasing OTCs from a pharmacy may influence their OTC shopping behaviour. Methods: Customers from two metropolitan pharmacies across two different suburbs in Brisbane, Queensland, Australia completed a self-administered questionnaire. Data collection was conducted over a six-week period. The questionnaire examined demographics, current level of health and stress, as well as a range of questions (seven-point Likert-scale) examining perceived benefits and risks, what they value, trust and expect when purchasing OTC. Results: A total of 86 customers from a broad range of demographics were captured in this study. When asked about their current health state, 41% and 23% respectively indicated that they were stressed and tense when they arrived at the pharmacy but many were feeling well (38%). Most customers strongly agreed/agreed that trust in the advice from a pharmacy (96%), trust in the products (73%), and the altruistic approach of a pharmacy (95%) were critical to them. Further, 82% and 78% respectively disagreed that time pressures or costs were concerns, despite many feeling tense and stressed when they came in. When asked where they intend to buy their future OTC, 89% indicated pharmacy instead of a supermarket. Conclusions: High levels of trust, confidence and sense of altruism and care were key factors for customers buying OTC from a pharmacy, regardless of time pressures, costs or existing levels of stress and health (AU)

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  7 / 31 IBECS  
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Texto completo SciELO Espanha
Id: 153716
Autor: MacFarlane, Brett; Bergin, Jenny; Peterson, Gregory M.
Título: Assessment and management of serotonin syndrome in a simulated patient study of Australian community pharmacies
Fonte: Pharm. pract. (Granada, Internet);14(2):0-0, abr.-jun. 2016. tab, ilus.
Idioma: en.
Resumo: Background: The incidence of serotonin syndrome is increasing due to the widening use of serotonergic drugs. Identification of serotonin syndrome is challenging as the manifestations are diverse. Misdiagnosis can lead to delay in care and inappropriate treatment. Objectives: The objectives of this study were to determine if staff of community pharmacies in Australia could identify the symptoms of serotonin syndrome in simulated patients and recommend an appropriate course of action. Methods: Agents acting on behalf of a simulated patient were trained on a patient scenario that reflected possible serotonin syndrome due to an interaction between duloxetine and recently prescribed tramadol. They entered 148 community pharmacies in Australia to ask for advice about a 60 year old male simulated patient who was 'not feeling well'. The interaction was audio recorded and analysed for degree of access to the pharmacist, information gathered by pharmacy staff, management advice given and pharmacotherapy recommended. Results: The simulated patient's agent was consulted by a pharmacist in 94.0% (139/148) of cases. The potential for serotonin syndrome was identified by 35.1% (52/148) of pharmacies. Other suggested causes of the simulated patient's symptoms were viral (16.9%; 25/148) and cardiac (15.5%; 23/148). A total of 33.8% (50/148) of pharmacies recommended that the simulated patient should cease taking tramadol. This advice always came from the pharmacist. Immediate cessation of tramadol was advised by 94.2% (49/52) of pharmacists correctly identifying serotonin syndrome. The simulated patient was advised to seek urgent medical care in 14.2% (21/148) of cases and follow up with a doctor when possible in 68.2% (101/148) of cases. The majority of pharmacies (87.8%; 130/148) did not recommend non-prescription medicines. Conclusion: While not identifying the cause of the simulated patient's symptoms in the majority of cases, community pharmacies recommended appropriate action to minimise the health impact of serotonin syndrome by advising to cease tramadol and/or referring to a doctor and not recommending non-prescription medicines to treat symptoms. Raising pharmacists' awareness of the signs and symptoms of serotonin syndrome, and the importance of taking a comprehensive medication history when assessing a set of symptoms, may help community pharmacies further reduce serotonin syndrome toxicity (AU)

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  8 / 31 IBECS  
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Id: 149614
Autor: Nunes-da-Cunha, Ines; Fernandez-Llimos, Fernando.
Título: Codificación sistemática de contenidos educativos de farmacia práctica / Systematic coding of pharmacy practice educational contents
Fonte: Pharm. care Esp;18(1):28-42, 2016. tab.
Idioma: es.
Resumo: Introducción: Los organismos internacionales farmacéuticos reclaman una educación farmacéutica más centrada en el paciente, que de apoyo a las funciones de la atención farmacéutica. Para ello, se han desarrollado marcos de competencias, que no siempre se han asociado a los correspondientes contenidos docentes. Objetivo: Identificación sistemática de los contenidos programáticos del área de farmacia práctica, mediante la creación de un árbol de codificación de contenidos. Método: Análisis cualitativo de los contenidos docentes de asignaturas del área de farmacia práctica de los planes de estudios de las facultades de farmacia de Australia, Canadá, Estados Unidos, y Nueva Zelanda. Los syllabus fueron obtenidos de las páginas web de las facultades de farmacia, excluyendo las que no tenían el plan de estudios completo disponible en inglés. Se solicitó a los responsables de las asignaturas información adicional por correo electrónico. Se creó un árbol de contenidos inicial a partir de directrices del Accreditation Council for Pharmacy Education. Se realizó un proceso iterativo de codificación dirigida, para obtener el árbol final de códigos que permitiese clasificar los contenidos docentes del área de farmacia práctica. Resultados: Se incluyeron 110 facultades (Australia=15; Canadá=5; Estados Unidos=89; y Nueva Zelanda=1), con 8733 asignaturas, de las que 1703 (19.5%) pertenecían al área de farmacia práctica y presentaban syllabus con información detallada. Se obtuvo respuesta con información adicional de 119 asignaturas. El análisis de contenido convirtió el árbol inicial de 39 categorías, en un árbol final de codificación con 3 niveles jerárquicos y 69 categorías. Conclusión: En los países del análisis, aproximadamente el 20% de las asignaturas pertenecen al área de farmacia práctica. Se ha conseguido un árbol de codificación y clasificación de los contenidos docentes de farmacia práctica. Futuros estudios deberían mapear las asignaturas actuales para determinar si los contenidos identificados están siendo enseñados (AU)

Introduction: International pharmaceutical institutions claim for a more patient-focused pharmacy education, which can support pharmaceutical care processes. Consequently, competencies frameworks have been developed, but they not always are associated with teaching contents. Objective: Systematic identification of pharmacy practice curricular contents, by means of creating a content codification tree. Method: Qualitative analysis of course contents of pharmacy practice disciplines from the curricular descriptions pharmacy schools from Australia, Canada, United States and New Zealand. Syllabuses were retrieved from pharmacy schools websites, excluding those without the complete program in English. Additional information was requested by email to course responsible. An initial content coding tree was created based on the Accreditation Council for Pharmacy Education standards. An iterative directed coding was done to obtain the final coding tree that would allow the complete codification of pharmacy practice educational contents. Results: A total of 110 schools were included (Australia=15; Canada=5; United States=89; y New Zealand=1), with 8733 courses, and 1703 (19.5%) corresponded to pharmacy practice area and presented syllabus with complete information. Additional information was obtained from 119 courses. Content analysis converted the initial tree with 39 categories to a final coding tree with 3 hierarchical levels and 69 categories. Conclusion: In countries under analysis, about 20% of courses fit in pharmacy practice area. A coding tree to classify pharmacy practice teaching contents was created. Future studies should map current courses to identify if these curricular contents are being taught (AU)
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  9 / 31 IBECS  
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Id: 148143
Autor: Lindsay, B.
Título: Translation of the Spanish model to Australia: pros and cons
Fonte: Nefrología (Madrid);21(supl.4):130-133, 2001. tab.
Idioma: en.
Resumo: No disponible

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  10 / 31 IBECS  
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Id: 140789
Autor: Fejzic, Jasmina; Barker, Michelle.
Título: Implementing simulated learning modules to improve students' pharmacy practice skills and professionalism / Implantación de módulos de aprendizaje simulados para mejorar las habilidades de farmacia práctica y el profesionalismo en los estudiantes
Fonte: Pharm. pract. (Granada, Internet);13(3):0-0, jul.-sept. 2015. tab, ilus.
Idioma: en.
Resumo: Background: Effective communication enables healthcare professionals and students to practise their disciplines in a professional and competent manner. Simulated-based education (SBE) has been increasingly used to improve students' communication and practice skills in Health Education. Objective: Simulated learning modules (SLMs) were developed using practice-based scenarios grounded in effective communication competencies. The effect of the SLMs on Pharmacy students' (i) Practice skills and (ii) Professionalism were evaluated. Methods: SLMs integrating EXCELL competencies were applied in the classroom to study their effect on a number of learning outcomes. EXcellence in Cultural Experiential Learning and Leadership (EXCELL) Program is a schematic, evidence-based professional development resource centred around developing participants' selfefficacy and generic communication competencies. Students (N=95) completed three hours of preliminary lectures and eight hours of SLM workshops including six scenarios focused on Pharm. pract and Experiential Placements. Each SLM included briefing, role-plays with actors, facilitation, and debriefing on EXCELL social interaction maps (SIMs). Evaluations comprised quantitative and qualitative survey responsed by students before and post-workshops, and post-placements, and teachers' reflections. Surveys examine specific learning outcomes by using pharmacy professionalism and pharmacy practice effectiveness scales. Responses were measured prior to the commencement of SLMs, after completion of the two workshops and after students completed their block placement. Self-report measures enabled students to self-assess whether any improvements occurred. Results: Student responses were overwhelmingly positive and indicated significant improvements in their Pharmacy practice and professionalism skills, and commitment to professional ethics. Qualitative feedback strongly supported students' improved communication skills and confidence. Teacher reflections observed ecological validity of SLMs as a method to enhance professionalism and communication skills, and suggested ways to improve this teaching modality. Conclusion: Inclusion of SLMs centred on practice and professionalism was evaluated as an effective, teaching strategy by students and staff. The integration of SIMs in SLMs has potential for wider application in clinical teaching (AU)

Antecedentes: La comunicación efectiva permite a los profesionales de la salud y estudiantes ejercer sus disciplinas de un modo profesional y competente. La educación basada en la simulación (SBE) se ha usado crecientemente para mejorar la comunicación de los estudiantes y las habilidades prácticas. Objetivo: Se desarrollaron módulos de aprendizaje simulados (SLM) usando escenarios basados en la práctica y apoyados en competencias de comunicación efectiva. Se evaluó el efecto de los SLM en (i) las habilidades prácticas y (ii) el profesionalismo de los estudiantes de farmacia. Métodos: Se utilizaron en clase SLM que integraban las competencias EXCELL para estudiar su efecto en varios resultados de aprendizaje. El programa EXCELL (EXcellence in Cultural Experiential Learning and Leadership) es un recurso de desarrollo profesional basado en la evidencia centrado en desarrollar la autoeficacia de los participantes y sus competencias genéricas de comunicación. Los estudiantes (N=95) completaron tres horas de sesiones teóricas y ocho horas de talleres SLM que incluían seis escenarios centrados en los lugares de prácticas tuteladas. Cada SLM incluía un resumen, role-plays con actores, facilitación y un resumen final con deliberación sobre mapas de interacción social (SIM) del EXCELL. Las evaluaciones contenían cuestionarios cualitativos y cuantitativos respondidos por los estudiantes antes y después de los talleres y después de las prácticas, y las reflexiones de los profesores. Los cuestionarios examinaban resultados de aprendizaje específicos usando escalas de profesionalismo en farmacia y de efectividad del ejercicio farmacéutico. Las respuestas se midieron antes del comienzo de los SLM, después de completar dos talleres, y después de que los estudiantes completasen su bloque de prácticas tuteladas. Las mediciones autocomunicadas permitieron a los estudiantes a auto-evaluar si existían mejoras. Resultados: Las respuestas de los estudiantes fueron extremamente positivas e indicaron mejoras significativas en su práctica y profesionalismo, y compromiso con la ética profesional. El feed-back cualitativo soportó fuertemente la mejora de habilidades de comunicación y confianza. Las reflexiones del profesor observaban una validez natural de los SLM como método para aumentar el profesionalismo y las habilidades de comunicación, y sugirieron modos de mejorar esta modalidad docente. Conclusión: La inclusión de SLM centrados en la práctica y el profesionalismo fue evaluada como una estrategia docente efectiva por los estudiantes y el personal. La integración de los SIM en los SLM tiene un potencial para otras aplicaciones en la docencia clínica (AU)
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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde