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[PMID]:28461521
[Au] Autor:Polachek A; Stober CB; Gudbjornsson B; Ritchlin CT
[Ad] Endereço:From the University of Toronto, Toronto, Ontario, Canada; University of Cambridge, Cambridge, UK; Division of Allergy, Immunology, and Rheumatology, University of Rochester Medical Center, Rochester, New York, USA; Centre for Rheumatology Research, National University Hospital of Iceland, Reykjavik,
[Ti] Título:GRAPPA Trainees Symposium 2016: A Report from the GRAPPA 2016 Annual Meeting.
[So] Source:J Rheumatol;44(5):661-667, 2017 May.
[Is] ISSN:0315-162X
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:At the 2016 annual meeting of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) in Miami, Florida, USA, a trainees symposium was held. Rheumatology and dermatology trainees, engaged in psoriasis or psoriatic arthritis research, presented their work. This report briefly reviews 6 oral presentations and 21 posters presented at that meeting.
[Mh] Termos MeSH primário: Artrite Psoriásica
Dermatologia
Educação Continuada
Psoríase
Reumatologia
[Mh] Termos MeSH secundário: Seres Humanos
Pesquisa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.3899/jrheum.170140


  2 / 8441 MEDLINE  
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[PMID]:28459496
[Au] Autor:Park CS; Kang KH; Yun SN
[Ti] Título:Growth Trajectories and Detrended Intraindividual Variability to Assess Case Managers' Competency in Continuing Education.
[So] Source:J Contin Educ Nurs;48(5):230-238, 2017 May 01.
[Is] ISSN:1938-2472
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Tracking the effectiveness of CE over time beyond simply confirming its efficacy in continuing education (CE) in nursing is crucial. However, research evidence on the analysis of change of the effectiveness of CE over time is limited, particularly in the context of case management. This methodological study aimed to introduce both a growth curve modeling and an intra-individual variability index and demonstrate step-by-step procedures and interpretations of those analyses to assess case manager competency over time, using secondary data analysis. Data were collected from 22 case managers affiliated with the Korean National Health Insurance Corporation who attended three series of CE to improve their competency between May 2008 and August 2009. Unexpected results revealed a negative fixed effect of education level in the overall estimation of case managers' competency trajectory and a negative correlation between education level and case managers' intra-individual competency inconsistency over time. J Contin Nurs Educ. 2017;48(5):230-238.
[Mh] Termos MeSH primário: Administração de Caso/normas
Gerentes de Casos/educação
Educação Continuada/estatística & dados numéricos
Educação Continuada/normas
Avaliação Educacional/métodos
Competência Profissional/estatística & dados numéricos
Competência Profissional/normas
[Mh] Termos MeSH secundário: Adulto
Administração de Caso/estatística & dados numéricos
Gerentes de Casos/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.3928/00220124-20170418-08


  3 / 8441 MEDLINE  
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[PMID]:28448326
[Au] Autor:Khalil H; Schliephake K
[Ad] Endereço:1Monash University, Faculty of Medicine, Nursing and Health Sciences, Monash Rural Health, Clayton 2Monash University, Faculty of Medicine, Nursing and Health Sciences, Clayton, Victoria, Australia.
[Ti] Título:Design of an online medication safety module for clinicians.
[So] Source:Int J Evid Based Healthc;15(2):63-68, 2017 Jun.
[Is] ISSN:1744-1609
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Australia, there are very few online courses addressing medication safety issues. Educating clinicians about medication safety is paramount given the increased responsibility of clinicians in advanced practice roles including nurses at several key points throughout the medication process that encompass prescribing, dispensing, administering and monitoring medications. METHOD: The model used for the course design is based on adult teaching principles. The modules incorporate several knowledge-based presentations along with interactive activities. An integrative pedagogical approach is used in designing the modules in the online course. RESULTS: The online education modules target clinicians who work in the community setting. Although the modules are intended to reinforce the principles of medication safety principles identified in the literature, there is a focus on professional responsibility and understanding the laws governing medication disposals and handling. The course used an integrative approach suitable for pharmacy programs. CONCLUSION: The design and development of a medication safety online course was described by using the Australian Commission on Safety and Quality in Health Care and the 2011 Curriculum developed by the Royal Australian College of General Practitioners frameworks. The course has gained accreditation by the Australian Royal College of General Practice as part of its continuing education development programs.
[Mh] Termos MeSH primário: Educação a Distância
Erros de Medicação/enfermagem
Erros de Medicação/prevenção & controle
[Mh] Termos MeSH secundário: Austrália
Educação Continuada/métodos
Seres Humanos
Segurança do Paciente
Farmacologia Clínica/educação
Medicamentos sob Prescrição
Eliminação de Resíduos/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Prescription Drugs)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171215
[Lr] Data última revisão:
171215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1097/XEB.0000000000000103


  4 / 8441 MEDLINE  
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[PMID]:28992759
[Au] Autor:Ebn Ahmady A; Barker M; Dragonetti R; Fahim M; Selby P
[Ad] Endereço:1 Centre for Addiction and Mental Health, Toronto, ON, Canada.
[Ti] Título:A Qualitative Evaluation of an Online Expert-Facilitated Course on Tobacco Dependence Treatment.
[So] Source:Inquiry;54:46958017732967, 2017 Jan 01.
[Is] ISSN:1945-7243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Qualitative evaluations of courses prove difficult due to low response rates. Online courses may permit the analysis of qualitative feedback provided by health care providers (HCPs) during and after the course is completed. This study describes the use of qualitative methods for an online continuing medical education (CME) course through the analysis of HCP feedback for the purpose of quality improvement. We used formative and summative feedback from HCPs about their self-reported experiences of completing an online expert-facilitated course on tobacco dependence treatment (the Training Enhancement in Applied Cessation Counselling and Health [TEACH] Project). Phenomenological, inductive, and deductive approaches were applied to develop themes. QSR NVivo 11 was used to analyze the themes derived from free-text comments and responses to open-ended questions. A total of 277 out of 287 participants (96.5%) completed the course evaluations and provided 690 comments focused on how to improve the program. Five themes emerged from the formative evaluations: overall quality, content, delivery method, support, and time. The majority of comments (22.6%) in the formative evaluation expressed satisfaction with overall course quality. Suggestions for improvement were mostly for course content and delivery method (20.4% and 17.8%, respectively). Five themes emerged from the summative evaluation: feedback related to learning objectives, interprofessional collaboration, future topics of relevance, overall modifications, and overall satisfaction. Comments on course content, website function, timing, and support were the identified areas for improvement. This study provides a model to evaluate the effectiveness of online educational interventions. Significantly, this constructive approach to evaluation allows CME providers to take rapid corrective action.
[Mh] Termos MeSH primário: Educação Continuada/métodos
Educação a Distância/métodos
Pessoal de Saúde/educação
Internet
Tabagismo/terapia
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Feminino
Seres Humanos
Relações Interprofissionais
Masculino
Pesquisa Qualitativa
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1177/0046958017732967


  5 / 8441 MEDLINE  
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[PMID]:28984509
[Au] Autor:Hodgson K; Darling M; Freeman D; Monavvari A
[Ad] Endereço:1 University of Toronto, Ontario, Canada.
[Ti] Título:Asking About Pets Enhances Patient Communication and Care: A Pilot Study.
[So] Source:Inquiry;54:46958017734030, 2017 Jan 01.
[Is] ISSN:1945-7243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This research explored whether asking patients about their pets would enable better environmental/social history taking, and improve patient communication/care. Primary health care providers (PHPs) were surveyed about prevalence of patients living with pets, the health impact of pets, and influences on patient communication. Following an educational intervention, they committed to asking patients about their pets. A follow-up survey was conducted electronically. PHPs were recruited at a continuing medical education (CME) conference and at CME workshops. All 225 participants were PHPs. At the conference, participants were educated one-on-one about the clinical relevance of pets in the family. CME sessions were large or small group teaching. Baseline and final surveys measured awareness of pets in patients' families, assessment of determinants of health, impact on rapport with patients, and patient care. A sign test assessed difference in scores using repeated-measures analysis. Binomial outcomes were assessed using Fisher's exact test. Comments were themed. Ninety-four PHPs (42%) completed the study. Pet-related discussions opened communication with patients. Two-thirds of participants identified positive effects on practice and on relationships with patients. PHPs were able to leverage the health benefits of pets (zooeyia) and mitigate zoonotic risk. Asking patients about pets in the family reveals clinically relevant information, improves communication, and strengthens the therapeutic alliance.
[Mh] Termos MeSH primário: Educação Continuada/organização & administração
Pessoal de Saúde/educação
Animais de Estimação/psicologia
Atenção Primária à Saúde/métodos
Relações Profissional-Paciente
[Mh] Termos MeSH secundário: Animais
Comunicação
Meio Ambiente
Feminino
Nível de Saúde
Seres Humanos
Masculino
Projetos Piloto
Participação Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1177/0046958017734030


  6 / 8441 MEDLINE  
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[PMID]:28823992
[Au] Autor:Kinnison T; May S
[Ad] Endereço:The Royal Veterinary College, Hatfield, UK.
[Ti] Título:Continuing professional development: researching non-technical competencies can support cognitive reappraisal and reduced stress in clinicians.
[So] Source:Vet Rec;181(10):266, 2017 Sep 09.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Generic professional capabilities (non-technical competencies) are increasingly valued for their links to patient outcomes and clinician well-being. This study explores the emotional change, and practice-related outcomes, of participants of a veterinary professional key skills (PKS) continuing professional development (CPD) module. Reflective summaries produced by participants were analysed. A change in emotion, from 'negative' to 'positive', was the focus of analysis. Sections regarding these emotions were thematically analysed. Analysis was performed on 46 summaries. Three themes were identified: 'the PKS module' (centred on reluctance becoming surprise and stimulation), 'developing non-technical competencies' (unease to confidence) and 'stress and coping through a reflective focus' (anxiety to harmony). The changing emotions were connected to positive cognitive reappraisal and often behaviour changes, benefitting self, practice, clients and patients. The PKS module teaches participants to reflect; a new and challenging concept. The consequences of this enabled participants to understand the importance of professional topics, to be appreciative as well as critical, and to enjoy their job. Importantly, the module stimulated coping responses. Better understanding of roles led to participants having more reasonable expectations of themselves, more appreciation of their work and reduced stress. This research supports more attention to professional skills CPD for health professions.
[Mh] Termos MeSH primário: Educação Continuada
Competência Profissional
Estresse Psicológico/prevenção & controle
Médicos Veterinários/psicologia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Cognição
Emoções
Feminino
Seres Humanos
Masculino
Pesquisa
Estresse Psicológico/psicologia
Médicos Veterinários/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170918
[Lr] Data última revisão:
170918
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170822
[St] Status:MEDLINE
[do] DOI:10.1136/vr.104426


  7 / 8441 MEDLINE  
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[PMID]:28799293
[Au] Autor:Pincus HA; Pike KM; Spaeth-Rublee B; Elinson L
[Ad] Endereço:Department of Psychiatry, Columbia University, New York, New York.
[Ti] Título:Health and Aging Policy Fellows Program: Shaping a Healthy Future for Older Americans.
[So] Source:J Am Geriatr Soc;65(9):2088-2093, 2017 Sep.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As the size of the elderly population increases, so do the challenges of and barriers to high-quality, affordable health care. The Health and Aging Policy Fellows (HAPF) Program is designed to provide health and aging professionals with the skills and experience to help lead the effort in reducing these barriers and shaping a healthy and productive future for older Americans. Since its inception in 2008, the program has affected not only the fellows who participate, but also the field of health and aging policy. Work needs to be done to sustain this program so that more fellows can participate and sound policies for the elderly population can continue to be shaped and improved. This report describes the HAPF Program, including its background (rationale, description, partners, progress, effect), lessons learned, challenges and solutions, and policy implications.
[Mh] Termos MeSH primário: Envelhecimento
Bolsas de Estudo
Geriatria/educação
Política de Saúde
[Mh] Termos MeSH secundário: Educação Continuada
Fundações/economia
Seres Humanos
Avaliação de Programas e Projetos de Saúde
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170812
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.15036


  8 / 8441 MEDLINE  
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[PMID]:28792856
[Au] Autor:Yeager VA; Wisniewski JM
[Ad] Endereço:1 Department of Global Health Management and Policy, Tulane School of Public Health and Tropical Medicine, New Orleans, LA, USA.
[Ti] Título:Factors That Influence the Recruitment and Retention of Nurses in Public Health Agencies.
[So] Source:Public Health Rep;132(5):556-562, 2017 Sep/Oct.
[Is] ISSN:1468-2877
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Given challenges to recruiting nurses to public health and the growth in national policies focused on population health, it is crucial that public health agencies develop strategies to sustain this important group of employees. The objective of this study was to examine factors that influence nurses' decisions to work in public health agencies. METHODS: This cross-sectional study examined perspectives of nurses who worked in state and local public health departments and responded to the 2010 Council on Linkages Between Academia and Public Health Practice's survey of public health workers. We calculated the mean rating of each recruitment and retention factor for nurses and non-nurses separately and compared differences by using t tests. We then used multivariate regression analysis to examine differences in ratings by role (ie, nurse or non-nurse). RESULTS: After controlling for personal and organizational characteristics, the influence of 5 recruitment factors was significantly stronger among nurses than among non-nurses: flexibility of work schedule ( P < .001), autonomy/employee empowerment ( P < .001), ability to innovate ( P = .002), specific duties and responsibilities ( P = .005), and identifying with the mission of the organization ( P = .02). The influence of 5 retention factors was stronger among nurses than among non-nurses : autonomy/employee empowerment ( P < .001), flexibility of work schedule ( P < .001), specific duties and responsibilities ( P < .001), opportunities for training/continuing education ( P = .03), and ability to innovate ( P = .008). CONCLUSIONS: Some factors that influence nurses to begin and remain working in local governmental public health agencies, such as flexible schedules and employee autonomy, are factors that governmental public health agencies can design into positions and highlight when recruiting from health care organizations, private industry, and academia.
[Mh] Termos MeSH primário: Lealdade ao Trabalho
Seleção de Pessoal
Enfermagem em Saúde Pública
Prática de Saúde Pública
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Educação Continuada
Feminino
Seres Humanos
Masculino
Meia-Idade
Admissão e Escalonamento de Pessoal
Autonomia Profissional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE
[do] DOI:10.1177/0033354917719704


  9 / 8441 MEDLINE  
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[PMID]:28591190
[Au] Autor:Hayat MJ; Powell A; Johnson T; Cadwell BL
[Ad] Endereço:School of Public Health, Georgia State University, Atlanta, GA, United States of America.
[Ti] Título:Statistical methods used in the public health literature and implications for training of public health professionals.
[So] Source:PLoS One;12(6):e0179032, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Statistical literacy and knowledge is needed to read and understand the public health literature. The purpose of this study was to quantify basic and advanced statistical methods used in public health research. We randomly sampled 216 published articles from seven top tier general public health journals. Studies were reviewed by two readers and a standardized data collection form completed for each article. Data were analyzed with descriptive statistics and frequency distributions. Results were summarized for statistical methods used in the literature, including descriptive and inferential statistics, modeling, advanced statistical techniques, and statistical software used. Approximately 81.9% of articles reported an observational study design and 93.1% of articles were substantively focused. Descriptive statistics in table or graphical form were reported in more than 95% of the articles, and statistical inference reported in more than 76% of the studies reviewed. These results reveal the types of statistical methods currently used in the public health literature. Although this study did not obtain information on what should be taught, information on statistical methods being used is useful for curriculum development in graduate health sciences education, as well as making informed decisions about continuing education for public health professionals.
[Mh] Termos MeSH primário: Biometria
Educação Continuada
Saúde Pública/educação
Publicações
[Mh] Termos MeSH secundário: Seres Humanos
Saúde Pública/estatística & dados numéricos
Relatório de Pesquisa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0179032


  10 / 8441 MEDLINE  
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[PMID]:28575901
[Au] Autor:Cardarelli R; Workman CS; Weatherford S; Whanger S; King DE
[Ad] Endereço:From the Department of Family and Community Medicine, University of Kentucky College of Medicine, Lexington, and the Department of Family Medicine, West Virginia University Health Science Center, Morgantown.
[Ti] Título:Dissemination Approaches to Participating Primary Care Providers in a Quality Improvement Program Addressing Opioid Use in Central Appalachia.
[So] Source:South Med J;110(6):421-424, 2017 Jun.
[Is] ISSN:1541-8243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Practice-based research networks (PBRNs) have been described as new clinical laboratories for primary care research and dissemination. PBRNs, however, have struggled to disseminate research results in a meaningful way to participating providers and clinics. METHODS: The Central Appalachia Inter-Professional Pain Education Collaborative was developed to work with PBRN clinics using quality improvement methods, deliver statewide continuing education activities to address the issue of opioid use in patients with chronic pain, and develop a multimodal mechanism to disseminate project results to clinics and participating providers. RESULTS: Successful change in the delivery of chronic pain care was dependent on the clinic's commitment to a team-based, patient-centered approach. Statistically significant improvements were shown in 10 of 16 process measures, and 80% of the participants agreed that the quality improvement process activity increased their knowledge and would improve their performance in managing patients with chronic pain, as well as patient outcomes in their practice. CONCLUSIONS: The Central Appalachia Inter-Professional Pain Education Collaborative project used an extensive and innovative dissemination plan under the rubric of "continual dissemination." Unlike traditional dissemination efforts that focus on summary presentations, this initiative used a continual dissemination approach that updated participants quarterly through multiple means throughout the project, which improved engagement in the project.
[Mh] Termos MeSH primário: Dor Crônica/tratamento farmacológico
Educação Continuada
Transtornos Relacionados ao Uso de Opioides/prevenção & controle
Atenção Primária à Saúde/organização & administração
Melhoria de Qualidade
[Mh] Termos MeSH secundário: Analgésicos Opioides/uso terapêutico
Região dos Apalaches
Comportamento Cooperativo
Pesquisa sobre Serviços de Saúde
Seres Humanos
Equipe de Assistência ao Paciente
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Opioid)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170818
[Lr] Data última revisão:
170818
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE
[do] DOI:10.14423/SMJ.0000000000000664



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