scholarly journals Assessing Medical Students’ Knowledge of the Deaf Culture and Community in Puerto Rico: A Descriptive Study

2021 ◽  
Vol 8 ◽  
pp. 238212052199232
Author(s):  
Michael S Kung ◽  
Andrea Lozano ◽  
Vicente J Covas ◽  
Lorena Rivera-González ◽  
Yllen Y Hernández-Blanco ◽  
...  

Background: Effective communication between health care professionals and Deaf and Hard of Hearing (D&HH) patients remains a challenge. Literature regarding health professionals’ knowledge of the D&HH community and their barriers toward health care access is limited in Puerto Rico and suggests a need for research. Therefore, this descriptive study aims to evaluate future physician’s knowledge about the Deaf culture and community in a student cohort at San Juan Bautista School of Medicine (SJBSM), with the objective of guiding our results toward improving our curriculum. Methods: Medical students answered a survey to evaluate their knowledge of D&HH patients. The survey consisted of 3 parts testing awareness, exposure, and knowledge of the Deaf community. Responses from the Knowledge section were graded using an answer key, and correct answers were added to create an overall continuous sum score per participant, with higher scores meaning higher knowledge. Participants were also asked to write in possible issues deaf patients may face when hospitalized, apart from communication problems. All data were recorded and used for descriptive analysis. Results: 158 (68%) medical students participated. 63% reported exposure to D&HH people, and 80% were aware of the Deaf culture. 21% of students answered to have attended an American Sign Language (ASL) class, and 86% expressed interest in taking an ASL class. The overall percentage of correct answers from all the medical groups evaluated was 39%, with increasing percent knowledge as medical student year increased. The most frequently listed problem by respondents that deaf patients may face when hospitalized was dealing with an emergency in the hospital, such as the fire alarm. Conclusion: Students from clinical years (MSIII & MSIV) showed a better understanding of the Deaf culture than students in pre-clinical years (MSI & MSII). Nevertheless, the knowledge was limited in all groups. The information generated is not only valuable for our school but the healthcare community as well. The literature related to Deaf culture, particularly in the medical setting in Puerto Rico, is limited. Therefore, there exists a need to continue investigating ways to improve medical students’ education of the Deaf culture and community.

2020 ◽  
Author(s):  
Andrea Lozano ◽  
Michael Kung ◽  
Lorena Rivera-González ◽  
Yllen Hernández-Blanco ◽  
Vicente Covas ◽  
...  

Abstract Background: Effective communication between health care professionals and Deaf and Hard of Hearing (D&HH) patients remains a challenge. Literature regarding health professionals’ knowledge of the D&HH community and their barriers towards health care access is limited in Puerto Rico and suggests a need for research. Therefore, this descriptive study aims to evaluate future physician’s knowledge about the Deaf culture and community in a student cohort at San Juan Bautista School of Medicine (SJBSM).Methods: A survey utilized in a previous study by Hoang et al. was targeted to 230 medical students to evaluate their knowledge of (D&HH) patients. The survey consisted of three parts testing awareness, exposure, and knowledge of the Deaf community. Responses from the Knowledge section were graded using an answer key, and correct answers were added to create an overall continuous sum score per participant, with higher scores meaning higher knowledge. Participants also were asked to write in possible issues deaf patients may face when hospitalized, excluding communication problems. All data were recorded and used for descriptive analysis.Results: 158 (68%) medical students participated. 63% reported exposure to D&HH people, and 80% were aware of the Deaf culture. 21% of students answered to have attended an American Sign Language (ASL) class, and 86% expressed interest in taking an ASL class. The overall percentage of correct answers of all the medical classes evaluated was 39%, with increasing percent knowledge as medical student year increased. The most frequently listed problem by respondents that deaf patients may face when hospitalized was dealing with an emergency in the hospital, such as the fire alarm.Conclusion: Students from clinical years (MSIII & MSIV) showed a better understanding of the Deaf culture when compared to students in pre-clinical years (MSI & MSII). Nevertheless, knowledge was limited in all groups. The information generated is not only valuable for our school but the health-care community as well. The literature related to Deaf culture, particularly in the medical setting in Puerto Rico, is limited. Therefore, there exists a need to continue investigating ways to improve medical students’ education of the Deaf culture and community.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Callegaro ◽  
L Chinenye Ilogu ◽  
O Lugovska ◽  
S Mazzilli ◽  
A Prugnola ◽  
...  

Abstract Background Immunisation programs are still facing substantial challenges in achieving target coverage rates. This has been attributed to the growing negative individual vaccination attitudes and behaviours. Most of the current studies assessing vaccination knowledge, attitude and beliefs targets adults. However, young people represent future parents and health care professionals. The objective of this study was to investigate vaccination knowledge attitudes and behaviours among university medical and non-medical students in Europe. Methods We performed a cross-sectional online survey between April and July 2018. The study participants were students attending different faculties at the University of Antwerp, Belgium and the University of Pisa, Italy. We described sample characteristics. The effect of risk factors was tested with univariate and multivariate logistic regressions. Results A total of 2079 participants completed the survey including 873 medical students and 1206 from other faculties. The average of vaccination knowledge, attitudes, and confidence was respectively 5.51 (SD: 1.41), 4.66 (SD: 0.14) and 5.28 (SD: 0.57) on the 6-points scale. Our respondents demonstrated a high level of awareness with respect to their vaccination history. In total, 67.7% (n = 1407) reported to have received at least one vaccine in the previous five years; only 6.0% (n = 35) did not receive any vaccine in the previous 10 years. According to logistic regression analysis Italian students had significantly higher knowledge, attitude and confidence scores than Belgium respondents. Students of medicine scored significantly higher compared to non-medical students. Conclusions In order to reduce the gaps in vaccinations knowledge between non-medical and medical students we should plan educational interventions. In this way the number of future sceptical parents could be decreased. Further studies are required to explain the differences between countries. Key messages Young adults are the parents and the health care professionals of the future, for this reason their vaccination knowledge attitudes and behaviours should be carefully monitored. European non-medical students have lower vaccinations knowledge, attitudes and confidence compared with medical student. In order to fill these gaps, we should plan educational interventions.


2002 ◽  
Vol 8 (3) ◽  
pp. 131-137 ◽  
Author(s):  
Michael Allen ◽  
Joan Sargeant ◽  
Eileen MacDougall ◽  
Michelle Proctor-Simms

Videoconferencing has been used to provide distance education for medical students, physicians and other health-care professionals, such as nurses, physiotherapists and pharmacists. The Dalhousie University Office of Continuing Medical Education (CME) has used videoconferencing for CME since a pilot project with four sites in 1995–6. Since that pilot project, videoconferencing activity has steadily increased; in the year 1999–2000, a total of 64 videoconferences were provided for 1059 learners in 37 sites. Videoconferencing has been well accepted by faculty staff and by learners, as it enables them to provide and receive CME without travelling long distances. The key components of the development of the videoconferencing programme include planning, scheduling, faculty support, technical support and evaluation. Evaluation enables the effect of videoconferencing on other CME activities, and costs, to be measured.


2018 ◽  
Vol 30 (3) ◽  
pp. 303-312 ◽  
Author(s):  
Ziyafet Uğurlu ◽  
Sultan Kav ◽  
Azize Karahan ◽  
Ebru Akgün Çıtak

Introduction: The changing proportion of older adults in society necessitates the need to determine the attitudes of health care professionals toward older adults. The purpose of this study was to explore attitudes of ageism and its correlates among health care professionals working with older adults. Method: This descriptive study was conducted in seven hospitals in five cities in Turkey. A total of 628 health care professionals participated in this study. The Fraboni Scale of Ageism (FSA) was used to collect data. Descriptive statistics, student’s t test, one-way analysis of variance and multivariate linear regression were used for data analysis. Results: The mean total score from the FSA was 56.9 ( SD = 8.0). Education (β = −.18, p < .001) and difficulty with the care of older adults (β = −.10, p < .05) were statistically significant predictors of the FSA score. Conclusions: The attitudes of health care professionals toward older adults were generally positive and affected by difficulty in providing care and the educational status of the health care professionals.


2003 ◽  
Vol 29 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Janaína Barbosa Muniz ◽  
Carlos Roberto Padovani ◽  
Irma Godoy

Asthma results from a combination of three essential features: airflow obstruction, hyperresponsiveness of airways to endogenous or exogenous stimuli and inflammation. Inadequacy of the techniques to use different inhalation devices is one of the causes of therapeutic failure. The main purpose of this study was to evaluate how 20 medical students, 36 resident physicians of Internal Medicine/Pediatrics, and 40 asthma patients used three devices for inhalation therapy containing placebo. All patients were followed at the Pulmonary Outpatient Service of Botucatu Medical School and had been using inhaled medication for at least six months. The following devices were evaluated: metered dose inhalers (MDI), dry powder inhalers (DPI), and MDI attached to a spacer device. A single observer applied a protocol containing the main steps necessary to obtain a good inhaler technique to follow and grade the use of different devices. Health care professionals tested all three devices and patients tested only the device being used on their management. MDI was the device best known by doctors and patients. MDI use was associated with errors related to the coordination between inspiration and device activation. Failure to exhale completely before inhalation of the powder was the most frequent error observed with DPI use. In summary, patients did not receive precise instruction on how to use inhaled medication and health care professionals were not well prepared to adequately teach their patients.


2008 ◽  
Vol 24 (5) ◽  
pp. 1159-1161 ◽  
Author(s):  
Claudia Travassos

The Introduction outlines this issue's special Forum on equity in access to health care, including three Articles and a Postscript. The Forum represents a continuation of the debates raised during a seminar organized by the Oswaldo Cruz Foundation in the city of Rio de Janeiro, Brazil, in 2006, in collaboration with UNICEF, UNDP, World Bank, the WHO Special Program for Research and Training in Tropical Diseases, and the United Nations Research Institute for Social Development. The authors approach health care access and equity from a comprehensive and contemporaneous perspective, introducing a new conceptual framework for access, in which information plays a central role. Trust is proposed as an important value for an equitable health care system. Unethical practices by health administrators and health care professionals are highlighted as hidden critical aspects of inequities in health care. As a whole, the articles represent a renewed contribution for understating inequalities in access, and for building socially just health care systems.


2019 ◽  
Vol 13 ◽  
Author(s):  
Flávio Vaz Machado ◽  
Liszety Guimarães Emmerick ◽  
Roberto Carlos Lyra da Silva ◽  
Luiza Cerqueira Reis da Costa ◽  
Fernanda Rodrigues da Silva ◽  
...  

Objetivo: analisar a aplicabilidade e os benefícios do Deep Learning na área de cuidados de saúde. Método: trata-se de um estudo descritivo, tipo análise reflexiva, com consulta a artigos entre os anos de 2014 a 2019, publicados em inglês e revisado por pares, no Portal de Periódicos da CAPES, com a equação de busca (“Deep Learning” AND (“Health Care” OR Health-care OR Healthcare)). Apresentaram-se os resultados em forma de figura seguida da análise descritiva. Resultados: revela-se que 15 artigos descrevem a aplicabilidade do Deep Learning na área de cuidados de saúde. Analisou-se, por este artigo, o emprego do Deep Learning em diferentes áreas referentes aos cuidados de saúde, destacando os benefícios encontrados pelos autores dos selecionados por meio da revisão de literatura. Conclusão: sugere-se o emprego do Deep Learning na área de cuidados de saúde diante dos benefícios identificados nos artigos selecionados como: a previsão dos estágios das doenças; a identificação precisa de mutações patológicas e o suporte aos médicos e aos enfermeiros em suas atividades diárias. Descritores: Benefícios; Deep Learning; Cuidados de Saúde; Doenças; Médicos; Enfermeiros.Abstract Objective: to analyze the applicability and benefits of Deep Learning in health care. Method: this is a descriptive study, reflective analysis, with articles from 2014 to 2019, published in English and peer-reviewed, in the CAPES Journal Portal, with the search equation (“Deep Learning ”AND (“ Health Care ”OR Health-care OR Healthcare)). The results were presented in figure form followed by descriptive analysis. Results: it is revealed that 15 articles describe the applicability of Deep Learning in the health care area. This article analyzed the use of Deep Learning in different areas related to health care, highlighting the benefits found by the authors of those selected through the literature review. Conclusion: it is suggested the use of Deep Learning in health care in view of the benefits identified in the articles selected as: the prediction of disease stages; precise identification of pathological mutations and support to doctors and nurses in their daily activities. Descriptors: Benefits; Deep Learning; Health Care; Diseases; Physicians; Nurses.ResumenObjetivo: analizar la aplicabilidad y los beneficios del Deep Learning en la atención médica. Método: se trata de un estudio descriptivo, tipo análisis reflexivo, con artículos de 2014 a 2019, publicados en inglés y revisados por pares, en el Portal de la revista CAPES, con la ecuación de búsqueda (“Deep Learning” Y (“Health Care” O Health-care O Healthcare)). Los resultados se presentaron en forma de figura seguida de un análisis descriptivo. Resultados: se revela que 15 artículos describen la aplicabilidad del Deep Learning en el área de la atención médica. Este artículo analizó el uso del Deep Learning en diferentes áreas relacionadas con la atención de la salud, destacando los beneficios encontrados por los autores de los seleccionados a través de la revisión de la literatura. Conclusión: se sugiere el uso de Deep Learning en la atención de la salud en vista de los beneficios identificados en los artículos seleccionados como: la predicción de las etapas de la enfermedad; identificación precisa de mutaciones patológicas y apoyo a médicos y enfermeros en sus actividades diarias. Descriptores: Beneficios; Deep Learning; Cuidados de la Salud; Enfermidades; Médicos; Enfermeros.


Author(s):  
Marcos Reyes-Estrada ◽  
Nelson Varas-Díaz ◽  
Richard Parker ◽  
Mark Padilla ◽  
Sheilla Rodríguez-Madera

HIV-related stigma among nurses can impact health care services for people with HIV/AIDS (PWHA). health care professionals’ religious views can potentially foster stigmatizing attitudes. There is scarce scientific literature exploring the role of religion on HIV/AIDS stigma among nurses. This study aimed to explore the role of religion in the stigmatization of PWHA by nurses in Puerto Rico. We conducted an exploratory study using qualitative techniques. We conducted 40 in-depth interviews with nurses who provided services to PWHA. Three main factors emerged in the analysis as contributors to HIV/AIDS stigmatization: (1) nurses’ personal religious experiences, (2) religion as a rationale for HIV-related stigma, and (3) religious practices during health care delivery. The results show that religious beliefs play a role in how nurses understood HIV/AIDS and provided service. Results point toward the need for interventions that address personal religious beliefs while reducing HIV/AIDS stigma among nurses.


1999 ◽  
Vol 6 (4) ◽  
pp. 299-307 ◽  
Author(s):  
Cecilia Edward ◽  
Paul E Preece

In the majority of academic institutions nursing and medical students receive a traditional education, the content of which tends to be specific to their future roles as health care professionals. In essence, each curriculum design is independent of each course. Over the last decade, however, interest has been accumulating in relation to interprofessional and multiprofessional learning at student level. With the view that learning together during their student training would not only encourage and strengthen future collaboration in practice settings but also enhance patient care, the University of Dundee decided to run a pilot study to explore shared teaching in ethics between medical and nursing students. This article presents a report on the reasons for selecting health care ethics as a precursor for shared teaching, the educational tool used for the sessions, and the results of student and facilitator evaluation of the short course. Overall, despite problems such as poor attendance by some students, and facilitation and timetable difficulties, most of the feedback from students and facilitators has been positive. In essence the ‘idea’ has gone from strength to strength and there are now three levels of shared teaching in ethics between nursing and medical students, with plans to include further sessions with students from other disciplines. Within the text, ‘health care ethics’ will be referred to as ‘ethics’; nursing students/nurses encompasses midwifery students/midwives.


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