scholarly journals Evaluación participativa del programa de educación continua en detección temprana del cáncer de mama

2021 ◽  
Vol 2 (3) ◽  
Author(s):  
Devi Nereida Puerto Jimenez ◽  
Luis Fernando Fontibón Vanegas ◽  
María Lourdes Calderón ◽  
Ximena Pedraza
Keyword(s):  
Early Detection ◽  
Continuing Education ◽  
Health Professionals ◽  
Cáncer De Mama ◽  
Structured Interviews ◽  
Education Programs ◽  
Training Time ◽  
Documentary Analysis ◽  
Knowledge Competencies ◽  
Criteria For Diagnosis

Los programas de educación continua en detección temprana del cáncer son una herramienta útil y necesaria en la adquisición de conocimientos, competencias y habilidades requeridas por los profesionales de la salud. En Colombia existen falencias en la formación de profesionales en estas áreas, derivando en la falta de estandarización de técnicas y procedimientos, e inadecuada unificación de criterios de abordaje diagnóstico y terapéutico de los pacientes. El estudio buscó evaluar el programa de educación continua en detección temprana del cáncer de mama implementado por el Instituto Nacional de Cancerología entre 2016-2018. Se realizó un estudio con metodología mixta concurrente, con diseño analítico descriptivo, a partir de un análisis documental, entrevistas semiestructuradas, análisis de las encuestas de satisfacción, y de los exámenes pre y pos de las capacitaciones realizadas. Se realizó un muestreo no probabilístico y a conveniencia, la población seleccionada fueron los sujetos involucrados (profesionales capacitados, capacitadores, creadores), entre los años 2016 a 2018. Dentro de los resultados se encontró, que el nivel de satisfacción con el curso fue del 97.5%; resaltando la metodología basada en el aprendizaje activo, la educación por competencias, la pertinencia de los temas abordados, la utilización de modelos anatómicos en silicona y la experticia de los capacitadores. Se encontraron diferencias estadísticamente significativas posterior a la intervención educativa (V=439; p=0.001). Quedaron en evidencia barreras de tipo económico, administrativo y de divulgación; además, se sugiere implementar el curso de manera sistemática, aumentando la cobertura, divulgación y tiempo de capacitación, ofreciendo prácticas con pacientes. Concluyendo que, la implementación de programas de educación continua en profesionales de la salud son una herramienta útil y necesaria en la adquisición de competencias básicas en detección temprana del cáncer y debe contar con una estructura definida, organizada y en concordancia con los programas y políticas públicas del país. Continuing education programs in early detection of cancer are a useful and necessary tool for the acquisition of knowledge, competencies, and skills required by health professionals. In Colombia, there are shortcomings in the training of professionals in these areas, resulting in a lack of standardization of techniques and procedures, and inadequate unification of criteria for diagnosis and therapeutic patient management. This study sought to evaluate the continuing education program in early detection of breast cancer implemented by the National Cancer Institute of Colombia between 2016 and 2018. A concurrent mixed methodology study was conducted, with descriptive analytical design, based on a documentary analysis, semi-structured interviews, analysis of satisfaction surveys, and pretest and posttest exams. A non-probability convenience sampling was performed; the selected population consisted of subjects involved in the program (trained professionals, trainers, creators) between 2016 and 2018. Among the results, the level of satisfaction with the course was found to be 97.5%, highlighting the methodology based on active learning, competency-based education, the relevance of the topics addressed, the use of anatomical silicone models, and the expertise of trainers. Statistically significant differences were found after the educational intervention (V=439; p=0.001). Economic, administrative, and dissemination barriers were evidenced. In addition, it was suggested to implement the course in a systematic way, increasing its coverage, dissemination, and training time, as well as to offer internships with patients. The study concludes that the implementation of continuing education programs among health professionals are a useful and necessary tool for the acquisition of basic skills in early cancer detection and must have a defined and organized structure in accordance with existing programs and public policies in the country.

scholarly journals Feeling powerless: a feeling expressed by caregivers of sexual violence victims

2009 ◽  
Vol 17 (3) ◽  
pp. 289-294 ◽  
Author(s):  
Maria Eduarda Cavadinha Correa ◽  
Liliana Maria Labronici ◽  
Tatiane Herreira Trigueiro
Keyword(s):  
Continuing Education ◽  
Sexual Violence ◽  
Health Professionals ◽  
Phenomenological Study ◽  
Social Issues ◽  
Graduate Programs ◽  
Structured Interviews ◽  
Daily Routines

This phenomenological study aimed to reveal the meaning of providing care to victims of sexual violence. The study was carried out from December 2006 to March 2007 with 12 health professionals. Data were collected through tape-recorded semi-structured interviews, whose analysis followed the phenomenological trajectory. The following theme emerged: Feeling powerless, a feeling expressed by caregivers of sexual violence victims. The feeling of powerlessness is continuously fed by health professionals' daily routines, given the impossibility of solving situations of violence, of problems that emerge from the other's subjectivity, as well as social issues, because these professionals were not trained for that. Thus, it is essential to address the issue both in undergraduate and graduate programs in health and human areas. Institutions should promote continuing education so that these professionals can act properly.

scholarly journals Compreensão da família acerca da asma infantil em uma unidade de urgência e emergência pediátrica

2014 ◽  
Vol 5 (1/2) ◽  
pp. 13-16
Author(s):  
Mirna Albuquerque Frota ◽  
Kamila Ferreira Lima ◽  
Maria Caroline Almeida Magalhães ◽  
Ana Lúcia Araújo Gomes ◽  
Ludmila Do Nascimento Alves ◽  
...  
Keyword(s):  
Data Collection ◽  
Customer Service ◽  
Health Professionals ◽  
Childhood Asthma ◽  
Cáncer De Mama ◽  
Emergency Unit ◽  
Structured Interviews ◽  
Children With Asthma ◽  
Asthma Child ◽  
Exacerbation Of Symptoms

Resumo: Objetivou-se compreender o significado da asma infantil por familiares durante a exacerbação dos sintomas. Estudo qualitativorealizado em Fortaleza-Ce. A coleta dos dados ocorreu entre agosto e novembro de 2014, mediante 14 entrevistas semiestruturadas. Foi realizadaa análise de conteúdo e posteriormente, emergiram as categorias: significados atribuídos à asma; gatilhos que exacerbam os sintomasda asma; Impressão da família acerca dos entraves cotidianos da criança com asma. Os profissionais de saúde que atuam numa emergênciapediátrica precisam conhecer as reais necessidades desta clientela, com o intuito de melhorar o atendimento e consequentemente minimizaros eventos agudos e as exacerbações.Descritores: Asma; Criança; Manejo. Enfermagem.Family understanding of childhood asthma in an emergency unit and pediatric emergencyAbstract: Aimed to understand the meaning of childhood asthma by family members during the exacerbation of symptoms. Qualitativestudy in Fortaleza-Ce. Data collection took place between August and November 2014 by 14 semi-structured interviews. Contentanalysis was performed, and then, the following categories emerged: meanings attributed to asthma; triggers that exacerbate asthmasymptoms; Family impression about the daily obstacles of children with asthma. Health professionals working in a pediatric emergencyneed to know the real needs of this clientele, in order to improve customer service and thereby minimize acute events and exacerbations.Descriptors: Asthma; Child; Handling; Nursing.La comprensión de la familia del asma infantil en una unidad de emergencias y urgencias pediátricasResumen: Este artículo tiene como objetivo caracterizar la organización estructural de las unidades básicas de la Estrategia Salud de La Familia(ESF), con vistas a efectivación de la assistência em la prevención de los cánceres de la mama e del cuello uterino. Estudio transversal, de enfoquecuantitativo, desarollado em 61 unidades del ESF. Los resultados revelaran la falta de algunos recursos de la infraestructura importantes parala execución del trabajo de lo enfermero, así como la falta de algunos profesionales. La falta de los espacios apropriados para la efecacia de laasistencia a prevención de ambos los cánceres interfiere diretamente em la calidad prestada.Descriptores: Prevención de Cáncer de Mama, Neoplasia Del Cuello Uterino Atención, Primaria de Salud.

scholarly journals Economic crisis and participation in Adult Education: A qualitative investigation with primary teachers in Greece

2014 ◽  
Vol 3 (1) ◽  
pp. 191-196
Author(s):  
Maria Papalexopoulou ◽  
Vassiliki Rorou ◽  
Thanassis Karalis
Keyword(s):  
Adult Education ◽  
Continuing Education ◽  
Lifelong Learning ◽  
Economic Crisis ◽  
Primary Education ◽  
Quantitative Research ◽  
Primary Teachers ◽  
Qualitative Investigation ◽  
Structured Interviews ◽  
Education Programs

In this research, a quantitative approach (semi-structured interviews) is used to investigate the views of primary education teachers, concerning their participation in continuing education programs. The investigation of the motives and barriers to their participation is based on the Morstain & Smart and Cross typologies, while the present researchs findings are compared to those of a quantitative research in Greece. As it turns out from the findings of the research, the recent severe economic crisis largely restrains the primary education teachers options for participation in continuing education and lifelong learning.

scholarly journals Fatigue in children and adolescents with cancer from the perspective of health professionals

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Michele Cristina Miyauti da Silva ◽  
Luís Carlos Lopes Júnior ◽  
Lucila Castanheira Nascimento ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Content Analysis ◽  
Continuing Education ◽  
Children And Adolescents ◽  
Health Professionals ◽  
Exploratory Study ◽  
Physical Therapists ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Thematic Content Analysis ◽  
Assistant Nurses

ABSTRACT Objective: to investigate health professionals' knowledge about the concept, assessment and intervention in fatigue in children and adolescents with cancer. Method: exploratory study with qualitative approach, with 53 health professionals (10 nurses, 33 assistant nurses, 3 physicians, 3 nutritionists, 2 psychologists and 2 physical therapists). Semi structured interviews were held, which were recorded and analyzed by means of inductive thematic content analysis. Results: the data were organized around three themes: knowledge of health professionals about fatigue; identification of fatigue and interventions to relieve fatigue. Conclusion: the results indicate the health professionals' limited knowledge about fatigue, as well as the lack of investment in their training and continuing education. Most of all, the lack of research on the theme in the Brazilian context remains a barrier to support improvements in care for this symptom in children and adolescents with cancer.

scholarly journals Patient-identified early clinical warning signs of nodular melanoma: a qualitative study

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adina Coroiu ◽  
Chelsea Moran ◽  
Jessica A. Davine ◽  
Kyla Brophy ◽  
Catherine Bergeron ◽  
...  
Keyword(s):  
Early Detection ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Rapid Development ◽  
Warning Signs ◽  
Diameter Growth ◽  
Structured Interviews ◽  
Superficial Spreading ◽  
Early Signs ◽  
Dark Coloration

Abstract Background Nodular (NM) and superficial spreading melanoma (SSM) show different disease trajectories, with more rapid development in NM and fewer opportunities for early detection often resulting in worse outcomes. Our study described the patient-identified early signs of thin NM via comparisons to thin (≤ 2 mm) SSM and thick (> 2 mm) NM. Methods We conducted semi-structured interviews with NM and SSM patients and analyzed the data using thematic analysis. Results We enrolled 34 NM and 32 SSM patients. Melanoma early signs uniquely identified by patients with thin NM included white, blue or black coloration, “dot-like” size, fast changes in shape and color observed over 2 weeks, elevation and texture or “puffiness” over 6–12 months, and the sensation that the mole “did not feel right”. Early signs reported by both thin NM and thin SSM patients included round or oblong shape, “jagged” border, pink/red, brown/reddish or dark coloration, “elevated like a pimple” or “tiny bump”, fast color darkening, diameter growth, and border irregularity, and mole feeling “really itchy”. Conclusions We found evidence that early signs of NM can be self-identified, which has important implications for the earlier detection of this most aggressive type of melanoma by both health professionals and patients.

scholarly journals Patient-identified early clinical warning signs of nodular melanoma: A qualitative study

2021 ◽  
Author(s):  
Adina Coroiu ◽  
Chelsea Moran ◽  
Jessica A. Davine ◽  
Kyla Brophy ◽  
Catherine Bergeron ◽  
...  
Keyword(s):  
Early Detection ◽  
Thematic Analysis ◽  
Health Professionals ◽  
Rapid Development ◽  
Warning Signs ◽  
Diameter Growth ◽  
Structured Interviews ◽  
Superficial Spreading ◽  
Early Signs ◽  
Dark Coloration

Abstract Background: Nodular (NM) and superficial spreading melanoma (SSM) show different disease trajectories, with more rapid development in NM and fewer opportunities for early detection often resulting in worse outcomes. Our study described the patient-identified early signs of thin NM via comparisons to thin (≤ 2 mm) SSM and thick (>2 mm) NM. Methods: We conducted semi-structured interviews with NM and SSM patients and analyzed the data using thematic analysis. Results: We enrolled 34 NM and 32 SSM patients. Melanoma early signs uniquely identified by patients with thin NM included white, blue or black coloration, “dot-like” size, fast changes in shape and color observed over 2 weeks, elevation and texture or “puffiness” over 6-12 months, and the sensation that the mole “did not feel right”. Early signs reported by both thin NM and thin SSM patients included round or oblong shape, “jagged” border, pink/red, brown/reddish or dark coloration, “elevated like a pimple” or “tiny bump”, fast color darkening, diameter growth, and border irregularity, and mole feeling “really itchy”.Conclusions: We found evidence that early signs of NM can be self-identified, which has important implications for the earlier detection of this most aggressive type of melanoma by both health professionals and patients.

scholarly journals Poliomyelitis: a new old disease. What is the value of continuing education programs for health professionals?

2014 ◽  
Vol 72 (7) ◽  
pp. 574-575 ◽  
Author(s):  
Claudio Andre Barbosa de Lira ◽  
Marília dos Santos Andrade ◽  
Rodrigo Luiz Vancini
Keyword(s):  
Continuing Education ◽  
Health Professionals ◽  
Education Programs

scholarly journals Post-stroke fatigue: an exploratory study with patients and health professionals to develop a patient-reported outcome measure

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Ingrid Johansen Skogestad ◽  
Marit Kirkevold ◽  
Petra Larsson ◽  
Christine Råheim Borge ◽  
Bent Indredavik ◽  
...  
Keyword(s):  
Future Development ◽  
Health Professionals ◽  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Stroke Survivors ◽  
Structured Interviews ◽  
Post Stroke ◽  
Patient Reported Outcome Measure ◽  
Patient Reported ◽  
Initial Hospital

Abstract Background Post-stroke fatigue (PSF) is commonly reported and described as disabling by patients recovering from stroke. However, a major challenge is how to accurately diagnose and assess PSF. Therefore, the aim of this study was to explore PSF as it is experienced by stroke survivors and described by health professionals to guide future development of a PSF-specific PROM. Methods Individual semi-structured interviews were conducted with stroke survivors experiencing PSF (n = 9) and three focus groups were conducted with health professionals (n = 16). Data were analyzed through inductive content analysis. Results The analysis revealed four themes illustrating the experience and descriptions of PSF: 1) PSF characteristics, 2) interfering and aggravating factors, 3) management, and 4) PSF awareness, which refers to stroke survivors first becoming aware of PSF after their initial hospital admission. Conclusion This study highlights the complexity and multidimensionality of PSF. The results from this study will guide future development of a PSF-PROM and support its content validity.

scholarly journals POS0160-HPR THE CARE PROCESS OF HIP AND KNEE OSTEOARTHRITIS: GIVING AN ACCOUNT OF PATIENTS’ EXPERIENCE

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 292.2-293
Author(s):  
S. Battista ◽  
M. Manoni ◽  
A. Dell’isola ◽  
M. Englund ◽  
A. Palese ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Health Professionals ◽  
Emotional Experience ◽  
Functional Limitations ◽  
Care Quality ◽  
Care Process ◽  
Exact Science ◽  
Structured Interviews ◽  
Patients Experience

Background:The care process is often a complex and intimate process experienced by patients. Osteoarthritis (OA) care is usually characterised by multimodal interventions that consider the broader array of symptoms and functional limitations and often require a high level of patients’ compliance. Despite efforts to improve the quality of care of patients suffering from OA, and the publication of state-of-the-art clinical practice guidelines [1], the quality of the care process, as experienced by patients, seems to be suboptimal [2]. Hence, it is essential to investigate how patients experience this process to highlight potential elements that can enhance or spoil it to optimise the care quality.Objectives:To explore the patients’ experience of the received OA care process.Methods:Qualitative study, 10 semi-structured interviews were performed. The interview guide was created by a pool of healthcare professionals (physiotherapists, psychologists, nurses) and expert patients. It investigated the emotional experience, beliefs, expectations, perceived barriers and facilitators towards conservative treatments perceived by patients suffering from OA. The interviews lasted approximately one hour, were transcribed verbatim and analysed independently by two authors, who labelled their core parts to find categories and subcategories. A theme-based analysis was performed following an ecological paradigm, naturalistic epistemology, philosophy of phenomenological research.Results:Our analysis revealed 7 main categories with several subcategories (Fig. 1). 1) Uncertainty as some patients perceived treatment choice not to be based on medical evidence “there is an almost religious way of thinking on how to deal with the pathology. It is not an exact science when you choose the physicians you choose the treatment”. 2) Relationship with the self and the others as some patients did not feel understood or even shameful and hopeless about their condition. 3) Patients’ and Health Professionals’ beliefs about the pathology management where common thoughts were the perceived (ab)use of passive therapies, the movement as something dangerous and that OA is “something that you try to resist to, but (surgery) is your destiny”. 4) facilitators and 5) barriers of the adherence to therapeutic exercise that revolve around the cost of the therapy, the time needed and the willingness to change life habits. 6) Patients’ attitudes towards pathology in which the oldest patients perceive OA as “something I have to accept since I am getting old” and the youngest as “Something I have to fight”. 7) Relationship with food in which diet is seen as something that “you force yourself to follow” which is useful only to lose weight and not to preserve a high health status and where overeating is used “to eat your feelings”.Figure 1.Categories and Subcategories stemmed from the analysis of the patients’ interviewsConclusion:Patients suffering from hip and knee OA seem to experience an uncertain care process. The lack of clear explanations and the attitude towards conservative treatment, which is considered as “a pastime while waiting for surgery,” fosters the importance of providing patients with adequate information about the treatment, to shift their beliefs and improve their awareness. This will enhance a patient-centred and shared decision-making treatments.References:[1]Fernandes L, Hagen KB, Bijlsma JWJ, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann. Rheum. Dis. 2013;72:1125–35.[2]Basedow M, Esterman A. Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review. J Eval Clin Pract 2015;21:782–9.Acknowledgements:This work is part of the project funded by EULAR Health Professionals Research Grant 2020.Disclosure of Interests:None declared

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