Impactos da acreditação Magnet Recognition nos serviços de enfermagem: uma revisão narrativa

Introdução: O Magnet Recognition Program é um programa de acreditação organizado pela American Nurses Credentialing Center que objetiva reconhecer organizações de saúde que alcançaram excelência nos serviços de enfermagem através de práticas assistenciais de qualidade desde 1990. Objetivo: Descrever os impactos da acreditação Magnet Recognition Program nas instituições de saúde, no cuidado dos pacientes e na equipe de enfermagem. Métodos: Estudo de revisão narrativa da literatura com uso dos descritores gestão em saúde, gestão de qualidade, avaliação institucional e serviços de enfermagem, por meio da biblioteca SciELO e das bases de dados eletrônicas LILACS e MEDLINE, totalizando nove artigos analisados, fichados e constituíram a revisão deste estudo. Resultados: Verifica-se que, após a implantação do Magnet Recognition Program, instituições de saúde apresentam melhores resultados de cuidado, de ambiente de trabalho, de uso de registros médicos eletrônicos e de recomendações pelos usuários. Conclusão: O Magnet Program Recognition apresenta melhores resultados para pacientes, profissionais e instituições, reconhecendo e fortalecendo a força de trabalho da enfermagem no cuidado e na gestão hospitalar.Palavras-chave: Gestão em Saúde; Gestão da Qualidade; Gestor de Saúde; Avaliação Institucional; Serviços de enfermagem Impacts of Magnet Recognition Accreditation on nursing services: a narrative reviewABSTRACTIntroduction: The Magnet Recognition Program is an accreditation program organized by the American Nurses Credentialing Center that aims to recognize healthcare organizations that have achieved excellence in nursing services through quality care practices since 1990. Objective: To describe the impacts of Magnet Recognition Program accreditation on health institutions, patient care and nursing staff. Methods: Study of narrative literature review using the descriptors health management, quality management, institutional evaluation and nursing services, through the SciELO library and the electronic databases LILACS and MEDLINE, totaling nine articles analyzed, completed and constituted. the review of this study. Results: It is found that after the implementation of the Magnet Recognition Program, health institutions have better results of care, work environment, use of electronic medical records and recommendations by users. Conclusion: The Magnet Program Recognition presents better results for patients, professionals and institutions, recognizing and strengthening the nursing workforce in hospital care and management.Keywords: Health Management; Quality Management; Health Manager; Institutional Evaluation; Nursing Services.

Cross-border teaching experiences in Canada and the U.S.: A writing teacher reflects

A writing teacher reflects on her professional experiences in the U.S. and in Canada. This personal narrative focuses on the incongruencies the practitioner notices between faculty representation and program recognition in her roles first as a Limited Term Appointment Assistant Professor of Composition and Professional Writing at a Canadian university, and next as a tenure-track instructor of writing at an American college. Programmatic differences are attributed to the historic visibility of American First-Year Composition, greater numbers of faculty, and the increased allocation of resources to program development and faculty support.

SummerPalooza! Summits as a Strategy for Supporting Federal Summer Nutrition Programs (P04-027-19)

Objectives Federal Summer Nutrition Programs (SNP), including the Summer Food Service Program and National School Lunch Program (NSLP) Seamless Summer Option, are highly underutilized compared with programs such as the NSLP. The North Carolina (NC) Department of Public Instruction and No Kid Hungry NC host annual SummerPalooza! Summits to support organizations and community partners in successfully operating and expanding the SNP. Summits include engaging presentations/activities, peer learning, and program recognition/celebration. In the fall of 2018, four regional summits were held. Our objective was to assess whether attendance at a 2018 SummerPalooza! Summit influenced participants’ intentions to engage in recommended SNP strategies. Methods We administered a retrospective pre/post evaluation questionnaire at the end of each summit. The questionnaire asked for level of agreement (completely agree to completely disagree) with information learned during the summits. Change in likelihood of engaging in recommended strategies was measured using a four-point Likert scale that ranged from very likely to very unlikely. We calculated frequencies and means and used paired t tests to assess change from before to after the summits. Results A total of 232 individuals attended a SummerPalooza! Summit and 205 evaluation questionnaires were completed. Ninety-eight % of participants completely or somewhat agreed that they learned about new resources, gained ideas for potential new partners, and gained ideas for potential new strategies to implement in future summers. There was a significant increase (P < .0001) from before to after the summits in intention to use the recommended strategies next summer for all strategies assessed, including reaching out to a new potential partner, talking with an elected official, offering enrichment activities, encouraging others to support the SNP, promoting the SNP to children and families, using NC SNP marketing materials and resources, and referring to/sharing County Profiles with SNP data. Conclusions The SummerPalooza! Summits were successful at helping participants learn about new ideas and increasing the likelihood that they use recommended strategies for successfully operating and expanding the SNP. Other states should consider using the SummerPalooza! Summit model for supporting the SNP. Funding Sources None.

Evaluating the Factors Associated With the Completion of a Community-Based Group Exercise Program Among Older Women

Despite the well-known benefits of exercise, only 50% of U.S. women met recommended physical activity levels in 2014. To combat this issue, the Healthy Aging Regional Collaborative of South Florida has been offering the EnhanceFitness (EF) program in community-based settings since 2008. In the current study, we examined the factors associated with the program completion among older women (≥ 60 years). During the first 4 years, 3,829 older women attended EF sessions. Of these, 924 (24.2%) attended the recommended 32 sessions within first 4 months. Results revealed that women who lived in Miami-Dade County, were ≥ 80 years, and did not report depression and/or risk factors for chronic conditions were more likely to complete EF. Black women were less likely to complete the program. Recognition of these factors might help identify at-risk individuals. More efforts are needed to improve completion rates. Theory-based interventions would allow comprehensive understanding of all factors and, therefore, should be explored in the future.

The I in BCIA Stands for International

The Biofeedback Certification International Alliance (BCIA) has certificants in 32 countries. The author chronicles the development of BCIA's international outreach, reviews the challenges that had to be overcome, and explains why BCIA's shift to ethics education and online testing were crucial to this process. This article concludes with a discussion of BCIA's international affiliate program, recognition of its Australian and Mexican affiliates, and discussion of exciting developments in Canada.

IP-Enabled C/C++ Based High Level Synthesis: A Step towards Better Designer Productivity and Design Performance

Intellectual property (IP) core based design is an emerging design methodology to deal with increasing chip design complexity. C/C++ based high level synthesis (HLS) is also gaining traction as a design methodology to deal with increasing design complexity. In the work presented here, we present a design methodology that combines these two individual methodologies and is therefore more powerful. We discuss our proposed methodology in the context of supporting efficient hardware synthesis of a class of mathematical functions without altering original C/C++ source code. Additionally, we also discuss and propose methods to integrate legacy IP cores in existing HLS flows. Relying on concepts from the domains of program recognition and optimized low level implementations of such arithmetic functions, the described design methodology is a step towards intelligent synthesis where application characteristics are matched with specific architectural resources and relevant IP cores in a transparent manner for improved area-delay results. The combined methodology is more aware of the target hardware architecture than the conventional HLS flow. Implementation results of certain compute kernels from a commercial tool Vivado-HLS as well as proposed flow are also compared to show that proposed flow gives better results.