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Dissertations / Theses on the topic 'Health residency'
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Waddington, Keirrie L. "New Graduate Residency." Thesis, Carlow University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10825506.
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Background: Shortly after the graduate nurses’ orientation period, the expectation is to rapidly function as a competent nurse. With this expectation, the graduate nurse experiences stress when attempting to quickly make the transition from student to practicing professional nurse. New nurses report that the primary reason they are leaving their employment within the first year is related to stress and thus low job satisfaction.
Purpose: The overall turnover rate for a community Catholic Hospital’s Critical Care Department is 60% within the past year. Combating the turnover, increasing satisfaction, and ensuring patient safety is what is needed for this hospital.
Methodology: The design for this project is comparative and correlational utilizing the Casey Fink New Graduate Nurse Survey. Residents involved in the revised residency program were surveyed on their job satisfaction and comfort-confidence after six months of residency. The results from the new residents were compared to nurses who had completed the previous residency program who had at least six months of experience.
Results: The results demonstrated the new residency program had no statistical significance on comfort, however, presented a statistically significant association with how new nurses experience the work environment of the Critical Care department.
Conclusions: The results of the study revealed a need for on-going assessment of the residents past the six month integration period. Another identified need that was noted was for on-going preceptor education and consistency. The study also discovered the need to explore other methods of increasing comfort during and after their residency period.
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Kamboj, Amritpal K. "Nurse residency| An answer to improve new graduate nurse competency." Thesis, Western University of Health Sciences, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3560103.
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The Institute of Medicine (IOM) report To err is human: Building a safer health system raised the very important concern of patient safety. The ultimate goal of this report was to provide a call-for-action that promoted patient safety at the point-of-delivery (Kohn, Corrigan, & Donaldson, 2000). Registered Nurses (RNs) represent the largest discipline providing and coordinating patient care redesign. The aim of creating safe and quality care would not be possible without the presence of competent nurses. Conversely, new graduate nurses are prone to errors due to lack of transitional support from academics to practice. With the growing shortage of experienced RNs nationally, there is a need to evaluate and promote programs to assist in the transition, retention, and recruitment of competent new nurses. Structured residency programs offer a means to increase the competency of newly graduated RNs. This study performed secondary data analysis of the Versant 18-Week Residency Program to provide evidence of the success of this approach in assisting new nurses in their transition from academia to practice.
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O'Donnell, Anne E. "Effective mentoring in physical therapy : approaches for residency training." Thesis, NSUWorks, 2012. https://nsuworks.nova.edu/hpd_pt_stuetd/13.
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PURPOSE: This study aimed to investigate how physical therapy mentors instill clinical judgment and competence during residency training. The researcher investigated effective mentoring behaviors and techniques in physical therapy residency training. SUBJECTS: Participants included physical therapy residency faculty, physical therapy residents currently enrolled in U.S. residency programs credentialed by the American Physical Therapy Association (APTA), and resident graduates (ie, within the past 2 years) from APTA programs. METHOD: A quantitative survey design was used to gain information about effective mentoring behaviors and techniques of physical therapy residency faculty who foster clinical expertise in physical therapy residents. Two online surveys were created: one for residency program faculty and one for current and past residents. RESULTS: Findings revealed that most mentors felt confident to mentor residents based on their past experiences instructing students and mentoring residents in physical therapy. Most mentor respondents had not taken APTA's Credentialed Clinical Instructor Program (CCIP), and fewer had taken Advanced CCIP (ACCIP). Mentor respondents who had taken both courses felt that CCIP was less helpful in mentoring residents than was ACCIP. Findings indicated important resident benefits, mentor behaviors, and characteristics of mentor-mentee relationships in residency programs. Results revealed mentoring and teaching strategies that were most effective for different stages of residency programs. CONCLUSIONS: These findings will help guide residency program faculty in effective mentoring practices and have added to the literature about how mentoring methods impact development of clinical expertise in physical therapy residents. These results (a) revealed a need for advanced training specific to mentoring residents, (b) can be used to determine what mentoring behaviors and techniques work best with residents, and (c) can serve as a basis for further developing residency training curricula. RECOMMENDATIONS: Further investigation is needed to determine which components of mentoring help residency faculty feel prepared to mentor residents. Further development and testing of mentor training programs are warranted. Additional research using qualitative methodology and this study's findings related to important resident benefits, mentor behaviors, and characteristics of mentor-mentee relationships in residency programs is necessary. Further research is also needed to investigate how reflection is used in mentoring in residency programs.
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Gouge, Natasha, Jodi Polaha, and Rebecca Powers. "Bringing a Behavioral Health Consultant to Residency: Implications for Practice and Training." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/ijhse/vol2/iss2/4.
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This study examined pediatric residents’ responsiveness and experiences in the context of a new pilot program, building an on-site Behavioral Health Consultant (BHC) into their primary care training site. Fifteen pediatric residents were divided so that 9 had access to an on-site BHC and 6 did not. Over the first year of the program, research assistants observed 322 patient visits to record concerns raised, residents’ responses, and visit length. Data regarding BHC activity and residents’ subjective impressions of the program were also collected. Results showed that at least one BH concern was raised in 24% of observed visits. Residents with access to the BHC initiated 89 on-the-spot referrals, resulting in 127 BHC-to-patient interactions. On average, residents spent 10 additional min/visit when BH concerns were raised but those with access to the BHC saved 8 min/visit when BH concerns were raised. Overall, residents utilized the service, particularly first and second year residents. Those with BHC access managed BH concerns in less time than those in the control group. Residents who utilized the BHC were very satisfied, perceived a better quality of care and patient outcomes, and desired future BHC collaboration. Implications for training residents in the area of pediatric behavioral health by using an on-site provider are discussed.
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Bird, Michele Marie. "Evaluation of a nursing residency program." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/808.
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Recruitment and retention of professional nurses are crucial issues for hospital departments of nursing. Recognizing the necessity to bridge the gap that persists between nursing education and nursing services, hospitals have designed programs to assist new nurses make the transition to current nursing practice. By helping individuals make the transition to current nursing practice it is hoped that staff nurses will be retained.
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Rush, Mary Catherine, Todd DO MSMS Leibowitz, Katherine DO Stone, Jodi PhD Polaha, and Leigh MD MPH Johnson. "Medical Scribes in a Family Medicine Residency Program: An Implementation Outcomes Study." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/129.
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The implementation of Electronic Health Records (EHR) has improved medical documentation in terms of accuracy, team communication, and ease of ordering tests and prescriptions; however, charting in an EHR strains the provider/patient relationship and contributes to physician burnout. Medical scribes are a promising potential solution to these problems. Our study aims to demonstrate that implementation of scribes into a medical residency program positively affects provider/patient satisfaction and improves quality and efficiency of EHR documentation. Our study evaluated the effectiveness and utility of scribes in a residency training program utilizing the established implementation framework “RE-AIM,” or Reach, Effectiveness, Adoption, Implementation (quality), and Maintenance. During the study’s initial “Training Phase,” 11 first and second-year Family Medicine residents conducted scribe-facilitated patient visits. Patient and provider satisfaction ratings were collected, note quality was evaluated, and time to note closure was measured. During the subsequent “Choice Phase,” residents were given the option of whether to utilize scribes, and the same data measures were collected. Resident satisfaction ratings during the Training Phase showed an average score of 6.03 (on a 1-7 scale where “7” = “strongly agree” with positive statements), and a pilot sample of 9 patients showed an average patient satisfaction rating of 4.77 (on a 1-5 scale where “5” = “strongly agree” with positive statements). Scribe-facilitated notes coded for quality had an average score of 3.375 (on a 1-5 scale where 5 is “extremely” high quality). Finally, residents’ average time to note closure was decreased by more than 8 hours in scribe-facilitated visits. During the Choice Phase, all 11 participating residents requested scribe-facilitated visits, again with very high patient satisfaction scores (4.67 on a 1-5 scale) as well as high clinician satisfaction scores (6.06 on a 1-7 scale). Choice Phase note quality and note-closure time are currently being assessed. These results demonstrate that scribes improve clinician and patient satisfaction, as well as quality and efficiency of EHR documentation. Limitations include a small sample size of clinicians and patients. Further research is needed with larger sample sizes to determine whether scribes in a medical residency program represent a sustainable and effective intervention.
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Kersting, Ann L. "Listeria monocytogenes, zoonotic exposure, rural residency, and prevention." Columbus, Ohio : Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1221751504.
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Whitfield, Benjamin, Leigh D. M. D. Johnson, and Jodi Ph D. Polaha. "Costs and Benefits of Patient Home Visits in a Family Medicine Residency Program." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/136.
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Home visits are a required training component of many Family Medicine residency programs in the United States. However, they are becoming less popular due to such factors as increasing resident responsibilities, decreasing reimbursement, and a decline in resident intention to incorporate home visits into future practice. This study’s aims are: (1) to evaluate the current practices of one Family Medicine residency training program’s time and resource expenditure to conduct home visits, and (2) to evaluate resident and faculty experiences of home visits. Residents and faculty in a Family Medicine training program were provided with a 12- question survey immediately after completing a home visit. A total of 19 surveys from residents and faculty were collected and analyzed. Average reported time spent per home visit was 90 minutes (range = 50-180 minutes), and the home visit teams included an average of 4 members (range = 2-6 members). The providers felt that they knew their patients and the patients’ circumstances better after the home visit with a score of 4.1 (on a 1-5 scale with 5 being a positively framed statement). Resident opinions were neutral (average score 3.1 on a 1-5 scale) regarding whether they found home visits to be educational to their residency training in Family Medicine. Residents also had mixed feelings (average score 2.9) regarding whether they would perform more home visits during their residency training if given the opportunity. Most faculty members (5/7) indicated they had done home visits during their residency training and all faculty (7/7) felt that home visits added value to their training in Family Medicine. Finally, qualitative recommendations were collected from respondents which may allow this training program to improve home visits in the future. Overall, significant time is currently being spent conducting home visits, with a difference in perceived efficacy between residents and faculty. Future research may include a cost analysis to quantify financial value, as well as expanding data collection to other Family Medicine residency training programs to improve generalizability.
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Saleta, Jennifer M. "The effects of utilizing high-fidelity simulation in medical residency programs." Thesis, St. John's University, School of Education and Human Services, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3537049.
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The purpose of this study was to examine the effects of utilizing high-fidelity simulation on the team performance, perceived level of learning, and satisfaction of resident physicians in a simulated cardiac resuscitation scenario. This study was significant because it filled a gap in the literature about how methods of education impact healthcare practitioners. While a body of research exists in education on adult learning principles, there are few studies on how applying adult learning principles to professional development is an effective method of instruction in healthcare.
A convenience sample of resident physicians from two hospitals that are part of a large health system was utilized for this study. Resident physicians participated in a simulated mock cardiac resuscitation scenario monthly. The Simulated Cardiac Resuscitation Team Performance Evaluation instrument was utilized to assess the team performance of the residents in the scenarios. A program evaluation form was administered to measure perceived level of learning and satisfaction with the simulation experience.
One-way multivariate analyses of variance were conducted to evaluate the relationships between year of residency and gender and the team performance score on the Simulated Cardiac Resuscitation Team Performance Evaluation. Significant differences were not found among the years of residency on the dependent measures. Significant differences were not found between the genders on the dependent measures. A one-way multivariate analysis of variance was conducted to evaluate the relationship between year of residency and the level of satisfaction and perceived level of learning of the resident physicians. Significant differences were not found among the three years of residency on the dependent measures. A one-way multivariate analysis of variance was conducted to evaluate the relationship between gender and the level of satisfaction and perceived level of learning of the resident physicians. Significant differences were not found between genders on the dependent measures. A one-way multivariate analysis of variance was conducted to evaluate the relationship between prior use of simulation and the level of satisfaction and perceived level of learning of the resident physicians. Significant differences were not found between prior use of simulation on the dependent measures.
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Hess, Janet S. "Residency Education in Preparing Adolescent and Young Adults for Transition to Adult Care: A Mixed Methods Pilot Study." Scholar Commons, 2014. https://scholarcommons.usf.edu/etd/5039.
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Background: There is considerable evidence that physicians lack sufficient training in facilitating transition from pediatric to adult care systems for adolescents and young adults (A/YA). While several primary care residency programs have introduced health care transition (HCT) curricula in recent years, there are few studies that assess the effectiveness of HCT teaching models.
Purpose: To assess the impact of a residency education program that uses electronic health records (EHR) and other methods to teach residents how to prepare A/YA for transition to adult care.
Methods: In a mixed methods, quasi-experimental research design, quantitative methods were used to measure change in knowledge, confidence and experience among 67 Pediatrics and Med-Peds residents who participated in the program. All residents and a comparison group were invited to complete a 35-item pre/post-survey; a retrospective chart review provided documentation of age-specific HCT preparation tasks completed by residents during well visits for A/YA aged 12-21. Descriptive and correlational analyses were conducted to compare differences between resident and control test scores for 5 outcome variables, and to measure resident utilization of the HCT tool in the EHR. Using the Reach Effectiveness-Adoption Implementation Maintenance (RE-AIM) evaluation model as a guide, semi-structured interviews were conducted concurrently with residents and faculty to assess program acceptability, feasibility, and other important attributes. Interviews were transcribed and analyzed using a constant comparative, iterative process.
Results: Survey results showed residents (11 matched pairs) scored significantly higher than controls (13 matched pairs) in 2 of 5 outcomes: exposure to HCT learning activities (p=.0005) and confidence in providing primary care for YSHCN (p=.0377). Overall utilization of the EHR tool among 51 residents was 52.8% (57 of 108 patient visits). In interviews conducted with 16 residents and 6 faculty, both groups said that HCT training is a highly relevant need. Residents said they had little knowledge or experience in HCT prior to the intervention but felt more confident in their abilities afterwards. The HCT tool in the EHR was the only intervention element among multiple modalities that reached all study participants, with more than 80% of residents interviewed reporting they used the HCT tool "usually" or "always." Factors that influenced program adoption included accessibility of educational materials, ease of use, time constraints, patient age and health condition, and attending physicians' enforcement of the protocol.
Conclusion: This study contributes to the body of knowledge concerning HCT by increasing our understanding of ways to effectively educate residents about transition preparation. Results show a positive intervention effect on selected dimensions of resident knowledge, confidence, and practice in HCT, highlighting program strengths and weaknesses. The program is distinctive in educating residents to prepare all A/YA for HCT, as recommended by major medical associations for pediatric and adult care physicians, and in its use of the EHR as a primary teaching tool, a consideration for reducing time-intensive didactic instruction. It provides a model that can be adapted by other residency and provider training programs, and suggests a need to integrate acquisition of health care self-management skills more broadly in child and adolescent health preventive care tools and policies.
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Lo, Jessica Bui. "Impacts Of An Artist Residency Program Informed By Social Action Art Therapy." Digital Commons at Loyola Marymount University and Loyola Law School, 2016. https://digitalcommons.lmu.edu/etd/289.
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This research explores the impact of a three day Artist Residency Program at a K-8th public school on a Native American Reservation. The program is evaluated through a lens of Social Action Art Therapy and aims to uncover how this program impacted a community— including teachers, students, and parents, and facilitators. The researcher examined social action literature, social action art literature, social action art therapy literature, as well as social action with Native Americans literature. The researcher used a qualitative approach, specifically an Inquisitive Case study, in which data was collected through the researchers notes. These notes then informed the creation of a survey that was given to teachers as well as the Artist Residency program facilitators. Next, the researcher conducted interviews for further examination of the impact. All the data was placed into an organizing table in which four main themes and three minor themes emerged. The resulting data themes include: 1) Art illuminated the students Native American Hoopa identity and culture, 2) art increased student participation, facilitated storytelling, and conversations about the student’s feelings and art provided a sense of agency, 3) art created and strengthened bonds among the students, teachers, parents and facilitators and facilitators were seen as role models for the students, and 4) the facilitator’s desire to be involved in similar art therapy social action projects increased as they were personally and professionally impacted by the Artist Residency Program. Three minor themes include: a) Some teachers found new ways to integrate art in their classroom, b) the foreign art medium choice increased risk taking, engagement, creativity as well as provided students with new skills, c) some changes noted, more time needed to see larger change. These themes were then examined in the context of art therapy social action literature and findings suggested positive impacts of the social action art therapy informed Artist Residency program.
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Radziukaitė, Skirmantė. "Kauno medicinos universiteto gydytojų rezidentų pasirengimo praktiniam darbui įvertinimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2007. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2007~D_20070803.091534-08051.
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Darbo tikslas: įvertinti Kauno medicinos universiteto gydytojų rezidentų pasirengimą praktiniam darbui sveikatos priežiūros įstaigose.
Uždaviniai: 1. Įvertinti KMU rezidentūros studijų programų aprašą; 2. Įvertinti Lietuvos medicinos normų struktūros atitikimą reikalavimams; 3. Įvertinti KMU gydytojų rezidentų nuomonę apie savo pasirengimą praktinei veiklai.
Tyrimo metodika: Tyrimo objektas: KMU rezidentūros studijų programos; medicinos normos; 2006 m. KMU rezidentūros studijas baigę gydytojai rezidentai. Tyrimo metodai: mokslinės literatūros analizė; dokumentų analizė; anketinė apklausa; statistinė duomenų analizė programa SPSS 12.
Rezultatai: 1. Įvertintos 28 rezidentūros studijų programos turi aiškią ir vienodą visoms programoms struktūrą. Daugelyje programų išsamiai aprašyta jų sudėtis ir turinys, nėra bendros vidinio studijų kokybės užtikrinimo politikos. Šešiolikoje studijų programų rasta netikslumų šioje dalyje. 2. Septynios profesinės kvalifikacijos neturi patvirtintų medicinos normų. Visos medicinos normos turi vienodą ir aiškią struktūrą. Rezidentūros studijų programos parengtos remiantis šių normų reikalavimais. 3. Su medicinos norma yra susipažinę 53,8 proc. rezidentų, kurie taip pat geriau žinojo savo specialybės ligų sąrašą (p=0,029). Specialybės ligų simptomus, geriau žinojo konservatyviojo profilio rezidentai (Fišerio tiksliojo testo p=0,027). Pakankamai bendravimo su ligoniais patirties mano turintys 36,5 proc. rezidentų. Diagnozuoti ir gydyti navikus mano... [toliau žr. visą tekstą]Aim of the study: to evaluate Kaunas University of Medicine residents preparation for a practical activity and work in health care institutions. Objectives: 1. the evaluation of description of residential studies programs; 2. the evaluation of structure of medical standards; 3. the evaluation of resident’s opinion of their preparation for practical activity. Methods: The object of analysis: KMU programs of residency studies; medical standards; KMU doctors graduated in 2006. Methods of analysis: the analysis of scientific literature; the analysis of documents; questionnaire; the analysis of statistical data using the program SPSS 12. Results: 1. There was 28 residency studies programs evaluated, that had clear and equal for all programs structure. The constitution and content of programs were clearly described. There was no security of common internal residency programs quality politics and procedures. Some inaccuracy was found in sixteen residency programs. 2. Seven professional qualifications did not have certified medical standards. The standards had equal and clear structure. The residency programs were organized according to these standards. 3. 53, 8 % of residents got to know the medical standards, they also better knew their specialty diseases (p=0,029). Medical residents of traditional profile better knew the symptoms of their specialty diseases (Fisher exact test p=0,027). 36, 5 % of residents assumed that they had enough experience in communication with patients... [to full text]
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Mocevičius, Paulius. "Rezidentūros kokybės vertinimas Kauno medicinos universitete." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2010. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2010~D_20100621_094742-02298.
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Tikslas – Įvertinti Kauno medicinos universiteto rezidentų, rezidentų vadovų ir gydytojų, baigusių Kauno medicinos universitetą 2003-2008 m. požiūrį į rezidentūros kokybę.
Uždaviniai:
1. Įvertinti rezidentų, rezidentų vadovų ir gydytojų, baigusių Kauno medicinos universitetą 2003-2008 m. požiūrį į rezidentūros studijų proceso organizavimą.
2. Išsiaiškinti svarbiausias rezidentų darbo problemas.
3. Aptarti svarbiausius rezidentūros kokybės elementus rezidentų, rezidentų vadovų ir gydytojų, baigusių KMU rezidentūrą 2003 – 2008 m. požiūriu.
4. Ištirti rezidentų savarankiškumą bei aktyvumą rezidentūros metu ir išsiaiškinti jų ateities planus.
Tyrimo metodika. KMU rezidentų, rezidentų vadovų ir 2003 -2008 m. baigusių studijas gydytojų anoniminė anketinė apklausa. Per apklausą buvo išdalinta 400 anketų rezidentams, iš jų gauta 266 atsakymų (66,5 proc.), apklausta 40 rezidentų vadovų ir 40 studijas jau baigusių gydytojų. Apklausoje naudota 10 balų Likerto skalė (1 balas žemiausias, o 10 aukščiausias), specifiniams klausimams buvo individualūs atsakymai. Anketų duomenys buvo apdoroti ir išanalizuoti naudojant statistinį duomenų analizės paketą SPSS 15,0.
Rezultatai. Rezidentai susipažinimą su rezidentūros studijų programa, rezidentūros studijų vykdymą atsižvelgiant į programą, teorinių žinių ir praktinių įgūdžių kokybę įvertino palankiai (atitinkamai : 7,36; 6,36; 6,53; ir 7,07 balais). Rezidentų vadovai rezidentūros studijų vykdymą atsižvelgiant į programą įvertino 7,5 balais... [toliau žr. visą tekstą]Aim – To evaluate the opinion of residents, supervisors of residents and doctors of Kaunas University of Medicine who graduated from Kaunas University of Medicine in 2003 – 2008 about the quality of the residency. Tasks: 1. To evaluate the opinion of residents, supervisors of residents and doctors, who graduate from Kaunas University of Medicine in 2003 – 2008, about the organization of process of residency studies. 2. To find out the most important problems of residents’ work. 3. To discuss the most important elements of the quality of residency according to the opinion of residents, supervisors of residents and doctors, who graduated from residency of Kaunas University of Medicine. 4. To explore the self-sufficiency and activeness of the residents during their residency and to find out their future plans. Methodology of the research. The anonymous questionnaire of residents, supervisors of residents and doctors, who graduated from Kaunas University of Medicine in 2003 – 2008. During the research 400 questionnaires were given to the residents, and 266 answers (66.5%) were got back, there were also questioned 40 supervisors of residents, and 40 doctors who had already finished their studies. The questionnaire included 10 points Likert scale (1 point is the lowest, 10 points is the highest), the specific questions had individual answers. The data of the questionnaires was processed and analysed using the package SPSS 15,0 of statistical data analysis. Results. The... [to full text]
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Shultz, A. K., N. Benfield, and Jodi Polaha. "Effectiveness of Residency Training for the Assessment and Treatment of Top Behavioral Health Concerns in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/6640.
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Petts, Rachel PhD, Jeffrey D. PhD Shahidullah, Paul W. PhD Kettlewell, Kathryn A. MD DeHart, Kris MD Rooney, Ilene G. MS Ladd, Tyler BS Bogaczyk, and Sharon L. PhD Larson. "As a Pediatrician, I Don’t Know the Second, Third, or Fourth Thing to Do: A Qualitative Study of Pediatric Residents’ Training and Experiences in Behavioral Health." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/ijhse/vol5/iss1/5.
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Despite a mandated 1-month rotation in developmental-behavioral pediatrics (DBP), pediatric residents report inadequate training in behavioral health care. As a first step in much needed curriculum development in this area, this study sought to assess learner experiences regarding the management of behavioral health problems during residency. Four focus groups were conducted for residents in years 1-3 of training in 2 residency programs in a northeastern state. Transcripts were analyzed and coded by researchers through qualitative classical content analysis. The exploratory analysis revealed 9 key themes: time requirements, rapport building, resources and referrals for behavioral health, psychiatric medications, diagnosis vs. treatment, working with families, the importance of behavioral health, fears of working with a pediatric population, and training issues. These qualitative data further identify gaps in the behavioral health training of pediatric residents and may inform future innovations in training curricula.
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Teitelbaum, Jennifer. "UCSF MOUNT ZION: The Closure of a Teaching Hospital and Its Primary Care Residency Program." Yale University, 2003. http://ymtdl.med.yale.edu/theses/available/etd-07012003-151744/.
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In November 1999, financial losses led the University of California at San Francisco Medical Center (UCSF) to close all inpatient services at Mount Zion Hospital, a community teaching hospital affiliated with UCSF since 1990. As a result of the closure, Mount Zions primary care residency program (MZPC) was merged with UCSFs university-based primary care program. We examined these events in the context of three major currents in U.S. health care: containment of rising health care costs, financial pressures on teaching hospitals, and the shifting priorities in graduate medical education with respect to subspecialty medicine and primary care. As part of this descriptive study, we investigated the impact of the Mount Zion closure on all UCSF internal medicine residents who were in training at the time. Using a cross-sectional survey, we found that a majority of residents felt the closure was harmful to their training, but that reasons varied by program affiliation. Many specific areas of training remained unaffected. Low morale correlated with abandonment of generalist career plans among some primary care residents (p=0.02). We concluded that the perception of harm reflected a temporary reaction to change rather than actual harm to the quality of the programs, and that while attrition from generalism may have resulted from disillusionment by some residents, it more likely reflected a national decline in interest in primary care since 1997. We also concluded that the closure of Mount Zion and its residency program was a consequence of the shifting emphasis toward subspecialization in the U.S. and is a harbinger of further changes in that direction.
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Palmer, Michelle. "Variables affecting treatment outcomes in a 30-month post-graduate orthodontic residency." Thesis, NSUWorks, 2012. https://nsuworks.nova.edu/hpd_cdm_stuetd/51.
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A thesis submitted to the College of Dental Medicine of Nova Southeastern University of the degree of Master of Science in Dentistry.
Objectives: The purpose of this study was to evaluate clinical outcomes based on the American Board of Orthodontics Objective Grading System (ABO-OGS) in a 30-month postgraduate orthodontic residency and to determine what factors affected these treatment outcomes. Methods: Consecutively debonded cases from July 1, 2010 to June 30, 2011 treated by residents in the Orthodontics Department at Nova Southeastern University were graded using the ABO-OGS. The age and sex of the patient, the treatment time, the missed appointments and the number of providers were documented. Discrepancy indices were calculated for each patient. These variables were assessed and their associations with the obtained treatment outcome scores were evaluated. Results: The average OGS score of the debonded cases was 33.87. There was no significant correlation between total OGS score and the demographic or explanatory variables. There were significant correlations found between the discrepancy index (DI) and the treatment time, the number of providers, but not the OGS. Significant correlations were also identified between treatment time and the number of failed appointments and the number of providers. Extraction cases were shown to have a significantly longer treatment time. Out of the eight objective measurements of the OGS, occlusal contacts, marginal ridges, buccolingual inclination and alignment/rotations scored the highest points in our evaluation with an average of 7.81, 6.37, 5.04, and 5.01 respectively. Conclusions: This study indicated the Nova Southeastern University Orthodontic Department average OGS score is about 6 points higher than the ABO clinical exam passing score. The initial complexity of a case was not a pre-determined factor for the final treatment results. This study identified several aspects of treatment outcomes that need improvement including, occlusal contacts, marginal ridges, correcting buccolingual inclination and improving the alignment.
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Burke, Brian. "A Retrospective Study of Operating Room Utilization and Efficiency in a Pediatric Dental Residency Program." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3367.
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Purpose: The purpose was to assess and understand operating room (OR) utilization and efficiency in a pediatric dental residency program. Methods: A retrospective study was performed using chart extraction from 778 patients completed by both pediatric dentistry faculty (n=7) and residents (n=17) in an ambulatory care setting over a 32 month period (between July 2010 and March 2013). Patterns in OR usage time were determined by documenting various timing metrics (start and stop times for anesthesia, start and stop times for the dental procedure, times for throat pack in and out), noting patient information (age and ASA patient classification status), and creating variables by grouping data by clinical provider type and dental procedure. OR usage time was analyzed using multiple regression to estimate the per-tooth or per-mouth time for each type of procedure. Results: The median procedure time was 75 minutes (range= 1 to 517 minutes). Multiple regression indicated that for the average patient, a faculty member took 63.8 minutes (95% CI = 60.8 to 66.7 minutes) and a resident took 81.9 minutes (95% CI = 78.7 to 85.0 minutes, P<.0001).These results demonstrate that the appropriate scheduling of operating room should be based on the proficiency level of provider as well as the complexity of the dental procedure. Conclusion: This study concludes that pediatric dental operating room planning and scheduling in teaching hospitals should take into account real constraints such as residents’ level of training and skill.
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Novak, Timothy S. "Vital Signs of U.S. Osteopathic Medical Residency Programs Pivoting to Single Accreditation Standards." Thesis, University of South Florida, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10690580.
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Osteopathic physician (D.O.) residency programs that do not achieve accreditation under the new Single Accreditation System (SAS) standards by June 30, 2020 will lose access to their share of more than $9,000,000,000 of public tax dollars. This U.S. Centers for Medicare & Medicaid Services (CMS) funding helps sponsoring institutions cover direct and indirect resident physician training expenses. A significant financial burden would then be shifted to marginal costs of the residency program’s sponsoring institution in the absence of CMS funding. The sponsoring institution’s ability or willingness to bare these costs occurs during a time when hospital operating margins are at historic lows (Advisory.com /Daily Briefing /May 18, 2017 | The Daily Briefing / Hospital profit margins declined from 2015 to 2016, Moody's finds). Loss of access to CMS funding may result in potentially cataclysmic reductions in the production and availability of primary care physicians for rural and urban underserved populations. Which osteopathic residency programs will be able to survive the new accreditation requirement changes by the 2020 deadline? What are some of the defining attributes of those programs that already have achieved “initial accreditation” under the new SAS requirements? How can the osteopathic programs in the process of seeking the new accreditation more effectively “pivot” by learning from those programs that have succeeded? What are the potential implications of SAS to both access and quality of health care to millions of Americans? This report is based upon a study that examined and measured how osteopathic physician residency programs in the U.S. are accommodating the substantive structural, financial, political and clinical requirements approximately half way through a five-year adaptation period. In 2014, US Graduate Medical Education (GME) physician program accreditation systems formally agreed to operate under a single accreditation system for all osteopathic (D.O) and allopathic (M.D.) programs in the U.S. Since July 1, 2015, the American Osteopathic Association (AOA) accredited training programs have been eligible to apply for Accreditation Council for Graduate Medical Education (ACGME) accreditation. This agreement to create a Single Accreditation System (SAS) was consummated among the AOA, the American Association of Colleges of Osteopathic Medicine (AACOM) and ACGME with a memorandum of understanding. As this research is published, the ACGME is transitioning to be the single accreditor for all US GME programs by June 30, 2020. At that time, the AOA would fully relinquish all its GME program accreditation responsibilities. The new SAS operates under published ACGME guidelines and governance. Business policy and health care resource allocation question motivated this research. Failure of osteopathic programs to “pivot” to the new standards could result in fewer licensed physicians being produced in the high demand primary care field. Potential workforce shortage areas include urban and especially rural populations (CRS Report 7-5700 R44376 Feb 12, 2016). Large physician shortages already have been projected to care for a rapidly aging US population without considering the impact of the GME accreditation changes currently underway (Association of American Medical Colleges 2017 Key Findings report www.aamc.org/2017projections). The goal of this research is to provide osteopathic GME programs practical insights into characteristics of a sample of osteopathic GME programs that have successfully made the “pivot” into SAS requirements and been accredited by ACGME and those that have not. The study seeks to better understand the experiences, decisions, challenges and expectations directly from osteopathic programs directors as they strive to meet the realities of the new SAS requirements. Do programs that are already accredited differ significantly from those that have not? How do characteristics such as program size, geographic locations, clinical program components, program sponsor structure, number and experience of faculty and administration, cost planning and perceived benefits of the movement to SAS factor into successfully meeting the new requirements before the 2020 closing date? A cross-sectional research survey was designed, tested and deployed to a national sample of currently serving osteopathic GME program directors. The survey elicited data about each program’s “pivot” from AOA GME accreditation practices and guidelines to the new Single Accreditation System (SAS). The survey instrument was designed to obtain information about patterns in osteopathic GME program curricula, administrative support functions, faculty training, compliance requirements and program director characteristics shared by those programs that have been granted “initial accreditation” by the Accreditation Council for Graduate Medical Education (ACGME) who administer SAS. Thirty five (35) osteopathic GME program directors responded to the 26 question survey in June 2017. Descriptive statistics were applied and central tendency measures determined. The majority of survey respondents were Doctors of Osteopathic Medicine (D.O.s) from specialty residency programs sponsoring an average of 16 residents. (Abstract shortened by ProQuest.)
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Stock, Nancy Jean. "A Transition-to-Practice Residency That Supports the Nurse Practitioner in a Critical Access Hospital." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/404.
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Access to health care in rural communities is challenged by workforce shortages. Nurse practitioners (NPs) have been filling the gap created by physician migration into specialty areas. Flex hospital legislation allows critical access hospitals (CAHs) to staff the emergency department with NPs or physician assistants without on-site physicians. NP education often lacks emergency and trauma curriculum, resulting in gaps in education and practice expectations and leading to significant role transition stress and turnover. The purpose of this project was to construct an evidence-based transition-to-practice residency program to support NPs providing emergency department care in the CAH. Theoretical frameworks used to guide the project include rural health theory, novice to expert, and from limbo to legitimacy frameworks. Global outcomes include increased quality of care, patient safety, NP job satisfaction, and decreased turnover. The quality improvement initiative engaged an interprofessional team of institutional and community stakeholders (n = 10) to develop primary products including the residency program, curriculum modules, and the secondary products necessary to implement and evaluate the project. Implementation will consist of a pilot followed by expansion throughout the rural health network. Evaluation will involve the CAH dashboard to monitor patient outcomes, Misener NP job satisfaction scale, and employee turnover rates. The project expands understanding of the on-boarding needs of rural NPs. The results of this project will serve as a guide to publish outcome data and collaborate with higher education to develop programs to award academic credit for paid clinical experiences leading to academic degrees.
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Cunningham, Shala. "Influence of a post-graduate physical therapy residency program on clinical reasoning, professional development, and career advancement in Nairobi, Kenya." Diss., NSUWorks, 2018. https://nsuworks.nova.edu/hpd_pt_stuetd/64.
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Problem Statement
Residency programs that emphasize clinical reasoning and manual therapy can provide a means to optimize the outcomes of physical therapy without the need for or access to expensive equipment. The residency format of continuing education could allow physical therapists in developing countries access to specialty training and ongoing mentorship. However, there are limited studies that investigate the influence of residency training on the progression of clinical reasoning, professional development, and career advancement.
Purpose
The purpose of this study was threefold. The first objective was to describe the outcome of a post-graduate orthopaedic manual therapy residency program on development of knowledge and clinical reasoning skills by physical therapists in Nairobi, Kenya. The second objective was to explore the influence of the residency program on the participants’ professional development and career advancement. The last objective was to explore the residency experience from participants’ perspectives.
Methodology
This mixed methods study utilized a sample of convenience that included residents in the third (n=14) and fourth (n=13) cohorts of the orthopaedic manual therapy residency program in Kenya. Data collection included an assessment of clinical reasoning through a live patient examination, a survey on professional and career development, and qualitative interviews.
Results
There was a significant improvement in clinical reasoning development as measured by an assessment of a live patient examination (p
Discussion
The residency program in Nairobi, Kenya may serve as a framework for the formation of post-graduate education programs in other developing countries. The development of residency programs that can influence the ability of physical therapists to provide treatment efficiently and effectively may ultimately assist in serving community physical therapy needs.
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Kershnar, Rebecca. "Adolescent Medicine: Attitudes, Training And Experience of Pediatric, Family Medicine and Obstetric-Gynecology Residents." Yale University, 2008. http://ymtdl.med.yale.edu/theses/available/etd-08142007-140035/.
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Several studies have documented a deficiency in the delivery of preventive services to adolescents during physician visits in the United States. In many instances, a correlation has been noted between insufficient training and provision of adolescent medicine services in the practicing physician population. The American Medical Association, American Academy of Pediatrics, American Academy of Family Physicians, American College of Obstetrics and Gynecology and Society for Adolescent Medicine recommend adolescent providers deliver comprehensive health services to teenagers. This study sought to assess and compare Pediatric, Family Medicine and Obstetric-Gynecology resident perceptions of their responsibility, training, experience and comfort with providing comprehensive health care services adolescents. We asked residents to identify the following: (1) adolescent health services they considered part of their scope of practice in their respective field; (2) the level of training they had received with regard to select adolescent health services; (3) the experience they had performing select clinical activities with adolescents; and (4) their comfort with aspects of adolescent care. We further asked two questions to test resident knowledge of an adolescents right to consent to contraception or an abortion without parental notification in the state of their residency. A total of 87 residents (31 Obstetric-Gynecology, 29 Family Medicine and 27 Pediatric) were surveyed. Most residents from all three fields felt the full range of adolescent preventive and clinical services represented in the survey fell under the scope of their practice. Most residents also reported high levels of comfort with examined aspects of adolescent care. In regard to some activities, the positive scope and comfort responses were matched by high reported levels of training and experience, including defining confidentiality; counseling about eating, exercise and obesity; counseling about substance abuse; and discussing STDs, sexual partners and contraception. However, for multiple key adolescent services, considerable discrepancies existed between reported levels of training and experience and the positive responses concerning scope and comfort. In particular the results of study suggested all residents need considerably more training and experience with mental health issues, referring teenagers for substance abuse treatment, and addressing physical and sexual abuse. Overall, there were also significant differences between fields. Family Medicine residents reported the greatest potential for providing comprehensive health care. However, they suffered from the overall deficiencies in training and experience noted above. Obstetric-Gynecology residents reported deficiencies in the provision of several preventive counseling and general health services. Pediatric residents reported multiple deficiencies in the provision of sexual health services. Our results indicate, at this time and in the near future, it is unlikely that adolescents will be able to obtain the full range of recommended preventive and clinical services in a single physician visit unless residencies programs actively incorporate increased training in the full range of adolescent preventive and clinical health services.
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Smith, Amy L. "Evidence-Based Practice Self-Efficacy and Outcome Expectancy in the Nurse Resident." Otterbein University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1596206174965756.
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Moschen, Adriana Zanon. "Saberes e práticas da residência multiprofissional em saúde no cotidiano de trabalho em atenção primária à saúde de cirurgiões-dentistas." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/142782.
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Este estudo busca identificar como a integralidade em saúde, vivenciada em Programas de Residência Multiprofissional em Saúde (RMS), toma corpo e forma no cotidiano de trabalho de Cirurgiões-Dentistas na Atenção Primária à Saúde. Pretende investigar as limitações e as possibilidades encontradas pelos egressos desta modalidade de formação em serviço para implantarem uma atenção à Saúde Bucal cujo foco de atuação seja a integralidade das ações. A pesquisa utiliza uma abordagem qualitativa. Como técnica de coleta de dados foi privilegiada a entrevista semiestruturada com egressos da RMS. De forma a complementar os dados, foi realizada uma entrevista com preceptores das RMS e coletadas informações nos documentos disponíveis sobre a estrutura curricular dos cursos. Os resultados indicam que a estrutura física e os processos de ensino-aprendizagem, oferecidos pelas Unidades de Saúde/Escola, podem influenciar no perfil do egresso das RMS. Entre os saberes e práticas compartilhadas nas RMS destacam-se a interdisciplinaridade vivida na abordagem do processo saúde-doença e a possibilidade de desenhar itinerários terapêuticos que contemplem as singularidades dos sujeitos. Assim, os dados analisados permitem apontar que, se não houver uma estrutura adequada ao exercício do acolher, a realização de práticas integrais em saúde fica comprometida, bem como, se não houver no processo de trabalho espaço para escuta, se esta não for considerada como parte do itinerário terapêutico, de nada valerá uma estrutura adequada. Ainda destaca a interdependência entre os elementos descritos anteriormente e a formação dos profissionais, pois de nada valerá uma estrutura adequada e processos de trabalho cuidadores se os profissionais não estiverem preparados para trabalhar sob a óptica da integralidade. Práticas integrais em saúde propõem o encontro, o acolhimento do outro em todas as suas dimensões, respeitando o tempo e espaço vividos.This study aims to identify how comprehensiveness of care, as experienced in Multiprofessional Health Residency Programs (RMS), takes shape and form in the daily work of dentists within primary health care. It intends to investigate the limits and the possibilities, found by those majored in this in-service education mode, to establish an oral health care focusing on the comprehensiveness of actions. The investigation has a qualitative approach, and data was collected by means of a semi-structured interview with those majored in the RMS. To supplement the data, RMS preceptors were interviewed, as well as information from available documents about the curricular structure of the courses was gathered. The results indicate that the physical infrastructure and the teaching-learning processes, provided by the Health Care Units/School, can influence on the profile of the majored dentists. Among the knowledge and practices shared within the RMS, the interdisciplinarity experienced in the approach of the health-disease process, as well as the possibility of designing therapeutic itineraries considering the uniqueness of the subjects, were highlighted. Thus, the analyzed data allows the indication that, if there is not a suitable infrastructure for the exercise of welcoming, the performance of comprehensive practices in health is compromised. Similarly, if there is not space for listening within the working process, if it is not considered as part of the therapeutic itinerary, a suitable infrastructure is not enough. It also highlights the interdependence between the previously described elements and the education of the professionals, since a suitable infrastructure and caring working processes are not enough if the providers are not prepared to work under the perspective of comprehensiveness. Comprehensive practices in health propose the encounter, the welcoming of the other one in all her/his dimensions, honoring the time and space experienced.
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Fedor, Theresa Marie. "Disparities in Birth Weight Between Non-Hispanic Blacks and Non-Hispanic Whites: The Effect of Rural Residency." DigitalCommons@USU, 2009. https://digitalcommons.usu.edu/etd/429.
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The purpose of this study is to assess the prevalence of low birth weight among non-Hispanic Blacks and non-Hispanic Whites along the rural/urban continuum, as well as the combined effect of being both non-Hispanic Black and residing in a completely rural county. Degree of social isolation and lack of support are proposed mechanisms for explaining disparities in low birth weight for Blacks in rural counties.
Using data from the National Longitudinal Survey of Youth 1979 (NLSY79) and the National Longitudinal Survey of Youth 1979 Child (NLSY79-C) datasets, logistic regression models were used to estimate the odds of low birth weight. Key variables employed in these models include race/ethnicity, a five category measure of counties by degree of rural versus urban residence, interaction terms for race by county categorization, measures of the degree of community level support or isolation, household composition as a measure of the family support structure, access to medical care, maternal SES, birth characteristics, and maternal pregnancy behavior.
Results demonstrate that Blacks have much higher odds of low birth weight than Whites and living in a completely rural county exacerbates disadvantage in birth weight outcomes for non-Hispanic Blacks but not for non-Hispanic Whites. The community and household level support measures have little mediating effect on the magnitude of the negative birth weight outcomes found for non-Hispanic Blacks in the most rural counties. However, the first order effect for non-Hispanic Blacks was almost completely explained by the presence of the father in the household when interaction effects for race and place of residence were also included in the model.
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Rachlitz, Anna [Verfasser]. "The Political Construction of Irregularity in Germany and South Africa : A Comparison of Access to Legal Residency and Public Health Care / Anna Rachlitz." Baden-Baden : Nomos Verlagsgesellschaft mbH & Co. KG, 2017. http://d-nb.info/116031425X/34.
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Williams, Alicia J. "Identification of content, priority, and methods of instructional delivery for a women's health component in an internal medicine residency program a modified Delphi study /." Morgantown, W. Va. : [West Virginia University Libraries], 1998. http://etd.wvu.edu/templates/showETD.cfm?recnum=342.
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Thesis (Ed. D.)--West Virginia University, 1998.Title from document title page. Document formatted into pages; contains viii, 154 p. : ill. Vita. Includes abstract. Includes bibliographical references (p. 120-125).
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Feitosa, Maria Zelfa de Souza. "Afetividade na residÃncia integrada em saÃde: o psicÃlogo no territÃrio de form"aÃÃo"." Universidade Federal do CearÃ, 2014. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=12249.
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FundaÃÃo Cearense de Apoio ao Desenvolvimento Cientifico e TecnolÃgicoA afetividade pode ser compreendida como a passagem de um estado de potÃncia a outro, que conduz corpo e mente, entendidos como uma totalidade, à aÃÃo ou à passividade. Admite-se que o trabalho do psicÃlogo, no Ãmbito das polÃticas pÃblicas de saÃde, entre outras questÃes, està perpassado por afetos emergentes do encontro com o territÃrio, e que a formaÃÃo profissional contribui para a maneira como esta atuaÃÃo se efetiva. Assim sendo, nosso estudo objetivou analisar o impacto da afetividade (emoÃÃes e sentimentos) na atuaÃÃo de psicÃlogos-residentes em polÃticas pÃblicas de saÃde, de nÃvel primÃrio e secundÃrio, a partir de seu contato com o territÃrio dos serviÃos. Para tanto, elegemos como lÃcus da pesquisa a ResidÃncia Integrada em SaÃde (RIS), vinculada à Escola de SaÃde PÃblica do Cearà (ESP/CE), nas Ãnfases de SaÃde da FamÃlia e Comunidade e SaÃde Mental Coletiva, entrevistando 18 psicÃlogos-residentes aà inseridos. Neste intento, foram adotadas como principais bases teÃricas a Psicologia Social de base HistÃrico-Cultural, desenvolvida por Silvia Lane e colaboradores, e a Psicologia Ambiental. Caracterizando-se como uma pesquisa qualitativa, a coleta de dados foi realizada por meio da aplicaÃÃo da parte qualitativa do Instrumento Gerador dos Mapas Afetivos, cuja anÃlise se efetivou por meio da AnÃlise de ConteÃdo Categorial e da AnÃlise do subtexto, do sentido e do motivo; e Entrevista Semiestruturada, analisada por meio da AnÃlise de ConteÃdo TemÃtica, com o auxÃlio do software Atlas.ti. Os resultados obtidos na pesquisa revelaram uma Estima de lugar negativa em relaÃÃo ao serviÃo de saÃde onde os psicÃlogos-residentes atuam, denotando, entretanto, uma tendÃncia à implicaÃÃo positiva com o territÃrio, mais especificamente a comunidade e os usuÃrios, e com o ideal do que o serviÃo deveria ser, havendo o predomÃnio da imagem de contrastes nos mapas, a qual denota polarizaÃÃes de afetos em relaÃÃo ao espaÃo, como por exemplo, alegria/angÃstia e satisfaÃÃo/medo. As entrevistas tambÃm refletiram a predominÃncia de imagens de contrastes em relaÃÃo à formaÃÃo acadÃmica e contrastes e agradabilidade relacionadas à RIS, apontando para uma maior satisfaÃÃo com a formaÃÃo em serviÃo. As principais prÃticas desenvolvidas referiram-se a atividades de grupo, atendimentos individuais e visitas domiciliares. Esperamos que a pesquisa desenvolvida contribua para a discussÃo da prÃtica do psicÃlogo nos serviÃos pÃblicos de saÃde e da proposta da ResidÃncia Multiprofissional, como formaÃÃo em serviÃo.
Affection can be understood as the passage from one state to another power, which leads the body and mind, understood as a totality, the action or inaction. It is believed that the work of the psychologist in the area of public health policies, among other issues, is permeated by emerging affections of the encounter with the territory, and that the training contributes to how this action is effective. Therefore, our study aimed to analyze the impact of affectivity (emotions and feelings) in practicing psychologists-residents in public health policy, primary and secondary levels, from its contact with the area of services. For that, we choose as research locus Integrated Health Residency (RIS), linked to Escola de SaÃde PÃblica do Cearà (ESP /CE) (School of Public Health of CearÃ), in emphasis of the Family and Community Health and Mental Health Collective, interviewing 18 psychologists-residents inserted therein. In this attempt, were adopted as the main theoretical basis of social psychology Historic Cultural bases developed by Silvia Lane and colleagues, and Environmental Psychology. Characterized as a qualitative research, the data collection was performed by applying the qualitative part of the Instrument Generator Maps Affective, whose analysis was accomplished by analysis of Categorical Content and Analysis of subtext, of sense and reason; and semi-structured interviews, analyzed through qualitative analysis with the help of Atlas.ti software. The results obtained in the study showed an Esteem negative role in relation to the health service where psychologists work-residents, but shows a tendency to positive engagement with the territory - specifically the community and users - and the ideal of the service should be, giving a predominance of mixed picture on the maps, which denotes polarization of affect in relation to space, such as happiness / satisfaction and anxiety / fear. The interviews also reflected the predominance of images of contrasts in relation to academic background and contrasts and pleasantness related to RIS, pointing to a greater satisfaction with job training. The main activities carried out were related to the group, individual consultations and home visits activities. We hope that the research developed will contribute to the discussion of the practice of the psychologist in public health services and of the proposal of the Multidisciplinary Residency as in-service training.
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Neto, Manoel Vieira de Miranda. "Limites e potencialidades da residência multiprofissional em saúde para a educação interprofissional." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-13052015-125610/.
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Este estudo tem como objeto a formação interprofissional em programas de residência multiprofissional em saúde (PRMS) por meio da educação interprofissional (EIP). Seus objetivos foram: compreender os limites e as potencialidades das residências multiprofissionais em saúde para a EIP; descrever os PRMS do estado de São Paulo; identificar um programa de PRMS com um cenário altamente favorável para a EIP e analisar a percepção dos residentes a respeito dos limites e das potencialidades desse PRMS para a EIP. Estudo exploratório, descritivo, de abordagem qualitativa. Realizou-se a análise documental de seis projetos político-pedagógicos (PPP) dos sete PRMS oferecidos no estado de São Paulo para identificar o mais favorável à EIP. Em seguida, realizou-se um grupo focal com os residentes do programa selecionado. O material empírico resultante da transcrição do grupo focal foi submetido à técnica da análise de discurso. A análise documental revelou aproximações e distanciamentos da EIP em todos os PPP analisados, assim como elementos relacionados à colaboração como finalidade do processo ensino e aprendizagem, objetivos da formação, organização didático-pedagógica, matrizes pedagógicas, proposta curricular, adoção do modelo de competências e formatos de avaliação institucional e do ensino. A análise documental revelou o compromisso social de todos os programas com a formação e sua possibilidade de promover melhorias na qualidade do cuidado com foco na integralidade e nas necessidades de saúde. O programa mais favorável à educação interprofissional foi a Residência Multiprofissional em Atenção à Saúde da Universidade Federal de São Paulo, campus Baixada Santista. O material empírico proveniente da transcrição do grupo focal com os residentes evidenciou temas que foram inseridos nas categorias empíricas definidas a priori para a construção do roteiro do grupo focal: Vivenciando a residência multiprofissional, Limites da residência multiprofissional para a EIP, Potencialidades da residência multiprofissional para a EIP e Impactos das práticas profissionais como residente para a melhoria da qualidade assistência. Foram identificados limites relacionados a relações pessoais e interprofissionais, necessidade de apoio institucional e fragilidades na integração ensino-serviço. Em relação às potencialidades, destacaram-se a transformação provocada pelo apoio institucional, a reorganização do programa e dos cenários de prática profissional e a integralidade como foco das práticas profissionais. A EIP mostrou-se uma abordagem adequada ao contexto da RMS, reorientando a formação em saúde e contribuindo para fortalecer a identidade profissional, descontruir estereótipos e preconceitos profissionais, além de permitir aos residentes reconhecer competências comuns e complementares específicas e perceberem-se produzindo práticas interprofissionais colaborativas, com impactos positivos na qualidade da assistência, o que lhes causou satisfação profissional. Entretanto, o processo educacional causou intenso sofrimento aos participantes. Em síntese, considera-se que a efetivação da EIP no contexto da residência multiprofissional estudada requer medidas de ajuste relacionadas à sua implantação, condução e avaliação, de forma articulada entre os níveis individual, organizacional e políticoThe object of this study was the interprofessional qualification in multiprofessional residency programs in health (MRPH) by means of interprofessional education (IPE). The study objectives were to understand the limitations and strengths of multiprofessional residency programs in health for IPE; to describe the MRPH in the state of São Paulo; to identify a multiprofessional residency program in health with a highly favorable scenario for IPE and to analyze the perception of residents as regards the limitations and strengths of this program for IPE. This was an exploratory, descriptive study, using a qualitative approach. A documentary analysis of the six political-pedagogical projects (PPP) of the seven MRPH offered in the state of São Paulo was conducted to identify the most favorable program to IPE. In the sequence, a focus group was performed with the residents of the selected group. The empirical material resulting from the transcription of the focus group was submitted to the discourse analysis technique. Documentary analysis revealed close and distant points from IPE at all PPP analyzed, as well as elements related to the collaboration as purpose of the teaching and learning process, objectives of the educational program, didactic-pedagogical organization, pedagogical matrixes, curricular proposal, adoption of the model of competences and formats of institutional and teaching evaluation. In addition, it revealed the social commitment of all of the programs to education and its possibility of promoting improvements in the quality of care focused on comprehensiveness and on health needs. The most favorable program to interprofessional education was the Multiprofessional Residency in Health Care of the Federal University of São Paulo, at the Baixada Santista campus. The empirical material resulting from the transcription of the focus group with the residents evidenced themes that were inserted in the empirical categories defined a priori for the construction of the focus group script: Experiencing the multiprofessional residency, Limitations of the multiprofessional residency for IPE, Strengths of the multiprofessional residency for IPE and Impacts of the professional practices as an resident to improve care quality. The authors identified limitations related to personal and interprofessional relationships, the need for institutional support and weaknesses in the teaching-service integration. Regarding the strengths, the transformation caused by the institutional support, the reorganization of both the program and the scenarios of professional practice and comprehensiveness as focus of the professional practices stood out. Interprofessional education proved to be an appropriate approach to the context of multiprofessional residency in health, reorienting health education and contributing to strengthen professional identity, to deconstruct professional prejudice and stereotypes, besides allowing the residents to recognize common and specific complementary competences and to perceive themselves as producing collaborative interprofessional practices, with positive impacts in the quality of care, which led to professional satisfaction. However, the educational process caused intense suffering to the participants. In summary, developing IPE in the studied context of multiprofessional residency requires adjustment measures related to its implementation, conduction and evaluation, in an articulated manner among the individual, organizational and political levels
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Schetzina, Karen E., and Kari Hancock. "A Descriptive Study of Breastfeeding Rates, Determinants, and Resources among Disadvantaged, Rural-Residing Patients Attending a Pediatric Residency-Based Primary Care Clinic." Digital Commons @ East Tennessee State University, 2004. https://dc.etsu.edu/etsu-works/5092.
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Blevins, Ashley, Kari Hancock, and Karen E. Schetzina. "A Descriptive Study of Breastfeeding Rates, Determinants, and Resources among Disadvantaged, Rural-Residing Patients Attending a Pediatric Residency-Based Primary Care Clinic." Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/5060.
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Rowland, Beverly Dianne. "Conceptualization of factors that have meaning for newly licensed registered nurses completing nurse residency programs in acute care settings." Thesis, Indiana University - Purdue University Indianapolis, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10241295.
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Nurse residency programs (NRPs) have been identified as a means to promote transitioning of new nurses into the professional nursing role. Questions have arisen related to which elements within those programs are most meaningful to the development of new nurses. As the nursing shortage drives the need for quick transition and development of nurses to meet workforce needs, nursing must identify what is meaningful to nurses in their transition to practice. The purpose of this multi-site study was to explicate meaning from the experiences of newly licensed registered nurses (NLRNs) who have just completed NRPs. The research question was “What factors have meaning for NLRNs who have experienced transition to practice in nurse residency programs in acute care settings?”
Semi-structured interviews were used to collect data from six NLRNs from three different NRPs after completion of their programs. Using interpretative phenomenological analysis, themes and variations within those themes were derived from the descriptive narratives provided from participant interviews. Overarching themes identified were Relationships, Reflection, Active Learning, Resources and Organizational Systems. Findings have implications for practice and education as the nursing profession strives to find ways to transform nurses in an effective and efficient manner.
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MOTA, Raquel Barros Andrade. "Programa de residência multiprofissional integrada em saúde: uma avaliação da política de educação permanente em saúde no HC/UFPE a partir da inserção dos egressos no mercado de trabalho de 2012 A 2015." Universidade Federal de Pernambuco, 2017. https://repositorio.ufpe.br/handle/123456789/20013.
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Um dos principais objetivos dos Programas de Residência é formar profissionais para atuarem nas áreas consideradas prioritárias do SUS, em uma clara preocupação do legislador da Política de Educação Permanente em Saúde em garantir para a saúde pública o desenvolvimento de profissionais especializados nas clínicas de interesse para a população em geral. Nesse sentido, a política em questão se importa com o retorno social da política pública ao investir na qualificação de profissionais que possam, posteriormente, atuar nas áreas de atenção à saúde de maior relevância pública e maior interesse social. Assim, a presente pesquisa pretendeu avaliar como a inserção dos residentes egressos do Programa de Residência Multiprofissional Integrada em Saúde do HC/UFPE no mercado de trabalho reflete o objetivo da Política Nacional de Educação Permanente em Saúde em formar profissionais especializados para o SUS. Metodologicamente, este trabalho constituiu-se de três momentos: pesquisa bibliográfica, pesquisa documental e estudo de caso. Os dados foram colhidos por meio de questionário eletrônico, respondido por residentes egressos que concluíram o referido Programa de Residência entre 2012 e 2015. Concluiu-se que o Programa em questão trouxe ganhos para seus egressos, expressos especialmente pela possibilidade de inserção no mercado de trabalho, ao possibilitar rever os caminhos para a formação profissional, na perspectiva de um trabalho mais integrado, com trocas de saberes, e, sobretudo, com maiores possibilidades de inserção no mundo do trabalho de profissionais aptos a oferecerem atenção à saúde qualificada. A atuação profissional dos residentes egressos do Programa de Residência Multiprofissional Integrada em Saúde do HC/UFPE na especialidade adquirida varia em função das demandas do mercado de trabalho, com os egressos permanecendo em ambientes multiprofissionais, porém atuando em diversos tipos de função, como, por exemplo, a gerência e a docência. Eles são absorvidos, em sua maioria, pelas vagas ofertadas pelo SUS, que ainda se apresenta como o maior empregador na área de saúde, mesmo que oferecendo vínculos de forma precária tendo em vista que a maioria dos egressos encontra-se sob o regime celetista.
One of the main goals of the residency programs is to train professionals to work in the priority areas of SUS in a clear concern of the legislature of Permanent Health Education Policy to ensure public health professionals to develop their practice in clinics of interest to the general population. In this sense, the policy in question cares about the social return of public policy investment in the qualification of professionals who can later act in the health care areas wich has most public relevance and greater social interest. Thus, the present study intended to assess how the integration of graduated residents of the Integrated Multidisciplinary Health Residency Program from HC/UFPE in the labor market reflects the objective of the National Policy of Permanent Health Education to train professionals for the SUS. Methodologically, this work is consisted of three stages: bibliographical research, documentary research and study case. Data were collected through an electronic questionnaire, answered by graduated residents who completed the Residency Program between 2012 and 2015. It was concluded that the program in question brought gains for its graduates, especially expressed by the possibility of insertion in the job market by enabling review the avenues for vocational training with a view to a more integrated work, knowledge exchange, and, above all, greater ability to enter the world of work professionals able to offer attention to qualified health. The professional performance of graduated residents of Integrated Multidisciplinary Health Residency Program HC/UFPE in the acquired specialty varies depending on the demands of the job market with graduates remaining in multidisciplinary environments, but acting on different types of function, for example, management and teaching. They are absorbed mostly by the vacancies offered by the SUS, which still presents itself as the largest employer in the healthy area, even offering precariously bonds given that most of the graduates is under the CLT regime.
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Cho, Ah Ra. "A Panel Analysis of Institutional Finances of Medical Residencies at Non-University-Based Independent M.D. Granting Medical Schools in the United States." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc984151/.
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Traditionally, medical residency positions have been primarily funded by the federal government. However, due to declining governmental funding support over time, medical schools have resorted to fund these programs through other means such as clinical fees and payments for services. This change has affected the number and types of residencies available to medical school graduates. The purpose of this study was to measure how the availability of fiscal resources shape mission-related outputs, particularly medical residency positions at medical schools. Using academic capitalism as the theoretical framework provided a lens through which to examine how federal policies have shaped the availability and funding of medical residencies today at the institutional level. This concept has been studied in traditional colleges and universities and how they balance mission and money, but less so in the context of medical schools. This study used a fixed effect panel analysis to study the impact of selected variables over a 10-year period on financing of medical residencies. Findings included that tuition revenues, paid for by undergraduate medical students, are increasingly funding medical residency positions. There was little to no effect from hospital revenues and federal research monies on increasing the number of medical residency positions. The funding of university based medical education is particularly timely and of national importance to understand the consequences of federal policies for medical schools and how medical residency funding caps and limits have affected one of the missions of medical schools which is to train physicians.
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Demarco, Egidio Antonio. "Formação multiprofissional como tecnologia para qualificar a atenção primária à saúde no SUS : avaliação de um programa de residência." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/142762.
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A Estratégia de Saúde da Família foi implantada pelo Ministério da Saúde, em 1994, para orientar o sistema de saúde brasileiro em direção a Atenção Primária à Saúde. A partir de então, a ampliação da cobertura de equipes de ESF tem estado entre as metas de governo. Para consecução deste propósito, o perfil dos profissionais e a formação se caracterizam como um grande diferencial, com papel determinante em uma reorientação desta magnitude e abrangência. A Residência Multiprofissional em Saúde foi uma das políticas criadas neste sentido. O Grupo Hospitalar Conceição oferece esta modalidade de formação desde 2004. Objetivo: Avaliar a adequação do Programa da Residência Integrada em Saúde, na ênfase Saúde da Família e Comunidade, do GHC, como uma tecnologia de formação de profissionais em APS para o SUS, através de dados coletados junto aos seus egressos. Métodos: O delineamento é um estudo de caso descritivo com associação da metodologia quantitativa e qualitativa, orientado pela avaliação de inferência causal proposta por Habicht et al. A coleta das informações se deu de maneira virtual através de um questionário semiestruturado em formato autoaplicável. A população pesquisada foram 74 profissionais egressos do Programa formados entre os anos de 2005 e de 2008. Resultados: O estudo contou com a participação de 77% dos egressos do Programa. Os dados encontrados revelam uma população de profissionais jovens, predominantemente, do sexo feminino. Estes profissionais exercem suas atividades em 19 cidades, sendo que, na cidade de Porto Alegre se concentram mais de metade deles. 76% dos egressos estão vinculados ao setor público e 49% atuam diretamente na APS. A maioria dos participantes afirma que a formação alterou a forma de perceber a realidade em APS, melhorou suas habilidades e aumentou os conhecimentos. Conclusões: As evidências produzidas no estudo fornecem subsídios para considerar o Programa como uma tecnologia adequada à formação de profissionais de saúde em APS para o SUS.The Family Health Strategy, an initiative from the Ministry of Health, started in 1994, providing guidelines to the Brazilian Health System towards Primary Health Care. Since then, there was a remarkable increase in the strategy coverage. To pursue this objective, the professional profiles and their formation are characterized as great differentials, with a pivotal role in a reorientation of such magnitude. The Health Interprofessional Residency was one of these government policies created with this scope, and the Grupo Hospitalar Conceição has been offering this continuum education course since 2004. Objective: To evaluate the fitting adequation of The Health Interprofessional Residency, emphasis in Family and Community Health, as a good technology to train health professionals in Primary Health Care in the context of Brazilian Health System, using data collected from professionals graduated in the Residency program. Methods: The design is based on a descriptive study case, associating quantitative and qualitative methodologies, relying on the evaluation of causal inference proposed by Habicht et al. The information was collected by a virtual mode with a semi structured and self-administered questionnaire. Professionals (74) that concluded the program between 2005 and 2008 were selected to be included in the sample. Results: The response rate was 77%. The population was mainly composed by young individuals, predominantly females. These individuals perform their professional activities in 19 different cities; more than 50% were working in the State capital city (Porto Alegre). From the individuals interviewed, 76% of them were public servants and 49% were working directly in Primary Health Care. Most of the participants stated that the training during Residency had significantly changed their view in relation to the reality in Primary Health Care, improving their skills and increasing their knowledge. Conclusion: The findings from this study show that the Residency Program could be considered a good technology for training Primary Health Care professionals for the Brazilian Health System.
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Silveira, Luiz Henrique Alves da. "Avaliação do conhecimento dos residentes de um programa de residência multiprofissional em saúde, referente ao “contrato didático”." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/29028.
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Este estudo teve como objetivos analisar as relações de ensino e aprendizagem, nos espaços de formação em saúde, através da avaliação do conhecimento dos residentes de um Programa de Residência Multiprofissional em Saúde, no que se refere ao Contrato Didático, a importância atribuída ao mesmo, bem como a participação dos residentes na elaboração das regras que norteiam as relações entre docentes e discentes nestes espaços de formação. Foi realizada uma pesquisa com abordagem quantitativa e qualitativa. Primeiramente, foi aplicado um questionário, junto aos residentes de primeiro ano (R1) das quatro ênfases da Residência Integrada em Saúde do Grupo Hospitalar Conceição (RIS/GHC), a saber: Atenção ao Paciente Crítico, Oncologia e Hematologia, Saúde Mental, Saúde da Família e Comunidade. Posteriormente, dez residentes, que participaram da primeira fase, foram convidados para integrarem um grupo, que foi submetido a entrevistas semi-estruturadas, gravadas, a fim de que fossem aprofundadas as questões sobre a temática em estudo. Através da análise de conteúdo das respostas, foi possível compreender como se estruturam as relações, nos espaços de ensino e aprendizagem em serviço da RIS/GHC, o conhecimento dos residentes com relação ao Contrato Didático, e como sentem sua participação na elaboração das regras que normatizam a sua formação em serviço na Residência. A análise dos questionários e das entrevistas possibilitou também perceber as dúvidas e os anseios dos residentes, bem como sua percepção sobre a relação didática. Embora alguns residentes tenham referido conhecer importantes aspectos sobre o Contrato Didático, eles não se sentem participantes ativos nos espaços de discussão e nas decisões tomadas em relação ao processo de formação, o que implica a necessidade de uma permanente revisão de práticas e conceitos, de modo que os saberes formalmente constituídos oportunizem debates que incluam os temas aprendizagem e ação docente, pois é o Contrato Didático que poderá possibilitar algumas das respostas necessárias para os rumos do processo de ensino e aprendizagem, nos espaços de formação existentes.This study aimed to analyze the relationship of teaching and learning in the areas of health education, by assessing the knowledge of residents of a Multidisciplinary Residency Program in Health, with regard to the Didactic Contract, the importance attached to it, and the participation of residents in drawing up rules that guide the relationships between teachers and students in these training spaces. A search was conducted in the quantitative and qualitative approach. First of, a questionnaire was applied, along with first year residents (R1) of the four emphases of the Integrated Health Residency Grupo Hospitalar Conceição (RIS/GHC), namely: Critical Patient Care, Oncology and Hematology, Mental Health, Family Health and Community. Later ten residents who participated in the first phase of search were invited to integrate a group that was subjected to semi-structured interviews were recorded, to deepening the subject under investigation. Through content analysis of answers was possible to understand how are structured the relations in the training spaces of teaching and learning in-service in RIS/GHC, the knowledge of residents in relation to the Didactic Contract, and how they feel their participation in the drafting of rules that regulate their in-service training at residence. The analysis of the surveys and interviews also allowed to realize the doubts and anxieties of the residents as well as their perception about the didactic relationship. Although some residents reported to know of important aspects of the Didactic Contract, they do not feel active participants in the forums for discussion and in the decisions taken in relation to the training process, which implies the need for constant review of practices and concepts, so that formally knowledge established enables discussions including the topics of learning and teaching action, it is the Didactic Contract will might pointing directions for the teaching and learning, in existing spaces training.
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Andrade, Raquel Trindade. "A Relação entre Trabalho e Educação na Formação Profissional: um estudo sobre as residências multiprofissionais em saúde." Universidade do Estado do Rio de Janeiro, 2015. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=8769.
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A presente dissertação tem como objeto as residências multiprofissionais em saúde, uma modalidade de formação profissional em nível de pós -graduação lato sensu, que se caracteriza segundo as legislações pertinentes como treinamento em serviço em unidades de saúde. O objetivo geral desse estudo se volta para analisar como se constitui os referenciais epistemológicos e ético-políticos que orientam a residência multiprofissional em saúde, de modo a desvelar a relação teoria -prática nesse modelo de formação sob o olhar dos residentes. Além da análise de documentos, a metodologia da pesquisa empírica consistiu na análise dos resultados obtidos com as entrevistas junto aos residentes. Entrevistamos doze residentes participantes do Fórum Nacional de Residentes Multiprofissionais em Saúde (FNRMS), de diferentes regiões do Brasil. A pesquisa aponta para a conformação de um mosaico teórico e empírico nessa modalidade de formação que se traduz no caráter academicista, resultando em uma concepção fragmentária da relação teoria-prática e no distanciamento entre a academia e os serviços de saúde. Aponta, ainda, para a existência do pragmatismo, revelado pelo trabalho no seu sentido pedagógico, na lógica do aprender fazendo, característico dessa formação. Consideramos, por fim, que a residência assume características do trabalho alienado com particularidades do contexto atual da política de saúde e que questão central é a ausência do sentido da práxis nos programas em que se inserem os residentes entrevistadosThis work has as object the multidisciplinary residences in health, a form of vocational trai ning at the level of sensu post-graduation, which is characteri zed according to the relevant laws as in-service training in health facilities. The overall objective of this study turns to analyze how is the epistemological frameworks and ethical-political guiding the multidisciplinary residency in health, i n order to reveal the relationship between theory and practice in this training model under the gaze of residents. In addition to document review, the methodology of empirical research consisted i n analyzi ng the results obtained from the interviews with residents. With twelve residents participating in the National multidisciplinary Residents Health Forum (FNRMS), from different regions of Brazil. The research points to the formation of a theoretical and empirical mosaic in this mode of education that translates into academic character, resulti ng in a fragmentary view of the theory-practice relationship and the gap between academia and health services. Also points out to the existence of pragmatism, revealed by the work in its pedagogical sense, the logic of learni ng by doing, characteristic of such traini ng. We believe, fi nally, that the residence assumes characteristics of alienated labor with peculiarities of the current context of health policy and that the central issue is the absence of the sense of praxis in the programs they are part of the interviewed residents
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Akoma, Efua Safiya. "Rates of Mental Illnesses, Nativity and Generational Status in the U.S.: Heterogeneity among Caribbean Born Blacks, Blacks of Caribbean Descent and U.S. Born Blacks." Diss., Virginia Tech, 2014. http://hdl.handle.net/10919/51746.
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America has continued to be increasingly diverse in culture and ethnicities. As such, these diverse populations require those in health and mental health fields to adjust to the cultural differences that arise. Central to these conversations is the impact of the acculturation process on immigrant populations. Researchers posit the stress of immigration and the acculturation process leads to increased rates of mental illness (Lang, Munoz, Bernal and Sorenson 1982; Masten, Penland and Nayani 1994; Neff and Hoppe 1993). Assuming that the acculturation process impacts first generation immigrants most, this study investigated U.S. born Blacks with and without Caribbean descent and Caribbean born Blacks residing in the U.S. to determine if nativity status and generational status impacts rates of mental illness. Using the National Survey of American Life (NSAL) dataset which is one of three research projects conducted from 2001 to 2003 by the Program for Research on Black Americans (PBRA), as part of the Research Center for Group Dynamics project, analyses were conducted to determine if relationships existed for these groups. Results indicated that mental illness is dependent on country of origin and U.S. born Blacks do self-report mental illnesses significantly more than Caribbean Blacks. Caribbean Blacks who are first generation in the U.S. are significantly less likely to report mental illness than second generation Caribbean Blacks. Differences in gender, work, number of years living in the U.S., age at immigration and wealth and poverty indicators all show some relationships with mental illnesses.Ph. D.
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Campelo, Gaussianne de Oliveira. "A residÃncia multiprofissional em saÃde da famÃlia: revelando sentidos dos profissionais egressos." Universidade Federal do CearÃ, 2015. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16129.
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FundaÃÃo de Amparo à Pesquisa do Estado do CearÃCoordenaÃÃo de AperfeÃoamento de Pessoal de NÃvel Superior
Està assegurado na ConstituiÃÃo Federal o papel do SUS como ordenador da formaÃÃo de trabalhadores da saÃde, o que fez surgir uma crescente preocupaÃÃo com o ensino na saÃde, pois deve ser pautado nos princÃpios do SUS. Dessa forma, o MinistÃrio da SaÃde, em parceria com o MinistÃrio da EducaÃÃo, tem investido em diversos programas que visam à reorientaÃÃo da formaÃÃo e as ResidÃncias Multiprofissionais em SaÃde, constituindo um avanÃo no ensino na saÃde. Dentre essas, as ResidÃncias Multiprofissionais em SaÃde da FamÃlia tem o desafio de preparar profissionais para atuarem na AtenÃÃo PrimÃria à SaÃde. Por isso, o objetivo geral desta pesquisa foi: analisar o sentido das prÃticas do profissional egresso do programa de ResidÃncia Multiprofissional em SaÃde da FamÃlia e Comunidade da Universidade Estadual do Piauà (RMSFC/UESPI); apresentando como objetivos especÃficos: conhecer a trajetÃria acadÃmica e profissional deste egresso; investigar a utilizaÃÃo prÃtica dos conceitos apreendidos durante a ResidÃncia; identificar o sentido das aÃÃes desenvolvidas por este egresso no seu ambiente de trabalho, bem como suas contribuiÃÃes para a reorientaÃÃo das prÃticas em saÃde. Para tal, adotou-se a metodologia qualitativa, de carÃter exploratÃrio e descritivo, fundamentado no referencial teÃrico-metodolÃgico das âprÃticas discursivas e produÃÃo de sentidosâ, desenvolvido por Spink e colaboradores. Foram entrevistados quinze profissionais egressos das primeiras turmas da RMSFC/UESPI. Os participantes, todos do gÃnero feminino, apresentaram mÃdia de idade de 29,9 anos e mÃdia de 6,3 anos de conclusÃo do curso superior. As respostas foram organizadas em Mapas e, a partir das lembranÃas da RMSFC/UESPI, se construÃram as Ãrvores de associaÃÃo. Deste material, emergiram trÃs categorias de anÃlise: o sentido das prÃticas, o sentido da novidade e o sentido dos afetos; e trÃs subcategorias: integralidade como inovaÃÃo no cuidado; movimentos produzidos pelo trabalho em equipe multiprofissional; e, aprendendo com a comunidade â a integraÃÃo ensino-serviÃo-comunidade. Verificou-se a integralidade como eixo norteador da nova prÃxis profissional dos egressos, indicando que a RMSFC/UESPI ampliou o olhar dos profissionais, trazendo os variados sentidos que esse termo possui. O trabalho em equipe e a integraÃÃo com a comunidade foram pontos muito lembrados pelos egressos, carregados de sentimentos positivos, apontando para que mais Ãnfase seja dada a essas ferramentas pedagÃgicas, consideradas âpadrÃo-ouroâ para a formaÃÃo de profissionais da saÃde, visando o comprometimento com o acolhimento e a resolutividade das demandas de saÃde da populaÃÃo. Ao se constatar que os egressos estÃo espalhados pela Rede de AtenÃÃo à SaÃde, observou-se as tentativas em adaptar o conteÃdo teÃrico-prÃtico apreendido durante a ResidÃncia Ãs novas condiÃÃes de trabalho. Como um âdivisor de Ãguasâ, a RMSFC/UESPI despertou sentimentos, mexeu com os sentidos e gerou um terreno fÃrtil para que aconteÃa a invenÃÃo de novas formas de cuidado, amparadas pela integralidade da assistÃncia, pelo respeito à autonomia dos sujeitos e pelo vÃnculo interpessoal.
The Federal Constitution ensures SUS (Unified Health System) as the regulator in the education of health professionals, which gave rise to ever-increasing attention to training in the area, for it must be in accordance with the principles established by the system. So, the Ministry of Health, in a partnership with the Ministry of Education, has invested in many programs aiming at the redirection of education, where Multidisciplinary Residency poses as a major improvement. Among these, Multidisciplinary Residency in the Family Health Program is challenged to prepare professionals to act in Basic Health Care. Thus, this research seeks to analyze practices of professionals coming from the Multidisciplinary Residency in Family and Community Health Program of the State University of Piauà (RMSFC/UESPI), presenting the following specific objectives: to know their academic and professional background; to investigate the practical use of the concepts learnt during Residency; to identify the aim of actions developed by these professionals in the workplace, as well as their contributions for redirecting health care practices. For such, this study adopted an exploratory-descriptive qualitative methodology, which is based on the methodological references of the âdiscursive practices and the production of meaningâ, designed by Spink and collaborators. The study interviewed fifteen professionals egressed from the first groups of RMSFC/UESPI. The participants, all of which were females, aged on average 29.9 years old and had finished college on average 6.3 years before. The data were organized on Maps and the trees of association were built from the recollections of RMSFC/UESPI. This material brought to light the categories of analysis: the sense of practices, the sense of novelty and the sense of affection; and three subcategories: integrality as innovation in health care; movement caused by multiprofessional team work and learning with the community â the education-service-community integration. Integrality is seen as the main guideline to their new professional practices, indicating RMSFC/UESPI has enhanced professionalsâ perception, bringing up all the meanings that the word carries. Factors like team work and integration with the community were constantly recalled by the professionals and were frequently followed by positive feelings, indicating that more emphasis must be given to these pedagogical tools, which are considered âgold standardâ for the formation of health care professionals, aiming at the commitment with care and resoluteness of the peopleâs demands for health. When the study found that the egressed professionals were scattered all over the Health Care Network, it observed the attempts to adapt theoretical and practical content learnt during Residency to the new work conditions. Like a milestone, RMSFC/UESPI stirred feelings and paved the way for the advent of new ways of care, backed by integrality in assistance, respect to individualsâ autonomy and by interpersonal relationships.
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Salvador, Anarita de Souza. "Residência multiprofissional em saúde da família e comunidade: um olhar sobre a multiprofissionalidade na atenção básica." Universidade Federal da Paraíba, 2010. http://tede.biblioteca.ufpb.br:8080/handle/tede/7238.
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Previous issue date: 2010-12-10Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES
The constant quest for realization of the right to health care is experienced by many professionals that guide their work practices through the blueprint of the SUS. The practice has demonstrated multi-configure itself as an important strategy to guarantee the principle of comprehensiveness. That is to enable the user of SUS means necessary so that they get full assistance it requires, at all levels of system complexity and scope of his life. The training of professionals committed to the NHS and prepared to actualize new knowledge and technologies in this system has become vital to maintaining that system. The present study examined the process of forming the Multidisciplinary Residency in Family and Community Health, linked to the Center for Public Health Research at the Federal University of Paraíba, trying to analyze how residents are experiencing a multidisciplinary practice in primary care and multidisciplinary practices which are being constructed in the process of formation. It was a field research, exploratory, with a theoretical foundation of the Marxist dialectic, conducted through literature search and questionnaire distributed to residents of the professional program available. We conclude that the RMSFC emerged as a privileged space for building new multi-practice interventions that are helping to change attitudes of professionals and consolidating multiprofessionality while a new strategic direction of the work process in health services, especially the health units of the family which residents are inserted.
A constante busca pela efetivação do direito ao cuidado em saúde é vivenciada por muitos profissionais que norteiam suas práticas profissionais por meio das diretrizes do SUS. A prática multiprofissional vem demonstrando se configurar como uma importante estratégia de garantia do princípio da integralidade. Que consiste em viabilizar ao usuário do SUS os meios necessários para que estes tenham a assistência integral que demandam, em todos os níveis de complexidade do sistema e na amplitude de sua vida. A formação de profissionais comprometidos com o SUS e preparados para efetivarem novos saberes e tecnologias nesse sistema tem se tornado vital para a manutenção desse sistema. O presente estudo analisou o processo de formação da Residência Multiprofissional em Saúde da Família e Comunidade, vinculada ao Núcleo de Estudos em Saúde Coletiva da Universidade Federal da Paraíba, buscando analisar como os residentes estão vivenciando a prática multiprofissional na Atenção Básica e quais práticas multiprofissionais estão sendo construídas nesse processo de formação. Tratou-se de uma pesquisa de campo, exploratória, com aporte teórico da dialética marxista, realizada por meio de pesquisa bibliográfica e questionário dirigido aos profissionais residentes do programa estudado. Conclui-se que a RMSFC surge enquanto um espaço privilegiado de construção de novas práticas de intervenção multiprofissional, que estão contribuindo para a mudança de posturas profissionais e consolidando a multiprofissionalidade enquanto uma nova estratégia de direcionamento do processo de trabalho nos serviços de saúde, em especial as nas unidades de saúde da família as quais os residentes estão inseridos.
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Fajardo, Ananyr Porto. "Os tempos da docência nas residências em área profissional da saúde : ensinar, atender e (re)construir as instituições-escola na saúde." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2011. http://hdl.handle.net/10183/32308.
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Esta tese objetivou compreender as interfaces entre educação e saúde no contexto da educação especializada, especificamente em Programas de Residência Multiprofissional em Saúde. Foi embasada nas contribuições das preceptoras e dos preceptores que atuam na Residência Integrada em Saúde do Grupo Hospitalar Conceição (RIS/GHC), de Porto Alegre, Brasil. As questões orientadoras da pesquisa foram delineadas para identificar o seguinte: 1) fatores que estimulam ou dificultam o trabalho dos preceptores no âmbito da docência, da atenção e do desenvolvimento institucional em saúde; 2) forma como as preceptoras e os preceptores interagem com as equipes multiprofissionais e as/os residentes; 3) aspectos indicativos do trabalho imaterial em um contexto de Residência Multiprofissional em Saúde; e 4) elementos necessários para que uma instituição-escola na saúde promova formação mediante este tipo de Residência. Algumas pistas descobertas permitiram indicar que o trabalho real desenvolvido no exercício da preceptoria resulta em uma sobrecarga de tarefas, ultrapassando fronteiras entre disciplinas, sendo diferente do trabalho prescrito, que é embasado em limites profissionais. Possui valores sem dimensão, pois é impossível mensurá-los pelos critérios vigentes de tempo e espaço. Parece haver uma assincronia entre o que a Residência Multiprofissional em Saúde precisa e o que a instituição-escola na saúde proporciona, sendo um exemplo as diferentes expectativas de seus protagonistas. As proposições estão ligadas às necessidades identificadas de contar com profissionais para prestar atenção à saúde em número proporcional ao tempo que os preceptores dedicam à docência; reconhecer que o trabalho da docência em serviço é permeado pela (re)criação; e proporcionar que o possível seja encarado como potência rumo ao avanço, não à limitação. O ponto de chegada da tese constitui mais uma indicação de continuidade do que um ponto final. O desafio passa a ser reconhecer que a instituição-escola na saúde está em permanente (re)construção.This thesis aimed to understand the interfaces between education and health under the context of specialized education, provided by Health Multiprofessional Residency Programs. It was based on the input of the preceptors who are linked to the Residência Integrada em Saúde do Grupo Hospitalar Conceição (RIS/GHC), from Porto Alegre, Brazil. The guiding questions of the research were designed to identify the following: 1) factors that encourage or hinder the work of preceptors within the scope of health teaching, care, and institutional development; 2) how preceptors interact with the multiprofessional teams and the residents; 3) aspects indicating immaterial work in the context of the Multiprofessional Health Residency Program; and, 4) elements that are necessary for a health institution-school to promote education by means of this kind of Residency. Some clues that were found have allowed me to indicate that the real work developed by the preceptors results in an overload of tasks, surpassing frontiers between disciplines, being different from the prescribed work, which is based on professional limits. It has values that cannot be gauged, since it is impossible to measure them according to current criteria of time and space. There seems to be a lack of synchronicity between what the Multiprofessional Residency demands and what the health institution-school provides, one example being the different expectations of its protagonists. The propositions are linked to the identified needs to have enough professionals to provide health care according to the proportion of time the preceptors dedicate to teaching; to acknowledge that the in-service teaching work is permeated by (re)creation; and, to provide that the possible is seen as potency towards the advancement, not limitation. The point reached by this thesis is more an indication to continuation than a final point. The challenge now is to acknowledge that the health institution-school is under permanent (re)construction.
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Souza, Sanay Vitorino de. "O papel docente do preceptor no Programa de Residência Multiprofissional em Saúde da Universidade Federal do Amazonas." Universidade Federal de São Paulo, 2016. http://repositorio.unifesp.br/11600/45791.
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Previous issue date: 2016Este trabalho tem por objetivo analisar o papel docente dos profissionais envolvidos com a atividade de preceptoria no Programa de Residência Multiprofissional em Saúde da Universidade Federal do Amazonas. Trata-se de uma pesquisa qualitativa, de caráter descritivo-exploratório. O estudo foi realizado em um hospital universitário na cidade de Manaus – AM. Os dados foram coletados por meio de análise documental, entrevista semi-estruturada e aplicação de instrumento atitudinal tipo Likert. A população foi composta por preceptores e residentes. A coleta de dados foi dividida em duas etapas. Na primeira etapa, foi realizada entrevista com 10 preceptores do programa. As entrevistas foram gravadas, transcritas e os dados analisados por meio da técnica de análise de conteúdo, modalidade temática. Por meio da análise das entrevistas, foi possível conhecermos à luz dos preceptores, o significado de uma preceptoria ideal. Quatro eixos direcionadores organizaram o processo da análise de conteúdo: A Relevância da Preceptoria para o Processo de Formação em Saúde; A Preceptoria como Atividade Pedagógica e o Preceptor Ideal; A Educação Permanente em Saúde – EPS e o Aprimoramento da Preceptoria; A Preceptoria e a Articulação Teórico/Prática. As percepções colhidas por meio do instrumento do tipo Likert junto a esses preceptores acrescida da participação dos residentes em seu primeiro e segundo ano apontaram para uma assertividade no desenho do Programa. O estudo está em consonância com os preceitos éticos de pesquisa e teve autorização concedida pelo Comitê de Ética em Pesquisa da Universidade Federal de São Paulo, mediante CAAE: 43331215.0.0000.5505. Portanto, acredita-se que o estudo trouxe informações novas e relevantes consideradas e destacadas por preceptores e residentes: a adequada construção teórica e prática desenvolvida como elemento qualificador para o processo de formação a partir das necessidades apresentadas pelos residentes; o estímulo a uma postura crítica e reflexiva sobre o cuidado prestado pelos mesmos; a defesa dos determinantes de saúde e os condicionantes biológicos e sociais da doença; o estímulo ao desenvolvimento do trabalho em rede numa perspectiva integral do cuidado, e a opção pela multiprofissionalidade e o trabalho colaborativo como caminho para interprofissionalidade em sintonia com o preconizado no Projeto Político Pedagógico da Residência Multiprofissional em Saúde, bem como na Coordenação da Residência Multiprofissional.
This study had as objective to analyse the teaching role of the professionals involved with the mentoring activity in the Multidisciplinary Residency Program in Health of the Federal University of Amazonas. It’s a qualitative research, with descriptive and exploratory character. The study was accomplished in a university hospital in the city of Manaus - AM. The data were collected by means of documental analysis, half-structured interview and application of attitudinal instrument Likert type. The population was composed for preceptors and residents. The data collection was divided in two stages. In the first stage, interview with 10 preceptors of the program was accomplished. The interviews were recorded, transcribing and the data analysed by means of the technique of content analysis, thematic modality. By means of the analysis of the interviews, it was possible to know to the light of the preceptors, the meaning of an ideal preceptorship. Four axles drivers had organized the process of the content analysis: the relevance of the preceptorship for the process of training in health; the preceptorship as pedagogical activity and the ideal preceptor; the permanent education in health – EPS and the improvement of the preceptorship; the preceptorship and the theoretical joint/practice. The perceptions harvested by means of the instrument of the Likert type next to these preceptors increased of the participation of the residents in its first and according to year had pointed with respect to a assertiveness in the drawing of the Program. The study is in consonance with the ethical principles of research and had an authorization granted by the Ethics Committee on Research of the Federal University of São Paulo, by CAAE: 43331215.0.0000.5505. Therefore, it is believed that the study has brought new and relevant information considered and highlighted by preceptors and residents: adequate theoretical construction and practice developed as a qualifying element for the training process from the needs presented by the residents; the encouragement of a critical and reflective attitude about the care provided by them; the defense of the determinants of health and the biological and social determinants of disease; encouraging the development of networking an integral perspective of care, and the option for multiprofessional and collaborative work as a way to interprofissionalidade in line with the recommendations in the Pedagogical Political Project of the Multidisciplinary Residency in Health and the Coordination of Multidisciplinary Residency.
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Chen, Yu-Hsuan. "Investigating the Motivation Factors of Food Choice During the Transition of High School into College Life among College Students Attending Western Kentucky University." TopSCHOLAR®, 2017. https://digitalcommons.wku.edu/theses/2032.
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Most individuals with chronic diseases, such as cardiovascular disease, stroke, cancer, and type 2 diabetes, were diagnosed in their late adulthood. The fact that these chronic diseases is a consequence of long-term unhealthy behaviors is often ignored. The unhealthy behaviors are often traced back to the young adulthood (age 18-25). Some young adults may participate in unhealthy behaviors, such as unhealthy diet, under the perception that they are “still young”. However, it is often overlooked that once a habit is established, it is difficult to eliminate or modify it. Furthermore, the awareness that the development of the chronic disease is a gradual progress is deficient. This enhances the perception that doing unhealthy behaviors is benign to the “young body”. Additionally, individuals in this age group start to live independently. Their existing behaviors may change due to the changes in the available resources. Lack of capability to cope with the transition from living at home to living independently has been shown to contribute to an unhealthy diet, especially among college students. Given that unhealthy diet behaviors in young adulthood often remains over the lifetime, there is a need in identifying the factors that motivate the food choices during the transition from high school into college life. The findings of this research suggest that the campus environment is not conducive to a healthy diet. When compared to the students who live on-campus, students who live offcampus (either live with or without family) reported a better dietary quality.
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Maia, Danielle Bezerra. "Educação permanente em saúde: o programa de residência multiprofissional em saúde do Hospital Universitário Getúlio Vargas de Manaus-AM." Universidade Federal do Amazonas, 2015. http://tede.ufam.edu.br/handle/tede/5403.
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CNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
The Politics of Permanent Education in Health proposes the practice of transformative actions taking education as a coping strategy in the health / disease. In 2009, it was created by the Ministry of Health and Education Multidisciplinary Residency in Health - RMS as a training modality sharing possibilities and contributions to the consolidation of the principles governing the SUS. In 2010, in Manaus started the first RMS class at the University Hospital of the capital. Motivated by better understand this new reality the research had the general objective: To analyze the Multidisciplinary Residency Program in Health University Hospital Getulio Vargas Manaus, training workers for SUS from the perspective of comprehensiveness. The specific objectives were to examine the theoretical basis leading to oriented training for the NHS and the principles of comprehensiveness and interdisciplinarity; Identify how the principle of comprehensiveness and interdisciplinarity are experienced in teaching and service of RMS; Check the RMS's contribution to the training of workers for SUS from the perspective of those principles. In seeking to achieve these objectives, methodologically the research was a critical approach, qualitative and quantitative techniques. The method procedure was Case Study. The site at the University Getulio Vargas Hospital - HUGV. The sample was intentional and consists of a population of forty-one (41) trained graduates between the years 2012-2015 and twelve (12) multi-professional residents (R2 in 2015) with a total population of fifty-three (53) respondents, these trinte-three (33) agreed to participate. As the technique used the same was due in indirect documentation, through literature and right documentation with the use of evaluative questionnaire techniques using a Likert scale of five points with the graduates and residents and audio recorded interviews with semi-structured only residents. Data were analyzed from the qualitative perspective. The results show that the search for train skilled professionals to work in the SUS RMS is configured as an important strategy. Throughout the assessment in the research it was found that the theoretical and practical basis of the SUS has good concept since 94% of respondents assessed positively. In contrast to the low quality assigned subjects (40%) who treated the principles of multidisciplinary and interdisciplinary. Also were identified in the interviews, some shortcomings such as the organization of practical and theoretical-practical activities in and out of HUGV. Regarding the experiences of the principles of comprehensiveness and interdisciplinarity by the team it was identified that despite the shallow understanding of these principles was possible to notice the change initiative in acting professional front health issues / disease mostly know each other professions (91% ) and manage to identify other needs of users beyond their area of training (70%). Appointed as higher contribution provided by the residence (55%) that they have known and worked in the three health care levels and act in a multidisciplinary team. So the Multidisciplinary Residency is posited as a reality of great potential for change, requiring its expansion within the capital and in the interior of Amazonas state.
A Política de Educação Permanente em Saúde propõe a prática de ações transformadoras tendo a educação como estratégia de enfrentamento no processo saúde/doença. Em 2009, foi criada pelo Ministério da Saúde e da Educação a Residência Multiprofissional em Saúde – RMS como uma modalidade de formação que compartilha possibilidades e contribuições para a consolidação dos princípios que regem o SUS. Em 2010, em Manaus se iniciou a primeira turma de RMS no Hospital Universitário da capital. Motivada por entender melhor essa nova realidade a pesquisa teve por objetivo geral: Analisar o programa de Residência Multiprofissional em Saúde do Hospital Universitário Getúlio Vargas de Manaus, na capacitação de trabalhadores para o SUS sob a ótica da integralidade. Os objetivos específicos foram: conhecer as bases teóricas que conduzem para uma formação voltada para o SUS e para os princípios de integralidade e interdisciplinaridade; Identificar como o princípio de integralidade e a interdisciplinaridade são vivenciados no ensino e no serviço da RMS; Verificar a contribuição da RMS para a formação de trabalhadores para SUS sob a ótica desses princípios. Na busca por alcançar tais objetivos, metodologicamente a pesquisa teve uma abordagem crítica, de natureza qualitativa com técnicas quantitativa. O método de procedimento foi o de Estudo de Caso. O local no Hospital Universitário Getúlio Vargas - HUGV. A Amostra foi intencional sendo constituída por uma população de quarenta e um (41) egressos formados entre os anos de 2012 a 2015 e doze (12) residentes multiprofissionais (R2 em 2015) totalizando um universo de cinquenta e três (53) respondentes, desses trinte e três (33) aceitaram participar da pesquisa. Quanto a técnica utilizada a mesma foi dívida em documentação indireta, por meio da pesquisa bibliográfica e documentação direita com o uso das técnicas de questionário avaliativo usando uma escala Likert de cinco pontos com os egressos e residentes e de entrevistas áudio gravadas com roteiro semiestruturado apenas com os residentes. Os dados foram analisados sob a perspectiva qualitativa. Os resultados apontam que na busca por formar profissionais qualificados para atuarem no SUS a RMS se configura como uma importante estratégia. Ao longo das avaliações realizadas na pesquisa constatou-se que a base teórica e prática sobre o SUS possui bom conceito posto que 94% dos respondentes avaliaram de forma positiva. Em contraste com a baixa qualidade atribuída as disciplinas (40%) que trataram dos princípios de multidisciplinaridade e interdisciplinaridade. Além disso foram apontadas, nas entrevistas, algumas deficiências como a organização das atividades práticas e teórico-práticas dentro e fora do HUGV. Em relação a vivencia dos princípios de integralidade e interdisciplinaridade pela a equipe foi identificado que apesar da rasa compreensão de tais princípios foi possível notar a iniciativa de mudança no agir profissional frente as questões de saúde/doença principalmente por conhecerem melhor as outras profissões (91%) e conseguirem identificar outras necessidades dos usuários para além de sua área de formação (70%). Apontado como maior contribuição proporcionada pela Residência (55%) o fato de terem conhecido e atuado nos três níveis de atenção da saúde e de atuarem em uma equipe multiprofissional. Portanto a Residência Multiprofissional está posta como uma realidade de grande potencial de mudanças, sendo necessário sua ampliação dentro da capital e no interior do Estado do Amazonas
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Canabarro, Janaína Lunardi. "Inserção de residentes multiprofissionais nos serviços de saúde mental: percepção dos trabalhadores." Universidade Federal de Santa Maria, 2017. http://repositorio.ufsm.br/handle/1/11818.
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Due to the indispensability of the practices of health professionals to respond to the demands of the Unified Health System, the Multiprofessional Health Residency Programs were created. These programs aim at the training of professionals for a differentiated action in the Unified Health System, with a view to changes in the training of health workers, encouraging interdisciplinary construction, teamwork, permanent health education and reorientation of the logics Techno-assistancial. Therefore, this study aimed to know the perceptions of mental health care workers about the insertion of residents of the Multiprofessional Health Residency in these settings. This is a qualitative research that was carried out with 17 health workers from the mental health services of a municipality in the State of Rio Grande do Sul, Brazil. The data were collected through an open interview and audiograved interview. Data analysis was performed by Minayo's Thematic Analysis. As it is a question of research with human beings, ethical aspects were respected according to Resolution 466/2012 of the National Health Council. Three categories emerged from the analysis of the results: the residents' performance in mental health services; Insertion of residents in mental health services; And challenges in residents' relationships. It is believed that this study strengthens the construction of knowledge about the residency program because it may allow mental health workers to reflect their practices and expand their understanding of the role and actions of residents.Em decorrência da imprescindibilidade das práticas dos profissionais de saúde responderem às demandas do Sistema Único de Saúde, foram criados os Programas de Residência Multiprofissional em Saúde. Estes programas têm como objetivo a formação de profissionais para uma atuação diferenciada no Sistema Único de Saúde, com vistas a mudanças na formação dos trabalhadores de saúde, incentivando a construção interdisciplinar, o trabalho em equipe, a educação permanente em saúde e a reorientação das lógicas tecnoassistenciais. Assim tem-se como objetivo conhecer as percepções de trabalhadores dos serviços de atenção à saúde mental sobre a inserção, nesses cenários, dos residentes multiprofissionais em saúde. Trata-se de uma pesquisa de abordagem qualitativa, realizada com 17 trabalhadores de saúde dos serviços de saúde mental de um município do Estado do Rio Grande do Sul, Brasil. Os dados foram coletados por meio de entrevista aberta e audiogravadas. A análise dos dados ocorreu por meio da Proposta Operativa de Análise Temática de Minayo. Por se tratar de pesquisa com seres humanos, os aspectos éticos foram respeitados conforme Resolução 466/2012, do Conselho Nacional de Saúde. Da análise dos resultados emergiram três categorias, sendo elas: atuação dos residentes nos serviços de saúde mental; inserção dos residentes nos serviços de saúde mental; desafios nos relacionamentos dos residentes. Destaca-se que este estudo possa vir a fortalecer a construção do conhecimento sobre o programa de residência, pois poderá permitir que os trabalhadores da área da saúde mental reflitam frente as suas práticas, bem como, expandir a compreensão acerca do papel e as ações desenvolvidas pelos residentes.
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Oliveira, Patricia Roberta Berithe Pedrosa de 1981. "A escolha da especialidade por ingressantes na residência médica do Estado de Minas Gerais = The specialty choice by fresh medical residents in Minas Gerais State." [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309033.
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Orientador: Eliana Martorano AmaralDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
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Resumo: Introdução: A escolha da especialidade para a Residência Médica (RM) tem sido alvo de estudos na maior parte do mundo. Há uma percepção da carência de profissionais, novas demandas com as mudanças epidemiológicas e nos sistemas de saúde, crescente necessidade de profissionais que atuem na Atenção Primária, ao mesmo tempo em que se observa redução da opção pela formação clínica geral dos graduandos em Medicina e frequente opção pelas especialidades. De acordo com esta tendência, a falta de profissionais atuantes na Atenção Primária é observada em todo o mundo. O conhecimento dos fatores influenciadores desta escolha é importante para que sejam pensadas possíveis soluções para atender às necessidades da população em determinadas especialidades ¿ especialmente as de perfil mais generalista, para que sejam atrativas para os médicos. No Brasil, para atender a esta demanda, houve um recente aumento da oferta de vagas de Residência Médica em Medicina de Família e Comunidade e o governo federal criou programas de incentivo para o médico trabalhar na Atenção Primária, como o PROVAB e o `Mais Médicos¿. Os objetivos deste estudo foram: avaliar possíveis fatores influenciadores da escolha da especialidade médica por recém-ingressos na Residência Médica ('R1') e avaliar os motivos destes não escolherem Medicina de Família e Comunidade como carreira. Métodos: Trata-se de um estudo transversal, em que médicos recém-ingressos na Residência Médica (RM), em quaisquer das especialidades de acesso direto (R1) das quatro maiores universidades públicas federais do estado de Minas Gerais pré-selecionadas, responderam um questionário semi-estruturado, com questões abertas e fechadas, no início da RM. Foram estudados fatores pessoais, familiares e socioeconômicos que pudessem interferir com a escolha da especialidade, em diferentes momentos do curso médico. As especialidades foram estratificadas em quatro grupos, a saber: 1) APS = profissionais que compõem a equipe de Atenção Primária à Saúde, incluindo Medicina de Família e Comunidade, Pediatria e Ginecologia & Obstetrícia, 2) CM ¿ Clínica Médica, 3) CR ¿ Cirurgia, 4)Outros ¿ Ortopedia, Anestesiologia, Patologia e Radiologia. Foi realizada análise exploratóriados dados e os fatorespotencialmente associadosà escolha das especialidades de APS foram avaliados com OR e IC 95%, em análise bivariada e multivariada. O estudo da associação entre o tempo transcorrido desde a conclusão da graduação até o ingresso na RM e a escolha da carreira na APS foi realizado através do teste de Kruskal-Wallis. A amostra total de residentes entrevistados foi, ainda, dividida em 2 grupos (com e sem experiência profissional no PSF prévia ao ingresso na RM) e o grupo dos que trabalharam previamente no PSF foi subdividido em residentes que trabalharam através de um programa do governo federal e em residentes que não atuaram por nenhum programa. Foi realizada uma análise de conteúdo das respostas abertas, comparando-se estes grupos, com foco na experiência profissional no PSF prévia ao ínicio da RM. Resultados: De um universo de 277 residentes admitidos por acesso direto nestes instituições, 188 (67,9%) responderam ao questionário e 23 (12,2%) responderam às questões abertas.A maioria era composta de indivíduos do sexo feminino, com idade maior ou igual a 26 anos, que estudaram em instituições públicas da região Sudeste brasileira, graduados em Medicina há pelo menos 12 meses. Cento e oito (57,5%) tiveram experiência profissional no PSF prévia à Residência e 34 (18,0%) trabalharam através de programas de incentivo do governo federal (33 PROVAB e1 'Mais Médicos'). Os principais fatores motivadores considerados para escolha de qualquer especialidade foram: desejo de trabalhar em consultório ou em hospital, realizar procedimentos e ter mais contato com os pacientes. Os principais fatores desmotivadores foram: experiência negativa durante o contato com os pacientes da especialidade durante a graduação e carga horária elevada de trabalho. Em relação às especialidades de APS, a despreocupação com o nível salarial e o interesse neste grupo de especialidades durante a graduação foram importantes fatores motivadores para a escolha. Contudo, a experiência profissional no PSF esteve associada com escolha de outros grupos de especialidades. Em relação às questões abertas (O que motivou a escolha de sua carreira? Por que trabalhou como médico de família antes da Residência e como esta experiência influenciou sua escolha?), as respostas foram agrupadas em categorias comuns, tais como: "Preenchendo o tempo", "Razões pessoais", "Sentimento de decepção após a experiência profissional" e "chance para maior tempo de treinamento". Conclusão: Os fatores influenciadores da escolha da especialidade evidenciaram diferentes perfis para cada grupo de especialidades. O principal fator de influência geral foi o estilo de vida "controlável". Não se observou influência da exposição prévia a programas de incentivo à APS (PROVAB e Mais Médicos) após o término da graduação na escolha de especialidades de APS, tampouco do tempo transcorrido desde a conclusão da graduação. O interesse pela APS durante a graduação foi o fator de maior importância, representando uma chance 7,3 vezes maior de escolha de uma especialidade relacionada à APS na análise ajustada (multivariada), o que reforça o importante papel das escolas médicas em despertar o interesse por esta carreira. O interesse pela carreira na APS foi baixo em nosso estudo por diversos fatores, como más condições de trabalho, elevada carga de trabalho, falta de plano de carreira e falta de infra-estrutura dos cuidados de saúde e falta de boas condições de vida nas áreas periféricas e distantes
Abstract: Introduction: The specialty choice to the medical residency has been investigated worldwide. There is a perceived lack of professionals and new demands caused by changes in epidemiologic characteristics and health systems, what increase the need of professionals working in Primary Care. At the same time, the options to General Practice by the medical students are decreasing and there is a frequent choice for the specialties.In this setting, the shortage of professionals to work in Primary Care is reported all around the world. The knowledge of the factors that influence this choice is important to think in possible solutions to the population needs in some specialties - specially the specialties of general profile - and could be more attractive to the physicians. In Brazil, there was a recent expansion of vacancies at Family and Community Medicine Residency training and the federal government created incentive programs to improve the interest in Primary Care, as PROVAB and 'Mais Médicos' ('More Physicians'). This study aimed to assess potential factors that could influence the specialty choice by the fresh residents admitted in the first year of the medical residency ('Y1') and to assess the reasons for non choice the Family Medicine as the medical career. Methods: We have studied a population of fresh admitted residents on the specialties of direct access in the four higher public universities of Minas Gerais State, in Brazil. They were interviewed through a semi-structured and self-answered questionnaire, with open and closed questions, applied on the day of the admission at the residency. There were studied personal, familial and socioeconomic factors that could influence the specialty choice in different times in the graduation. The medical specialties were stratified in four groups, as the following: 1) Primary Care= composed by Family Medicine, Pediatrics and Gynecology & Obstetrics, 2) Internal Medicine, 3) Surgery, 4) Others = composed by Orthopedics, Anesthesiology, Pathology and Radiology. It was performed an exploratory data analysis and the factors associated on the choice of the specialties of the Primary Care group were assessed with OR and confidence interval of 95%, in a bivariated and multivariated analysis. A possible association between the time from the end of the graduation to the residency beginning and the choice of Primary Care career was studied through the Kruskal-Wallis test.The residents were also divided in two groups (with and without professional work experience in Primary Care, previous the beginning of the residency). The group of the physicians that worked in Primary Care was subdivided in physicians that worked and that not worked through a government program incentive. It was performed a content analyze of the open answers, comparing these two groups, focusing on the previous professional experience in the Family Health Program before beginning the residency training. Results: One hundred and eighty eight residents of 277 (67.9%) have answered the questionnaire and 23 (12.2%) have answered the open questions. The majority of them was of female gender, equal or older than 26 years old, was graduated in public medical schools of the southeast region of Braziland finishedthe graduation for at least 12 months ago. One hundred and eight of these residents (57.5%) had worked professionally in Primary Care previous the admission to the residency and 34 (18.0%) of them worked through a Brazilian federal government program (33 PROVAB and 1 "More Physicians"). The main factors that motivated the specialty choice in this study were: desire to work at the own office or at the hospital, do procedures and to have more contact to the patients. The main factors that demotivated the choice of the career were: negative experience on the contact to the patients during the graduation and high workload. Concerning on the Primary Care group, the income unconcern and the interest to the Primary Care during the graduation were important motivating factors for this choice for the residency. However, the previous professional experience working in Primary Care was more associated to a choice of a specialty not related to Primary Care. Concerning the open questions (What motivated you about the choice of your career? Why did you work as a Family Physician in Primary Care before the beginning of the medical residence and how did this experience influence your choice?), the answers were grouped in identified common categories as: "Filling the time", "Personal reasons", "Feeling of disappointment after experiencing" and "Chance for more time to training". Conclusion: The factors related to the specialty choice have established distinct profiles for the each studied group of specialties. The main general motivate factor of the specialty choicewas the"controllable" lifestyle. It was not observed any influence of previous exposition to stimulating government programs, as PROVAB and "More Physicians". It was not also observed an association with the time from the end of the graduation on the choice of the Primary Care specialties. The interest in Primary Care during the graduation was the most important factor to this choice, increasing this chance in 7.3 timesin the adjusted analysis, reinforcing the important role of the medical schools on awaking the interest on this career.The interest of a career in Primary Care was low in this study because of several factors, suchpoor work conditions, high workload, lack of career plan, poor health care infrastructure and poor living conditions in remote and periurban areas
Mestrado
Ensino em Saúde
Mestra em Clínica Médica
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Dias, Heloísa Helena Rodrigues. "O aperfeiçoamento dos assistentes sociais no Programa de Residência Multiprofissional em Saúde de um hospital universitário." Universidade Federal de Goiás, 2014. http://repositorio.bc.ufg.br/tede/handle/tede/4503.
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INTRODUCTION: This study is about knowing the perception of former students and preceptors relative to the Multidisciplinary Residency in Health at the Federal University of Goiás Public Hospital during the period of 2010 to 2012. OBJECTIVES: To analyze the perception of social workers (preceptors and former students) with respect to their performance, as well as understand the deployment and implementation process of the Multidisciplinary Residency in Health Program (PRMS as the portuguese acronym); identify the necessary skills to labor in the SUS and describe the difficulties encountered in the field of action. METHODS: A descriptive and exploratory study with qualitative approach. The instrument was a semi-structured interview with open questions recorded from five preceptors and twelve former social workers students. The transcribed interviews were submitted to content analysis proposed by Bardin and using the software ATLAS TI. The analyzes were performed taking into account the formation and the professional performance in residence and presented the factors that affect the field of action. RESULTS: It’s necessary to: acquire new knowledges to work in multidisciplinary teams; to develop specific competencies for preceptorship and for work in the SUS; to enhance inter-branch, multi-professional and interpersonal relationships. CONCLUSION: The analysis of the content of the interviews showed that the goals of the health multi-professional residence, specifically in Social Work, have been achieved, though, it is necessary to consider specific actions to improve skills that contribute to the exercise of the preceptor role and to work in the SUS focused on interdisciplinarity and integrality of health care.
INTRODUÇÃO: Este estudo busca conhecer a percepção de preceptores e residentes egressos acerca da Residência Multiprofissional em Saúde ocorrida no Hospital das Clínicas da Universidade Federal de Goiás no período de 2010 a 2012. OBJETIVOS: Conhecer a percepção de assistentes sociais (preceptoras e egressas) em relação à sua atuação, bem como compreender o processo de implantação e implementação do Programa de Residência Multiprofissional em Saúde (PRMS); identificar as competências necessárias quanto ao preparo para o trabalho no SUS e descrever as dificuldades encontradas no campo de atuação. MÉTODOS: Estudo descritivo, exploratório, com abordagem qualitativa. O instrumental utilizado foi entrevista semiestruturada com perguntas abertas, a cinco preceptoras e a doze assistentes sociais egressas. As entrevistas transcritas foram submetidas à análise de conteúdo proposta por Bardin utilizando o software ATLAS TI. As análises foram feitas levando em consideração a formação e a atuação profissional na residência e apresentados os fatores que interferem no campo de atuação. RESULTADOS: Há necessidade de aquisição de novos conhecimentos para o trabalho em equipe multiprofissional; desenvolver competências específicas de preceptoria e para o trabalho no SUS e aprimorar as relações interprofissionais, multiprofissionais e interpessoais. CONCLUSÃO: A análise das entrevistas demonstrou que os objetivos da residência multiprofissional em saúde no Serviço Social foram alcançados, embora, seja necessário pensar em ações específicas para o aprimoramento de competências que contribuam para o exercício da função de preceptor e para o trabalho no SUS focado na interdisciplinaridade e integralidade da atenção em saúde.
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Correa, Aniara Nascimento. "Caracterização da procura por especialidades médicas dos candidatos ao Concurso SUS - SES/SP entre 1999 e 2004." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/5/5137/tde-30102008-154534/.
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Anualmente, a Secretaria de Estado da Saúde de São Paulo (SES/SP) realiza o Concurso SUS-SES/SP para o preenchimento de vagas de RM oferecidas pelas instituições participantes, nas diferentes especialidades médicas. Partindo da compreensão que a decisão pela especialidade é um momento singular na trajetória da profissão médica, e que, a RM desempenha um importante papel para o sistema de saúde; este trabalho objetivou conhecer a tendência da demanda por especialidades médicas tomando como referência, o universo dos candidatos que se inscreveram no Concurso SUS, no período entre 1999 e 2004. Dentre as especialidades que contaram com aumento na procura estão a Anestesiologia, Cirurgia Cardiovascular, Cirurgia Oncológica, Cirurgia Plástica, Clínica Médica, Dermatologia, Endocrinologia e Psiquiatria. As especialidades que apresentaram queda na procura foram Cirurgia de Cabeça e Pescoço, Gastroenterologia, Oftalmologia, Pediatria e PneumologiaAnnually, the Secretaria de Estado da Saúde de São Paulo (SES/SP) opens Single Health System SES/SP Medical Residency Contest offered by participant institutions in different medical specialties. The public selection process has been held in partnership with Fundação Carlos Chagas for more than fifteen years. Currently, this process counts with almost six thousand candidates enrolled from several regions of Brazil. Assuming that making decision for specialty is a very singular moment for medical career, and that, Medical Residency conducts an important function for Health System; this research aims to point out tendencies for medical specialties, using the amount of enrolled candidates for SUS Contest, between 1999 and 2004, as reference. Therefore, the number of inscriptions raised 18% in this period, distinguishing male predominance. Considering candidates hometown, 52% lived outside Sao Paulo State in the moment of contest inscription, making evident the attractive potential for doctors from different regions of Brazil. In terms of numbers, basic specialties took part in half inscriptions in this period. In terms of numbers, basic specialties took part in half inscriptions in this period. The specialties with raised number of searching were Anesthesiology, Surgery Cardiovascular, Oncology Surgery, Plastic Surgery, General Internal Medicine, Dermatology, Endocrinology and Psychiatry. The specialties with decreased number of searching were Head and Neck Surgery, Gastroenterology, Ophthalmology, Pediatrics and Pneumology
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Kerr, Nathan A. "A Survey of Internship-eligible Health Service Psychology Graduate Students' Experience, Training, and Clinical Competence with Suicide." University of Akron / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=akron1564157192883142.
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Wallace, Richard. "ETSU Medical Residents' Clinical Information Behaviors, Skills, Training, and Resource Use." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etd/2076.
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Information is a powerful tool for enabling physicians to provide quality healthcare for their patients. Information use in the clinic is a skill that must be learned. If medical residency programs fail to impart this skill, then patients will suffer.
The residents of the ETSU Quillen College of Medicine were surveyed as to their use of clinical information. Of the 217 residents of the 2005-2006 class who were surveyed, 105 returned the survey for a return rate of 48%. The clinical faculty was also surveyed in order to measure the responses of the residents against that of their instructors.
ETSU residents frequently had a new information need in the clinic. The majority of the time they did not seek an answer, but when they did they were often successful in finding an answer. Therapy information was the most frequently sought after type of information. Most residents used the Quillen College of Medicine Library, but not at a desirable rate. Residents stated that information obtained from the library was helpful in caring for their patients. The most frequent source of information used by residents was electronic resources and the greatest barrier to the use of information was time. The majority of residents were PDA users, with Palm devices being the primary platform. The residents rated their PDA skills and evidence-based medicine skills as above average. Few were LoansomeDoc users. The majority of residents received information training from clinical faculty and from librarians and rated it highly. Residents indicated a desire for more training and the majority indicated that they would like a clinical medical librarian for their program. They rated the library service of the Quillen College of Medicine and the area teaching hospitals highly. Residents used Google and the Web frequently. PubMed was rated as a valuable resource. Online journals and the UpToDate database were important electronic resources for the residents.
ETSU residents have many excellent resources and training opportunities in place. However, for ETSU residents to go out into community practice as true "Infomasters" an upgrading of their information training should be undertaken.