Optimizing heath care services for seniors in emergency departments (ED) is a core component of the "Senior Friendly Hospital Approach" being implemented in Quebec. We measured the availability of geriatric expertise in Quebec EDs and its relationship with ED characteristics such as university affiliation, number of stretchers, and geographical location.We surveyed (2013)(2014) head nurses and head physicians at 116 adult, non-psychiatric Quebec EDs. We defined high level of availability in the three following components of geriatric expertise: 1) geriatric care coordinatioN = a designated clinician coordinating the care of older adults available every day; 2) multidisciplinarity = 4 or 5 different nonmedical professionals, i.e., specialized nurse, social worker, occupational therapist, physiotherapist, and pharmacist, available almost always/often (nursereported); and 3) geriatric consultation = a specialist or a general practitioner specialized in geriatrics available almost always/often (physician-reported). We performed descriptive analyses and Fisher's exact test.Among participating EDs (N = 83), 73 (88%) nurses and 67 (81%) physicians participated in the survey. 18% of EDs had high level of geriatric care coordination, 41% provided high level of multidisciplinarity, and 33% received high level of geriatric consultation. We found that EDs that had greater number of stretchers were more likely to have high level of geriatric care coordination (p < .05) and consultation (p < .001). EDs in metropolitan areas were also more likely to receive high level of geriatric consultation (p < .01). High level of multidisciplinarity was not associated with any ED characteristics.2/5 of Quebec EDs provide high level of multidisciplinarity varying in their characteristics, whereas smaller and non-metropolitan EDs lack geriatric care coordination and consultation.There is a need for reorganisation and finding innovative ways to use existing human resources in Quebec EDs. Background: Use of potentially inappropriate medication (PIMs) in the hospitalized elderly can lead to adverse drug events, and contribute to geriatric syndromes. PIMs are frequently prescribed to elderly hospitalized patients, indicating the need to develop strategies to reduce their use. A Pharmacist-Physician Intervention Model Using a Computerized Alert System to Reduce High-Risk Medication Use in Elderly Inpatients Objectives:To assess 1) the applicability of a pharmacistphysician intervention model to reduce the use of highrisk medications and 2) the clinical relevance of the alerts generated by a computerized alert system (CAS). Methods:The study was conducted in patients aged 65 or older admitted to a teaching hospital between April and June 2014. In the intervention model, the pharmacist determined the clinical relevance of the CAS alerts, analyzed the patient's pharmacotherapy, and elaborated a geriatric pharmacotherapeutic plan to be discussed with the treating physician. The alerts were based on the Beers criteria. The main outcome was the change...
Discute a Reforma Sanitária brasileira como um processo técnico e político abordando os aspectos sociais e administrativos. Apresenta opiniões de enfermeiras que atuam nas Unidades Assistenciais do INAMPS situadas nas regiões Norte, Nordeste, Centro-Oeste, Sul e Sudeste sobre conceituação, expectativas quanto à sua implantação, participação da enfermeira, entendimento do processo em função da população e o significado da Reforma Sanitária frente ao compromisso social da Enfermagem.
Esse estudo objetivou analisar a produção do conhecimento acerca da Unidade de Tratamento Intensivo, com enfoque para ventilação mecânica. Uma breve pesquisa foi realizada a respeito das publicações na forma de artigos, manuais, periódicos nacionais e internacionais, internet, livros e revistas. Foi considerado um limite temporal entre os anos de 2010 a 2019.
Programa Proficiência (PP) é uma iniciativa do Conselho Federal de Enfermagem (Cofen) para atualização e aprimoramento dos profissionais da enfermagem com cursos gratuitos a distância, oferecidos em ambiente virtual, denominado Plataforma Jornada. Essa iniciativa resgata, em parte, a ausência de políticas voltadas para o aprimoramento profissional continuado e evidência a importância da relação entre monitor e cursista para o aprendizado virtual. Desse estudo, participaram 78 acadêmicos, que realizaram 600 horas de estágio. Cada monitor, durante os seis meses de contrato, atendeu a cinco ingressos e acompanhou, em média, 1.250 cursistas. A necessidade de acompanhamento tornou imperativa a implantação do sistema de capacitação e educação continuada aos acadêmicos de enfermagem, monitores do programa. Assim, este artigo visa a descrever o processo de trabalho de inserção de acadêmicos de enfermagem monitores do PP, contemplando dois momentos: seleção de candidatos e capacitação dos monitores realizados pelas enfermeiras tutoras e monitora administrativa.Descritores: Enfermagem, Capacitação, Educação a Distância.Proficiency Program work process – Cofen: nursing academics insertionProficiency Program (PP) is an initiative of the Federal Council of Nursing (Cofen) to update and improvement of professional nursing with free courses offered in distance learning virtual environment called Platform “Jornada”. This initiative rescues in part the lack of policies for the continued professional development and highlights the importance of the relationship between monitor and students to virtual learning. This study involved 78 students who performed 600 hours of internship. Each monitor during the six months of employment met five tickets and accompanied by an average of 1250 pupils. The need for monitoring became mandatory system deployment training and continued education for nursing students, monitors the program. It aims to describe the working process of entering nursing students monitors PP, included two phases: candidate selection and training of monitors, made by tutors and nurses monitor management.Descriptors: Nursing, Training, Distance Education.Proceso de trabajo del Programa de Competéncia – Cofen: inserción de los acadêmicos de enfermeríaPrograma de Competéncia (PP) es una iniciativa del Consejo Federal de Enfermería (Cofen) para actualizar y mejora de los profesionalales de enfermería con cursos gratuitos ofrecidos en la distancia en ambiente de aprendizaje virtual denominada “Plataforma Jornada”. Esta iniciativa rescata en parte la falta de políticas para el desarrollo profesional continuo y pone de relieve la importancia de la relación entre el monitor y los estudiantes para el aprendizaje virtual. Este estudio involucró a 78 estudiantes que realizaron 600 horas de prácticas. Cada monitor durante los seis meses de empleo, se reunió en cinco entradas y acompañado por un promedio de 1250 alumnos. La necesidad de un control se convirtió en obligatoria, la implementación del sistema de formación y educación continuada para los estudiantes de enfermería, monitores del programa. Su objetivo es describir el proceso de trabajo de los estudiantes de enfermería de entrar monitores de PP, incluyó dos fases: selección de candidatos y la formación de monitores, realizados por profesores y enfermeros seguimiento de la gestión.Descriptores: Enfermería, Entrenamiento, Educación a Distancia.
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