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clinical competence of Family Medicine Residents with Patients Attending Prenatal Care in a Medical Unit in Southern Mexico

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Journal of Biosciences and Medicines 2024年第12期12卷 96-108页

作者： Abel Pérez-Pavón Abril Guadalupe Naranjo-López Jorge Iván Martínez-Pérez Claudia Angélica González-Jiménez José Hipólito Garciliano-Sánchez Guadalupe Monserrat Domínguez-Vega Brenda Paola López-García Silvia Cristel Hernández-Mora Family Medicine Unit 43 Social Security Institute of the State of Tabasco Villahermosa Mexico Family Medicine Unit 47 Social Security Institute of the State of Tabasco Villahermosa Mexico General Hospital of Zone No. 2 Crdenas Social Security Institute of the State of Tabasco Villahermosa Mexico

The development of competency-based thinking is transforming medical education by preparing professionals for the new challenges of the 21st century. Its strategies are key to the development of clinical competence and to improving critical thinking. Objective: This paper aims to evaluate the level of clinical competence of family medicine residents treating patients attending prenatal care in a medical unit in southern Mexico. Materials and Methods: In 2023, a cross-sectional, retrospective, and analytical study with an educational focus was conducted in two phases. The creation and validation of a clinical competence instrument based on five real real-world problem-based clinical cases of prenatal care patients, with indicators related to clinical aptitude. Three rounds of experts were used to validate the instrument following the Delphi method, with a concordance threshold of 80% or higher (Kappa index > 0.80). The Kuder-Richardson formula was used to calculate internal consistency, yielding a value of 0.87. The evaluation instrument was administered to 40 newly admitted medical residents in the second phase in Villahermosa, Tabasco. A descriptive analysis was performed, and the levels of competence were compared using the Chi-square test. Results: Internal consistency was 0.87. Among the residents, 32.5% demonstrated low knowledge levels (know-what), 37.5% showed intermediate skills levels (know-how), and 67.5% exhibited adequate performance in attitudes (know-be). Conclusions: Inclusive strategies are necessary to improve clinical competence levels in prenatal care.

关键词： clinical competence Resident Physicians Prenatal Care Instrument Family Medicine

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Evaluation of clinical competence and its related factors among ICU nurses in Kermanshah-Iran: A cross-sectional study

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International Journal of Nursing Sciences 2019年第4期6卷 421-425页

作者： Azam Faraji Mahtab Karimi Seyyed Mohsen Azizi Maryam Janatolmakan Alireza Khatony Nursing Deportment Nursing and Midwifery SchoolKermanshah University of Medical SciencesKermanshahIran Student Research Committee Kermanshah University of Medical SciencesKermanshahIran clinical Research Development Center of Imam Reza Hospital Kermanshah University of Medical SciencesKermanshahIran Health Institute Social Development and Health Promotion Research CenterKermanshah University of Medical SciencesKermanshahIran

Objectives:The present study was conducted to evaluate the clinical competence and its related demographic factors among critical care nurses in Kermanshah,***:In this cross-sectional study,155 Iranian nurses were selected by stratified random *** data collection tools included a personal information form and the"Nurse competence Scale".Data were analyzed using descriptive and analytical ***:The mean score of nurses'clinical competence was equal to 76.14±1.59 out of 100,which was at a"very good level".The mean score of using clinical competence in practice was equal to 70.38±15.25 out of 100,which was at a"good level".Among the subscales of clinical competence,the highest mean score was related to"managing situation".The mean score of"using clinical competence in practice"was related to the subscale of"therapeutic interventions".There was no statistically significant difference among the score of clinical competence of nurses varying with different gender,age,academic degree,and work ***:The clinical competence of critical care nurses in Kermanshah was at a"very good"level,and the use of clinical competence in practice was at a"good level."Given the importance of clinical competencies in practice,nurses'clinical competence should be evaluated objectively and positive measures should be taken to promote the application of their clinical competence.

关键词： clinical competence Intensive care units Nurses Personal characteristics

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Exploring factors that motivate nursing students to engage in skills practice in a laboratory setting:A descriptive qualitative design

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International Journal of Nursing Sciences 2021年第1期8卷 79-86,I0006页

作者： Yoko Nakayoshi Miyuki Takase Mayumi Niitani Takiko Imai Mari Okada Kumiko Yamamoto Yuri Takei School of Nursing Yasuda Women’s UniversityJapan School of Nursing Prefectural University of HiroshimJapan Division of Health Science Graduate School of MedicineOsaka UniversityJapan

Objectives:The aim of this study was to explore factors that motivate students to engage in skills practice in a laboratory setting,and to identify their motivation types and the regulatory ***:Semi-structured interviews were conducted with 23 nursing students from three universities between November 2017 and January 2018.A thematic analysis was used to identify factors associated with students’motivation to engage in skills practice in a *** types and the regulatory styles of student motivation were identified based on the self-determination ***:Seven motivating factors were *** factors included the students’desire“to acquire the skills necessary to work as a nurse”,the“desire to improve skills in preparation for clinical practicum”,and their felt“obligations to patients as a nurse”.Moreover,“the impetus to study arising from the objective evaluation of oneself and others”and“wanting to pass the skills examination”motivated the students to engage in skills practice.A“learning environment that facilitates students’learning”and the“supportive involvement of educators”facilitated their *** on the self-determination theory,the students were found to embrace extrinsic motivation with four regulatory styles of motivation,namely integrated,identified,introjected,and external ***:Nurse educators should understand the motivating factors of students,and help students embrace a more internally controlled motivation by helping them envision their future careers as nurses,and by fostering their ethical duty to care for patients.

关键词： Laboratories Learning Motivation Nursing students clinical competence

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The assessment of endosonographers in training

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World Journal of clinical Cases 2018年第14期6卷 735-744页

作者： Per Hedenstrom Riadh Sadik Division of Gastroenterology Department of MedicineSahlgrenska University HospitalGothenburg 41345Sweden

Endosonography （EUS） has an estimated long learning curve including the acquisition of both technical and cognitive skills. Trainees in EUS must learn to master intraprocedural steps such as echoendoscope handling and ultrasonographic imaging with the interpretation of normal anatomy and any pathology. In addition, there is a need to understand the periprocedural parts of the EUS-examination such as the indications and contraindications for EUS and potential adverse events that could occur post-EUS. However, the learning process and progress vary widely among endosono-graphers in training. Consequently, the performance of a certain number of supervised procedures duringtraining does not automatically guarantee adequate competence in EUS. Instead, the assessment of EUS-competence should preferably be performed by the use of an assessment tool developed specifically for the evaluation of endosonographers in training. Such a tool, covering all the different steps of the EUS-procedure, would better depict the individual learning curve and better refect the true competence of each trainee. This mini-review will address the issue of clinical education in EUS with respect to the evaluation of endosonographers in training. The aim of the article is to provide an informative overview of the topic. The relevant literature of the field will be reviewed and discussed. The current knowledge on how to assess the skills and competence of endosonographers in training is presented in detail.

关键词： Endosonography Fine-needle aspiration Education Assessment Educational Learning curve clinical competence Quality indicators

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Barriers in performing physical assessment among nursing students:An integrative review

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International Journal of Nursing Sciences 2021年第1期8卷 120-129,I0008页

作者： Jestoni D.Maniago Evelyn E.Feliciano Adelina M.Santos Cyrelle L.Agunod Cris S.Adolfo Brian A.Vasquez Abdulrhman Albougami Joseph U.Almazan Department of Nursing College of Applied Medical SciencesMajmaah UniversityAl-Majmaah11952Kingdom of Saudi Arabia Nazarbayev University School of Medicine Nazarbayev UniversityNur-Sultan010000Republic of Kazakhstan

Objectives:This study aimed to identify barriers in performing physical assessments among nursing students through integrative review ***:The literature were searched in Medline,CINAHL,ScienceDirect,Web of Science,ProQuest,and Taylor&Francis Online using the descriptors barrier,physical assessment,nursing student et *** English-language and peer-reviewed journal articles were included,and there were no year ***:Twelve articles were selected for *** aspects were extracted:the barriers included personal challenges,challenges related to nursing education,challenges related to clinical practice;establishing competency-based education learning as a method to reduce physical assessment *** competencies and experiences were influenced by various factors that collectively hindered their successful performance of physical ***:The review findings provide valuable insights into the complex issues involved in the performance of physical assessments and guidance for improvement in practice.A collaborative effort should be made to address the issues often faced by nursing students in performing routine physical ***,more constructive and competency-based teaching methods should be integrated into academic and clinical settings.

关键词： clinical competence Nursing education Physical assessment Problem solving

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Brazilian questionnaire of competencies of oncology nurses:Construction and test of content validation

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International Journal of Nursing Sciences 2019年第3期6卷 288-293页

作者： Fabiana Cristina dos Santos Mary Elizabeth Riner Silvia Helena Henriques University of Sao Paulo Ribeirao Preta College of Nursing Sao Paulo Brazil Indiana University School of Nursing Indiana United States

Objective: This study aimed to describe construction and content validation of the Brazilian Questionnaire of Competencies of Oncology ***: The methodological research was constructed based on the literature and observation in Brazilian hospitals searching to identify local evidence in the nursing ***,the construction of the 30 items distributed in eight sub-dimensions of competencies,the instrument was tested the content validation by 7 experts and 61 oncology *** responses were analyzed through content validity index and Cronbach's α were used in this test ***: The content validity index of the scale was 0.90,and the content validity index of each item was *** mean of items varied between 4.98 (standard deviation =0.13) and 4.70 (standard deviation =0.53).The Cronbach's α of the instrument was *** Cronbach's α if each item was excluded ranged from 0.78 to 0.74,indicating consistency between ***: The instrument is concise and clear,resulting in a valid content on test pilot in conducting a self-assessment the oncology *** can be used to facilitate decision-making by identifying subdimensions that require attention in nursing education to improve patient care.

关键词： clinical competence Nurses Oncology service Hospital Reliability Validity

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Exploring the barriers of utilizing theoretical knowledge in clinical settings: A qualitative study

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International Journal of Nursing Sciences 2019年第4期6卷 399-405页

作者： Mina Hashemiparast Reza Negarandeh Dimitrios Theofanidis Department of Public Health Maragheh University of Medical SciencesMaraghehIran Nursing and Midwifery Care Research Center School of Nursing and MidwiferyTehran University of Medical SciencesTehranIran Nursing Department School for HealthATEITHGreece

Objectives: Although effective performance in clinical settings requires the integration between theory and practice,there is a gap between theoretical knowledge as taught in the classroom and what the students experience in clinical *** study aimed to elicit and explore the barriers of utilizing theoretical knowledge in clinical ***: A qualitative study was adopted with a conventional content analysis *** nursing and paramedic's students,faculty members and experienced nursing staff participated in the *** were collected by semi-structured individual interviews until data saturation and concurrently analyzed via MAXQDA ***: Five main categories emerged as barriers of utilizing theoretical knowledge in the clinical settings ***-standard practices in clinical settings;lack of trust in clinical competence;lack of perceived professional support;insufficiencies in teaching and learning process;and differences between doing things in simulated and real clinical ***: Transferring theory into practice in a structured manner requires professional support in the workplace,trust and the opportunity for direct experience,using valid and up-to-date knowledge by clinical staff and bridging the simulated situations with real life scenarios.

关键词： clinical competence Medical education Knowledge Practice Qualitative research Transfer

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