Characterization of interprofessional education experiences in health education at the University of São Paulo

Search "Educación Interprofesional" - Sáb, 23/12/2023 - 20:51
ABSTRACT Objective: To map the experiences of Interprofessional Education (IPE) in Health at the São Paulo campus of the University of São Paulo. Method: This is a descriptive, exploratory study with a quantitative approach and data collection through an online questionnaire addressed to teachers from eight teaching units and 14 health courses. The data was analyzed using absolute and percentage frequencies. Results: The majority of teachers do not take part in IPE experiences (70.4%). Most of the experiences are between six and ten years old, involving up to four teachers and small groups of students, mostly extracurricular or extension activities. The teaching and assessment strategies are diverse and open to students of all years. Conclusion: IPE experiences involve a small number of students and teachers and, although consolidated in terms of the time they have been offered, are limited to extracurricular spaces. Factors such as improvements in institutional support and teacher development are pointed out as important for making progress in strengthening IPE in the analyzed context. RESUMEN Objetivo: Mapear las experiencias de Educación Interprofesional (EIP) en Salud en el campus de São Paulo de la Universidad de São Paulo. Método: Se trata de un estudio descriptivo, exploratorio, con abordaje cuantitativo y recolección de datos por medio de cuestionario online dirigido a profesores de ocho unidades de enseñanza y 14 cursos de salud. Los datos se analizaron mediante frecuencias absolutas y porcentuales. Resultados: La mayoría de los profesores no participa en experiencias de EIP (70,4%). La mayoría de las experiencias tienen entre seis y diez años de antigüedad, involucran hasta cuatro profesores y pequeños grupos de estudiantes, en su mayoría actividades extracurriculares o de extensión. Las estrategias de enseñanza y evaluación son diversas y están abiertas a estudiantes de todos los cursos. Conclusión: Las experiencias de EIP involucran a un número reducido de estudiantes y profesores y, aunque consolidadas en términos de oferta de tiempo, se limitan a espacios extracurriculares. Factores como la mejora del apoyo institucional y el desarrollo de las docentes se señalan como importantes para avanzar en el fortalecimiento de la EIP en el contexto analizado. RESUMO Objetivo: Mapear as experiências de Educação Interprofissional (EIP) em Saúde no campus São Paulo da Universidade de São Paulo. Método: Pesquisa descritiva, exploratória, com abordagem quantitativa e coleta de dados por meio de um questionário online, direcionado aos docentes de oito unidades de ensino e 14 cursos da área de saúde. Os dados foram analisados por meio de frequências absolutas e percentuais. Resultados: A maior parte dos docentes não participa de experiências de EIP (70,4%). Em sua maioria, as experiências têm de seis a dez anos de existência, com envolvimento de até quatro docentes e em pequenos grupos de estudantes, majoritariamente extracurriculares ou atividades de extensão. As estratégias de ensino e avaliação são diversificadas e abertas aos estudantes de todos os anos. Conclusão: As experiências de EIP envolvem um número pequeno de estudantes e professores e, embora consolidadas em relação ao tempo de oferta, são limitadas aos espaços extracurriculares. Fatores como melhorias no apoio institucional e desenvolvimento docente são apontados como importantes para avançar no fortalecimento da EIP no contexto analisado.

Simulación interprofesional en estudiantes de enfermería y medicina, experiencias de sus protagonistas

Search "Educación Interprofesional" - Sáb, 23/12/2023 - 20:51
Introducción: El impacto que ha tenido la implementación y avance de la educación interprofesional en las ciencias de la salud, ha demostrado que, articulado a diferentes estrategias didácticas, como la simulación clínica estandarizada, optimiza el aprendizaje colaborativo y el trabajo en equipo. Objetivo: Comprender los significados que estudiantes de enfermería y medicina le otorgaron a la educación interprofesional, desarrollada a través de simulación clínica estandarizada. Métodos: Estudio cualitativo interpretativo, donde a través de una determinación a priori basadas en criterios, se seleccionaron 40 estudiantes de enfermería y medicina que participaron de cuatro casos dentro de simulación clínica estandarizada, durante el segundo semestre del año 2019. Estas interacciones fueron videograbadas y luego se realizaron grupos focales para indagar la experiencia que los estudiantes habían tenido en la actividad simulada. Se realizó análisis de contenido de los videos y los grupos focales hasta que no se encontraron nuevos códigos. Resultado: Emergieron tres categorías principales: 1) Identificar las habilidades relacionales necesarias para la atención, 2) Aprender a colaborar a través de la educación interprofesional y 3) Sensaciones implícitas dentro de la simulación interprofesional. Conclusiones: La experiencia y significado que los estudiantes de enfermería y medicina le otorgaron a esta didáctica interprofesional les ayudó a reconocer la reflexión como punto de partida para el aprendizaje significativo y a descubrir en el compañero saberes que podían nutrir su proceso de formación, así como impactarlos en el desarrollo de habilidades interpersonales importantes en la práctica y que aplicarán en su futuro profesional. Introduction: The impact of the implementation and advancement of interprofessional education in health sciences has shown that, in articulation with different didactic strategies (such as standardized clinical simulation), collaborative learning and teamwork are optimized. Objective: To understand the meanings that nursing and medical students gave to interprofessional education, developed through standardized clinical simulation. Methods: An interpretive qualitative study was conducted, by means of an a priori determination based on criteria; 40 nursing and medical students were selected to participate in four cases within standardized clinical simulation, during the second semester of 2019. These interactions were recorded and focus groups were then held to delve into the students' experience of the simulated activity. Content analysis was applied to the videos and focus groups until new codes were found. Results: Three main categories emerged: 1) identifying relational skills needed for care, 2) Learning how to collaborate through interprofessional education, and 3) implicit feelings within interprofessional simulation. Conclusions: The experience and meaning that nursing and medical students gave to this interprofessional didactic resource helped them recognize thinking as a starting point for meaningful learning, as well as discover, in their partners, knowledge that could nurture their training process and impact them in the development of important interpersonal skills in practice and that they will apply in their professional future.

Design thinking como estratégia para fomento à educação interprofissional em saúde em Instituição de ensino superior

Search "Educación Interprofesional" - Sáb, 23/12/2023 - 20:51
O objetivo da pesquisa é apresentar os resultados de uma oficina, guiada pelo design thinking (DT), realizada com estudantes da área da Saúde para a produção de ideias de fomento à educação interprofissional (EIP) em Saúde em uma Instituição de Ensino Superior. Trata-se de uma pesquisa qualitativa, do tipo estudo de caso, realizada em junho de 2022. A oficina pedagógica baseou-se nas fases do DT: descoberta, interpretação, ideação e experimentação, e foi apoiada pelo uso de nove estratégias. Participaram seis estudantes de Enfermagem, um estudante de Saúde Coletiva e um de Farmácia. Como resultado, dois protótipos foram criados. Verificou-se que as fases e estratégias utilizadas no DT foram oportunas e eficientes para o debate da EIP. Os protótipos elaborados serão executados em continuidade à pesquisa. This article presents the results of a design thinking workshop with health students to generate ideas for fostering interprofessional education (IPE) for health in a higher education institution. We conducted a qualitative case study in June 2022. The workshop followed the phases of the design thinking process (discovery, interpretation, ideation and experimentation) and was supported by the use of nine strategies. The workshop was attended by six nursing students, one public health student and one pharmacy student. The workshop resulted in the creation of two prototypes. It was found that the phases and strategies used were well-suited to and effective in promoting a debate about IPE. The prototypes will be executed as part of the continuation of the research. El objetivo de la investigación es presentar los resultados de un taller, guiado por el design thinking (DT), realizado con estudiantes del área de la salud para la producción de ideas de fomento a la educación interprofesional en salud (EIP) en una Institución de Enseñanza Superior. Se trata de una investigación cualitativa, del tipo estudio de caso, realizada en junio de 2022. El taller pedagógico se basó en las fases del DT: descubrimiento, interpretación, ideación y experimentación y tuvo como apoyo el uso de nueve estrategias. Participaron seis estudiantes de Enfermería, un estudiante de Salud Colectiva y uno de Farmacia. Como resultado se crearon dos prototipos. Se verificó que las fases y estrategias utilizadas en el DT fueron oportunas y eficientes para el debate de la EIP. Los prototipos elaborados se realizarán en continuidad a la investigación.

Optical imaging for screening and early cancer diagnosis in low-resource settings

Abstract

Low-cost optical imaging technologies have the potential to reduce inequalities in health care by improving the detection of precancer or early cancer and enabling more effective and less invasive treatment. In this Review, we summarize technologies for in vivo widefield, multi-spectral, endoscopic and high-resolution optical imaging that could offer affordable approaches to improving cancer screening and early detection at the point of care. Additionally, we discuss approaches to slide-free microscopy, including confocal imaging, light-sheet microscopy and phase modulation techniques, that can reduce the infrastructure and expertise needed for definitive cancer diagnosis. We also evaluate how machine learning-based algorithms can improve the accuracy and accessibility of optical imaging systems and provide real-time image analysis. To achieve the potential of optical technologies, developers must ensure that devices are easy to use, the optical technologies must be evaluated in multi-institutional, prospective clinical tests in the intended setting, and the barriers to commercial scale-up in under-resourced markets must be overcome. Therefore, test developers should view the production of simple and effective diagnostic tools that are accessible and affordable for all countries and settings as a central goal of their profession.

Categorías: Investigaciones

Health expenditure: how much is spent on health and care worker remuneration? An analysis of 33 low- and middle-income African countries

Abstract Objectives

To assess the amount spent on health and care workforce (HCW) remuneration in the African countries, its importance as a proportion of country expenditure on health, and government involvement as a funding source.

Methods

Calculations are based on country-produced disaggregated health accounts data from 33 low- and middle-income African countries, disaggregated wherever possible by income and subregional economic group.

Results

Per capita expenditure HCW remuneration averaged US$ 38, or 29% of country health expenditure, mainly coming from domestic public sources (three-fifths). Comparable were the contributions from domestic private sources and external aid, measured at around one-fifth each—23% and 17%, respectively. Spending on HCW remuneration was uneven across the 33 countries, spanning from US$ 3 per capita in Burundi to US$ 295 in South Africa. West African countries, particularly members of the West African Economic and Monetary Union (WAEMU), were lower spenders than countries in the Southern African Development Community (SADC), both in terms of the share of country health expenditure and in terms of government efforts/participation. By income group, HCW remuneration accounted for a quarter of country health expenditure in low-income countries, compared to a third in middle-income countries. Furthermore, an average 55% of government health expenditure is spent on HCW remuneration, across all countries. It was not possible to assess the impact of fragile and vulnerable countries, nor could we draw statistics by type of health occupation.

Conclusions

The results clearly show that the remuneration of the health and care workforce is an important part of government health spending, with half (55%) of government health spending on average devoted to it. Comparing HCW expenditure components allows for identifying stable sources, volatile sources, and their effects on HCW investments over time. Such stocktaking is important, so that countries, WHO, and other relevant agencies can inform necessary policy changes.

Categorías: Investigaciones

Patterns of healthcare use among children with immigrant and non-immigrant backgrounds in 2019 and 2020: evidence from the CRIAS cohort study in the metropolitan area of Lisbon, Portugal

Abstract Background

International migrant families may face various barriers in the access and use of health services. Evidence on immigrant children’s health care or prevention facilities’ utilisation patterns is scarce in Portugal. Therefore, the objectives of this study were to compare health services use between immigrant and non-immigrant children in the Metropolitan Area of Lisbon in 2019–2020 with the aim of informing public policies towards equitable access to, and use of health services.

Methods

The CRIAS (Health Trajectories of Immigrant Children) prospective cohort study enrolled 420 children (51.6% immigrant) born in 2015 and attending primary health care (PHC) services in 2019. We compared primary health care facilities and hospital paediatric emergency department (ED) utilisation patterns in the public National Health Service, together with reported private practitioners use, between immigrant and non-immigrant children in 2019 and 2020. The Pearson chi-squared test, Fisher-Freeman-Halton Exact test, two-proportion z-test and Mann‒Whitney U test were used to examine the differences between the two groups.

Results

In 2019, no significant differences in PHC consultations attendance between the two groups were observed. However, first-generation immigrant children (children residing in Portugal born in a non-European Union country) accessed fewer routine health assessments compared to non-immigrant children (63.4% vs. 79.2%). When children were acutely ill, 136 parents, of whom 55.9% were parents of non-immigrant children, reported not attending PHC as the first point of contact. Among those, nearly four times more non-immigrant children sought healthcare in the private sector than immigrant children (p < 0.001). Throughout 2019, immigrant children used ED more often than non-immigrant children (53.5% vs. 40.4%, p = 0.010), as their parents reported difficulties in accessing PHC. In 2020, during the COVID-19 pandemic, fewer immigrant children accessed PHC compared to non-immigrant children (70% vs. 80%, p = 0.018). Both non-immigrant and immigrant children reduced ED use by 2.5 times, with a higher decrease among immigrant children (46% vs. 34%). In both 2019 and 2020, over 80% of immigrant and non-immigrant children used ED for conditions classified as having low clinical priority.

Conclusion

Beyond identifying health care use inequalities between immigrant and non-immigrant children, the study points to urgent needs for public policy and economic investments to strengthen PHC for all children rather than for some.

Categorías: Investigaciones

Mapping of academic and training programs in the Caribbean for HRH strengthening, and the response to COVID-19 and future pandemics

This document provides a mapping of academic and training programmes available in the Caribbean that address human resources for health (HRH) challenges in the Region and that support, directly or indirectly, the response to COVID-19 and future pandemics. The document responds to policy action 2, training and communication to strengthen HRH, of the policy brief Strengthening Human Resources for Health (HRH) to respond to COVID-19 and other emerging pandemics in the Caribbean. The document includes information on relevant academic and training programmes in priority areas and where these programmes can be accessed. A description of the training offer from the Pan American Health Organization's Virtual Campus for Public Health is also included. Finally, the document includes a discussion of the findings and recommendations for further action.
Categorías: Investigaciones

Investment case for small and sick newborn care in Tanzania: systematic analyses

Abstract Background

Small and sick newborn care (SSNC) is critical for national neonatal mortality reduction targets by 2030. Investment cases could inform implementation planning and enable coordinated resource mobilisation. We outline development of an investment case for Tanzania to estimate additional financing for scaling up SSNC to 80% of districts as part of health sector strategies to meet the country’s targets.

Methods

We followed five steps: (1) reviewed national targets, policies and guidelines; (2) modelled potential health benefits by increased coverage of SSNC using the Lives Saved Tool; (3) estimated setup and running costs using the Neonatal Device Planning and Costing Tool, applying two scenarios: (A) all new neonatal units and devices with optimal staffing, and (B) half new and half modifying, upgrading, or adding resources to existing neonatal units; (4) calculated budget impact and return on investment (ROI) and (5) identified potential financing opportunities.

Results

Neonatal mortality rate was forecast to fall from 20 to 13 per 1000 live births with scale-up of SSNC, superseding the government 2025 target of 15, and close to the 2030 Sustainable Development Goal 3.2 target of <12. At 85% endline coverage, estimated cumulative lives saved were 36,600 by 2025 and 80,000 by 2030. Total incremental costs were estimated at US$166 million for scenario A (US$112 million set up and US$54 million for running costs) and US$90 million for scenario B (US$65 million setup and US$25 million for running costs). Setup costs were driven by infrastructure (83%) and running costs by human resources (60%). Cost per capita was US$0.93 and the ROI is estimated to be between US$8–12 for every dollar invested.

Conclusions

ROI for SSNC is higher compared to other health investments, noting many deaths averted followed by full lifespan. This is conservative since disability averted is not included. Budget impact analysis estimated a required 2.3% increase in total government health expenditure per capita from US$40.62 in 2020, which is considered affordable, and the government has already allocated additional funding. Our proposed five-step SSNC investment case has potential for other countries wanting to accelerate progress.

Categorías: Investigaciones

Professional care workforce: a rapid review of evidence supporting methods of recruitment, retention, safety, and education

Abstract Background

Across the care economy there are major shortages in the health and care workforce, as well as high rates of attrition and ill-defined career pathways. The aim of this study was to evaluate current evidence regarding methods to improve care worker recruitment, retention, safety, and education, for the professional care workforce.

Methods

A rapid review of comparative interventions designed to recruit, retain, educate and care for the professional workforce in the following sectors: disability, aged care, health, mental health, family and youth services, and early childhood education and care was conducted. Embase and MEDLINE databases were searched, and studies published between January 2015 and November 2022 were included. We used the Quality Assessment tool for Quantitative Studies and the PEDro tools to evaluate study quality.

Results

5594 articles were initially screened and after applying the inclusion and exclusion criteria, 30 studies were included in the rapid review. Studies most frequently reported on the professional nursing, medical and allied health workforces. Some studies focused on the single domain of care worker education (n = 11) while most focused on multiple domains that combined education with recruitment strategies, retention strategies or a focus on worker safety. Study quality was comparatively low with a median PEDro score of 5/10, and 77% received a weak rating on the Quality Assessment tool for Quantitative Studies. Four new workforce strategies emerged; early career rural recruitment supports rural retention; workload management is essential for workforce well-being; learning must be contextually relevant; and there is a need to differentiate recruitment, retention, and education strategies for different professional health and care workforce categories as needs vary.

Conclusions

Given the critical importance of recruiting and retaining a strong health and care workforce, there is an immediate need to develop a cohesive strategy to address workforce shortfalls. This paper presents initial evidence on different interventions to address this need, and to inform care workforce recruitment and retention.

Rapid Review registration PROSPERO 2022 CRD42022371721 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022371721

Categorías: Investigaciones

Developing hospital resilience domains in facing disruption era in Indonesia: a qualitative study

Abstract Background

The studies of hospital resilience have been of increasing importance during the last decade due to disasters and pandemics. However, studies in developing the domain and indicators of hospital resilience were limited mainly on disaster response. A few studies of hospital resilience focused on how to deal with disruptions such as environmental turbulence, rapid technological changes, and changes in patient preferences. This study aims to develop domains and indicators of hospital resilience in facing the disruption era.

Methods

This qualitative study focused on exploring the domains and indicators to face disruptions that have been identified in the first exploratory phase of the studies. Key informants included hospital experts from the government, medical practitioners, and academics. A total of 20 key informants were involved in semi-structured interviews which were conducted face-to-face, via telephone and Zoom. Data was analyzed using a grounded theory approach to discover domains for a resilient hospital.

Results

The study identified a number of domains that are fundamental for a hospital to become a resilient in the face of disruption. These include readiness to face digital transformation, effective leadership, and flexibility in managing resources among others. Situation awareness and resilience ethos, implementation of marketing management, networking, and disaster anticipation are found to be equally important. These domains focused on the hospital’s ability to deal with specific shocks from different perspectives as the result of changes from disruptions which are inevitable within the organizational business environment.

Conclusions

The domains identified in the study are able to respond to the limitations of the concept of hospital resilience, which is currently more focused on hospital disaster resilience. They can be used to measure hospital resilience in the context of the volatility, uncertainty, complexity, and ambiguity (VUCA), which are relevant to the context of the Indonesia hospital industry.

Categorías: Investigaciones

Demonstrating the importance of interprofessional health education through an interactive case competition at Queen's Faculty of Health Sciences.

Search "Educación Interprofesional" - Sáb, 09/12/2023 - 03:28
On March 4, 2021, OSLER Kingston and KHealth, student-run organizations at Queen's Faculty of Health Sciences, hosted a two-hour-long virtual interprofessional case competition called "OSLER x KHealth IPR Case Competition: Homelessness," focusing on housing insecurity and homelessness. This event demonstrated that integrating interprofessional education (IPE) competencies into educational experiences of health professional students is feasible to organize and implement while also being valuable. Students who participated found IPE to be helpful for their learning. Consequently, we encourage medical school curriculum leaders and student-led groups to prioritize IPE in their preclerkship curricular and extracurricular offerings. Le 4 mars 2021, OSLER Kingston et KHealth, deux organisations étudiantes de la Faculté des sciences de la santé de l'Université Queen's, ont organisé un concours virtuel de cas interprofessionnels d'une durée de deux heures intitulé « OSLER x KHealth IPR Case Competition : Homelessness ¼, qui portait sur l'insécurité du logement et l'itinérance. Cette activité a montré qu'il est non seulement possible, mais aussi utile d'intégrer les compétences en formation interprofessionnelle (FIP) dans le parcours d'apprentissage des étudiants des professions de la santé. Les étudiants qui y ont participé ont trouvé que la FIP était utile à leur apprentissage. Nous encourageons donc les responsables de programme des facultés de médecine et les organisations étudiantes à donner la priorité à la FIP dans leurs activités de prexternat et hors programme.

The applicability of interprofessional education for collaborative people-centered practice and care to health plans and workforce issues: A thematic global case review.

Search "Educación Interprofesional" - Sáb, 09/12/2023 - 03:28
Background: This article focuses on a growing, global recognition of the importance of the field of interprofessional education for person-centered collaborative practice (IPECP) expressed through high-level policy and accreditation decisions/actions taking place in 5 countries. Policy decisions are used to motivate strategies related to IPECP that align with national health plans, and workforce issues. Methods: Using a collective of representative stories from around the globe, a grouping of case studies were developed to illustrate different approaches and challenges to IPECP implementation. Results: Institutions from countries of various income levels face many similar challenges in the execution, delivery, and sustainability of IPECP. All programs face issues of financing, of preparing faculty, of developing and organizing curricula, and of bridging between campus and community. Discussion: Policies are being developed that promote a global approach to the inclusion of IPECP in the accreditation and regulation of postsecondary institutions and health service organizations, in keeping with WHO National Health Workforce Accounts. Policies developed promote and demonstrate the benefits of IPECP through remote emergency learning methods. The policies also build national systems for IPECP as an integral part of continuing professional development and lifelong learning. The organization of interprofessional research programs and the increasing publication of their results of such programs will lead to a clearer understanding of the efficacy of the field of IPECP. To ensure sustainability, stakeholders and policymakers should continue to foster policies that facilitate IPECP.

The interprofessional education of medical students and physician associate students during the COVID-19 pandemic.

Search "Educación Interprofesional" - Sáb, 09/12/2023 - 03:28
Background: Due to the potential for improved team working and patient care, interprofessional education (IPE) is increasingly recognized as a core competency within the education of health-care professionals. Methods: In response to cancellation of the physician associate (PA) acute medicine clinical placement at our institution following COVID-19, a technology-focused, case-based IPE course between medical and PA students was implemented. The course consisted of 6 weekly seminars involving an average of 16 PA students, two medical students, and two supervising general practitioners. Course evaluation was mixed methods, comprising pre/postcourse questionnaires, weekly feedback forms, and postcourse e-mail interviews. Results: The course improved the confidence and perceived knowledge base of all participating students across every clinical topic covered, while promoting interprofessional collaboration and understanding. Discussion: To our knowledge, this represents one of the first IPE courses implemented between medical and PA students alone and has highlighted the need for further IPE courses between both professions. We show that successful IPE is feasible during a global pandemic, and that initiatives relying on technology alone are successful. Weekly written feedback was overwhelmingly positive, and based on the success of this course, faculty have planned further IPE opportunities between both professions.

Characterization of interprofessional education experiences in health education at the University of São Paulo.

Search "Educación Interprofesional" - Sáb, 09/12/2023 - 03:28
OBJECTIVE: To map the experiences of Interprofessional Education (IPE) in Health at the São Paulo campus of the University of São Paulo. METHOD: This is a descriptive, exploratory study with a quantitative approach and data collection through an online questionnaire addressed to teachers from eight teaching units and 14 health courses. The data was analyzed using absolute and percentage frequencies. RESULTS: The majority of teachers do not take part in IPE experiences (70.4%). Most of the experiences are between six and ten years old, involving up to four teachers and small groups of students, mostly extracurricular or extension activities. The teaching and assessment strategies are diverse and open to students of all years. CONCLUSION: IPE experiences involve a small number of students and teachers and, although consolidated in terms of the time they have been offered, are limited to extracurricular spaces. Factors such as improvements in institutional support and teacher development are pointed out as important for making progress in strengthening IPE in the analyzed context.

Health Profession Students' Interprofessional Socialization and Values Toward a College-Based Virtual Interprofessional Education Activity.

Search "Educación Interprofesional" - Sáb, 09/12/2023 - 03:28
PURPOSE: The inclusion of interprofessional education (IPE) is essential for the health professions curricula and establishes the expectation of collaborative patient-centered care. The COVID-19 pandemic has required educators to develop innovative methods for IPE student engagement. The purpose of this study was to evaluate a college-based virtual IPE activity for first-year health profession students and measure their interprofessional socialization and values (ISVS) toward IPE teams. The validated interprofessional socialization and valuing scales (ISVS-9A/9B) were used. METHODS: A one-group pre-post-test design examined health profession students' ISVS from seven health programs before and after a virtual IPE activity. The IPE activity was a case-study grounded in the Interprofessional Education Collaborative (IPEC) core competencies that addressed each of the student learners' professional roles. RESULTS: A total of 244 students and 122 students completed the ISVS-9A/9B, respectively. A significant increase in the average total ISVS-9A/9B scores was observed among all student learners for 85 matched pairs (5.27 ± 1.11 vs 5.56 ± 1.02, p=0.01). Participating students generally found the activity valuable to their learning. CONCLUSIONS: The virtual composition of the IPE activity reduced logistical barriers and allowed for collaboration and awareness among students. Virtual IPE activities may be the cornerstone for interdisciplinary student engagement.

Not Just Another Committee: How to Create a College-Specific Framework to Support Interprofessional Education.

Search "Educación Interprofesional" - Sáb, 09/12/2023 - 03:28
During the 2019-2020 academic year, the Southeast Missouri State University College of Education, Health, and Human Studies initiated a college-level Interprofessional Education (IPE) Committee to identify methods for collaboration, interprofessional research opportunities, and cross-disciplinary learning experiences. The IPE Committee determined that IPE was an installed component of the healthcare majors, without significant interactions between programs, and non-healthcare programs were omitted from formal IPE efforts. The exclusion of the non-healthcare academic majors from traditional healthcare initiatives limited faculty and student interactions, notably between the educator preparatory and healthcare programs. The IPE Committee determined the need to develop a college-specific framework that includes healthcare and non-healthcare academic programs. The IPE Committee additionally decided to combine the IPEC Core Competencies with the 4Cs of Future Ready Learning to create an inclusive framework. The IPE Committee created a college-specific competency map and disseminated the information through all college departments to further promote IPE collaboration across the college. The IPE Committee purposely created a sustainable structure to leverage existing interprofessional relationships and discover new opportunities for interprofessional collaboration. Colleges housing healthcare and non-healthcare programs can develop distinctive methods for incorporating IPE into their collaborative academic structure.

The transition of human resources for health information systems from the MDGs into the SDGs and the post-pandemic era: reviewing the evidence from 2000 to 2022.

BACKGROUND: This review paper offers a policy-tracing trend analysis of national experiences among low- and middle-income countries in strengthening human resources for health information systems (HRHIS). This paper draws on evidence from the last two decades and applies a modified Bardach's policy analysis framework. A timely review of the evidence on HRHIS and underlying data systems is needed now more than ever, given the halfway mark of the Global Strategy on Human Resources for Health: Workforce 2030 and the protracted COVID-19 pandemic and other global health emergencies, over and above the increasing need for health and care workers to provide essential health services. MAIN TEXT: Considering World Health Assembly resolutions and HRH-related global developments between 2000 and 2022, we targeted peer-reviewed and gray literature covering the inception, impact, bottlenecks, and gaps of HRHIS. We also considered results from a Bill and Melinda Gates Foundation-funded project that assessed HRH data systems in 21 countries and the use of HRH data and information for policy, planning, and management. Aligned with the National Health Workforce Accounts (NHWA), we identify priority themes related to digital priorities for HRHIS and governance/leadership and present case studies of five countries that pursued different pathways to successfully develop their HRHIS. Over the last two decades, considerable progress has been achieved through a scaled-up implementation of HRHIS combined with the skills needed to analyze and use data, sustain systems functionality, and make systematic improvements over time. Global health development aid investments and technical innovations have led to advancements in HRHIS, district health information software (DHIS2), and partner collaborations during the HIV/AIDS, Ebola, and COVID-19 crises. Although the progressive implementation of NHWA continues to steer country-level efforts through standardized indicators and regular reporting, traditional challenges remain, such as data systems fragmentation, lack of interoperability between systems, and underutilization of reported data. Encouragingly, some countries demonstrate strong governance and leadership capacities and others strong HRHIS digital capacities. Both HRH and health service data are needed to inform on-demand decisions during times of emergencies and pandemics as well as during routine essential health services delivery. Evidence-based examples from distinctive countries demonstrate that reliable HRHIS is achievable for better planning and management of the health and care workforce.
Categorías: Investigaciones

Strengthening human resources for health in the Caribbean: Report on HRH core indicators

The Caribbean has a serious need to improve the health information system, and in particular related to human resources for health. PAHO has been working with country focal points to report on the HRH indicators included in the WHO National Health Workforce Accounts (NHWA) platform. However, not all indicators in the NHWA are relevant to the Caribbean or can be reported due to limitations in data collection and available information. The HRH Action Task Force (now HRH Caribbean Commission), with support from PAHO identified a set of 30 core indicators and sub-indicators for the Caribbean, classified in three levels of importance and complexity. This publication systematizes the process and includes the chosen core indicators and sub-indicators.
Categorías: Investigaciones

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