Innovación e investigación sobre el currículum de Enfermería Comunitaria: revisión de la literatura

A literature review has been carried out in the period of 1983-2014. The aim has been to know the curricular development of the Community Nursing subject in the university degree of Nursing in the Spanish context. The search was conducted in nine databases of Nursing, Education, Health Sciences and other Social Sciences, in addition to TESEO. The selection criteria for documents were: the type of document, the nationality and the date of publication. 43 documents were analyzed, 24 of which were innovation experiences and 19 curricular investigations. The most frequent topic in the publications was the practical-clinical training of the students in the field of Primary Care. The most studied curricular elements were the evaluation and the methodology. The students were the most studied population in a research with clear quantitative perspective, in which the survey stands out as the main data collection technique.The scientific-curricular development has been greatly reduced. Very few publications have been located and curricular research has been limited, diverse in thematic areas and curricular elements, and homogeneous in methodological approaches.     

Evaluación de competencias en residentes de pediatría en el primer nivel de atención mediante la utilización del Mini-CEX

BackgroundA residency is a professional training system based on supervised clinical practice. The Mini Clinical Evaluation Exercise (Mini-CEX) is a method of assessment through direct observation that enables the design of strategies to improve professional performance.The purpose of this study is to analyze the results of implementing the Mini-CEX to assess pediatric residents during their rotation at the first level of care while exploring differences according to the training site to which they belong.MethodsWe conducted an analytical cross-sectional study that included 2nd-year pediatric residents on rotation at the first level of care in pediatric and general hospitals. Each resident underwent two Mini-CEX encounters for the assessment of 8 domains: history taking, communication skills with patients and with caregivers, physical examination, clinical judgment, clinical management, professionalism, and organization.ResultsThirty-four residents participated in the study. The total overall rating of residents from pediatric hospitals and general hospitals was 4.20 (4.07-4.34) and 4.14 (3.94-4.34), respectively. We found no statistically significant differences in the areas assessed according to the residents’ training site.ConclusionThe Mini-CEX as an assessment tool within the first level of care allowed the detection of strengths and weaknesses in residents’ training. Implementation was affected by limitations inherent to this setting. Standardization of assessors was a key element for criteria unification.     

Estrategia colaborativa para la integración de competencias en la formación de grado en enfermería

Objective

Analyse academic results and explore satisfaction of students and professors from the experience of integration of two subjects in second year of Degree in Nursing.

Integrando el aprendizaje activo de la Microbiología en el Grado de Medicina: evolución de la implicación de los estudiantes

Objective

The aim of this article is the improvement in the quality of the teaching in General Microbiology in the Medical Degree by updating the teaching practices. These practices included inquiry-based learning (IBL) in which students are actively engaged in the learning process for improving the skills to be acquired as part of their integrated training.

Asociación entre la calidad de 3 tipos de rotación clínica y el enganche académico de estudiantes de Medicina

IntroductionThe association between academic quality of clinical rotations and academic engagement of medical students is not well known. This work aims to study this association in three clinical rotations (hospital, simulation, and during the pediatrics course in the context of the Covid-19 pandemic.Material and methodsCross-sectional correlation study with medical students who completed pediatric clinical rotation. Academic quality and engagement were assessed using the ROTA-Q and UWES-S 17 questionnaires, respectively. The means and standard deviations of each variable were computed, and the correlations were evaluated using the Pearson test (significant if p < 0.05).Results44 students participated. The average of the ROTA-Q scale was 4.39 ± 0.62 [1–5] and that of the UWES-S 17 scale was 4.28 ± 0.90 [1.76–6]. The Pearson coefficient between the quality of the rotations and the students’ academic engagement was 0.319 (p < 0.05). The association with academic engagement was highest in the tele-education rotation, followed by the simulation rotation, and finally, by the hospital rotation.ConclusionsThe academic quality of the pediatric rotation is positively related to students’ engagement in academic activities. The perception of academic quality, engagement levels, and the association between these variables were highest in the tele-education rotation. Actions are necessary for the continuous improvement of quality and the promotion of training mediated by tele-education and simulation.     

Relación entre la autopercepción y autoeficacia para el desarrollo de competencias en soporte vital en entornos de simulación clínica de alta fidelidad

Objective

To determine if there is a correlation between self-perception and self- efficacy in the development of learning abilities associated with the care of the critically ill patient in a Clinical Environment of High Fidelity Simulation, as part of the training for nursing students in the field of Life Support.

Validación de la versión en español de un instrumento de evaluación de la comunicación centrada en el paciente en OSCE

ObjectiveThe aim of this study was to validate the Spanish version of the Communication Assessment Tool (CAT) to be used in an Objective Structured Clinical Evaluation (OSCE) to assess communication skills.MethodsData were collected from standardized patients evaluating 125 recent medical school graduates during a 12-station OSCE. A total of 1,500 completed CAT instruments were analyzed. Exploratory and confirmatory factorial analysis were performed and tested the internal consistency of the tool.ResultsWe found a single factor solution in the Spanish version of the instrument, similar to that described by the original author. Cronbach's alpha was high, ranging from 0.93 to 0.97. The overall mean percentage of ‘excellent’ ratings for the recent graduates was 38.07%.ConclusionsThe Spanish version of CAT is a feasible tool to be used in OSCE by standardized patients to assess communication skills in a standardized manner.     

Implantación de una actividad de formación médica continuada y evaluación de su calidad en los Servicios de Urgencias de Atención Primaria (SUAP) de Cantabria

Objective

An evaluation was performed on the introduction of a training activity for professionals of the Primary Care Emergency Services (SUAP) in order to equip them with the necessary tools for the on-site resolution of urgent processes, and with the resources available in each centre.

Aceptación de actividades de fomento de la investigación en estudiantes de Grado en Medicina

AimTo present activities for the initiation of research in the medical degree.MethodResearch skills have been included as a compulsory subject with methodological contents (theoretical and practical) and seminars related to scientific discoveries, as well as in three optional subjects in which students perform a scientific project supervised by a tutor.ResultsThe grades of the tasks of the compulsory subject are high (3.7 ± 0.07 out of 4 points), and 43.8% of the enrolled students completed the three optional subjects. Satisfaction with the activities was high (3.46 and 3.9 out of 5 points), which suggests that they contribute to acquiring scientific skills in medical education, and that the work of the tutors is important (4.4 out of 5 points).ConclusionExposure to research tasks in the medical degree is well accepted by the students.     

Disección animal y digitalización,alternativa para la enseñanza de anatomía cuando la disección de cadáveres no es posible

IntroductionCadaveric dissections are common training strategies to teach anatomy, which require an infrastructure that is not always available in all educational centers. Information and communication technologies (ICT) offer alternatives though they do limit student‘s real manipulation. The present study analyzes a training strategy, based on the dissection of animal viscerae and the digitalization of images in the subject of human anatomy.Material and methodsA quasi-experimental design, where the impact of the strategy is verified in a sample of 211 first-year nursing students, selected through an intentional non-probabilistic sampling.ResultsAcademic results were superior after the workshop compared to just the masterclass (4.31 vs. 5.70; P<0.0001). Satisfaction was higher in all aspects evaluated (organization, perception of knowledge acquired, type of activity and university teaching staff).ConclusionThe use of ICT coupled with the dissection of anatomical parts of animal origin is a strategy with a positive academic impact and has proven to be largely successful, and can therefore be considered as an alternative to cadaveric dissections.     

Interacción multidisciplinaria programada: una estrategia de actualización en medicina de posgrado

Introduction

A multidisciplinary interaction strategy in postgraduate medicine is presented, which has as its aim the academic update and the carrying out of research activities related to paediatric lipidology.

A propósito del principio de visualización en la enseñanza clínica

On the basis of the most relevant aspects of the origin and development of the visualization principle in general teaching, a foundation was made on the validity of the heuristic clinical visualization principle.