<p> The problem addressed in this study was the need for evidence-based teaching strategies that prepare nursing students to enter practice at graduation with the competencies to provide safe patient care. The purpose of the study was to investigate whether the addition of a patient safety focused human patient simulation (PS-HPS) learning activity during the final senior semester of a nursing program in southeast Michigan changes students&rsquo; perceptions of patient safety competence learning. For the pre-test post-test quasi-experimental study, a convenience sample of 48 undergraduate senior nursing students who engaged in the simulation was compared to 50 senior nursing students from the previous semester that did not receive the intervention. The Health Professional Education in Patient Safety Survey (H-PEPSS) was administered to both groups of nursing students during the second week of the final semester of a baccalaureate nursing program and again at the end of the semester. For the first research question, the ANCOVA test determined that there was no significant difference in post-test classroom learning scores between the comparison and treatment groups, controlling for pre-test classroom learning H-PEPSS scores, F (1, 95) = .000, p = .983, partial eta squared = .000. For the second research question, the ANCOVA test determined that there was no significant difference in post-test clinical learning H-PEPSS scores between the comparison and treatment groups, controlling for pre-test clinical learning scores, F (1, 95) = .496, p = .483, partial eta squared = .005. Implications for nursing education practice include: (a) simulation learning may not be more effective than traditional classroom learning strategies and (b) educators should continue to explore both classroom and clinical teaching strategies to advance students&rsquo; patient safety competence learning. One recommendation is to replicate the study with other nursing students from different locations. Secondly, the simulation scenario presented in this study could be modified by other instructors to effectively facilitate students&rsquo; patient safety learning. Additionally, a mixed methods research design may yield student responses that better reflects student learning within simulation. The proposed study adds to the nursing educational research about the effectiveness of simulation for students&rsquo; patient safety competence learning.</p>

A partir de um estudo de caso desenvolvido numa Secretaria Municipal de Saúde, mediante utilização de técnicas de compilação documental, observação do cotidiano e entrevistas, são descritos e analisados os conteúdos e formas da avaliação formal e informal, empregando-se uma abordagem que considera aspectos históricos, politicos, administrativos e sócio-culturais da instituição. Tal tipo de abordagem permitiu a identificação dos problemas enfrentados pelo sistema de avaliação formal e dos fatores que interferem na avaliação informal, apontando as possibilidades e conveniências da articulação entre ambas. / From a case study developed in a municipal secretary of health, through the use of document compilation technics, daily work observation and interviews, contents and forms of formal and informal evaluation are described and analysed by employing an approach which takes into consideration historical, political, administrative and social-cultural aspects of the institution. Such type of approach has enabled the identification of the problema faced by the formal system of evaluation and of the factors which interfere with the informal evaluation, pointing out to the possibilities and conveniences of the connection between them.

A partir de um estudo de caso desenvolvido numa Secretaria Municipal de Saúde, mediante utilização de técnicas de compilação documental, observação do cotidiano e entrevistas, são descritos e analisados os conteúdos e formas da avaliação formal e informal, empregando-se uma abordagem que considera aspectos históricos, politicos, administrativos e sócio-culturais da instituição. Tal tipo de abordagem permitiu a identificação dos problemas enfrentados pelo sistema de avaliação formal e dos fatores que interferem na avaliação informal, apontando as possibilidades e conveniências da articulação entre ambas. / From a case study developed in a municipal secretary of health, through the use of document compilation technics, daily work observation and interviews, contents and forms of formal and informal evaluation are described and analysed by employing an approach which takes into consideration historical, political, administrative and social-cultural aspects of the institution. Such type of approach has enabled the identification of the problema faced by the formal system of evaluation and of the factors which interfere with the informal evaluation, pointing out to the possibilities and conveniences of the connection between them.

Technology plays an increasingly important role in modern health care. This thesis presents an approach to usability evaluation of mobile information and communications technologies designed for diabetes patients&rsquo / use in their daily lives. According to our study conducted on 60 diabetes patients, several important findings were obtained. Fifty nine (98.3%) diabetes patients were highly satisfied with the mobile health technology and expressed that they would use it, and found the measured values reliable. For 57 (95%) diabetes patients / measuring, checking and accessing the blood glucose level easily anytime and anywhere were very important. Fifty six (93.3%) said that they would wish to send their blood glucose levels to their physicians via e-mail. When participants were asked to provide a decision on future health care, predominate number of participants said they would change their lifestyle rather than visit a doctor regardless of their blood glucose level. In conclusion, little is known about such effects of mobile information and communications technologies in self-management care situations. It is clear that usability studies in the field are more difficult to conduct than laboratory evaluations. Further studies with larger sample sizes are needed to further evaluate these initial findings.

No description available.

O presente estudo teve natureza exploratÃria, descritiva, com abordagem quali-quantitativa, no qual buscou avaliar as necessidades identificadas pelos cirurgiÃes-dentistas da atenÃÃo bÃsica para o cumprimento dos indicadores em saÃde bucal do Programa de Melhoria do Acesso e da Qualidade (PMAQ) â AtenÃÃo BÃsica (AB) no municÃpio de Fortaleza, CearÃ. Foi utilizado um questionÃrio contendo 37 perguntas, sendo 23 questÃes fechadas e 14 questÃes semiestruturadas. Os resultados obtidos foram derivados dos questionÃrios aplicados aos 137 (cento e trinta e sete) CirurgiÃes-Dentistas (CD) da AtenÃÃo BÃsica (AB) do municÃpio de Fortaleza encontrados nas 06 (seis) regionais de saÃde durante os encontros de educaÃÃo permanente promovidos pela gestÃo municipal. Esse quantitativo de CD correspondeu a 70,25% de um universo de 195 (cento e noventa e cinco) CD cadastrados nas Equipes de SaÃde Bucal (ESB) atà outubro de 2013. A desmotivaÃÃo, a descontinuidade no fornecimento de insumos odontolÃgicos e a inseguranÃa do profissional no manejo clÃnico relacionado à prÃtese dentÃria, ao atendimento das urgÃncias odontolÃgicas e para o diagnÃstico de alteraÃÃo da mucosa oral dos usuÃrios, foram os principais problemas identificados que interferem para o cumprimento da maioria destes indicadores. Diante das constataÃÃes supracitadas, observou-se necessidade de investimentos no processo de educaÃÃo permanente, na participaÃÃo dos profissionais nos processos de planejamento e organizaÃÃo dos serviÃos, nas melhorias nas condiÃÃes de trabalho, regularidade nas entregas dos insumos odontolÃgicos, aquisiÃÃo de instrumentais e melhorias nas relaÃÃes de trabalho, sobretudo na humanizaÃÃo, promovendo a valorizaÃÃo e o reconhecimento do profissional nele inserido, para que se possa gerar a maior satisfaÃÃo dos mesmos. / This study had an exploratory and descriptive nature, with qualitative and quantitative approach, which sought to assess the needs identified by dentists of primary care to the fulfillment of indicators in oral health from the Program of Improvement of Access and Quality â Basic Atention of Fortaleza City, Cearà State. It was used a questionnaire containing 37 queries, with 23 closed questions and 14 semi-structured questions. The results were derived from questionnaires administered to 137 (one hundred and thirty seven) dentists from the Primary Care in Fortaleza, found in six (06) Health Regions during meetings of permanent education sponsored by municipal management. This quantitative of dentists corresponded to 70,25% of a population of 195 (one hundred and ninety-five) dentists registered in Oral Health Teams until October, 2013. The lack of motivation, the discontinuity in providing dentistry supplies, the insecurity in the clinical management of the professional related to dental prothesis, dental urgencies and diagnosis of oral mucosal changes of users were the main problems identified which interfere at the fulfillment of most of these indicators. Given the above findings, it was observed the need to invest in permanent education process, involvement of professionals in the process of planning and organization of the services, improvements in working conditions, regular deliveries of dentistry supplies, acquisition of instrumental and improvements in relations work, especially in humanization, promoting the appreciation and recognition of professional inserted therein, so that we can generate their greatest satisfaction.

The countries within the Caribbean region are pursuing the development of national integrated health information systems (iHIS). The model of the Belize Health Information System (BHIS) is referenced as the implementation guide. There are no established standards to facilitate independent evaluation of these types of systems. This study utilizes existing knowledge to determine the common approaches for evaluating health information systems (HIS) and applies these findings to formulate an evaluation approach for these regional systems. This approach is intended to strengthen the regional capacity for evaluating national iHISs by examining the contextual factors and providing an evaluation tool, CHEATS+, for systems lifecycle evaluation.

Thesis (M.A. (Population and Reproductive Health Research))--Mahidol University, 2008. / LICL has E-Thesis 0043 ; please contact computer services.

Thesis (M.P.H.)--University of Michigan, 1945.

Thesis (M.P.H.)--University of Michigan, 1945.