scholarly journals Análisis de la actividad laboral de los profesionales sanitarios en formación de la Región de Murcia ante la pandemia por COVID-19

2020 ◽  
Vol 1 (1) ◽  
pp. 11-23
Author(s):  
Domingo Antonio Sánchez Martínez ◽  
Pablo Madrigal Laguía ◽  
Santiago Serrano Porta ◽  
José Ángel Guardiola Olmos ◽  
Marta Cañadilla Ferreira

El presente estudio pretende analizar, ante el estado de emergencia sanitaria española (BOE Orden SND/232/2020) decretado por la pandemia del nuevo coronavirus 2019-nCoV, la situación en la que se encuentran los profesionales en formación del Servicio Murciano de Salud (SMS). Para ello se ha realizado un estudio descriptivo llevado a cabo a través de la recogida de datos mediante formulario directo, canalizado a través de la red que conforma el Comité de Empresa, habiéndose obtenido respuesta por parte de al menos un residente de cada uno de los servicios que conforman el SMS y alcanzando un tamaño de muestra que permite la total representatividad del colectivo a estudio. Se trata de un estudio que destaca por la rapidez de reclutamiento de la muestra y la rapidez en su redacción, lo que sirve como una importante herramienta para condicionar futuras políticas y decisiones en el ámbito de los profesionales en formación. La falta de acceso a material de protección por más de la mitad de la población a estudio junto con dificultades para el acceso a información actualizada por parte de la administración, son algunos de los resultados obtenidos tras el análisis de las respuestas. En general, existe una mayoría de residentes que continúan con su labor asistencial, que mantienen el número de guardias mensuales, que piensa que recibe formación oficial adecuada y que se está realizando un plan de contingencia apropiado. The present study intends to analyze the situation of professionals in training in the Murcian Health Service (SMS) during the state of sanitary emergency in Spain (BOE Order SND/232/2020) due to the pandemic of the new coronavirus 2019-nCoV. To achieve this objective, a descriptive study has been carried out through the collection of data via direct form, channeled through the network that makes up the Comité de Empresa. A response from at least one resident of each of the services that make up the SMS has been obtained. This has allowed a sample size that represents a large amount of the group under study. This is a study that stands out for the rapid acquisition and analysis of the sample, which serves as an important tool to condition future policies and decisions in the field of professionals in training. The lack of access to protection material for more than half of the population under study, as well as difficulties in accessing updated information from the administration are some of the results obtained after analyzing the responses. Overall, there is a majority of residents that continue with their work assistance and which maintain the same number of 24-hour shifts. It is also a main opinion that there is an appropriate health training and contingency plan against COVID-19.

2021 ◽  
Vol 2 (2) ◽  
pp. 32-40
Author(s):  
Domingo A. Sánchez Martínez ◽  
Pablo Madrigal Laguía ◽  
José Angel Guardiola Olmos ◽  
Marta Cañadilla-Ferreira ◽  
Eduardo Sánchez Martínez ◽  
...  

En este estudio se pretende analizar, por medio de un estudio descriptivo, un análisis de las condiciones laborales del personal sanitario en formación del Servicio Murciano de Salud tras la implantación de las medidas acordadas entre el Comité de Empresa y el Servicio Murciano de Salud (SMS) durante el mes de noviembre de 2020. Para ello, se han recogido un total de 284 respuestas mediante formulario directo incluyendo de forma equitativa residentes de todos los años, especialidades y Áreas dentro del SMS. Una amplia mayoría del personal en formación es conocedor del acuerdo firmado por el que se mejoran sus condiciones laborales. Destaca entre los resultados que una importante mayoría no cuenta con un lugar de descanso adecuado durante las jornadas complementarias conocidas como guardias a pesar del acuerdo firmado, así como tampoco de descanso compensatorio de 36 horas semanales. Existen mejoras poco significativas en temas de investigación, asistencia a cursos y horas de formación autónoma. Conocer la realidad en la que viven los residentes tras la firma del acuerdo sirve de base para garantizar sus derechos, y que los servicios, responsables de docencia y unidades docentes, velen por su cumplimiento y con ello se eviten situaciones como las evidenciadas durante la crisis en la Formación Sanitaria Especializada en la Región de Murcia que condujo a la convocatoria de una huelga. The aim of this study is to analyse, by means of a descriptive study, an analysis of the working conditions of healthcare staff in training in the Murcian Health Service after the implementation of the measures agreed between the Works Committee and the Murcian Health Service (SMS) during the month of November 2020. To this end, a total of 284 responses were collected by means of a direct form including residents of all years, specialities and areas within the SMS. A large majority of trainees are aware of the agreement signed to improve their working conditions. Among the results, it is worth noting that a significant majority do not have an adequate place to rest during the complementary working days known as on call, despite the agreement signed, nor do they have 36 hours of compensatory rest per week. There are insignificant improvements in terms of research, attendance at courses and hours of autonomous training. Knowing the reality in which the residents live after the signing of the agreement serves as a basis for guaranteeing their rights, and for the services, those responsible for teaching and teaching units, to ensure compliance and thus avoid situations such as those seen during the crisis in Specialised Healthcare Training in the Region of Murcia which led to the call for a strike.


2015 ◽  
Vol 25 (11) ◽  
pp. 1085-1092 ◽  
Author(s):  
Michael R. J. Sury ◽  
Renuka Arumainathan ◽  
Alla M. Belhaj ◽  
James H. MacG Palmer ◽  
Tim M. Cook ◽  
...  

2018 ◽  
Vol 8 (2) ◽  
pp. 143 ◽  
Author(s):  
Sadrina Sadrina ◽  
Ramlee Mustapha ◽  
Muhammad Ichsan

Technical and Vocational Education is one of the various disciplines that believed could encourage the country’s economic growth. Project-Based Learning or PBL was introduced in the Malaysian polytechnics curriculum in terms to produce creative and innovative graduates Thus, Project-Based Learning was introduced because of the ineffectiveness of the traditional lecture method. This study was a kind of descriptive study intended to examine the perception of students and supervisors regarding the Project-Based Learning at one Polytechnic in Malaysia. A population of 170 would be represented by a sample size of 118 respondents and 43 supervisors to participate in the study. The result found that the significant aspect to be included in Project-Based Learning is effective supervising skills. However, from the data, some supervisors have no proficiency skills of Project-Based Learning. Based on the empirical data which derived from the present study, a new framework for Project-Based Learning is suggested for the polytechnics system.


2020 ◽  
Author(s):  
Santam Chakraborty ◽  
Indranil Mallick ◽  
Hung N Luu ◽  
Tapesh Bhattacharyya ◽  
Arunsingh Moses ◽  
...  

Abstract Introduction The current study was aimed at quantifying the disparity in geographic access to cancer clinical trials in India. Methods We collated data of cancer clinical trials from the clinical trial registry of India (CTRI) and data on state-wise cancer incidence from the Global Burden of Disease Study. The total sample size for each clinical trial was divided by the trial duration to get the sample size per year. This was then divided by the number of states in which accrual was planned to get the sample size per year per state (SSY). For interventional trials investigating a therapy, the SSY was divided by the number of incident cancers in the state to get the SSY per 1,000 incident cancer cases. The SSY data was then mapped to visualise the geographical disparity.Results We identified 181 ongoing studies, of whom 132 were interventional studies. There was a substantial inter-state disparity - with a median SSY of 1.55 per 1000 incident cancer cases (range 0.00 - 296.81 per 1,000 incident cases) for therapeutic interventional studies. Disparities were starker when cancer site-wise SSY was considered. Even in the state with the highest SSY, only 29.7 % of the newly diagnosed cancer cases have an available slot in a therapeutic cancer clinical trial. Disparities in access were also apparent between academic (range: 0.21 - 226.60) and industry-sponsored trials (range: 0.17 - 70.21).Conclusion There are significant geographic disparities in access to cancer clinical trials in India. Future investigations should evaluate the reasons and mitigation approaches for such disparities.


2018 ◽  
Vol 9 (2) ◽  
pp. 163
Author(s):  
Ana Bellón Rodríguez

Resumen: Entre los supervivientes en España del modelo de prensa de distribución gratuita figura la publi­cación especializada Diario Médico, que lleva 25 años divulgando temas médico-sanitarios entre profesionales del Sistema Nacional de Salud. Se acomete un estudio exploratorio-descriptivo para indagar en sus orígenes y situación actual, prestando atención a su labor en papel, a través del pro­ducto impreso, y en Red, a través de diariomedico.com. Se seleccionan como técnicas la entrevista con su subdirector y el análisis de sus productos. El formato mixto define a Diario Médico: mantiene su compromiso por ofrecer información en papel, a pesar de haber reducido la periodicidad de diaria a semanal; reconduce a sus lectores en papel a Orbyt, quiosco de prensa digital del grupo promotor, Unidad Editorial, donde ofrece diariamente unas siete páginas en pdf con información para suscriptores; y está en la Red, con una edición que se abre a la participación del usuario. El tono divulgativo de sus contenidos y su utilidad para la sociedad, unido al creciente interés del público no especializado por la medicina y salud llevan a este medio, a nuestro parecer, a tener un doble público objetivo: la sociedad en general y los profesionales del Sistema en particular.Palabras clave: Medicina; Salud; Medios; Diario; Especialización.Abstract: One of the survivors in Spain of the free distribution press is the specialized publication Diario Médi­co, which has been disseminating health issues among professionals of the National Health System for 25 years. We did an exploratory-descriptive study about its origins and current situation, paying attention to its labour in paper, through the printed product, and in Red, through diariomedico.com. The techniques are the interview with its deputy director and the analysis of its products. The mixed format defines Diario Médico: it maintains its commitment to offer information on paper, despite ha­ving reduced the periodicity from daily to weekly; leads its paper readers to Orbyt, the digital press kiosk of the promoter group, Unidad Editorial, where it offers seven pages a day in pdf format with information for subscribers, and on the Web, with an edition that opens to the participation of the user. The informative tone of its contents and its usefulness for society, together with the growing interest of the non-specialized public in medicine and health, lead to Diario Médico, in our opinion, to have a double objective public: society in general and professionals of the System in particular.Keywords: Medicine; Health; Media; Press; Specialization.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Catherine Hayes ◽  
Aurelia Ciblis ◽  
Catherine Darker ◽  
Nadine Dougall ◽  
Joanne Vance ◽  
...  

Abstract Background Tobacco use is the leading cause of preventable death in Ireland with almost 6000 smokers dying each year from smoking-related diseases. The ‘We Can Quit2’ (WCQ2) study is a pilot pragmatic two-arm, parallel-group, cluster randomised trial that aims to explore the feasibility and acceptability of trial processes including recruitment and to estimate parameters to inform sample size estimates needed for an effectiveness trial. This future trial will assess the effectiveness of a community-based smoking cessation intervention for women living in disadvantaged areas on short- and medium-term cessation rates. Methods/design Four matched pairs of districts (eight clusters) selected by area level of deprivation, geographical proximity, and eligibility for free medical services will be randomised to receive either WCQ (behavioural support + access to Nicotine Replacement Therapy (NRT)) delivered over 12 weeks by trained Community Facilitators (CFs) or to a form of usual care, a one-to-one smoking cessation service delivered by Smoking Cessation Officers from Ireland’s national health service, the Health Service Executive (HSE). Within each cluster, 24–25 women will be recruited (97 per arm; 194 in total) in 4 phases with consent obtained prior to cluster randomisation. The outcome measures will assess feasibility and acceptability of trial processes, including randomisation. Outcome data for a future definitive intervention (biochemically validated smoking abstinence) will be collected at end of programme (12 weeks) and at 6 months. WCQ2 has an embedded process evaluation using both qualitative and quantitative methods. This will be conducted (semi-structured client and CF interviews, intervention delivery checklist, and diary) to explore acceptability of trial processes, intervention fidelity, trial context, and implementation. Trial processes will be assessed against domains of the PRECIS-2 wheel to inform a future definitive trial design. Discussion Data from this pilot trial will inform the design and sample size for a full cluster randomised trial to determine the effectiveness of an intervention tailored to disadvantaged women in improving smoking cessation rates. It will provide transferable learning on the systems and implementation strategies needed to support effective design of future pragmatic community-based trials which address health promotion interventions for women in disadvantaged communities. Trial registration Concurrent to publication. Controlled trials ISRCTN74721694.


2012 ◽  
Vol 45 (4) ◽  
pp. 453-456 ◽  
Author(s):  
Carina Guilhon Sequeira ◽  
Bruna Pedroso Tamegão-Lopes ◽  
Eduardo José Melo dos Santos ◽  
Ana Maria Revoredo Ventura ◽  
Maria Isabel Moraes-Pinto ◽  
...  

INTRODUCTION: In Brazil, studies have shown that HTLV seroprevalence among pregnant women varies from 0 to 1.8%. However, this seroprevalence was unknown in the State of Pará, Brazil. The present study describes, for the first time, the HTLV seroprevalence among pregnant women from the State of Pará, Northern Brazil. METHODS: 13,382 pregnant women were submitted to HTLV screening during prenatal care, and those with non-seronegative results to anti-HTLV were submitted to Western blot (WB) test to confirm and separate HTLV-1 and HTLV-2 carriers. RESULTS: HTLV seroprevalence in the population of pregnant women was 0.3%, and HTLV-1 was identified in 95.3% of patients. The demographic profile of HTLV carriers was as follows: women with age between 20 and 40 years old (78.4%); residing in the metropolitan region of Belém, Pará (67.6%); and with educational level of high school (56.8%). Other variables related to infection were as follows: beginning of sexual intercourse between the age of 12 and 18 years old (64.9%) and have being breastfed for more than 6 months (51.4%). Most of the women studied had at least two previous pregnancies (35.1%) and no abortion (70.3%). Coinfections (syphilis and HIV) were found in 10.8% (4/37) of these pregnant women. CONCLUSIONS: Seroprevalence of HTLV infection in pregnant women assisted in basic health units from the State of Pará, Northern Brazil, was 0.3% similar to those described in other Brazilian studies. The variables related to infection were important indicators in identifying pregnant women with a higher tendency to HTLV seropositivity, being a strategy for disease control and prevention, avoiding vertical transmission.


1952 ◽  
Vol 10 (03) ◽  
pp. 235-253 ◽  
Author(s):  
A. G. Woodhead

A State Health Service is not as new an institution as is generally supposed. It existed in the ancient world in Greek lands, and, perhaps in imitation, in the Roman West. While, of course, it cannot be said that the National Health Service of twentieth-century Britain was inspired by the practice of antiquity (which, indeed, was probably unknown to those who created it), the modern scheme constitutes a return to a view of the State which obtained in ancient times. The beneficent activity of the Church and then of privately supported hospitals mitigated the results of the disappearance of the ancient Welfare State. The evidence, scanty as it is, for the Health Service among the Greeks throws light on their attitude towards the proper function of the State as well as on their great appreciation of the skill and activity of the medical profession.


2010 ◽  
Vol 18 (3) ◽  
pp. 421-428 ◽  
Author(s):  
Plínio Tadeu Istilli ◽  
Adriana Inocenti Miasso ◽  
Cláudia Maria Padovan ◽  
José Alexandre Crippa ◽  
Carlos Renato Tirapelli

This study examined the knowledge of nursing students in regard to using antidepressant medication and proposes actions such that nurses contribute to a safe and effective antidepressant therapy. This cross-sectional and descriptive study was conducted in a public nursing school in the state of São Paulo, Brazil, between March and November 2008. Fifty-two (19%) out of the 273 participants were using or had used antidepressants. Instruction concerning the use of antidepressants was provided by physicians. Even after receiving instruction concerning the antidepressant treatment before its administration, the majority of users (cII1=0.07, p> 0.05) still had doubts about its use. Fluoxetine was the most prevalent antidepressant. Actions to improve knowledge concerning the use of antidepressant medications, their side and therapeutic effects, seem to be necessary and relevant.


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