Revista Medica Clinica Las Condes最新文献_第2页

Percepciones sobre educación interprofesional en estudiantes y docentes de primer año en carreras de Ciencias de la Salud a través de Aprendizaje-Servicio en contexto de COVID-19: un análisis mixto 在 COVID-19 的背景下，健康科学本科课程一年级学生和教师通过服务学习对跨专业教育的看法：混合分析。

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.05.013

Nayadet Lucero-González MSc , Daniela Avello-Sáez MSc, PhD , Eduardo Fuentes-López PhD , Fernanda Calvo-Sánchez MSc , Alejandra Espinosa-Repenning MSc , Paz Jeldes-Díaz MSc , Javiera Fuentes-Cimma MSc , Ignacio Villagrán MSc , Arnoldo Riquelme-Pérez MD, MSc

{"title":"Percepciones sobre educación interprofesional en estudiantes y docentes de primer año en carreras de Ciencias de la Salud a través de Aprendizaje-Servicio en contexto de COVID-19: un análisis mixto","authors":"Nayadet Lucero-González MSc , Daniela Avello-Sáez MSc, PhD , Eduardo Fuentes-López PhD , Fernanda Calvo-Sánchez MSc , Alejandra Espinosa-Repenning MSc , Paz Jeldes-Díaz MSc , Javiera Fuentes-Cimma MSc , Ignacio Villagrán MSc , Arnoldo Riquelme-Pérez MD, MSc","doi":"10.1016/j.rmclc.2024.05.013","DOIUrl":"10.1016/j.rmclc.2024.05.013","url":null,"abstract":"<div><h3>Introduction</h3><div>Interprofessional education (IPE) is crucial for the training of future health professionals, promoting collaboration and teamwork between disciplines. This study analyzes the perceptions about IPE of students and teachers in first year health sciences courses, using a Service Learning (S-L) methodology, which was conducted online during the COVID-19 pandemic.</div></div><div><h3>Methodology</h3><div>A sequential mixed-method approach was implemented involving 88 students and 12 faculty members from Occupational Therapy, Physiotherapy, Nutrition and Dietetics, and Speech Therapy.</div></div><div><h3>Results</h3><div>The findings revealed significant differences in the disposition towards interprofessional learning and interprofessional education after the intervention, especially in Nutrition and Dietetics students. Furthermore, the qualitative analysis highlighted the favorable perception of students and teachers towards IPE in virtual mode. Key skills such as interaction, communication, commitment, respect, and empathy were highlighted. The triangulation of qualitative and quantitative data showed convergence in “teamwork” and “patient-centeredness”.</div></div><div><h3>Conclusion</h3><div>This study supports the importance of IPE in the undergraduate training of health professionals, even in virtual environments like the present. Students demonstrated an excellent disposition and patient-centered approach. These findings underscore the need to continue developing undergraduate IPE programs, equipping students with skills and competencies for their future professional careers.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 400-411"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

La toma de decisiones durante las prácticas clínicas: análisis desde la neuroeducación 临床实践中的决策制定：神经教育分析

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.09.003

Janet Altamirano-Droguett PhD , Jessica Goset-Poblete PhD , Natalia Campillay-Arancibia , Melanie Castro-Escobar , Alexandra Letelier-Zárate , Bárbara Robledo-González

{"title":"La toma de decisiones durante las prácticas clínicas: análisis desde la neuroeducación","authors":"Janet Altamirano-Droguett PhD , Jessica Goset-Poblete PhD , Natalia Campillay-Arancibia , Melanie Castro-Escobar , Alexandra Letelier-Zárate , Bárbara Robledo-González","doi":"10.1016/j.rmclc.2024.09.003","DOIUrl":"10.1016/j.rmclc.2024.09.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Decision-making during clinical practices involves a series of interrelated mental processes such as working memory, inhibitory control, cognitive flexibility and emotional regulation, which influence the teaching and learning process.</div></div><div><h3>Objective</h3><div>To analyze the decision-making process in Obstetrics and Childcare students of the Universidad de Antofagasta, Chile during clinical practices in teaching-assistance fields from the neuroeducation.</div></div><div><h3>Method</h3><div>An exploratory qualitative research was carried out through semi-structured interviews with 16 female students. The narratives were analyzed through grounded theory.</div></div><div><h3>Results</h3><div>The experiences and knowledge gained allowed the consolidation of the memory and supported correct decisions in front of the patients. Adaptation to new situations, adverse events and critical incidents was conditioned by the teacher's supervision, as well as sustained attention during decision making in real environments. Negative emotions predominated from the beginning and at the end of all decision-making processes.</div></div><div><h3>Conclusion</h3><div>Since decision-making is a complex process that involves a synergy between working memory, cognitive flexibility, inhibitory control and emotional regulation, independent of temporality, it is therefore advisable to promote teaching based on neuroeducation, because it allows the teacher to understand the mental processes of students, to favor a harmonic educational climate and to strengthen pedagogical skills.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 445-451"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integridad académica desde la perspectiva de los estudiantes de primer año de carreras de Ciencias de la Salud de una universidad chilena 从智利一所大学健康科学学位一年级学生的角度看学术诚信问题

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.10.006

María Isabel Ríos-Teillier MEd , Beatriz Parada-Romero MA , Paula Ligeti-Stuardo MEd , Rubén Munizaga-Ramírez MPH

{"title":"Integridad académica desde la perspectiva de los estudiantes de primer año de carreras de Ciencias de la Salud de una universidad chilena","authors":"María Isabel Ríos-Teillier MEd , Beatriz Parada-Romero MA , Paula Ligeti-Stuardo MEd , Rubén Munizaga-Ramírez MPH","doi":"10.1016/j.rmclc.2024.10.006","DOIUrl":"10.1016/j.rmclc.2024.10.006","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to examine perceptions of academic integrity among first-year health career students at a Chilean university.</div></div><div><h3>Method</h3><div>A qualitative analysis was conducted using discussion forums with students from Medicine, Nursing, Kinesiology, and Nutrition and Dietetics.</div></div><div><h3>Results</h3><div>Four main categories were identified: concept of academic integrity, motives for the loss of integrity, good practices, and relationship with the graduate profile. The results reveal an understanding of academic integrity that is grounded in values such as honesty and respect. The reasons for the loss of integrity include academic and social pressures, along with concerns about well-being and mental health.</div><div>Good practices were identified at personal as well as academic and social levels, emphasizing the importance of the construction of the “being”, setting boundaries, and promoting participation in positive social groups. The relationship between academic integrity and graduate profiles is underscored in its relevance to professional training and the construction of an institutional ethical identity.</div><div>Overall, these findings highlight the need to promote strategies that cultivate a university culture committed to academic integrity.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 512-519"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Atención de urgencia por ideación suicida en Chile, periodo 2020 al 2022 2020 年至 2022 年期间智利对有自杀倾向者的紧急护理

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.08.006

Patricia Moya MSc , Carol Toro MSc , Carolina Vidal MSc , Sofía Sierra MSc

{"title":"Atención de urgencia por ideación suicida en Chile, periodo 2020 al 2022","authors":"Patricia Moya MSc , Carol Toro MSc , Carolina Vidal MSc , Sofía Sierra MSc","doi":"10.1016/j.rmclc.2024.08.006","DOIUrl":"10.1016/j.rmclc.2024.08.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicidal ideation is a common risk factor associated with suicide and an important indicator for its prevention. The objective of this study is to describe the rate of emergency care for suicidal ideation in the population served in the Chilean public health network during the years 2020 to 2022.</div></div><div><h3>Methods</h3><div>Descriptive study, based on records from the Department of Statistics and Health Information, of beneficiaries with emergency care for suicidal ideation. The rate of emergency care for suicidal ideation was estimated at the country and geographic region level, as well as with regards to the proportion of care by age group, type of health facility and month of occurrence. Pearson's Chi2 test was applied in STATA version 14.</div></div><div><h3>Results</h3><div>There were 15,325 emergency visits for suicidal ideation in the period studied. In 2020, the rate was 0.03×10,000 and 5.8×10,000 in 2022, higher in the central zone. Care predominated in the 15 to 64 year-old group and in hospital settings (p<0.001).</div></div><div><h3>Conclusions</h3><div>An increase in the rate of emergency care for suicidal ideation is observed, with differences by age group and type of health facility. However, given the limited study time, these figures should be analyzed with caution.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 520-527"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Explorando la alfabetización en feedback en la formación de profesionales de la salud: un estudio cualitativo 探索卫生专业人员培训中的反馈素养：一项定性研究

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.10.004

Javiera Fuentes-Cimma MSc , Francisca Rammsy , Alanis Molina-Obreque , Valentina Murga-Alfaro , Catalina Neira-Silva , Daniela Olivares-Maturana , Ignacio Villagrán MSc

{"title":"Explorando la alfabetización en feedback en la formación de profesionales de la salud: un estudio cualitativo","authors":"Javiera Fuentes-Cimma MSc , Francisca Rammsy , Alanis Molina-Obreque , Valentina Murga-Alfaro , Catalina Neira-Silva , Daniela Olivares-Maturana , Ignacio Villagrán MSc","doi":"10.1016/j.rmclc.2024.10.004","DOIUrl":"10.1016/j.rmclc.2024.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Feedback is recognized as a process in which students make sense of information from various sources and use it to improve performance. Several studies have shown dissatisfaction from students about this process, which could mean there is no conceptual consensus about this process.</div><div>Feedback literacy refers to the understanding and capacities to make sense of the information received and use it to improve performance, which is considered essential for an effective feedback process. Despite its importance, the implications that student feedback literacy has in teaching and course design have not been sufficiently taken into account, and uncertainty persists about engaging them effectively, especially in clinical settings.</div></div><div><h3>Methodology</h3><div>Cross-sectional study with a pragmatic approach and qualitative methods. First and fourth-year students from health-related careers at the Pontificia Universidad Católica de Chile were invited to participate. Six focus groups were organized, and thematic analysis was used.</div></div><div><h3>Results</h3><div>Three themes guided the findings. Differences exist between first- and fourth-year students regarding their capacity to recognize feedback instances and how they make sense of their experiences with this educational strategy. Students perceive feedback as a one-way process. Higher-level students recognize more instances of feedback.</div></div><div><h3>Conclusions</h3><div>Understanding students’ feedback literacy will enable future educational interventions on feedback processes in Health Sciences.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 484-490"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Aportes de la neuroeducación a la simulación clínica 神经教育对临床模拟的贡献

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.10.001

Jessica Goset-Poblete

引用次数: 0

La meditación como estrategia de intervención para disminuir el impacto del burnout en las funciones cognitivas de los estudiantes de Medicina: una revisión exploratoria 冥想作为减少职业倦怠对医学生认知功能影响的干预策略：探索性综述。

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.10.002

María José Olivares , Ricardo Ramírez-Barrantes MSc, PhD

{"title":"La meditación como estrategia de intervención para disminuir el impacto del burnout en las funciones cognitivas de los estudiantes de Medicina: una revisión exploratoria","authors":"María José Olivares , Ricardo Ramírez-Barrantes MSc, PhD","doi":"10.1016/j.rmclc.2024.10.002","DOIUrl":"10.1016/j.rmclc.2024.10.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The prevalence of burnout in the early years of medical training is a cause for concern and can negatively impact the learning and academic development of students. Meditation has been shown to be a set of techniques with the potential to reduce stress levels, improve attention and memory, and promote psychological well-being.</div></div><div><h3>Objective</h3><div>This study aims to analyze the current state of literature regarding the impact of meditation-based interventions on cognitive functions in medical students affected by burnout.</div></div><div><h3>Method</h3><div>A scoping review was conducted following PRISMA guidelines, examining studies found in PubMed and Scopus, which resulted in a total of 41 records.</div></div><div><h3>Results</h3><div>The studies indicate that burnout levels are established early in medical training. Although the literature reports impairments in cognitive functions such as attention, working memory, and executive functions, there is limited evidence regarding the impact on medical training itself.</div></div><div><h3>Conclusion</h3><div>Meditation shows promise in controlling both burnout and cognitive functions; however, a greater number of studies and a systematic review of the evidence are needed to obtain conclusive results for medical students.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 459-472"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiencia de acompañamiento biopsicosocial al recién nacido hospitalizado y su familia antes y durante la pandemia por COVID-19 在 COVID-19 大流行之前和期间对住院新生儿及其家人进行生物心理社会陪伴的经验

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.08.003

Francisca Velozo-Ramírez MSc , Macarena Hernández-Fuentes MSc , Verónica Valdivia-Berdechefic , Marcia Olhaberry-Huber PhD , Mónica Morgues-Nudman MD, MSc

引用次数: 0

Predictores del éxito académico en estudiantes de pregrado de la carrera de Nutrición y Dietética de la Pontificia Universidad Católica de Chile 智利天主教主教大学营养与饮食学系本科生学业成功的预测因素

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.09.002

Paulina Pettinelli MSc, PhD , Rodrigo Fernández-Verdejo MSc, PhD , Carolina Fredes MSc, PhD , Alejandra Parada MSc, PhD , Carolina Aguirre PhD

{"title":"Predictores del éxito académico en estudiantes de pregrado de la carrera de Nutrición y Dietética de la Pontificia Universidad Católica de Chile","authors":"Paulina Pettinelli MSc, PhD , Rodrigo Fernández-Verdejo MSc, PhD , Carolina Fredes MSc, PhD , Alejandra Parada MSc, PhD , Carolina Aguirre PhD","doi":"10.1016/j.rmclc.2024.09.002","DOIUrl":"10.1016/j.rmclc.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Identifying the factors that determine academic success can help design strategies focused on increasing academic success. We aimed to identify predictors associated with academic success in undergraduate students of the Nutrition and Dietetics Program of the Pontificia Universidad Católica de Chile (PUC).</div></div><div><h3>Methods</h3><div>Retrospective study using the institutional database. Academic success was the main outcome, including two indexes: i) final grade point average (GPA-f) and; ii) timely graduation, defined as graduating in ≤10 semesters. Candidate predictors were: age, sex, region of origin, school attended, score at the university selection test (PSU-score), admission route, and preference for the program. Stepwise linear regression was used to identify predictors of GPA-f. Binary logistic regression was used to identify variables associated with timely graduation.</div></div><div><h3>Results</h3><div>PSU-score was the only predictor of GPA, explaining 24% of its variance. The odds (OR [95%CI]) for a timely graduation were influenced by PSU-score (1.017 [1.003–1.031]) and admission route (PSU 1.00 [Reference], Inclusive 0.30 [0.10–0.96], Special 0.46 [0.13–1.57]).</div></div><div><h3>Conclusions and implications</h3><div>PSU-score partially predicts the academic success of Nutrition and Dietetics students. In addition, students who accessed the program by the equity admission had lower odds of a timely graduation. As educational inequalities may affect academic success, the teaching and learning process needs to be addressed with specific strategies for these students to ensure academic success.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 421-428"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tormenta tiroidea desencadenante de paro cardiorrespiratorio: reporte de caso 甲状腺风暴引发心肺骤停：病例报告

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Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.09.005

Eduardo Segovia-Vergara, Bárbara Reuse-Berner, Erick Rivera-Soto, Gabriela Ruiz-Cárcamo

{"title":"Tormenta tiroidea desencadenante de paro cardiorrespiratorio: reporte de caso","authors":"Eduardo Segovia-Vergara, Bárbara Reuse-Berner, Erick Rivera-Soto, Gabriela Ruiz-Cárcamo","doi":"10.1016/j.rmclc.2024.09.005","DOIUrl":"10.1016/j.rmclc.2024.09.005","url":null,"abstract":"<div><h3>Introduction</h3><div>A thyroid storm is a rare but highly lethal disease. It is characterized by exaggerated symptoms of hyperthyroidism, and it can lead to multiorgan failure and cardiopulmonary arrest.</div></div><div><h3>Case Report</h3><div>A 35-year-old man with no prior medical history presented with a two-week history of palpitations and epigastric pain, which abruptly worsened over 24hours, accompanied by nausea and diaphoresis. During transportation to the emergency department, he experienced cardiopulmonary arrest and multiorgan failure during his hospitalization. Family reported recent hyperthyroid symptoms led to the consideration of a thyroid storm diagnosis. Thyroid function tests revealed a free T4 level greater than 7.7 ng/dl and a TSH level less than 0.005μIU/ml. The patient was treated with thiamazole, hydrocortisone, and propranolol, showing favorable progression.</div></div><div><h3>Discussion and Conclusion</h3><div>Opportune diagnosis of a thyroid storm is crucial, as early management and detection reduce complications and mortality. Once suspected, resuscitation measures and pharmacological treatment should be initiated to mitigate the effects of thyroid hormones.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 543-547"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0