Revista Medica Clinica Las Condes最新文献_第7页

La competencia de comunicación terapéutica en estudiantes de práctica profesional de Terapia Ocupacional: percepciones y opiniones desde los docentes 职业治疗学生的治疗沟通能力：教师的看法和意见。

IF 0.2

Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.10.003

Natalia Castillo-Núñez MSc , Vilma Mejía-Díaz MSc, MPH, PhD , Joaquín Varas-Reyes MSc , Daniela Avello MSc, PhD

{"title":"La competencia de comunicación terapéutica en estudiantes de práctica profesional de Terapia Ocupacional: percepciones y opiniones desde los docentes","authors":"Natalia Castillo-Núñez MSc , Vilma Mejía-Díaz MSc, MPH, PhD , Joaquín Varas-Reyes MSc , Daniela Avello MSc, PhD","doi":"10.1016/j.rmclc.2024.10.003","DOIUrl":"10.1016/j.rmclc.2024.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Communication is key in Occupational Therapy and its effectiveness affects up to 20% of therapeutic results. It must be developed throughout the occupational therapists training and professional career, with internships being a critical period for the acquisition of these skills. This study explores opinions and perceptions about the importance and performance of communication competencies in Occupational Therapy students during their professional internships.</div></div><div><h3>Methodology</h3><div>Mixed sequential explanatory cross-sectional design, with a descriptive scope, in which 32 teachers participated through an online survey and individual interviews.</div></div><div><h3>Results</h3><div>The most relevant elements in relation to communication competence are: agreement on plans and problems, information, patient perspective and empathy. In addition, teachers found that the performance of communication competence in students improves at the end of professional internship.</div></div><div><h3>Discussions</h3><div>Communication competence is important, but there are differences in its assessment. Personal, curricular factors and teaching skills can influence performance. It is suggested to incorporate it into the curriculum from the beginning of training.</div></div><div><h3>Conclusions</h3><div>Communication competence is essential for occupational therapists, especially during their professional internships. Its continuous development should be encouraged so that students acquire clear and effective communication skills that promote therapeutic success.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 473-483"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651175","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

Impacto de las metodologías activas en las estrategias de aprendizaje de estudiantes del área de la salud de primer año en la Universidad Finis Terrae 主动学习法对 Finis Terrae 大学一年级健康专业学生学习策略的影响。

IF 0.2

Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.02.004

Carolina Williams MSc, PhD , Olga María López-Entrambasaguas PhD , Ester Cayul PhD , Jessica Goset-Poblete PhD

{"title":"Impacto de las metodologías activas en las estrategias de aprendizaje de estudiantes del área de la salud de primer año en la Universidad Finis Terrae","authors":"Carolina Williams MSc, PhD , Olga María López-Entrambasaguas PhD , Ester Cayul PhD , Jessica Goset-Poblete PhD","doi":"10.1016/j.rmclc.2024.02.004","DOIUrl":"10.1016/j.rmclc.2024.02.004","url":null,"abstract":"<div><div>Students are expected to enter higher education with a set of learning strategies that will allow them to achieve academic success on their own. In practice, however, a memorization-based learning approach prevails, causing students to struggle with problem-solving, organizing ideas, and planning their studies.</div><div>Furthermore, instructors continue to rely heavily on lecture-based instruction and passive activities, stifling the development of effective learning strategies. The aim of this study was to assess the evolution of learning strategies among health sciences students in relation to the active methodological load imposed by instructors over the course of an academic year. A quasi-experimental study was conducted with 184 first-year students from three health science programs. Teacher methodological intervention occurred during the second semester in two of the three programs, and the time of active interaction was measured for all first-year classes during both semesters. The instructors administered the abbreviated ACRA test before and after a methodological intervention, and the data were compared to a control program. The data was analyzed using descriptive and inferential statistics, such as t-Student tests and mixed regression. The findings showed that learning strategies in experimental programs changed significantly as the use of participatory teaching methodologies and activities increased. It is concluded that the use of active and participatory methodologies is associated with an increase in the variety and frequency of learning strategies used.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 385-392"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651267","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

Macrodominios de competencias en telesalud de los profesionales del área de la salud 保健专业人员远程保健能力的宏观领域

IF 0.2

Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.05.014

Jacqueline Ibarra-Peso MSc , Cristina Monje-Vidal MSc , Carlos Zúñiga-San Martín MD , Marcela Hechenleitner-Carvallo MSc, PhD

引用次数: 0

Módulo de promoción del uso responsable de antimicrobianos en odontología: diseño instruccional guiado por la teoría de carga cognitiva 促进在牙科负责任地使用抗菌药的模块：以认知负荷理论为指导的教学设计

IF 0.2

Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.08.004

Lorena Isbej DDS, MA , Natacha Oyarzo DDS , Claudia Véliz DDS, MSc , Juan Carlos Ríos MSc, PhD

{"title":"Módulo de promoción del uso responsable de antimicrobianos en odontología: diseño instruccional guiado por la teoría de carga cognitiva","authors":"Lorena Isbej DDS, MA , Natacha Oyarzo DDS , Claudia Véliz DDS, MSc , Juan Carlos Ríos MSc, PhD","doi":"10.1016/j.rmclc.2024.08.004","DOIUrl":"10.1016/j.rmclc.2024.08.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Aproximately 30% to 50% of annual antimicrobial prescriptions are inappropriate or unnecessary, enhancing the development of bacterial resistance. It has been proposed that the responsible use of antimicrobials in undergraduate programs be emphasized. However, teachers usually do not manage effective strategies for this purpose.</div></div><div><h3>Aims</h3><div>1. Develop an instructional design, guided by the cognitive load theory, of a teaching and learning module to promote responsible use of antimicrobials 2. Evaluate the educational impact of the module on third-year Dental students.</div></div><div><h3>Methods</h3><div>Action research and mixed methodology in four phases. i. Identification of learning needs and outcomes; ii. Instructional design guided by cognitive load theory; iii. Module implementation; iv. Educational impact on students was evaluated using satisfaction surveys, self-reports of learning outcomes achievement and a pre-post knowledge test. Descriptive and analytical statistical analysis (Wilcoxon test) and qualitative content analysis were used.</div></div><div><h3>Results</h3><div>The antimicrobial module was designed in Canvas (LMS), allocating protected time for study and a classroom session. The educational impact was evaluated in 48 students. The satisfaction survey reported positive results on their 10 items (minimum 81.3%). The results of the self-reports of achievement of 7 learning outcomes and the pre-post test of 18 questions were statistically significant (p<0.001).</div></div><div><h3>Conclusions</h3><div>The design of this module could serve as a guide to promote the responsible use of antimicrobials while achieving greater satisfaction with students’ experience and learning outcomes.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 438-444"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651123","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

Entrenamiento de habilidades clínicas en Kinesiología: implementación de una estrategia mediada por tecnología en un contexto de retorno al aprendizaje presencial 运动学临床技能培训：在回归面授学习的背景下实施以技术为中介的策略。

IF 0.2

Revista Medica Clinica Las Condes Pub Date : 2024-09-01 DOI: 10.1016/j.rmclc.2024.09.001

Francisca Rammsy , Michelle Goset , Javiera Fuentes-Cimma , Gustavo Torres , Julián Varas , Ignacio Villagrán

{"title":"Entrenamiento de habilidades clínicas en Kinesiología: implementación de una estrategia mediada por tecnología en un contexto de retorno al aprendizaje presencial","authors":"Francisca Rammsy , Michelle Goset , Javiera Fuentes-Cimma , Gustavo Torres , Julián Varas , Ignacio Villagrán","doi":"10.1016/j.rmclc.2024.09.001","DOIUrl":"10.1016/j.rmclc.2024.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>During the COVID-19 pandemic, remote teaching provided valuable insights into technology use, applicable on return to in-person education. Hybrid education emerges as a solution to limitations in faculty resources and practical experiences for acquiring clinical competencies in Health Sciences. This study describes a clinical skills training strategy using a feedback oriented platform, following the return to in-person education in Physiotherapy.</div></div><div><h3>Methods</h3><div>The methodology involves autonomous training sessions with asynchronous feedback, where students are assessed and provided feedback by an instructor through video demonstrations of skills. The extent of student training, performance, learning strategy appreciation, skill improvement and skill transfer to in-person exams were analyzed.</div></div><div><h3>Results</h3><div>In total, forty-two undergraduate Physical Therapy clinical skills were trained. Results emphasize individualized feedback delivery to all students, significant performance improvement, and positive strategy appreciation.</div></div><div><h3>Conclusions</h3><div>Remote training facilitated deliberate practice of clinical skills in students, offering opportunities for autonomous, peer-guided training prior to faculty supervision.</div></div>","PeriodicalId":31544,"journal":{"name":"Revista Medica Clinica Las Condes","volume":"35 5","pages":"Pages 491-502"},"PeriodicalIF":0.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651177","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

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。

IF 0.2

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

IF 0.2

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

IF 0.2

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

IF 0.2

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

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

IF 0.2

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