Educacion Medica最新文献_第2页

Validity and network structure of the Nomophobia Questionnaire in Peruvian medical students

Educacion Medica Pub Date : 2024-12-30 DOI: 10.1016/j.edumed.2024.100989

Peter Garcia-Portocarrero , Deysi A. Saldaña-Amaya , Brayan Miranda-Chavez , Javier A. Flores-Cohaila , Cesar Copaja-Corzo

{"title":"Validity and network structure of the Nomophobia Questionnaire in Peruvian medical students","authors":"Peter Garcia-Portocarrero , Deysi A. Saldaña-Amaya , Brayan Miranda-Chavez , Javier A. Flores-Cohaila , Cesar Copaja-Corzo","doi":"10.1016/j.edumed.2024.100989","DOIUrl":"10.1016/j.edumed.2024.100989","url":null,"abstract":"<div><h3>Introduction</h3><div>Nomophobia, an emerging psychological phenomenon that represents anxiety when there is no access to a mobile phone, has a prevalence ranging from 6% to 73% in global studies and is associated with physical and mental health problems. This study aims to validate and expand the assessment of the Nomophobia Questionnaire (NMP-Q) through confirmatory factor analysis (CFA) and network analysis among medical students in Peru.</div></div><div><h3>Methods</h3><div>An observational cross-sectional study was conducted with 3139 medical students from 38 schools in Peru, using the Spanish-adapted NMP-Q. Data were collected through an online survey, promoted via social media and direct contacts. Factorial and network analyses were performed to evaluate the internal structure and dynamics of the questionnaire.</div></div><div><h3>Results</h3><div>CFA showed an excellent fit for the 4-factor model of the NMP-Q, with factor loadings above 0.700 and high fit indices (CFI=0.996, RMSEA=0.031, SRMR=0.041). The reliability of the factors was high (McDonald's omega: 0.87–0.95). Network analysis revealed significant interactions among the items, identifying the most influential nodes, with “Loss of connection” and “Inability to communicate” being the most prominent in terms of centrality. The network showed adequate precision and stability, with stability coefficients above 0.75 for most indices.</div></div><div><h3>Conclusion</h3><div>The NMP-Q proved to be a valid and reliable tool for assessing nomophobia among medical students in Peru.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 3","pages":"Article 100989"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169571","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

Aprendiendo a notificar. Impulsando la cultura de seguridad en futuras generaciones de profesionales sanitarios

Educacion Medica Pub Date : 2024-12-30 DOI: 10.1016/j.edumed.2024.100987

José Joaquín Mira , Eva Gil-Hernández , Irene Carrillo , en nombre del equipo SAFEST

{"title":"Aprendiendo a notificar. Impulsando la cultura de seguridad en futuras generaciones de profesionales sanitarios","authors":"José Joaquín Mira , Eva Gil-Hernández , Irene Carrillo , en nombre del equipo SAFEST","doi":"10.1016/j.edumed.2024.100987","DOIUrl":"10.1016/j.edumed.2024.100987","url":null,"abstract":"<div><div>Safety incident reporting is crucial for patient safety. However, students of healthcare disciplines often finish their studies without being familiar with these tools. Our aim was to familiarize students with reporting and cause analysis, train them and encourage their reflection to avoid future adverse events.</div><div>An active learning and gamification methodology was used, where those who reported a safety incident received feedback to improve their reporting. 105 students from Latin American universities participated, on a voluntary basis and without affecting their grades. Slides, educational videos and the SAFEST platform for notifications were used, which were evaluated using an agreed rubric. Introductory seminars on patient safety were conducted to build on the same foundation and students reported incidents they witnessed during their clinical placements.</div><div>Seventy medical students registered 101 notifications, reporting 249 incidents, mostly occurring in hospitals. The most frequent causes included confusion, lack of coordination and communication failures. The most recommended preventive measures were double-checking and improving communication.</div><div>Simulation and gamification promoted active learning and participation, enabling the acquisition of practical knowledge in clinical risk management. Fostering a culture of safety from training is essential for future healthcare professionals.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 3","pages":"Article 100987"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169050","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

Measurement of the enjoyment of human rights in medical interns in the state of Sonora

Educacion Medica Pub Date : 2024-12-27 DOI: 10.1016/j.edumed.2024.101005

Sayil Alejandra DeLaTorre-Othón , Gonzalo Armando Navarro-Armendáriz , Aziel Alejandro Peralta-Ramírez , Lidianys María Lewis-Lujan , Jesús Alan González-Duarte , María Paula López-Contreras

{"title":"Measurement of the enjoyment of human rights in medical interns in the state of Sonora","authors":"Sayil Alejandra DeLaTorre-Othón , Gonzalo Armando Navarro-Armendáriz , Aziel Alejandro Peralta-Ramírez , Lidianys María Lewis-Lujan , Jesús Alan González-Duarte , María Paula López-Contreras","doi":"10.1016/j.edumed.2024.101005","DOIUrl":"10.1016/j.edumed.2024.101005","url":null,"abstract":"<div><h3>Introduction</h3><div>The undergraduate medical internship in Mexico is a crucial phase in the education of future physicians, where theoretical knowledge is applied in a real clinical environment, regulated by NOM-033-SSA3–2018. Despite this regulation, there are non-compliances such as inadequate treatment and extended work hours that can affect both the professional development and well-being of interns. The DERIM scale evaluates the respect for human rights during this formative stage, considering aspects such as education and dignified work.</div></div><div><h3>Materials and methods</h3><div>A quantitative and descriptive study was conducted to assess the perception of human rights among 99 undergraduate medical interns from the University of Sonora in 2023, using a digital survey based on the DERIM scale.</div></div><div><h3>Results</h3><div>The results reflected a generally positive perception of the work environment and respect for rights, although specific issues were identified. More than 10% of participants reported experiences of discrimination, health risks, and anxiety about potential sanctions. Additionally, the majority considered the remuneration insufficient and noted that their schedules limited time for recreational activities.</div></div><div><h3>Conclusion</h3><div>Although the majority reported a positive environment, concerns such as discrimination, health risks, insufficient remuneration, and lack of free time were identified. It is concluded that there is a need to improve regulations and working conditions to protect the rights of interns and ensure their professional development.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 3","pages":"Article 101005"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169568","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

El reto de enseñar sobre las alteraciones del polígono de Willis en estudiantes de Ciencias de la Salud: una propuesta innovadora

Educacion Medica Pub Date : 2024-12-27 DOI: 10.1016/j.edumed.2024.101000

Laura Vanessa Rodríguez Mendoza , Kelly Tatiana Cetina Matallana , Carlos Duván Páez Mora

{"title":"El reto de enseñar sobre las alteraciones del polígono de Willis en estudiantes de Ciencias de la Salud: una propuesta innovadora","authors":"Laura Vanessa Rodríguez Mendoza , Kelly Tatiana Cetina Matallana , Carlos Duván Páez Mora","doi":"10.1016/j.edumed.2024.101000","DOIUrl":"10.1016/j.edumed.2024.101000","url":null,"abstract":"<div><h3>Introduction</h3><div>Teaching competencies such as therapeutic reasoning in cases of stroke, analyzing the Willis polygon, and relating them to clinical manifestations is a challenge for educators today. This study aimed to an innovative strategy for health sciences students, through music and ICT, promoting learning and therapeutic reasoning about the obstruction of arteries in the Circle of Willis and its manifestations.</div></div><div><h3>Materials and methods</h3><div>Qualitative study of action research with four phases: 1) Evaluation of the previous pedagogical strategy of the class. 2) Design of the new strategy. 3) Qualitative evaluation based on neurosciences and collective health. 4) Evolution and transformation of the strategy.</div></div><div><h3>Results</h3><div>An innovative strategy of participatory construction was developed with students, which facilitated affinity, interest and remembrance of the topic addressed.</div></div><div><h3>Conclusions</h3><div>Learning complex topics in university education can be strengthened with strategies mediated by art, stories and ICT. Health professionals and teachers are invited to work on strategies situated and adapted to the environment in a participatory way.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 3","pages":"Article 101000"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169570","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

Evaluación de ambientes clínicos en las residencias médicas: un análisis a través de la encuesta ACA-UNAM-MEX

Educacion Medica Pub Date : 2024-12-27 DOI: 10.1016/j.edumed.2024.101004

Gabriela Yanet Cortés-Moreno , Ilicia González-Mundo , Rosa Paola Figuerola-Escoto , Sofía Lavaniegos-Appendini , Roberto Arturo Vázquez-Dávila , Jorge Alberto Robles-Aviña , Rodolfo Lehmann-Mendoza

{"title":"Evaluación de ambientes clínicos en las residencias médicas: un análisis a través de la encuesta ACA-UNAM-MEX","authors":"Gabriela Yanet Cortés-Moreno , Ilicia González-Mundo , Rosa Paola Figuerola-Escoto , Sofía Lavaniegos-Appendini , Roberto Arturo Vázquez-Dávila , Jorge Alberto Robles-Aviña , Rodolfo Lehmann-Mendoza","doi":"10.1016/j.edumed.2024.101004","DOIUrl":"10.1016/j.edumed.2024.101004","url":null,"abstract":"<div><h3>Introduction</h3><div>Hospital environments are mainstays in education of medical specialists, providing Clinical Learning Environments (ACA) that are essential for resident's medical training. Evaluating these environments is crucial to ensure excellent medical training.</div></div><div><h3>Methods</h3><div>An observational study was conducted applying ACA-UNAM-MEX to 690 residents from 8 Petróleos Mexicanos hospitals. Four dimensions were evaluated: Interpersonal Relationships (RI), Educational Processes (PE), Institutional Culture (CI), and Service Dynamics (DS). A descriptive analysis was performed, and the impact of gender, type of hospital, type of specialty, and age group on the overall ACA score and each dimension was examined.</div></div><div><h3>Results</h3><div>The overall ACA score from interactions with professors (M = 88.34) and adjunct professors (M = 88.39) were obtained. Female gender had lower scores in RI and PE. Surgical specialties had significantly higher scores in RI, and the age group 40 to 49 years showed significant differences in CI and PE dimensions.</div></div><div><h3>Conclusion</h3><div>The evaluation of ACA in medical residencies highlights the importance of analyzing hospital environments. Female gender had lower scores in RI and PE, surgical specialties had better interpersonal relationships, and age had a significant impact on institutional culture. It is essential to use these instruments to enhance resident's medical training.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 3","pages":"Article 101004"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143169569","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

Insights into nurse educators' use of ChatGPT in active teaching methods: A cross-sectional pilot study

Educacion Medica Pub Date : 2024-12-27 DOI: 10.1016/j.edumed.2024.101006

Asma Bouriami , Kamal Takhdat , Sana Barkatou , Hajar Chiki , Samia Boussaa , Ahmed Rhassane El Adib

{"title":"Insights into nurse educators' use of ChatGPT in active teaching methods: A cross-sectional pilot study","authors":"Asma Bouriami , Kamal Takhdat , Sana Barkatou , Hajar Chiki , Samia Boussaa , Ahmed Rhassane El Adib","doi":"10.1016/j.edumed.2024.101006","DOIUrl":"10.1016/j.edumed.2024.101006","url":null,"abstract":"<div><h3>Introduction</h3><div>Artificial intelligence has revolutionized nursing education with the emergence of ChatGPT, which has the potential to transform active teaching methods. Despite this potential, there is still insufficient literature on the use of ChatGPT in nursing education. The aim of this pilot study is to examine nurse educators' knowledge, attitudes, and perceptions of ChatGPT, as well as their experience of using ChatGPT in active teaching methods.</div></div><div><h3>Subjects and methods</h3><div>We conducted a cross-sectional pilot study using a self-administered questionnaire with 104 participants.</div></div><div><h3>Results</h3><div>Although 61.52% of participants have an average level of knowledge about ChatGPT, they are not very familiar with its use, as 59.6% do not use it. In fact, 70.52% expressed indifference or negativity towards the use of ChatGPT by their students. Furthermore, male educators are five times more likely to believe that ChatGPT facilitates students cheating (OR = 5.147 (1.641; 16.141)).</div><div>Despite being aware of the challenges associated with ChatGPT, educators in our sample demonstrate limited awareness of its potential applications in active teaching methods. For instance, only 33.33% use ChatGPT in problem-based learning, while a mere 10% use ChatGPT in simulation-based learning. This reluctance extends to use ChatGPT in teaching activities such as preparing pedagogical content (8.69%) and the design of assessment tools (9.78%).</div></div><div><h3>Conclusion</h3><div>Implementing institutional guidelines and providing nurse educators with training on the potential applications of ChatGPT are essential for promoting positive change in nursing education. This will enable educators to guide their students in the responsible and ethical use of ChatGPT.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 2","pages":"Article 101006"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138707","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

Radiografía de la formación médico interno residente (MIR): estudio descriptivo sobre las condiciones laborales y formativas en la provincia de Valencia

Educacion Medica Pub Date : 2024-12-27 DOI: 10.1016/j.edumed.2024.100999

Lucía Escabias Criado , Lucía De La Puente , Paula Sala Ivars , Pablo Estrella-Porter , Juan Pablo Carrasco

{"title":"Radiografía de la formación médico interno residente (MIR): estudio descriptivo sobre las condiciones laborales y formativas en la provincia de Valencia","authors":"Lucía Escabias Criado , Lucía De La Puente , Paula Sala Ivars , Pablo Estrella-Porter , Juan Pablo Carrasco","doi":"10.1016/j.edumed.2024.100999","DOIUrl":"10.1016/j.edumed.2024.100999","url":null,"abstract":"<div><h3>Introduction</h3><div>The working conditions of resident physicians have been shown to have a major impact on their health and training. The first studies analysing this reality have been published in recent years. However, there are no studies that analyse the situation longitudinally. The aim of this study is to reflect the reality of the working conditions of resident physicians in the province of Valencia in comparison with data obtained in a previous study in 2020.</div></div><div><h3>Material and methods</h3><div>A descriptive, observational, cross-sectional study was conducted by means of an anonymous online survey in 2023 in the province of Valencia, Spain. A total of 402 responses were obtained. Quantitative variables were analysed comparing hospitals, specialities and data obtained in a study carried out in 2020.</div></div><div><h3>Results</h3><div>62% of the labour rights of MIRs in the province of Valencia are not fulfilled on average. Findings from previous studies on non-compliance with maximum working hours and rest periods are confirmed, with a slight improvement of 20% in on-call leave with respect to the 2020 study. Non-compliance with other labour rights, such as unpaid overtime or the prohibition of training congress days, is exposed for the first time. Differences were observed between hospitals and specialties in the fulfilment of MIR rights.</div></div><div><h3>Conclusion</h3><div>There is evidence of systematic non-compliance with the regulations of the working and training conditions of resident physicians in Valencia. Despite evidence about the negative consequences of work overload, the situation has insufficiently improved in the last 3 years.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 2","pages":"Article 100999"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143138706","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

Práctica clínica vs. simulación clínica: ¿qué impacto tienen en el aprendizaje de los estudiantes de Medicina?

Educacion Medica Pub Date : 2024-12-27 DOI: 10.1016/j.edumed.2024.101001

Fernando Martínez , Sandra Montmany , Pere Rebasa , Alexis Luna , Federico Carol , Salvador Navarro

{"title":"Práctica clínica vs. simulación clínica: ¿qué impacto tienen en el aprendizaje de los estudiantes de Medicina?","authors":"Fernando Martínez , Sandra Montmany , Pere Rebasa , Alexis Luna , Federico Carol , Salvador Navarro","doi":"10.1016/j.edumed.2024.101001","DOIUrl":"10.1016/j.edumed.2024.101001","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite advances in traditional learning, we don't demonstrate changes in student's behavior. With simulation, students develop tools that improve attitudes and performance of medical competencies.</div></div><div><h3>Methods</h3><div>This prospective and descriptive study evaluated the medical competencies of 81 medical students by conducting a mini-clinical evaluation exercise (mini-CEX), direct observation evaluation technique composed of 7 domains. All students perform 3 mini-CEX: at the beginning of the course before performing either simulation (SIM) or clinical practice (PC), in the middle of the course after performing simulation or clinical practice, and at the end of the course after performing both.</div></div><div><h3>Results</h3><div>The average ratings were 2.7 in mini-CEX stage 1, 6.2 in stage 2 after SIM, and 2.5 in stage 2 after PC, and 7.2 in stage 3 after both SIM and PC. Approximately 29.6% of students passed the assessment satisfactorily or better in stage 1, 96.3% in stage 2 after SIM, 25.8% in stage 2 after PC, and 97.4% in stage 3.</div><div>Students who initially performed PC throughout the course had average assessment rates of 2.6 in mini-CEX stage 1, 2.5 in stage 2, and 6.4 in stage 3. Students who initially performed SIM, had average assessment rates of 2.8, 6.2 and 7.6 in stage 1, 2, and 3, respectively.</div></div><div><h3>Conclusions</h3><div>Simulation allows a significant improvement in medical skills. Students develop tools through simulation, that applied to real clinical practice achieve an even greater impact on these medical competencies.</div></div>","PeriodicalId":35317,"journal":{"name":"Educacion Medica","volume":"26 2","pages":"Article 101001"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143137778","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 empatía en la práctica médica: ¿esencial en los servicios de salud?

Educacion Medica Pub Date : 2024-12-19 DOI: 10.1016/j.edumed.2024.101002

Mónica Regalado Chamorro , Aldo Medina Gamero

引用次数: 0

Uso del ChatGPT en el sector salud: ¿es una herramienta fiable?

Educacion Medica Pub Date : 2024-12-19 DOI: 10.1016/j.edumed.2024.101003

Aldo Medina Gamero , Mónica Regalado Chamorro

引用次数: 0