Comprehension is poor in patients admitted in the emergency observation unit. Teamwork communication gaps could contribute to patients' misunderstanding of their health condition. To determine in patients admitted in the emergency observation unit whether comprehension of diagnosis, prognosis, and management depended on nurses' comprehension, the authors conducted a prospective observational study in a busy adult emergency department of a tertiary teaching hospital in Paris over 2 months. Consecutive patients admitted in the emergency observation unit were included. Patients' and nurses' comprehension of diagnosis, prognosis, and management was compared with the statements of the emergency department attending physicians for these items. The authors observed whether patients' misunderstanding was associated with nurses' misunderstanding. A total of 544 patients were evaluated. For each patient, nurses' and patients' comprehension was available. Patients understood severity in 40%, organ involved in 69%, medical wording in 57%, reason for admission in 48%, and discharge instruction in 67%. In comparison with patients, nurses better understood each item except for discharge instruction. The authors observed that patients' comprehension was better when nurses understood diagnosis (p <.0001), reasons for admission (p =.032) and discharge instructions (p =.002). Nurses' understanding of severity did not modify patients' comprehension. These results support the conclusions that communication gaps in teamwork alter patients' comprehension and that nurses' and patients' misunderstandings are associated. Therefore, improving communication by nurses and physicians to patients may improve patients' understanding.
Objective: Evaluate the relevance and efficiency of socio-educational video debate technology as a strategy to promote active aging. Methodology: Convergent care research was conducted with 16 elderly users of a basic health unit in Belém, to implement the technology by selecting YouTube videos, which were analyzed and discussed, seeking to coordinate the video plot of each video with determining factors of active aging, principles of continuing education, and life experience of the elderly participants. Results: The following categories emerged from debates: "Learning how to know oneself," "Learning how to do things differently," "Learning how to live with others," and "Learning to how to be a better person." The video debate allowed behavioral changes in nutrition and relationship, as evaluated using the lifestyle scale, before and after the video debate. Conclusion: Video debate technology proved to be efficient and relevant as it allowed the elderly to reflect in groups by sharing ideas, learning together and building new strategies for active aging.
Objective: to analyze the evidence available in the literature on the Basic Life Support training methods in nursing education. Method: it is an integrative literature review. The search was carried out in the PUBMED, LILACS and BDENF databases. 69 articles were initially selected for full reading from the inclusion criteria, considering the time frame from 2010 to 2016, of which nine full texts were listed for in-depth reading and synthesis. Results: there were few publications on the topic as well as a multiplicity and heterogeneity of methods and strategies for the training of Basic Life Support in the training of nurses. Large gaps in knowledge were observed, making it necessary to develop research in this field, especially studies that focus on practical theoretical teaching strategies with the use of simulation in view that these are capable of bringing real impacts on the knowledge and skills of professionals. Conclusion: teaching aimed at the individuality and reality of the target audience, taking into account the epidemiological reality and characteristics of the students is fundamental in this process. Despite the variety of information resulting from the studies, multiplicity and heterogeneity in the approaches and forms of evaluation, we conclude that practical theoretical teaching strategies with the use of simulation, use of dummies and feedback emerge as more effective strategies, capable of promoting learning more effectively other available resources.
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