Evaluation of digital educational studenttechnology interaction in neonatal nursing

OBJECTIVE To assess the digital educational technology interface Caring for the sensory environment in the neonatal unit: noise, lighting and handling based on ergonomic criteria. METHODS Descriptive study, in which we used the guidelines and ergonomic criteria established by ISO 9241-11 and an online Likert scale instrument to identify problems and interface qualities. The instrument was built based on Ergolist, which follows the criteria of ISO 9141-11. There were 58 undergraduate study participants from the School of Nursing of Ribeirao Preto, University of Sao Paulo, who attended the classes about neonatal nursing content. RESULTS All items were positively evaluated by more than 70% of the sample. CONCLUSION Educational technology is appropriate according to the ergonomic criteria and can be made available for teaching nursing students.OBJETIVO Evaluar la interfaz de la tecnología educativa digital Cuidando el ambiente sensorial en la unidad neonatal: ruido, luminosidad y manipulación con base en los criterios de ergonomía. MÉTODO Estudio descriptivo, en el que se emplearon las orientaciones y los criterios ergonómicos establecidos por la Norma ISO 9241-11 y un instrumento tipo Likert en línea para identificar los problemas y las calidades de la interfaz. El instrumento fue construido con base en el Ergolist, que sigue los criterios de la ISO 9141-11. Participaron del estudio 58 alumnos de pregrado de la Escuela de Enfermería de Ribeirão Preto de la Universidad de São Paulo, quienes cursaron las asignaturas que ofrecen contenidos de enfermería neonatal. RESULTADOS Todos los puntos fueron evaluados positivamente por más del 70% de la muestra. CONCLUSIÓN La tecnología educativa está adecuada a los criterios ergonómicos y se puede utilizarla para la enseñanza de estudiantes de enfermería.OBJETIVO Avaliar a interface da tecnologia educacional digital Cuidando do ambiente sensorial na unidade neonatal: ruído, luminosidade e manipulação com base nos critérios de ergonomia. MÉTODO Estudo descritivo, em que foram utilizadas as orientações e os critérios ergonômicos estabelecidos pela Norma ISO 9241-11 e um instrumento tipo Likert online para identificar problemas e qualidades da interface. O instrumento foi construído com base no Ergolist, que segue os critérios da ISO 9141-11. Participaram do estudo 58 alunos de graduação da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, os quais cursaram as disciplinas que oferecem conteúdos de enfermagem neonatal. RESULTADOS Todos os itens foram avaliados positivamente por mais de 70% da amostra. CONCLUSÃO A tecnologia educacional está adequada segundo os critérios ergonômicos e pode ser disponibilizada para o ensino de estudantes de enfermagem

Módulo VII: : Enfermagem na atenção à saúde da mulher e da criança: parto e nascimento

Ministério da Saúd

Módulo IX: Enfermagem na atenção à saúde da mulher e da criança: O puerpério e o acompanhamento do crescimento e do desenvolvimento infantil

Ministério da Saúd

Evaluation of digital educational studenttechnology interaction in neonatal nursing

OBJECTIVE To assess the digital educational technology interface Caring for the sensory environment in the neonatal unit: noise, lighting and handling based on ergonomic criteria. METHODS Descriptive study, in which we used the guidelines and ergonomic criteria established by ISO 9241-11 and an online Likert scale instrument to identify problems and interface qualities. The instrument was built based on Ergolist, which follows the criteria of ISO 9141-11. There were 58 undergraduate study participants from the School of Nursing of Ribeirao Preto, University of Sao Paulo, who attended the classes about neonatal nursing content. RESULTS All items were positively evaluated by more than 70% of the sample. CONCLUSION Educational technology is appropriate according to the ergonomic criteria and can be made available for teaching nursing students

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear understanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5,6,7 vast areas of the tropics remain understudied.8,9,10,11 In the American tropics, Amazonia stands out as the world's most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepresented in biodiversity databases.13,14,15 To worsen this situation, human-induced modifications16,17 may eliminate pieces of the Amazon's biodiversity puzzle before we can use them to understand how ecological communities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple organism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region's vulnerability to environmental change. 15%–18% of the most neglected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lost

Educative program for teaching arterial hypertension risk factors among secondary-education students from the interior of São Paulo State

Trata-se de um estudo descritivo de intervenção quase experimental, com abordagem quantitativa, realizado com 154 estudantes do ensino médio de escolas públicas do interior paulista, realizado no período de agosto a dezembro de 2010, tendo por objetivos identificar entre os estudantes do ensino médio, valores de PA alterados, exposição aos fatores de risco para a doença hipertensiva e o conhecimento, por meio de jogos educativos, sobre os fatores de risco para a doença hipertensiva. Para a coleta de dados foram utilizados três instrumentos: um relativo a dados sociedemográficos, da medida da pressão arterial (PA) e do estilo de vida; os planos de aulas para realização da atividade educativa e o jogo de cruzadas de Moreira (2007), para avaliar o conhecimento dos alunos pré e pós-intervenção com a atividade educativa. Os sujeitos possuíam idade entre 14 e 17 anos, 86 (55,8%) eram do sexo feminino, 100 (65%), brancos e 63 (40,9%) cursavam o 10° ano; 7 (4,5%) apresentaram valores de PA > percentil 95 e percentil 99; 35 (22,8%) apresentaram sobrepeso, destes, 5 (14,3%) apresentaram valores de PA alterados, 8 (5,2%) apresentaram obesidade, destes, 3 (37,5%) apresentaram valores de PA alterados; 45 apresentaram circunferência da cintura (CC) > percentil 75, destes, 6 (13,3%) estavam com valores de PA alterados. As principais comorbidades apresentadas relativas aos antecedentes familiares foram: Hipertensão Arterial Sistêmica (HAS) (71,4%), Infarto Agudo do Miocárdio (IAM) (61,7%) e Acidente Vascular Cerebral (AVC) (40,3%). Dos estudantes com valores de PA alterados, 8 (80%) apresentaram algum antecedente familiar para doenças cardiovasculares (DCVs). Quando questionados sobre o entedimento do que é pressão alta, 56 (36,4%) responderam corretamente e 41 (26,6%) sabiam indicar o tratamento da pressão alta. Quando questionados sobre a exposição aos fatores de risco para a HAS, 28 (18,2%) indicaram não praticar atividade de física, destes, 7 (24,9%) apresentaram valores de PA alterados, 15 (9,7%) eram fumantes, destes, 8 (53,3%) possuiam valores de PA alterados, 66 (42,9%) consumiam bebida alcoólica, sendo que, 4 (6,1%) apresentaram valores de PA alterados, 93 (60,4%) consideravam-se estressados, dos quais, 9 (9,7%) possuiam valores de PA altterados. Quando comparamos as questões do jogo de cruzadas no pré e pós- intervenção com a atividade educativa, identificamos que o conhecimento dos estudantes foi adquirido, pois apresentaram 32,5 % de acertos nas questões (pré-intervenção) e 76,2% de acertos nas questões (pós-intervenção). A aplicação do teste t Student, mostrou resultado p= 000, sendo estatisticamente significativo. Diante desses resultados permanece o deasafio de desenvolver programas educativos nas escolas como processo de ensino para que os estudantes adquiram conhecimento para buscar melhor qualidade de vida, pois é nesta faixa etária que se desenvolvem hábitos saudáveis.This quasi-experimental descriptive intervention study with a quantitative approach involved 154 secondary-education students from public schools in the interior of São Paulo State, Brazil. It was carried out between August and December 2010. The goals were to identify altered BP levels among the students, as well as exposure to risk factors for hypertensive disease and knowledge on the risk factors for hypertensive disease, using educative games. Three instruments were used for data collection: one addressing socio-demographic, blood pressure (BP) measurement and lifestyle data; lesson plans to accomplish the educative activity and Moreira\' crossword game (2007) to assess the students\' knowledge before and after the intervention and after the educative activity. Subjects were between 14 and 17 years old, 86 (55.8%) were female, 100 (65%) white and 63 (40.9%) were taking the 10th year; 7 (4.5%) displayed BP > 95th percentile and 99th percentile; 35 (22.8%) presented overweight, 5 (14.3%) of whom with altered BP levels, 8 (5.2%) were obese, 3 (37.5%) of whom with altered BP levels; 45 presented waist circumference (WC) > 75th percentile, 6 (13.3%) of which with altered BP levels. The main comorbidities related to family antecedents were: systemic arterial hypertension (SAH) (71.4%), acute myocardial infarction (AMI) (61.7%) and cerebrovascular accident (CVA) (40.3%). Among students with altered BP levels, 8 (80%) presented some family antecedent for cardiovascular illnesses (CVIs). When asked about their understanding of high blood pressure, 56 (36.4%) answered correctly and 41 (26.6%) were able to indicate high BP treatment. When asked about exposure to risk factors for SAH, 28 (18.2%) indicated that they did not practice physical exercise, 7 (24.9%) of whom with altered BP levels; 15 (9.7%) were smokers, 8 (53.3%) of whom with altered BP levels; 66 (42.9%) consumed alcoholic beverages, 4 (6.1%) of whom with altered BP levels, and 93 (60.4%) considered they were stressed, 9 (9.7%) of whom with altered BP levels. The comparison of questions in the crossword game before and after the intervention with the educative activity showed that the students gained knowledge, with 32.5% (pre-intervention) and 76.2% of correct answers (post-intervention). The result of Student\'s t-test was p= 000, with statistical significance. In view of these results, the challenge remains to develop educative programs in schools as a teaching process for students to gain knowledge with a view to a better quality of life, as it is in this age range that healthy habits are developed

Teaching of clinical evaluation of oxygenation and circulation in preterm infants: integration between virtual and robotic simulation

Na era digital, o processo ensino-aprendizagem em saúde e enfermagem tem se beneficiado da tecnologia da informação e da técnica da simulação realística e inovadora. Sendo assim, o desenvolvimento e uso de tecnologias educacionais pode contribuir com um ensino mais participativo, disponibilizando para os alunos conteúdos e simulações que poderão ser utilizados de acordo com a necessidade e ritmo de aprendizagem. Este estudo tem por objetivos construir e avaliar o cenário de simulação robótica junto a especialistas; descrever o processo de desenvolvimento do Curso de Difusão semipresencial Avaliação clínica da oxigenação e circulação do bebê pré-termo e avaliar o desempenho de aprendizagem cognitiva dos estudantes no curso semipresencial sobre a avaliação clínica da oxigenação e circulação do bebê pré-termo. Estudo de intervenção, quase experimental, com pré e pós-teste, sendo o grupo controle dele mesmo. Utilizamos como referencial teórico a aprendizagem significativa, para o desenvolvimento do cenário optamos pelo método proposto por Jeffries (2007), e para o planejamento e desenvolvimento do Curso de Difusão no Ambiente Virtual de Aprendizagem (AVA) utilizamos o modelo de Seixas (2012). Foram convidados a participar da intervenção educacional, o Curso de Difusão, alunos de graduação da EERP-USP excetuando- se os de primeiro ano e os ultimoanistas. A avaliação do cenário construído para a simulação robótica foi feita por sete especialistas que assistiram a simulação e realizaram as anotações pertinentes ao cenário e responderam se os objetivos foram alcançados pelos alunos, através de um checklist que foi construído em consonância com manuais do Ministério da Saúde (2013) e a American Heart Society (2012), e todas as sugestões tais como, colocação de um relógio de parede em local visível; disponibilização do prontuário completo do bebê; identificação do bebê na incubadora e solicitação para que o estudante narrasse verbalmente todas as suas ações na cena, foram acatadas. A descrição dos dados relativos à caracterização dos sujeitos se apresenta mediante uso de estatística descritiva. Para a avaliação do desempenho de aprendizagem dos estudantes foi realizado um pré-teste on-line, no qual responderam oito questões sobre a temática, e ao final da intervenção educacional, preencheram o pós-teste. As comparações intra-grupos foram realizadas segundo teste não-paramétrico Wilcoxon e a avaliação do conhecimento foi realizada a partir da diferença entre a pontuação obtida pelo estudante no pós- teste em relação à pontuação do pré-teste. Participaram do estudo 44 alunos dos cursos de Bacharelado em Enfermagem e Bacharelado e Licenciatura em Enfermagem que após preencherem o TCLE on-line e o pré-teste presencialmente navegaram a distância no curso de difusão semipresencial oferecido e utilizaram a tecnologia da simulação virtual, o serious game e-Baby sobre a avaliação e oxigenação e circulação do bebê pré-termo. Durante o curso participaram de um encontro presencial para simulação robótica com cenário de apneia do bebê pré- termo. Ao final do curso, tiveram mais um encontro presencial para o pós-teste. Comparando-se os resultados obtidos no pré e pós-teste com o Curso de Difusão com associação das tecnologias, a aplicação do teste não-paramétrico de Wilcoxon para amostras pareadas revelou que houve diferença significante (p< 0,001) no aprendizado cognitivo entre os dois momentos avaliados, adotando-se o nível de significância de 5%. Assim, o presente estudo demonstrou a viabilidade da construção, desenvolvimento e aplicação de um Curso de Difusão semipresencial com a utilização de simulação virtual e robótica voltada para o ensino de graduação em enfermagem. Esperamos que este trabalho possa contribuir com a inovação e melhoria do ensino de enfermagem, utilizando a simulação no processo ensino- aprendizado dos alunos de graduação, sobre um assunto de extrema relevância para a saúde pública no Brasil, o cuidado dos bebês prematuros, dado que a prematuridade é a primeira causa de morte entre os menores de cinco anos no Brasil e no mundoIn the digital age, the teaching-learning process in health and nursing has benefited from information technology and from the realistic and innovative simulation technique. Hence, the development and use of educational technologies can contribute to more participatory teaching, offering contents and simulations to the students that can be used according to the learning needs and rhythm. This study aims to construct and assess the robotic simulation scenario together with experts; describe the development process of the semi-distance course Clinical assessment of oxygenation and circulation in preterm infants and assess the students\' cognitive learning performance in the semi-distance course on the clinical assessment of oxygenation and circulation in preterm infants. Quasi-experimental, pre and post-test intervention study in which the group served as its own control. Significant learning was used as the theoretical framework. To develop the scenario, the method proposed by Jeffries (2007) was chosen and, to plan and develop the Diffusion Course the Virtual Learning Environment (VLE), the model by Seixas (2012) was used. Undergraduate students from EERP-USP were invited to participate in the educational intervention, the semi-distance course, except for first and last-year students. Seven experts assessed the scenario constructed for the robotic simulation, who attended the simulation, made notes on the scenario and answered whether the students had reached the objectives, using a checklist elaborated in line with manuals by the Brazilian Ministry of Health (2013) and the American Heart Society (2012). All suggestions were accepted, including the placement of a wall clock on a visible place; availability of the infant\'s complete history; identification of the infant in the incubator and request for the students to verbally describe all of their actions in the scene. Data on the subjects\' characteristics are presented using descriptive statistics. To assess the students\' learning performance, an on-line pre- test was used, in which they answered eight questions on the theme. At the end of the educational intervention, the students answered the post-test. The intragroup comparisons were developed using Wilcoxon\'s non-parametric test and the knowledge was assessed based on the difference between the student\'s pre and post-test scores. Seven experts assessed the constructed scenario for the robotic simulation and all suggestions were accepted. Forty-four students from the Bachelor and the Bachelor with Teaching Diploma programs in Nursing participated in the study. After completing the informed consent form on-line and the pre-test in the classroom, they explored the semi-distance course at a distance and used the virtual simulation technology, the serious game e-Baby about the assessment, oxygenation and circulation of preterm infants. During the course, they students participated in a meeting in class for the purpose of robotic simulation using the apnea scenario of the preterm infant. At the end of the course, another meeting in class was held for the post-test. When comparing the results obtained on the pre and post-test after the semi-distance course associated with technologies, the application of Wilcoxon\'s non-parametric test for paired samples revealed a significant difference (p< 0.001) in cognitive learning between the two-moments assessed, adopting a 5% significance level. Thus, this study demonstrated the feasibility of the construction, development and application of a semi-distance course using virtual and robotic simulation in undergraduate nursing education. This study can contribute to the innovation and improvement of nursing teaching, using simulation in undergraduate teaching- learning about an extremely relevant theme for public health in Brazil, which is care for premature infants, given that premature birth is the first cause of death among children under five in Brazil and around the worl