90 research outputs found
The Practice of Thresholds: Autonomy in Clinical Education Explored Through Variation Theory and the Threshold Concepts Framework
This paper demonstrates a practical dimension to the discussion about threshold concepts. Threshold concepts have thus far mostly been acknowledged to elucidate learning processes mainly connected to theoretical concepts. By exploring situations that prompted experiences of autonomy and authenticity in clinical learning, findings showed how a practical experience could have the same power to transform thinking and identity as theoretical thresholds and serve as a trigger for transformational learning, therefore making the discussion about âpractical thresholds' or thresholds in practice possible. The present study explores situations that prompted autonomy and authenticity, and offers context for and substance to these situations by adopting variation theory and the threshold concept framework. In order to learn more about situations that prompt experiences of autonomy and authenticity, and create prerequisites for such experiences, this paper examines how students discern and interpret these situations by analysing them through variation theory and the threshold concept framework
Nursing Students' Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience: Development and Validation of a Scale in Four European Countries
Healthcare-associated infections are one of the major concerns worldwide. This
study presents the development and the validation process of the InovSafeCare
scale and aimed at identifying and measuring the ecosystem variables related to
healthcare-associated infection (HCAI) prevention and control practices in European
nurse students. Qualitative and quantitative approaches were used to (1) elaborate an
item pool related to the educational environment, the healthcare setting environment, and
the attitudes, beliefs, and performance of the nursing students regarding HCAI prevention
and control and (2) analyze psychometric properties of the scale using factor analysis.
The validated InovSafeCare scale was applied to undergraduate nursing students of
five European Higher Education Institutions. The partial least square structural equation
modeling (PLS-SEM) method with SMART-PLS3 software was used. The study sample
consists of 657 nursing students, who responded a self-report inventory. From the
analyzed data were identified 14 factors. The InovSafeCare scale reveals good validity
and reliability of the dimensions in different European countries.info:eu-repo/semantics/publishedVersio
Nursing Studentsâ Perceptions on Healthcare-Associated Infection Control and Prevention Teaching and Learning Experience in Portugal
Healthcare-associated infections (HAI) are one of the major concerns worldwide, posing
significant challenges to healthcare professionalsâ education and training. This study intended to
measure nursing studentsâ perceptions regarding their learning experiences on HAI prevention and
control. In the first phase of the study, a cross-sectional and descriptive study with a convenience
sample composed of undergraduate nursing students from Portugal, Spain, Poland, and Finland
was conducted to develop the InovSafeCare questionnaire. In the second phase, we applied the
InovSafeCare scale in a sample of nursing students from two Portuguese higher education institutions
to explore which factors impact nursing studentsâ adherence to HAI prevention and control measures
in clinical settings. In phase one, the InovSafeCare questionnaire was applied to 1326 students
internationally, with the instrument presenting adequate psychometric qualities with reliability
results in 14 dimensions. During phase two, the findings supported that Portuguese nursing studentsâ
adherence to HAI prevention and control measures is influenced not only by the curricular offerings
and resources available in academic settings, but also by the standards conveyed by nursing tutors
during clinical placements. Our findings support the need for a dedicated curricular focus on HAI
prevention and control learning, not only through specific classroom modules, innovative resources,
and pedagogical approaches, but also through a complementary and coordinated liaison between
teachers and tutors in academic and clinical settings.info:eu-repo/semantics/publishedVersio
Common Genetic Variation And Age at Onset Of Anorexia Nervosa
Background Genetics and biology may influence the age at onset of anorexia nervosa (AN). The aims of this study were to determine whether common genetic variation contributes to AN age at onset and to investigate the genetic associations between age at onset of AN and age at menarche. Methods A secondary analysis of the Psychiatric Genomics Consortium genome-wide association study (GWAS) of AN was performed which included 9,335 cases and 31,981 screened controls, all from European ancestries. We conducted GWASs of age at onset, early-onset AN (< 13 years), and typical-onset AN, and genetic correlation, genetic risk score, and Mendelian randomization analyses. Results Two loci were genome-wide significant in the typical-onset AN GWAS. Heritability estimates (SNP-h2) were 0.01-0.04 for age at onset, 0.16-0.25 for early-onset AN, and 0.17-0.25 for typical-onset AN. Early- and typical-onset AN showed distinct genetic correlation patterns with putative risk factors for AN. Specifically, early-onset AN was significantly genetically correlated with younger age at menarche, and typical-onset AN was significantly negatively genetically correlated with anthropometric traits. Genetic risk scores for age at onset and early-onset AN estimated from independent GWASs significantly predicted age at onset. Mendelian randomization analysis suggested a causal link between younger age at menarche and early-onset AN. Conclusions Our results provide evidence consistent with a common variant genetic basis for age at onset and implicate biological pathways regulating menarche and reproduction.Peer reviewe
Preceptoria MĂ©dica em Serviço de EmergĂȘncia e UrgĂȘncia Hospitalar na Perspectiva de MĂ©dicos
Longitudinal mentorship to support the development of medical studentsâ future professional role: a qualitative study
Three phylaâTwo type specimensâOne shell: History of a snail shell revealed by modern imaging technology
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