Neurophobia among general practice trainees: The evidence, perceived causes and solutions

Introduction

As general practice (GP) is the main source of referrals to neurologists, neurology education for GP trainees is important. We investigated the existence of neurophobia, contributing factors and potential prevention strategies among GP trainees.

In a questionnaire survey interest, knowledge, confidence and perceived difficulty in neurology were compared with different medical specialties. Reasons for difficulty with neurology, postgraduate neurology education experience, learning methods and suggested teaching improvements were examined.

Of 205 GP trainees, 118 (58%) completed the questionnaire. Threshold analyses justified categorical intervals for the Likert responses. Trainees recorded poorer knowledge (p < 0.001), less confidence (p < 0.001) and more perceived difficulty (p < 0.001) with neurology than with any other medical specialty. GP trainees had less interest in neurology than any other medical specialty (Duncan test, p < 0.001). There was a similar gradation in difficulty and confidence perception across medical specialties. Hospital and community-based neurology teaching was graded as “poor” or “very poor” by over 60% of GP trainees. There were multiple perceived causes of neurophobia, including neuroanatomy and poor quality teaching. More organised clinical teaching and referral guidance were suggested to address GP neurophobia.

Neurophobia is common among GP trainees in Northern Ireland. GP trainees have clear and largely uniform ideas on improving their neurology education. GP training posts should reflect the importance of neurology within the GP curriculum.

Rol del residente de Medicina Interna de la Universidad del Rosario como docente

Antecedentes: Cada vez es mayor la relevancia que se da al papel del residente como docente, no solo por su importancia en la formación de estudiantes, internos y otros miembros del equipo de salud, sino por su deber en la instrucción del paciente y su familia. A pesar de ello, el rol del residente como docente no se encuentra plenamente definido en nuestro medio. Objetivo: Caracterizar el rol de los residentes de Medicina Interna de la Universidad el Rosario en la Fundación Cardioinfantil como docentes. Métodos: Estudio cualitativo a partir de observaciones en escenarios de enseñanza y entrevistas semiestructuradas a 44 participantes distribuidos en grupos focales Resultados: Los residentes asumen un rol docente en diversos escenarios educativos con estudiantes, internos, residentes y docentes. Reconocen que no tienen la preparación necesaria para asumir esta responsabilidad ni funciones establecidas para tal fin. A pesar de esto, utilizan diferentes estrategias para enseñar y se sienten motivados para hacerlo. Conclusiones: El rol del residente como docente en el servicio de Medicina Interna en la Fundación Cardioinfantil es fundamental para la formación de los futuros médicos y especialistas según la percepción que tienen los grupos focales. Los encuentros pedagógicos están enmarcados por la disponibilidad de tiempo y dependen de características personales del residente, conocimiento disciplinar y formación para enseñar. Se considera que se debe apoyar más el entrenamiento en docencia de los residentes, avanzar en la formalización de las funciones docentes de los mismos y generar sistemas de evaluación de este proceso de enseñanza y aprendizaje.

Key stakeholders' expectations of educational outcomes from Australian critical care nursing courses: a Delphi study

Background
Educational preparation for critical care nursing in Australia varies considerably in terms of the level of qualification resulting in a lack of clarity for key stakeholders about student outcomes.

Objectives
The study aim was to identify and reach consensus regarding the desired learning outcomes from Australian post-registration critical care education programs as demonstrated through the graduate's knowledge, skills and attitudes.

Design
A Delphi technique was used to establish consensus between educators, managers, clinicians and students regarding learning outcomes expected of graduates with a Graduate Certificate, Graduate Diploma and Master level qualification in critical care nursing.

Participants
A total of 164 critical care nurses (66 clinicians, 48 educators, 32 managers and 18 students) participated and 99 questionnaires were returned in the first round (response rate 60%). Fifty-seven questionnaires were returned for Round 2 (response rate 58%).

Methods
Learning outcomes were obtained from the Australian College of Critical Care Nurses Competency Standards for Specialist Critical Care Nurses. Some statements included more than one characteristic, and these were split to create learning outcomes with one characteristic per item. A survey of Australian higher education providers of critical care education provided additional learning outcomes, for a total of 73 learning outcomes for the first Delphi round.

Results
Findings suggest that patient comfort, safety, professional responsibility and ethical conduct are deemed most important for all three levels of educational preparation. There was a lack of emphasis on clinical practice issues for all levels. Participants placed higher emphasis on learning outcomes related to complex decision-making, leadership, supervision, policy development and research for Graduate Diploma and Master level programs.

Conclusion
The findings have implications for curriculum development and the profession with regards to the level of educational preparation required of critical care nurses and suggest that further work is required before clear recommendations can be made for desired educational outcomes from critical care nursing programs in Australia.

Collaborative research training : a global challenge

Research training for postgraduate research students has entered a new era as the training process becomes a multi-dimensional practice, involving not just research students and supervisors from universities but also other stakeholders such as industry, funding agents, government, and in some cases, international stakeholders. Such a transition has created some challenges but also exciting opportunities. Centre for Material and Fibre Innovation (CMFI) at Deakin University, Australia has developed a number of innovative and effective paradigms on research training, producing high quality research scientists of improved employability and strong leadership. Successful models are outlined and challenging issues and prospective strategies are presented.

The construction of a subset of ICNP® for patients with dementia: a Delphi consensus and a group interview study

BACKGROUND: The International Classification for Nursing Practice (ICNP®) 2013 includes over 4000 concepts for global nursing diagnoses, outcomes and interventions and is a large and complex set of standardised nursing concepts and expressions. Nurses may use subsets from the ICNP as concepts and expressions for research, education and clinical practice. The objective of this study was to identify and validate concepts for an ICNP subset to guide observations and documentation of nursing care for patients with dementia.

METHOD: The process model for developing ICNP subsets was followed, according to the guidelines adopted by the International Council of Nursing (ICN). To identify relevant and useful concepts for the subset, a modified form of the Delphi method was used. Six nurses working in healthcare services in three municipalities in Norway with postgraduate education in geriatric psychiatry and dementia care participated in two Delphi sessions. The participants reviewed and scored the concepts included in the suggested subset and had an opportunity to rewrite them and offer alternatives. To validate the subset after the Delphi study, a group interview was conducted with six other nurses with postgraduate education in geriatric psychiatry and dementia care. The group interview was recorded and transcribed, and summative content analysis was used.

RESULTS: Suitable concepts for an ICNP subset to guide observations and documentation of nursing care for patients with dementia were identified. In total, 301 concepts were identified, including 77 nursing diagnoses, 78 outcomes and 146 nursing interventions. An increased focus on concepts to describe basic psychosocial needs such as identity, comfort, connection, inclusion and engagement was recommended by nurses in the validation process.

CONCLUSIONS: Relevant and pre-formulated nursing diagnoses, goals and interventions were identified, which can be used to develop care plans and facilitate accuracy in the documentation of individuals with dementia. The participants believed that it may be difficult to find formulations for all steps of the nursing process. In particular, nursing diagnoses and psychosocial needs are often inadequately documented. The participants highlighted the need for the subset to contain essential information about psychosocial needs and communication.

Bibliotecas digitais em Arquitetura e urbanismo: um estudo sobre a arquitetura da informação digital

The goal of this paper was to search the state of the art from the Digital Libraries in Architecture and Urbanism in the Higher Education Institutions (IES) through conceptualizations and showing the importance of Digital Libraries in the disclosure and easing of information transferring. Questions about digital information architecture, usability, digital preservation and accessibility were approached. The research was made in the websites of Brazilian Universities, firstly to identify the institutions which offered the Architecture and Urbanism course, focusing on postgraduate education. After identifying the offering, the research was done by analyzing the contents, storage and dissemination and access to information, these libraries. It was found that the digital libraries are increasingly and taking part of organizations and educational institutions focusing on the knowledge dissemination releasing digitally information that may be needed for institution or the individual. A monitoring was done over of the physical and computational restructuring of the Board of Studies and Research in Architecture and Urbanism (Câmara de Estudos e Pesquisa em Arquitetura e Urbanismo, CEPAU), from the Architecture and Urbanism Course of the Federal University of Rio Grande do Norte (UFRN), showing the need of installing a Digital Library to integrate the databases of PPGAU s research groups, which today remain independent, with no interface among themselves. The research chosen area was Architecture and Urbanism, because there is a gap and little documentation about digital libraries in this area

A dinâmica das interações em sala de aula e a construção do conhecimento científico

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A dimensão afetiva nas representações sociais de docentes da pós-graduação em educação

Este estudo trata da dimensão afetiva nas representações sociais de docentes da pós-graduação em educação, especificamente de docentes dos Programas de Pós-Graduação em Educação da Universidade Federal do Pará e da Universidade do Estado do Pará. O objetivo desta investigação consistiu em analisar os processos constitutivos das representações sociais dos docentes dos PPGEDs sobre a afetividade, de modo a elucidar as implicações no trabalho que desenvolvem. É um estudo com foco nos processos psicossociais, nas formas de saber, conhecer e sentir advindas das construções e aquisições compartilhadas entre docentes, a partir das interações com o outro no seu contexto de trabalho. Como referencial teórico, adotamos a Teoria das Representações Sociais de Serge Moscovici (1978) referenciada na abordagem processual elaborada por Jodelet (2001) e colaboradores. Sobre a afetividade nos embasamos nos pressupostos de Freud e Wallon, estes concebem a afetividade como uma dimensão imprescindível no desenvolvimento humano, que se constitui a partir dos afetos e das relações afetivas, sujeitas a ambivalência dos sentimentos. Afetamos e somos afetados pelo amor, ódio, inveja, alegria, prazer, solidão, medo, fraternidade. É uma pesquisa qualitativa e quantitativa que buscou a compreensão dos sentidos e significados atribuídos pelos docentes pesquisados. Os instrumentos de coleta das informações foram: um formulário online e a entrevista de aprofundamento. A caracterização dos docentes participantes dos PPGEDs e as questões relacionadas à afetividade e o trabalho docente foram analisados por meio do software SPSS e, as informações das entrevistas foram submetidas à análise de conteúdo de acordo com Bardin (1977), Franco (2003) e Nascimento (2002). A partir das análises temáticas das falas dos docentes constatamos a existência de três dimensões que organizam as RS do grupo pesquisado, a saber: cognitiva, ético-política e relacional e, afetiva. Essas dimensões estruturam duas tendências centrais de objetivações e de ancoragens das representações dos docentes dos PPGED da UFPA e UEPA sobre a afetividade. A primeira indica uma forte tendência de ressignificação das representações sociais dos docentes sobre afetividade. Estas revelam imagens e sentidos assentados na partilha, no diálogo, no respeito dos docentes entre si. A segunda tendência indica que as representações sociais dos docentes estão ancoradas na racionalização dos processos psicossociais sobre a afetividade, ou seja, no universo reificado. Nesta tendência, prevalece o interesse dos subgrupos a partir das suas opiniões, crenças e ideologias. Estas duas tendências implicam em distintas relações afetivas no trabalho que realizam na pós-graduação em educação. Constatamos que a dinâmica que envolve a dimensão afetiva nas relações entre docentes nos programas de pós-graduação em educação contribui para a manutenção e/ou renovação das representações sociais partilhadas e comunicadas nestes contextos acadêmicos.

Formação docente: contribuições da formação inicial para a construção da identidade profissional

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Atividade de estudo como fundamento do desenvolvimento do pensamento teórico de crianças em idade escolar inicial

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Educação em direitos reprodutivos : uma análise de materiais didáticos audiovisuais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Diferentes percepciones de un mismo ambiente: la cuestión del género en la enseñanza de la ciência

This paper relates some considerations resulting from a thesis study in Biological Sciences held at Universidade Estadual Paulista - Unesp, Bauru Campus. Considering the perceptual act endowed with simultaneous actions of the cognitive apparatus and the individual's life history as the merleau-pontyana phenmomenon tells us, the work aimed to identify how boys and girls in elementary school realize a natural savanna. The study was realized with the extension project "Walking and learning at the cerrado” in the Center for Memory and Dissemination of Science and Technology (CDMCT) of Postgraduate Education for Science in the same institution. Classes were held in these practical activities, monitored by undergraduate and graduate students, and, the project focuses on students from public and private schools in Bauru and region, and other visiting groups. Data collection was performed using the representations in the form of free drawings of students of their environment after the activity. Through qualitative and quantitative analysis, the results allowed us to highlight differences in the way in which genders perceived and thus represented the fragment of cerrado vegetation. The male drawings contained a larger amount of non-living elements, whereas the representations by women, besides their botanical details, often drew on animals and people. The framework of the drawings by the boys took the nearest way, whereas by the girls more often considered the representations and the entire context of the site visited. So, we emphasize the need for further discussions within the perception of the environment to consider differences in the representations of boys and girls within the context of the teaching of natural sciences, seeking, however, to avoid unsubstantiated preconceptions that may cause any degree of discrimination.

Phenotypic alterations of neuropeptide Y and calcitonin gene-related peptide-containing neurons innervating the rat temporomandibular joint during carrageenan-induced arthritis

The aim of this study was to identify immunoreactive neuropeptide Y (NPY) and calcitonin gene-related peptide (CGRP) neurons in the autonomic and sensory ganglia, specifically neurons that innervate the rat temporomandibular joint (TMJ). A possible variation between the percentages of these neurons in acute and chronic phases of carrageenan-induced arthritis was examined. Retrograde neuronal tracing was combined with indirect immunofluorescence to identify NPY-immuno-reactive (NPY-IR) and CGRP-immunoreactive (CGRP-IR) neurons that send nerve fibers to the normal and arthritic temporomandibular joint. In normal joints, NPY-IR neurons constitute 78 +/- 3%, 77 +/- 6% and 10 +/- 4% of double-labeled nucleated neuronal profile originated from the superior cervical, stellate and otic ganglia, respectively. These percentages in the sympathetic ganglia were significantly decreased in acute (58 +/- 2% for superior cervical ganglion and 58 +/- 8% for stellate ganglion) and chronic (60 +/- 2% for superior cervical ganglion and 59 +/- 15% for stellate ganglion) phases of arthritis, while in the otic ganglion these percentages were significantly increased to 19 +/- 5% and 13 +/- 3%, respectively. In the trigeminal ganglion, CGRP-IR neurons innervating the joint significantly increased from 31 +/- 3% in normal animals to 54 +/- 2% and 49 +/- 3% in the acute and chronic phases of arthritis, respectively. It can be concluded that NPY neurons that send nerve fibers to the rat temporomandibular joint are located mainly in the superior cervical, stellate and otic ganglia. Acute and chronic phases of carrageenan-induced arthritis lead to an increase in the percentage of NPY-IR parasympathetic and CGRP-IR sensory neurons and to a decrease in the percentage of NPY-IR sympathetic neurons related to TMJ innervation.