Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_SP |
Texto Completo: | https://repositorio.pucsp.br/jspui/handle/handle/30992 |
Resumo: | Simone MF. Perception of Brazilian Intensive Care Physicians about the use of bedside Echocardiogram. The use of bedside echocardiogram by intensive care physicians has become a valuable tool to make up the evaluation, assertive diagnosis, management of hemodynamic status, risk stratification and therapeutic interventions of adult critical lye patients hospitalized in intensive care units. The study aimed to elaborate and validate an instrument to characterize the profile of professional training of Brazilian intensive care physicians regarding the use of echocardiogram at the bedside and to identify the perception of intensive care physicians who performed training in the use of bedside echocardiogram on competencies for its use and improvement of care with the use of this tool. This is observational, transverse, descriptive research of quantitative approach. Ninety physicians associated with the Brazilian Association of Intensive Care Medicine participated. Participants answered a self-administered online questionnaire, validated by six judges, which covered three domains: training for bedside echocardiogram; use of bedside echocardiogram; characterization of participants. The results were organized in tables and analyzed according to the absolute and relative frequency of their variables. It was found that 64% of the participants were trained to use the bedside echocardiogram, mostly in continuing medical education courses, with a workload of more than 12 hours; 84% reported being able to perform the exam without the help of another professional after training; 72% were able to discuss the results obtained with more experienced professionals; 79 to 93% of the respondents affirmed the development of specific skills after training of the tool. On the other hand, 55% of the sample considers itself little or almost nothing capable of using this resource in their practice. Both the perception of skills acquired after training, as well the type of training and the total workload of the course did not influence the participants' abilities to perform the evaluation of basic measures to answer objective and targeted clinical questions, as recommended by the literature |
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Rondelo, Lúcia Duartehttp://lattes.cnpq.br/2162903960937412http://lattes.cnpq.br/4260053895688639Fonseca, Simone de Medeiros2023-02-03T14:56:22Z2023-02-03T14:56:22Z2022-08-31Fonseca, Simone de Medeiros. Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito. 2022. Dissertação (Mestrado em Educação nas Profissões da Saúde) - Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde da Pontifícia Universidade Católica de São Paulo, Sorocaba, 2022.https://repositorio.pucsp.br/jspui/handle/handle/30992Simone MF. Perception of Brazilian Intensive Care Physicians about the use of bedside Echocardiogram. The use of bedside echocardiogram by intensive care physicians has become a valuable tool to make up the evaluation, assertive diagnosis, management of hemodynamic status, risk stratification and therapeutic interventions of adult critical lye patients hospitalized in intensive care units. The study aimed to elaborate and validate an instrument to characterize the profile of professional training of Brazilian intensive care physicians regarding the use of echocardiogram at the bedside and to identify the perception of intensive care physicians who performed training in the use of bedside echocardiogram on competencies for its use and improvement of care with the use of this tool. This is observational, transverse, descriptive research of quantitative approach. Ninety physicians associated with the Brazilian Association of Intensive Care Medicine participated. Participants answered a self-administered online questionnaire, validated by six judges, which covered three domains: training for bedside echocardiogram; use of bedside echocardiogram; characterization of participants. The results were organized in tables and analyzed according to the absolute and relative frequency of their variables. It was found that 64% of the participants were trained to use the bedside echocardiogram, mostly in continuing medical education courses, with a workload of more than 12 hours; 84% reported being able to perform the exam without the help of another professional after training; 72% were able to discuss the results obtained with more experienced professionals; 79 to 93% of the respondents affirmed the development of specific skills after training of the tool. On the other hand, 55% of the sample considers itself little or almost nothing capable of using this resource in their practice. Both the perception of skills acquired after training, as well the type of training and the total workload of the course did not influence the participants' abilities to perform the evaluation of basic measures to answer objective and targeted clinical questions, as recommended by the literatureSimone MF. Percepções de Médicos Intensivistas Brasileiros sobre o uso do Ecocardiograma à beira-leito. O uso do exame ecocardiograma à beira-leito por médicos intensivistas têm se tornado uma ferramenta de grande valia para compor a avaliação, diagnóstico assertivo, manejo do estado hemodinâmico, estratificação de risco e as intervenções terapêuticas dos pacientes críticos adultos internados nas unidades de terapia intensiva. O estudo teve como objetivos elaborar e validar um instrumento para caracterizar o perfil de capacitação profissional de médicos intensivistas brasileiros quanto ao uso do ecocardiograma à beira-leito e identificar a percepção dos médicos intensivistas que realizaram capacitação no uso do ecocardiograma à beira-leito sobre as competências para o seu uso e a melhoria da assistência com a utilização dessa ferramenta. Trata-se de pesquisa observacional, transversal, descritiva, de abordagem quantitativa. Participaram 90 médicos associados a Associação de Medicina Intensiva Brasileira. Os participantes responderam um questionário online autoaplicável, validado por seis juízes, que abrangeu três domínios: capacitação para uso do ecocardiograma à beira-leito; utilização do ecocardiograma à beira-leito; caracterização dos participantes. Os resultados foram organizados em tabelas e analisados segundo a frequência absoluta e relativa de suas variáveis. Constatouse que 64% dos participantes foram capacitados para o uso do ecocardiograma à beira-leito, em sua maioria em cursos de educação médica continuada, com carga horária acima de 12 horas; 84% referiram conseguir realizar o exame sem auxílio de outro profissional após a capacitação; 72% foram capazes de discutir os resultados obtidos com profissionais mais experientes; 79 a 93% dos respondentes afirmaram o desenvolvimento de habilidades específicas pós capacitação da ferramenta. Em contrapartida, 55% dos participantes se consideram pouco ou quase nada capacitado para utilizar esse recurso em sua prática. Tanto a percepção sobre competências adquiridas pós capacitação, quanto o tipo de capacitação, como a carga horária total do curso realizado não influenciaram nas habilidades dos participantes em realizar a avaliação das medidas básicas para responder questões clínicas objetivas e direcionadas, como recomendado pela literaturaporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em Educação nas Profissões da SaúdePUC-SPBrasilFaculdade de Ciências Médicas e da SaúdeCNPQ::CIENCIAS DA SAUDECapacitação ProfissionalUnidades de Cuidados IntensivosTécnicas de diagnóstico cardiovascularProfessional TrainingIntensive care unitsCardiovascular diagnostic techniquesPercepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leitoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPORIGINALSimone de Medeiros Fonseca.pdfapplication/pdf2271988https://repositorio.pucsp.br/xmlui/bitstream/handle/30992/1/Simone%20de%20Medeiros%20Fonseca.pdf9ce956308c5d151f79257a4c4563102bMD51TEXTSimone de Medeiros Fonseca.pdf.txtSimone de Medeiros Fonseca.pdf.txtExtracted texttext/plain151534https://repositorio.pucsp.br/xmlui/bitstream/handle/30992/2/Simone%20de%20Medeiros%20Fonseca.pdf.txt06ca32a0323fd36f82929f1c47f69c05MD52THUMBNAILSimone de Medeiros Fonseca.pdf.jpgSimone de Medeiros Fonseca.pdf.jpgGenerated Thumbnailimage/jpeg1364https://repositorio.pucsp.br/xmlui/bitstream/handle/30992/3/Simone%20de%20Medeiros%20Fonseca.pdf.jpg92f17429969c7d106b23a1868de7455eMD53handle/309922023-02-06 09:14:38.963oai:repositorio.pucsp.br:handle/30992Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2023-02-06T12:14:38Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.pt_BR.fl_str_mv |
Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito |
title |
Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito |
spellingShingle |
Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito Fonseca, Simone de Medeiros CNPQ::CIENCIAS DA SAUDE Capacitação Profissional Unidades de Cuidados Intensivos Técnicas de diagnóstico cardiovascular Professional Training Intensive care units Cardiovascular diagnostic techniques |
title_short |
Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito |
title_full |
Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito |
title_fullStr |
Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito |
title_full_unstemmed |
Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito |
title_sort |
Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito |
author |
Fonseca, Simone de Medeiros |
author_facet |
Fonseca, Simone de Medeiros |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Rondelo, Lúcia Duarte |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2162903960937412 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/4260053895688639 |
dc.contributor.author.fl_str_mv |
Fonseca, Simone de Medeiros |
contributor_str_mv |
Rondelo, Lúcia Duarte |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE |
topic |
CNPQ::CIENCIAS DA SAUDE Capacitação Profissional Unidades de Cuidados Intensivos Técnicas de diagnóstico cardiovascular Professional Training Intensive care units Cardiovascular diagnostic techniques |
dc.subject.por.fl_str_mv |
Capacitação Profissional Unidades de Cuidados Intensivos Técnicas de diagnóstico cardiovascular |
dc.subject.eng.fl_str_mv |
Professional Training Intensive care units Cardiovascular diagnostic techniques |
description |
Simone MF. Perception of Brazilian Intensive Care Physicians about the use of bedside Echocardiogram. The use of bedside echocardiogram by intensive care physicians has become a valuable tool to make up the evaluation, assertive diagnosis, management of hemodynamic status, risk stratification and therapeutic interventions of adult critical lye patients hospitalized in intensive care units. The study aimed to elaborate and validate an instrument to characterize the profile of professional training of Brazilian intensive care physicians regarding the use of echocardiogram at the bedside and to identify the perception of intensive care physicians who performed training in the use of bedside echocardiogram on competencies for its use and improvement of care with the use of this tool. This is observational, transverse, descriptive research of quantitative approach. Ninety physicians associated with the Brazilian Association of Intensive Care Medicine participated. Participants answered a self-administered online questionnaire, validated by six judges, which covered three domains: training for bedside echocardiogram; use of bedside echocardiogram; characterization of participants. The results were organized in tables and analyzed according to the absolute and relative frequency of their variables. It was found that 64% of the participants were trained to use the bedside echocardiogram, mostly in continuing medical education courses, with a workload of more than 12 hours; 84% reported being able to perform the exam without the help of another professional after training; 72% were able to discuss the results obtained with more experienced professionals; 79 to 93% of the respondents affirmed the development of specific skills after training of the tool. On the other hand, 55% of the sample considers itself little or almost nothing capable of using this resource in their practice. Both the perception of skills acquired after training, as well the type of training and the total workload of the course did not influence the participants' abilities to perform the evaluation of basic measures to answer objective and targeted clinical questions, as recommended by the literature |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022-08-31 |
dc.date.accessioned.fl_str_mv |
2023-02-03T14:56:22Z |
dc.date.available.fl_str_mv |
2023-02-03T14:56:22Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Fonseca, Simone de Medeiros. Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito. 2022. Dissertação (Mestrado em Educação nas Profissões da Saúde) - Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde da Pontifícia Universidade Católica de São Paulo, Sorocaba, 2022. |
dc.identifier.uri.fl_str_mv |
https://repositorio.pucsp.br/jspui/handle/handle/30992 |
identifier_str_mv |
Fonseca, Simone de Medeiros. Percepções de médicos intensivistas brasileiros sobre o uso do ecocardiograma à beira-leito. 2022. Dissertação (Mestrado em Educação nas Profissões da Saúde) - Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde da Pontifícia Universidade Católica de São Paulo, Sorocaba, 2022. |
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Pontifícia Universidade Católica de São Paulo |
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