{"id":8429,"date":"2023-10-31T12:01:34","date_gmt":"2023-10-31T10:01:34","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=8429"},"modified":"2023-11-29T11:54:49","modified_gmt":"2023-11-29T09:54:49","slug":"ziua-mondiala-a-asistentei-medicale-bazate-pe-dovezi","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=8429","title":{"rendered":"Ziua Mondial\u0103 a Asisten\u021bei Medicale Bazate pe Dovezi"},"content":{"rendered":"\n<p>\u00cen fiecare an, \u00eencep\u00e2nd cu 2020, \u00een 20 octombrie, comunitatea interna\u021bional\u0103 de&nbsp; Asisten\u021b\u0103 medical\u0103 bazat\u0103 pe dovezi (EBHC) s\u0103rb\u0103tore\u0219te <a><strong>Ziua Mondial\u0103 a Asisten\u021bei Medicale Bazate pe Dovezi<\/strong> &#8211;<\/a><a href=\"https:\/\/worldebhcday.org\/take-action\">World EBHC Day<\/a>. Acest eveniment deosebit de important este condus la nivel mondial de o serie de <a href=\"https:\/\/worldebhcday.org\/organising-partners\">organiza\u021bii<\/a> interna\u021bionale de cercetare \u0219i inovare \u00een domeniul medical: JBI, Cochrane, Campbell Collaboration, Guidelines International Network (GIN), The Institute for Evidence-Based Healthcare (IEBH), The Centre for Evidence-based Health Care (CEBHC) \u0219i National Institute for Health and Care Excellence (NICE).<\/p>\n\n\n\n<p>Tema din acest an s-a concentrat pe <em>dovezi \u0219i echitate global\u0103 \u00een s\u0103n\u0103tate<\/em>. Inechit\u0103\u021bile \u00een materie de s\u0103n\u0103tate reprezint\u0103 diferen\u021bele inechitabile, nedrepte \u0219i evitabile, cauzate de modul \u00een care puterea, resursele \u0219i banii sunt distribuite \u00een societate. Potrivit Organiza\u021biei Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS), <em>\u201eob\u021binerea unui impact asupra s\u0103n\u0103t\u0103\u021bii \u0219i echit\u0103\u021bii globale este scopul final al unei mai bune utiliz\u0103ri a dovezilor cercet\u0103rii \u00een luarea deciziilor \u00een materie de s\u0103n\u0103tate\u201d<\/em>. \u00cen acest context, organizatorii acestui eveniment au solicitat <strong>Comunit\u0103\u021bii Mondiale EBHC<\/strong> s\u0103 disemineze propriile experien\u021be cu privire la promovarea \u0219i integrarea procesului decizional bazat pe dovezi, pentru a \u00eendeplini obiectivul de <em>echitatea global\u0103 \u00een s\u0103n\u0103tate<\/em>.<\/p>\n\n\n\n<p>OAMGMAMR Filiala Bucure\u0219ti face parte din aceast\u0103 <a href=\"https:\/\/jbi.global\/global-networks\/collaboration\/jbc_entity?collaborator_id=2230\">re\u021bea colaborativ\u0103<\/a> \u0219i a r\u0103spuns invita\u021biei cu un articol publicat \u00een site-ul principal al acestui eveniment. \u00cen acest fel, am primit titlul onorific de <a href=\"https:\/\/worldebhcday.org\/evidence-ambassadors-2023\">Ambasadori ai Dovezilor<\/a> (<strong>Evidence Ambasador<\/strong>) \u0219i am participat activ la evenimentele online organizate \u00een acest sens.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/10\/ebhc.png\"><img width=\"1024\" height=\"538\" src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/10\/ebhc-1024x538.png\" alt=\"\" class=\"wp-image-8388\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/10\/ebhc-1024x538.png 1024w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/10\/ebhc-300x158.png 300w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/10\/ebhc-768x403.png 768w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2023\/10\/ebhc.png 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p>\u00cen cele ce urmeaz\u0103, vom prezenta varianta \u00een limba rom\u00e2n\u0103 a acestui articol.<\/p>\n\n\n\n<h2><strong>Oportunit\u0103\u021bi cheie de transformarea a profesiilor de asistent medical \u0219i moa\u0219\u0103<\/strong><\/h2>\n\n\n\n<h2><strong>Introducere<\/strong><\/h2>\n\n\n\n<p>Asisten\u021bii medicali \u0219i moa\u0219ele reprezint\u0103 for\u021ba de munc\u0103 cea mai numeroas\u0103 din cadrul profesiilor din domeniul s\u0103n\u0103t\u0103\u021bii. Ei lucreaz\u0103 la intersec\u021bia dintre s\u0103n\u0103tate, educa\u021bie \u0219i comunit\u0103\u021bi \u0219i au responsabilit\u0103\u021bi din cele mai diverse \u0219i autonome. \u00cen ultimii ani, la nivel global, remarc\u0103m o transformare dinamic\u0103 a profesiilor de asistent medical \u0219i moa\u0219\u0103, concentrat\u0103 pe urm\u0103toarele aspecte principale:<\/p>\n\n\n\n<ul><li>Recunoa\u0219terea identit\u0103\u021bii profesionale<\/li><li>Extinderea rolului acestora prin leadership, cercetare \u0219i inovare<\/li><li>Implementarea practicilor bazate pe dovezi (EBP).<\/li><\/ul>\n\n\n\n<p>Acest articol prezint\u0103 oportunit\u0103\u021bile cheie de transformare a profesiilor de asistent medical \u0219i moa\u0219\u0103, care s\u0103 contribuie la furnizarea \u00eengrijirilor de s\u0103n\u0103tate bazate pe dovezi, echitabile, sigure \u0219i de calitate.<\/p>\n\n\n\n<h2><strong>Context<\/strong><\/h2>\n\n\n\n<p>\u00cen ultimele dou\u0103 decenii s-a remarcat o ampl\u0103 mi\u0219care de sus\u021binere \u0219i dezvoltare a profesiilor de asistent medical si moa\u0219\u0103, sus\u021binut\u0103 neobosit de organiza\u021bii interna\u021bionale \u0219i na\u021bionale. \u00cen plus, contextul pandemic <a href=\"https:\/\/journals.lww.com\/jbisrir\/fulltext\/2021\/04000\/invest_in_nursing__the_backbone_of_health_care.1.aspx\">COVID-19<\/a> a eviden\u021biat importan\u021ba critic\u0103 a s\u0103n\u0103t\u0103\u021bii \u0219i contribu\u021bia major\u0103 a acestor profesioni\u0219ti \u00een realizarea echit\u0103\u021bii \u00een s\u0103n\u0103tate. Mai mult ca niciodat\u0103, au fost recunoscute rolurile profesioni\u0219tilor din domeniul s\u0103n\u0103t\u0103\u021bii ca sus\u021bin\u0103tori ai pacien\u021bilor (patient advocacy) \u0219i campioni ai schimb\u0103rii.<\/p>\n\n\n\n<p>Conceptul de \u201e<em><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/0969733019832950\">patient advocacy<\/a>\u201d<\/em> implic\u0103 furnizarea de \u00eengrijiri individualizate \u00een raport cu cultura, valorile \u0219i preferin\u021bele pacientului, asigur\u00e2nd, \u00een acela\u0219i timp, libertatea pacientului de a lua cele mai bune decizii informate. Campionii schimb\u0103rii sunt pasiona\u021bi de \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii globale a asisten\u021bei medicale, \u00een special prin \u00eencurajarea colegilor lor c\u0103tre inovare \u0219i adoptarea celor mai bune practici la locul de munc\u0103. Cu toate acestea, asumarea acestor roluri necesit\u0103 sprijin adecvat din partea organiza\u021biilor de asisten\u021b\u0103 medical\u0103.<\/p>\n\n\n\n<p>P\u00e2n\u0103 de cur\u00e2nd, aspira\u021bia <a href=\"https:\/\/www.oammrbuc.ro\/index.php\">OAMGMAMR Bucure\u0219ti<\/a> de a dezvolta cercetarea \u0219i inovarea \u00een domeniul de activitate al asisten\u021bilor medicali \u0219i moa\u0219elor p\u0103rea irealizabil\u0103. Accesul limitat la dovezi, lipsa apetitului cultural pentru cercetare \u0219i inovare, rezisten\u021ba la schimbare \u0219i lipsa programelor academice pentru asisten\u021bi medicali \u0219i moa\u0219e sunt doar c\u00e2teva dintre motivele pentru care dezvoltarea profesional\u0103 pentru acest sector a fost o provocare.<\/p>\n\n\n\n<p>Cu toate acestea, cadrul socio-politic creat de organiza\u021biile interna\u021bionale, colaborarea cu organiza\u021bii interna\u021bionale de cercetare \u0219i inovare, cum ar fi <a href=\"https:\/\/jbi.global\/\">JBI<\/a>, \u0219i nu \u00een ultimul r\u00e2nd, <a href=\"https:\/\/emcbuc.ro\/\">perseveren\u021ba OAMGMAMR Bucure\u0219ti<\/a> a contribuit la dezvoltarea profesiilor de asistent medical \u0219i de moa\u0219\u0103.<\/p>\n\n\n\n<h2><strong>Organiza\u021bii interna\u021bionale care sus\u021bin transformarea profesiilor de asistent medical \u0219i moa\u0219\u0103<\/strong><\/h2>\n\n\n\n<p>\u00cencep\u00e2nd cu sf\u00e2r\u0219itul anilor 1990, <a href=\"https:\/\/www.who.int\/\">OMS<\/a> a promovat recunoa\u0219terea asisten\u021bilor medicali \u0219i moa\u0219elor ca membri esen\u021biali ai echipelor multidisciplinare datorit\u0103:<\/p>\n\n\n\n<ul><li><a href=\"https:\/\/iris.who.int\/handle\/10665\/353806\">Importan\u021bei lor<\/a> \u00een abordarea provoc\u0103rile de s\u0103n\u0103tate public\u0103 \u0219i in furnizarea serviciilor de s\u0103n\u0103tate sigure, de \u00eenalt\u0103 calitate, eficiente \u0219i eficiente \u0219i<\/li><li>Contribu\u021biei lor eficiente \u00een cadrul sistemelor de s\u0103n\u0103tate.<\/li><\/ul>\n\n\n\n<p>OMS a dezvoltat un Cadru de politici pentru s\u0103n\u0103tate \u0219i bun\u0103stare \u2013 <em>\u201e<a href=\"https:\/\/iris.who.int\/handle\/10665\/326386\">Health 2020<\/a>\u201d<\/em> \u0219i o strategie european\u0103 pentru secolul 21, care are ca principal scop <em>\u00eembun\u0103t\u0103\u021birea s\u0103n\u0103t\u0103\u021bii \u0219i bun\u0103st\u0103rii popula\u021biilor \u0219i reducerea inegalit\u0103\u021bilor \u00een materie de s\u0103n\u0103tate p\u00e2n\u0103 \u00een 2030<\/em>.<\/p>\n\n\n\n<p>\u00cen acest sens, OMS \u0219i <a href=\"https:\/\/www.icn.ch\/\">Consiliul Interna\u021bional al Asisten\u021bilor medicali<\/a> (ICN) au desemnat anul 2020 <em><a href=\"https:\/\/www.who.int\/campaigns\/annual-theme\/year-of-the-nurse-and-the-midwife-2020\">Anul Interna\u021bional al Asisten\u021bilor Medicali<\/a><\/em><em>.<\/em> Tema pentru 2020 a fost \u201eAsisten\u021bii medicali: o voce care s\u0103 conduc\u0103 spre o lume s\u0103n\u0103toas\u0103\u201d, care a eviden\u021biat modul \u00een care asisten\u021bii medicali \u0219i moa\u0219ele sunt esen\u021biali pentru abordarea unei game largi de provoc\u0103ri de s\u0103n\u0103tate, inclusiv inechitatea \u00een s\u0103n\u0103tate.<\/p>\n\n\n\n<p>Raportul <strong><em>\u201e<a href=\"https:\/\/nam.edu\/publications\/the-future-of-nursing-2020-2030\/\">The future of Nursing 2020-2030<\/a>\u201d<\/em><\/strong> a eviden\u021biat capacitatea unic\u0103 a asisten\u021bilor medicali \u0219i moa\u0219elor de a aborda determinan\u021bii sociali ai s\u0103n\u0103t\u0103\u021bii, inclusiv \u00eengrijirea accesibil\u0103, de calitate \u0219i echitabil\u0103 pentru \u00eentreaga popula\u021bie.<\/p>\n\n\n\n<p>Totu\u0219i, pentru a-\u0219i asuma aceste roluri, <a href=\"https:\/\/iris.who.int\/handle\/10665\/353555\">asisten\u021bii medicali \u0219i moa\u0219ele au nevoie de<\/a>:<\/p>\n\n\n\n<ul><li>Educa\u021bie profesional\u0103 solid\u0103<\/li><li>Medii de lucru care s\u0103-i sus\u021bin\u0103<\/li><li>Autonomie<\/li><li>Participare la luarea deciziilor \u00een s\u0103n\u0103tate la nivel local, guvernamental \u0219i interna\u021bional.<\/li><\/ul>\n\n\n\n<p>\u00cen prezent, OMS sprijin\u0103 puternic dezvoltarea profesional\u0103 a asisten\u021bilor medicali \u0219i moa\u0219elor prin dezvoltarea cadrului general de <strong><em>practic\u0103 avansat\u0103.<\/em><\/strong><\/p>\n\n\n\n<p>O alt\u0103 organiza\u021bie interna\u021bional\u0103 care sprijin\u0103 transformarea profesiilor de asistent medical \u0219i moa\u0219\u0103 este <a href=\"https:\/\/jbi.global\/\">JBI<\/a>. JBI este o important\u0103 organiza\u021bie interna\u021bional\u0103 de cercetare \u0219i inovare care, timp de aproape trei decenii, a sprijinit aceast\u0103 transformare prin dezvoltarea \u0219i furnizarea de informa\u021bii bazate pe dovezi, software, educa\u021bie \u0219i formare pentru a \u00eembun\u0103t\u0103\u021bi practicile medicale \u0219i rezultatele pacien\u021bilor.<\/p>\n\n\n\n<p>Scopul principal al JBI este de a oferi cele mai bune dovezi disponibile deciden\u021bilor politici \u0219i profesioni\u0219tilor din s\u0103n\u0103tate (inclusiv asisten\u021bi medicali \u0219i moa\u0219e) pentru a informa luarea deciziilor clinice la punctul de \u00eengrijire. \u00cen acest sens, JBI a \u00eenfiin\u021bat o re\u021bea global\u0103 \u2013 <strong><a href=\"https:\/\/jbi.global\/global-networks\/collaboration\">JBI Collaboration<\/a><\/strong> \u2013 pentru a sus\u021bine organiza\u021biile academice, spitalele \u0219i sistemele de s\u0103n\u0103tate s\u0103 integreze practicile de asisten\u021b\u0103 medical\u0103 specifice contextului, bazate pe dovezi, folosind un model teoretic \u2013 <strong><a href=\"https:\/\/journals.lww.com\/ijebh\/fulltext\/2019\/03000\/the_updated_joanna_briggs_institute_model_of.8.aspx\">Modelul JBI de \u00cengrijiri Medicale Bazate pe Dovezi<\/a><\/strong>.<\/p>\n\n\n\n<h2><strong>Organiza\u021bii na\u021bionale care sprijin\u0103 transformarea profesiilor de asistent medical \u0219i moa\u0219\u0103<\/strong><\/h2>\n\n\n\n<p>\u00cen general, organiza\u021biile profesionale specifice, prin natura lor au menirea de a sus\u021bine asisten\u021bii medicali \u0219i moa\u0219ele \u00een dezvoltarea lor profesional\u0103 continu\u0103 \u0219i de a se asigura c\u0103 ei de\u021bin combina\u021bia de competen\u021be necesar\u0103 \u0219i adecvat\u0103 pentru furnizarea de \u00eengrijiri de s\u0103n\u0103tate echitabile, sigure \u0219i de calitate.<\/p>\n\n\n\n<p>\u00cen Rom\u00e2nia, <a href=\"https:\/\/emcbuc.ro\/2021\/02\/11\/evenimente\/\">OAMGMAMR Bucure\u0219ti<\/a>, adi\u021bional responsabilit\u0103\u021bile administrative, \u00eencurajeaz\u0103 asisten\u021bii medicali \u0219i moa\u0219ele s\u0103 \u00eencorporeze echitatea \u0219i dovezile \u00een luarea deciziilor \u00een domeniul s\u0103n\u0103t\u0103\u021bii. Suportul ei este cu at\u00e2t mai important cu c\u00e2t, \u00een aceasta filial\u0103 sunt \u00eenregistra\u021bi cei mai mul\u021bi asisten\u021bi medicali \u0219i moa\u0219e din \u021bar\u0103 (peste 25000) \u0219i are capacitatea necesar\u0103 de a extinde bunele practici la nivel na\u021bional.<\/p>\n\n\n\n<p>Din 2010, Filiala Bucure\u0219ti a OAMGMAMR face parte din Colaborarea JBI \u0219i g\u0103zduie\u0219te un centru de cercetare &#8211; <a href=\"https:\/\/emcbuc.ro\/category\/emc\/centrul-roman-de-cercetare-in-ingrijiri-de-sanatate\/\">Romanian Centre for Nursing Research: A JBI Centre of Excellence<\/a> (pe scurt Centrul Rom\u00e2n JBI) care este axat pe implementarea practicilor bazate pe dovezi. Cu m\u00e2ndrie, este recunoscut\u0103 ca fiind singura organiza\u021bie profesional\u0103 din lume care g\u0103zduie\u0219te un astfel de centru de cercetare. \u00cens\u0103 acest lucru a creat \u0219i o mul\u021bime de provoc\u0103ri, \u00een special lipsa unei infrastructuri adecvate \u0219i lipsa culturii pentru cercetare \u0219i inovare, existente \u00een mod natural \u00een mediul academic. Odat\u0103 cu trecerea timpului, personalul de baz\u0103 al Centrului Rom\u00e2n JBI a \u00eenv\u0103\u021bat de la mentorii lor de la JBI cum s\u0103 gestioneze aceste provoc\u0103ri \u0219i s\u0103 creasc\u0103 continuu pentru a sus\u021bine \u0219i promova practica bazat\u0103 pe dovezi \u00een Rom\u00e2nia.<\/p>\n\n\n\n<p>Autorit\u0103\u021bile de evaluare a calit\u0103\u021bii, sunt organiza\u021bii na\u021bionale care, prin cuno\u0219tin\u021be, expertiz\u0103 \u0219i standarde riguroase ajut\u0103 organiza\u021biile de \u00eengrijire a s\u0103n\u0103t\u0103\u021bii s\u0103 \u00ee\u0219i \u00eembun\u0103t\u0103\u021beasc\u0103 calitatea \u0219i siguran\u021ba pacien\u021bilor pe \u00eentregul continuu de \u00eengrijire.<\/p>\n\n\n\n<p>\u00cen mod particular, \u00een Romania, <a href=\"https:\/\/anmcs.gov.ro\/en\/about-us\/\">Autoritatea Na\u021bional\u0103 de Management al Calit\u0103\u021bii \u00een S\u0103n\u0103tate<\/a> (ANMCS) este o organiza\u021bie public\u0103 \u00eenfiin\u021bat\u0103 \u00een 2010, care a introdus pentru prima dat\u0103 \u00een standardele de calitate din 2017, un indicator care m\u0103soar\u0103 activitatea de cercetare a asisten\u021bilor medicali \u0219i moa\u0219elor. Acesta a constituit motorul local de cre\u0219tere a interesului \u0219i implic\u0103rii asisten\u021bilor medicali \u0219i moa\u0219elor \u00een activit\u0103\u021bile de cercetare \u0219i inovare.<\/p>\n\n\n\n<h2><strong>Parteneriate clinice<\/strong><\/h2>\n\n\n\n<p>Implicarea cu partenerii clinici este esen\u021bial\u0103 pentru <a href=\"https:\/\/jbi.global\/about-jbi\">Misiunea JBI<\/a>. \u00cen cadrul acestor parteneriate sunt derulate o serie de proiecte de implementare a recomand\u0103rilor de practici bazate pe dovezi care, la nivel global, pot \u00eembun\u0103t\u0103\u021bi politicile \u0219i practicile clinice prin activit\u0103\u021bi locale \u0219i specifice contextului colabor\u0103rii JBI. Parteneriatele clinice pot \u00eencuraja \u0219i sprijini eforturile personalului\/organiza\u021biilor de \u00eengrijiri medicale pentru o mai bun\u0103 echitate \u00een s\u0103n\u0103tate. \u00cen acest context, Centrul Rom\u00e2n JBI a dezvoltat <a href=\"https:\/\/emcbuc.ro\/2021\/02\/10\/colaborari\/\">parteneriate clinice cu trei spitale<\/a> universitare din Bucure\u0219ti. Scopul parteneriatelor clinice este de a \u00eenchide lacunele transla\u021bionale, care apar frecvent pe parcursul procesului bazat pe dovezi, prin \u00eembun\u0103t\u0103\u021birea cuno\u0219tin\u021belor, con\u0219tientiz\u0103rii \u0219i utiliz\u0103rii resurselor JBI, pentru a furniza \u00eengrijire medical\u0103 \u00eembun\u0103t\u0103\u021bit\u0103 pentru toat\u0103 popula\u021bia.<\/p>\n\n\n\n<p>\u00cen cadrul acestei colabor\u0103ri oficiale, personalul Centrului Rom\u00e2n JBI ofer\u0103 instruire \u0219i sprijin continuu membrilor echipelor din spitalele partenere, denumite <a><em>\u201enuclee de implementare a practicilor bazate pe dovezi\u201d<\/em><\/a>. \u00cen plus, partenerii clinici organizeaz\u0103 diverse evenimente, cum ar fi: ateliere\/grupuri de lucru, sesiuni scurte, seminare de pr\u00e2nz, sesiuni de diseminare a rezultatelor \u0219i sesiuni de monitorizare.<\/p>\n\n\n\n<p>Dup\u0103 mai bine de un deceniu de munc\u0103 intens\u0103, putem spune c\u0103 impactul parteneriatelor clinice este puternic pozitiv. Printre <a href=\"https:\/\/emcbuc.ro\/2021\/02\/10\/colaborari\/\">realiz\u0103rile cheie<\/a> rezultate din aceste parteneriate putem men\u021biona:<\/p>\n\n\n\n<ul><li>Con\u0219tientizarea asisten\u021bilor medicali \u0219i moa\u0219elor cu privire la rolurile lor de sus\u021bin\u0103tori ai pacien\u021bilor (patient advocacy) \u0219i de campioni ai schimb\u0103rii (agen\u021bi de schimbare) pentru o \u00eengrijire medical\u0103 mai bun\u0103 \u0219i pentru toat\u0103 popula\u021bia;<\/li><li>Dezvoltarea unui grup de campioni ai schimb\u0103rii \u00een fiecare spital partener &#8211; \u201enuclee de implementare a practicilor bazate pe dovezi\u201d;<\/li><li>Identificarea \u0219i implicarea liderilor de opinie \u00een inovarea, difuzarea \u0219i diseminarea practicilor bazate pe dovezi \u00een domeniul s\u0103n\u0103t\u0103\u021bii;<\/li><li>Cre\u0219terea interesului asisten\u021bilor medicali \u0219i moa\u0219elor pentru dezvoltare profesional\u0103, cercetare \u0219i inovare;<\/li><li>Consolidarea echipelor de asisten\u021b\u0103 medical\u0103, cre\u0219terea satisfac\u021biei profesionale \u0219i \u00eembun\u0103t\u0103\u021birea satisfac\u021biei pacien\u021bilor;<\/li><li>\u00cembun\u0103t\u0103\u021birea abilit\u0103\u021bilor de comunicare \u0219i leadership;<\/li><li>Promovarea securit\u0103\u021bii mediului de lucru;<\/li><li>\u00cembun\u0103t\u0103\u021birea cuno\u0219tin\u021belor cu privire la implementarea practicilor bazate pe dovezi;<\/li><li>Publicarea rapoartelor de implementare a dovezilor \u00een <a href=\"https:\/\/journals.lww.com\/ijebh\/pages\/default.aspx\">JBI Evidence Implementation<\/a>, revist\u0103 ISI cu FI de 2,3.<\/li><\/ul>\n\n\n\n<h2><strong>Mesaje cheie<\/strong><\/h2>\n\n\n\n<ul><li>Contextul socio-politic \u0219i cultural este esen\u021bial pentru procesul de transformare al profesiilor de asistent medical \u0219i moa\u0219\u0103, iar un sprijin socio-politic adecvat poate fi un motor al schimb\u0103rii.<\/li><li>Pentru a-\u0219i \u00eendeplini rolul complex, asisten\u021bii medicali \u0219i moa\u0219ele au nevoie de o educa\u021bie profesional\u0103 consolidat\u0103, medii de lucru care-i sus\u021bin, autonomie \u0219i participare la luarea deciziilor \u00een domeniul s\u0103n\u0103t\u0103\u021bii la nivel local, guvernamental \u0219i interna\u021bional.<\/li><li>Formarea profesional\u0103 academic\u0103, implicarea \u00een proiecte de implementare a practicilor bazate pe dovezi \u0219i participarea la diferite grupuri de lucru \u00een cadrul studiilor de cercetare sunt doar c\u00e2teva activit\u0103\u021bi care preg\u0103tesc asisten\u021bii medicali \u0219i moa\u0219ele pentru rolurile lor avansate. Mediul favorabil din organiza\u021bia profesional\u0103 \u0219i de la locul lor de munc\u0103 contribuie semnificativ la dezvoltarea lor profesional\u0103 \u0219i la \u00eembun\u0103t\u0103\u021birea stimei de sine.<\/li><li>JBI Collaboration este o re\u021bea interna\u021bional\u0103 care sprijin\u0103 cercetarea \u0219i inovarea \u00een domeniul s\u0103n\u0103t\u0103\u021bii.<\/li><li>Parteneriatele clinice JBI, ca instrumente formale de colaborare \u00eentre mediile clinice, organiza\u021biile profesionale \u0219i mediile academice, au beneficii esen\u021biale pentru to\u021bi cei implica\u021bi: echipe de asisten\u021b\u0103 medical\u0103, pacien\u021bi, comunit\u0103\u021bi \u0219i organiza\u021bii (inclusiv spitale, universit\u0103\u021bi \u0219i JBI).<\/li><li>Asisten\u021bii medicali \u0219i moa\u0219ele au un rol esen\u021bial \u00een gestionarea schimb\u0103rii \u00een practica clinic\u0103, ocup\u00e2nd locuri cheie care, le permit s\u0103 conduc\u0103 schimbarea ca sus\u021bin\u0103tori ai pacien\u021bilor, lideri clinici \u0219i campioni ai schimb\u0103rii. Cu mentoratul potrivit, dovezile adecvate \u0219i o echip\u0103 care-i sus\u021bine, asisten\u021bii medicali \u0219i moa\u0219ele pot conduce \u0219i impulsiona schimbarea \u00een atingerea echit\u0103\u021bii \u00een obiectivele de s\u0103n\u0103tate.<\/li><\/ul>\n\n\n\n<h2><strong>Concluzii<\/strong><\/h2>\n\n\n\n<p>\u00cen Rom\u00e2nia, contextul socio-politic \u0219i cultural favorizeaz\u0103 dezvoltarea profesional\u0103 a asisten\u021bilor medicali \u0219i moa\u0219elor pentru a-\u0219i asuma roluri mai complexe, autonome \u0219i de expertiz\u0103, at\u00e2t de necesare \u00eendeplinirii obiectivelor globale de echitate \u00een s\u0103n\u0103tate. Aceast\u0103 recunoa\u0219tere a contribu\u021biei lor conduce la cre\u0219terea angajamentului, satisfac\u021biei \u0219i motiva\u021biei lor.<\/p>\n\n\n\n<p>La nivel global, practica bazat\u0103 pe dovezi este standardul recunoscut de furnizorii de asisten\u021b\u0103 medical\u0103 \u0219i sus\u021binut de organiza\u021bii interna\u021bionale \u0219i na\u021bionale, inclusiv organiza\u021bii profesionale \u0219i autorit\u0103\u021bi de control al calit\u0103\u021bii. Pozi\u021bia strategic\u0103 a asisten\u021bilor medicali \u0219i a moa\u0219elor \u00een sistemul de s\u0103n\u0103tate indic\u0103 importan\u021ba angaj\u0103rii acestora ca agen\u021bi\/campioni ai schimb\u0103rii \u0219i sus\u021bin\u0103tori ai pacien\u021bilor \u00een luarea deciziilor clinice bazate pe dovezi, astfel \u00eenc\u00e2t fiecare pacient s\u0103 primeasc\u0103 o \u00eengrijire mai bun\u0103.<\/p>\n\n\n\n<p><strong>Autori:<\/strong><\/p>\n\n\n\n<ol type=\"1\"><li>Mariana Zazu \u2013 Specialist \u00een Dezvoltare Organiza\u021bional\u0103, <a>OAMGMAMR Filiala Bucure\u0219ti; Director adjunct al Centrului Rom\u00e2n de Cercetare \u00een \u00cengrijiri de S\u0103n\u0103tate: Centru de Excelen\u021b\u0103 JBI<\/a><\/li><li>Doina Carmen Mazilu \u2013 Pre\u0219edinte OAMGMAMR Filiala Bucure\u0219ti; Director al Centrului Rom\u00e2n de Cercetare \u00een \u00cengrijiri de S\u0103n\u0103tate: Centru de Excelen\u021b\u0103 JBI<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>\u00cen fiecare an, \u00eencep\u00e2nd cu 2020, \u00een 20 octombrie, comunitatea interna\u021bional\u0103 de&nbsp; Asisten\u021b\u0103 medical\u0103 bazat\u0103 pe dovezi (EBHC) s\u0103rb\u0103tore\u0219te Ziua Mondial\u0103 a Asisten\u021bei Medicale Bazate pe Dovezi &#8211;World EBHC Day. Acest eveniment deosebit de important este condus la nivel mondial de o serie de organiza\u021bii interna\u021bionale de cercetare \u0219i inovare \u00een domeniul medical: JBI, Cochrane, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":8388,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,6],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8429"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8429"}],"version-history":[{"count":1,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8429\/revisions"}],"predecessor-version":[{"id":8432,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8429\/revisions\/8432"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/8388"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8429"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8429"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8429"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}