Problem

Nurses stay with patients’ 24h a day per 365 days a year. Clinical nurses rely on a legal frame that assigns 100 % of his labour day, exclusively centred on clinical practice. The presence in the clinical units is needed continuously to attend patient’s needs, so it makes more difficult for nurses to assist to courses or clinical sessions for continuing updating in best practice. We live in a society characterized by rapid changes and their influence on health. The current economic crisis makes efficient management obligatory. New tendencies in Health Management are associated with new alternatives to conventional hospitalization. It means that more complex illnesses with a greater need for care and treatment are attended in acute care units with a strong demand of specialization but hospitalization processes have become shorter. As a result, patients are referred to primary care, homecare or home with new needs to cover by health professionals or families, who are not sufficiently prepared for this role. This process requires constant updating of specialized knowledge on the part of professionals, patients and family members. There is evidence about the effects of nursing knowledge and studying levels on patient’s mortality and morbidity. Numerous studies exist which demonstrate variability in clinical practices. Evidence based practice reinforces the efficiency of health centers because it derives in the establishment of best practice. The participation of health professionals in clinical management and the establishment of good practices determine efficiency and efficacy and positive patient outcomes. The development of professional competencies in a rapidly changing environment requires versatility and adaptability in updating knowledge. Continuing education constitutes a powerful tool to guarantee this process. The characteristics of continuing education programs are not enough to cover professional’s needs. The courses are normally for groups of 20 people, in-person, and it is frequent the need of other professional who supplies the nurses that go to the courses/sessions, so the cost is high for the organization. The access to information and knowledge is easier thanks to the development of information and communication technologies. Although being updated requires time that professionals don’t have. It is necessary to find more efficient ways to approach knowledge at bedside for professionals and patient’s decision making. 5’program pretends to solve this problem through the implementation of an interactive communication environment between professionals using webcasting in the workplace, for short periods of time every week.

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