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Davis, Matthew C., Brandon G. Rocque, Ash Singhal, Thomas Ridder, Jogi V. Pattisapu, and James M. Johnston. "State of global pediatric neurosurgery outreach: survey by the International Education Subcommittee." Journal of Neurosurgery: Pediatrics 20, no. 2 (August 2017): 204–10. http://dx.doi.org/10.3171/2017.3.peds16433.
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OBJECTIVENeurosurgical services are increasingly recognized as essential components of surgical care worldwide. The degree of interest among neurosurgeons regarding international work, and the barriers to involvement in global neurosurgical outreach, are largely unexplored. The authors distributed a survey to members of the American Association of Neurological Surgeons/Congress of Neurological Surgeons (AANS/CNS) Joint Section on Pediatric Neurosurgery to assess the state of global outreach among its members and to identify barriers to involvement.METHODSAn internet-based questionnaire was developed by the International Education Subcommittee of the AANS/CNS Joint Section on Pediatric Neurosurgery and distributed to pediatric neurosurgeons via the AANS/CNS Joint Section email contact list. Participants were surveyed on their involvement in global neurosurgical outreach, geographic location, nature of the participation, and barriers to further involvement.RESULTSA 35.3% response rate was obtained, with 116 respondents completing the survey. Sixty-one percent have performed or taught neurosurgery in a developing country, and 49% travel at least annually. Africa was the most common region (54%), followed by South America (30%), through 29 separate organizing entities. Hydrocephalus was the most commonly treated condition (88%), followed by spinal dysraphism (74%), and tumor (68%). Most respondents obtained follow-up through communications from local surgeons (77%). Seventy-one percent believed the international experience improved their practice, and 74% were very or extremely interested in working elsewhere. Interference with current practice (61%), cost (44%), and difficulty identifying international partners (43%) were the most commonly cited barriers to participation.CONCLUSIONSAny coordinated effort to expand global neurosurgical capacity begins with appreciation for the current state of outreach efforts. Increasing participation in global outreach will require addressing both real and perceived barriers to involvement. Creation and curation of a centralized online database of ongoing projects to facilitate coordination and involvement may be beneficial.
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Cortes, Tara. "Building Interprofessional Teams Through Partnerships to Address Quality." Nursing Science Quarterly 32, no. 4 (September 12, 2019): 288–90. http://dx.doi.org/10.1177/0894318419864343.
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Interprofessional collaborative education and practice is essential in the current complex healthcare climate. Barriers to interprofessional education include difficulty scheduling joint activities amid the silos of discipline-specific curricula and the lack of urgency by faculty to find innovative ways to commit to interprofessional training. Barriers in practice include poor understanding of the roles of different professionals and lack of awareness of the concept because the people in the workforce were mostly educated before interprofessional practice and education were prioritized by national bodies representing academic professions. The author of this paper describes opportunities for interprofessional education and practice and describes a way to create an educational-practice partnership to drive quality in healthcare settings.
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Sargsyan, I. "SOME APPROACHES ?? UNDERSTAND THE IDEA OF MULTICULTURAL EDUCATION!" Main Issues Of Pedagogy And Psychology 14, no. 2 (September 2, 2017): 25–29. http://dx.doi.org/10.24234/miopap.v14i2.40.
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The research is supported by the RA MES State Committee of Science, within the framework of the joint Armenian-Russian research project ? 15??-16 At present, multicultural education has become a trend ofthe times. The development of the competent and effective methodology for its implementation is an urgent necessity. This problem is acute not only in multinational countries, but also in mono national states, like Armenia, because the absence of a multicultural society leads to psychological barriers in the implementation of the dialogue of cultures, in intercultural and cross-cultural communication.
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Struessel, Tamara S., Kristin J. Carpenter, John R. May, David A. Weitzenkamp, Elizabeth Sampey, and Paul E. Mintken. "Student Perception of Applying Joint Manipulation Skills During Physical Therapist Clinical Education: Identification of Barriers." Journal of Physical Therapy Education 26, no. 2 (2012): 19–29. http://dx.doi.org/10.1097/00001416-201201000-00005.
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Crotty, Mikaila M., Julie Henderson, Lee Martinez, and Jeffrey D. Fuller. "Barriers to collaboration in mental health services for older people: external agency views." Australian Journal of Primary Health 20, no. 3 (2014): 250. http://dx.doi.org/10.1071/py12144.
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The need for mental health services for older people living in rural areas is increasing in South Australia. Providing such care requires coordination between several types of services across government, hospital and non-government sectors. The purpose of this study was to identify barriers to collaboration from the perspective of external aged care agencies. A total of 42 responses from an online survey were qualitatively analysed. Four categories emerged, within which participants had identified barriers to collaboration: (1) awareness of services and certainty about responsibilities, in particular, a lack of awareness of which services are available; (2) referral criteria and processes, including the specific criteria needed to be eligible for these services; (3) opportunities to collaborate, with a perceived lack of formal opportunities for collaboration between individuals working across agencies; and (4) education of staff, with more joint education between agencies being recognised as having the potential to increase local knowledge and provide an opportunity for networking and relationship building, with greatest barriers experienced between mental health and social care services.
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Debnath, A., P. L. N. Raju, V. Saikhom, and H. C. Karnatak. "A JOINT EDUCATION PROGRAM IN ONLINE DISTANCE LEARNING MODE FOR NORTH EASTERN REGION OF INDIA." ISPRS Annals of Photogrammetry, Remote Sensing and Spatial Information Sciences V-5-2020 (August 3, 2020): 47–52. http://dx.doi.org/10.5194/isprs-annals-v-5-2020-47-2020.
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Abstract. North Eastern Region of India is a picturesque land of seven sister states of Assam, Arunachal Pradesh, Meghalaya, Mizoram, Manipur, Nagaland, Tripura & the state of Sikkim. The geography of the region is dominated by undulating hilly terrain comprising of Khasi & Garo Hills in Meghalaya, Mizo & Lusai Hills in Mizoram, Patkai Hills in Nagaland and Arunachal Himalayas in Arunachal Pradesh which has made the region relatively inaccessible for developmental planning and infrastructural setup. Educational progress in these states have suffered due to geographic and linguistic barrier, concentration of maximum resources in terms of infrastructure and manpower around major cities, poor economic situation etc. An innovative approach to break these barriers is to take the help of Distance Learning to reach the huge student community. NESAC, established as a unit of Department of Space in Umiam, Meghalaya has a mandate of capacity building in the region. To fulfill the mandate, NESAC, in May 2019, conducted a first-of-its-kind Online Distance Learning Training Program on Remote Sensing & GIS Applications for students and professionals of the region jointly with IIRS, Dehradun which is having rich experience of conducting Distance Learning Programs in the country. The two week long training program was attended by more than 250 participants in online interactive mode and had an ensemble of lecturers taken from IIRS, Dehradun and NESC both. While faculty of IIRS covered the basics of RS & GIS, Geo Web Services, GNSS etc; the scientists of NESAC presented on various thematic applications of RS & GIS conducted by NESAC specific to the region. At the end of theoretical lectures, online exam was also conducted and based on the online evaluation, digital certificates were distributed to the successful candidates. IIRS, Dehradun also extended their help to NESAC in IT infrastructure at all steps of the course. NESAC received large positive feedback of the course, many participants asking for longer duration courses, customized courses and even advanced courses. NESAC has planned to conduct similar course annually.
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Ivukina, Yelena. "Innovation model of relations between Russia and China in the context of science and educational cooperation." SHS Web of Conferences 99 (2021): 01025. http://dx.doi.org/10.1051/shsconf/20219901025.
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This article is devoted to the investigation of Russia-China higher education cooperation. Both countries are involved in the modernization process in the framework of the global educational environment, which stimulates the achievement of a high level of teaching and provides a variety of research forms and international experience in joint adaptation. Special attention is paid to three main constituencies of academic innovative cooperation namely students’ engagement, lecturers and researchers’ involvement and creation of joint universities and research centers with their definite purposes, current status and priorities respectively. The article makes recommendations in terms of strengthening the bilateral Russian-Chinese educational process and overcoming the barriers that arise in this alliance.
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Taylor, Stephanie, Francine Toye, and Karen Barker. "Experience of exercise in people with severe haemophilia: A qualitative study." Journal of Haemophilia Practice 4, no. 1 (January 26, 2017): 65–71. http://dx.doi.org/10.17225/jhp00098.
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Abstract The benefits of regular activity and exercise are well established, yet a third of the population of the European Union does not achieve the recommended levels of activity. For patients with haemophilia, some activity can cause bleeding into joints, leading to potential joint damage, whereas other activities can protect the joint from bleeds and further destruction. This study investigates the understanding and experience of exercise and activity in people with haemophilia (PWH). We conducted semi-structured interviews with six men with severe haemophilia using a consecutive sampling framework and Interpretative Phenomenological Analysis (IPA). We identified five themes: • “I don’t think about haemophilia, I’ve just got to deal with it” A level of acceptance of awareness of their condition, but they do not want it to rule their lives. • “I don’t let my limitations hold me back” Striving to find activities they can participate in, despite joint impairment. • ”The worst thing anyone can do is stop being active” Belief that activity helps to strengthen joints, gives confidence and improves both body and mind. • ”The best thing they did was to not wrap me up in cotton wool” Knowledge of haemophilia, how to treat and recognise bleeds, and finding activities to suit their bodies. • “Time constraints at home” Common barriers to exercise, as in the general population. Our findings provide clinicians with insight into understanding the barriers to exercise and activity in men with severe haemophilia. This can help clinicians to offer the most appropriate support and allow PWH to find an activity or exercise that suits them. Our findings demonstrate that even those with severe haemophilia wish to remain active and do not want to let their limitations prevent them from exercising. Findings also indicate that being given the education and freedom to make independent decisions about exercise and activities are valued. This suggests that clinicians need to provide a therapeutic environment where their patients can feel safe to make sensible choices about types and level of activity.
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Skinder, Marcin. "The Bologna Process and the Law on Higher Education and Science." Białostockie Studia Prawnicze 25, no. 4 (December 1, 2020): 159–71. http://dx.doi.org/10.15290/bsp.2020.25.04.11.
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Abstract The subject of the study is the Bologna Process, its assumptions and course. The article contains an analysis of the Act on university education and science in order to indicate solutions for the harmonization in Poland under the Bologna movement. This movement is characterized as an example of European integration (harmonization) in the sphere of higher education, which was initiated by the Bologna Declaration of 19 June 1999. The main idea behind this declaration was the joint creation of the European Higher Education Area. The process initiated then goes beyond the scope of activities undertaken only by European Union governments. The analysis covers the following parts: The scope of the Bologna Process, Further European actors and the Sorbonne Declaration, The Bologna Process today, Implementation barriers was well as criticism. An integral part of the work is the Bologna Process and the Constitution for Science (Law on university education and science).
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Rodriguez, Anthony M., Debbie Taub, LaRon Scott, Susan R. Copeland, Kendra Williams-Diehm, Leena Jo Landmark, Tracy E. Sinclair, Rhonda S. Black, Susan B. Palmer, and Colleen A. Thoma. "Reflecting on the Education Position Statement of AAIDD and The Arc." Inclusion 8, no. 1 (March 1, 2020): 6–26. http://dx.doi.org/10.1352/2326-6988-8.1.6.
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Abstract This article expands on 10 critical actions within the American Association on Intellectual and Developmental Disabilities (AAIDD) and The Arc's 2018 joint position statement on the right of students with intellectual and developmental disabilities (IDD) to have a free and appropriate public education (FAPE): (a) zero reject; (b) nondiscriminatory and comprehensive eligibility evaluations and appropriate assessments; (c) high expectations and FAPE; (d) autonomy, self-determination, and decision-making supports; (e) inclusion and least restrictive environments (LRE); (f) safe and supportive education environments; (g) school choice; (h) family and student participation; (i) lifelong education, transition, and postsecondary education; and (j) system capacity development, funding, oversight, and accountability. Research findings documenting positive outcomes associated with implementing each area of action are described and relevant legal mandates and case law are discussed. Recommendations are made for changes to educational systems and practices that create barriers to the access of FAPE for students with IDD.
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Clark, Brent, Elaine Bowen, Chad Higgins, Zona Hutson, Gina Sharps, and Tracy Waugh. "West Virginia’s Response to the Rotten Truth about Oral Health." Journal of Youth Development 3, no. 3 (December 1, 2008): 164–70. http://dx.doi.org/10.5195/jyd.2008.295.
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West Virginia University Extension Service has taken steps to increase the awareness and practices of good oral health. Significant barriers exist for optimal dental health and preventive care for youth in West Virginia. The 4-H Health Initiative strengthens community 4-H clubs through joint commitment to improve the Health “H,” club reliance on youth leadership, responsiveness to youth voices, and involvement of community health resources. These efforts bring oral health education and services to school-age youth. Evaluation data suggest that the model may impact oral health behaviors.
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Mazurik, Nataliya. "The Third World Professional Forum “The Book. Culture. Education. Innovations” - “Crimea-2017”. A review." Scientific and Technical Libraries, no. 10 (October 1, 2017): 88–108. http://dx.doi.org/10.33186/1027-3689-2017-10-88-108.
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The work of the Third World Professional Forum “The Book. Culture. Education. Innovations” is reviewed in brief. Main attention is given to the 24-th International Conference “Libraries and Information Resources in the Modern World of Science, Culture, Education and Business” and the Second General Conference of the National Library Association “Libraries of the Future”. Several events are addressed in particular, namely the open press conference, open meeting of the Interdepartmental Coordination Council for National Subscription: “Analysis of the national access to the Web of Science - initial results”: “Providing access to full-text databases - from subscription to open licensing”; the joint event of the Federal Agency for Intellectual Property (ROSPATENT) and the RF Ministry of Education and Science “Intellectual property - the Foundation for the Knowledge Society”; special event by Moscow and St. Petersburg public libraries; The Day of Libraries of the Russian Railways Company, and intellectual show “To the barriers!”
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Gray, Katherine, Kristian Krogh, David Newsome, Victoria Smith, Donald Lancaster, and Debra Nestel. "TelePresence in Rural Medical Education: A Mixed Methods Evaluation." Journal of Biomedical Education 2014 (February 10, 2014): 1–8. http://dx.doi.org/10.1155/2014/823639.
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In response to rural health workforce shortages, universities and training providers offer rural and remote clinical placements. This has led to development of educational methods to counter the barriers of distance. In this emerging field, recent improvements in technology have provided solutions including the use of sophisticated videoconferencing systems such as the Cisco TelePresence model CTS-500. This paper evaluates the use of TelePresence in diverse medical education activities using a mixed methods design—questionnaires n=60, individual interviews n=33, and observed practice of activities n=22. TelePresence was found to be beneficial to learning and teaching and superior to other systems participants had used. In particular, the audiovisual quality, resulting intimacy, convenience, and ease of use facilitated teaching and learning, while the fixed camera and poorly arranged physical environment were found to be limitations. The system is best suited for small group activities. Clinical skills-based activities are viable. It is recommended that technical support be available during setup and use and a picture-in-picture mode be included and improved integration of office suite software to provide a joint workspace for display of presentations, images, editing or annotation of documents, and file sharing.
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Catanzaro, Mary T. "Antibiotic Stewardship for Nursing: Can E-learning Be a First Step?" Infection Control & Hospital Epidemiology 41, S1 (October 2020): s118. http://dx.doi.org/10.1017/ice.2020.625.
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Background: The CDC and The Joint Commission have called for an interdisciplinary approach to antibiotic stewardship implementation. The healthcare team should consist of infectious disease physicians, pharmacists, infectious disease pharmacists, infection preventionists, microbiologists, and nurses. The scant literature to date has looked at nurses’ attitudes and beliefs toward participating in antibiotic stewardship and have identified several factors that contribute to the lack of uptake by nurses: lack of education around stewardship, poor communication among healthcare providers, and hospital or unit culture, among others. Additionally, nurses’ lack of interest in what would be more work or not within their scope of work was put forth as an additional factor by infection preventionists and pharmacists as a barrier to implementation. Method: An investigator-developed online survey was used to assess the usefulness of 3 investigator-developed educational e-learning modules that encompassed the role of nurses in antibiotic stewardship, pharmacy and laboratory topics related to antimicrobial stewardship, as well as the nurses’ attitudes toward their participation in such activities. Results: Participants took the survey after review of the 3 e-learning modules. The results indicate that, contrary to what pharmacists and infection preventionists thought, 82% of nurses felt they should contribute to and be part of the antimicrobial stewardship team. Additionally, after completing the modules, 73% felt more empowered to participate in stewardship discussions with an additional 23% wanting more education. 100% felt that they learned information that they could utilize in their everyday work. Barriers to implementation of stewardship activities on their unit included lack of education (41%), hospital or unit culture (27%), with only 4% citing they did not feel it was their job or that they had anything to contribute to a discussion. Also, 24% felt that there were no obstacles to participation. Conclusions: Surprisingly, most nurses who took this educational series and survey felt that they should be part of the antibiotic stewardship team. As cited previously from the literature, education and culture need to be addressed to overcome the nurses’ barriers to stewardship involvement. E-learning can provide an easy first step to educating nurses when time permits and can provide a good springboard for discussion on the units and with physicians and pharmacists. For a copy of the modules, please contact the author.Funding: NoneDisclosures: None
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Laursen, Jannie, Jonatan Kornholt, Cecilie Betzer, Tonny S. Petersen, and Mikkel B. Christensen. "General Practitioners’ Barriers Toward Medication Reviews in Polymedicated Multimorbid Patients." Health Services Research and Managerial Epidemiology 5 (January 1, 2018): 233339281879216. http://dx.doi.org/10.1177/2333392818792169.
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Purpose: The aim of this study was to explore whether general practitioners (GPs) experienced barriers toward medication reviews in polymedicated, multimorbid patients, and how a clinical pharmacologist with a focus on pharmacotherapy can support the GPs in an outpatient clinic. Design: The study was descriptive and exploratory and had a qualitative design with a phenomenological/hermeneutic orientation for the interviews. Participants: The study comprised 14 interviews with 14 different GPs from the Capital Region of Denmark. Results: Three themes emerged from the interviews: (1) The care of patients With polypharmacy is challenged by the lack of professional dialogue and collaboration between GPs and hospital-based clinical pharmacologists, (2) the relationship between the patients with polypharmacy and the GP is characterized by care and individual considerations, and (3) the culture encourages adding medication and inhibits dialogue about medication withdrawal even for patients with polypharmacy. Conclusion and implications for practice: This study found that the primary barriers toward multimorbid patients with polypharmacy were the need for communication and teamwork with specialists (cardiologists, neurologists, endocrinologists, etc). Often, GPs felt that the specialists at the hospitals were more concerned about following standards and guidelines regarding specific diseases instead of a more holistic patient approach. To improve management of polypharmacy patients, the GPs suggest that a joint force is necessary, a partner-like relationship with greater transparency regarding information transfer, feedback, and shared decision-making, but also more education in the pharmacological field is essential.
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Tvaltvadze, Darejan, and Irina Gvelesiani. "JOINT PROJECTS – EFFECTIVE TOOLS FOR FACILITATING THE DEVELOPMENT OF GLOBAL EDUCATIONAL PROCESSES." SOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference 1 (May 26, 2017): 402. http://dx.doi.org/10.17770/sie2017vol1.2425.
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Contemporary educational processes have to be in tune with the increasing global tendencies. All the world countries strive to unite under the umbrella term “global village”, which implies interconnected and almost unified political, economic, cultural, juridical and even educational spheres of life. Special grave challenges are faced by contemporary post-Soviet countries. They have to undergo the post-communist era, to struggle for the survival via radical correctional policy and to interweave globally oriented as well as capitalistically oriented strategies. The greatest challenge is posed to the educational sphere. Many post-Soviet higher educational institutions strive to join the European Higher Education Area. The given institutions try to interflow for the genuine overcoming of the existed “insurmountable” barriers. They consolidate collaboration and cooperation on different research and educational programs. Many newly-created joint projects appear and “play a key role in creating the rightful architecture of modern society. A central point in this process is the enquiry to identify… most urgent problems in national educational systems”(Pourtskhvanidze, 2016), to determine the strategies of functioning in multilingual society and to create a universal educational model of post-communist area via finding a balance between national and worldly. The given paper presents innovative university projects, which belong to two different worlds: the highly developed capitalistic world (Italian international project “Linguaggi e attività Produttive”) and post-Soviet “capitalistically-directed” space (Georgian-Ukrainian “DIMTEGU”). “Linguaggi e attività Produttive” and “DIMTEGU” have different nature and individual ways of development. However, both of them present innovative mechanisms of the preservation of multiculturalism and plurilingualism. The promotion of multiculturalism, facilitation of the preservation of plurilingualism, introduction of multilingual teacher education, development of appropriate curricula and teaching materials, suggestion of the fruitful ways of the adaptation to the global challenges – these are the major issues of our paper and crucial problems of today’s educational world.
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Ballal, Rijul Jayaraj. "Psychotherapeutic Praxis in India: Incorporation and Application of Indigenous Worldviews." Artha Journal of Social Sciences 19, no. 1 (January 1, 2020): 77–89. http://dx.doi.org/10.12724/ajss.52.6.
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This research aims to gain insight into the incorporation of indigenous worldviews on mental health. Unstructured interviews were used on 16 counsellors who practised in Bangalore following the phenomenological paradigm. The interviews were audio- recorded and transcribed following which it underwent the 4 stages in Giorgi’s method. The revelatory themes obtained from this study were that clients viewed counsellors as authority figures, they experienced shame and guilt, lack of social support, ostracism, isolation, faced language barriers, feared diagnosis and medication and so on. The main conduit of religion and culture, the family, is influenced by class, education, rural or urban origin, joint or nuclear setup and so on. Counsellors developed the skills and sensitivity to respond to these demands.
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Alaradi, Maryam, Maryam Abdulsalam, Khalifa Albenjasim, Omar Ahmed Alwahoush, Salwa Abdulmalek, and Wadha Alsherooqi. "Nursing and medical students’ perceptions of interprofessional education and social interactions: A qualitative study." Clinical Nursing Studies 9, no. 2 (July 5, 2021): 12. http://dx.doi.org/10.5430/cns.v9n2p12.
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Objective: Interprofessional education (IPE) is becoming increasingly popular and highly recommended for inclusion in curricula for healthcare professionals. Implementing IPE may improve students’ knowledge, skills, and attitudes toward collaborative teamwork, thereby improving health services and health outcomes for patients. This work aimed to explore nursing and medical students’ perceptions of IPE and social interactions.Methods: A qualitative study was conducted using a purposive sample of eight nursing and medical students. Data were collected via two semi-structured focus-group sessions and were analyzed using inductive thematic analysis.Results: Five main themes and seven subthemes emerged. The main themes were (1) IPE meaning, (2) IPE barriers, (3) IPE facilitators, (4) social interactions, and (5) bridging gaps in students’ perspectives. We found that students from both schools had a clear understanding of the definition and importance of IPE. Students reported that lack of interaction is an issue that they have never attempted to address. Students highlighted that IPE enhances IP collaboration and teamwork.Conclusions: Teaching students about IP communication and professional roles and involving students in joint sessions prepare them for a promising future of high-quality patient care.
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Indrajit, Richardus Eko, Basuki Wibawa, and Atwi Suparman. "University 4.0 in Developing Countries." International Journal of Sociotechnology and Knowledge Development 13, no. 3 (July 2021): 33–59. http://dx.doi.org/10.4018/ijskd.2021070103.
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The barriers to adopting new emerging technologies are the parts of the transformation process of the university which are willing to change to the future environment which is triggered by the Industrial Revolution 4.0. This research aims to identify whether and how Emerging Technologies 4.0 can be established in universities of developing countries. Besides the literature review method, the research was conducted in two stages: qualitative and quantitative. The samples were 250 universities. The findings of this research may help higher education and top-management-level universities and the ministry of education to initiate future strategies: first, finding the mechanism to solve the financial problem (the highest obstacles) faced by the university, such as public-private partnerships, foreign investment, joint ventures, or other industrial relationships; second, working closely with technology and infrastructure providers (the third-highest obstacles) by implementing the technical approach such as cloud computing, on-demand technology, sharing resources, and virtualization.
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Monkevičienė, Ona. "Pedagogical Strategies Oriented Towards Development of School Learners’ Positive Interpersonal Relations in Inclusive Education." Pedagogika 127, no. 3 (September 20, 2017): 87–103. http://dx.doi.org/10.15823/p.2017.41.
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The article analyses a social dimension of inclusive education – interpersonal relations of SEN primary learners with other pupils in the class and pedagogical strategies that target at development of school learners’ positive interpersonal relations. The researchers have distinguished four most important aspects of the social dimension in inclusive education (Koster et al., 2009; De Boer, Pijl, & Minnaert, 2010; Bossaert et al., 2013): a) friendship relations between SEN learners and other schoolchildren in the class (mutual friendship links, subgroups of learners linked by friendship); b) social interaction of SEN school children with peers (joint leisure activities, completion of assignments together, joint participation in activities); c) subjective feelings of SEN learners and their belief that they are accepted by other learners in the class; d) acceptance of SEN learners in the class (social preferences of peers and social support). The researchers also single out and indicate the barriers in building up positive relations of SEN learners with other school learners related with the abovementioned aspects: social isolation, loneliness, social exclusion and bullying.
The article sets the following objectives: a) to identify peculiarities of development of SEN learners’ positive relations with other learners; b) to single out pedagogical strategies oriented towards development of positive interpersonal relations of SEN learners with other schoolchildren.
The article presents the results of the qualitative research. The following aspects of development of such learners’ positive interpersonal relations are revealed: a) natural acceptance of SEN learners’ otherness seeing transformability of their abilities to communicate and learn; b) inclusion of SEN learners into interpersonal communication based on experience of social similarity and tolerance to the diversity. Such processes are encouraged by the teacher’s belief in transformability of SEN learners’ powers and demonstration of this belief in the classroom. Inclusion of SEN learners into interpersonal communication is enhanced by encouragement of social interactions between SEN children and other class learners in the natural school environment: creation of communication rituals, situations, practices and spaces, initiation of acceptance, mediation and assistance to SEN learners.
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Rowe, Lisa, Neil Moore, and Paul McKie. "The reflective practitioner: the challenges of supporting public sector senior leaders as they engage in reflective practice." Higher Education, Skills and Work-Based Learning 10, no. 5 (October 13, 2020): 783–98. http://dx.doi.org/10.1108/heswbl-03-2020-0038.
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PurposeThis paper explores the challenges, issues and benefits of reflective practice faced by work-based practitioners undertaking negotiated experiential learning. The study focuses upon the case of a ground-breaking UK-based Senior Leader Master's Degree Apprenticeship (SLMDA) programme which requires learners to develop and apply reflective practice skills through comprehensive work-based learning and research activities. Degree apprenticeships represent a significant opportunity for providers and employers to become more closely aligned in the joint development and promotion of innovative learning opportunities, yet the efficacy of individually negotiated, experiential learning and reflective practice for senior leaders within a challenging healthcare environment remains relatively unexplored from a tripartite perspective. This paper investigates the role of reflective practice within a leading degree apprenticeship programme which embraces this pedagogic approach and considers the potential barriers and benefits for learners and their organisations.Design/methodology/approachThe paper begins by discussing the nature of reflective practice in the workplace and explores the growing importance of this activity in contemporary organisations. Theoretical and conceptual foundations relating to experiential learning and reflective practice are analysed and discussed. The SLMDA programme and NHS case organisation are described in detail. Qualitative data drawn from semi-structured interviews undertaken with learners, employers and personal academic tutors (PATs) are then analysed to identify the key issues and challenges encountered.FindingsThe study identifies the benefits of reflective practice, explores the challenges and issues that act as barriers to reflective practice and highlights the importance of the role of the personal academic tutor (PAT) and that of employers in supporting and developing reflective practice in one of the first SLMDA programmes to launch within the UK.Originality/valueAlthough reflective practice and work-based research have attracted considerable scholarly activity, investigations have overwhelmingly been focused upon professions such as teaching and nursing and have explored challenges and issues from the perspective of the provider. This study explores reflective practice from the viewpoint of learners, employers and PATs and thereby seeks to complement and expand current understanding by developing a more holistic approach. This work will inform future programme design, practitioner skills development and employer support procedures as learners plan and prepare to facilitate work-based research projects within their organisations.
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Peroff, Deidre M., Duarte B. Morais, Erin Seekamp, Erin Sills, and Tim Wallace. "Assessing Residents’ Place Attachment to the Guatemalan Maya Landscape Through Mixed Methods Photo Elicitation." Journal of Mixed Methods Research 14, no. 3 (May 15, 2019): 379–402. http://dx.doi.org/10.1177/1558689819845800.
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We developed mixed methods photo elicitation to mitigate cultural and language barriers and to acquire deeper understandings of indigenous participants’ place attachment. We define mixed methods photo elicitation to integrate quantitative rankings of photos with qualitative induction of the meanings ascribed to the photos. Multidimensional scaling is used to thematically analyze the resulting photo clusters in relation to qualitative investigation of photo meanings. We also introduce a novel approach to a mixed methods joint display, which was used to visualize emerging themes and reveal how quantitative and qualitative findings are integrated. Reacting to a collection of landscape photographs endemic to rural Guatemala, indigenous farmers expressed place dependence to landscapes for economic and noneconomic reasons, and place identity for sociocultural reasons.
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Oxenswärdh, Anette, and Ulrika Persson-Fischier. "Mapping Master Students’ Processes of Problem Solving and Learning in Groups in Sustainability Education." Sustainability 12, no. 13 (June 30, 2020): 5299. http://dx.doi.org/10.3390/su12135299.
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Sustainability challenges in tourism are widely discussed. There is a huge need for education in the field of destination development. Students require appropriate problem-solving skills. This article examines the master’s course in destination development at Uppsala University, Campus Gotland, with the aim of increasing students’ skills in solving sustainability problems. The course took place in the spring semester of 2020 with the main goal of improving students’ skills in formulating and solving sustainable challenges in groups. This was achieved by activating the heterogeneity of the group, seeking relevant information and facts, and organising and carrying out the task with a design-thinking methodology. Students were provided with real problems or challenges by tourist companies, authorities and other interest groups on the island of Gotland. The purpose of this study is to describe the group of students as well as joint learning processes and knowledge needed in the work towards sustainable solutions. The major implication of the study is that the course gave the students the opportunity to deepen their understanding of both the barriers and benefits of working with heterogeneous groups. Furthermore, the study revealed a number of factors that all organisations would need to take into account in order to improve the effectiveness of their work towards sustainable solutions.
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Kruse, Allison K., and Sushil K. Oswal. "Barriers to Higher Education for Students with Bipolar Disorder: A Critical Social Model Perspective." Social Inclusion 6, no. 4 (December 6, 2018): 194–206. http://dx.doi.org/10.17645/si.v6i4.1682.
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Employing some of the features of participatory research methodology, a disabled faculty joins a student with mental health diagnosis to examine the factors that hinder or enable success for this group. The theoretical framework or scholarly bearings for the study comes from the critical social model of disability, disability services scholarship in the United States, and education theory literature on “student success”. With a particular focus on students with bipolar disorder, the article highlights the gaps in disability scholarship on this specific group while underscoring the oppression experienced by them through the inclusion of an autoethnographic segment by the primary author in this collaborative, scholarly work. The model of access, we propose, moves beyond accommodations—which are often retrofits or after the thought arrangements made by an institution—and asks for environmental support, social and institutional inclusion, and consideration for students with psychiatric health diagnosis. This article not only presents an array of problems in the United States academy but also a set of recommendations for solving these problems. Going beyond the regime of retrofit accommodations, we ask for an overhaul of institutional policies, infrastructures, and curricula so that the academy is inclusive of neurodiverse bodies and appreciates their difference.
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Son-Turan, Semen. "The HESFS for higher education funding, employment and sustainability." International Journal of Sustainability in Higher Education 22, no. 1 (April 21, 2020): 100–119. http://dx.doi.org/10.1108/ijshe-10-2019-0310.
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Purpose The purpose of this paper is to develop a higher education funding and employment system that obviates barriers to sustainable development and helps engrain the notion of sustainability into the institutional framework. Design/methodology/approach The “Higher Education Sustainability First System” (HESFS) is a conceptual model that builds upon ideas from previous literature. Its theoretical basis draws on a joint value creation framework from the stakeholder theory and business model perspectives. Findings A holistic three-pillar approach that offers multiple value propositions is needed to engage the stakeholders to collaborate for the coherent functioning of the HESFS. This will enable the establishment of a viable innovative financial model and the institution of a sustainability-focused student employment program that are facilitated by a robust sustainable infrastructure. Several sustainable development goals may be furthered in the process. Research limitations/implications The applicability of a part or entire HESFS depends on the characteristics of the higher education institution and the level of its maturity in a sustainable development process. Although its different constituents have been empirically validated in literature, the HESFS model could be applied in a case study to determine its potential feasibility. Practical implications The HESFS may inspire policymakers, businesses and higher education institutions to forge alliances to devise innovative resources of funding and engage in employment partnerships that can lead to progress in sustainable development. It may particularly be useful for institutions in developing and less developed countries, where inequality and high youth unemployment rates prevail. Originality/value By focusing on an under-researched topic through a multitheoretical perspective, this study contributes to theories pertaining to stakeholder engagement and business models.
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Keser, Kimberly A., and Rebecca A. Lorenz. "The Effect of a Comprehensive Provider and Patient Intervention to Improve Blood Pressure Control." Journal of Doctoral Nursing Practice 9, no. 1 (2016): 4–12. http://dx.doi.org/10.1891/2380-9418.9.1.4.
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Purpose: To examine the comprehensive provider and patient intervention (CPPI) compared to usual care (UC) on blood pressure control among newly diagnosed hypertensive patients treated in a nurse practitioner practice. Data Sources: CPPI included provider and patient education, electronic health record messages about the guidelines of the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, Treatment of High Blood Pressure (JNC-7), and patient counseling. Blood pressure control (intervention group; CPPI) was assessed and compared to levels of newly diagnosed patients prior to the intervention (usual care group; UC). One-way analysis of variance (ANOVA) tested for between-group differences and independent samples t test tested for within-group differences in blood pressure readings measured at initial visit and 12-week follow-up visit. Conclusions: There were no significant differences between the groups for mean blood pressure on Weeks 1 and 12. Patients in CPPI showed slightly greater improvement in blood pressure classification compared to UC. Follow-up phone calls allowed for identification of barriers for adherence with follow-up appointments. Implications for Practice: JNC-7 provides an evidence-based approach to diagnosis and management of hypertension. Understanding patient barriers to adherence with treatment may lead to more effective programs that address individual patient needs.
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Gonzalez Medina, Martha Virginia. "Repensando la enseñanza de la sustentabilidad." Expresión Económica, no. 46 (January 1, 2021): 63–70. http://dx.doi.org/10.32870/eera.v1i46.1037.
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The social commitment to educate and teach under the approach of sustainability requires a change: to stop reducing Nature to a simple commodity and what changes, strategies and resources to use to train future professionals under a multidisciplinary, interdisciplinary, transdisciplinary and critical approach . The University of Guadalajara faces a great challenge, as an institution it must assume commitments and joint actions as an institution of higher education to train a new type of professionals; carry out modifications in all the study plans of the different careers; train their professors, which implies facing institutional and interpersonal barriers relying on collaborative work with other universities, companies, government and NGOs under a social commitment. Although the need for these changes is recognized and it is desired to do so, it is necessary to design the course of action to carry them out.
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Golding, Kim S. "Multi-agency and specialist working to meet the mental health needs of children in care and adopted." Clinical Child Psychology and Psychiatry 15, no. 4 (October 2010): 573–87. http://dx.doi.org/10.1177/1359104510375933.
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Many of the children and young people who are looked after in foster and residential care or are adopted have complex mental health needs that are not well met by traditional mental health services. These vulnerabilities stem from an interaction between pre- and post-care experience, and often include trauma, attachment and developmental difficulties. It is now widely recognized that these children are best served by dedicated services provided by professionals with expertise in meeting the needs of looked after and adopted children. This involves effective joint working between health, education and social care services and requires supportive policies and structures at all levels of the organizations. This paper will explore the strengths, challenges and barriers of multi-agency and specialist working to meet the needs of these vulnerable children and young people.This will be illustrated with case examples drawn from a multi-agency service in Worcestershire, UK.
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Mahato, Preeti K., Peng Bi, and Teresa Burgess. "Voluntary Counseling and Testing (VCT) services and its role in HIV/AIDS prevention and management in Nepal." South East Asia Journal of Public Health 3, no. 1 (January 18, 2014): 10–16. http://dx.doi.org/10.3329/seajph.v3i1.17705.
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HIV/AIDS has emerged as a serious epidemic in Nepal, concentrated amongst the most-at-risk populations. Volun-tary Counseling and Testing (VCT) is a proven strategy for the prevention and management of HIV/AIDS especially in developing countries. Given that the utilization of VCT is low in Nepal, it is important to understand the barriers and challenges that Nepal is facing in the provision and utilization of these services. This study aimed to provide recommendations for policy makers to improve the utilization of VCT services in Nepal. A qualitative study of VCT health service providers and government officials was undertaken in 4 cities of Nepal. Sixteen interviews, three joint interviews and one focus group discussion were conducted, audio recorded and transcribed verbatim. Data were then analyzed using a thematic analysis framework and major themes were identified. Various barriers including socio-cultural issues, geography, the presence of stigma and discrimination faced by people with HIV/AIDS and a lack of knowledge and awareness were identified as important factors limiting the utilization of VCT services. Current gov-ernment efforts to improve VCT service provision, although promising, require ongoing development. Systemic barriers included the sustainability of the temporary NGO VCT services, lack of staff and training, inadequate moni-toring and evaluation and limited access to services for people living in rural areas. To increase the sustainability and utilization of VCT services, the Government can intervene in a number of areas including the integration of VCT services with existing primary health care services and addressing ongoing education and quality assurance. South East Asia Journal of Public Health 2013; 3(1): 10-16 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17705
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Schnitzer, Kristina, Melissa Culhane Maravić, Diana Arntz, Nathaniel L. Phillips, Gladys Pachas, A. Eden Evins, and Michael Fetters. "Integrated Smoking Cessation for Smokers With Serious Mental Illness: Protocol for a Convergent Mixed Methods Implementation Evaluation Study." JMIR Research Protocols 10, no. 7 (July 27, 2021): e25390. http://dx.doi.org/10.2196/25390.
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Background Tobacco smoking is associated with significant morbidity and premature mortality in individuals with serious mental illness. A 2-year pragmatic clinical trial (PCORI PCS-1504-30472) that enrolled 1100 individuals with serious mental illness in the greater Boston area was conducted to test 2 interventions for tobacco cessation for individuals with serious mental illness: (1) academic detailing, which delivers education to primary care providers and highlights first-line pharmacotherapy for smoking cessation, and (2) provision of community health worker support to smoker participants. Implementing and scaling this intervention in other settings will require the systematic identification of barriers and facilitators, as well as the identification of relevant subgroups, effective and unique components, and setting-specific factors. Objective This protocol outlines the proposed mixed methods evaluation of the pragmatic clinical trial to (1) identify barriers and facilitators to effective implementation of the interventions, (2) examine group differences among primary care physicians, and (3) identify barriers that stakeholders such as clinical, payor, and policy leaders would anticipate to impact the implementation of effective components of the intervention. Methods Qualitative interviews will be conducted with all study community health workers and selected smoker participants, primary care providers, and other stakeholders. Measures of performance and engagement will guide purposive sampling. The Consolidated Framework for Implementation Research will guide qualitative data collection and analysis in accordance with the following framework approach: (1) familiarization, (2) identifying a thematic framework, (3) indexing, (4) charting, and (5) mapping and interpretation. Joint display analyses will be constructed to analyze and draw conclusions across the quantitative and qualitative data. Results The 3-year cluster-randomized trial has concluded, and the analysis of primary outcomes is underway. Results from the pragmatic trial and this mixed methods implementation evaluation will be used to help disseminate, scale, and expand a systems intervention. Conclusions The results of this mixed methods implementation evaluation will inform strategies for dissemination and solutions to potential barriers to the implementation of interventions from a smoking cessation trial for individuals with serious mental illness. International Registered Report Identifier (IRRID) DERR1-10.2196/25390
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Pazukhina, Svetlana Vyacheslavovna, and Tat'yana Mikhailovna Ponomareva. "The improvement of academic and methodological support of psychological-pedagogical disciplines in the conditions of digitalization of higher education." Педагогика и просвещение, no. 2 (February 2021): 113–29. http://dx.doi.org/10.7256/2454-0676.2021.2.33538.
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The article discusses the problem of reconsideration of components and improvement of academic and methodological support of university psychological and pedagogical disciplines. The object of this research is the academic and methodological support of psychological-pedagogical disciplines in the digital educational environment of higher education. The subject is the improvement of academic and methodological support of psychological-pedagogical disciplines, taking into account competencies (components of competencies) developed in the course of their study for use in digital educational environment. The author determines the specificity and forms of providing academic and methodological support in transition towards digitalization of higher education. The author summarizes the productive experience of implementing these forms of work in Tula State Lev Tolstoy Pedagogical University. The article suggests the vectors for improvement, gives theoretical substantiation to the new variants of development and provision of academic and methodological support for psychological-pedagogical disciplines demanded in the digital environment. It is established that the process and dynamics of improvement of academic and methodological support are primarily associated with overcoming psychological and qualification barriers that impede the participation of pedagogues in the digital transformation of education, and increasing their readiness to learning and using new information and communication technologies and software, which is most effective when they receive specialized training based on implementation of the principles of system-activity, competency-based, information, and individually-differentiated approaches, interdisciplinary integration, organization of joint activity of the educators of different academic departments.
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Hillyer, Grace, Melissa Beauchemin, Dawn L. Hershman, Moshe A. Kelsen, Frances L. Brogan, Rossy Sandoval, Karen M. Schmitt, et al. "Comparison of attitudes and beliefs about cancer clinical trial enrollment between physicians, research staff, and cancer patients." Journal of Clinical Oncology 37, no. 27_suppl (September 20, 2019): 170. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.170.
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170 Background: Essential to bringing innovative cancer treatments to patients is voluntary participation in clinical trials but fewer than 10% of cancer patients are enrolled onto a trial. We used a domain-oriented framework to assess barriers to cancer clinical trial enrollment (CTE). Methods: Physicians and research staff completed an online survey in 2017; adult cancer patients not currently enrolled in a trial were interviewed in 2018. Perceived structural, provider- and patient-level barriers to CTE were assessed. Differences in perceptions, attitudes and beliefs toward CTE between physicians and staff, patients by ethnicity, and physicians/staff and patients were examined. Results: In total, 120 physician/staff (64.4% response rate) and 150 cancer patient completed surveys. Interacting with the patients’ family was seen as a CTE barrier by nearly one-third of physicians/staff overall, however, staff much more often stated this barrier than did physicians (44.0% vs. 18.2%, p= 0.007). Hispanic patients more often stated they would join a trial, even if standard therapy was an option compared to non-Hispanic patients ( p= 0.004). Overall, patients, more often than physicians/staff, believed that clinical trials are only offered to people whose disease is hopeless (27.3% vs. 8.7%, p < 0.001) and that CTE does not help patients personally (32.9% vs. 1.8%, p < 0.001). More often physicians/staff believed that patients decline CTE due to language or cultural barriers (57.5% vs. 27.3%, p < 0.001), lack of understanding about clinical trials (63.3% vs. 9.1%, p = 0.001), and mistrust of the medical system (69.2% vs. 36.4%, p= 0.043) than was reported by patients. Patients less often reported declining CTE because of concerns about invasive procedures (9.1% vs. 41.7%, p = 0.02), toxicity (18.2% vs. 60.0%, p= 0.006) or reluctance to be randomized/receive a placebo (27.3% vs. 70.8%, p= 0.005). Conclusions: Our findings indicate a wide gap between provider and patient attitudes and beliefs about CTE. Reconciling these differences will require tailored education to dispel misperceptions and strategies to improve the quality of patient-provider communication.
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Heinert, Sara, Sandra Escobar-Schulz, Maya Jackson, Marina Del Rios, Sarah Kim, Jennica Kahkejian, and Heather Prendergast. "Barriers and Facilitators to Hypertension Control Following Participation in a Church-Based Hypertension Intervention Study." American Journal of Health Promotion 34, no. 1 (August 13, 2019): 52–58. http://dx.doi.org/10.1177/0890117119868384.
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Purpose: Hypertension is the primary risk factor for development of cardiovascular complications. Community-initiated interventions have proven effective in reducing cardiovascular disease risk among individuals who might otherwise face barriers to care. The purposes of this study were to gain feedback on a church-based hypertension intervention study and assess barriers and facilitators to hypertension control after participation in the study. Design: Qualitative study of 4 focus groups. Setting: Focus groups took place at 4 churches in primarily minority neighborhoods of Chicago, Illinois, in summer 2017. Participants: Thirty-one community members participated in the focus groups. Method: The Community Targeting of Uncontrolled Hypertension (CTOUCH) study was a church-based screening, brief intervention, and referral for treatment program for hypertension. Following the study completion, participants were invited to join a focus group to provide feedback on the study and discuss barriers and facilitators to hypertension control. The authors used the Framework Method to analyze the data. Results: Community Targeting of Uncontrolled Hypertension was well received by participants, particularly the awareness of their individual blood pressure and subsequent education on risk modification. The most common facilitators for hypertension control were social support, knowing how to control hypertension, and community resources. The most common barriers to hypertension control were lack of hypertension knowledge, negative primary care experiences, and lack of disease awareness. Conclusion: Knowledge of barriers and facilitators can inform areas of success and opportunities for improvement in community-based hypertension programs including future renditions in CTOUCH.
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Puts, M. T. E., T. Hsu, E. Szumacher, S. Sattar, S. Toubasi, C. Rosario, E. Brain, et al. "Meeting the needs of the aging population: the Canadian Network on Aging and Cancer—report on the first Network meeting, 27 April 2016." Current Oncology 24, no. 2 (April 27, 2017): 163. http://dx.doi.org/10.3747/co.24.3455.
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The aging of the Canadian population represents the major risk factor for a projected increase in cancer incidence in the coming decades. However, the evidence base to guide management of older adults with cancer remains extremely limited. It is thus imperative that we develop a national research agenda and establish a national collaborative network to devise joint studies that will help to accelerate the development of high-quality research, education, and clinical care and thus better address the needs of older Canadians with cancer. To begin this process, the inaugural meeting of the Canadian Network on Aging and Cancer was held in Toronto, 27 April 2016. The meeting was attended by 51 invited researchers and clinicians from across Canada, as well as by international leaders in geriatric oncology from the United States and France.The objectives of the meeting were toreview the present landscape of education, clinical care, and research in the area of cancer and aging in Canada.identify issues of high research priority in Canada within the field of cancer and aging.identify current barriers to geriatric oncology research in Canada and develop potential solutions.develop a Canadian collaborative multidisciplinary research network between investigators to improve health outcomes for older adults with cancer.learn from successful international efforts to stimulate the geriatric oncology research agenda in Canada.In the present report, we describe the education, clinical care, and research priorities that were identified at the meeting.
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Joplin, Samantha, Rick van der Zwan, Fredrick Joshua, and Peter K. K. Wong. "Medication Adherence in Patients with Rheumatoid Arthritis: The Effect of Patient Education, Health Literacy, and Musculoskeletal Ultrasound." BioMed Research International 2015 (2015): 1–10. http://dx.doi.org/10.1155/2015/150658.
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Background. Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease affecting <1% of the population. Incompletely controlled RA results in fatigue, joint and soft tissue pain, progressive joint damage, reduced quality of life, and increased cardiovascular mortality. Despite an increasing range of disease modifying agents which halt disease progression, poor patient adherence with medication is a significant barrier to management.Objective. The goal of this review was to examine the effectiveness of measures to improve patient medication adherence.Methods. Studies addressing treatment adherence in patients with RA were identified by trawling PsycINFO, Medline, Cochrane, Pubmed, and ProQuest for studies published between January 2000 and October 2014. Articles were independently reviewed to identify relevant studies.Results. Current strategies were of limited efficacy in improving patient adherence with medications used to treat RA.Conclusion. Poor medication adherence is a complex issue. Low educational levels and limited health literacy are contributory factors. Psychological models may assist in explaining medication nonadherence. Increasing patient knowledge of their disease seems sensible. Existing educational interventions appear ineffective at improving medication adherence, probably due to an overemphasis on provision of biomedical information. A novel approach to patient education using musculoskeletal ultrasound is proposed.
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Cortel-LeBlanc, M., J. Landreville, and L. Thurgur. "P025: Improving senior resident engagement at academic core rounds." CJEM 21, S1 (May 2019): S72. http://dx.doi.org/10.1017/cem.2019.216.
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Introduction: Royal College Emergency Medicine (EM) trainees at the University of Ottawa participate in weekly Academic Full Days (AFD) that consist of didactic activities, simulation-based learning, and core content sessions referred to as Core Rounds (CR). Despite CR being intentioned for all EM trainees, an attendance attrition has been noted as trainees progress towards their senior (SR) years (PGY3-5). The objectives of this study were to (1) identify barriers to SR trainee CR attendance and (2) identify areas for CR improvement. Methods: An on-line survey was administered to SR EM trainees (PGY3-5, n = 28) and recent graduates from our program (practice year 1-2, n = 20) to explore perceptions of the value of AFDs, CR attendance barriers, and areas for CR improvement. The survey consisted of 5-point Likert scales and free-text responses. Quantitative responses were analyzed using Microsoft Excel. Free-text responses were analyzed qualitatively using thematic analysis. Each free-text response was reviewed independently by two investigators (JML, MCL) and underwent line-by-line coding. Through joint discussions, the codes from each response were synthesized and themes were identified. Results: Of the 48 trainees and attendings surveyed, 32 responded (response rate 67%). Most respondents (90%) stated they benefited from SR trainee attendance when they were at a junior (JR) level. The majority perceived they benefited less from CR as a SR trainee compared to when they were a JR trainee (85%). Further, 87% responded that CR were not tailored to a SR level, and that they would attend more frequently if sessions were geared to their level (81%). From our thematic analysis, three themes emerged relating to SR trainee absenteeism: 1) CR quality, 2) External Factors (eg. trainee fatigue) and 3) Malalignment with trainees’ own education plan. We also identified three themes relating to areas for CR improvement: 1) CR content, 2) CR format and 3) SR trainee involvement. Conclusion: Respondents indicated a benefit to having SR trainee presence at CR. This study identified barriers to SR resident attendance at CR and areas for improvement. With the transition to competency based medical education it is critical that trainees engage in effective educational experiences, especially as the RCPSC does not mandate AFDs for EM training in this new curriculum. A culture-change initiative and CR reformat is now underway at our institution with planned post-implementation analysis.
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Altinay, Fahriye, Zehra Altinay, Mehmet Altinay, and Gökmen Dagli. "Evaluation of the Barrier-Free Tourism and Sustainability of the Barrier-Free Society in Cyprus." European Journal of Sustainable Development 9, no. 4 (October 1, 2020): 137. http://dx.doi.org/10.14207/ejsd.2020.v9n4p137.
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The main aim of the current study is to evaluate the opinions of the students at the departments of tourism and special education towards to the concept of sustainability of barrier-free tourism and society therefore with the light of this aim, and current study attempted to address how disabled individuals could have an access to the tourism and life opportunities as well as the challenges that they are experiencing while having an access to these opportunities, probable solutions which might be employed to cope with these challenges, universal rights of the disabled individuals about having an access and transportation in contexts barrier-free tourism practices in TRNCThe current study employed a semi-structured interview as a data collection tool. The study group of the current research consisted of 80 participants who are the students at the tourism and specialized education teaching departments at Near East University and the University of Kyrenia. Data were collected with 20 minutes face to face interviews. While performing data analysis, responses of the participants were categorized and placed to the tables and then the researcher(s) re-examined the classified data set and formed underlying themes and categories. With the light of the findings, it can be stated that education at universities, secondary and primary schools should be intensified to inject necessary information to the students regarding barrier free tourism and provision of health care services for disabled people. At the reffered point. joint commitment should be carried among ministry of education, tourism, heallth and municipalities to raise public awareness regarding barrier free tourism. Additionally media and press should design more programs regarding barrier free tourism at their broadcasting stream to raise public awareness, and in-service trainings for disabled people should be provided to employees in hotels.
Keywords: Barrier- Free Tourism, Sustainable Society, Education, Accessibility, Awareness
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Davey, Todd, and Victoria Galan-Muros. "Understanding entrepreneurial academics ‐ how they perceive their environment differently." Journal of Management Development 39, no. 5 (June 6, 2020): 599–617. http://dx.doi.org/10.1108/jmd-09-2019-0392.
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PurposeAcademic entrepreneurship is seen as a pathway for universities to create value from their knowledge. However, there has been a lack of clarity about what activities constitute academic entrepreneurship, the different type of entrepreneurial academics and how their perceptions of their environment relate to their engagement.Design/methodology/approachDrawing on a large data set of 10,836 responses across 33 countries, the empirical study investigates European academics who undertake four academic entrepreneurship activities (spin-out creation, commercialisation of R&D results, joint R&D and consulting) to determine if they perceive the environment for academic entrepreneurship differently than those who undertake only some of the activities and those undertaking none at all.FindingsThe findings show that less than 1% of academics undertake exclusively spin-offs creation or R&D commercialisation; however, the majority also engage in other entrepreneurial activities such as joint R&D and consulting and even other education and management engagement activities with industry. In addition, entrepreneurial academics in Europe perceive significantly higher motivators and more developed supporting mechanisms for academic entrepreneurship. However, their perceptions of barriers are similar.Practical implicationsAt a managerial and policy level, the study results call into question universities prioritising a narrow view of academic entrepreneurship which focusses only on spin-offs creation and R&D commercialisation. Instead, a broader view of academic entrepreneurship is recommended and appropriate mechanisms in place to enable academics to achieve research outcomes from their entrepreneurial activity.Originality/valueThis paper offers an important contribution on how the perception of the environment contributes to the development of entrepreneurial behaviour in individual academics.
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Obaid, Jannah M., Ginger Bailey, Heidi Wheeler, Laura Meyers, Sharon J. Medcalf, Keith F. Hansen, Kristine K. Sanger, and John J. Lowe. "Utilization of Functional Exercises to Build Regional Emergency Preparedness among Rural Health Organizations in the US." Prehospital and Disaster Medicine 32, no. 2 (January 30, 2017): 224–30. http://dx.doi.org/10.1017/s1049023x16001527.
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AbstractRural communities face barriers to disaster preparedness and considerable risk of disasters. Emergency preparedness among rural communities has improved with funding from federal programs and implementation of a National Incident Management System. The objective of this project was to design and implement disaster exercises to test decision making by rural response partners to improve regional planning, collaboration, and readiness. Six functional exercises were developed and conducted among three rural Nebraska (USA) regions by the Center for Preparedness Education (CPE) at the University of Nebraska Medical Center (Omaha, Nebraska USA). A total of 83 command centers participated. Six functional exercises were designed to test regional response and command-level decision making, and each 3-hour exercise was followed by a 3-hour regional after action conference. Participant feedback, single agency debriefing feedback, and regional After Action Reports were analyzed. Functional exercises were able to test command-level decision making and operations at multiple agencies simultaneously with limited funding. Observations included emergency management jurisdiction barriers to utilization of unified command and establishment of joint information centers, limited utilization of documentation necessary for reimbursement, and the need to develop coordinated public messaging. Functional exercises are a key tool for testing command-level decision making and response at a higher level than what is typically achieved in tabletop or short, full-scale exercises. Functional exercises enable evaluation of command staff, identification of areas for improvement, and advancing regional collaboration among diverse response partners.ObaidJM, BaileyG, WheelerH, MeyersL, MedcalfSJ, HansenKF, SangerKK, LoweJJ. Utilization of functional exercises to build regional emergency preparedness among rural health organizations in the US. Prehosp Disaster Med. 2017;32(2):224–230.
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Nasser, Sara, Jonathan Berek, Andreas Ullrich, Livia Giordano, and Jalid Sehouli. "A report on the Marrakech International Women’s Cancer Days: dialogs and implications." International Journal of Gynecologic Cancer 29, no. 2 (December 21, 2018): 417–21. http://dx.doi.org/10.1136/ijgc-2018-000059.
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The MarrakechInternational Women’s Cancer Days showcased a first-time international meeting of healthcare professionals worldwide to discuss, over the course of 3 days, aspects of public health, prevention, and treatment of gynecological cancers in the Arabic region. The focus was particularly on promoting globally sustainable research initiatives. The event was a joint initiative organized by the Gynecological Cancer Intergroup and the Pan-Arabian Research Society of Gynecological Oncology. The first conference day focused on the early diagnosis and screening of cervical cancer and the required action to establish equity within screening programs and improve cancer control strategies in the Euro-Mediterranean region. The second day highlighted current screening, diagnosis, and treatment strategies for ovarian cancer in the Arabic region, with particular discussion on the incidence of germline mutations in Arabic women with ovarian cancer. Centers from the Arabic region such as Jordan, Tunesia, Sudan, and Morocco presented their own data on ovarian cancer patients and local clinical practice, and barriers to treatment. It was highlighted that more support is required in surgical training and medical therapies. On the third day , the focus was on cervical cancer therapies and treatment. Interesting surveys on patient awareness of screening programs and cervical cancer were presented from various centers including Lebanon, Sudan, and the UAE. The conference ended with emphasis on patient education, and quality of life. The meeting provided a first-time platform for sustainable worldwide dialog and exchange on all aspects of gynecological cancers focusing on the Arabic woman and the particular barriers, unchartered territories, and challenges this patient population presents to the global healthcare community.
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Dasiuk, J. "PSYCHOLOGICAL AND PEDAGOGICAL ACCOMPANIMENT OF TOLERANCE FORMING PROCESS OF SERVICEMEN'S CHILDREN IN THE CONDITIONS OF NEW SCHOOL DEVELOPMENT." Visnyk Taras Shevchenko National University of Kyiv. Military-Special Sciences, no. 1 (2018): 32–35. http://dx.doi.org/10.17721/1728-2217.2018.38.32-35.
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In the article the modern state of worked out of problem of forming of tolerance of junior schoolchildren and feature of their psychological and pedagogical accompaniment has been analysed in families of servicemen in the conditions of development of new school, essence of that is in the specially organized cooperation of school and family, that is focused on mobilization of internal resources of family members, correction of tolerant relations in it and actualization of tolerant education. Technology of pedagogical accompaniment of domestic influence on forming of tolerance of junior schoolchildren in the conditions of development of new school consists of the successive stages: determination of basic problems or conflicts in mutual relations between members families that prevent forming of tolerance; overcoming of psychological barriers for family members in co-operation with a teacher or social teacher; acceptance and understanding of family problems and forming motivation members on their decision; selection of necessary facilities, forms and methods for overcoming of intolerant situations; joint development of the actions sent to fixing of tolerant relations in family; analysis of results. Key words: tolerance, family of serviceman, midchildhood, psychological and pedagogical accompaniment, new school
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Reid, Holly, Somayyeh Mohammadi, Wendy Watson, Julie M. Robillard, Morag Crocker, Marie D. Westby, and William C. Miller. "Patient and Caregiver Perspectives on an eHealth Tool: A Qualitative Investigation of Preferred Formats, Features and Characteristics of a Presurgical eHealth Education Module." Rehabilitation Process and Outcome 10 (January 2021): 117957272110105. http://dx.doi.org/10.1177/11795727211010501.
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Introduction: Total hip and total knee replacement (THR and TKR) are suggested for reducing joint pain resulting from hip and knee osteoarthritis (OA), especially when other interventions have not resulted in desired outcomes. Providing prehabilitation education can improve patients’ psychological and physical well-being before and after surgery. The use of electronic health (eHealth) tools can be considered an effective method to increase patients’ access to prehabilitation, particularly for those facing barriers to attending diagnosis-specific in-person education sessions. However, limited attention is paid to both caregiver and patient perspectives regarding the delivery formats, features, and characteristics of eHealth tools. Method: Patients with hip (n = 46) and knee OA (n = 14) and their family caregivers (n = 16) participated in in-person focus groups or phone interviews. Participants were shown a mock-up of an eHealth module, and asked to share their preferences regarding the formats, features, and characteristics of the eHealth prehabilitation tool. Data was transcribed verbatim and coded using primary thematic and secondary content analyses. Result: Analyses revealed 3 main themes: 1. “easier to understand” emphasizes patients’ preferences on delivery formats and features; 2. “what does that mean?” highlights requests for clear and simple information; and 3. “Preparation, right?” shows patients’ perspectives on the best time to have access to the eHealth tool. Discussion: Participants’ preferences for prehabilitation tools included offering eHealth tools in multiple mediums of delivery (eg, written materials, pictures, videos). Participants preferred simplified information that emphasized the key points and rationale for the knowledge. There were differences in preferred timeline for having access to prehabilitation education, such as some participants wanting to receive prehabilitation well in advance, while others stated just before surgery was adequate. Our findings provide novel and actionable information about patient and caregiver perspectives on features and characteristics of prehabilitation education for patients with hip and knee OA.
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Ogunbeku, A., S. J. Showande, R. Adisa, and T. O. Fakeye. "Tailored intervention to implement the management of hypertensive and type 2 diabetes mellitus patients in community pharmacies – a pilot study." International Journal of Pharmacy Practice 29, Supplement_1 (March 26, 2021): i47—i48. http://dx.doi.org/10.1093/ijpp/riab015.058.
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Abstract Introduction Uncontrolled blood pressure and poor glycaemic control may lead to increased morbidity and mortality (1). A systematic review of 40 studies reported beneficial effects of interventions conducted in community pharmacies in the management of diabetes and cardiovascular diseases (2). Aim To evaluate the impact of a tailored intervention on clinical outcomes in the management of hypertensive and/or type 2 diabetes mellitus (T2DM) patients in community pharmacies in a pilot implementation study. Methods The study (April to July 2019) utilized a mixed-method design. This included a cross-sectional survey among 133 consented community pharmacists and 390 T2DM and/or hypertensive patients at the pharmacies. Thirty-one item (pharmacists) and 29-item (patients) semi-structured questionnaires were used to gather information on their perception of pharmacists’ roles in the management of T2DM and/or hypertension. Barriers to implement identified roles by the pharmacists were documented. Thereafter, a prospective before- and after-intervention study was conducted in four consented pharmacies to address the barriers. Two pharmacists per pharmacy and 34 consented T2DM and/or hypertensive adult patients who had been on medications for ≥3 months participated. Pharmacists were provided with 2-hr one-on-one training on the management of T2DM and hypertension based on standard guidelines pre-intervention and at 4 weeks. Components of the pharmacist’s intervention included patient’s education, medication counselling , lifestyle modifications and self-care use of point of care devices. Systolic and diastolic blood pressure (SBP and DBP), fasting blood glucose (FBG) and body mass index (BMI) of all patients were measured at baseline, 4- and 8-week post-intervention. Weekly patient follow-up visits to the pharmacies were mandatory. Telephone calls and referral were incorporated, when necessary. Failure to show up for two consecutive visits disqualified patients from completing the study. Descriptive statistics (to summarise data), and paired t-test to compare mean differences in the measured parameters at α=0.05. Results Hypertensive and/or T2DM patients (374) and 71 pharmacists participated in the survey. The patients expected pharmacists to provide medication counselling (81;27.1%), education (47;12.6%), follow-up (18;4.8%), health outcomes monitoring (17;4.5%), and collaboration with physicians (12;3.2%). Sixty-nine (97.2%) pharmacists agreed that patients’ follow-up, patient counselling (71;100.0%), therapeutic plan design to achieve goals (67;94.4%) and collaboration with physicians (61;85.9%) were important. Barriers to providing adequate counsel to these patients were time constraints (23;32.4%), unconducive environment (7;9.9%) and patient’s impatience (33;46.5%). For the intervention component, 16 of the 34 patients enrolled were lost to follow-up (one hospitalized, seven failed two consecutive visits, and eight lost to referral). Effects of the tailored intervention on the parameters are in Table 1. Conclusion The patients’ and pharmacists’ perceived roles of the pharmacist in the management of hypertension and T2DM were in tandem. The 8-week tailored pharmacists’ intervention resulted in better control of blood pressure but increased FBG. This pilot study is limited by the small sample size of patients and pharmacists, as well as the lack of appropriate comparator. Future large-scale multi-site study with relevant comparator is required for a far-reaching conclusion on the impact of the tailored pharmacist intervention in the management of diabetes and hypertension. References 1. Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 report. JAMA. 2003;289:2560–72. 2. Evans CD, Watson E, Eurich DT, Taylor JG, Yakiwchuk EM, Shevchuk YM, et al. Diabetes and cardiovascular disease interventions by community pharmacists: a systematic review. Ann Pharmacother. 2011;45(5):615–28.
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Rodriguez-Gutierrez, Pablo, Luis Javier Cabeza-Ramírez, and Guzmán Antonio Muñoz-Fernández. "University Students’ Behaviour towards Entrepreneurial Intention in Ecuador: Testing for the Influence of Gender." International Journal of Environmental Research and Public Health 17, no. 22 (November 16, 2020): 8475. http://dx.doi.org/10.3390/ijerph17228475.
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While the current global context of successive economic and health crises are punishing the economies of different countries in the world, it is particularly relevant to explore the business intentions of young university students, as potential entrepreneurs of opportunity. This matter is of the utmost importance, as it helps to facilitate the implementation of measures that can ensure the future recovery of the economy and the creation of new businesses. The objective of this paper is to study the institutional and psychological antecedents of entrepreneurial intention and the role of gender. The theory of planned behaviour is applied to assess how personal attitudes, subjective norms, and perceived behavioural control can affect students′ intention of becoming an entrepreneur. In addition, organizational support and institutional barriers are tested as potentially significant antecedents of entrepreneurial intention, along with the influence of gender. The research carried out was based on survey responses from a sample of 740 students of economics, communications, and education at an Ecuadorian university. The research propositions were tested using a partial least squares approach. Results indicate that behaviour towards entrepreneurship does not change in relation to gender. In addition, personal attitudes and perceived behavioural control regarding entrepreneurship are positively related to students′ entrepreneurial intention. Organizational support is also found to be important for generating entrepreneurial intention. The paper adds to the current knowledge base on entrepreneurial intention by analysing the individual and joint influence of the principal elements of the theory of planned behaviour, as well as organizational support and institutional barriers on entrepreneurial intentions. Moreover, the research provides a useful perspective on the antecedents of entrepreneurial intention in an unexplored context such as Ecuador, by responding to the call focusing on entrepreneurial intention in different regions, cultures, and contexts.
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Symecko, Heather, Rebecca Mueller, Kelsey Spielman, Melissa Batson, Stacy Pundock, Jada G. Hamilton, Mark E. Robson, and Susan M. Domchek. "Ten-fold increase in genetic testing in pancreatic and metastatic prostate cancer with implementation of point of care (POC) testing." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): 1506. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.1506.
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1506 Background: Germline genetic testing (GT) for cancer susceptibility is recommended for pancreatic and advanced prostate cancer patients, due to potential implications for targeted therapies and risk assessment of family members. Traditional cancer GT programs may create barriers for certain patient populations. To more effectively integrate testing into standard oncology care POC GT was introduced in early 2018 in a joint protocol with Memorial Sloan Kettering Cancer Center. Here we report pre and post POC referral and testing numbers at the University of Pennsylvania. Methods: Patients with metastatic prostate or pancreatic cancer were ascertained through their GU/GI oncologist onto an IRB approved protocol and shown an educational video about GT by research staff who obtained informed consent and facilitated biospecimen collection. Genetic counselors returned results and provided post-test counseling by phone. To evaluate the impact of this model on the uptake of GT services, the number of patients who were referred to and proceeded with GT was compared before and after study initiation. Results: In 2017, 77 patients were referred to genetics of which 45 underwent genetic counseling and testing. Twenty-nine (38%) did not complete genetic counseling or testing, and 3 later underwent testing through the POC study. Since the study launched in 2018, 407 patients were referred and underwent testing through the study. This represents a ten-fold increase in patients who underwent GT. Conclusions: Comparing uptake of GT services before and after study initiation suggests that a POC model with abbreviated pre-test education and post-test genetic counseling by phone is a possible solution to barriers of traditional genetic counseling, increasing physician referrals and uptake of testing by patients. This approach allows for more timely access to genetic information that may impact treatment strategies and medical management of family members. Clinical trial information: pending. [Table: see text]
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Oliver, Thomas, Todd A. Pezzi, Ashley E. Pezzi, Amanda Shreders, Henry Dao, Jennifer A. Crozier, and Christopher Pezzi. "Immunotherapy disparities in metastatic melanoma." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): 9525. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.9525.
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9525 Background: Historically, patients with advanced malignant melanoma had a dismal prognosis with an estimated median overall survival of nine months. Therapy response rates and long-term survival have significantly improved with the advent of immunotherapies and targeted chemotherapies. First approved in 2011, there has been subsequent development of more advanced immunotherapeutic agents and targeted chemotherapies, with continued improvement in median overall survival. We examined patterns in the use of immunotherapy and other systemic therapies for metastatic melanoma, as well as the demographic and socioeconomic predictors for the use of these therapies, in order to identify and understand potential barriers to access in the United States. Methods: We used the NCDB for all patients aged 18-years and older who were diagnosed with metastatic melanoma of cutaneous origin from 2004-2014. Patients were included if they had distant metastases or American Joint Committee on Cancer (AJCC) Stage IV. Sociodemographic data, including race, age, insurance status, facility providing care, Charlson/Deyo comorbidity score11, and education by patient’s zip code, were collected. Results: In patients under age 65 with a Charlson-Deyo score of zero, immunotherapy utilization ranged between 8.5–13.4% during 2004 to 2010. In 2011, the usage increased to 16.5% and rose every subsequent year to 29.6% in 2014. Patients were less likely to receive immunotherapy if they had no insurance, were of older age, or received care at a community practice rather than an academic center. Those who received immunotherapy had greater overall survival compared with those who did not. Conclusions: Immunotherapy and targeted agents have become standard of care in those with metastatic melanoma. Adoption of immunotherapy use for metastatic melanoma has been relatively slow despite evidence showing an overall survival benefit; our analysis suggests this is explained in part by socioeconomic barriers.
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Rahaman, Md, Adriana Milazzo, Helen Marshall, and Peng Bi. "Is a One Health Approach Utilized for Q Fever Control? A Comprehensive Literature Review." International Journal of Environmental Research and Public Health 16, no. 5 (February 28, 2019): 730. http://dx.doi.org/10.3390/ijerph16050730.
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Q fever, a zoonotic disease transmitted from animals to humans, is a significant public health problem with a potential for outbreaks to occur. Q fever prevention strategies should incorporate human, animal, and environmental domains. A One Health approach, which engages cross-sectoral collaboration among multiple stakeholders, may be an appropriate framework and has the underlying principles to control Q fever holistically. To assess whether components of One Health for Q fever prevention and control have been applied, a comprehensive literature review was undertaken. We found 16 studies that had practiced or recommended a One Health approach. Seven emerging themes were identified: Human risk assessment, human and animal serology, integrated human–animal surveillance, vaccination for at-risk groups, environmental management, multi-sectoral collaboration, and education and training. Within the multi-sectoral theme, we identified five subthemes: Policy and practice guidelines, information sharing and intelligence exchange, risk communication, joint intervention, and evaluation. One Health practices varied between studies possibly due to differences in intercountry policy, practice, and feasibility. However, the key issue of the need for multi-sectoral collaboration was highlighted across most of the studies. Further research is warranted to explore the barriers and opportunities of adopting a One Health approach in Q fever prevention and control.
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Espinosa, Judith M., Eric F. Holm, and Mary E. White. "Creating Intelligent, Coordinated Transit." Transportation Research Record: Journal of the Transportation Research Board 1927, no. 1 (January 2005): 138–48. http://dx.doi.org/10.1177/0361198105192700116.
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New Mexico is among the first states in the United States to develop, implement, and deploy contactless, smart card technology in a rural area. The Alliance for Transportation Research Institute, working with the New Mexico Department of Transportation's Public Transportation Programs Bureau, developed the Intelligent, Coordinated Transit (ICTransit) smart card technology and the Client, Referral, Ridership, and Financial Tracking (CRRAFT) software. The U.S. Department of Transportation's FTA–FHWA Joint Program Office provided federal funding for the project. The ICTransit smart card functions as a universal use electronic fare card, enabling passengers to transfer between transit providers to access jobs, education, and health care beyond their local rural communities. ICTransit's Global Positioning System receiver and Pocket PC capture the time and location that passengers board and exit the vehicle and the passenger miles traveled on the vehicle. The CRRAFT software system for express scheduling, automatic generation of monthly financial reports, and onboard tracking of ridership provides increased efficiency in rural areas. The ICTransit system with CRRAFT can overcome barriers to coordinated interagency transportation and provide increased access and mobility to all, but especially to those underserved by public transportation. ICTransit with CRRAFT can empower states to build coordinated transportation networks that provide safe and seamless movement of people and enhance the quality of life.
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Moore, Jane, Dawn Prentice, and Jenn Salfi. "A mixed-methods pilot study of the factors that influence collaboration among registered nurses and registered practical nurses in acute care." Clinical Nursing Studies 5, no. 4 (July 17, 2017): 1. http://dx.doi.org/10.5430/cns.v5n4p1.
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Objective: Staffing models employing registered nurses (RNs) and registered practical nurses (RPN) have created the opportunity for enhanced collaboration in acute care settings. However, little is understood about how these nurses collaborate and the factors that influence their collaboration. The purpose of this pilot study was to examine the factors that influenced collaboration among RNs and RPNs at one acute care hospital in Canada in order to understand and improve nursing collaborative practice.Methods: Using an explanatory, sequential mixed methods design, data were collected over several months in 2016 from the nurses using a questionnaire and individual telephone interviews. Sixty-five RNs and RPNs working on medical, surgical and emergency units completed the “Nurse-Nurse Collaboration Scale” survey and ten RNs and RPNs participated in the telephone interviews.Results: Quantitative analysis showed lower scores among younger nurses across most domains of the survey: conflict management, communication, shared processes, coordination and professionalism. Qualitative analysis revealed working to full scope of practice was a facilitator of RN-RPN collaboration, and older age and poor interpersonal skills were barriers to successful collaboration.Conclusions: The results provide discussion for identification of strategies to improve collaborative practice among nurses such as establishing joint education programs for RNs and RPNs, and the use of models or frameworks to guide collaborative practice in healthcare organizations.
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Lam, Kenneth C., Katie M. Harrington, Kenneth L. Cameron, and Alison R. Snyder Valier. "Use of Patient-Reported Outcome Measures in Athletic Training: Common Measures, Selection Considerations, and Practical Barriers." Journal of Athletic Training 54, no. 4 (April 1, 2019): 449–58. http://dx.doi.org/10.4085/1062-6050-108-17.
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Context Current evidence suggests that a low percentage of athletic trainers (ATs) routinely use patient-reported outcome measures (PROMs). An understanding of the perceptions of ATs who use (AT-USE) and who do not use (AT-NON) PROMs as well as any differences due to demographic characteristics (eg, use for patient care or research, job setting, highest education level) may help facilitate the use of PROMs in athletic training. Objective To describe commonly used PROMs by AT-USE, the criteria by which AT-USE select PROMs, and reasons for non-use by AT-NON. Design Cross-sectional study. Setting Online survey. Patients or Other Participants A convenience sample of 1784 ATs (response rate = 10.7% [1784/17972]; completion rate = 92.2% [1784/1935]) who worked in a variety of settings. Main Outcome Measure(s) Participants completed an anonymous electronic online survey. Descriptive statistics were used to describe commonly used PROMs, PROM selection criteria, and reasons for PROM non-use. Results Participants were classified as AT-USE (n = 370, 20.7%) or AT-NON (n = 1414, 79.3%). For the AT-USE group, the most common type of PROMs used were specific (eg, region, joint; n = 328, 88.6%), followed by single-item (n = 258, 69.7%) and generic (n = 232, 62.7%). Overall, the PROMs most frequently endorsed by the AT-USE group were the Numeric Pain Rating Scale (n = 128, 34.6%); Lower Extremity Functional Scale (n = 108, 29.2%); Disability of the Arm, Shoulder and Hand (n = 96, 25.9%); Owestry Disability Index (n = 80, 21.6%); and Foot and Ankle Ability Measure (n = 78, 21.1%). The most important criteria reported by AT-USE for selecting PROMs were that the measure was valid and reliable, easy for patients to understand, and easy for clinicians to understand and interpret. Common reasons for non-use were that PROMs were too time consuming for the clinician, too time consuming for the patient, and more effort than they were worth. Conclusions The Numeric Pain Rating Scale; Lower Extremity Functional Scale; Disability of the Arm, Shoulder and Hand; Owestry Disability Index; and Foot and Ankle Ability Measure were the PROMs most commonly endorsed by AT-USE and should be considered for athletic training use. To further facilitate the use of PROMs in athletic training, future authors should identify strategies to address organizational and time-constraint obstacles. Interpretation of our study findings may require caution due to a relatively low response rate and because “routine use” was not operationalized.