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Lavercombe M. Recommendations from The Medical Education Editor. Respirology 2024; 29:266-268. [PMID: 38414329 DOI: 10.1111/resp.14698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Accepted: 02/19/2024] [Indexed: 02/29/2024]
Affiliation(s)
- Mark Lavercombe
- Department of Respiratory & Sleep Disorders Medicine, Western Health, Melbourne, Victoria, Australia
- Department of Medical Education, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
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Saikia M, George LS, Unnikrishnan B, Nayak BS, Ravishankar N. Thirty years of emotional intelligence: A scoping review of emotional intelligence training programme among nurses. Int J Ment Health Nurs 2024; 33:37-51. [PMID: 37772479 DOI: 10.1111/inm.13235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 09/17/2023] [Indexed: 09/30/2023]
Abstract
The stressful environment of any healthcare setting can be detrimental to nurses' mental and emotional health. In recent years, emotional intelligence (EI) has emerged as a vital psychological resource that positively impacts mental and emotional health and improves organizational functioning and success. This scoping review aimed to collate, synthesize and outline the research conducted on EI training programmes among nurses to assess their effectiveness in improving staff nurses' EI. Electronic databases of MEDLINE via PubMed, CINAHL, Scopus, Cochrane, ProQuest, Embase and Web of Science were comprehensively searched for related studies published between 1990 and 2021 (updated in May 2022). Two investigators independently screened the abstracts of the retrieved studies against the inclusion and exclusion criteria. Out of 728 initially retrieved studies, only 7 were included in the final synthesis. The PRISMA-ScR (2018) checklist was used to report the study findings. All the studies included in the review reported a significant improvement in nurses' EI after a training programme. The results also indicate that EI interventions are an effective way to improve nurses' psychological resources (improve resilience and coping skills; reduce anxiety and stress), leadership qualities, job performance and patient experience of nursing care. As nurses are exposed to a wide range of emotions, human pain and suffering, the results of this review suggest that improving the EI skills of nurses through short training programmes is an effective way to maintain their emotional and mental well-being. This scoping review is preregistered in Prospero (CRD42020161084).
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Affiliation(s)
- Monalisa Saikia
- Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, India
| | - Linu Sara George
- Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, India
| | | | - Baby S Nayak
- Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, India
| | - N Ravishankar
- Department of Statistics, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India
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Chen W, Graham ID, Hu J, Lewis KB, Gifford W. Nurse managers' perceptions of the prospective acceptability of an implementation leadership training programme: A qualitative descriptive study. J Adv Nurs 2024. [PMID: 38186229 DOI: 10.1111/jan.16047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 11/19/2023] [Accepted: 12/17/2023] [Indexed: 01/09/2024]
Abstract
AIM To explore the prospective acceptability of an implementation leadership training programme prototype for nurse managers in China to implement evidence-based practices, from the perspectives of potential programme participants and deliverers. DESIGN A qualitative descriptive study was conducted in Spring 2022 at three tertiary hospitals in Hunan, China. METHODS We conducted individual semi-structured interviews with unit-level nurse managers (n = 14), including 12 potential participants, and two potential deliverers that have been involved in developing the programme prototype. Interview questions and thematic analysis were guided by the Theoretical Framework of Acceptability. RESULTS After reviewing the programme content, potential participants and deliverers reported that unit nurse managers would benefit from engaging in the programme, acknowledging that the programme fit with professional nursing values for implementing research evidence. They expressed positive views about being involved in producing academic papers through the training process, and interactive multi-modal training activities such as group work, experience-sharing and coaching. Seven participants were not very confident about being fully engaged in the training, as they could not navigate the English research literature. Both participants and deliverers highlighted factors that would influence their participation, including time constraints, the impact of the COVID-19 pandemic, and support from senior organizational leadership. CONCLUSIONS The training programme prototype was perceived to be useful and acceptable. The multimodal training activities were considered a strength and managers expressed an interest in writing academic papers about their implementation processes. Support from senior hospital leaders and programme deliverers was identified as critical to the training programme's success. IMPACT The study helps understand nurse managers' perceptions and concerns of participating in an implementation leadership training programme and could inform the development and refinement of similar programmes in various nursing contexts globally.
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Affiliation(s)
- Wenjun Chen
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
- School of Nursing, Faculty of Health Science, University of Ottawa, Ottawa, Ontario, Canada
- Center for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Ian D Graham
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada
- Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada
| | - Jiale Hu
- Department of Nurse Anesthesia, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Krystina B Lewis
- School of Nursing, Faculty of Health Science, University of Ottawa, Ottawa, Ontario, Canada
- Center for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Wendy Gifford
- School of Nursing, Faculty of Health Science, University of Ottawa, Ottawa, Ontario, Canada
- Center for Research on Health and Nursing, University of Ottawa, Ottawa, Ontario, Canada
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Lavercombe M. Recommendations from the Medical Education Editor. Respirology 2023; 28:903-905. [PMID: 37621177 DOI: 10.1111/resp.14586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Accepted: 08/16/2023] [Indexed: 08/26/2023]
Affiliation(s)
- Mark Lavercombe
- Department of Respiratory & Sleep Disorders Medicine, Western Health, Melbourne, Victoria, Australia
- Department of Medical Education, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
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Obradovic A. Celebrating the third World Field Epidemiology Day: a focus on MediPIET the field epidemiology training programme in Mediterranean and Black Sea countries. Euro Surveill 2023; 28:2300474. [PMID: 37676149 PMCID: PMC10486194 DOI: 10.2807/1560-7917.es.2023.28.36.2300474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 09/07/2023] [Indexed: 09/08/2023] Open
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Lavercombe M. Recommendations from The Medical Education Editor. Respirology 2023; 28:589-591. [PMID: 37221049 DOI: 10.1111/resp.14525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 05/17/2023] [Indexed: 05/25/2023]
Affiliation(s)
- Mark Lavercombe
- Department of Respiratory & Sleep Disorders Medicine, Western Health, Melbourne, Victoria, Australia
- Department of Medical Education, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
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Maher F, Mammas IN, Spandidos DA. Challenges and perspectives of palliative medicine: A webinar by the Paediatric Virology Study Group. Med Int (Lond) 2023; 3:24. [PMID: 37153162 PMCID: PMC10155253 DOI: 10.3892/mi.2023.84] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 04/11/2023] [Indexed: 05/09/2023]
Abstract
Palliative medicine focuses on the quality of life of patients with incurable conditions, who require the adequate relief of physical symptoms, adequate information to make decisions and spiritual wellbeing. Generalist palliative care is provided by family members, general practitioners, care home workers, community nurses and social care providers, as well as non-specialist hospital doctors and nurses. Patients with more complex, physical or psycho-social problems require the shared work of specialized doctors in palliative medicine, nurses, social workers and allied professionals. It is estimated that ~40 million patients require palliative care annually, worldwide; of these, 8 out of 10 patients reside in low- or middle-income countries, and only ~14% are able to access this type of care. Palliative medicine was recognised as a distinct medical specialty in the UK in 1987, with its own specialist curriculum and training pathway, which was recently revised in 2022. The main obstacles that palliative medicine had to overcome in order to be accepted as a separate specialization were the following: i) Defining a unique body of knowledge; ii) standardisation of training; and iii) proving that it warranted being a specialty in its own right. Over the past decade, it has been accepted as more than end-of-life care, supporting patients with an incurable illness at much earlier stages. Given the current absence of specialized palliative care in low- or middle-income countries, as well as the aging population across most European countries and the USA, it is estimated that there may be an increasing need and demand for specialists in palliative medicine in the ensuing years. This article is based on a webinar on palliative medicine, which was performed on October 20, 2022 in the context of the '8th Workshop of Paediatric Virology' organized by the Institute of Paediatric Virology based on the island of Euboea (Greece).
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Affiliation(s)
- Fergus Maher
- Department of Palliative Medicine, Norfolk and Norwich University Hospitals, NHS Foundation Trust, NR4 7UY Norwich, UK
- Norwich Medical School, University of East Anglia, NR4 7TJ Norwich, UK
| | - Ioannis N. Mammas
- Paediatric Clinic, Aliveri, 34500 Island of Euboea, Greece
- First Department of Paediatrics, University of Athens School of Medicine, 11527 Athens, Greece
- Laboratory of Clinical Virology, Medical School, University of Crete, 71003 Heraklion, Greece
| | - Demetrios A. Spandidos
- Laboratory of Clinical Virology, Medical School, University of Crete, 71003 Heraklion, Greece
- Correspondence to: Professor Demetrios A. Spandidos, Laboratory of Clinical Virology, Medical School, University of Crete, Voutes, 71003 Heraklion, Greece
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Nielssen I, Ahmed S, Zelinsky S, Dompe B, Fairie P, Santana MJ. Co-building a training programme to facilitate patient, family and community partnership on research grants: A patient-oriented research project. Health Expect 2023. [PMID: 37078644 DOI: 10.1111/hex.13763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 01/31/2023] [Accepted: 03/31/2023] [Indexed: 04/21/2023] Open
Abstract
INTRODUCTION Patient engagement in patient-oriented research (POR) is described as patients collaborating as active and equal research team members (patient research partners [PRPs]) on the health research projects and activities that matter to them. The Canadian Institutes of Health Research (CIHR), Canada's federal funding agency for health research, asks that patients be included as partners early, often and at as many stages of the health research process as possible. The objective of this POR project was to co-build an interactive, hands-on training programme that could support PRPs in understanding the processes, logistics and roles of CIHR grant funding applications. We also conducted a patient engagement evaluation, capturing the experiences of the PRPs in co-building the training programme. METHODS This multiphased POR study included a Working Group of seven PRPs with diverse health and health research experiences and two staff members from the Patient Engagement Team. Seven Working Group sessions were held over the 3-month period from June to August 2021. The Working Group worked synchronously (meeting weekly online via Zoom) as well as asynchronously. A patient engagement evaluation was conducted after the conclusion of the Working Group sessions using a validated survey and semi-structured interviews. Survey data were analysed descriptively and interview data were analysed thematically. RESULTS The Working Group co-built and co-delivered the training programme about the CIHR grant application process for PRPs and researchers in five webinars and workshops. For the evaluation of patient engagement within the Working Group, five out of seven PRPs completed the survey and four participated in interviews. From the survey, most PRPs agreed/strongly agreed to having communication and supports to engage in the Working Group. The main themes identified from the interviews were working together-communication and supports; motivations for joining and staying; challenges to contributing; and impact of the Working Group. CONCLUSION This training programme supports and builds capacity for PRPs to understand the grant application process and offers ways by which they can highlight the unique experience and contribution they can bring to each project. Our co-build process presents an example and highlights the need for inclusive approaches, flexibility and individual thinking and application. PATIENT OR PUBLIC CONTRIBUTION The objective of this project was to identify the aspects of the CIHR grant funding application that were elemental to having PRPs join grant funding applications and subsequently funded projects, in more active and meaningful roles, and then to co-build a training programme that could support PRPs to do so. We used the CIHR SPOR Patient Engagement Framework, and included time and trust, in our patient engagement approaches to building a mutually respectful and reciprocal co-learning space. Our Working Group included seven PRPs who contributed to the development of a training programme. We suggest that our patient engagement and partnership approaches, or elements of, could serve as a useful resource for co-building more PRP-centred learning programmes and tools going forward.
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Affiliation(s)
- Ingrid Nielssen
- Alberta SPOR SUPPORT Unit, Patient Engagement Team, Calgary, Alberta, Canada
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
| | - Sadia Ahmed
- Alberta SPOR SUPPORT Unit, Patient Engagement Team, Calgary, Alberta, Canada
- Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada
| | - Sandra Zelinsky
- Alberta SPOR SUPPORT Unit, Patient Engagement Team, Calgary, Alberta, Canada
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
| | - Brian Dompe
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
| | - Paul Fairie
- Alberta SPOR SUPPORT Unit, Patient Engagement Team, Calgary, Alberta, Canada
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
| | - Maria J Santana
- Alberta SPOR SUPPORT Unit, Patient Engagement Team, Calgary, Alberta, Canada
- Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
- Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada
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Lavercombe M. Recommendations from the Medical Education Editor. Respirology 2023; 28:300-302. [PMID: 36852561 DOI: 10.1111/resp.14485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 02/21/2023] [Indexed: 03/01/2023]
Affiliation(s)
- Mark Lavercombe
- Department of Respiratory & Sleep Disorders Medicine, Western Health, Melbourne, Victoria, Australia.,Department of Medical Education, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
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Gallo G, Guaitoli E, Barra F, Picciariello A, Pasculli A, Coppola A, Pertile D, Meniconi RL. Restructuring surgical training after COVID-19 pandemic: A nationwide survey on the Italian scenario on behalf of the Italian polyspecialistic young surgeons society (SPIGC). Front Surg 2023; 9:1115653. [PMID: 36713665 PMCID: PMC9875563 DOI: 10.3389/fsurg.2022.1115653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 12/20/2022] [Indexed: 01/14/2023] Open
Abstract
Introduction The COVID-19 pandemic has led to the disruption of surgical training. Lack of communication, guidelines for managing clinical activity as well as concerns for safety in the workplace appeared to be relevant issues. This study aims to investigate how surgical training has been reorganized in Italy, almost 2 years after the outbreak of COVID-19 pandemic. Materials and methods A 16-item-electronic anonymous questionnaire was designed through SurveyMonkey© web application. This survey was composed of different sections concerning demographic characteristics and impacts of the second COVID-19 pandemic wave on surgical and research/didactic activities. Changes applied in the training programme and activities carried out were also investigated. The survey was carried out in the period between June and October 2021. Results Four hundred and thirty responses were collected, and 399 were considered eligible to be included in the study analysis. Three hundred and thirty-five respondents continued working in Surgical Units, with a significant reduction (less than one surgical session per week) of surgical sessions in 49.6% of them. With concern to didactic and research activities, 140 residents maintained their usual activity, while 116 reported a reduction. A sub-group analysis on resident moved to COVID-19 departments showed a reduction of research activities in 35% of them. During the period considered in this survey, the surgical training program was not substantially modified for most of participants (74.6%). Conclusion Our survey demonstrated that surgical residency programs haven't improved 2 years after the beginning of the pandemic. Further improvements are needed to guarantee completeness of surgical training, even in emergency conditions.
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Affiliation(s)
- Gaetano Gallo
- Department of Surgical Sciences, La Sapienza” University of Rome, Rome, Italy
| | | | - Fabio Barra
- Academic Unit of Obstetrics and Gynecology, IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - Arcangelo Picciariello
- Department of Emergency and Organ Transplantation, University Aldo Moro, Bari, Italy,Correspondence: Arcangelo Picciariello
| | - Alessandro Pasculli
- Department of Biomedical Sciences and Human Oncology - Unit of Endocrine, Digestive and Emergency Surgery, University “A. Moro” of Bari, Policlinic of Bari, Bari, Italy
| | | | - Davide Pertile
- Department of Surgery, Policlinico San Martino, Genova, Italy
| | - Roberto Luca Meniconi
- Department of General Surgery and Liver Transplantation, San Camillo Forlanini Hospital, Rome, Italy
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Lavercombe M. Recommendations from The Medical Education Editor. Respirology 2023; 28:6-8. [PMID: 36446593 DOI: 10.1111/resp.14428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Accepted: 11/22/2022] [Indexed: 12/05/2022]
Affiliation(s)
- Mark Lavercombe
- Department of Respiratory & Sleep Disorders Medicine, Western Health, Melbourne, Victoria, Australia.,Department of Medical Education, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
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Thanasootr KO, Hunsawong T, Chatchawan U, Siritaratiwat W, Siritaratiwat W. A 6-Week Nine-Square Exercise Programme for Collegiate Athletes with Chronic Ankle Instability: A Randomised Controlled Trial. Malays J Med Sci 2022; 29:104-114. [PMID: 36818904 PMCID: PMC9910365 DOI: 10.21315/mjms2022.29.6.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 02/17/2022] [Indexed: 12/25/2022] Open
Abstract
Background Individuals with chronic ankle instability (CAI) have poor postural stability, functional limitations and low quality of life. Although nine-square exercise can improve postural control, there is limited evidence demonstrating whether it can function as an alternative CAI rehabilitation programme. This study aimed to determine the effects of nine-square exercise on postural stability and self-reported outcomes in individuals with CAI. Methods Eighteen male collegiate athletes with CAI participated in either a 6-week nine-square exercise or a control group (n = 9 per group). At baseline and post-intervention, the participants undertook clinical tests to measures dynamic and static postural control, and self-reported outcomes regarding ankle stability and function. Results Within-group differences, the nine-square exercise group experienced improved dynamic postural control (P = 0.004), static postural control (P = 0.001) and self-reported outcomes (P < 0.05). For the control group, only static postural control improved (P = 0.018). Post-intervention, the nine-square exercise group experienced significant improvements in dynamic postural control (P < 0.001), ankle stability (P = 0.002) and functional ability (P < 0.05) relative to the control group. Conclusion These findings suggest that the nine-square exercise can offer an alternative rehabilitation programme for improving postural control, self-perceived ankle stability and functional ability in CAI.
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Affiliation(s)
- Kanok-On Thanasootr
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand,The Research Centre in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand
| | - Torkamol Hunsawong
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand,The Research Centre in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand
| | - Uraiwan Chatchawan
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand,The Research Centre in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand
| | - Wantana Siritaratiwat
- School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand,The Research Centre in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand
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Ohba T, Mabune K, Kanno S, Hasegawa A. [Recommendations for Optimising a Human Resource Development Training Programme for a Nuclear Accident Based on the Personal Backgrounds of Radiological Technologists: Experiences from the Fukushima Daiichi Nuclear Power Station Accident]. Nihon Hoshasen Gijutsu Gakkai Zasshi 2022; 78:1282-1294. [PMID: 36171114 DOI: 10.6009/jjrt.2022-1307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
PURPOSE The aim of this study was to provide the information needed to optimise a nuclear accident to human resource development training programmes for radiological technologists (RTs) based on the experience of the Fukushima Daiichi nuclear power station (FDNPS) accident. METHODS A total of 330 respondents (availability rate: 56.5%) were obtained through a postal questionnaire survey of RTs in Fukushima Prefecture. The analysed items were the relationship between the individual attributes, subject's experience in responding to the FDNPS accident, and subject's records of participating in nuclear accident trainings before the FDNPS accident with regard to 1) "skills that need to be learnt (4 items)" and 2) "basic knowledge (4 items)" to respond to a nuclear accident. RESULTS Regarding 1), air ambient dose and body surface contamination measurements were significantly associated with the number of beds at a place of work at the time of the FDNPS accident. In addition, consultations on radiation exposure were significantly associated with the experience in responding to the FDNPS accident and the records of participating in nuclear accident trainings before the FDNPS accident. Regarding 2), knowledge of internal exposure was significantly related to the years of employment at the time of the FDNPS accident and the experience in responding to the FDNPS accident. CONCLUSION By considering the results of this study, it should be possible to provide training programmes for a nuclear accident that are optimally tailored to the background of the RTs.
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Affiliation(s)
- Takashi Ohba
- Department of Radiological Sciences, Fukushima Medical University, School of Health Sciences
| | | | | | - Arifumi Hasegawa
- Department of Radiation Disaster Medicine, Fukushima Medical University, School of Medicine
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Gidam NN, Abdelgair WI. Quasi-experimental quantitative study of training programme for nurses and midwives regarding provision of neonatal resuscitation in selected governmental hospital, (Sudan), 2018. Nurs Open 2022; 10:790-795. [PMID: 36074779 PMCID: PMC9834532 DOI: 10.1002/nop2.1346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 07/31/2022] [Accepted: 08/07/2022] [Indexed: 01/16/2023] Open
Abstract
AIMS To measure the effectiveness of educational programmes for nurses regarding knowledge and practice of advanced resuscitation for newborn infants. DESIGN This is a quasi-experimental study in (Sudan, White Nile state), to evaluate the effectiveness of designed guidelines regarding advanced neonatal resuscitation for midwives during the period November 2020-January 2021. METHODS Data were collected using two tools: semi-structured questionnaire and checklist. The number of the respondents to the questionnaire is 75 nurses. Statistical analyses were conducted using SPSS (version 22). Data were expressed as percentages. The results show that the level of knowledge is improved significantly after training programme interventions, with safe practice reaching (98.70%) compared with a pre-test percentage of (11.5%). This indicates a steep rise in safe practice after the simulation section, a sharp decrease in unsafe practice after the practical section, followed by subsequent decrease in neonatal mortality rate. This paper has been guided by (STROBE, cohort study) checklist. RESULTS The study concluded that the majority of nurses and midwives have some knowledge regarding advanced neonatal resuscitation but still, there is a practice gap because of a shortage of facilities and lack of training, However, training programmes do add value on knowledge and practice for nurses and eventually decrease neonatal mortality rate.
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Affiliation(s)
| | - Widad Ibrahim Abdelgair
- Nursing Department, College of Applied Medical Sciences(ALTAIF) UniversityAltaif CitySaudi Arabia
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Lavercombe M. Recommendations from The Medical Education Editor. Respirology 2022; 27:796-798. [PMID: 36065898 DOI: 10.1111/resp.14367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 08/29/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Mark Lavercombe
- Department of Respiratory & Sleep Disorders Medicine, Western Health, Melbourne, Victoria, Australia.,Department of Medical Education, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia
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Jordan P, Iwu‐Jaja C, Mokoka E, Kearns I, Oamen B, de Lange S, Schutte L, Naidoo V. Development of a training programme for professional nurses in South Africa - An educational response to the COVID-19 pandemic. Nurs Open 2022; 10:377-384. [PMID: 35713655 PMCID: PMC9349748 DOI: 10.1002/nop2.1273] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 01/22/2022] [Accepted: 05/10/2022] [Indexed: 01/04/2023] Open
Abstract
AIM This paper describes the development of the training programme for South African professional nurses on how to manage critically ill COVID-19 patients in intensive care units and repurposed general wards. DESIGN AND METHODS The Analysis, Design, Development, Implementation and Evaluation educational instructional design model guided the development of the training programme. A case-based study approach and blended learning were used to deliver the six modules. RESULTS The training programme was developed, reviewed and validated by the coordinating team of facilitators involved in the initiative. Implementation of the training programme and the result thereof will not be discussed as part of this manuscript. CONCLUSION The training programme aimed to enhance the knowledge of professional nurses in the management of critically ill patients with COVID-19. As the pandemic evolves, a need for training and ongoing support was identified, which might address the need for surge capacity and hospital readiness planning.
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Affiliation(s)
- Portia Jordan
- Department of Nursing and MidwiferyStellenbosch University Faculty of Medicine and Health SciencesCape TownSouth Africa
| | - Chinwe Iwu‐Jaja
- Department of Nursing and MidwiferyStellenbosch University Faculty of Medicine and Health SciencesCape TownSouth Africa
| | - Elizabeth Mokoka
- Forum for University Nursing Deans in South AfricaPretoriaSouth Africa
| | - Irene Kearns
- Department of NursingUniversity of WitwatersrandJohannesburgSouth Africa
| | - Benedict Oamen
- Department of Nursing and MidwiferyStellenbosch University Faculty of Medicine and Health SciencesCape TownSouth Africa
| | - Santel de Lange
- Department of Nursing and MidwiferyStellenbosch University Faculty of Medicine and Health SciencesCape TownSouth Africa
| | - Loraine Schutte
- Department of Nursing and MidwiferyStellenbosch University Faculty of Medicine and Health SciencesCape TownSouth Africa
| | - Vasanthrie Naidoo
- Department of NursingDurban Institute of TechnologyDurbanSouth Africa
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Paignon A, Schwärzler P, Kerry M, Stamm D, Bianchi M, Xyrichis A, Gilbert J, Cornwall J, Thistlethwaite J, Iwg-Ipecat, Huber M. Interprofessional educators' competencies, assessment, and training - IPEcat: protocol of a global consensus study. J Interprof Care 2022; 36:765-769. [PMID: 34979853 DOI: 10.1080/13561820.2021.2001445] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Contemporary practice in interprofessional education (IPE) has evolved predominantly focusing on the competencies for interprofessional collaboration (IPC) that learners must acquire. Competencies that educators need to successfully deliver IPC have been overlooked. This lack of attention is further confounded by a field replete with inconsistent terminology and standards and no global consensus on the core competencies needed for IPE facilitation. There are no globally accepted tools to assess interprofessional educators' competencies nor are there established training programmes that might be used as the basis for a collective global approach to these issues. The International Working Group for Interprofessional Educators Competencies, Assessment, and Training (IWG_IPEcat) seeks to address this gap using a sequential mixed-method approach, to deliver globally developed, empirically derived tools to foster IPE educator competencies. This article presents the protocol of the research project.
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Affiliation(s)
- Adeline Paignon
- School of Health Sciences and Centre for Interprofessional Simulation (Cis), University of Applied Sciences and Arts of Western Switzerland (Hes-so), Geneva, Switzerland
| | - Patricia Schwärzler
- School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences (Zhaw), Winterthur, Switzerland
| | - Matthew Kerry
- School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences (Zhaw), Winterthur, Switzerland
| | - David Stamm
- School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences (Zhaw), Winterthur, Switzerland
| | - Monica Bianchi
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland (SUPSI), Switzerland
| | - Andreas Xyrichis
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, Kings College London, London, UK
| | - John Gilbert
- UBC Emeritus College, University of British Columbia, Vancouver, Canada
| | - Jon Cornwall
- Centre for Early Learning in Medicine, University of Otago, Dunedin, New Zealand
| | | | - Iwg-Ipecat
- IWG_IPEcat: International Working Group for Interprofessional Trainers Competencies, Assessment, and Training Programme
| | - Marion Huber
- School of Health Professions, Institute of Health Sciences, Zurich University of Applied Sciences (Zhaw), Winterthur, Switzerland
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Famelart N, Diene G, Çabal-Berthoumieu S, Glattard M, Molinas C, Tauber M, Guidetti M. What underlies emotion regulation abilities? An innovative programme based on an integrative developmental approach to improve emotional competencies: Promising results in children with Prader-Willi syndrome. Front Psychiatry 2022; 13:1038223. [PMID: 36620685 PMCID: PMC9811587 DOI: 10.3389/fpsyt.2022.1038223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 11/28/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND This study aimed to test the effect of a new training programme on emotional competencies, named EMO-T, and to show the value of an integrative developmental approach. This approach postulates that the emotion regulation disturbances commonly observed in neurodevelopmental disorders are the consequence of potential disruptions in the prerequisite emotion skills. This integrative approach is particularly suitable in the case of complex and multidimensional disorders such as Prader-Willi syndrome (PWS), a rare genetic disease. METHODS We examined the emotion expression, recognition, comprehension, and regulation skills in 25 PWS children aged 5-10 and 50 typically developing children (TD) aged 3-10. After a pre-test session, half of the PWS children participated in the EMO-T programme with their regular therapist for 6 weeks, while the other half continued their usual rehabilitation programme. Two post-test sessions were conducted, one at the end of the programme and one 3 months later. RESULTS At pre-test, PWS children displayed a deficit in the four emotional competencies (EC). PWS children who participated in the EMO-T programme showed a significant and sustainable post-test improvement regarding voluntary expression and emotion recognition abilities, such that the level reached was no longer different from the baseline level of TD children. They also tended to improve in their emotion regulation, although they received no specific training in this skill. DISCUSSION These results support that emotion regulation abilities require prerequisite emotion skills, which should be more fully considered in current training programmes. Because emotion regulation disorders strongly impact all areas of life, an integrative developmental approach appears crucial especially in the case of neurodevelopmental disorders. Further studies should be conducted to explore this perspective.
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Affiliation(s)
| | - Gwenaelle Diene
- Centre de Référence du Syndrome de Prader-Willi, CHU Toulouse, Toulouse, France
| | | | - Mélanie Glattard
- Centre de Référence du Syndrome de Prader-Willi, CHU Toulouse, Toulouse, France
| | - Catherine Molinas
- Centre de Référence du Syndrome de Prader-Willi, CHU Toulouse, Toulouse, France
| | - Maithe Tauber
- Centre de Référence du Syndrome de Prader-Willi, CHU Toulouse, Toulouse, France.,Laboratory CPTP, University of Toulouse, CNRS, INSERM, Toulouse, France
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Sivayoganathan S, English W, Shatkar V. An innovative training and recruitment programme in surgery. Future Healthc J 2021; 8:e150-e152. [PMID: 33791496 DOI: 10.7861/fhj.2020-0063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Introduction Staff shortages and rising locum costs prompted Barking, Havering and Redbridge University Hospitals NHS Trust to design an innovative training pathway for doctors in surgery. The 'Academy of Surgery' is a 2-year structured educational programme with rotations through surgical and emergency care specialties and includes a funded MSc. Methods We recruited 27 doctors over a 2-year period. The first cohort started in October 2018, the second in October 2019. These doctors are heavily supervised in a 2-year programme that aims to prepare them for higher specialty training. They undergo regular assessment and annual review of competencies and progression. They receive regular formal classroom teaching and there are regular sessions to discuss welfare. Results Surgical rotas are now fully staffed and not reliant on locum doctors. This has led to significant cost savings. Locum spending in 2017 was £3,856,000 vs £1,284,000 in 2020 - a net saving of £1,187,000 over 2 years. Conclusion This innovative training programme has contributed to full staffing of a number of surgical rotas within our Trust and delivered a large financial saving for the NHS. We hope to expand this work into neighbouring trusts.
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Affiliation(s)
| | - William English
- Queens Hospital, Romford, UK and National Bowel Research Centre, London, UK.,joint first authors
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Abstract
Due to the growing number of people with dementia worldwide, the role of dementia supporters is becoming increasingly important. In 2005, a national campaign called the Dementia Supporter Caravan was launched in Japan. However, the impact these trainings have on facilitating the work of dementia supporters is not quite understood. This study aimed to assess the challenges faced by dementia supporters in conducting activities for people with dementia. Our results showed that even after a period of six months since the training session, only half of the supporters had commenced new support activities. Future studies should examine the impact activities conducted by dementia supporters have on people with dementia and their family caregivers.
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Iskanderani D, Alstergren P, Ekberg EC, Shi XQ, Hellén-Halme K. Web-based educational programme for temporomandibular joint assessment with cone-beam computed tomography. J Oral Rehabil 2020; 47:1330-1336. [PMID: 32757414 DOI: 10.1111/joor.13065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 07/13/2020] [Accepted: 07/27/2020] [Indexed: 12/29/2022]
Abstract
OBJECTIVES To develop and evaluate an educational web-based programme for temporomandibular joint (TMJ) assessment using cone-beam computed tomography (CBCT). METHODS A web-based educational programme was designed for TMJ assessment using CBCT images. Fifteen CBCT cases of the TMJ (three-dimensional reconstructed volumes) and an assessment module based on image analysis criteria in the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) were added to the programme. Thirty-six undergraduate dental students were invited to test the programme by assessing all cases twice: before and after 2 months of training. Participants submitted written subjective evaluations of the programme. RESULTS The web-based programme can be accessed on Malmö University webpage (www.cbct-tmj.mau.se). Despite limited CBCT learning in their undergraduate training and not using the programme in the 2-month interval, the students were able to correctly diagnose 80% of the cases at the second assessment. Their diagnoses, however, did not differ significantly from the first assessment. Overall, the students were satisfied with the programme and considered it user-friendly. CONCLUSION The web-based educational programme that was developed in the present study and tested by dental students could be a useful educational tool for TMJ assessment using CBCT.
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Affiliation(s)
- Durer Iskanderani
- Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden.,Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
| | - Per Alstergren
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Ewa Carin Ekberg
- Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Xie-Qi Shi
- Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden.,Division of Oral Maxillofacial Radiology, Department of Clinical Dentistry, Faculty of Medicine, University of Bergen, Bergen, Norway
| | - Kristina Hellén-Halme
- Department of Oral and Maxillofacial Radiology, Faculty of Odontology, Malmö University, Malmö, Sweden
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Yamamoto H, Takemura M, Iguchi J, Tachibana M, Tsujita J, Hojo T. In-match physical demands on elite Japanese rugby union players using a global positioning system. BMJ Open Sport Exerc Med 2020; 6:e000659. [PMID: 32095269 PMCID: PMC7011011 DOI: 10.1136/bmjsem-2019-000659] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2019] [Indexed: 11/05/2022] Open
Abstract
Objectives Our aim of this study was to quantify the physical demands of elite rugby union players by each position as a step towards designing position-specific training programme using a Global Positioning System/accelerometer system. Methods This study was performed as a retrospective observational study. Data were obtained from 45 official matches. The sample size used for the analysis was 298. The per-match total distances, accelerations and impacts were calculated and statistically compared for the forwards and backs and for individual positions. Results Total distances for the forwards and backs were 5731.1±507.8 and 6392.1±646.8 m, respectively. The high-velocity running distances (>18.0 km/hour) covered by the forwards and backs were 317.4±136.9 and 715.0±242.9 m, respectively. The number of accelerations (>1.5 m/s2) for the forwards and backs were 76.3±18.9 and 100.8±19.6 times, respectively, and the number of high impacts (>10 g) were 48.0±46.9 and 35.6±28.3 times for the forwards and backs, respectively. All characteristics were significantly different between the forwards and backs (p<0.05). The per-position characteristics were also calculated. Within the backs, scrum half (SH) and wingers (WTBs) covered high-velocity running significantly higher distance than fly-half (SH d=2.571, WTBs d=1.556) and centres (SH d=1.299, WTBs d=0.685) (p<0.05). Conclusion By clarifying the physical demands according to the positions, it will be possible to create optimised position-specific training programmes.
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Affiliation(s)
- Hayato Yamamoto
- Graduate School of Health & Sports Science, Doshisha University, Kyoto, Japan
| | | | - Junta Iguchi
- Department of Health and Sports Sciences, Kyoto University of Advanced Science, Kameoka, Japan
| | - Misato Tachibana
- Graduate School of Health & Sports Science, Doshisha University, Kyoto, Japan
| | - Junzo Tsujita
- Institute of Health and Sports Medicine Science, Osaka, Japan
| | - Tatsuya Hojo
- Graduate School of Health & Sports Science, Doshisha University, Kyoto, Japan
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Niimura J, Nakanishi M, Okumura Y, Kawano M, Nishida A. Effectiveness of 1-day trauma-informed care training programme on attitudes in psychiatric hospitals: A pre-post study. Int J Ment Health Nurs 2019; 28:980-988. [PMID: 31081263 DOI: 10.1111/inm.12603] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/24/2019] [Indexed: 11/29/2022]
Abstract
Many patients in mental health settings are likely to have histories of interpersonal traumatic experiences. Mental health providers are recommended to adopt trauma-informed care (TIC) to ensure sensitivity and responsiveness to the impact of trauma on patients. However, few studies have examined the effectiveness of a TIC training programme using standardized measures with follow-up assessments. The aim of the study was to evaluate the effects of a TIC training programme on attitudes towards TIC in mental health professionals. The study involved a pre-post design with 3-month follow-up assessments conducted between March and June 2018. In total, 65 mental health professionals from 29 psychiatric hospitals in Tokyo and its suburban prefectures participated in the study. Mental health professionals participated in a 1-day programme consisting of a 3.5-hour lecture and 1-hour group discussion. Development of favourable attitudes towards TIC was the primary outcome, as assessed by using the Attitude Related Trauma-Informed Care scale. The majority of participants were women (86%), and the mean age was 42.2 years. The mean score of the Attitude Related Trauma-Informed Care scale scores increased significantly from 5.1 during pre-training to 5.5 immediately after training (mean difference: 0.4; 95% confidence interval: 0.3-0.5) and 5.4 after 3 months (mean difference: 0.3; 95% confidence interval: 0.2-0.4). Furthermore, half of the participants claimed to have implemented TIC practice in daily clinical settings at the 3-month follow-up. These results suggested that this brief TIC training programme improved attitudes towards TIC practice significantly.
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Affiliation(s)
- Junko Niimura
- Mental Health and Nursing Research Team, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
| | - Miharu Nakanishi
- Mental Health and Nursing Research Team, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
| | - Yasuyuki Okumura
- Mental Health Promotion Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
| | | | - Atsushi Nishida
- Mental Health Promotion Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan
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Paik KY, Yoon SH, Kim SG. Safety and feasibility of single-port laparoscopic appendectomy as a training procedure for surgical residents. J Minim Access Surg 2018; 16:13-17. [PMID: 30178766 PMCID: PMC6945334 DOI: 10.4103/jmas.jmas_136_18] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background: Single-port laparoscopic appendectomy (SPLA) is one of the most commonly performed single-port surgeries worldwide. This study aimed to determine whether the performance of SPLA by residents without sufficient experience as operators of conventional LA (CLA) is safe and feasible. Patients and Methods: Records of patients who underwent LA between March 2017 and February 2018 at a hospital in Korea were retrospectively analysed. Patients aged <18 years or >80 years were excluded from the study. SPLA and CLA were performed by two 2nd-year residents (junior group) and three 3rd-year residents (senior group). Demographic data, perioperative variables and surgical outcomes were compared. Results: During the study period, 154 patients underwent LA (104 SPLA and 50 CLA) performed by surgical residents. No differences were found between the SPLA and CLA groups in demographic data or perioperative variables, except for the drain insertion rate. The SPLA group had significantly shorter mean operation times than did the CLA group. No significant difference was observed between the junior and senior groups in the mean operation time for LA. Perioperative outcomes were not significantly different between groups. Fewer women underwent SPLA performed by 2nd-year residents compared with SPLA performed by 3rd-year residents. However, there were no differences in other general characteristics or perioperative outcomes. Conclusions: SPLA was safe and feasible when performed by junior residents. Surgical residents with sufficient experience as assistants during laparoscopic appendectomies could perform SPLA safely. Furthermore, SPLA could serve as a teaching procedure for surgical residents.
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Affiliation(s)
- Kwang Yeol Paik
- Department of Surgery, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea
| | - Seung Hoon Yoon
- Department of Surgery, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea
| | - Sung Geun Kim
- Department of Surgery, College of Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, South Korea
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Barbosa EC, Verhoef TI, Morris S, Solmi F, Johnson M, Sohal A, El-Shogri F, Dowrick S, Ronalds C, Griffiths C, Eldridge S, Lewis NV, Devine A, Spencer A, Feder G. Cost-effectiveness of a domestic violence and abuse training and support programme in primary care in the real world: updated modelling based on an MRC phase IV observational pragmatic implementation study. BMJ Open 2018; 8:e021256. [PMID: 30158224 PMCID: PMC6119435 DOI: 10.1136/bmjopen-2017-021256] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2017] [Revised: 07/03/2018] [Accepted: 07/31/2018] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVES To evaluate the cost-effectiveness of the implementation of the Identification and Referral to Improve Safety (IRIS) programme using up-to-date real-world information on costs and effectiveness from routine clinical practice. A Markov model was constructed to estimate mean costs and quality-adjusted life-years (QALYs) of IRIS versus usual care per woman registered at a general practice from a societal and health service perspective with a 10-year time horizon. DESIGN AND SETTING Cost-utility analysis in UK general practices, including data from six sites which have been running IRIS for at least 2 years across England. PARTICIPANTS Based on the Markov model, which uses health states to represent possible outcomes of the intervention, we stipulated a hypothetical cohort of 10 000 women aged 16 years or older. INTERVENTIONS The IRIS trial was a randomised controlled trial that tested the effectiveness of a primary care training and support intervention to improve the response to women experiencing domestic violence and abuse, and found it to be cost-effective. As a result, the IRIS programme has been implemented across the UK, generating data on costs and effectiveness outside a trial context. RESULTS The IRIS programme saved £14 per woman aged 16 years or older registered in general practice (95% uncertainty interval -£151 to £37) and produced QALY gains of 0.001 per woman (95% uncertainty interval -0.005 to 0.006). The incremental net monetary benefit was positive both from a societal and National Health Service perspective (£42 and £22, respectively) and the IRIS programme was cost-effective in 61% of simulations using real-life data when the cost-effectiveness threshold was £20 000 per QALY gained as advised by National Institute for Health and Care Excellence. CONCLUSION The IRIS programme is likely to be cost-effective and cost-saving from a societal perspective in the UK and cost-effective from a health service perspective, although there is considerable uncertainty surrounding these results, reflected in the large uncertainty intervals.
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Affiliation(s)
| | | | - Steve Morris
- University College London, Department of Applied Health Research, London, UK
| | - Francesca Solmi
- Division of Psychiatry, University College London, London, UK
| | | | - Alex Sohal
- NIHR CLAHRC North Thames at Bart's Health NHS Trust, Centre for Primary Care and Public Health, Queen Mary University of London, London, UK
| | - Farah El-Shogri
- NIHR CLAHRC North Thames at Bart's Health NHS Trust, Centre for Primary Care and Public Health, Queen Mary University of London, London, UK
| | - Susanna Dowrick
- NIHR CLAHRC North Thames at Bart's Health NHS Trust, Centre for Primary Care and Public Health, Queen Mary University of London, London, UK
| | - Clare Ronalds
- Pankhurst Trust Incorporating, Manchester Women's Aid, Manchester, UK
| | - Chris Griffiths
- NIHR CLAHRC North Thames at Bart's Health NHS Trust, Centre for Primary Care and Public Health, Queen Mary University of London, London, UK
- Centre for Primary Care and Public Health, Queen Mary University of London, London, UK
| | - Sandra Eldridge
- NIHR CLAHRC North Thames at Bart's Health NHS Trust, Centre for Primary Care and Public Health, Queen Mary University of London, London, UK
| | - Natalia V Lewis
- NIHR CLAHRC North Thames at Bart's Health NHS Trust, Centre for Primary Care and Public Health, Queen Mary University of London, London, UK
| | - Angela Devine
- Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK
- Mahidol-Oxford Tropical Medicine Research Unit, Mahidol University, Bangkok, Thailand
| | - Anne Spencer
- University of Exeter Medical School, Exeter, Devon, UK
| | - Gene Feder
- School of Social and Community Medicine, University of Bristol, Bristol, UK
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Higgins A, Hevey D, Boyd F, Cusack N, Downes C, Monahan M, McBennett P, Gibbons P. Outcomes of a co-facilitation skills training programme for mental health service users, family members, and clinicians: the EOLAS project. Int J Ment Health Nurs 2018; 27:911-921. [PMID: 28994234 DOI: 10.1111/inm.12388] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/09/2017] [Indexed: 11/30/2022]
Abstract
Health policy is increasingly advocating for involvement of service users and family members in service development. In the present study, we evaluated the impact of a 4-day education programme in co-facilitation skills on clinician and peer (service users and family members) knowledge, confidence, and subsequent experience as co-facilitators. The programme was designed to train peers and clinicians as co-facilitators on a clinician and peer-led information programme for people experiencing mental health problems. The study employed a mixed-methods design involving a pre-post survey with 128 participants, and follow-up qualitative interviews with a sample of 17 participants. To examine changes in levels of knowledge and confidence in facilitating from time 1 (T1) to time 2 (T2), paired sample t-tests were conducted, and thematic analysis was conducted on the interviews. The programme had a statistically-significant positive impact on participants' knowledge, confidence, and skills, with no significant difference between the facilitator groups (i.e. service user, family member, and clinician) in terms of their improvement at the end of the training, indicating that all groups benefited equally from the training. A majority of participants reported a high level of preparedness as co-facilitators and an open and respectful approach towards each other's expertise, and many continued to gain skills and develop their confidence as they co-facilitated the 8-week EOLAS programme ('eolas' is the Irish word for knowledge). The findings also provide evidence of the acceptability and feasibility of the programme, and appears to be the first detailed study reported on a programme of this nature.
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Affiliation(s)
- Agnes Higgins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - David Hevey
- School of Psychology, Trinity College Dublin, Dublin, Ireland
| | - Fiona Boyd
- Kildare Youth Services, Kildare, Ireland
| | - Ned Cusack
- Kildare Youth Services, Kildare, Ireland
| | - Carmel Downes
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Mark Monahan
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Pádraig McBennett
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
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Viramgami AP, Sadhu HG. Evaluation of Training Program "Basic Concepts of Occupational Health" for Students of Diploma in Sanitary Inspector Course and Way Forward. Indian J Occup Environ Med 2018; 22:106-108. [PMID: 30319233 PMCID: PMC6176707 DOI: 10.4103/ijoem.ijoem_79_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background: India requires massive numbers of occupational health experts for identifying and catering to the occupational health needs of more than 400-million workforce; however, in the absence of sufficient number of experts, it is important to sensitize and educate different groups of students and workforces regarding various aspects of occupational health. In the same context, a training program for the students of Diploma in Sanitary Inspector was arranged at the National Institute of Occupational Health (NIOH). Aim: To assess the effectiveness of the training program in terms of gain in knowledge and imparting training programs more effectively in future. Methods: Examinations in the form of pretest and post test were conducted during training program for 920 participating students. Mean, standard deviation, and test of significance were applied using SPSS software. Result: Significant improvement in the mean test score after the training program was observed. Improvement in the mean score showed significant difference regarding age and educational qualifications but not with gender. Conclusion: Results enabled us to identify weak areas of the program where lesser improvement in knowledge was observed, which require more emphasis in future workshops for achieving efficient productive outcomes.
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Affiliation(s)
- Ankit Prabhubhai Viramgami
- Division of Clinical Epidemiology, ICMR-National Institute of Occupational Health, Ahmedabad, Gujarat, India
| | - Harsiddha Gulabdas Sadhu
- Division of Clinical Epidemiology, ICMR-National Institute of Occupational Health, Ahmedabad, Gujarat, India
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Caswell G, Hardy B, Ewing G, Kennedy S, Seymour J. Supporting family carers in home-based end-of-life care: using participatory action research to develop a training programme for support workers and volunteers. BMJ Support Palliat Care 2017; 9:e4. [PMID: 28768679 PMCID: PMC6579492 DOI: 10.1136/bmjspcare-2017-001317] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2017] [Revised: 06/02/2017] [Accepted: 06/07/2017] [Indexed: 11/09/2022]
Abstract
Background Family carers are crucial in enabling dying people to stay at home, but are often not prepared for their caring role, receiving little support from formal health and social care services. It is increasingly likely that any help or support family carers receive will be provided by a third sector organisation on either a voluntary basis or by untrained carer support workers. Objectives To produce a training programme designed to equip carer support workers and volunteers with the basic skills and knowledge needed to support family carers. Process of development Participatory action research, a collaborative form of working in which those who are affected by an issue take a lead role in the research, was used. Bereaved carers acting as research partners, support workers and representatives of third sector organisations took an active part in designing, developing, piloting and refining the programme in a number of interlinked stages. During development, the programme was piloted on four occasions and evaluated by 36 trainees and 3 trainers. Final training programme The outcome of the project is an innovative, 1-day training programme, offering an introduction to supporting family carers who are looking after someone approaching the end of life. The use of participatory action research methods enabled the development of a programme that addresses support needs identified by bereaved carers and training needs identified by carer support workers. The finished programme includes all the materials necessary to run a training day for support workers and volunteers: facilitator’s notes, trainee workbook, slides, promotional poster and pre-course reading for trainees. Knowledge of issues involved in end-of-life and palliative care is not required, although some experience in delivering training is advisable. Conclusion The programme evaluated well during development, but further research is required to examine the transfer of learning into the workplace.
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Affiliation(s)
- Glenys Caswell
- School of Health Sciences, University of Nottingham, Nottingham, UK
| | - Beth Hardy
- Department of Health Sciences, University of York, York, North Yorkshire, UK
| | - Gail Ewing
- Centre for Family Research, University of Cambridge, Cambridge, UK
| | - Sheila Kennedy
- School of Health and Related Research, University of Sheffield, Sheffield, UK
| | - Jane Seymour
- School of Nursing and Midwifery, University of Sheffield, Sheffield, UK
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Abstract
AIMS AND OBJECTIVES To design a training programme for nurses and evaluate the effectiveness of the training programme in improving the nurses' self-efficacy in reporting cases of child abuse and neglect. BACKGROUND The problem of child abuse and neglect cases has become prevalent throughout numerous countries. Previous studies have found that more than 70% of Taiwanese nurses considered that they required child abuse and neglect training. Moreover, a training programme for child abuse and neglect reporting based on self-efficacy theory in clinical practice has been developed previously. METHODS A quasi-experimental research design was implemented. The study participants comprised 80 clinical nurses: 40 in an experimental group and 40 in a control group; the pretest, post-test and follow-up results were compared between the groups. Moreover, an analysis of covariance was applied to test the effectiveness of a nurse child abuse and neglect training programme after controlling for the effects of age, marital status and working years. The experimental and control groups were compared according to their scores on each self-efficacy subscale. RESULTS The experimental and control groups differed significantly regarding the outcome measures of all six subscales of child abuse and neglect reporting self-efficacy between the pretest and post-test. Therefore, the results supported the hypothesis that nurse self-efficacy in reporting child abuse and neglect cases would improve after completing the Child Abuse and Neglect Training Program for Nurses. CONCLUSION The Child Abuse and Neglect Training Program for Nurses is an appropriate training programme for improving nurse competence and confidence in reporting suspected child abuse and neglect cases. RELEVANCE TO CLINICAL PRACTICE This study is relevant to clinical practice because it clarifies a relationship between nurses' self-efficacy and reporting behaviour. It also highlights the importance and effectiveness of the training programme Child Abuse and Neglect Training Program for Nurses in improving nurses' reporting behaviour for child abuse and neglect cases.
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Affiliation(s)
- Pei-Yu Lee
- College of Nursing, Fooyin University, Kaohsiung City, Taiwan
| | - Fan-Hao Chou
- College of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan
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30
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Sousa L, Sequeira C, Ferré-Grau C, Neves P, Lleixà-Fortuño M. Training programmes for family caregivers of people with dementia living at home: integrative review. J Clin Nurs 2016; 25:2757-67. [PMID: 27273093 DOI: 10.1111/jocn.13266] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2016] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To establish primary features of training programmes designed to assist family caregivers of people with dementia living at home and to propose a model programme based on literature findings. BACKGROUND Due to dementia's distinctive progression, there is a widely felt need to train family members who undertake the responsibility of caring for relatives diagnosed with this condition to provide positive care, particularly during the early and middle stages of the disease. DESIGN Integrative review. METHODS Literature reviews were carried out in the Pubmed, CINAHL, Mediclatina and Medline databases, using the following describers: training programme, family caregivers, dementia and aged. Such searches encompassed publications between 2004-2014, together with eight articles for review due to their positive identification with the inclusion criteria. Relevant results were extracted, the subsequent analysis performed and the presentation carried out in a descriptive manner. RESULTS The prevailing length of a training programme for a family caregiver of people with dementia is of six sessions over a six-week period, with one weekly session load, and an average duration of 100 minutes each. Methodologies most commonly used include discussion, problem-solving models as well as skills and strategies training. The themes discussed comprehend caring for the individual with dementia, information about the illness and the use of health and community resources. Regarding the assessment of the family caregiver, the most widely used instruments are demographic assessment questionnaires, self-efficiency and caregiver's burnout scales, as well as depression and quality of life measures. Three assessment instances of family caregivers' needs during the training programme are commonly encountered: initial, final and follow-up. CONCLUSIONS This review has identified a set of features transversal to training programmes for family members who undertake the care for individuals with dementia living at home, which will bolster the construction and validation of other programmes in the area. More studies about such programmes need to be implemented, particularly engaged in their conceptual and experimental validation. RELEVANCE TO CLINICAL PRACTICE The results of this review assist nurses by increasing their awareness of the basic assumptions supporting training programmes for family members responsible for individuals with dementia living at home and subsequently enforce them during their interventions with such population.
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Affiliation(s)
- Lia Sousa
- Neurology Service, Hospitalar Centre of São João, EPE, Braga, Portugal. .,Porto Nursing School, Porto, Portugal. .,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.
| | - Carlos Sequeira
- Porto Nursing School - Coordinator Scientific Pedagogical Unit, "Management of Signs & symptoms", Coordinator Group of Nursing Research - Research Unit - CINTESIS - Faculty of Medicine, University of Porto, Porto, Portugal.,Portuguese Journal of Mental Health Nursing, Porto, Portugal.,The Portuguese Society of Mental Health Nursing, Porto, Portugal
| | - Carme Ferré-Grau
- Department of Nursing, University Rovira i Virgili, Tarragona, Spain.,PhD of Research in Nursing Science, URV, Tarragona, Spain
| | - Pedro Neves
- Local Health Unit of Matosinhos, Porto, Portugal.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Oporto, Portugal
| | - Mar Lleixà-Fortuño
- Department of Nursing, University Rovira i Virgili, Tarragona, Spain.,Master of Research in Nursing Science, URV, Tarragona, Spain
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31
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Abstract
Nonmedical prescribing has been allowed in the United Kingdom (UK) since 1992. Its development over the past 24 years has been marked by changes in legislation, enabling the progression towards independent prescribing for nurses, pharmacists and a range of allied health professionals. Although the UK has led the way regarding the introduction of nonmedical prescribing, it is now seen in a number of other Western-European and Anglophone countries although the models of application vary widely between countries. The programme of study to become a nonmedical prescriber (NMP) within the UK is rigorous, and involves a combination of taught curricula and practice-based learning. Prescribing is a complex skill that is high risk and error prone, with many influencing factors. Literature reports regarding the impact of nonmedical prescribing are sparse, with the majority of prescribing research tending to focus instead on prescribing by doctors. The impact of nonmedical prescribing however is important to evaluate, and can be carried out from several perspectives. This review takes a brief look back at the history of nonmedical prescribing, and compares this with the international situation. It also describes the processes required to qualify as a NMP in the UK, potential influences on nonmedical prescribing and the impact of nonmedical prescribing on patient opinions and outcomes and the opinions of doctors and other healthcare professionals.
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Affiliation(s)
- Louise C Cope
- Drug Usage and Pharmacy Practice Division, Prescribing and Patient Safety Research Room 132, 1st Floor, Stopford Building, Manchester Pharmacy School, Oxford Road, Manchester, M13 9PT, UK
| | | | - Mary P Tully
- University of Manchester Pharmacy School, Manchester, UK
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32
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Steinberg N, Eliakim A, Zaav A, Pantanowitz M, Halumi M, Eisenstein T, Meckel Y, Nemet D. Postural Balance Following Aerobic Fatigue Tests: A Longitudinal Study Among Young Athletes. J Mot Behav 2016; 48:332-40. [PMID: 26731202 DOI: 10.1080/00222895.2015.1095153] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
General fatigue can cause aggravation of postural balance, with increased risk for injuries. The present longitudinal study aimed to evaluate the postural balance of young athletes following field aerobic tests throughout 1 year of training. Thirty children from a sports center in Nazareth, participating in a 3 times/week training program (specific to basketball, soccer, or athletic training), were assessed. Postural balance parameters were taken before, immediately after, and 10 min after a 20 m shuttle-run aerobic test, at 3 time points during 1 training year (Start/Y, Mid/Y, and End/Y). Fitness improved at the Mid/Y and End/Y compared to Start/Y. Postural balance significantly deteriorated immediately after the aerobic test and improved significantly in the 10-min testing in all 3 time points, with significant deterioration in the End/Y compared with the Start/Y. In conclusions, postural balance deteriorates immediately after aerobic exercises, and at the end of the year. To better practice drills related to postural balance and possibly to prevent injuries, it is best for young athletes to properly rest immediately following aerobic exercises and to practice postural balance mainly at the beginning and at the middle of the training year.
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Affiliation(s)
- Nili Steinberg
- a Anatomy and Anthropology, Sackler Faculty of Medicine, Tel-Aviv University , Israel
| | - Alon Eliakim
- b Sackler School of Medicine, Tel-Aviv University , Israel
| | - Aviva Zaav
- c Zinman College of Physical Education and Sports Sciences, Wingate Institute , Netanya , Israel
| | - Michal Pantanowitz
- d Meir Medical Center, Sackler School of Medicine, Tel-Aviv University , Israel
| | - Monder Halumi
- c Zinman College of Physical Education and Sports Sciences, Wingate Institute , Netanya , Israel
| | - Tamir Eisenstein
- c Zinman College of Physical Education and Sports Sciences, Wingate Institute , Netanya , Israel
| | - Yoav Meckel
- c Zinman College of Physical Education and Sports Sciences, Wingate Institute , Netanya , Israel
| | - Dan Nemet
- d Meir Medical Center, Sackler School of Medicine, Tel-Aviv University , Israel
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33
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Yoshida T, Ogawa T, Taguchi N, Maeda J, Abe K, Rodis OM, Nakai Y, Shirai H, Torii Y, Konoo T, Suzuki K. Effectiveness of a simulated patient training programme based on trainee response accuracy and appropriateness of feedback. Eur J Dent Educ 2014; 18:241-251. [PMID: 25318559 DOI: 10.1111/eje.12093] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/28/2013] [Indexed: 06/04/2023]
Abstract
INTRODUCTION Simulated patients (SPs) need education and training in required skills to be effective resources in education. This study was conducted to examine the effectiveness of an SP training programme based on the accuracy of trainee responses and the appropriateness of their feedback. METHODS Thirty-two applicants to the training programme and 35 experienced SPs were included in this study. The experienced SPs served as a reference group. The rate of accurate responses and the rate of appropriate feedback were assessed with pre- and post-training tests, and these two outcome measures were compared with those of the experienced SPs. RESULTS No significant differences were found in trainee response accuracy or appropriateness of feedback between pre- and post-training tests. The response accuracy rate of the trainees on the pre-training test was significantly lower than that of SPs with 1-2 years of experience, whilst there was no significant difference between these SPs and the trainees on the post-training test. CONCLUSIONS Although our study suggests that more training is needed to improve the skills of SPs, the training programme may contribute to helping trainees reach a novice level in the skill of providing accurate responses. SP training should be encouraged to contribute to the effectiveness of such teaching and to establish the validity of the assessment.
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Affiliation(s)
- T Yoshida
- Center for the Development of Medical and Healthcare Education (Dental Education), Okayama University, Okayama, Japan
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Halvarsson A, Dohrn IM, Ståhle A. Taking balance training for older adults one step further: the rationale for and a description of a proven balance training programme. Clin Rehabil 2014; 29:417-25. [PMID: 25200877 PMCID: PMC4419050 DOI: 10.1177/0269215514546770] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Accepted: 07/12/2014] [Indexed: 12/19/2022]
Abstract
Objective: To give the rationale and evidence for and a detailed description of a rehabilitation programme of proven effectiveness in improving balance in older adults. Background theory and evidence: Based on the knowledge that balance loss usually occurs in situations when attention is divided, especially when being older, and that balance control relies on the interaction of several physiological systems, we have developed a specific and progressive balance training programme with dual- and multi-task exercises for older adults. Practical application: Balance demanding exercises, specific to the various components of balance control and to situations in daily life, were performed in sitting, standing and walking at three different levels of progression (basic, moderate and advanced) of increasing difficulty and complexity. The training was performed in 45-minutes group sessions, with 6–10 participants in each group, three times per week during 12 weeks, with two or three physiotherapists present. Conclusions: This balance training programme strengthens self-efficacy in balance control leading to improved fall-related self-efficacy, reduced fear of falling, increased walking speed, and improved physical function. Participants found the programme motivating, valuable, fun, and enjoyable, which was reflected in a high attendance rate.
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Affiliation(s)
- Alexandra Halvarsson
- Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Sweden Department of Physical Therapy, Karolinska University Hospital, Sweden
| | - Ing-Mari Dohrn
- Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Sweden
| | - Agneta Ståhle
- Karolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Sweden Department of Physical Therapy, Karolinska University Hospital, Sweden
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35
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Poggensee G, Waziri NE, Bashorun A, Nguku PM, Fawole OI, Sabitu K. Setting research priorities for HIV/AIDS-related research in a post-graduate training programme: lessons learnt from the Nigeria Field Epidemiology and Laboratory Training Programme scientific workshop. Pan Afr Med J 2014; 18:262. [PMID: 25426209 PMCID: PMC4242107 DOI: 10.11604/pamj.2014.18.262.4804] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2014] [Accepted: 07/22/2014] [Indexed: 11/12/2022] Open
Abstract
In Nigeria the current prevalence of HIV is 4.1% with over 3.5 million infected and estimated 1.5 million in need of anti-retroviral treatment. Epidemiological and implementation studies are necessary for monitoring and evaluation of interventions. To define research areas which can be addressed by participants of the Nigeria Field Epidemiology and Training Programme (NFELTP) a workshop was held in April 2013 in Abuja, Nigeria. Priority research areas were identified using criteria lists for ranking of the relevance of research questions. Based on a research matrix, NFELTP residents developed the aims and objectives, study design for HIV-related research proposals. This workshop was the first workshop held by the NFELTP to establish an inventory of research questions which can be addressed by the residents within their training period. This inventory will help to increase HIV/AIDS-related activities of NFELTP which are in accordance with research needs in Nigeria and PEPFAR objectives.
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Affiliation(s)
- Gabriele Poggensee
- Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria
| | | | - Adebobola Bashorun
- Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria ; HIV/AIDS Division, Federal Ministry of Health, Abuja, Nigeria
| | - Patrick Mboya Nguku
- Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria
| | - Olufunmilayo Ibitola Fawole
- Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria ; Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Nigeria
| | - Kabir Sabitu
- Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria ; Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria
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36
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Kool N, van Meijel B, Koekkoek B, van der Bijl J, Kerkhof A. Improving communication and practical skills in working with inpatients who self-harm: a pre-test/post-test study of the effects of a training programme. BMC Psychiatry 2014; 14:64. [PMID: 24592861 PMCID: PMC3975943 DOI: 10.1186/1471-244x-14-64] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2013] [Accepted: 02/21/2014] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Differing perspectives of self-harm may result in a struggle between patients and treatment staff. As a consequence, both sides have difficulty communicating effectively about the underlying problems and feelings surrounding self-harm. Between 2009 and 2011, a programme was developed and implemented to train mental health care staff (nurses, social workers, psychologists, psychiatrists, and occupational therapists) in how to communicate effectively with and care for patients who self-harm. An art exhibition focusing on self-harm supported the programme. Lay experts in self-harm, i.e. people who currently harm themselves, or who have harmed themselves in the past and have the skills to disseminate their knowledge and experience, played an important role throughout the programme. METHODS Paired sample t-tests were conducted to measure the effects of the training programme using the Attitude Towards Deliberate Self-Harm Questionnaire, the Self-Perceived Efficacy in Dealing with Self-Harm Questionnaire, and the Patient Contact Questionnaire. Effect sizes were calculated using r. Participants evaluated the training programme with the help of a survey. The questionnaires used in the survey were analysed descriptively. RESULTS Of the 281 persons who followed the training programme, 178 completed the questionnaires. The results show a significant increase in the total scores of the three questionnaires, with large to moderate effect sizes. Respondents were positive about the training, especially about the role of the lay expert. CONCLUSION A specialised training programme in how to care for patients who self-harm can result in a more positive attitude towards self-harm patients, an improved self-efficacy in caring for patients who self-harm, and a greater closeness with the patients. The deployment of lay experts is essential here.
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Affiliation(s)
- Nienke Kool
- Intensive Treatment Centre, Palier, The Hague, The Netherlands.
| | - Berno van Meijel
- Department of Health, Sports & Welfare/Cluster Nursing, Research Group Mental Health Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands,Parnassia Academy, Parnassia Psychiatric Institute, The Hague, The Netherlands
| | - Bauke Koekkoek
- Research group for Social Psychiatry & Mental Health Nursing, HAN University of Applied Sciences, Nijmegen, The Netherlands,ProCES, Pro Persona GGZ, Wolfheze, The Netherlands
| | - Jaap van der Bijl
- Department of Health, Sports & Welfare/Cluster Nursing, Research Group Mental Health Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands
| | - Ad Kerkhof
- Department of Clinical Psychology, and EMGO+, Institute for Health and Care Research, VU University, Amsterdam, The Netherlands
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37
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Gaakeer MI, van den Brand CL, Bracey A, van Lieshout JM, Patka P. Emergency medicine training in the Netherlands, essential changes needed. Int J Emerg Med 2013; 6:19. [PMID: 23787072 PMCID: PMC3704912 DOI: 10.1186/1865-1380-6-19] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2013] [Accepted: 06/01/2013] [Indexed: 11/13/2022] Open
Abstract
Since 2008, training for emergency physicians (EPs) in the Netherlands has been based on a national 3-year curriculum. However, it has become increasingly evident that it needs to expand beyond its initial foundations. The training period does not comply with European regulations of a minimum of 5 years. Adjusting to this European standard is a logical step. Experience with the 3-year Dutch training scheme has led to the general conclusion that this training period is too short. Recommendations for essential changes and the basis for their development are presented.
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Affiliation(s)
- Menno I Gaakeer
- Netherlands Society of Emergency Physicians, UMC Utrecht, Utrecht, The Netherlands
| | - Crispijn L van den Brand
- Netherlands Society of Emergency Physicians, Medisch Centrum Haaglanden, The Hague, The Netherlands
| | | | - Joris M van Lieshout
- Emergency Medicine Department, Admiraal De Ruyter Hospital, Goes en Vlissingen, The Netherlands
| | - Peter Patka
- Emergency Medicine, Erasmus MC, Rotterdam, The Netherlands
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38
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Weber G, Zeilinger E, Oppenauer C, Brehmer B. Results and implications of the EU-project CARERS ‘Content materials to raise employability and reinforce skills of carers’. Int J Integr Care 2009. [PMCID: PMC2807113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
Purpose Theory Methods Results and conclusions Discussion
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39
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Peltzer K, Nqeketo A, Petros G, Kanta X. Evaluation of a safer male circumcision training programme for traditional surgeons and nurses in the Eastern Cape, South Africa. Afr J Tradit Complement Altern Med 2008; 5:346-54. [PMID: 20161956 PMCID: PMC2816586 DOI: 10.4314/ajtcam.v5i4.31289] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Training designed to improve circumcision knowledge, attitude and practice was delivered over 5 days to 34 traditional surgeons and 49 traditional nurses in the Eastern Cape, South Africa. Training included the following topics: initiation rites; statutory regulation of traditional male circumcision and initiation into Manhood (TCIM); structure and function of the male sex organs; procedure of safe circumcision, infection control; sexually transmitted infections (STIs); HIV/AIDS; infection control measures; aftercare of the initiate including after care of the circumcision wound and initiate as a whole; detection and early management of common complications of circumcision; nutrition and fluid management; code of conduct and ethics; and sexual health education. The evaluation of the training consisted of a prospective assessment of knowledge and attitude immediately prior to and after training. Significant improvement in knowledge and/or attitudes was observed in legal aspects, STI, HIV and environmental aspects, attitudes in terms of improved collaboration with biomedical health care providers, normal and abnormal anatomy and physiology, sexually transmitted infections and including HIV, circumcision practice and aftercare of initiates. We concluded that safer circumcision training can be successfully delivered to traditional surgeons and nurses.
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Affiliation(s)
- Karl Peltzer
- Social Aspects of HIV/AIDS and Health, Human Sciences Research Council, Pretoria, South Africa. v
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40
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Thijs LG, Baltopoulos G, Bihari D, Burchardi H, Carlet J, Chioléro R, Dragsted L, Edwards DJ, Ferdinande P, Giunta F, Kari A, Kox W, Planas M, Vincent JL, Pfenninger J, Edberg KE, Floret D, Leijala M, Tegtmeyer FK. Guidelines for a training programme in intensive care medicine. European Society of Intensive Care Medicine, European Society of Pediatric Intensive Care. Intensive Care Med 1996; 22:166-72. [PMID: 8857124 PMCID: PMC7095376 DOI: 10.1007/bf01720724] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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