Turnover and intent to leave among speech pathologists

2010 ◽  
Vol 34 (2) ◽  
pp. 227 ◽  
Author(s):  
Emma G. H. McLaughlin ◽  
Barbara J. Adamson ◽  
Michelle A. Lincoln ◽  
Julie F. Pallant ◽  
Cary L. Cooper
Keyword(s):  
Health Professionals ◽  
Large Scale ◽  
Intent To Leave ◽  
Systematic Investigation ◽  
Speech Pathology ◽  
Systematic Research ◽  
Family Responsibilities ◽  
Professional Activities ◽  
Speech Pathologists ◽  
Opportunities For Promotion

Sound, large scale and systematic research into why health professionals want to leave their jobs is needed. This study used psychometrically-sound tools and logistic regression analyses to determine why Australian speech pathologists were intending to leave their jobs or the profession. Based on data from 620 questionnaires, several variables were found to be significantly related to intent to leave. The speech pathologists intending to look for a new job were more likely to be under 34 years of age, and perceive low levels of job security and benefits of the profession. Those intending to leave the profession were more likely to spend greater than half their time at work on administrative duties, have a higher negative affect score, not have children under 18 years of age, and perceive that speech pathology did not offer benefits that met their professional needs. The findings of this study provide the first evidence regarding the reasons for turnover and attrition in the Australian speech pathology workforce, and can inform the development of strategies to retain a skilled and experienced allied health workforce. What is known about the topic?There is a recognised shortage of speech pathologists in Australia, and a growing need for their services. Despite this, there has been no large scale systematic investigation to clarify the reasons why Australian speech pathologists may be leaving their jobs or the profession. What does this paper add?This is the first large scale nationwide investigation into why Australian speech-language pathologists leave their jobs or the profession. Approximately 31% of Australian speech pathologists intended to change jobs and 13% intended to change professions in search of opportunities for promotion, better pay and more rewarding and interesting work. The traditional assumption that speech pathologists have been leaving the profession due to family responsibilities was not supported, as it appeared that speech pathologists without young children were more likely to explore roles outside the profession. What are the implications for practitioners?One way to address the issues raised in this study is for practising speech pathologists to increase their participation in industrial, organisational, educational and professional activities such as negotiating working conditions and lobbying. Student supervision, mentoring and professional supervision are important avenues for developing resilience and such skills that have not traditionally been given priority in the education of health professionals.

Statistical Characteristics and Correlation Analysis for Control Index of Soil-Aggregate Mixture

2013 ◽  
Vol 718-720 ◽  
pp. 1872-1877 ◽  
Author(s):  
Xu Xi Chang ◽  
Xie Jian Ming ◽  
Jiang Ling Fa ◽  
Chen Shan Xiong
Keyword(s):  
Grain Size ◽  
Correlation Analysis ◽  
Normal Distribution ◽  
Large Scale ◽  
Soil Aggregate ◽  
Site Preparation ◽  
Statistical Characteristics ◽  
Coarse Grain ◽  
Systematic Research ◽  
Large Variability

Currently, the soil-aggregate mixture has been widely used in some large-scale site preparation projects, compaction characteristics has been pay more attention by many engineers and researchers. However, systematic research is insufficient on how to choose the filler. Moreover, some industry regulations are different on the requirements about filler. This paper relies on a certain big site preparation projects, discussing statistical characteristics and correlation on the maximal grain size, contents of the coarse grain, gradation and other parameters of soil-aggregate mixture. The results show that the maximal and the median grain size have small discreteness and normal distribution, indicating site filler is easy to reach the requirement; The coefficient of curvature, coefficient of nonuniformity and the coarse grain content have large discreteness, and dont obey normal distribution, indicating the filler has large variability. The median grain size is highly relevant to the coarse grain content; the maximal grain size isnt relevant to the coefficient of nonuniformity, the coefficient of curvature and the coarse grain content. According to the results of correlation analysis, we suggest that the importance order follow by coarse grain content, the maximum grain size and gradation for the control parameters of filler. This research may be significant to other similar projects.

P–047 Knowledge, professional attitudes and training of health professionals on male contraceptive methods

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
J Perrin ◽  
J Tcherdukian ◽  
A Netter ◽  
E Lechevalier ◽  
F Bretelle ◽  
...  
Keyword(s):  
General Practitioners ◽  
Health Professionals ◽  
Large Scale ◽  
Hormonal Contraception ◽  
Male Contraception ◽  
Contraceptive Methods ◽  
Medical Specialties ◽  
Professional Attitudes ◽  
Male Contraceptive ◽  
And Training

Abstract Study question Among health professionals involved in contraceptive prescribing, what are the knowledge, professional attitudes and training on male contraceptive methods? Summary answer The health professionals involved in prescribing contraception are not sufficiently trained in male contraception and almost all of them want more. What is known already The most recent large-scale studies show that 70% of couple contraception is provided by women and that the majority of men and women would be willing to adopt male contraception as couple contraception. The medicalization of contraception places the medical profession at the forefront of the acceptability of and information regarding a contraceptive method. However, only one study have evaluated health professionals’ knowledge of the various methods of male contraception (MC), including male hormonal contraception (MHC) and male thermal contraception (MTC). Study design, size, duration Between April 2020 and June 2020, we carried out a descriptive prospective multicentre study in a medical population of 2243 prescribers of couple contraception in France. Participants/materials, setting, methods The participants were obstetrician-gynaecologists, medical gynaecologists, general practitioners or midwives. They completed a three-part numerical questionnaire, including i) sociodemographic characteristics and personal experiences with contraception, ii) knowledge and professional attitudes about male contraception and iii) training on male contraception. Main results and the role of chance The overall participation rate was 19% (340/2243). Condoms and withdrawal were known by 98% and 89% of the population, respectively. Vasectomy was known by 75% of the population and significantly better known by obstetrician-gynaecologists than by medical gynaecologists and general practitioners (p = 0.026). Male hormonal contraception (MHC) and male thermal contraception (MTC) were known by 10% and 23% of the population, respectively, and were significantly better known by medical gynaecologists and general practitioners than by other specialties (p < 0.001). More than half (55%) of the population never or infrequently offered MC during a couple’s contraceptive request consultation. Female practitioners offered MC significantly more often than male practitioners (48% vs. 26%; p = 0.033). Only 14% of the population had ever participated in training on MC, 96% wished to be better trained on MC, and 86% expressed a willingness to participate in such a training. Limitations, reasons for caution The population was mainly representative of medical health practitioners of southeastern France. There was an over-representation of women in all medical specialties, except for midwives. Wider implications of the findings: Our study shows that health professionals involved in contraception have limited knowledge about MC and are eager to have more information about it. To advance the acceptability and dissemination of such contraceptive methods, it seems imperative to provide health professionals with an adapted training program on male contraception. Trial registration number 2020–01–23–03

From Divergence to Convergence in Hungarian Librarianship: Towards a Common Digital Platform

Libri ◽  
2018 ◽  
Vol 68 (4) ◽  
pp. 315-329
Author(s):  
Péter Kiszl ◽  
Rita Radó ◽  
Miklós Péter Hubay
Keyword(s):  
Information Systems ◽  
Large Scale ◽  
Information Science ◽  
Public Libraries ◽  
Public Library ◽  
Professional Activities ◽  
Community Organisation ◽  
Digital Development ◽  
Library Network ◽  
Development Plans

Abstract Hungarian librarianship and related research are sadly underrepresented in international literature. With this article we intend to fill this gap and inform the experts of library and information science of some of the most recent Hungarian innovations. After showcasing the international professional connections of Hungarian librarianship, we present the structure of the Hungarian public library network and its mode of operation. We also analyse current and future main digital development plans, projects and the most important related professional activities of Hungarian libraries. Emphasis is placed on information systems promoting cooperation between libraries and the issues of the National Library System Project, which is a large-scale modernisation programme carried out between 2016 and 2018, designed to develop the IT system of the National Széchényi Library. After introducing the information systems of academic and specialised libraries and the access models of scientific databases provided by multinational and Hungarian content services, we also discuss the endeavours of public libraries aiming for multifunctionality and community organisation. The paper ends by providing insights into how the outcomes of the recent initiatives have been fed back into Hungarian LIS training courses offered in higher education.

scholarly journals MR-Linac Radiotherapy – The Beam Angle Selection Problem

2021 ◽  
Vol 11 ◽  
Author(s):  
Rik Bijman ◽  
Linda Rossi ◽  
Tomas Janssen ◽  
Peter de Ruiter ◽  
Baukelien van Triest ◽  
...  
Keyword(s):  
Treatment Planning ◽  
Large Scale ◽  
Volumetric Modulated Arc Therapy ◽  
Patient Specific ◽  
Systematic Research ◽  
Plan Quality ◽  
Beam Angle ◽  
Clinical Workflow ◽  
Model Case ◽  
Angle Class

BackgroundWith the large-scale introduction of volumetric modulated arc therapy (VMAT), selection of optimal beam angles for coplanar static-beam IMRT has increasingly become obsolete. Due to unavailability of VMAT in current MR-linacs, the problem has re-gained importance. An application for automated IMRT treatment planning with integrated, patient-specific computer-optimization of beam angles (BAO) was used to systematically investigate computer-aided generation of beam angle class solutions (CS) for replacement of computationally expensive patient-specific BAO. Rectal cancer was used as a model case.Materials and Methods23 patients treated at a Unity MR-linac were included. BAOx plans (x=7-12 beams) were generated for all patients. Analyses of BAO12 plans resulted in CSx class solutions. BAOx plans, CSx plans, and plans with equi-angular setups (EQUIx, x=9-56) were mutually compared.ResultsFor x>7, plan quality for CSx and BAOx was highly similar, while both were superior to EQUIx. E.g. with CS9, bowel/bladder Dmean reduced by 22% [11%, 38%] compared to EQUI9 (p<0.001). For equal plan quality, the number of EQUI beams had to be doubled compared to BAO and CS.ConclusionsComputer-generated beam angle CS could replace individualized BAO without loss in plan quality, while reducing planning complexity and calculation times, and resulting in a simpler clinical workflow. CS and BAO largely outperformed equi-angular treatment. With the developed CS, time consuming beam angle re-optimization in daily adaptive MR-linac treatment could be avoided. Further systematic research on computerized development of beam angle class solutions for MR-linac treatment planning is warranted.

scholarly journals To increase trust, change the social design behind aggregated biodiversity data

Database ◽  
2018 ◽  
Vol 2018 ◽  
Author(s):  
Nico M Franz ◽  
Beckett W Sterner
Keyword(s):  
Large Scale ◽  
Syntactic Structure ◽  
Original Data ◽  
Quality Data ◽  
Systematic Research ◽  
Aggregation Process ◽  
Biodiversity Data ◽  
Social Design ◽  
The Social ◽  
Accountability Gap

Abstract Growing concerns about the quality of aggregated biodiversity data are lowering trust in large-scale data networks. Aggregators frequently respond to quality concerns by recommending that biologists work with original data providers to correct errors ‘at the source.’ We show that this strategy falls systematically short of a full diagnosis of the underlying causes of distrust. In particular, trust in an aggregator is not just a feature of the data signal quality provided by the sources to the aggregator, but also a consequence of the social design of the aggregation process and the resulting power balance between individual data contributors and aggregators. The latter have created an accountability gap by downplaying the authorship and significance of the taxonomic hierarchies—frequently called ‘backbones’—they generate, and which are in effect novel classification theories that operate at the core of data-structuring process. The Darwin Core standard for sharing occurrence records plays an under-appreciated role in maintaining the accountability gap, because this standard lacks the syntactic structure needed to preserve the taxonomic coherence of data packages submitted for aggregation, potentially leading to inferences that no individual source would support. Since high-quality data packages can mirror competing and conflicting classifications, i.e. unsettled systematic research, this plurality must be accommodated in the design of biodiversity data integration. Looking forward, a key directive is to develop new technical pathways and social incentives for experts to contribute directly to the validation of taxonomically coherent data packages as part of a greater, trustworthy aggregation process.

Using practice analytics to understand variation and support re-flective practice: A protocol for a comprehensive digital health re-search program (Preprint)

2021 ◽  
Author(s):  
Anna Janssen ◽  
Stella Talic ◽  
Dragan Gasevic ◽  
Tim Shaw
Keyword(s):  
Clinical Practice ◽  
Professional Learning ◽  
Research Program ◽  
Health Professionals ◽  
Large Scale ◽  
Digital Health ◽  
Quality Care ◽  
Academic Disciplines ◽  
Research Projects ◽  
Electronic Data

BACKGROUND There is an increasing quantity of electronic data sitting within the health system. This data has untapped potential to improve clinical practice if extracted efficiently and harnessed to change the behavior of health professionals. Furthermore, there is an in-creasing expectation by government and peak bodies that both individual health pro-fessionals and healthcare organisations will be utilising electronic data for licensing and accreditation. OBJECTIVE The objective of this study is to understand how digital technology for harnessing elec-tronic health data can be used effectively by health professionals to support practice reflection. METHODS A multidisciplinary approach was used to connect academic experts from core disci-plines of Health and Medicine, Education and Learning Sciences, and Engineering and Information Communication Technology (ICT) with government and health services partners to identify key problems preventing the healthcare industry from using elec-tronic data to support health professional learning. The approach was used to design a large-scale research program to solve this problem. The program will be delivered by doctoral candidates undertaking research projects with discrete aims that run in paral-lel to achieve the program’s overarching objectives. RESULTS The research program commenced in March 2020. Since this time four PhD Candidates have commenced their research projects. Preliminary findings are expected from indi-vidual projects in late 2021. CONCLUSIONS The approach used in this research program has potential to successfully unpack elec-tronic data siloed within clinical sites and enable health professionals to use it to reflect on their practice and deliver high quality care. Key outputs of the program will include fostering stronger connections between industry and academia, interlinking doctoral research projects to solve complex problems, the creation of new knowledge for clinical sites on how data can be used to understand performance and strengthening profes-sional development programs to align them with clinical practice. Key contributions of this paper include presenting a description of Practice Analytics, and describing the foundational academic disciplines that contribute to it. It will also present a method for designing a Practice Analytics research program.

scholarly journals Actions of a Brazilian public telehealth service to help coping with the new coronavirus

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L B Silva ◽  
L A P Sousa ◽  
R E Resende ◽  
A A Fortini ◽  
C G Pessoa ◽  
...  
Keyword(s):  
Public Health ◽  
General Population ◽  
Health Professionals ◽  
Large Scale ◽  
Ventilatory Support ◽  
Medical Specialties ◽  
Low Resource Settings ◽  
Low Resource ◽  
Telehealth Service ◽  
Resource Setting

Abstract Background In January/2020 the respiratory disease caused by the new coronavirus was declared as an international public health emergency. In Brazil, until June 22nd there were 1,11 million confirmed cases. In this context, the Telehealth Network of Minas Gerais (TNMG), a large-scale public telehealth service, acted quickly to assist professionals and the population in coping with the disease, mainly in low resource settings. Aim To report the experience of a Brazilian public telehealth service in actions to manage COVID-19 and its impacts. Methods Experience report. Results The TNMG developed 15 infographics and 16 web lectures for health professionals and general population about key themes, such as respiratory syndromes, personal care and ventilatory support. Two of them were live, seen in real time by 13,422 professionals, mainly nurses (63.8%) and doctors (31.1%), from 45 medical specialties (most family physicians-34.0%), in all Brazilian states, especially the Southeast region (58.5%). All lectures were uploaded on TNMG's Youtube channel, each one reaching 5,300 viewers on average. Specific to support health professionals: 2 guidelines were developed - one for primary care units and other to emergency/intensive care; a category for offline (second opinion) teleconsultations was created for doubts about coronavirus; and a list with 39 Frequently Asked Questions (FAQs) was developed. For the general population: 65 FAQs were developed; a health team from a low resource setting was trained to provide online teleconsultations; and a chatbot was released to automatically answer COVID-19 related doubts and/or evaluate a user's health condition, indicating if emergency medical care was needed. All resources are freely available on TNMG's website and on its social networks. Conclusions Telehealth tools had a notable acceptance and were shown to be an effective way to disseminate information for professionals and lay population throughout the country. Key messages Telehealth tools have been proven to be an effective strategy to promote health education, for both professionals and the general population. Telemedicine plays a fundamental role on dealing with public health issues, especially on low resource settings.

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