Factors influencing rheumatology residents’ decision on future practice location

Canadian Medical Education Journal ◽

10.36834/cmej.70348 ◽

2020 ◽

Author(s):

Justin Shamis ◽

Jessica Widdifield ◽

Michelle Batthish ◽

Dharini Mahendira ◽

Shahin Jamal ◽

...

Keyword(s):

Online Survey ◽

Care Delivery ◽

Regional Disparities ◽

Practice Location ◽

Factors Influencing ◽

Future Practice ◽

And Training

Background: There are regional disparities in the distribution of Canadian rheumatologists. The objective of this study was to identify factors impacting rheumatology residents’ postgraduate practice decisions to inform Canadian Rheumatology Association workforce recommendations. Methods: An online survey was developed, and invitations were sent to all current Canadian rheumatology residents in 2019 (n = 67). Differences between subgroups of respondents were examined using the Pearson χ2 test. Results: A total of 34 of 67 residents completed the survey. Seventy-three percent of residents planned to practice in the same province as their rheumatology training. The majority of residents (80%) ranked proximity to friends and family as the most important factor in planning. Half of participants had exposure to alternative modes of care delivery (e.g. telehealth) during their rheumatology training with fifteen completing a community rheumatology elective (44%). Conclusions: The majority of rheumatology residents report plans to practice in the same province as they trained, and close to home. Gaps in training include limited exposure to community electives in smaller centers, and training in telehealth and travelling clinics for underserviced populations. Our findings highlight the need for strategies to increase exposure of rheumatology trainees to underserved areas to help address the maldistribution of rheumatologists.

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Medical students’ perceptions and expectations regarding digital health education and training: A qualitative study

Journal of Telemedicine and Telecare ◽

10.1177/1357633x20932436 ◽

2020 ◽

pp. 1357633X2093243

Author(s):

Sisira Edirippulige ◽

Sophie Gong ◽

Malshi Hathurusinghe ◽

Sarah Jhetam ◽

Jasmine Kirk ◽

...

Keyword(s):

Health Care ◽

Medical Students ◽

Health Education ◽

Focus Groups ◽

Online Survey ◽

Care Delivery ◽

Digital Health ◽

Education And Training ◽

Perceptions And Expectations ◽

And Training

Introduction Digital health – the convergence of digital technologies within health and health care to enhance the efficiency of health-care delivery – is fast becoming an integral part of routine medical practice. The integration of digital health into traditional practice brings significant changes. Logic dictates that for medical practitioners to operate in this new digitally enabled environment, they require specific knowledge, skills and competencies relating to digital health. However, very few medical programmes in Australia and globally include digital health within their regular curriculum. This pilot study aimed to explore medical students’ perceptions and expectations of digital health education and training (ET). Methods An online survey and focus groups were used to collect information about medical students’ perceptions and expectations relating to digital health and ET relating to this field within the medical programme at the University of Queensland. Sixty-three students took part in the survey, and 17 students were involved in four focus groups. Results Most participants had no formal ET in digital health. Most participants ( n = 43; 68%) expressed a willingness to learn about digital health as part of their medical programme. Discussion Primarily, knowledge- and practice-related factors have motivated students to learn about digital health. The analysis of focus group data identified two superordinate themes: (a) drivers of digital health ET and (b) expectations relating to digital health ET. Students agreed that digital health is a relevant field for their future practice that should be taught as part of their regular curriculum.

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A Qualitative Examination of User Perceptions of User-Driven and App-Controlled Hearing Technologies

American Journal of Audiology ◽

10.1044/2019_aja-19-0022 ◽

2019 ◽

Vol 28 (4) ◽

pp. 993-1005 ◽

Cited By ~ 2

Author(s):

Gitte Keidser ◽

Nicole Matthews ◽

Elizabeth Convery

Keyword(s):

Hearing Aids ◽

Care Delivery ◽

Hearing Aid ◽

New Technology ◽

Successful Implementation ◽

Semistructured Interview ◽

User Perceptions ◽

Template Analysis ◽

Training And Support ◽

And Training

Purpose The aim of this study was to examine how hearing aid candidates perceive user-driven and app-controlled hearing aids and the effect these concepts have on traditional hearing health care delivery. Method Eleven adults (3 women, 8 men), recruited among 60 participants who had completed a research study evaluating an app-controlled, self-fitting hearing aid for 12 weeks, participated in a semistructured interview. Participants were over 55 years of age and had varied experience with hearing aids and smartphones. A template analysis was applied to data. Results Five themes emerged from the interviews: (a) prerequisites to the successful implementation of user-driven and app-controlled technologies, (b) benefits and advantages of user-driven and app-controlled technologies, (c) barriers to the acceptance and use of user-driven and app-controlled technologies, (d) beliefs that age is a significant factor in how well people will adopt new technology, and (e) consequences that flow from the adoption of user-driven and app-controlled technologies. Specifically, suggested benefits of the technology included fostering empowerment and providing cheaper and more discrete options, while challenges included lack of technological self-efficacy among older adults. Training and support were emphasized as necessary for successful adaptation and were suggested to be a focus of audiologic services in the future. Conclusion User perceptions of user-driven and app-controlled hearing technologies challenge the audiologic profession to provide adequate support and training for use of the technology and manufacturers to make the technology more accessible to older people.

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Factors Influencing Preparedness for Bioterrorism among Koreans

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105401 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5401

Author(s):

Yujeong Kim ◽

Eunmi Lee

Keyword(s):

Public Relations ◽

Online Survey ◽

Affective Response ◽

Coping Efficacy ◽

Front Line ◽

Personal Impact ◽

Societal Collapse ◽

Factors Influencing ◽

Perceived Seriousness ◽

Relevant Education

Bioterrorism is destructive enough to cause a societal collapse, and preparation for bioterrorism is imperative. This study aims to identify the factors influencing preparedness for bioterrorism among Koreans. A total of 1,050 subjects were included in the study, which were allocated according to region and age in proportion to population. An online survey was used to examine the following factors: participants’ general characteristics; cognitive factors including perceived probability, perceived seriousness, perceived personal impact, perceived coping efficacy, and perceived resilience; social–contextual factors including perceived governmental preparedness and perceived front-line preparedness; affective responses including affective response to terrorism and anxiety; and bioterrorism preparedness. The factors influencing the level of preparedness for bioterrorism included age, marital status, experience of bioterrorism education, perceived personal impact, perceived coping efficacy, perceived resilience, and perceived front-line preparedness. The factors that most significantly affected the level of preparedness for bioterrorism were perceived coping efficacy and perceived front-line preparedness, with an R2 of 41.4%. Relevant education and public relations programs should be strengthened to help citizens minimize their exposure and known to inform relevant institutions in the event of suspected bioterrorism, and front-line responders should cultivate their ability to respond to bioterrorism quickly and accurately.

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Impact of dementia education and training on health and social care staff knowledge, attitudes and confidence: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-039939 ◽

2021 ◽

Vol 11 (1) ◽

pp. e039939

Author(s):

Sahdia Parveen ◽

Sarah Jane Smith ◽

Cara Sass ◽

Jan R Oyebode ◽

Andrea Capstick ◽

...

Keyword(s):

Online Survey ◽

Social Care ◽

Education And Training ◽

Care Staff ◽

Cross Sectional ◽

Health And Social Care ◽

Training Content ◽

The Impact ◽

And Training ◽

Dementia Education

ObjectivesThe aim of this study was to establish the impact of dementia education and training on the knowledge, attitudes and confidence of health and social care staff. The study also aimed to identify the most effective features (content and pedagogical) of dementia education and training.DesignCross-sectional survey study. Data collection occurred in 2017.SettingsHealth and social care staff in the UK including acute care, mental health community care trusts, primary care and care homes.ParticipantsAll health and social care staff who had completed dementia education and training meeting the minimal standards as set by Health Education England, within the past 5 years were invited to participate in an online survey. A total of 668 health and social care staff provided informed consent and completed an online survey, and responses from 553 participants were included in this study. The majority of the respondents were of white British ethnicity (94.4%) and identified as women (88.4%).OutcomesKnowledge, attitude and confidence of health and social care staff.ResultsHierarchical multiple regression analysis was conducted. Staff characteristics, education and training content variables and pedagogical factors were found to account for 29% of variance in staff confidence (F=4.13, p<0.001), 22% of variance in attitude (knowledge) (F=3.80, p<001), 18% of the variance in staff knowledge (F=2.77, p<0.01) and 14% of variance in staff comfort (attitude) (F=2.11, p<0.01).ConclusionThe results suggest that dementia education and training has limited impact on health and social care staff learning outcomes. While training content variables were important when attempting to improve staff knowledge, more consideration should be given to pedagogical factors when training is aiming to improve staff attitude and confidence.

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Complementary and Integrative Health Knowledge and Practice in Primary Care Settings: A Survey of Primary Care Providers in the Northwestern United States

Global Advances in Health and Medicine ◽

10.1177/21649561211023377 ◽

2021 ◽

Vol 10 ◽

pp. 216495612110233

Author(s):

Malaika R Schwartz ◽

Allison M Cole ◽

Gina A Keppel ◽

Ryan Gilles ◽

John Holmes ◽

...

Keyword(s):

United States ◽

Primary Care ◽

Health Knowledge ◽

Care Delivery ◽

Primary Care Providers ◽

The United States ◽

Research Network ◽

Care Providers ◽

Integrative Health ◽

And Training

Background The demand for complementary and integrative health (CIH) is increasing by patients who want to receive more CIH referrals, in-clinic services, and overall care delivery. To promote CIH within the context of primary care, it is critical that providers have sufficient knowledge of CIH, access to CIH-trained providers for referral purposes, and are comfortable either providing services or co-managing patients who favor a CIH approach to their healthcare. Objective The main objective was to gather primary care providers’ perspectives across the northwestern region of the United States on their CIH familiarity and knowledge, clinic barriers and opportunities, and education and training needs. Methods We conducted an online, quantitative survey through an email invitation to all primary care providers (n = 483) at 11 primary care organizations from the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice and Research Network (WPRN). The survey questions covered talking about CIH with patients, co-managing care with CIH providers, familiarity with and training in CIH modalities, clinic barriers to CIH integration, and interest in learning more about CIH modalities. Results 218 primary care providers completed the survey (45% response rate). Familiarity with individual CIH methods ranged from 73% (chiropracty) to 8% (curanderismo). Most respondents discussed CIH with their patients (88%), and many thought that their patients could benefit from CIH (41%). The majority (89%) were willing to co-manage a patient with a CIH provider. Approximately one-third of respondents had some expertise in at least one CIH modality. Over 78% were interested in learning more about the safety and efficacy of at least one CIH modality. Conclusion Primary care providers in the Northwestern United States are generally familiar with CIH modalities, are interested in referring and co-managing care with CIH providers, and would like to have more learning opportunities to increase knowledge of CIH.

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Safe Space, Dangerous Territory: Young People’s Views on Preventing Radicalization through Education—Perspectives for Pre-Service Teacher Education

Education Sciences ◽

10.3390/educsci11050205 ◽

2021 ◽

Vol 11 (5) ◽

pp. 205

Author(s):

Saija Benjamin ◽

Visajaani Salonen ◽

Liam Gearon ◽

Pia Koirikivi ◽

Arniika Kuusisto

Keyword(s):

Teacher Education ◽

Online Survey ◽

Educational Institutions ◽

Growing Up ◽

Safe Spaces ◽

Violent Extremism ◽

International Setting ◽

Pre Service Teacher ◽

And Training

Initiatives for preventing radicalization and violent extremism through education (PVE-E) have become a feature of global educational policy and educational institutions across all phases, from early childhood to universities, also in Finland. If schools may be regarded as safe spaces here for identity and worldview construction and experiences of belonging, the specific subject matter of PVE-E is also dangerous territory. Not least because of PVE-E’s focus on radicalization, but above all because of perceptions of schools being used as an adjunct of governmental counter-terrorism policy. We argue that understanding young people’s views on issues related to radicalization and violent extremism is critical in order to develop ethical, sustainable, contextualized, and pedagogical approaches to prevent hostilities and foster peaceful co-existence. After providing some critical framing of the Finnish educational context in a broader international setting, we thus examine young people’s views (n = 3617) in relation to the safe spaces through online survey data gathered as a part of our larger 4-year research project Growing up radical? The role of educational institutions in guiding young people’s worldview construction. Specifically focused on Finland but with potentially wider international implications, more understanding about the topic of PVE-E is needed to inform teacher education and training, to which our empirical data makes some innovative contribution.

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Measuring perceived adequacy of staffing to incorporate nurses’ judgement into hospital capacity management: a scoping review

BMJ Open ◽

10.1136/bmjopen-2020-045245 ◽

2021 ◽

Vol 11 (4) ◽

pp. e045245

Author(s):

Carmen J E M van der Mark ◽

Hester Vermeulen ◽

Paul H J Hendriks ◽

Catharina J van Oostveen

Keyword(s):

Psychometric Properties ◽

Scoping Review ◽

Care Delivery ◽

Hospital Setting ◽

Workforce Planning ◽

Nurse Staffing ◽

Measurement Instruments ◽

Health Measurement ◽

Factors Influencing

BackgroundMatching demand and supply in nursing work continues to generate debate. Current approaches focus on objective measures, such as nurses per occupied bed or patient classification. However, staff numbers do not tell the whole staffing story. The subjective measure of nurses’ perceived adequacy of staffing (PAS) has the potential to enhance nurse staffing methods in a way that goes beyond traditional workload measurement or workforce planning methods.ObjectivesTo detect outcomes associated with nurses’ PAS and the factors that influence PAS and to review the psychometric properties of instruments used to measure PAS in a hospital setting.Design and methodsA scoping review was performed to identify outcomes associated with PAS, factors influencing PAS and instruments measuring PAS. A search of PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Business Source Complete and Embase databases identified 2609 potentially relevant articles. Data were independently extracted, analysed and synthesised. The quality of studies describing influencing factors or outcomes of PAS and psychometric properties of instruments measuring PAS were assessed following the National Institute for Health and Care Excellence quality appraisal checklist and the COnsensus-based Standards for the selection of health Measurement INstruments guidelines.ResultsSixty-three studies were included, describing 60 outcomes of PAS, 79 factors influencing PAS and 21 instruments measuring PAS. In general, positive PAS was related to positive outcomes for the patient, nurse and organisation, supporting the relevance of PAS as a staffing measure. We identified a variety of factors that influence PAS, including demand for care, nurse supply and organisation of care delivery. Associations between these factors and PAS were inconsistent. The quality of studies investigating the development and evaluation of instruments measuring PAS was moderate.ConclusionsMeasuring the PAS may enhance nurse staffing methods in a hospital setting. Further work is needed to refine and psychometrically evaluate instruments for measuring PAS.

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Physical activity counselling in Ireland: a survey of doctors’ knowledge, attitudes and self-reported practice

BMJ Open Sport & Exercise Medicine ◽

10.1136/bmjsem-2019-000572 ◽

2019 ◽

Vol 5 (1) ◽

pp. e000572 ◽

Cited By ~ 2

Author(s):

Sarah O'Brien ◽

Lucia Prihodova ◽

Mairéad Heffron ◽

Peter Wright

Keyword(s):

Physical Activity ◽

General Practitioners ◽

Royal College ◽

Patient Preference ◽

Online Survey ◽

Response Rate ◽

Further Education ◽

Pharmaceutical Intervention ◽

And Training ◽

Do So

ObjectivePhysical activity (PA) counselling has been shown to raise awareness of the importance of PA and to increase the rate of PA engagement among patients. While much attention has been paid to examining the knowledge, attitudes and practice of general practitioners in relation to PA counselling, there is less literature examining such issues in hospital-based doctors in Ireland and further afield. This study aimed to explore doctors’ PA counselling practices and to analyse how this related to their level of PA knowledge, training and attitudes.MethodsAn invitation to participate in an online survey was sent to 4692 members of the Royal College of Physicians of Ireland who were listed as having an address in Ireland. Descriptive and explorative analyses of the data were performed using IBM SPSS V.22.0.ResultsA total of 595 valid responses were included (response rate 12.7%; 42.7% male, 42.6±12.1 years). The majority reported enquiring about PA levels (88.0%) and providing PA counselling (86.4%) in at least some of their patients. Doctors who saw it as their role and those who felt more effective/confident in providing PA counselling were significantly more likely to do so. A perceived lack of patient interest in PA and patient preference for pharmaceutical intervention were significant barriers to undertaking PA counselling.ConclusionThis study demonstrates the need for further education and training in PA counselling in Ireland with a particular focus on improving the attitudes and self-efficacy of doctors in this area at both undergraduate and postgraduate levels.

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P027: Nursing duties and accreditation standards and their impacts: the nursing perspective

CJEM ◽

10.1017/cem.2017.229 ◽

2017 ◽

Vol 19 (S1) ◽

pp. S86-S87

Author(s):

P.K. Jaggi ◽

R. Tomlinson ◽

K. McLelland ◽

W. Ma ◽

C. Manson-McLeod ◽

...

Keyword(s):

Patient Care ◽

Registered Nurses ◽

Online Survey ◽

Care Delivery ◽

Care Quality ◽

Medication History ◽

Quality Initiatives ◽

Response Options ◽

Accreditation Standards ◽

Strongly Agree

Introduction: With ongoing medical advances and an increase in elderly and complex patients presenting to the Emergency Department (ED), there is a requirement for nurses to continue to gain new knowledge and skills to provide optimal patient care. Quality initiatives are frequently introduced with the goal of improving patient safety and the effectiveness of care delivery; some being provincial, while others are new requirements from Accreditation Canada. We sought the perspectives of emergency nurses regarding the importance of key ED processes and standards, and their impact on patient care and nurse efficiency. Methods: All Registered Nurses and Licensed Practical Nurses throughout the Edmonton Zone EDs were invited to complete an online survey consisting of 23 statements on nursing attitudes (10 on nursing duties) and beliefs (11 on the importance of Accreditation standards and their impacts; two that involved selecting the 5 most important nursing activities). The survey was constructed through an iterative approach. Response options included a 7-point Likert scale (‘very strongly disagree’ to ‘very strongly agree’). Median scores and interquartile ranges were determined for each survey statement. Results: A total of 433/1241 (34.9%) surveys were submitted. Respondents were predominantly Registered Nurses (91.4%), female (88.9%), and worked 0-5 years overall in the ED (43.7%). Overall, respondents were favourable (‘agree’ or ‘strongly agree’) towards the Accreditation Canada standards and other quality initiatives. They were, however, ‘neutral’ towards universal domestic violence screening, and whether there is a difference between Best Possible Medication History (BPMH) and med reconciliation. The top five nursing activities in terms of perceived importance were: vital sign documentation, recording of allergies, listening to patients’ concerns, hand hygiene, and obtaining a complete nursing history. Best Possible Medication History and the screening risk tools followed these. Conclusion: Despite their heavy workload, nurses strongly agreed on the importance of med reconciliation, falls risk, and skin care, but felt that improved documentation forms could support efficiency. Nursing perspective is valuable in informing future attempts to standardize, streamline, and simplify documentation, including the design and implementation of a provincial clinical information system.

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