scholarly journals Challenges Faced by Preceptors Serving in Dual Roles as Health Care Providers and Clinical Educators

2014 ◽  
Vol 9 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Thomas Dodge ◽  
Stephanie M. Mazerolle ◽  
Thomas G. Bowman
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Athletic Training ◽  
Health Care Providers ◽  
Role Strain ◽  
Limited Information ◽  
Care Providers ◽  
Data Analyst ◽  
Clinical Educators ◽  
Positive Learning Environment

Context Preceptors play an integral role in training athletic training students (ATSs). Balancing roles as health care providers and educators can often be challenging. Role strain is a documented concern for the preceptor, yet limited information is available regarding other issues faced while supervising ATSs. Objective To explore preceptor challenges. Design Qualitative study. Setting Athletic training programs. Patients or Other Participants A total of 41 preceptors from 2 different data collection procedures (cohorts) participated in the study. Preceptors had an average of 6 ± 2 years (cohort 1) and 5 ± 3 (cohort 2) years of experience as clinical educators, respectively. The preceptors were distributed between college (25) and secondary school (16) settings. Data Collection and Analysis Data were collected via telephone interviews (cohort 1) and asynchronous online interviews using Question Pro (cohort 2). We used a combination of grounded theory and inductive procedures for data analysis. Credibility of the data was established by investigator and data analyst triangulation in addition to peer review. Results Role strain was reported by preceptors as they attempted to balance their responsibilities as health care providers and clinical educators. Working conditions characterized by long hours, high patient volumes, and inadequate compensation hindered preceptors' ability to foster a positive learning environment. Because of contrasting personalities and different expectations, some preceptors experienced challenges interacting with students. Conclusions The preceptor position involves meeting the high standards for education and health care simultaneously. Preceptor training does not often address the challenges of balancing multiple roles. It therefore becomes important for ATSs and preceptors to develop strong lines of communication and determine an appropriate schedule for educational activities. Clinical coordinators should consider both the personalities of preceptors and ATSs and the workload of the preceptor when determining clinical assignments.

scholarly journals Educating Educators: Perceptions of Preceptors and Clinical Education Coordinators Regarding Training at a Division II Athletic Training Program

2016 ◽  
Vol 11 (1) ◽  
pp. 10-17
Author(s):  
Renae Ellen Bomar ◽  
Thalia Mulvihill
Keyword(s):  
Health Care ◽  
Athletic Training ◽  
Health Care Providers ◽  
Clinical Education ◽  
Athletic Trainers ◽  
Ncaa Division Ii ◽  
Care Providers ◽  
Preceptor Training ◽  
Division Ii

Context: Clinical experiences give the student athletic trainer the opportunity to relate and apply didactic information to a real-world setting. During these experiences student athletic trainers are supervised by certified, licensed health care providers working in a variety of settings (eg, hospital, physical therapy clinic, doctor's office). It is important to note the responsibilities these health care professionals (preceptors) take on when choosing to become a preceptor. Not only are they completing their normal, job-related tasks of patient care and administrative duties, but they are also responsible for the education and evaluation of student athletic trainers. Objective: This case study takes an in-depth look at a National Collegiate Athletic Association (NCAA) Division II athletic training program's (ATP) preceptor training model and provides an example of how 1 program is developing its preceptors under the new Commission on Accreditation of Athletic Training Education (CAATE) policies. It is meant to lay the foundation for further research in preceptor development by providing a description of training and development practices. This case study can be used as a guide to other ATPs and compared to other institutions to identify the best practices for preceptor development. Because the policies are new and little research has been done on preceptor development, this is the first step in creating effective evidence-based practices. Design: Ethnographic case study. Setting: One-on-one, in-person, semistructured interviews were conducted, audio recorded, and transcribed verbatim. A review of relevant (eg, training manuals) preceptor training documents was completed. Member checks were done as necessary for accuracy. Participants: One male, veteran off-campus preceptor, 1 female, novice on-campus preceptor, and the ATP clinical education coordinator participated. Participants were part of an NCAA Division II ATP located in Indiana. Results and Conclusions: The findings suggested that this program's preceptor training used various pedagogical designs and provided strong support to those involved.

Clinical Perceptions on the Physiological, Psychological, and Clinical Influence of Kinesio Tex Tape (KTT) in Health Care Practice

2020 ◽  
Vol 25 (3) ◽  
pp. 140-147
Author(s):  
Kayla E. Boehm ◽  
Blaine C. Long ◽  
Mitchell T. Millar ◽  
Kevin C. Miller
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Athletic Trainers ◽  
Psychological Effects ◽  
Professional Athletes ◽  
Care Practice ◽  
Limited Information ◽  
Care Providers ◽  
Health Care Practice ◽  
Descriptive Survey

Effectiveness of Kinesiology Tex Tape (KTT) is conflicting, with some clinicians supporting and others refuting its effects. There is limited information on the psychological effects of KTT or whether its increased use has been influenced by professional athletes. The purpose of this study was to assess the physiological, psychological, and use of KTT. A descriptive survey on the use of KTT was performed with athletic trainers and other health care providers. Many reported that KTT benefited patients physiologically and psychologically. Those who thought KTT provided a physiological benefit indicated that they use it. Many indicated KTT benefited patients psychologically, without impacting them physiologically. In addition, clinicians indicated KTT use has been influenced by professional athletes.

scholarly journals Primary care-based interventions to address the financial needs of patients experiencing poverty: a scoping review of the literature

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jane Parry ◽  
Meredith Vanstone ◽  
Michel Grignon ◽  
James R. Dunn
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Data Collection ◽  
Health Care Providers ◽  
Scoping Review ◽  
Grey Literature ◽  
High Income ◽  
Care Providers ◽  
Sociodemographic Data ◽  
Economic Needs

Abstract Background It is broadly accepted that poverty is associated with poor health, and the health impact of poverty has been explored in numerous high-income country settings. There is a large and growing body of evidence of the role that primary care practitioners can play in identifying poverty as a health determinant, and in interventions to address it. Purpose of study This study maps the published peer-reviewed and grey literature on primary care setting interventions to address poverty in high-income countries in order to identify key concepts and gaps in the research. This scoping review seeks to map the tools in use to identify and address patients’ economic needs; describe the key types of primary care-based interventions; and examine barriers and facilitators to successful implementation. Methods Using a scoping review methodology, we searched five databases, the grey literature and the reference lists of relevant studies to identify studies on interventions to address the economic needs-related social determinants of health that occur in primary health care delivery settings, in high-income countries. Findings were synthesized narratively, and examined using thematic analysis, according to iteratively identified themes. Results Two hundred and fourteen papers were included in the review and fell into two broad categories of description and evaluation: screening tools, and economic needs-specific interventions. Primary care-based interventions that aim to address patients’ financial needs operate at all levels, from passive sociodemographic data collection upon patient registration, through referral to external services, to direct intervention in addressing patients’ income needs. Conclusion Tools and processes to identify and address patients’ economic social needs range from those tailored to individual health practices, or addressing one specific dimension of need, to wide-ranging protocols. Primary care-based interventions to address income needs operate at all levels, from passive sociodemographic data collection, through referral to external services, to direct intervention. Measuring success has proven challenging. The decision to undertake this work requires courage on the part of health care providers because it can be difficult, time-consuming and complex. However, it is often appreciated by patients, even when the scope of action available to health care providers is quite narrow.

Training Health Care Providers to Deal with Sexual Health and Intimacy Issues

2016 ◽  
Author(s):  
Hani Miletski
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Health Care Providers ◽  
Knowledge Building ◽  
Intensive Therapy ◽  
Sexual Attitude ◽  
Sexual History ◽  
Limited Information ◽  
Care Providers ◽  
Plissit Model

This chapter outlines and describes the training for health care providers so that they can be more helpful to our wounded warriors who are dealing with sexual health and intimacy issues. Unfortunately, few medical and mental health care providers are trained in intimacy and sexuality matters, and many are not comfortable discussing these intimate issues at all. Therefore, the first step is to complete a Sexual Attitude Reassessment (SAR) seminar, if possible. In addition, training suggestions for knowledge building and skill development are described. These include the inviting the patient to talk, the PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy), taking a sexual history, and sex therapy.

scholarly journals Lessons from the Research Field on Partnership in Pediatric Primary Care with Urban, Low-Income African American Parents

2019 ◽  
Vol 6 (3) ◽  
pp. 5
Author(s):  
Kara Koschmann ◽  
Mary C. Hooke
Keyword(s):  
Health Care ◽  
African American ◽  
Data Collection ◽  
Health Care Providers ◽  
Low Income ◽  
Research Field ◽  
Lessons Learned ◽  
African American Parents ◽  
Care Providers ◽  
Research Findings

Qualitative data collection offers a unique opportunity to partner with research participants. Lessons learned through the process of data collection with urban, low-income, African American parents are reflective of the research findings themselves. Carefully designed research studies can remove barriers and empower participants, broadening the reach and results. Recruitment within communities develops trust, and focus groups offer a more empowering method for interviewing marginalized populations. Parents desire to have solid partnerships with their children’s health-care providers so that with their providers’ guidance, their children can flourish. The process of implementing the research itself, and not just the results, reveals strategies for improving partnership between parents and health-care providers.

scholarly journals Medically Underserved Populations: The Athletic Trainer's Role

2020 ◽  
Vol 15 (4) ◽  
pp. 289-294
Author(s):  
Jefferson Jackson Wetherington ◽  
Forrest Quinn Pecha
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Athletic Training ◽  
Health Care Providers ◽  
Primary Care Physicians ◽  
Underserved Populations ◽  
Care Delivery ◽  
Medically Underserved ◽  
Care Providers ◽  
Medically Underserved Populations

Context Health care cost continues to rise; the US continues to spend dramatically more money than other developed nations per individual without increased health outcomes. More individuals are finding it harder to get access to a health care provider, especially those in medically underserved areas and populations. Objective To increase the knowledge of the athletic training educator about medically underserved populations and the roles athletic trainers (ATs) play as leaders in health care delivery. Background Current and future physician shortages are known and are only going to increase as more than one-third of current primary care physicians are expected to retire in the next 10 years. Forty percent of the population lives in areas that are medically underserved and designated by the government as areas of professional medical shortage; patients in these areas are primarily served by primary care physicians. Synthesis As with access to physicians, access to ATs has been shown to be based upon socioeconomic status and presents more challenges for the medically underserved. Early access to health care providers has shown to be important in adolescents, as negative health behaviors can carry into adulthood, leading to poorer health-related outcomes throughout life. Recommendation(s) To ensure that athletic training educational programs include opportunities to provide service to the medically underserved, education on social determinates of health, and the means by which ATs can fill critical holes in providing care for these patients. More research is needed to validate ATs' roles in providing quality health care. Additionally, more research is needed around how AT education can help meet patient needs. Conclusion(s) As the athletic training profession continues to evolve and responds to the growing demands of the complex health care system, access to an AT may provide a vital bridge to overall health care for patients within medically underserved populations.

scholarly journals Role Strain in Collegiate Athletic Training Approved Clinical Instructors

2008 ◽  
Vol 43 (3) ◽  
pp. 275-283 ◽  
Author(s):  
Jolene M. Henning ◽  
Thomas G. Weidner
Keyword(s):  
Athletic Training ◽  
Health Care Providers ◽  
Athletic Trainers ◽  
Role Strain ◽  
Division I ◽  
Care Providers ◽  
Clinical Instructors ◽  
Graduate Assistant ◽  
Cross Sectional Survey ◽  
Approved Clinical Instructors

Abstract Context: Certified athletic trainers who serve as Approved Clinical Instructors (ACIs) in the collegiate setting are balancing various roles (eg, patient care and related administrative tasks, clinical education). Whether this balancing act is associated with role strain in athletic trainers has not been examined. Objective: To examine the degree of, and contributing factors (eg, socialization experiences, professional and employment demographics, job congruency) to, role strain in collegiate ACIs. Design: Cross-sectional survey design. Setting: Geographically stratified random sample of ACIs affiliated with accredited athletic training education programs at National Collegiate Athletic Association (NCAA) Division I, II, and III institutions. Patients or Other Participants: 118 collegiate ACIs (47 head athletic trainers, 45 assistant athletic trainers, 26 graduate assistant athletic trainers). Main Outcome Measure(s): The Athletic Training ACI Role Strain Inventory, which measures total degree of role strain, 7 subscales of role strain, socialization experiences, professional and employment characteristics, and congruency in job responsibilities. Results: A total of 49% (n  =  58) of the participants experienced a moderate to high degree of role strain. Role Overload was the highest contributing subscale to total role strain. No differences were noted between total role strain and role occupant groups, NCAA division, or sex. Graduate assistant athletic trainers experienced a greater degree of role incompetence than head athletic trainers did (P  =  .001). Division II ACIs reported a greater degree of inter-role conflict than those in Division I (P  =  .02). Female ACIs reported a greater degree of role incompetence than male ACIs (P  =  .01). Those ACIs who stated that the ACI training provided by their institution did not adequately prepare them for the role as an ACI experienced greater role strain (P < .001). Conclusions: The ACIs in the collegiate setting are experiencing role strain in balancing their roles as health care providers, clinical educators, and administrators. Methods to reduce role strain need to be considered.

Medical Record Confidentiality Law, Scientific Research, and Data Collection in the Information Age

1997 ◽  
Vol 25 (2-3) ◽  
pp. 113-129 ◽  
Author(s):  
Richard C. Turkington
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Health Information ◽  
Delivery System ◽  
Health Care Providers ◽  
Care Delivery ◽  
Scientific Research ◽  
The United States ◽  
Care Providers ◽  
Health Records

A powerful movement is afoot to create a national computerized system of health records. Advocates claim it could save the health delivery system billions of dollars and improve the quality of health services. According to Lawrence Gostin, a leading commentator on privacy and health records, this new infrastructure is “already under way and [has] an aura of inevitability.” When it is in place, almost any information that is viewed as relevant to a decision in the health care delivery system would be available to a large and yet undetermined number of individuals. The transformation of the collection and communication of health information from texts housed by health care providers and facilities to data electronically transmitted through networks of linked computers has significant implications for confidentiality and for data collection in scientific research. The best evidence clearly indicates that most people in the United States consider confidentiality for health information important and worry that the increased computerization of health records will result in inappropriate disclosure.

Dr. Gordis Replies

PEDIATRICS ◽  
1977 ◽  
Vol 60 (5) ◽  
pp. 788-789
Author(s):  
Leon Gordis
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Health Care Providers ◽  
Critical Issue ◽  
Care Providers ◽  
Disease Etiology

Dr. Merenstein is correct that questionnaire answers have limited validity, but for that matter, so do all methods of data collection. The critical issue is to recognize the limitations in any method used and to be sure that any inferences derived in using a method of data collection are, in fact, appropriate. Despite the limitations of questionnaires, they have proven invaluable in innumerable studies both of disease etiology and of attitudes of patients and health care providers.

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