Additional Qualifications Research Articles

A Meta-Analysis of Salary Benchmarking of Engineers, BIM Modelers, and BIM Managers in the Philippines

This study provides a detailed meta-analysis of salaries for engineers, BIM modelers, and BIM managers in the Philippines, emphasizing how geographical location, experience level, industry sector, qualifications, and market trends influence compensation. The analysis incorporates data from a variety of sources, including academic publications, industry reports, and government statistics, to provide a detailed understanding of salary variations within different professions. Findings show significant salary differences based on their geographical location. Professionals in Metro Manila have considerably larger wages than those in provincial re-gions. Experience level is also important when it comes to salary increas-es which can be observed when professionals advance from entry-level to senior roles. Salary levels are also influenced by the industry, with tech-nology, building, and infrastructure development sectors offering highest compensation. Additional qualifications and certificates enhance salary opportunities, reflecting the value of particular skills and expertise. The purpose of this study is to write a meta-analysis of salary benchmarks for BIM modelers, engineers, and BIM managers in the Philippines emphasiz-ing how factors such as geographical location, experience level, industry sector, qualifications, and market trends influence compensation. The analysis includes seven studies that were published between 2019 and 2024 to capture recent salary patterns in these professions. The study shows the importance of understanding these important variables in de-veloping successful compensation methods, optimizing talent acquisition, and promoting retention in the engineering and construction sectors in the Philippines. The insights provided are expected to allow stakeholders to make informed decisions to build a competitive and thriving workforce in these critical industries.

Costs and benefits of a formal academic qualification beyond the PhD

AbstractIn many Western and Eastern European countries, the habilitation is the highest formal qualification awarded by universities, ranking above the doctorate. Despite its central role in the European higher education system, little is known about the career trajectories of those who have obtained this degree. This paper systematically analyzes the career trajectories of scientists and scholars who have completed a habilitation in Germany, comparing these to those of individuals who did not complete a further degree after their PhD. To do so, linked social insurance data from a period of 2 years prior to 15 years after receiving the doctorate are used. My analysis reveals the substantial monetary costs of pursuing an additional qualification after the PhD. The empirical findings indicate that the benefits of an additional qualification beyond the PhD are primarily non-monetary, for example having a cognitively demanding and challenging job requiring a high level of education, and an increased likelihood of employment within the academic sector. These findings may indicate that beyond a certain level of education, and with an already fairly strong integration into the labor market, non-financial aspects of work could become more significant to individuals than income maximization.

Insights from an online survey: Veterinary surgeons' antibiotic practices in ophthalmic surgery in Germany.

To investigate antibiotic usage practices in ophthalmic surgeries in Germany. An online questionnaire was sent to veterinary surgeons (general veterinarians and veterinarians with additional qualification in ophthalmology) inquiring about their antibiotic preferences, administration methods, and factors affecting antibiotic usage in ophthalmic surgical procedures. A total of 417 questionnaires were analyzed. Postoperative antibiotics (systemic/topical in percent when used) were used all or most of the time by 69% of veterinarians following enucleation (99/6), by 62% after eyelid surgery (54/69), by 68% after third eyelid (TEL) surgery (19/92) and by 80% after keratectomy (6/99). The most commonly used systemic antibiotic was amoxicillin with clavulanic acid and the most commonly used topical antibiotic was chloramphenicol. WHO "watch-group" antibiotics were infrequently administered systemically but frequently utilized topically; including in 13% of eyelid surgery, 15% of TEL surgery, and 35% of keratectomies. Factors influencing antibiotic use included fear of complications (67%), personal experience (63%), diagnostic uncertainty (21%), and owner expectations (9%). Participants following institutional guidelines used fewer antibiotics in enucleations (p = .002) and were less likely to choose fluoroquinolones post-eyelid surgery (p = .044). The potential for reducing antibiotic use following ophthalmic soft tissue surgery is significant. Addressing barriers such as concerns about postoperative complications and the reliance on individual clinical experience, the implementation of standardized guidelines could facilitate a shift toward more judicious antibiotic practices.

Research on the Teaching Reform of Environmental Art Design Course under the 1+X Certificate System

The "1+X" certificate system, namely the "diploma certificate + several vocational skill level certificates" system, is an important reform task proposed in the "National Vocational Education Reform Implementation Plan". This system aims to strengthen the integration of 1+X certificate pilot and professional construction, curriculum construction, teacher team construction, etc. through the combination of academic certificates and vocational skill level certificates, in order to improve the quality of vocational education and students' employment ability. The "vocational education + additional vocational qualifications" system in foreign countries has a high degree of similarity with China's 1+X system, both of which encourage students to obtain vocational education diplomas while actively obtaining various types of vocational skill certificates, expanding students' employability, promoting the connotation development of vocational education, and connecting vocational education with the needs of economic and social development to improve the quality of talent cultivation. For environmental art majors, this system provides new opportunities and directions for professional teaching reform.

A comparison of general surgery training programmes across 11 countries: improving understanding of the experience level of international medical graduates in the UK.

Within the past five years there has been a significant increase in the number of international medical graduates (IMGs) joining the United Kingdom's (UK) workforce. Having mentors and supervisors who understand the needs of IMGs and clinical and cultural differences in the workplace can benefit in the transition to working in a new country. Improving knowledge of and understanding differences between general surgical training programmes and grades across different countries could therefore aid in the support of IMGs within the UK. Data on general surgical training programmes of the top ten countries for the primary medical qualifications of IMGs in the UK were collected to provide comparison with the UK training programme. The following countries were included: UK, India, Pakistan, Nigeria, Egypt, Ireland, Sudan, Sri Lanka, Romania, Iraq and South Africa. Training programme lengths ranged from 3 to 10 years. Only some training programmes provide additional training and qualification in sub-specialisation in general surgery. Other differences included a requirement for internship/non specialist training prior to training, differences in lengths of time spent in other surgical specialties and a requirement for research. Understanding the training programmes of other countries may help UK surgeons to understand the prior experience of IMGs and enable them to provide better training and support.

Integrative nursing interventions: knowledge, attitudes and practice in home nursing services in Germany-a quantitative and qualitative online survey.

Integrative nursing interventions (INI) play a significant role in healthcare, particularly in the prevention and treatment of chronic diseases. Integrating evidence-based INI into healthcare aligns with global initiatives such as the WHO's Decade of Healthy Aging 2020-2030. Many INI are low-threshold practices, empowering patients to independently manage health. However, the extent to which INI are used by home-care nursing-services (HNS) remains largely unknown. This study aims to explore the field of INI in German HNS regarding nurses' use of INI as well as attitudes, subjective knowledge, and information needs on the subject. A cross-sectional anonymous online survey with 29 Likert scale items and two open-ended questions was conducted between April 2023 and July 2023. The survey targeted nurse managers of HNS in Baden-Württemberg, Germany. Descriptive analysis was performed for quantitative data, while content analysis according to Kuckartz was applied to analyze open-ended text responses. In total, n = 68 out of n = 1,331 HNS took part in the survey yielding a response rate of 5.1%. Their overall attitude toward INI was clearly positive (10-point Likert scale M ± SD: 8.37 ± 2.22). The average self-assessed knowledge level about INI was moderate (M ± SD: 5.39 ± 2.76). Almost half of the participants (45.6%) declared to incorporate INI in patient care. Most participants (84.2%) lacked employees with additional qualifications in INI. The INI used most were medicinal herbal teas (61%), compresses (57%), and aromatherapy (48%). Acupressure showed the greatest disparity between actual use in participating HNS (4.3%) and interest in further education (61%). The most common symptoms for which INI are used are pain, respiratory problems, anxiety, and palliative care. The main challenges reported for the use of INI in HNS are financial aspects, qualification and limited resources (staff and time). This exploratory study provides the first insights into nurses' attitudes, self-assessed knowledge, and utilization of INI in German HNS. Overall response rate was low (5.1%), therefore, the results should be interpreted with caution. Urgent action is needed to address financial aspects and further education on INI, to promote integration of INI in HNS to the best possible extent.

Implementing a multidimensional faculty promotion matrix at Saint George University of Beirut Faculty of Medicine

This paper outlines the development and implementation of a multidimensional faculty promotion matrix at Saint George University of Beirut Faculty of Medicine (SGUB FM). The matrix, designed to provide a comprehensive and equitable evaluation of faculty across multiple dimensions, is anchored in six pillars: Research, Clinical Practice, Teaching Effort, Administrative Effort, Community Work, and Extra Degrees and Awards. These pillars encompass diverse components, including publication output, clinical activities, teaching responsibilities, administrative roles, community engagement, and additional qualifications, with each metric normalized using z-scores for fair comparison. This matrix analyzed the CVs and relevant documents of 112 faculty members, demonstrating its efficacy in providing equitable evaluation regardless of gender or rank. The results showed no significant differences in promotion rates among various faculty ranks, highlighting the matrix’s fairness and impartiality. The study also explores the relationship between faculty ranks and various performance metrics, revealing patterns in research productivity, clinical practice, and community engagement that escalate with higher academic ranks. SGUB FM's approach aligns its curricular designs and instructional implementations with international benchmarks, particularly those set by the Association of American Medical Colleges (AAMC), ensuring global standard compliance while catering to the institution's unique context. The matrix serves not only as an evaluation tool but also as a catalyst for faculty excellence and professional development. This case study offers valuable insights for medical institutions developing inclusive promotion criteria and emphasizes the importance of holistic evaluation frameworks in fostering academic excellence and professional growth.

Implementation and evaluation of pharmacist-led heart failure diagnostic and guideline directed medication therapies clinic.

Timely diagnosis of heart failure (HF) and rapid optimisation of guideline-directed medication therapy (GDMT) improves patients qualities of life, reducing mortality and morbidity. Previous papers describe the role of pharmacists in medication optimisation, but not in the diagnosis of HF. To describe the development, implementation, and evaluation of pharmacist-led heart failure clinics with respect to time from referral to diagnosis, time from diagnosis to first review with a specialist, and the proportion receiving optimal GDMT 180days after diagnosis. Community outpatient clinics in rural west Wales, UnitedKingdom. Two experienced non-medical prescribing pharmacists, one of whom had additional diagnostic qualifications in cardiology, delivered the clinic. Patients referred with suspected HF were risk-stratified to urgent (within 14days of referral) or routine (within 42days) review, based on natriuretic peptide levels. Patients attended the clinic for assessment, including physical examination, electrocardiogram, and echocardiogram. Those with HF with reduced ejection fraction were initiated on drug treatment and referred to the follow-up pharmacist-led GDMT clinic. A sample of 100 patients was evaluated (50 from pre-existing and 50 from new service). Median time from referral to diagnosis reduced from 61days (IQR 47-115) to 16days (IQR 10.5-27.5) for urgent and 19days (IQR 11.5-33) for routine. Median time to first appointment following diagnosis reduced from 54days (IQR 36-60.5) to 14days (IQR 9.75-28.75) (p value < 0.0001), and proportion of patients achieving GDMT at 180days following diagnosis improved from 24 to 86% (p value < 0.0001). This pharmacist HF diagnostic clinic and medication optimisation clinic improved time to diagnosis, time to first specialist review, and proportion of patients' achieving GDMT optimisation in a rural healthcare setting.

Has COVID-19 affected the publication productivity of neurosurgeons in UK and Republic of Ireland? A bibliometric analysis

Background Our aim was to determine the impact of the COVID-19 pandemic on the publication productivity of neurosurgeons in the United Kingdom and Republic of Ireland. Methods Using bibliometric data we quantified and analysed the academic output of neurosurgeons in England, Scotland, Northern Ireland, Wales, and the Republic of Ireland, between two time periods i.e., January 2017 to December 2019 and January 2020 to March 2022, as a representative capture of the academic climate before and after the start of the COVID-19 pandemic. The consultant neurosurgeons were grouped according to their departments, title, sex, subspecialities and additional research qualifications. Using data charts on Scopus author directory, the total number of publications, citations and h-indices of each neurosurgeon were obtained over the two time periods. The median and mean of these 3 parameters were computed and the median values were analysed and tested for significance using a Mann Whitney-U test according to the groups. Results Our analysis conveyed a statistically significant increase (2440 publications and between January 2020 and March 2022 there were 2548 publications p&lt;0.05) in the total number of publications after the start of the COVID-19 pandemic compared to before. There was a statistically significant decrease in the mean number of citations (mean 55.24 vs 57.01, p&lt;0.05), after the start of the COVID-19 pandemic. This trend was observed in both sexes, in authors without an additional MD/PhD and in authors who sub-specialized in neuro-oncology. Overall, there was a significant decrease in H-index after the start of the pandemic compared to before (median h-index:1.00 and 2.00; mean h-index:1.8 and 3.4 respectively). Conclusions There appears to be an apparent increase in total number of publications after the start of the COVID-19 pandemic, most authors have registered a reduction in citations and h-indices, suggesting a lower impact and unequal distribution of the abovementioned increase.

Controversial issues of qualification of drug smuggling committed with the use of violence against a person carrying out customs or border control

The article analyzes some issues of qualification of drug smuggling committed with the use of violence against a person carrying out customs or border control. The author concludes that for the purposes of article 229¹ of the Criminal Code of Russian Federation violence covers the entire scope of physical harm to health. The actions of a person who intentionally caused serious harm to the health of the injured person in the process of smuggling items provided for in Article 229¹ of the Criminal Code of Russian Federation, which caused his death by negligence, should be qualified according to the totality of crimes provided for in paragraph «b» of part four of Article 229¹ of the Criminal Code and part four of Article 111 of the Criminal Code of Russian Federation. In cases where the smuggling of items provided for in Article 229¹ of the Criminal Code of Russian Federation is committed with the threat of violence against a person carrying out customs or border control, additional qualifications are required under Article 318 of the Criminal Code of Russian Federation. If there was a murder of a person carrying out customs or border control, the deed should be qualified according to the totality of crimes provided for in paragraph «b» of Part 4 of Article 229¹ of the Criminal Code of Russian Federation and Article 317 of the Criminal Code of the Russian Federation.

Palliative care in dermatooncology - Current practice in German dermatooncological centers and specialist offices.

Dermato-oncology patients are often treated in certified skin cancer centers or dermato-oncological specialist offices. Especially in higher tumor stages, patients develop symptoms, either disease-related or due to therapy-related side effects, requiring treatment. Despite a markedly improved prognosis since the introduction of targeted therapies and immunotherapies, advance care planning is required in progressive disease. It is unclear how palliative care of skin cancer patients is currently organized in dermato-oncology. In a nationwide survey, all certified skin cancer centers and dermato-oncological specialist offices in Germany were contacted and asked to participate in this anonymized survey. Overall, 45 responses (42%) were received. The majority (98%) of the respondents screen the patients on a regular basis for distressing symptoms, and all centers are connected to palliative medical care providers. Only 5% of the medical staff members have the additional qualification "palliative medicine". In 68% of the participating institutions, the opportunity for care planning is offered to patients. For 89%, palliative care is relevant for everyday work, and 82% desire more research opportunities on this topic. This survey has shown that palliative care plays a major role in dermato-oncological work. Given that only a small proportion of the staff have received specialized training in palliative care, however, an increase of this proportion would be desirable for comprehensive care.

ROLE AND ETHICS OF HAKAM IN RESOLVING MATRIMONIAL DISPUTES

Conflicts and disagreements are part and parcel of married life. As revealed in the Qur’an the best way to resolve conflict in family is by the efforts of the spouses themselves. In the event of failure to restore harmony between the spouses, Islam laid out other remedies from outside the conjugal home where competent third parties are available to assist in resolving the conflict. In Malaysia, provisions relating to third party intervention can be found, for instance, under sections 47 and 48 of Part V on the Dissolution of Marriage of the Islamic Family Law (Selangor) Enactment 2003. The sections respectively provide clauses for conciliatory committee and arbitration. The courts, under s. 48 will appoint two hakam (arbitrators) to act for the husband and the wife. In agreement with the Islamic law of Tahkim, it is recommended that where possible, for a hakam to be from among the family of the spouses. This paper seeks to examine first, the role of Hakam in a Tahkim process and, second, the ethics of Hakam. To achieve this, apart from field research, the Hakam Rules 2014 of Selangor was referred to to examine detailed aspects on the qualifications, role and ethics of Hakam. A minor fieldwork was conducted at Shah Alam Syariah Subordinate Court. 20 case files involving settlement reached through tahkim sessions were examined. Separate interviews with Syariah Court Judge as well as ‘court-annexed’ hakam were also carried out. The findings suggest that besides emphasizing on the principal requirements, it is equally important to pay greater attention to promoting additional qualification and nurturing relevant skills in the light of the hakam duties as third party in resolving family disputes. Furthermore, maintaining the characteristic as hakam by following the code of ethics is another key to the successfulness of majlis tahkim.

Identifying challenges and best practices for implementing AI additional qualifications in vocational and continuing education: a mixed methods analysis

ABSTRACT As artificial intelligence (AI) increasingly integrates into various industries and educational sectors, there is a growing need for an AI-ready workforce. This study, focusing on a novel AI additional qualification in Germany, investigates the underexplored challenges and best practices regarding the learning software, the learning contents, and the didactic design. Addressing the research question ‘What are the teaching and learning experiences in AI additional qualifications, and to what extent do these experiences align?’, we adopted a mixed methods analysis. This entailed interviews with four educators and self-reported questionnaires with 73 learners, triangulating both groups’ findings for comprehensive insights. Key outcomes from this study demonstrate a significant alignment in teaching and learning experiences, particularly in terms of shared challenges. The findings significantly contribute to AI curriculum development and continuing vocational education and training practice. They underscore the necessity for robust and visually engaging learning software, as well as learning content that primarily covers AI basics with practice-oriented examples. Another best practice emerges for blended learning formats, favouring a greater emphasis on face-to-face instruction complemented by teacher-supported self-directed learning. Future research should focus on balancing theoretical and practical knowledge in AI curricula, preparing teachers for AI content delivery, and optimising teacher-learner interactions.

TO ASSESS THE KNOWLEDGE AND ATTITUDE TOWARDS CAREER OPTION AFTER BDS AMONGST INTERNEES IN WEST BENGAL : AN ONLINE QUESTIONNAIRE STUDY

Introduction: A Graduates career is the course of action they pursue to fulfill their intended employment . The journey from the hallowed halls of dental education to the dynamic realm of professional practice marks a critical juncture in the lives of dental internees. As these individuals transition from the theoretical foundations of their Bachelor of Dental Surgery education to the practical landscape of dentistry, their knowledge and attitudes towards career options become pivotal. Apart from traditional career paths such as private dental practice or working in hospitals there are several alternative and less-known career options that BDS graduates can explore which are yet to be saturated. Before choosing any alternative career path, its essential for BDS graduates to gain additional qualifications or certifications, if required, and network with professionals in their chosen field of interest, for which a tailored support system and guidance program is essential. This study endeavours to explore the multifaceted aspects of the knowledge and attitudes held by dental internees in West Bengal, India, concerning their career choices post-BDS. Objective: To assess the knowledge and attitude toward career option after BDS amongst internees in west Bengal. Material And Method: The study will be conducted among 200 Internees from various dental colleges across West Bengal. For the study a standardized Questionnaire consisting of 12 questions will be formulated in Google Form format and link will be circulated to the Participants. Statistical Analysis: The statistics was generated by Google Forms and tabulated accordingly. Conclusion: By giving students the information and tools they require to make wise career decisions, we can produce a new heneration of dental professionals who are not only clinically skilled but also well-suited to succeed in a variety of professional environments.

Safety First or Saving Lives? How Medical Responders Would Decide when Facing an Active Violent Incident. Results from an Explorative Cross-National Survey

Abstract In recent years, public authorities and rescue services have been discussing how Medical First Responders (MFRs) should behave in an Active Violent Incident (AVI) where it is necessary to weigh up self-protection and the rescuing of others. The aim of this exploratory study is to generate a preliminary picture of how European MFRs position themselves on this and related questions. With the help of a network of experts, an AVI scenario and accompanying questionnaire were developed and pretested. A refined version was then distributed among MFRs in eight European countries and Israel. We performed descriptive statistics and tested for significant differences among the participating countries. 1164 MFRs completed the survey. In the absence of police protection, a majority of respondents opted against providing immediate casualty care (56.6 %). Under certain circumstances, however, the rest decided in favour. More than 65.5 % did not fear disciplinary or legal consequences for not providing assistance immediately. Even with police protection, one in ten respondents would still not enter a “yellow zone”, one in four would leave this to Emergency Medical Services (EMS) units specifically trained for such operations. While there are very few strong contrasts between MFRs with different work experience, roles (supervisor/instructor) or additional qualifications (e.g., firefighting, military service), there are significant differences between MFRs from participating countries. Most notably, (1) only Norwegian participants identified, on average, a clear paradigm shift from “safety first” to “controlled risk taking”; (2) while 69.8 % of the Austrian cohort were unwilling to enter without being escorted by the police, among Norwegians MFRs the figure was 42.7 %; (3) the question whether “weapons” are “useful” equipment in such a scenario is particularly divisive (ranging from 14.3 % of German to 58.9 % of Israeli respondents). Although most of the questions were answered in the same way by a large majority, significant differences can be observed, especially between countries. We offer various explanations for these and discuss whether MFRs can actually remain passive given the situational normative forces inherent to an AVI.

Novelization of the provisions of the criminal legislation of Ukraine, which provide for liability for medical crimes and misdemeanors: issues of interpretation and enforcement

The problems of criminal law protection of life and health of a person in the field of medical care attract the special attention of scientists, because it is about the most valuable constitutional rights and freedoms of a person. At the same time, the results of the analysis of criminal statistics regarding registered medical crimes and misdemeanours, their further pretrial investigation and trial, give grounds for serious concern. The reasons for the negative investigative and judicial practice may be the shortcomings of the legal construction of the norms, numerous changes made to the Criminal Code, as well as the high latency of medical offenses. Therefore, the purpose of this article is a comprehensive study of the amendment of the criminal legislation of Ukraine, which provides for responsibility for medical offenses, identifying the shortcomings and advantages of such legislative decisions, as well as formulating separate recommendations for the enforcement of the norms of the Criminal Code. The following research methods were used to achieve the specified goals. The dialectical method of cognition made it possible to establish the norms of the Criminal Code of Ukraine, which provide for responsibility for medical offenses and to reveal the problems of their enforcement. The historical method made it possible to identify all normative acts that amended the norms of the Criminal Code, which provide for liability for medical offenses. The dogmatic method made it possible to clarify the true content of such concepts as "order of application of transplantation", "activity connected with transplantation", " substantial harm to the victim's health", etc. The systemic-structural method was used to analyse such evaluative concepts as "damage to the victim's health", " substantial damage to the victim's health", "severe consequences", etc., which are used in many provisions of the Criminal Code and are interpreted in different ways in judicial practice. The comparative legal method was used to compare the regulatory national legislation of Ukraine in the field of medical care and the relevant norms of the Criminal Code of Ukraine. The conducted research gave grounds for the conclusion that socially dangerous consequences in the form of "substantial harm to the victim's health", which are provided for in Part 1 of Art. 143 of the Criminal Code, cover the infliction of light physical injuries on the victim that caused a short-term health disorder or minor loss of working capacity, moderate physical injuries, severe physical injuries, as well as infection with the human immunodeficiency virus or other incurable infectious disease. At the same time, negligently causing the death of a recipient during an illegal transplantation requires additional qualification under a set of criminal offenses. The revealed cases of arbitrary and sometimes unsystematic use of different evaluation concepts of harm to human health in the norms of the Special Part of the Criminal Code point to the urgent need for unification in the criminal legislation of Ukraine, both the concept of "harm to health" and the normative consolidation of its types.

Additional qualification "Social medicine" for physicians

Social medicine is the medical field that specializes in relationships between health, disease, and society. The goal of social medical care should be to enable functioning and participation in all areas of life as much as possible. Social medicine can be understood as abridge between individual health care and public health and to other medical specialties. Expertise in social medicine is also helpful for dermatology and in daily clinical practice. This article presents the specialization "social medicine" in Germany.

Employment Requirements for IBCLCs: An Analysis of Job Postings

Objectives:The International Board of Lactation Consultant Examiners (IBLCE) sets strict criteria for the IBCLC credential. While all IBCLCs meet rigorous criteria, including specified health sciences background requirements, employers may require an IBCLC to have an additional credential. This practice may limit the availability of IBCLCs. The aim of this study was to determine what qualifications employers prefer or require for lactation care professionals.Methods:Three job posting websites in the United States were reviewed throughout the summer of 2022 for lactation consultant postings. During the study period, 448 unique lactation consultant job postings were identified.Results:Overall, 76% of job postings required an additional credential beyond the IBCLC, and there was a statistically significant preference for registered nurses (RNs;p&lt; .005). This trend held true for inpatient hospital jobs specifically (p&lt; .005). Public health jobs had a statistically significant preference for no additional credential (p&lt; .005).Conclusions:According to the IBLCE, all IBCLCs are equally prepared to provide clinical lactation care. Employers, especially those with inpatient facilities, who require an IBCLC to be an RN are placing an additional barrier on the availability of qualified lactation professionals. Further research should explore the reasons behind these additional qualifications and the impact on the quality of lactation care provided.

Influence of a Training Module on the Knowledge of Midwives Concerning Postpartum Warning Signs at the Primary Health Care Level in Osun State, Nigeria

Background: Postpartum warning signs are essential in preventing postpartum complications in new mothers and can be detected during postpartum visits. The provision of postpartum care in Nigeria is deficient, and many maternal deaths occur during the postpartum period due to missed postpartum warning signs. Therefore, training midwives on postpartum warning signs can improve the quality of health education given to women. Objective: To evaluate the effectiveness of a training module to improve midwives' knowledge of postpartum warning signs at the level of primary health centres. Methods: A quasi-experimental design using one group pre- and post-intervention was used to implement a training module on postpartum warning signs among midwives in Primary Health Centres in Osun State, Nigeria. Sixty-four (64) participants were recruited using a maximum variation sampling technique to ensure all cadres of midwives were selected for the study. Results: The mean age of the participants was 40.5 years, ranging from 31 to 40 years. There was a significant difference between the pre- and post-intervention mean score of knowledge gained on postpartum warning signs (t62 = 8.75, p &lt;0.05). Furthermore, multiple factors such as theory-practice gap (91.4%), years of clinical experience (97.1%), exposure to seminar and workshops (87.1%), acquiring of additional qualifications (74.3%), pre-service training (84.3%) and in-service training (88.6%) contributed to the level of knowledge regarding postpartum warning signs among the study participants. Conclusion: The training module improved midwives' knowledge of postpartum warning signs. Therefore, it was recommended that midwives be exposed to training on postpartum warning signs.

Career models, job satisfaction, and type of work-related behavior presented by Polish nurses: A cross-sectional post-COVID-19 study.

Nurses constitute a crucial professional group within the healthcare system. Job satisfaction and opportunities for professional development directly impact the quality of medical services provided and help prevent burnout. The study aimed to assess the preferred career model, the level of job satisfaction, and determine the type of work-related behavior presented by Polish nurses. A cross-sectional survey was conducted among 795 nurses after the COVID-19 pandemic. Three standardized scales were used: My Career questionnaire to access the preferred career model, the Job Satisfaction Scale, and Work‑Related Behavior and Experience Patterns (Arbeitsbesorgenes Verhaltens und Erlebenmuster - AVEM) questionnaire assessing types of work-related behavior. Descriptive statistics, Spearman's correlation coefficient, and multiple linear regression were used for analysis of data. The results concerning the relationship between the types of work-related behavior, job satisfaction, and the preferred career model revealed that type G (healthy) was significantly and positively correlated (p < 0.05, r > 0) with the Challenge subscale of the career model (r = 0.095, p = 0.007) and job satisfaction (r = 0.136, p < 0.001). The higher the score on the Challenge subscale and greater job satisfaction, the more pronounced type G personality. The multiple linear regression models explained only 2.5 to 5% of the variability of studied questionnaire outcomes but indicated that significant, independent predictors for the My Career questionnaire subscales and AVEM raw scales for each type were additional qualifications, level of education, work experience, and place of work. Significant predictors of the job satisfaction scale were employment in private healthcare facilities and a master's degree. Nurses experience job satisfaction, but the workload, demanding daily tasks, and the sense of responsibility can lead them to feel fatigued and burnt out. The preferred career model involves Security and Stability, as well as Service and Commitment to other domains. Only a small percentage of the variability in the results of the analyzed dependent variables was explained by the explanatory variables included in the model. Med Pr Work Health Saf. 2024;75(1):19-30.