Attitude Subscales Research Articles

Attitude of family medicine residents toward team-based care in primary healthcare centers in Saudi Arabia.

Team-based care (TBC) is becoming the standard method of delivering primary care services in Saudi Arabia. Family medicine residents are considered the future leaders who will apply the Saudi Ministry of Health (MOH) strategic transformation plans in practice. The aim of this study was to assess the attitude of family medicine residents toward TBC and the factors associated with their current attitudes. A cross-sectional study was conducted between February and April 2022. The study targeted all Family Medicine residents rotating in primary healthcare centers of the Saudi MOH. A web-based survey was built using a modified version of the Attitudes Toward Health-Care Teams Scale. Data was analyzed using SPSS. Mann-Whitney U test and analysis of variance (ANOVA) were performed to compare mean attitude scores between various study variables. The overall mean attitude score was 2.71; the mean scores for attitudes toward team value, team efficiency, and physicians shared role were 3.94, 2.47, and 1.71, respectively. The residents who had received TBC training had significantly higher mean scores for attitudes toward team value subscale compared to those who had no training (4.09 vs. 3.87, P = 0.038). Similarly, the mean score for same attitude subscale was significantly higher among those who practice TBC compared to those who do not (4.08 vs. 3.85, P = 0.038). The residents exhibited an overall positive attitude, especially toward team value; however, their understanding of physicians' shared role in the team should be improved by training and practice with role models.

Knowledge, attitude and practices regarding food additives of food SMEs in Mauritius

A Knowledge-Attitude-Practice (KAP) survey was conducted amongst operational food Small and Medium Enterprises (SMEs) in Mauritius and (1) Pearson's Rank Correlation Coefficient was used to determine association between knowledge and attitude (K-A), knowledge and practices (K-P) and attitude and practices (A-P); (2) Chi-square test was used to test for differences of knowledge, attitude and practices with selected demographic factors (gender, level of education, number of years of experience and age group) of respondents; (3) Chi-square test was also used to test for difference of knowledge between the two independent groups; respondents who did not make use of additives and respondents who made use of additives; (4) Independent two samples t-test was used to compare the means (µ) for attitude subscale; and (5) Structural Equation Modelling (SEM) was used to determine the suitability of KAP framework/model. The field study revealed that out of 1020 registered enterprises, only 363 were in operation (35.6%) and in addition to other KAP studies, a database was developed. The database provides information on the number of enterprises per region manufacturing each category of food. Forty-two of the SMEs surveyed made use of food additives out of which 29% had poor knowledge, 4.5% had negative attitude whilst 36% had poor practices. Medium positive correlation was found between (K-A) (0.59), between (K-P) (0.54) and (A-P) (0.46). Education level and age group affect knowledge of respondents (p < 0.05). Statistical analysis showed that there was a significant difference in knowledge between respondents who made use of additives and those who did not use additives (χ2 = 3.02, p = 0.004), however, no difference was observed for the attitude subscale (p-value = 0.641). SEM showed evidence for model fit (RMSEA of 0.04, GFI of 0.81 and TLI of 0.98, CFI of 0.98).

Translation and Validation of Nursing Students' Knowledge and Attitudes of Lesbian, Gay, Bisexual, Transgender Health Concerns Survey in the Greek Language.

Nursing students have limited knowledge of providing quality care to lesbian, gay, bisexual, and transgender individuals. The aim of this study was to explore the psychometric properties of the Nursing Students' Knowledge of and Attitudes toward Lesbian, Gay, Bisexual, and Transgender (LGBT) Health Concerns (NKALH) survey as well as to examine whether sociodemographic variables may affect attitudes toward LGBT individuals. In this cross-sectional study which was carried out from January-March 2022, 258 nursing students from two Greek universities completed the NKALH. For survey translation, the procedure of forward and backward translation was followed. Construct validity, reliability, and internal consistency were explored via confirmatory factor analysis, the test-retest reliability method, and Cronbach's alpha index. The correlation between the dimensions of the attitude subscale was used to explore convergent validity. Analyses were carried out with the Statistical Package for the Social Sciences (SPSS), version 26.0. The level of significance was set at &lt;0.05. Confirmatory factor analysis confirmed that the attitude subscale consists of three dimensions (Comfortable, Responsibility, Willingness to Care). The Pearson test (r) revealed strong correlations between two measurements (Comfortable r = 0.932, p &lt; 0.001, Responsibility r = 0.938, p &lt; 0.001, and Willingness to Care r = 0.915, p &lt; 0.001), indicating good reliability. The Cronbach's alpha index of the total scale was 0.783, highlighting its good internal consistency. Bivariate analysis revealed that sexual orientation, religion, and age are related to knowledge and attitudes toward LGBT individuals. The NKALH survey is a valid and reliable tool to measure the knowledge and attitudes of Greek nursing students on the health concerns of LGBT individuals.

Opinions of Prospective Dentists and Prospective Teachers on Antibiotic Use.

The purpose of this study was to examine the opinions of prospective dentists and prospective teachers on antibiotic use. In this study, a survey method based on a quantitative research paradigm was utilized. A 19-item instrument was applied to the sample group including 414 university students attending to the Faculty of Dentistry and Faculty of Education. The instrument was composed of three main subscales in addition to demographic characteristics. The first part focused on attitudes, the second part focused on subjective norms, and the third part focused on the prospective dentists and prospective teachers' intentions regarding the phenomenon of antibiotics use. While the dependent variables of the study were the participants' levels of agreement in the subscales of the instrument, the independent variable was faculty studied. The data were analyzed through descriptive statistics, and the Mann-Whitney U test was used to compare the participants' views on antibiotic use. The findings in terms of the faculties showed that dentistry and education faculties in our country prepare well in expanding their reasonable consumption of antibiotics. Yet, antibiotics are used more incorrectly by some prospective teachers than by prospective dentists. According to the findings in terms of subscales, the participants have positive attitudes toward the reasonable use of antibiotics in terms of the attitude subscale. However, the results from the subjective norm indicated that participants are influenced by their environment in their antibiotic use. Finally, the results from the intention indicated that participants avoid using antibiotics irregularly or frequently.

Associations of cooking practices and healthy eating habits among young Korean adults in their 20s

The study aimed to explore the association between cooking practices and healthy eating habits among young Korean adults in their 20s. An online survey was conducted from 19th to 24th February 2021 among young Korean adults in their 20s and 1102 responses were collected. Cooking practices were measured using the Cooking and Food Provisioning Action Scale which comprises the three sub-scales of self-efficacy (13 items), attitude (10 items) and structure (5 items) to capture the participants' ability to procure and prepare food within the contexts of their social, physical and economic environment. The healthy eating habits were measured based on how much they adhere to the Common Dietary Guidelines for Koreans (11 items), which details the basic common rules for a desirable diet. Hierarchical linear multiple regressions were performed to examine the associations between cooking practices and healthy eating habits, controlling for participants’ socio-demographic characteristics. The overall model accounted for 21.6% of the variance in healthy eating habits, of which 16.5% was explained by cooking practices. However, among the three sub-scales of cooking practices, only self-efficacy was a significant predictor of healthy eating habits, whereas attitude and structure had no significant association. Most socio-demographic characteristics remained significant in the final model. Notably, there was a significant negative effect on healthy eating habits in single-person or lower income households, who are socially deprived. These results add further support for a growing concern to implement interventions and public policies to promote healthy eating habits integrating cooking self-efficacy among young adults.

Effects of a teaching mode combining SimBaby with standardized patients on medical students’ attitudes toward communication skills

ObjectiveTo evaluate the effect of a teaching mode combining SimBaby with standardized patients (SP) on medical students’ attitudes toward communication skills (CS).MethodsForty 8-year medical program students majoring in clinical medicine were randomly divided into the SimBaby group (n = 20) and the SP + SimBaby group (n = 20). The Communication Skills Attitude Scale (CSAS) was used to evaluate medical students’ attitudes toward CS learning.ResultsIn the SimBaby and SP + SimBaby groups, there were no statistically significant differences in the Positive Attitude Subscale (PAS) and Negative Attitude Subscale (NAS) scores between males and females (p > 0.05). Compared to the SimBaby group, the SP + SimBaby group showed statistically significant differences in PAS, NAS, and the two dimensions of importance in medical context and learning (p < 0.05). There were no statistically significant differences between groups in the dimensions of excusing and overconfidence (p > 0.05).ConclusionCompared with SimBaby alone, the SP + SimBaby teaching mode can improve medical students’ attitude toward CS learning, suggesting that the organic integration of multiple simulation-based medical teaching methods plays an important role in the acquisition of CS.

The determination of adherence to fluid control and symptoms of patients undergoing hemodialysis.

The aim of this study was to determine the adherence of hemodialysis (HD) patients with fluid control and the symptoms they experienced. The data of the study were collected between October 2015 and January 2016 and totally 596 patients undergoing hemodialysis were included in the study. The data of the study were collected by using Patient Information Form, Fluid Control Scale on Hemodialysis Patients (FCSHP), and Dialysis Symptom Index (DSI). Total mean score patients received from FCSHP was 48.68±4.43, score of the subscale information was 18.85±2.24, score of the subscale behavior was 21.28±3.23, and score of the subscale attitude was 8.54±1.56. Mean score obtained by them from DSI was calculated as 65.07±2.17.Symptoms that patients experience most frequently were found as feeling tired or decreased energy, pins and needles in feet, and having difficulty in falling into sleep. The patients with high adherence to fluid control were found to have less symptoms. It was recommended to assess periodically adherence to fluid control in individuals receiving hemodialysis treatment and symptoms they experience and to provide training and consultancy by addressing those having difficulty in adherence to fluid control.

Two significant concepts in organ donation: Empathic tendency and altruism

IntroductionThe aim of this study was to investigate the effect of an empathic tendency and altruism on organ donation. Material and methodThis descriptive and relationship-seeking research included adults who responded to a questionnaire delivered by e-mail with the snowball sampling method. The sample comprised 269 subjects according to 99% power and significance level of α = 0.05. Data were collected using a Personal Information Form, Empathic Tendency Scale, Altruism Scale, and the Organ Donation Attitude Scale. ResultsA positive, strong, statistically significant relationship was determined between the empathic tendency and altruism scales and the organ donation and transplantation scale (p < 0.001). Empathic tendency and altruism were determined to affect the positive attitude subscale of the organ donation attitude scale at the rate of 11.9%. ConclusionThe findings indicate that programs that foster empathy and compassion should be implemented in order to foster a positive attitude about organ donation.

Yaşlanma Cinsel Bilgi ve Tutum Ölçeği: Türkçe Geçerlik ve Güvenirlik Çalışması

Objectives: It is designed to test the Turkish version of ASKAS's validity and reliability for use with older people, health professionals, and people who influence older people. &#x0D; Material and Method: Language and content validity, item analysis, exploratory and confirmatory factor analysis, and internal consistency coefficients were evaluated in this study. &#x0D; Results: It was decided to omit two items from the scale's knowledge subscale, and the three-factor structure of the attitude subscale was found to be within the range of acceptable fit indices. &#x0D; Conclusions: The Turkish version of ASKAS was determined to be valid, reliable, and applicable in practice.

Cinsel istismara uğrayan ergenlerde bağlanma stili, ana-baba tutumu, depresyon ve anksiyetenin değerlendirilmesi

Amaç: Bu çalışmada cinsel istismar mağduru ergenlerin sosyodemografik özelliklerinin ve uğradıkları cinsel istismarın özelliklerinin tanımlanması; bununla birlikte bu ergenlerin bağlanma stillerinin, ana-baba tutumlarının, depresyon ve anksiyete ölçek puanlarının cinsel istismara uğramayan kontrol grubu ile karşılaştırılması amaçlanmıştır.&#x0D; Gereç ve Yöntem: Araştırmanın örneklemini 13-18 yaş grubundaki cinsel istismara uğrayan 34 ergen ve cinsel istismara uğramayan 34 ergen oluşturmaktadır. Çalışmaya katılan tüm ergenlerin sosyodemografik verileri toplanmıştır. Cinsel istismara uğrayan ve uğramayan ergenlerin bağlanma stillerini, ebeveyn tutumlarını, depresyon ve anksiyete şiddetini karşılaştırmak için İlişki Ölçekleri Anketi, Ana-baba Tutum Ölçeği, Çocuklar için Depresyon Ölçeği ve Durumluk-Süreklilik Kaygı Envanterinden yararlanılmıştır.&#x0D; Bulgular: Olguların yaş ortalaması 15,29±1,31 olarak saptanmıştır. Cinsel istismar grubunun korkulu bağlanma alt ölçek puan ortalamaları kontrol grubuna göre anlamlı olarak daha yüksek bulunmuştur. Cinsel istismar grubunun kontrol grubuna göre ebeveyn tutumları açısından otoriter tutum alt ölçek ortalamalarının anlamlı olarak yüksek olduğu görülmüştür. Cinsel istismar grubunun depresyon ve durumluk-süreklilik anksiyete puan ortalamasının kontrol grubuna göre anlamlı olarak yüksek olduğu da saptanmıştır.&#x0D; Sonuç: Cinsel istismara uğrayan çocuk ve ergenlerin sosyodemografik özelliklerinin, istismara ait özelliklerin ve risk faktörlerinin tanımlanması, anne ve çocuk etkileşiminin arttırılması, güvenli bağlanmanın gerçekleşmesine yönelik ana-baba eğitimlerinin olması, demokratik ana-baba tutumunun benimsenmesi çocuk ve ergenlerin ruh sağlığını korumak açısından son derece önemlidir.

Investigation of Students’ Attitudes Towards Science According to Grade Level and Gender in Middle Schools with Different Science Achievement Levels

The purpose of this study is to examine students’ attitudes towards science with respect to grade level and gender in middle schools with different science achievement levels. For that purpose, two middle schools having low achievement level and one middle school having high achievement level were selected according to the information given by officials working in National Education Directorate of Kastamonu province about middle schools’ achievement levels in Kastamonu. Study sample consisted of 282 students at different grade levels attending to two low achieving schools and 302 students attending to the high achieving school. Attitudes towards Science Scale was used as the data collection instrument. Results of factor analyses showed four factors under this instrument: learning science in school, science outside school, self concept in science, and importance of science. Study results showed that grade level had a significant effect on only science outside school subscale of Attitudes towards Science Scale both in low and high achieving schools. Furthermore, for all grade levels no significant effect of gender on any subscales of Attitudes towards Science Scale was observed in low achieving schools. On the other hand, it was found that gender had a significant effect on different subscales of Attitudes towards Science Scale in 5th, 6th and 7th grades in high achieving schools. Recommendations were given about what cautions can be taken for the development of attitudes towards science among students in both school types and how to close gender-based attitude gap which was found in favor of girls only in the high achieving school.

Factors associated with pediatric genetic counselors' practices related to bullying screening.

Bullying is reported in around 20% of children according to the US Department of Education and has been reported in the histories of individuals with genetic disorders. To our knowledge, there has never been a study surveying whether genetic counselors screen their pediatric patients for bullying. This is despite guidelines that pediatric healthcare providers should screen for bullying. The purpose of this study was to assess North American genetic counselors who see pediatric patients and enquire about their practices, attitudes, self-confidence, knowledge, and potential training needs in relation to bullying screening. In an anonymous online survey, 139 genetic counselors from the United States and Canada completed a modified version of the previously validated Healthcare Providers Practices, Attitudes, Self-Confidence, and Knowledge (HCP-PACK) instrument. Among our participant population, 85% reported they did not screen for bullying. This is despite no statistically significant difference in the amount of reported time spent on either initial or follow-up appointments between those who did or did not screen. Those who screened for bullying among their pediatric patients were more likely to view bullying as a healthcare problem (as measured on the attitude subscale) (t[135]=-2.07, p=0.04) and had greater confidence in their ability to know how to assess for bullying (as measured on the self-confidence subscale) (t[135]=-2.90, p=0.004) compared with participants who did not screen for bullying. Responses from genetic counselors who screened their patients for bullying demonstrated how screening for bullying can be aligned with the American Board of Genetic Counseling practice-based competencies. Even though the majority of participants did not view screening for bullying as a genetic counselor's role, 82.5% agreed that bullying was a healthcare problem and 63.6% thought genetic counselors should have additional educational opportunities to learn about bullying. Evidence-based guidance is needed to help genetic counselors interested in including screening for bullying in their practice.

AN INVESTIGATION INTO CLASSROOM TEACHERS' ATTITUDES TOWARDS LIFE SCIENCE TEACHING ACCORDING TO VARIOUS VARIABLES

&lt;p&gt;This study was conducted to find out if classroom teachers’ attitudes towards life science teaching differ according to gender, teaching experience, and school location where they work. The study was carried out in Serinhisar and Acıpayam districts of Denizli in the 2021-2022 academic year. The data collection tools of the study were "The Life Science Teaching Attitude Scale" developed by Sarıkaya, Özgöl and Yılar (2017) and "Personal Information Form" designed by the researcher. According to the results obtained in the study, no significant difference was found in the classroom teachers’ attitude scores in the "loving" and "caring" subscales and their life science teaching total attitude scores. As a result of the analysis performed in terms of different variables (gender, teaching experience, school location where teachers work), no significant difference was found. In the findings, there was a significant difference only in the "appreciation" subscale scores according to the variables including gender, teaching experience and school location where teachers work. In the study, it was found that the classroom teachers' attitudes towards life science teaching were at a high level and no difference was found in the subscales of "loving" and "caring" among the attitude subscales. A significant difference was found only in the "appreciation" subscale.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/edu_01/0547/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

The effect of personality traits and parental attitudes on treatment in children and adolescents: a 6-month follow-up study

Objectives: This study aims to examine the effects of personality traits and parental attitudes on the change of emotional and behavioral problems in children and adolescents with mental disorders receiving outpatient treatment during the six months. Methods: In the study, 233 individuals between the ages of 7-17 who applied to the Child Psychiatry Outpatient Clinic of a private hospital in Istanbul between September 2015 and September 2017 and who had psychiatric disorders regarding DSM-V diagnostic criteria were evaluated before treatment with the Sociodemographic Data Form, Strengths and Difficulties Questionnaire (SDQ), Quick Big Five Personality Test (QBFPT), and Parental Attitude Scale (PAS). Emotional and behavioral problems of children and adolescents who were followed up for psychiatric treatment were evaluated by SDQ at the first, third, and sixth months. Results: According to the Pearson Correlation Analysis, it was found that the SDQ total scores of children and adolescents in the pre-treatment period were statistically significantly positively correlated with the Democratic Attitude subscale scores (r = 0.129, p = 0.049). Considering the QBFPT and PAS sub-dimension scores in ANCOVA analyzes, the change in the SDQ total scores before and after treatment was statistically significant (p &amp;lt; 0.05), and Democratic Attitude subscale scores (F = 2.70, p = 0.048) and Emotional Stability subscale scores (F = 3.27, p = 0.023) had statistically significant effects on this change. Conclusions: In children and adolescents with mental disorders, focusing on democratic attitudes and personality traits associated with emotional stability may help reduce emotional and behavioral problems during treatment.

Relationship of young women's body appreciation with eating disorders and psychological variables

Introduction: Obesity, body image and eating disorders are particularly common among adolescent girls and young women. While negative body image is the major focus of research, it is also important from the aspect of prevention to explore the factors that influence positive attitudes towards our bodies and body appreciation. Objective: Our aim was to analyze the determinants of body appreciation in young women, including different types of eating disorders, physical activity, body mass index, various psychological characteristics, and whether there is a family history of eating disorders or obesity. Method: Participants were a sample of female university students (n = 262; mean age: 22.0 ± 2.2 years). Data were collected via an online questionnaire. Body appreciation was measured using the Body Appreciation Scale (BAS-2), supplemented by the Eating Attitudes Test (EAT), the Rosenberg Self-Esteem Scale, the Life Orientation Test (LOT-R), and the “Internalization – General” subscale of the Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3) to measure psychological characteristics. Results: Multivariate linear regression analysis showed that self-esteem has the strongest relationship with young women’s body appreciation; sporting and optimism are also significant but to a lesser extent, while body mass index and dieting are negative predictors. Likewise, a strong susceptibility to the internalization of media content is also detrimental to body appreciation. Oral control, which can be found among the symptoms of anorexia nervosa, is a mild positive predictor of body appreciation. Conclusion: Our data highlight the importance of body appreciation in the treatment and prevention of body image and eating disorders. There is a great need for fostering positive body image and body appreciation, as the lack of acceptance of our bodies and the extreme adherence towards an overemphasized skinny body ideal can easily lead to pathological dieting.

What are the current COVID-19 public awareness levels and practices in Saudi Arabia? Analysis of data from an online survey conducted in 2021

Background: The World Health Organization (WHO) designated the coronavirus disease (COVID-19) a pandemic in March 2020. Prevention and control measures were implemented worldwide to limit the spread of the disease, and the effectiveness of these measures depend on the degree of awareness and adherence of the populations. This study was conducted to determine the current awareness levels and health practices of the Saudi Arabian population and to assess how much the education programs had improved the public awareness levels and health practices. Methods: This cross-sectional study was conducted in Saudi Arabia from November 2020 to May 2021 and enrolled 1062 participants. The current knowledge levels, attitudes, and practices of the Saudi Arabian population were assessed based on an online questionnaire survey. Results: The mean knowledge score was 29.36 ± 3.80; and 53.7%, 45.2%, and 1.1% of the participants had high, moderate, and low knowledge levels, respectively. The knowledge score was significantly related to the education level (p&lt;0.001). The mean attitude score was 10.28 ± 2.56 and 74.9% of the participants had a high attitude level. The mean practice score was 3.67 ± 0.595, with significant differences that were related to the female sex (p=0.005) and younger age groups (p&lt;0.05) and between those aged 30–34 years and those aged 35–39 or 40 years and older Conclusion: The participants exhibited a high level of public awareness in all sub-scales of knowledge, practices, and attitudes for the prevention of COVID-19. The overall knowledge levels, attitudes, and practices of the Saudi Arabian population had considerably improved since the beginning of the pandemic. Keywords: coronavirus; pandemic; prevention; control measures; practice

Development of the Attitude &amp; Practice Towards Social Distancing Questionnaire and Evaluation of Its Validity and Reliability During the COVID-19 Pandemic in Iran

Background: Social distancing is an effective way to prevent the spread of COVID-19 and its new variants. This study aims to develop the Attitude &amp; Practice towards Social Distancing (APSD) Questionnaire and evaluate its validity and reliability during the COVID-19 pandemic in Iran. Materials and Methods: This mixed-method study, used Waltz’s 4-step method to develop the APSD questionnaire. The initial items were formulated based on a semi-structured interview with the participants and social distancing guidelines. After confirming the face validity and content validity of the questionnaire, it was distributed among the participants online. Its internal consistency was assessed by calculating the Cronbach’s alpha (α). The exploratory factor analysis and confirmatory factor analysis (CFA) were carried out in SPSS software, version 16 and AMOS version 24. Finally, the reliability was evaluated using the test-retest method. Results: The preliminary draft with 33 items (15 for the attitude and 18 for the practice) were answered by 623 participants. After CFA, the final draft consisted of 7 items and three factors (CVR=0.77, CVI=0.92, α=0.73) for the attitude subscale, and 8 items and three factors for the practice subscale (CVR=1, CVI=0.98, α=0.76). Conclusion: The 15-item APSD questionnaire is a valid and reliable tool to evaluate the status of social distancing during the COVID-19 pandemic in Iran.

Changes in Attitudes and Confidence in the Integration of Psychiatry in Other Areas of Medicine.

The authors describe how attitudes and confidence in the integration of psychiatry into other areas of medicine change over time during clinical clerkship in medical school. From January 2015 to December 2016, medical students from the University of Iowa were recruited for a prospective study of changes in the Attitudes and Confidence in the Integration of Psychiatry Scale (ACIP) scale. The survey instrument was completed before their psychiatry clerkship, after the clerkship, and at the end of the year following that and other clinical clerkships. Other information such as gender, time spent in clerkship, USMLE Step 1 score, and clerkship grades was also collected. A total of 172 surveys were completed by 138 students. The ACIP score was significantly higher at the end of the participants' clinical clerkship (67.2 to 76.6; t=-7.72, p<0.0001). Of the two ACIP subscales, confidence increased significantly (25.6 to 33.3; t=-9.82, p<0.0001), but attitudes toward integration of psychiatry did not (41.7 to 43.4; t=-1.96, p=0.059). Similar findings were seen in the subset of 34 students for whom pre- and post-clerkship data could be matched. At the end of their clinical clerkship, medical students feel more confident providing psychiatric care. The lack of significant increase in the ACIP scale's attitude subscale either demonstrates that attitude scores going into clerkship were already high and did not deteriorate, or highlights an area for clerkship curriculum development.

Predictors of evidence-based practice competency among Tunisian nursing students

BackgroundEvidence-based practice (EBP) is an important competency of undergraduate nursing students which should be cultivated before graduation by increasing future healthcare providers’ knowledge, skills and attitudes towards EBP. This study aimed to describe nursing students’ competencies (attitudes, knowledge, skills) in Evidence-based practice (EBP) and to determine factors predicting EBP competency.MethodsA descriptive cross-sectional study was conducted at the Higher School of Health Sciences and Techniques of Sousse (Tunisia) among 365 nursing students. Data were collected using the validated Evidence Based Practice Competencies Questionnaire (EBP-COQ). Multiple linear regression was performed to determine factors predicting EBP competencies.ResultsThe overall score of EBP-COQ questionnaire was 3.26 ± 0.53 out of 5. The attitude, skills and knowledge subscales received 4.04 ± 0.41; 3.05 ± 0.77 and 2.70 ± 0.74 as mean scores respectively. Multiple linear regression analysis (table 4) revealed that significant related factors were academic level (β = 0.271, p = 0.001), English-language reading skills (β = 0.435, p < 0.001), facing staff resistance in implementing a new evidence-based procedure (β = − 0.081, p = 0.035) difficulties in obtaining full-text papers (β = − 0.127, p < 0.001) and training in methodology (β = 0.232, p < 0.001) and also in statistics (β = 0.205, p < 0.001).ConclusionsThese results help to understand students’ attitudes, knowledge and skills in EBP and can be therefore a starting point to develop effective strategies for EBP curricula.

494-P: Introducing a Patient with Diabetes Experiencing the Social Determinants of Health to Students through Cinematic Virtual Reality

Background: Cinematic virtual reality (cine-VR) is an innovative educational technique allowing users to immerse themselves in three-dimensional sensory environments. Cine-VR gives access to life-like medical encounters without risk or harm to the patient and offers insight into the lived experience of patients. Storytelling is a powerful tool to help health professions students to immerse themselves in another’s experience. We utilized a diabetes cine-VR training to highlight social determinants of health and impact on patient engagement. The purpose of this study was to compare the effectiveness of web-based diabetes cine-VR training to improve diabetes attitudes and empathy among health professional students. Methods: Our institution utilized the cine-VR web-based training for several healthcare profession student programs. We conducted paired t-tests to assess changes in diabetes attitudes and empathy at baseline and after the training. All analyses used SPSS version 26.0 (SPSS Inc.) . Statistical significance was defined as P&amp;lt;0.05. Results: We had a total of 127 students participate including Doctor of Physical Therapy students (60) , Pharmacy students (10) , and Physician Assistant students (57) . Following viewing the 12 modules, we observed improvements in four of the diabetes attitude subscales: “Seriousness of type 2 diabetes” (P&amp;lt;0.001) ; “Value of tight glucose control” (P=0.01) ; “Psychosocial impact of diabetes” (P&amp;lt;0.001) ; and “Attitude toward patient autonomy” (P&amp;lt;0.001) . In addition, we observed significant improvements in empathy (P&amp;lt;0.001) . Conclusions: Diabetes is a complex disease that involves an individual’s physical, social, and emotional well-being. To holistically meet the needs of people with diabetes, we must train our health professions students to recognize and appreciate the social needs of their patients. Our findings support the use of cine-VR trainings to improve diabetes attitudes and empathy. Disclosure J.L.Wardian: None. Funding Medicaid Equity Simulation Project funded by the Ohio Department of Medicaid and administered by the Ohio Colleges of Medicine Government Resource Center.