Attitudes Of Healthcare Professionals Research Articles

Exploring the perspectives of health care professionals on digital health technologies in pediatric care and rehabilitation

BackgroundDigital health technologies are increasingly used by healthcare professionals working in pediatric hospital and rehabilitation settings. Multiple factors may affect the implementation and use of digital health technologies in these settings. However, such factors have not been identified in a multidisciplinary, pediatric context. The objective of this study was to describe actual use and to identify the factors that promote or hinder the intention to use digital health technologies (mobile learning applications, virtual/augmented reality, serious games, robotic devices, telehealth applications, computerized assessment tools, and wearables) among pediatric healthcare professionals.MethodsAn online survey evaluating opinions, current use, and future intentions to use digital health technologies was completed by 108 professionals at one of Canada’s largest pediatric institutes. Mann-Whitney U tests were used to compare the attitudes of healthcare professionals who intend to increase their use of digital health technologies and those who do not. Linear regression analyses were used to determine predictors of usage success.ResultsHealthcare professionals reported mostly using mobile and tablet learning applications (n = 43, 38.1%), telehealth applications (n = 49, 43.4%), and computerized assessment tools (n = 33, 29.2%). Attitudes promoting the intention to increase the use of digital health technologies varied according to technology type. Healthcare professionals who wished to increase their use of digital health technologies reported a more positive attitude regarding benefits in clinical practice and patient care, but were also more critical of potential negative impacts on patient-professional relationships. Ease of use (β = 0.374; p = 0.020) was a significant predictor of more favorable usage success. The range of obstacles encountered was also a significant predictor (β = 0.342; p = 0.032) of less favorable evaluation of usage success. Specific factors that hinder successful usage are lack of training (β = 0.303; p = 0.033) and inadequate infrastructure (β = 0.342; p = 0.032).ConclusionsWhen working with children, incorporating digital health technologies can be effective for motivation and adherence. However, it is crucial to ensure these tools are implemented properly. The findings of this study underscore the importance of addressing training and infrastructure needs when elaborating technology-specific strategies for multidisciplinary adoption of digital health technologies in pediatric settings.

FP8.1 - Environmental Sustainability and Surgery: what are the attitudes and barriers to implementing sustainable change in operating theatres? A Qualitative Study

Abstract Aims Sustainability in surgery is an increasingly important focus in the bid to halt climate change. This study aimed to better understand how environmentally sustainable change can be made in theatre environments by exploring attitudes of healthcare professionals and patients, and identifying barriers to implementing change. Methods A mixed-method qualitative study was undertaken involving a national survey of 157 healthcare professionals (HCP’s), and follow-up semi-structured interviews with ten HCP’s and five patients. Participants were targeted via the survey and public engagement mailing lists. Interviews were informed by a topic guide developed with responses from the survey. Data were analysed thematically and presented as major topic themes. Results 100% of participants agreed that operating theatres needed to make sustainable changes and reduce waste. Respondents understanding of the key issues centred around physical waste production and its effect on climate change. HCP’s identified issues around infection prevention and challenging current behaviour, whilst patients focused on maintaining current standards. Barriers to change included safety concerns, current clinical pressures, single-use culture and the perceived resistance to change within the NHS. HCP’s identified staff habits, lack of information and patient expectations as a barrier, whilst patients identified cost to be the main issue. Conclusions This study provides key insights into the current attitudes and perceived barriers of HCP’s and patients to implementing environmental change in surgery and aligned working environments. These provide useful data to aid future change strategies and implementation and ensure effective sustainable changes are made and delivered in theatre environments.

Healthcare professionals' knowledge and attitudes towards polygenic risk testing for glaucoma.

Effective clinical implementation of polygenic risk testing for glaucoma relies on healthcare professionals' attitudes and knowledge of the test. Given the emerging applications of the test, it will likely impact a range of healthcare professionals and will require competency in polygenic risk scores concepts for all those involved in patient care. To our knowledge, this is the first study to assess healthcare professionals' views towards polygenic testing for glaucoma. An online cross-sectional questionnaire was distributed to healthcare professionals via relevant professional organisations in Australia. The questionnaire assessed experience and confidence with genetic testing, glaucoma and genetic knowledge, recommendations for the tests, and factors affecting the decision. A total of 94 participants completed the questionnaire. The sample was composed of ophthalmologists (36%), optometrists (21%), orthoptists (17%), general practitioners (16%) and clinical geneticists/genetic counsellors (10%). Although familiarity with polygenic risk scores for glaucoma was low overall (11%), the majority reported a positive attitude towards recommending testing based on known risk factors such as family history (91%) and older age (57%). Over 95% indicated that ophthalmologists would be the most appropriate group to order polygenic risk testing and communicate results. The majority felt they would benefit from more training on polygenic risk scores (93%). Our findings indicated that multiple groups of healthcare professionals were neither familiar nor confident with the concept of glaucoma polygenic risk testing, and identified training and education needs to support the implementation of testing into clinical practice.

Experience of healthcare professionals at the Makiso General Reference Hospital on nursing-related accidents

Introduction: In our hospitals, nursing-related accidents are frequent. It is not uncommon for minor incidents and near misses to occur before a serious accident occurs. The main aims of this study are to explore the experience of healthcare professionals of nursing-related accidents; to determine what to do about nursing-related accidents; and to analyze the attitudes of healthcare professionals to nursing-related accidents. Methods: We conducted a qualitative, phenomenological study based on free, face-to-face interviews. It involved 3 care providers working at the Makiso General Referral Hospital from March 2 to 31, 2024. Results: In terms of experience, respondents identified risk factors, managing emotions during the accident and the consequences of a nursing-related accident. In terms of what to do in the event of a care-related accident, the subjects identified teamwork to prevent care-related accidents, taking precautions before administering care and ensuring patient safety. Finally, with regard to the attitude of nursing staff to accidents attributable to care, respondents expressed their views on reassuring patients that their health would be restored in the event of an accident attributable to nursing care, identifying problems linked to the accident and ways of preventing accidents attributable to care. Conclusion: To prevent nursing-related accidents, it is necessary to put into practice preventive measures that should be taken to reduce the frequency and severity of accidents attributable to nursing care. Nurses should regularly undergo medical training to prevent nursing-related accidents

Implementation of a Mental Health Nursing Practicum in an Urban Homeless Shelter.

People experiencing homelessness suffer from deficient access to health care and disproportionately poor health outcomes. The American Association of Colleges of Nursing (AACN) maintains learning competencies for prelicensure nursing students. Shelters are rich environments for students to garner experiences with the inequities plaguing our health care system and to fulfill AACN competencies. We established a psychiatric and mental health nursing practicum at a homeless shelter. Following a retrospective pretest methodology, we evaluated student learning with the Health Care Professional's Attitudes Toward the Homeless Inventory (HPATHI). Students, faculty, and shelter staff provided qualitative feedback postpracticum. Students' median HPATHI scores increased on 16 of 19 survey items. Qualitative feedback was largely positive and reinforced HPATHI data. The practicum provided rich learning experiences for students. Educators establishing shelter-based practica should prioritize continuity, develop referral pathways for residents with illness, maintain a flexible mindset, administer prospective student surveys, and solicit feedback from shelter residents. [J Nurs Educ. 2024;63(X):XXX-XXX.].

Health care professionals expectations on mobile exergaming to decrease sedentary time in patients with heart failure

Abstract Background Exergaming is a promising intervention to decrease sedentary time in patients with Heart Failure (HF). For the implementation for mobile exergaming in clinical practice it is important to assess the expectations Health Care Professionals (HCPs) for this new technology for patients with HF. Purpose To explore the expectations of HCPs on mobile exergaming to decrease sedentary time in patients with heart failure. Method A qualitative design was used. Data on expectations HCPs have with exergaming for patients with HF were collected between September to October 2023 with semi-structured interviews. A total of 17 interviews including nine cardiologists, two rehabilitation physicians, five nurses and one physiotherapist. Data was analyzed using thematic analysis. Results In total five themes were found: (1) Exergaming can be complementary or alternative; (2) Exergaming benefit from familiarization and socialization; (3) Exergaming support adherence and motivation; (4) Technology knowledge and skills is required; (5) The patients sex influenced expectations on exergaming. HCPs expected that exergaming could be a complementary technology following cardiac rehabilitation. HCPs expressed that exergaming should not be used as an alternative for physical activity advice or cardiac rehabilitation. The importance of a good familiarization to exergaming was seen as important and express that increased social interaction e.g. family involvement when introducing exergaming to a patient could make the familiarization easier. Exergaming was expected to be a motivator and increase adherence to physical activity and potential reduce sedentary time. Mobile phone reminders for physically activity were seen as important for patients’ motivation. The lack of technology knowledge was seen as a barrier for exergaming. HCPs expects that exergaming will be harder for older patients with HF. There was a divergence of opinions on the ease of exergaming between men and women, with some expecting it to be easier for men, while others believe that women possess more technology knowledge, especially concerning mobile phones. Conclusion HCPs expected that exergaming could motivate and improve adherence to physical activity and be a complementary technology to use for decreasing patients’ sedentary time in clinical settings. Implementation should involve adequate time for familiarization, family engagement, and additional support to master technology for older patients with heart failure. Future research should further explore HCP attitudes and potential differences in exergaming prescription and adoption with regard to the patient’s sex.

Evaluation of Telemedicine Consultations Using Health Outcomes and User Attitudes and Experiences: Scoping Review.

Despite a recent rise in adoption, telemedicine consultations retention remains challenging, and aspects around the associated experiences and outcomes remain unclear. The need to further investigate these aspects was a motivating factor for conducting this scoping review. With a focus on synchronous telemedicine consultations between patients with nonmalignant chronic illnesses and health care professionals (HCPs), this scoping review aimed to gain insights into (1) the available evidence on telemedicine consultations to improve health outcomes for patients, (2) the associated behaviors and attitudes of patients and HCPs, and (3) how supplemental technology can assist in remote consultations. PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guided the scoping review process. Inclusion criteria were (1) involving adults with nonmalignant, noncommunicable chronic conditions as the study population; (2) focusing on health outcomes and experiences of and attitudes toward synchronous telemedicine consultations between patients and HCPs; and (3) conducting empirical research. A search strategy was applied to PubMed (including MEDLINE), CINAHL Complete, APA PsycNet, Web of Science, IEEE, and ACM Digital. Screening of articles and data extraction from included articles were performed in parallel and independently by 2 researchers, who corroborated their findings and resolved any conflicts. Overall, 4167 unique articles were identified from the databases searched. Following multilayer filtration, 19 (0.46%) studies fulfilled the inclusion criteria for data extraction. They investigated 6 nonmalignant chronic conditions, namely chronic obstructive pulmonary disease, diabetes, chronic kidney disease, ulcerative colitis, hypertension, and congestive heart failure, and the telemedicine consultation modality varied in each case. Most observed positive health outcomes for patients with chronic conditions using telemedicine consultations. Patients generally favored the modality's convenience, but concerns were highlighted around cost, practical logistics, and thoroughness of clinical examinations. The majority of HCPs were also in favor of the technology, but a minority experienced reduced job satisfaction. Supplemental technological assistance was identified in relation to technical considerations, improved remote workflow, and training in remote care use. For patients with noncommunicable chronic conditions, telemedicine consultations are generally associated with positive health outcomes that are either directly or indirectly related to their ailment, but sustained improvements remain unclear. These modalities also indicate the potential to empower such patients to better manage their condition. HCPs and patients tend to be satisfied with remote care experience, and most are receptive to the modality as an option. Assistance from supplemental technologies mostly resides in addressing technical issues, and additional modules could be integrated to address challenges relevant to patients and HCPs. However, positive outcomes and attitudes toward the modality might not apply to all cases, indicating that telemedicine consultations are more appropriate as options rather than replacements of in-person visits.

Literacy and Attitude Toward Suicide Among Doctors and Nurses: A Cross-Sectional Comparative Study.

Introduction Globally, suicide remains a major public health problem and is the second most common cause of death in the 15-45 years age group. Awareness about suicide and the attitude of healthcare professionals regarding suicide are crucial factors determining the care for suicidal behaviors. The present study aimed to compare suicide literacy and attitude towardsuicide between doctors and nurses and to explore the association between suicide literacy and attitude toward suicide. Methods A cross-sectional comparison study was conducted between doctors and nurses in a tertiary healthcare center in southern India. The demographic characteristics and work and suicide care experience were recorded using a semi-structured proforma. Literacy of Suicide Scale - Short Form (LOSS-SF) and Attitude Toward Suicide Questionnaire (ATTS) were used to assess the awareness about suicidal behaviors and attitudes towardsuicide, respectively. Appropriate statistical tests were used to compare the outcome measures between doctors and nurses with the statistical significance set at p ≤ 0.05. Results A total of 600 healthcare professionals (doctors (n=300) and nurses (n=300)) were included. The doctors were older, had longer work experience, and demonstrated better suicide literacy, yet harbored more negative attitudes towardsuicide than nurses. Among doctors, increasing levels of suicide literacy were negatively correlated with positive attitudes towardsuicide. Among nurses, increasing age was negatively correlated with healthy attitudes towardsuicide. Conclusion Doctors had better awareness of suicidal behaviors yet displayed negative attitudes towardpeople with suicidal behaviors. Despite having less suicide awareness, nurses exhibited positive attitudes towardsuicide. Suicide literacy and attitudes towardsuicide can have complex relationships mediated by multiple factors.

Nursing students' pain management self-efficacy and attitude towards patients with chronic pain: What can be done better in education? A cross-sectional study

AimThis study has been conducted to determine nursing students' pain management self-efficacy and attitudes towards patients with chronic pain. BackgroundPain is a significant phenomenon that often leads individuals to seek medical attention, influenced by various factors and commonly encountered by healthcare professionals. Adequate knowledge and positive attitudes among nurses play a crucial role in the thorough assessment and effective management of pain, resulting in favorable outcomes for hospitalized individuals. DesignThis study used a descriptive cross-sectional design. MethodsThe research was conducted with 322 undergraduate students who were continuing their education in the autumn semester of the 2023–2024 academic year at Aksaray University, Faculty of Health Sciences, Department of Nursing. Data have been collected by using Student Information Form, Pain Management Self-Efficacy Questionnaire (PMSEQ) and the Attitude of Healthcare Professionals towards Patients with Chronic Pain Scale. Mann-Whitney U, Kruskal-Wallis significance test and Spearman Correlation analysis have been used to evaluate the data. ResultsThe mean total score of the PMSEQ was 62.91 (SD 15.58) and the mean total score of the Attitude of Healthcare Professionals Towards Patients with Chronic Pain Scale was 3.94 (SD.52). Those students who willingly opted for the nursing profession, perceived themselves as proficient in managing chronic pain, administered care to patients experiencing pain during clinical placements, believed they received sufficient education in pain management throughout their studies and rated their overall health status as "very poor" demonstrated higher levels of self-efficacy in pain management (p<0.05). As a result of the analysis performed according to the mean scores of the Attitude of Healthcare Professionals Towards Chronic Pain Patients Scale and its sub-dimensions of the students participating in the study, a statistically significant difference has been found according to their gender, academic year and self-sufficiency in pain management (p<0.05). It has been determined that there is a weak positive correlation between the total mean scores of the participants' PMSEQ and the Attitude of Healthcare Professionals Towards Patients with Chronic Pain scale (r=.260; p<0.01). ConclusionsIn this study, as nursing students' self-confidence in pain management self-efficacy increased, their attitudes towards patients with pain also increased positively. In the nursing curriculum, there is a necessity for integrating pain management education and fostering awareness to adequately equip nursing students in addressing the pain requirements of patients.

Knowledge and attitudes toward artificial intelligence in nursing among various categories of professionals in China: a cross-sectional study.

The application of artificial intelligence (AI) in healthcare is an important public health issue. However, few studies have investigated the perceptions and attitudes of healthcare professionals toward its applications in nursing. This study aimed to explore the knowledge, attitudes, and concerns of healthcare professionals, AI-related professionals, and others in China toward AI in nursing. We conducted an online cross-sectional study on nursing students, nurses, other healthcare professionals, AI-related professionals, and others in China between March and April 2024. They were invited to complete a questionnaire containing 21 questions with four sections. The survey followed the principle of voluntary participation and was conducted anonymously. The participants could withdraw from the survey at any time during the study. This study obtained 1,243 valid questionnaires. The participants came from 25 provinces and municipalities in seven regions of China. Regarding knowledge of AI in nursing, 57% of the participants knew only a little about AI, 4.7% did not know anything about AI, 64.7% knew only a little about AI in nursing, and 13.4% did not know anything about AI in nursing. For attitudes toward AI in nursing, participants were positive about AI in nursing, with more than 50% agreeing and strongly agreeing with each question on attitudes toward AI in nursing. Differences in the numbers of participants with various categories of professionals regarding knowledge and attitudes toward AI in nursing were statistically significant (p < 0.05). Regarding concerns and ethical issues about AI in nursing, every participant expressed concerns about AI in nursing, and 95.7% of participants believed that it is necessary to strengthen medical ethics toward AI in nursing. Nursing students and healthcare professionals lacked knowledge about AI or its application in nursing, but they had a positive attitude toward AI. It is necessary to strengthen medical ethics toward AI in nursing. The study's findings could help develop new strategies benefiting healthcare.

KNOWLEDGE AND ATTITUDES OF EMERGENCY NURSES REGARDING MEDICATION ERRORS

Medication errors in emergency departments can lead to significant patient harm. Understanding the knowledge and attitudes of healthcare professionals regarding these errors is critical for developing effective prevention strategies. Objective: To assess the knowledge and attitudes of emergency department nurses regarding medication errors. Methods: A descriptive, cross-sectional study was conducted in the Emergency Department of Sheikh Zayed Hospital, Rahim Yar Khan, from March 2023 to March 2024. A total of 150 nurses participated in the study. Data were collected using a 43-item questionnaire available in both Urdu and English. The questionnaire comprised six sections, focusing on knowledge, attitudes, and behaviors regarding medication errors. Responses were recorded on a Likert scale ranging from 1 (totally disagree) to 5 (totally agree). Statistical analysis included descriptive statistics to summarize the responses. Results: The mean age of the nurses was 43.6 ± 16.6 years, with 70% being female and 30% male. A majority of nurses agreed that medication errors can be reduced by calculating drug dosages beforehand (76%), using prepackaged drugs from the pharmacy (62%), and utilizing informative brochures and guidebooks (66%). Attitudes towards error reduction were positive, with recommendations for systematic training of healthcare staff (94%), raising awareness about risk management and prevention (90%), evaluating staff for eligibility (90%), and the importance of reporting and assessing errors (94%). Conclusion: Nurses in the emergency department possess sufficient knowledge and exhibit positive attitudes toward medication errors in the management and administration of IV drugs. However, ongoing training programs and awareness initiatives are essential to update nurses' knowledge and enhance patient safety.

Effect of Healthcare Professionals’ Knowledge and Attitude Towards Reporting Adverse Drug Reaction (ADR) in Military and Paramilitary Hospitals in Enugu, Nigeria

The study evaluated the effect of healthcare professionals (HCPs) on knowledge and attitude towards reporting adverse drug reactions (ADRs) in military and paramilitary hospitals in Enugu, Nigeria. The purpose of the study was to determine if the level of knowledge and attitude has any significant effect on reporting ADRs. Data were collected through the use of questionnaires from the healthcare professionals (Doctors, Pharmacists, and Nurses) because of the position they occupy in the implementation of pharmacovigilance procedures. The technique employed in the data analysis is regression and the following results were obtained: the level of knowledge of HCPs on pharmacovigilance had a P- value of 0.027 &lt; 0.05 while HCPs attitude had p-value of 0.010 &lt; 0.05. Hence, the study concludes that knowledge level and attitude significantly affect ADR reporting. The following recommendations were made in line the findings: the need to improve training programs across all strata of HCPs as a means of updating their knowledge of pharmacovigilance and ADR reporting procedures. Similarly, it is important to develop a culture of ADR Reporting amongst healthcare professionals in these hospitals; by raising the recognition of the importance of reporting both tolerable and moderate ADRs as well as previously unknown or severe ADRs, this strategy aims to promote a culture of ADR reporting.

The Attitudes of Healthcare Professionals in an Autonomous Community in Spain towards Paediatric Influenza Vaccination.

In the 2022-2023 influenza season, three autonomous communities anticipated the document approved by the Public Health Commission recommending influenza vaccination for all children aged 6 to 59 months. The primary objective of this study was to evaluate the attitude of healthcare professionals towards the first universal vaccination campaign in our region, as well as the acceptability of the vaccines used and their attitude towards pilot school vaccination. This was a cross-sectional, survey-based, descriptive study. All healthcare professionals involved in the campaign were invited to participate. Overall, 91.9% of surveyed professionals thought that influenza vaccination from 6 to 59 months was important or very important, and 89.8% had previous experience regarding the intramuscular vaccine. Healthcare professionals rated the intranasal vaccine significantly more positively, but there were no differences when asking about each vaccine without comparison. The inhaled vaccine was preferred by 97.5% for the following campaign. Pilot school vaccination had a 75% acceptance rate. The inhaled vaccine was preferred by most professionals, and pilot school vaccination was highly accepted and independently associated with the importance of vaccination as considered by physicians, being a medical doctor, and participation in the pilot programme.

Evaluation of telemedicine and health tourism awareness of healthcare professionals

Although electronic infrastructures save time and service effort in delivering health services, we need more information about regional service providers' attitudes and deficiencies towards these technologies. Therefore, in our study, we wanted to evaluate the attitudes of healthcare professionals towards the use of electronic infrastructure in health tourism and their awareness of the use of telemedicine in general service delivery. For this purpose, a cross-sectional study was conducted among 108 healthcare professionals, and the data obtained from the survey was analyzed. According to our results, the preference for post-examination checks and the use of electronic infrastructures in health tourism are affected by gender and education. As healthcare professionals age, their knowledge of telemedicine increases, but their preference for using technology-based infrastructure or technological devices decreases. Our implications include eliminating deficiencies in health policies by effectively matching local needs and global expectations, especially health tourism and electronic health service provision.

Patient safety culture and medication safety in European intensive care units: a focus group study

BackgroundPatients in intensive care units (ICUs) are susceptible to medication errors (MEs) for many reasons, including the complexity and intensity of care. Little is known about patient safety culture, its...

An exploratory study of knowledge, attitudes, practice and barriers towards adverse drug reaction reporting among healthcare professionals in Malta.

Understanding knowledge and attitudes of health care professionals (HCPs) towards adverse drug reaction (ADR) reporting can inform educational interventions promoting ADR reporting. To explore knowledge, attitudes, practice, and barriers of local HCPs towards ADR reporting. Focus groups involving HCPs from different settings were organized to help develop a questionnaire. The questionnaire was validated and disseminated to pharmacists, physicians, dentists and nurses practicing in Malta. A review of ADR reports reported in Malta from 2004 to 2021 was carried out to contextualise questionnaire findings. Overall, HCPs (n = 374) had good knowledge on pharmacovigilance and a positive attitude towards ADR reporting however nurses were found to be less knowledgeable than physicians, dentists, and pharmacists. The main barrier for not reporting ADRs was difficulty to understand whether an adverse event occurred (n = 187). A total of 2581 ADR reports were reported in Malta. Among HCPs, physicians and dentists reported most ADRs (1060 reports), followed by pharmacists (307 reports) and nurses (257 reports). Further ADR educational and promotional efforts are needed to increase awareness on the importance of quality ADR reporting and increase the number of ADR reports reported by local HCPs.

An exploration of the experiences and attitudes of healthcare professionals towards enteral tube feeding for adults living in the community following stroke.

Guidelines recommend enteral feeding via gastrostomy should be considered for adult survivors of stroke with dysphagia who cannot eat or drink sufficiently for >4 weeks. Many people continue long-term tube-feeding via this route in the community where healthcare professionals contribute to their care and nutritional management, although little is known about their experiences of or attitudes towards enteral feeding in this situation. The present study aimed to explore the experiences and attitudes of healthcare professionals working with this patient group. Healthcare professionals were invited to complete a questionnaire devised for the study which comprised closed and open questions about tube-feeding including their patients' participation in feeding processes and mealtimes and how these might be improved. Responses to closed questions were analysed descriptively and free-text responses analysed using thematic analysis. Fifty-seven participants met the inclusion criteria. They identified patients' quality of life (77% of respondents) and nutritional support (75%) as the most important aspects of tube-feeding. Good communication and training with healthcare teams and carers were considered important. Their patients' participation in tube-feed administration and mealtime involvement were described as variable and potentially beneficial, but both were related to patients' choice and health impairment. Blended tube-feeding was considered an option by 89% provided practical and safety conditions were met. Participants' experiences of and attitudes towards tube feeding in adults living with stroke in the community in the sample in the present study are varied and focussed on individual patients' needs, safety and professional standards.

Attitudes toward uncertain results from prenatal exome sequencing: a national survey among healthcare professionals working in the prenatal setting.

The objective of this study was to investigate the attitudes of healthcare professionals (HPs) working in the prenatal setting toward uncertain results (UR) from prenatal exome sequencing (pES) in China. We conducted a national survey among HPs working in the prenatal setting. UR in our study include variants of uncertain significance (VUS), variants with variable penetrance/expressivity (VVPE), and secondary findings unrelated to the indication for testing (SFs). A total of 285 questionnaires that met the inclusion criteria were collected. Data were analyzed using IBM SPSS Statistics 26. When performing the pre-test counseling, only 7.4% of HPs mentioned the possibility of VUS, 6.3% discussed the possibility of VVPE, and 7.4% introduced the SFs with parents with the option to not report these variants. In post-test counseling, 73.0-82.8% HPs discussed with the parents but did not make any recommendations for managing the pregnancy after reporting UR (73.0% for VUS, 82.8% for VVPE, 74.7% for SFs, respectively). Most parents did not have the option of opting out of reporting UR from pES in pre-test counseling. UR did not influence the pregnancy recommendation made by most HPs. Establishing national guidelines for reporting UR from pES and developing strategies to improve counseling skills may help HPs manage UR.

PERCEPTIONS OF DEATH AND ATTITUDES RELATED TO DEATH WITH DIGNITY OF HEALTH PROFESSIONALS AND CAREGIVERS

Purpose: This descriptive research was conducted to determine the death perceptions and attitudes of healthcare professionals and caregivers. Method: The research was conducted with 56 health professionals and 65 caregivers working in the palliative care unit. As a data collection tool; descriptive characteristics form, "Attitudes Towards Death Scale", "Attitudes Evaluation Scale Towards Respectable Death Principles" were used. Results: The average score of health professionals on the Attitudes Towards Death Scale is 4.3849±1.29288, and the average score of caregivers is 4.4856±0.77818. The average score of health professionals on the Attitude Scale towards Dignified Death Principles is 3.9330±1.0221, and the average score of caregivers is 3.4936±1.4554. Perceptions of health professionals' Attitudes Towards Death and Principles of Dignified Death; It was found that it was affected by having children, education, and the previous loss of a relative, and caregivers were affected by the frequency of thinking about death and their level of education. It was determined that there was a positive, moderate relationship between the Escape Acceptance dimension, which is one of the sub-dimensions of the Health Professionals' Attitudes Towards Death Scale, and the Attitude Towards Respectable Death Principles (p

The effectiveness of virtual reality training on knowledge, skills and attitudes of health care professionals and students in assessing and treating mental health disorders: a systematic review

Background Virtual reality (VR) training can enhance health professionals’ learning. However, there are ambiguous findings on the effectiveness of VR as an educational tool in mental health. We therefore reviewed the existing literature on the effectiveness of VR training on health professionals’ knowledge, skills, and attitudes in assessing and treating patients with mental health disorders.MethodsWe searched MEDLINE, PsycINFO (via Ovid), the Cochrane Library, ERIC, CINAHL (on EBSCOhost), Web of Science Core Collection, and the Scopus database for studies published from January 1985 to July 2023. We included all studies evaluating the effect of VR training interventions on attitudes, knowledge, and skills pertinent to the assessment and treatment of mental health disorders and published in English or Scandinavian languages. The quality of the evidence in randomized controlled trials was assessed with the Cochrane Risk of Bias Tool 2.0. For non-randomized studies, we assessed the quality of the studies with the ROBINS-I tool.ResultsOf 4170 unique records identified, eight studies were eligible. The four randomized controlled trials were assessed as having some concern or a high risk of overall bias. The four non-randomized studies were assessed as having a moderate to serious overall risk of bias. Of the eight included studies, four used a virtual standardized patient design to simulate training situations, two studies used interactive patient scenario training designs, while two studies used a virtual patient game design. The results suggest that VR training interventions can promote knowledge and skills acquisition.ConclusionsThe findings indicate that VR interventions can effectively train health care personnel to acquire knowledge and skills in the assessment and treatment of mental health disorders. However, study heterogeneity, prevalence of small sample sizes, and many studies with a high or serious risk of bias suggest an uncertain evidence base. Future research on the effectiveness of VR training should include assessment of immersive VR training designs and a focus on more robust studies with larger sample sizes.Trial registrationThis review was pre-registered in the Open Science Framework register with the ID-number Z8EDK.