Attitudes Of Trainers Research Articles

What can we learn from pandemic educational methods?: military general practice trainees’ attitudes to feedback from recorded consultations

ABSTRACT Background Recorded consultations are a useful tool for developing consultation skills for general practice speciality trainees (GPSTs). Historical barriers to utility include a lack of recording equipment and trainee discomfort. Widespread use of online communication platforms during the pandemic led to the introduction of the Recorded Consultation Assessment (RCA), prompting an exploration of its impact on GPSTs’ attitudes and acceptability of using recorded consultations for feedback. Aim This sequential explanatory mixed methods study explored attitudes of military GPSTs towards using recorded consultations for feedback to develop consultation skills, and identify factors influencing GPST attitudes. Methods Participants of this study completed a questionnaire, followed by a representative sample focus group. Descriptive statistics were used to analyse quantitative data, reflexive thematic analysis was employed for qualitative data. Triangulation was conducted using a meta-matrix. Results Results indicated agreement among respondents on the usefulness of recorded consultations for developing consultation skills, particularly communication skills. Perceived trainer attitudes significantly influence the GPST utility of this tool. The RCA positively impacted attitudes, providing familiarity, free access to easy-to-use online recording platforms, simplified consenting procedures, secure data storage, and improved feedback quality from trainers. Conclusion Pre-pandemic studies cited equipment access and consent procedures as barriers to utilising recording as a method of feedback. The pandemic and RCA introduced online resources and imperative to utilise this method, resulting in largely positive GPST learning experiences. As we move away from the RCA it is important to retain institutional memory of the benefits gained from feedback using recorded methods.

Social participation of children with intellectual disabilities in inclusive sport: Practical implications for physical education.

The UN-CRPD has improved inclusion in sport for people with intellectual disabilities, yet this group remains marginalized and faces discrimination and exclusion in sport (Steiger et al., 2021). Although research in this area has increased, there is little empirical evidence of the effectiveness of inclusive settings or of factors that promote success. This study aims to analyse the social participation of children with intellectual disabilities in mainstream schooling and club sports, and the factors influencing this participation. This knowledge is key to the development of effective social participation of people with intellectual disabilities in inclusive schools and sports clubs. Applying the framework of Koster et al. (2009), a sample of 1,884 students (132 with intellectual disabilities) from 109 school classes (3rd to 6th grade) in 13 Swiss German-speaking cantons completed a standardised questionnaire composed of established instruments. Multi-level analysis reveals that the level of social participation depends on experienced social contacts and interactions, established relationships, and received social acceptance and perception. The overall effectiveness of participation of those with intellectual disabilities is consistently lower than that of non-disabled peers. Nevertheless, cases with high levels of participation were also observed. Influential factors are at a structural level, such as the design of lessons, trainer and teacher competencies, group climate, school and club conditions, as well as at an individual level such as children and trainer attitudes and competencies. Specific understanding of these factors supports practitioners to more effectively develop inclusive sport settings. Good practice that actively promotes inclusion in physical education classes includes individualization measures at various levels such as task difficulty and duration, individual assistance, and the use of adapted learning materials. These measures all aim to deepen student participation according to individual competencies.

Exploring the lived experience of endoscopy trainees and their perceptions of nurse endoscopists as trainers

Background UK endoscopy services face considerable workforce pressures from an increasing demand for procedures. To meet this need, health services have introduced the role of nurse endoscopist (also known as clinical, non-medical or non-physician endoscopist). These roles have grown and developed to include performing many complex diagnostic and therapeutic procedures, as well as the provision of endoscopy training. Aims This study examines the lived experiences of (nurse and medical) endoscopy trainees, especially regarding being trained by nurse endoscopists. Methods The study employed interpretive phenomenological analysis (IPA). Data were collected through semi-structured in-depth interviews of 10 participants, who were selected from a sample of trainees attending a basic colonoscopy skills course. Interviews were preceded by observations to gain contextual insights into the training experience. The data were analysed in stages through a process of reading and re-reading the transcripts, making initial descriptive observations and then annotating with discursive, linguistic and conceptual comments. Findings Four emerging themes were identified. A lack self-confidence was a barrier to progression, compounded by the emotional impact of making mistakes without comprehensible constructive feedback. Attitudes of trainers and other endoscopy staff, as well as their relationships with trainees, had an impact on self-confidence and educational experience. Pressure on endoscopy units to perform procedures led to a tendency to treat training like a burden, although training was seen as an important investment. Trainees sought to differentiate nurse endoscopist and medical endoscopist roles and justify their skills and value, with comparisons between different nurse and medical trainers. Conclusion The emerging themes illustrate the requirement for a collegiate approach to endoscopy training.

Attitudes to radiation safety and cholangiogram interpretation in endoscopic retrograde cholangiopancreatography (ERCP): a UK survey

BackgroundFluoroscopy during endoscopic retrograde cholangiopancreatography (ERCP) exposes staff and patients to potentially harmful ionizing radiation. We performed a UK survey to explore trainee and trainer attitudes to radiation protection and...

Mental Health Disease or Preventable Problem? Australian Dog Trainers' Opinions about Canine Separation Anxiety Differ with Training Style.

Simple SummarySeparation anxiety is common. Signs are seen when dogs are alone or separated from their owner, and include destructive behaviour, vocalising, restlessness, and house soiling. Many dog owners do not seek help from veterinarians but might see a trainer. The Australian dog training industry is not regulated. Trainers have a range of experience, education, and qualifications, and use a variety of techniques. We surveyed trainers’ opinions about separation anxiety and found significant differences between reward-based and balanced trainers. Reward-based trainers rated involvement of a veterinarian and use of medication as more important than balanced trainers. More balanced trainers reported that medication was rarely necessary in the cases that they saw. Half the reward-based trainers believed separation anxiety was preventable compared with 95% of balanced trainers. We conclude that opinions about separation anxiety vary between trainers using reward-based and balanced training. Trainers are not taught, expected, or legally allowed to diagnose anxiety disorders. This study found that balanced trainers were less likely to recommend involvement of veterinarians who can make a diagnosis and rule out other causes of observed behaviours. Understanding differences in trainer attitudes may help to improve communication between trainers and veterinarians to better support dogs with separation anxiety.Separation anxiety is common. Many dog owners do not seek help from a veterinarian but might consult a trainer. The objective of this study was to investigate Australian trainers’ opinions about separation anxiety. An online survey was distributed via training organisations, resulting in 63 completed surveys. Descriptive statistics and Fisher’s exact tests were applied. Respondents were grouped into reward-based (n = 41) and balanced (n = 22) trainers. Most trainers (82.5%) used multiple methods to identify separation anxiety but only 7.9% referred to a veterinarian for diagnosis. Reward-based trainers ranked assistance from a veterinarian and owner’s willingness to try medication as more important than balanced trainers (p < 0.05). More balanced trainers reported that medication was rarely necessary in the cases they saw: 50% balanced compared with 4.9% reward-based trainers, with 95% CIs of [28.2, 71.8] and [0.6, 16.5], respectively. Almost all (95.5%) balanced trainers believed separation anxiety was preventable compared with 52.6% of reward-based trainers (p < 0.05). We conclude that opinions about separation anxiety varied between reward-based and balanced trainers. Trainers are not taught, expected, or legally allowed to diagnose anxiety disorders. This study showed that balanced trainers were less likely to recommend involvement of veterinarians who can make a diagnosis and rule out other causes of observed behaviours.

A NATIONAL INVESTIGATION OF SCHOOL PSYCHOLOGY TRAINERS’ ATTITUDES AND BELIEFS ABOUT EVIDENCE‐BASED PRACTICES

The present investigation examined 460 school psychology trainers’ attitudes and beliefs about the conditions for the education and training of evidence‐based practices (i.e., assessments and interventions) in training programs in the United States and Canada using an online survey. Trainer attitudes and beliefs about education and training in evidence‐based practices were measured using a 24‐item five‐point Likert scale. Overall, trainers had positive views of evidence‐based practices, as well as program and organizational support for such training. However, trainers rated the education and training of evidence‐based assessments more favorably than evidence‐based interventions. In general, trainer characteristics nor program accreditation status, model, or type of degree offered were found to influence trainers’ perceptions about evidence‐based practices. However, trainers with prior experience teaching evidence‐based intervention courses were found to have more supportive views of evidence‐based assessments and interventions than those without such experience. Implications for future training and school practice are discussed.

Laparoscopic simulation training in gynaecology: Current provision and staff attitudes – a cross-sectional survey

The objectives of this study were to explore current provision of laparoscopic simulation training, and to determine attitudes of trainers and trainees to the role of simulators in surgical training across the UK. An anonymous cross-sectional survey with cluster sampling was developed and circulated. All Royal College of Obstetricians and Gynaecologists (RCOG) Training Programme Directors (TPD), College Tutors (RCT) and Trainee representatives (TR) across the UK were invited to participate. One hundred and ninety-six obstetricians and gynaecologists participated. Sixty-three percent of hospitals had at least one box trainer, and 14.6% had least one virtual-reality simulator. Only 9.3% and 3.6% stated that trainees used a structured curriculum on box and virtual-reality simulators, respectively. Respondents working in a Large/Teaching hospital (p = 0.008) were more likely to agree that simulators enhance surgical training. Eighty-nine percent agreed that simulators improve the quality of training, and should be mandatory or desirable for junior trainees. Consultants (p = 0.003) and respondents over 40 years (p = 0.011) were more likely to hold that a simulation test should be undertaken before live operation. Our data demonstrated, therefore, that availability of laparoscopic simulators is inconsistent, with limited use of mandatory structured curricula. In contrast, both trainers and trainees recognise a need for greater use of laparoscopic simulation for surgical training.

Integrating Technology on Initial Training Courses

Teacher trainers/educators play a key role in the process of normalisation, as defined by Bax (2003), in the training of foreign language teachers to use technology as a regular part of their practice. This study explores teacher trainer attitudes towards adopting technology, their readiness to use it on teacher training courses, and their current levels of comfort in integrating it on Cambridge CELTA courses, a pre-service course currently followed by approximately 12,000 candidates annually. The results and discussion will stimulate some reflection as to what degree such courses are responsive to the objective of integrating technology in the training of foreign language teachers.

Survey Instrument Validity Part I: Principles of Survey Instrument Development and Validation in Athletic Training Education Research

Context: Instrument validation is an important facet of survey research methods and athletic trainers must be aware of the important underlying principles. Objective: To discuss the process of survey development and validation, specifically the process of construct validation. Background: Athletic training researchers frequently employ the use of survey research for topics such as clinical instruction and supervision, burnout, and professional development; however, researchers have not always used proper procedures to ensure instrument validity and reliability for the data collection process. Description: Four major methods exist to establish the validity of an instrument: face, content, criterion related, and construct. When developing a survey to measure a previously unexplored construct (eg, an athletic trainer's attitudes toward appropriate exertional heat stroke treatment), researchers should employ a four-step process: (1) defining constructs and content domain, (2) generating and judging measurement items, (3) designing and conducting studies to develop a scale, and (4) finalizing the scale. Clinical Advantages: Establishing the validity of a survey instrument strengthens the data yielded from the data collection process, which allows for greater confidence in the interpretation of the results from the survey. Conclusions: Construct validity, although a time-intensive process, is necessary to ensure accuracy and validity of the survey instrument.

Survey Instrument Validity Part II: Validation of a Survey Instrument Examining Athletic Trainers' Knowledge and Practice Beliefs Regarding Exertional Heat Stroke

Context: Instrument validation is an important component to sound survey research methods. Objective: The purpose of this article is to discuss the process of developing and validating an instrument to investigate an athletic trainer's attitudes and behaviors regarding the recognition and treatment of exertional heat stroke. Background: Following up from our initial paper, which discussed the process of survey instrument design and validation, we present the practical application of those general guidelines as described by Netemeyer and colleagues. Description: There are four basic steps to developing a valid survey instrument: (1) defining the construct, (2) item development and judgment, (3) designing and conducting studies to develop a survey, and (4) finalizing the instrument. Following these steps, we present our survey instrument used to evaluate an athletic trainer's knowledge and practice beliefs regarding exertional heat stroke. Conclusions: Following the process of survey development and validation, we were able to develop an instrument to help understand attitudes held by athletic trainers regarding appropriate clinical practice behaviors in the treatment of exertional heat stroke.

Dental nurses as trainers and assessors: vocational dental trainer attitudes

To explore the attitudes of vocational dental trainers (VDTs) working in general dental practice to the role of dental nurses as trainers and assessors of trainee dental nurses (tDNs), vocational dental practitioners (VDPs) and vocational dental hygienist/therapists (VDHTs). This research was conducted within the context of the development of a training and assessment qualification for dental nurses. A survey was sent to all 148 VDTs in Scotland. The survey assessed VDT attitudes as to the appropriateness of dental nurses to train and assess tDNs, VDPs, VDHTs with regard to their clinical, communication-based and administrative duties. The three sets of attitudes for tDNS, VDPS and VDHTs were assessed on a five-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). The data were subjected to one way and repeated measures of ANOVA. A total of 126 VDTs responded giving an 85% response rate. For clinical, communication-based and administrative activities, VDTs had significantly greater mean scores for the appropriateness of DNs to train [F(1,57) = 45.69, P < 0.001] and assess [F(1,57) = 76.94, P < 0.001] tDNs compared with VDPs and VDHTs. Vocational dental trainers felt it was more appropriate for DNs to train and assess tDNs' clinical, communication-based and administrative activities compared with VDPs and VDHTs. Over 80% of dental trainers, however, indicated there would be benefit to their practice in having a dental nurse educated in the principles and application of training and assessment.

Voices of the stakeholders: A case of power mechanics in Kenya

The primary purpose of this study was to find out the attitudes of trainers and trainees towards the 8-4-4 power mechanics course offered in secondary schools in Kenya. The attitudes and other related aspects obtained from the trainers and trainees were used as evaluative devices for the course and hence the graduates of the course. A comparison between the 8-4-4 power mechanics graduates and non power mechanics trainees was done to establish how well they fit into the job market in the automotive industry and in further training institutions.All the automotive engineering trainers in middle level training institutions and the automotive industry, and 31 secondary school graduates of the power mechanics course were used as subjects. They were selected from institutions and industries in Nairobi, Thika and Mombasa towns. Likert types of questionnaires were used to obtain the required information for the attitude evaluation study. Data were analysed using: percentages, means, standard deviations, variances, t-test for the difference of mean, chi-square and the analysis of variance (ANOVA) statistical methods. Tests for significance were carried out at the 0.05 level of significance testing.It was found that there is no significant difference between the attitudes of the trainers and trainees towards the course and the graduates. In addition, the positive attitudes of both the trainers and the trainees were independent of the respondent’s level of education. It did not matter whether the respondent was a trainee or a trainer. A significant difference was realised in the following areas: job performance, trainability, and performance in training examinations between the 84-4 power mechanics secondary school graduates and their non-power mechanics counterparts. The 8-4-4 power mechanics graduates were superior in all the above measured aspects. However, despite the 8-4-4 power mechanics secondary school graduates being better in comparison to others who had not taken the course, they were lacking in supervisory skills, creativity, mathematics, application of knowledge to practical situations, independence at work, innovativeness, and interpersonal skills.

Communication training as perceived by training personnel

The purpose of this‐study was twofold: 1) To quantify the nature and extent of in‐house communication training, and 2) To collect such data from those individuals who actually conduct in‐house training. Data were obtained from questionnaires mailed to 118 members of the Pittsburgh chapter of the American Society for Training and Development. This sample represented 97 different corporations, some of which are the largest and most successful in the world. Results focused on the following major topics: 1) The relative importance of various communication skills, 2) The number of respondents offering training in the various communication skills, 3) The goals of communication training, 4) The barriers in implementing communication training, 5).The target groups receiving communication training, and 6) The attitudes of trainers towards communication training.

Trainer-Member Influence in T Groups: One-Way or Two-Way?

The study examined the influence of trainer attitudes upon member attitudes toward the group, and of member attitudes upon trainer self-attitudes, at early and later time points in seven weekend T Groups. It was found that members accurately perceived trainers' attitudes toward the group and that members' own attitudes corresponded closely with their perceptions of trainer attitudes. At the early time point, self-attitudes of senior trainers showed near-significant negative correlations, and self-attitudes of co-trainers showed low positive correlations, with their perceptions of member attitudes towards themselves. At the later time point, both senior trainer and co-trainer self-attitudes were strongly associated with their perceptions of member attitudes toward themselves but these perceptions bore little relationship to actually reported member attitudes. Trainers showed a strong and consistent tendency to underestimate the favourability of member attitudes towards themselves.

Counselor and Counselor Trainer Attitudes Toward Counselor Certification in the United States

Counselor and Counselor Trainer Attitudes Toward Counselor Certification in the United States