Practice Beliefs Research Articles

Precarious and vulnerable work: The experiences of applied sport psychologists

This article analyzes the vulnerable and precarious nature of applied sport psychology practice. Adopting a longitudinal approach over an 18-month period, data were collected through 41 semi-structured interviews with six applied sport psychologists working across soccer, swimming, and athletics. Interviews took place at 6–8 week intervals, and transcripts were iteratively analyzed with Kalleberg’s theorization of precarity and Kelchtermans’ writings around vulnerability adopted as the primary heuristic devices. Four themes were identified, highlighting how: (a) “precarious employment conditions”; (b) “constrained decision making”; (c) “challenges to demonstrating impact”; and (d) “contrasting beliefs of appropriate practice” typified practitioners’ applied experiences. Our findings and analysis advance discussions about the precarious nature of applied sport psychology work by recognizing some of the inherent structural vulnerabilities that characterize the role. Insights developed from this research have important implications for the profession, including the preparation, development, employment and ongoing support of its workforce.

A systematic scoping review on group non-written reflections in medical education

BackgroundMedical education is tasked with shaping how medical students and physicians think, feel and act as professionals, or their Professional Identity Formation (PIF). This process has traditionally rested upon imparting knowledge; integrating sociocultural, professional and organizational expectations and codes of conduct; inculcating program and practice beliefs, values and principles (belief systems); and imbuing shared identities – quintessential elements that, together, comprise the socialization process. Key to supporting this socialization process is reflective practice. However, regnant approaches to mobilizing reflective cycles are faced with resource, personnel and time constraints, hindering efforts to nurture PIF. Group non-written reflections (GNWR) – broadly defined as facilitator-led discussions of shared reflective experiences within groups of learners – may prove to be an effective compromise. To address diverse approaches and a lack of effective understanding, we propose a systematic scoping review (SSR) to map the current use of GNWR in medical training and its role in shaping PIF.MethodsGuided by the Systematic Evidence-Based Approach (SEBA)’s constructivist ontological and relativist epistemological position, this SSR in SEBA searched for articles on GNWR published in PubMed, Embase, Psychinfo, CINAHL, ERIC, ASSIA, SCOPUS, Google Scholar, Open Grey, GreyLit and ProQuest databases. The data found was concurrently analyzed using thematic and direct content analysis. Complementary themes and categories identified were combined, creating the domains that framed the discussion.ResultsOf the 8560 abstracts and 336 full-text articles reviewed, 98 articles were included. The four domains identified were: (1) Indications of use and their value; (2) Structure and how they can be used; (3) Models of reflective practice in GNWR; and (4) Features of communities of practice and the socialisation process.ConclusionThis SSR in SEBA concludes that GNWR does impact PIF when effectively structured and supported. The Krishna-Pisupati Model for PIF platforms a model that explains GNWR’s effects of PIF and advances fourteen recommendations to maximize GNWR use.

Barriers and facilitators of the nurse providing evidence-based preoperative visit-care for transcatheter aortic valve replacement: a mixed-methods study based on an evidence application setting

BackgroundPreoperative visit-care for transcatheter aortic valve replacement (TAVR) plays a crucial role in improving the quality of care and patient safety. However, preoperative care for TAVR patients is still in its early stages in China, with the care often being experience-based. The application of relevant evidence in nursing practice is necessary. Little is known regarding the facilitators and barriers to apply and compliance to the evidences about preoperative visit-care for TAVR in nursing.MethodsThe Nurse’s Compliance Checklist was used to investigate the evidence-based compliance of nurses (n = 21) who worked in the TAVR team in the evidence-based implementation setting. Meanwhile, an Evidence-Based Practice Beliefs Scale, and Influencing Factors Checklist were used to investigate all nurses (n = 66) who work in the same setting. Stakeholders (Middle and senior-level nursing administrators, frontline clinical nurses, and patients) interview was carried out to further disclose the barriers and facilitators in the process of evidence-based practice.ResultsThe results of this study showed that only 1 evidence implemented fully (100%) by nurses, 3 evidences with 0% implementation rate, and implementation rate of the other evidences were 9.5∼71.4%. The overall score of nurses’ evidence-based nursing belief level was (3.52 ± 0.82). Three domains of barriers were identified: the Context Domain included lack of nursing procedures, inadequate health education materials, insufficient training; the Practitioner Domain included insufficient attention, lack of relevant knowledge, high work pressure and uncertainty of expected results, and Patient Domain included lack of relational knowledge. Facilitating factors included leadership support, nurse’ high evidence-based nursing belief, high executive ability and enthusiasm for learning.ConclusionThe study indicated that the nurses’ compliance of evidence-based practice in preoperative visit-care for TAVR was in lower level. There were some factors influencing the application of the evidences. The study revealed potential modifiable barriers to the successful implementation of evidence-based preoperative visit-care, including a lack of preoperative visit- care routine, related knowledge and training. Leadership support and nurse training should be considered to improve nurses’ compliance with evidence-based practice.

The role of teacher beliefs in teacher learning and practice: implications for meeting the needs of English learners/emergent bilinguals

Researchers generally agree that teachers’ beliefs influence their practice, but more research is needed on the relationship between teacher beliefs and their responsiveness to professional learning, especially among those serving diverse student populations. We examined the relationship between teachers’ beliefs, instructional practices, and student outcomes during the 2021–22 school year. Two California kindergarten teachers with high proportions of English Learners/emergent bilinguals collaborated with instructional coaches on an action research project designed to improve student engagement and oral language production during distance learning. Planning and debrief conversations revealed how teachers’ beliefs about student learning, and about the role of families and the teacher in supporting student learning, shaped the extent to which they adopted research-based practices, their differing student oral language and engagement results, and the emergence (or not) of a third space. The findings have implications for designing and carrying out effective teacher learning. We also contribute to the literature on the use of activity theory and third space to investigate teacher learning and its connection to instructional practice in classrooms serving culturally and linguistically diverse students.

Проблема убеждений в философии Ю. Уильямса

Modern analytical philosophy studies religious, moral, political, ideological and practical beliefs as elements of ideological systems. At the same time, she poses methodological questions: what is the fact of an individual’s conviction? Is belief related to decision and will? An illustrative example of the answer to these questions of analysis is the work of Bernard Williams. This article summarizes one of his articles.

''Myth Busting in Infectious Diseases'': A Comprehensive Review.

Antibiotics have played a pivotal role in modern medicine, drastically reducing mortality rates associated with bacterial infections. Despite their significant contributions, the emergence of antibiotic resistance has become a formidable challenge, necessitating a re-evaluation of antibiotic use practices. The widespread belief in clinical practice that bactericidal antibiotics are inherently superior to bacteriostatic ones lacks consistent support from evidence in randomized controlled trials (RCTs). With the latest evidence, certain infections have demonstrated equal or even superior efficacy with bacteriostatic agents. Furthermore, within clinical practice, there is a tendency to indiscriminately order urine cultures for febrile patients, even in cases where alternative etiologies might be present. Consequently, upon obtaining a positive urine culture result, patients often receive antimicrobial prescriptions despite the absence of clinical indications warranting such treatment.Furthermore, it is a prevailing notion among physicians that extended durations of antibiotic therapy confer potential benefits and mitigate the emergence of antimicrobial resistance. Contrary to this belief, empirical evidence refutes such assertions. This article aims to address common myths and misconceptions within the field of infectious diseases.

Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study

BackgroundEvidence-based practice (EBP) is crucial for delivering high-quality healthcare and effective self-care. Enhancing clinical nurses’ research competencies through structured mentorship is key to the widespread application of EBP. This study evaluated a newly developed Research Competency Enhancement Program (RCEP), aimed at bolstering EBP among experienced nurses.MethodsConducted in a tertiary university hospital in Korea, this single-group study employed a pretest-post-test design and a mixed-methods approach. The RCEP involved 11 experienced clinical nurses in an 8-week intervention, featuring mentor-led workshops, interactive sessions, and resource-driven activities. Data were collected using the Evidence-Based Practice Beliefs Scale (EBPB), the Evidence-Based Practice Attitude Scale (EBPA), and the Research Practice Ability (RPA) tool, alongside qualitative feedback. These measures assessed the program’s feasibility, acceptability, and preliminary effectiveness.ResultsThe quantitative analysis indicated significant improvements in research competency post-intervention. Mean scores on the EBPB and RPA scales increased (Z = -2.53, p = .011; Z = -2.66, p = .008). Participants described the RCEP as inspirational and challenging, creating an environment conducive to research. Facilitators included mentor support and innovative learning tools, while barriers were internet connectivity and scheduling conflicts. Suggestions for improvement included more hands-on sessions, small team collaborations, and integration with academic institutions.ConclusionThe RCEP, facilitated by EBP mentors, significantly improved the research competencies and attitudes of clinical nurses towards EBP. The study underscores the importance of continual RCEP refinement, integrating structured, interactive, and collaborative elements to further empower nurses in evidence-based practice. The program shows promise in enhancing research competencies and fostering a commitment to EBP in clinical settings.

Effect of monthly reminders by telephone message on women's beliefs and practice behaviours regarding breast self-examination: A randomized controlled study.

This study was conducted to examine the effect of monthly telephone message reminders after training on women's beliefs and practice behaviours regarding breast self-examination. This randomized controlled study was conducted with 83 women aged 20-69 years living in Turkey between September 2021 and July 2022. Women were randomly assigned (1:1) to the intervention (n = 41) or control group (n = 42), both groups received online breast self-examination training, and the intervention group received monthly reminders on their mobile phones for 3 months. Participants completed the Champion's Health Belief Model Scale and breast self-examination practice evaluation form at baseline and 3 months after intervention. After the intervention, the mean scores of the benefits and self-efficacy subscales of Champion's Health Belief Model Scales were significantly higher in the intervention group compared to the control group, and the mean score of barriers was lower. The rate of performing breast self-exam regularly and at the appropriate time was higher in the intervention group. The rate of forgetting to perform breast self-examination was higher in control group. A monthly reminder message may be recommended to increase women's belief in breast self-examination and increase regular practice.

Knowledge, attitudes and practices towards fetal alcohol spectrum disorder among lawyers in New Zealand

Fetal alcohol spectrum disorder (FASD) is a developmental disability that can cause difficulties with communication, emotional regulation and executive function, making people with FASD vulnerable to adverse involvement within the criminal justice system. Justice professionals’ knowledge and attitudes of FASD is critical to identifying appropriate responses, management and sentencing in the justice system. This research aims to understand the FASD knowledge, attitudes and practices among lawyers working in the justice sector in Aotearoa, New Zealand. We conducted an online survey on the awareness, knowledge and beliefs of FASD, experience and professional practice with FASD of justice professionals working in the justice sector in New Zealand. Of the 56 participants, most were lawyers. All participants were aware of FASD but had gaps in their knowledge and few felt well prepared to support someone with FASD. There is a need to develop policies, training and support for lawyers, around FASD.

Orchestrating self-empowerment in tribal India: Debt bondage, land rights, and the strategic uses of spirituality

Spirituality strategically enables self-empowerment in a clandestine movement of Adivasis which this paper calls ‘the Programme’. To explain how social movements and action organisations can orchestrate spirituality, this paper examines how the Programme helps landless rural people overcome debt bondage and gain land by employing spiritual repertoires. The paper addresses the question how, in the context of an increasingly tribalised politics in India, spiritual orchestration allows some Scheduled Tribes to make substantive economic gains, especially on debt freedom and land rights. The paper draws on an analysis of qualitative data collected through workshops, interviews and visits to villages across several Indian states, which has been anonymised to protect identities and avoid divulging sensitive information. The study finds that spirituality supports self-empowerment in three ways: first, it provides motivation and ideological reinforcement for people engaging in struggles against debt bondage and for land rights; second, it makes tribal identity more visible and helps groups make claims as indigenous owners; third, it offers groups protection from reprisals and creates platforms for engaging powerful actors. These findings are significant because, for activists and scholars who work with subaltern groups in India or other contexts, they demonstrate that the orchestration of spirituality can strengthen action repertoires for self-empowerment and help groups secure or protect economic and social gains. The paper adds insights to research on social movements and organisations on how to strengthen the ‘weapons of the weak’; it contributes empirical knowledge about how strategies to overcome debt and exploitation can succeed; and it underscores the importance of protecting freedom of religion and belief in development practice.

Evaluating the Impact of an Evidence-Based Practice Education Program in a Nurse Residency Program on Evidence-Based Practice Beliefs, Implementation, and Competency.

This quality improvement project examined implementation of the John Hopkins Nursing evidence-based practice (EBP) model, a standardized EBP education curriculum, in a hospital-based nurse residency program. We found that EBP education increased nurse residents' EBP beliefs, implementation frequency, and competencies. Our findings suggest that adopting existing EBP curricula is a convenient and effective approach to EBP education. Staff development professionals should continue to support and advocate for the adoption of EBP education within their organizations.

The Teaching Practice of the Novice Elementary School Teacher upon Entering the Professional Service

The purpose of this article is to describe the difficulties in teaching practice, as well as the coping strategies, experienced by beginning elementary school teachers in Mexico upon entering the service. The study is qualitative with a hermeneutic phenomenological approach, which allowed us to rely on narratives obtained through semi-structured interviews of five novice teachers. The results are presented from a perspective of theories and beliefs of educational practice in four dimensions: school context, anticipation, conduction and evaluation of the teaching-learning process. It is identified that teachers download the lesson plans elaborated on the Internet, from which the difficulties in the three moments of teaching derive since planning is the starting point to anticipate experiences and guide the actions of intervention and evaluation. Regarding the coping strategies, they have the teaching experience as a reference.

Understanding the Utilization, Challenges, and Attitudes Towards Laboratory Testing and Radiological Imaging Among Chiropractors in Hong Kong: A Cross-Sectional Survey.

Objective This cross-sectional survey aimed to investigate the utilization, challenges, and attitudes of chiropractors in Hong Kong towards laboratory testing and radiological imaging. Method An online survey was conducted between May 1, 2023, and June1, 2023. The target population for the survey was registered chiropractors in Hong Kong, which has a total of 325 practitioners. A total of 151 chiropractors participated in the survey, resulting in a response rate of 46.5%. The respondents provided information on their demographics, years of experience, practice settings, awareness of their right to request diagnostic tests, utilization of laboratory testing and imaging, and attitudes towards evidence-based practice. The survey data were analyzed using descriptive statistics. Result The survey findings revealed that a significant proportion of chiropractors in Hong Kong utilized laboratory testing and radiological imaging in their practice. Most respondents reported using laboratory testing to diagnose medical conditions and monitor existing conditions. Imaging is commonly used for diagnosing medical conditions and monitoring disease progression. However, a notable proportion of chiropractors reported facing rejection of their tests and imaging requests, which limited their ability to provide optimal care to their patients. The identified challenges included high rejection rates for specific imaging requests, leading to patient frustration, increased costs, and delayed diagnosis. Nevertheless, chiropractors in Hong Kong showed a strong belief in evidence-based practice and demonstrated a willingness to search for literature and incorporate it into their daily practice. By addressing this issue, our aim was to gain valuable insights into the status of laboratory testing and radiological imaging among chiropractors in Hong Kong. The findings of this study underscore the necessity for collaborative efforts among chiropractors, healthcare professionals, healthcare facilities, policymakers, and insurance companies to effectively address the challenges identified and improve patient care outcomes. Specifically, enhancing access to diagnostic tests and working towards reducing rejection rates will play a pivotal role in supporting chiropractors' role as primary healthcare providers in Hong Kong.

Physicotheology in Kant’s Transition from Nature to Freedom

AbstractThis article examines Kant’s treatment of the design argument for the existence of God, or physicotheology. It criticizes the interpretation that, for Kant, the assumption of intelligent design satisfies an internal demand of inquiry. It argues that Kant’s positive appraisal of physicotheology is instead better understood in terms of its polemical utility for rebutting objections to practical belief in God upon which Kant’s ethicotheological argument rests, and thus as an instrument in the transition from theoretical to practical philosophy. Kantian physicotheology plays this role (a) by criticizing alternative speculative accounts of the ground of nature, and (b) by analogizing from the structure of finite rational agency in order to represent more clearly the action of an ideal agent.

Faculty Readiness and Learning Needs for Incorporating Virtual Healthcare into the Curriculum

Objective: Virtual healthcare technologies are becoming increasingly acceptable and available to patients and providers to deliver care. Although common in practice settings, many nursing schools have not integrated virtual care concepts into the curriculum. One reason may be because faculty are not prepared to teach these concepts. The purpose of this study was to assess the virtual healthcare learning needs of faculty. Methods: An exploratory, descriptive study design was used to evaluate faculty receptiveness and readiness to teach virtual nursing care concepts. Thirty-seven full time faculty members were asked to complete an anonymous survey consisting of demographic, open-ended, and Likert scale items based on the technology acceptance model, the Virtual Clinical Practicum Attitude Survey, and the Evidence-Based Practice Beliefs scale. Quantitative data was evaluated using descriptive statistics and qualitative data with a thematic analysis process. Results: Twenty-two faculties completed a survey regarding their beliefs about virtual healthcare technologies. Most respondents believe that virtual care improves access for patients and that students should have training in these technologies. However, few had used virtual technology in their own clinical practices and wanted further education about them. Faculty was receptive to integrating virtual care into the curriculum and reported their learning needs could be met through didactic content and simulation activities with faculty as learners. Conclusion: An opportunity exists to prepare faculty to teach virtual healthcare concepts. Addressing faculty learning needs could aid in the successful integration of virtual healthcare concepts into the curriculum, thus, better preparing students to deliver virtual care to their future patients.

Theology and international order: Questions, challenges and explorations

Theology is a neglected resource in international relations scholarship; it is, more often than not, characterised as a threat to political order because it is seen as a cradle of fanaticism and irrationality. Postsecular scholarship challenges this view by exploring the persistence of theological ideas and religious belief in political discourse and practice. Political Theology of International Order is my own contribution to this type of scholarship. This article engages responses from five distinguished scholars. It considers the implications of taking theology seriously when theorising international order; the veracity of narratives that frame the study of international relations; and new directions and possibilities that arise out of the book.

Teacher Beliefs and Perspectives of Practice: Impacts of Online Professional Learning

Efforts to improve teachers’ knowledge of tools and strategies are often intertwined with their beliefs regarding mathematics teaching and learning. Yet, few studies have examined the impact of professional development designed to bolster teachers’ knowledge of and beliefs about young children’s mathematical development. In this study, we evaluated whether participants’ beliefs changed significantly after engaging in online professional learning on teaching math to young children, overall orientations of participants’ teaching practices and shifts over time, and how changed beliefs might coincide with changed orientations to practice. We employed a multilevel mixed methods design, with quantitative results showing changes in participants’ overall beliefs based on survey data. We discuss how trends in perceived instructional practices coincide with beliefs found to be statistically significant in the quantitative analysis and the potential for online professional development to influence beliefs. Considerations for design of online professional learning and implications for future research are shared.

Validation of short version of evidence-based practice instruments among nurses in clinical practice: Evidence-based practice beliefs, implementation, and organizational culture

Validation of short version of evidence-based practice instruments among nurses in clinical practice: Evidence-based practice beliefs, implementation, and organizational culture

Quoted at the Pulpit: Male Rhetoric and Female Authority in Fifty Years of General Conference

Quoted at the Pulpit: Male Rhetoric and Female Authority in Fifty Years of General Conference

Assessing professional integration of clients’ religion and spirituality beliefs in practice

This article presents the findings of a cross-sectional study of 131 Israeli Jewish and Arab social workers that aimed to predict the probability that social workers would integrate clients’ religion and spirituality in practice. The study is the first of its kind in Israel. Findings showed that social workers have favourable attitudes and high levels of self-efficacy. However, study participants reported low feasibility and even lower levels of engagement of clients’ religious and spiritual beliefs in practice. One variable, age, emerged as a significant predictor of such integration. Integration of religion and spirituality in practice remains the professional’s personal choice.