Build Confidence Research Articles

How College Counselors Effectively Help Students Build Confidence

How College Counselors Effectively Help Students Build Confidence

By Medical Students, for Medical Students: A Narrative Medicine Antiracism Program.

Medical schools have sought to incorporate concepts of race and racism in their curricula to facilitate students' abilities to grapple with healthcare disparities in the United States; however, these efforts frequently fail to address implicit bias or equip students with cultural humility, reflective capacity, and interpersonal skills required to navigate racialized systems in healthcare. The purpose of this study was to develop and evaluate an antiracism narrative medicine (NM) program designed by and for preclinical medical students. Preclinical medical students at a single center were eligible to participate from June-July 2021. Program evaluation included a postprogram qualitative interview and electronic survey. The semistructured interview included questions about program experience, lessons learned, and perspectives on antiracism curricula in medical education. Interviews were qualitatively analyzed using open and axial coding. Survey data were analyzed with descriptive statistics. A total of 30 students registered. All (100%) respondents reported "somewhat true" or "very true" in the postprogram survey when asked about their ability to reflect on their own racial identity, racial identity of others, and influence of their racial identity on their future role as a healthcare worker through the program. Qualitative analysis revealed 3 themes: (1) curricular engagement; (2) racism and antiracism in medicine; and (3) group experience. Subthemes included: meaningful theoretical content; multimodal works and unique perspectives; race, identity, and intersectionality; deeper diversity, equity, and inclusion engagement; reconstructive visions; future oriented work; close reading and writing build confidence in discomfort; community and support system; and authentic space among peer learners. This virtual, peer-facilitated antiracism NM program provided an engaging and challenging experience for participants. Postprogram interviews revealed the program deepened students' understanding of racism, promoted self-reflection and community building, and propagated reconstructive visions for continuing antiracism work.

Boston Medical Center’s Communications Campaign to Build Confidence in Covid-19 Vaccines

Summary Health systems play an important role in efforts to build vaccine confidence in communities that have been hardest hit by diseases such as Covid-19. Boston Medical Center (BMC), New England’s largest safety-net hospital, along with its community partners implemented a Covid Response Program aimed at building vaccine confidence. The program was supported by a multifaceted and multilingual communications campaign including (1) traditional and social media channels with trusted messengers, (2) consistent and accessible core messaging, (3) transparent dialogue, and (4) partnership with state and local health government officials. Between December 2020 and June 2022, BMC disseminated 650 social media posts, leading to 12 million impressions and more than 1.8 million post engagements. The campaign included a TikTok video later featured during the U.S. presidential inauguration, resulting in more than 3.7 million views. BMC’s HealthCity digital publication released 20 articles that gained more than 73,000 views, and the frequently asked questions/vaccine scheduling site, translated into seven languages, reached 844,000 page visits. At 6 months into the vaccination program, 70% of patients 18 years and older in BMC primary care had received at least one shot, and 60% were fully vaccinated, having received either two messenger ribonucleic acid doses or one adenovirus vaccine. The proportions rose to 82% with one dose and 75% fully vaccinated at 12 months. By 24 months into the program, 83% of patients in BMC primary care had received at least one shot, and 77% were fully vaccinated; however, notable differences existed by race or ethnicity. Seventy-six percent of Black patients and 75% of Latine patients were fully vaccinated compared with 85% of Asian patients and 81% white patients. Key lessons learned include the importance of a multilingual, multimedia campaign and the need for bidirectional communication that could quickly shift to address evolving issues.

Effect of a Spiritual Care Training Program to Build Knowledge, Competence, Confidence and Self-awareness Among Australian Health and Aged Care Staff: An Exploratory Study.

The aim of this study was to evaluate a new spiritual care training program with health and aged care staff. A four-module program was delivered to 44 participants at a large Catholic health and aged care provider in Australia. Pre, post and 6week follow-up surveys were administered and included measures of spiritual care competency, confidence, perspectives of spirituality and spiritual care, spiritual well-being, and satisfaction. Paired sample t-tests showed total scores of participants' spiritual well-being, spiritual care competency and confidence significantly improved following the training and were largely maintained at follow-up. Perspectives on spirituality and spiritual care did not significantly change over time.

Growing Novice Nurses to Perianesthesia Care: Formation of a Post-Anesthesia Care Unit (PACU) Fellowship

PurposeTo provide a proof of concept of a structured, replicable perianesthesia fellowship program for nurses with less than 2 years of experience and new graduate nurses. DesignAn immersive learning experience was implemented as a pilot quality improvement project using the Plan-Do-Study-Act method. MethodsThis 24-week fellowship program used blended learning approaches and the Tiered Skill Acquisition Model (TSAM) to develop foundational Post Anesthesia Care Unit (PACU) skills. Nurse Fellows (4) acquired knowledge in stages, with each week in the program reinforcing and building upon the prior week's learnings. Settings included an initial 10 weeks in the ambulatory PACU, then the acute care PACU (weeks 11-20), and the final 4 weeks were spent in the primary unit where the Fellow would transition into a PACU Staff RN. Through each phase, the Professional Practice Department’s Clinical Mentor Nurse promoted preceptor development, facilitated learning experiences and provided bimonthly evaluations of the Nurse Fellow’s progress via our institution's clinical rounding tool. We used the Nursing Anxiety and Self-Confidence Associated with Clinical Decision Making (NASC-CDM) scale to assess novice nurses’ anxiety and self-confidence associated with making clinical decisions at designated intervals. FindingsAll Nurse Fellows completed the program and remained in PACU positions 2 years post-fellowship. They reported discomfort and increased stress transitioning to different PACUs; however, they later indicated reduced anxiety and greater confidence in clinical decision-making, as noted in subsequent evaluations of the NASC-CDM scale. ConclusionsPerianesthesia fellowship programs incorporating blended learning, skill reinforcement, and formal mentoring on a primary PACU unit build confidence and competence in the novice nurse, making this once-excluded population of nurses a viable option for recruitment directly into the PACU environment.

THE WORK OF SANE LEADERSHIP

AbstractThe author, a consultant, senior‐level advisor, and teacher, discusses and explains the concept of sane leadership. “We need,” she writes, “to restore sanity by reviving the human spirit. We can only achieve this if we undertake the most challenging and meaningful work of our lives: creating Islands of Sanity.” She further contends: “Sanity is an honest relationship with reality. Sanity is seeing clearly, free of our filters, judgments, biases. When we see what’s going on, then we can discern what actions might be useful. Sanity creates possibilities.” She outlines 10 design principles within these areas, which in her words are, 1. Diversity: Complex issues demand difference to find solutions. 2. Inclusion: People need to feel needed. 3. Equality: begin and end as equals. 4. The Work: Place the work in the center and keep it there. 5. Motivation: Strong emotions are to be channeled not feared. 6. Learning: Learning from experience keeps us alive. 7. Experimentation: Life always gives us feedback. 8. Confidence: Both success and failure build confidence. 9. Community: The well‐being of our community supersedes all other concerns. 10. Evaluate: Are these design principles working? She concludes: “Do you choose to be a sane leader? Do you feel you have a choice?”

End-User Threat Perception: Building Confidence to Make Decisions Ahead of Severe Weather

Ahead of severe weather, National Weather Service (NWS) core partners are responsible for making decisions that ensure the safety of their jurisdiction. NWS defines core partners as government and nongovernment officials who make weather related decisions; this study uses the term “end-user” to refer to those individuals within emergency management, fire departments, public works, and school systems. Owing to the complex science of severe weather forecasting, many events turn out to be null events and end-users learn to be selective in which forecasts warrant extra preparations. While end-users state they would rather be overprepared than under prepared, end-users face varying consequences in the wake of null events that could lead them to be more hesitant in the future. Our team conducted background and event-based interviews with emergency managers, fire departments, public works, and school officials in various states across the United States east of the Rocky Mountains. Event-based interviews were separated into sets according to their Storm Prediction Center (SPC) risk level and coded thematically; this study specifically focuses on how end-users perceived the threat of severe weather in the hours ahead of its forecasted occurrence. Analyses concluded that (i) end-users in the same SPC risk level perceived threats differently, (ii) end-users in the SPC Enhanced risk had the most variation, and (iii) threat perceptions were driven by forecast information, the end-users’ personal experiences, and environmental cues. As SPC risk level increased, end-users increasingly applied information from the three themes to adjust their situational awareness and build confidence before making potentially costly decisions. By understanding the impacts of null events and how end-users gauge threats, the NWS can better support end-users and use null events as an opportunity to build trust and partnership with their core partners.

A mixed method study to explore knowledge, attitudes, behaviour and experience of introducing solids

Abstract Background Infancy is a critical time for establishing dietary habits. EARLY START aims to build an intervention for reducing early life obesogenic behaviours. Using participatory action research, the exploratory phase investigates mothers’ knowledge, attitudes, behavioural intent and experience of introducing to solids Methods A mixed methods approach was used. Knowledge, attitudes and behavioural intent about infant feeding were investigated amongst mothers using the Infant Feeding Education Questionnaire (IFEQ). A subgroup participated in a focus group discussion of their experience of introducing solids. Data were analyzed using Descriptive and Thematic Content methods. Results One hundred and three mothers participated (mean age 33 y.o., tertiary education 94.3%, in employment 98.9%). Advice from health care professionals (HCP) was the most influential factors for when to start solids. Despite a relatively high total IFEQ score (39, min -56, max 56), learning needs were identified in areas, such as putting baby to sleep with bottle and recommended size of food pieces and breastfeeding duration. Maternal characteristics did not influence the IFEQ score. Mother's confidence on when to wean was associated with higher IFEQ score (β coeff.: -2.9, CI -5.4, -0.4, per change to a lower confidence category). Qualitative analysis showed that mother consider introduction to solids a ritual process that is challenging, emotional and requires guidance. It is compared to a “dance” between mother and baby with HCPs positively influencing coordination. Mothers express the need for timely and continuous information beyond the weaning phase that takes into consideration baby's behavioural development and self-contained needs. Conclusions Mother's confidence on weaning is influenced by knowledge, attitudes and behavioural intent. New interventions should build confidence by focusing on challenges and addressing mother's emotional and baby's developmental and specific needs. Key messages • Knowledge, attitudes and behavioural intent of introducing solids affects a mother's confidence whilst infant feeding is considered a complex and emotional process requiring guidance on evolving needs. • Future interventions should focus on building confidence by addressing mother's challenges and emotions whilst taking into consideration the baby's developmental and self-contained needs.

How does the NHS workforce plan build confidence in a challenged system?

This article reviews the long-term impact of the COVID-19 pandemic on NHS staff and how these effects relate to the expectations and ambitions of the NHS workforce plan. Findings highlight the need to recognise that the health and wellbeing of existing staff is critical to the attraction of new staff. Acknowledging what staff were exposed to during the pandemic and how they have responded remains important, as does ensuring that there is a sufficient plan for recovery. The offer of health and wellbeing interventions should continue, even if staff need to leave their role in order to come to terms with the pandemic, as this may give them confidence to return to the NHS in future. Educational roles underpin the NHS workforce plan, so care and attention needs to be given to how these staff members are looked after. Finally, it must be recognised that the technological challenges that NHS leaders want to address require innovation and energy that are not naturally present following a global emergency. Recovery must be made a priority if the ambitions of the workforce plan are to be met.

Build confidence in the new skill mix era

Build confidence in the new skill mix era

Embracing Ignorance and Failure Promotes Research Excellence

Pursuing research as an undergraduate student deepens and enhances both your college experience and your post college plans. Whether someone hopes to go to graduate school, medical school, or into the workforce, the lessons you learn during a research project will further your abilities and potential. In this essay, we reflect on four lessons that we learned during our first full-time nine-week research project: (1) Do it, (2) Learn to thrive at the interface of knowledge and ignorance, (3) Embrace failure, and (4) Build confidence for the future. We use our experiences to identify key areas of growth, both personal and professional, that we gained as we moved from class-based students to researchers exploring at the edge of current knowledge.

Building a research career in psychiatry: challenges and opportunities

AbstractIn this interactive session, we will attempt to create a roadmap toward a research career in psychiatry, particularly in challenging settings. Participants will be able to share their experiences and ask questions. Through dialectical discourse, we will identify the essential skills and key competencies for a research career and how to develop them through key strategies and practical exercises. We will try to answer these questions and more. “I like research, but I don’t know where to start?” “I know writing is important, but how can I make the process less painful and even perhaps enjoy writing?” “There is no research tradition in my workplace; how can I find a mentor?” “How can I build confidence in presenting at scientific conferences?” “It’s important to master hard skills, but what could we do with soft skills?”Disclosure of InterestNone Declared

Peran Layanan Konseling Realitas untuk Membangun Kepercayaan Diri Warga Binaan Mantan Pemakai Narkoba di Lapas Klas II A Curup

The Role of Reality Counseling Services to Build Confidence in Inmates of Ex-Drug Users in Class II A Curup Prisons. Indonesia has been declared an emergency drug state, because of its harmful effects, both physically and mentally and social. The year 2021 revealed 19,229 cases with 24,878 people involved. In 2021 Bengkulu with a population of 2,091,314 people, 1055 people are involved in drugs, and for the Curup Class II.A prison, 228 residents are assisted for drug cases, coming from 3 districts (Rejang Lebong, Lebong and Kepahiang). This study is to see the effectiveness of reality counseling in building self-confidence of former drug users. This is very necessary to restore self-confidence, as well as build a positive self-concept during and after being released from prison. Rejection and labeling from the community makes them not confident and sometimes choose to return as users or dealers. This study uses an experimental approach with pre-experiments with 5 drug inmates with varying lengths of detention and remaining prisoners. The research results show that; first, their self-confidence becomes stronger if they are among the inmates, second; worried about the rejection of society that makes it difficult for him to adapt in society. Third; Reality counseling can build self-confidence, by fostering responsibility, truth and the reality of facts, by not condoning his problematic behavior. Fourth; from the counseling assessment they are very satisfied, and forbid drugs. Keywords: Reality Counseling; Self Confidence; Drugs.

Flood Frequency Estimation in Data-Sparse Wainganga Basin, India, Using Continuous Simulation

Monsoon-related extreme flood events are experienced regularly across India, bringing costly damage, disruption and death to local communities. This study provides a route towards estimating the likely magnitude of extreme floods (e.g., the 1-in-100-year flood) at locations without gauged data, helping engineers to design resilient structures. Gridded rainfall and evapotranspiration estimates were used with a continuous simulation hydrological model to estimate annual maximum flow rates at nine locations corresponding with river flow gauging stations in the Wainganga river basin, a data-sparse region of India. Hosking–Wallis distribution tests were performed to identify the most appropriate distribution to model the annual maxima series, selecting the Generalized Pareto and Pearson Type III distributions. The L-moments and flood frequency curves of the modeled annual maxima were compared to gauged values. The Probability Distributed Model (PDM), properly calibrated to capture the dynamics of peak flows, was shown to be effective in approximating the Generalized Pareto distribution for annual maxima, and may be useful in modeling peak flows in areas with sparse data. Confidence in the model structure, parameterization, input data and catchment representation build confidence in the modeled flood estimates; this is particularly relevant if the method is applied in a location where no gauged flows exist for verification.

Boost Balance to Reduce Falls and Build Confidence

Boost Balance to Reduce Falls and Build Confidence

Feature: Poetry in a Pandemic: Using a Writer Mentor to Build Confidence and Connection in ENGL 1010

This article describes the authors’ experiences incorporating a trauma-informed writing pedagogy during the pandemic that uses a writer mentor and poetry in composition to build confidence, manage stress, and foster community.

A Proposal on How to Use Software Reliability Growth Model to Build Confidence in Dashboard Testing

Software testing as an integral part of software development leads to the question of when the software (or application/dashboard) can be released and how confident that most defects/bugs/faults have been discovered. This paper discussed a relatively new but simple and practical proposal that can be used to build confidence for releasing software (or applications/dashboards). Instead of contrasting various software reliability growth models (SRGM) and choosing which one is the best, we use them to collaborate to help make decisions. We demonstrate our proposal with 18 real-life datasets that are publicly available in the literature. We use three widely used SRGMs, namely: Bass, Gompertz, and Logistic in our proposal to identify when we can stop testing. It turns out that when the testing has found most defects, most (if not all) of the SRGMs will converge to similar value for the maximum potential defects in the system.

Enhancing Access to Justice Through Donor-Led Legal Aid Initiatives: International Normative Framework, Practical Approaches, and Some Findings from the Field

Abstract As an objective in international legal cooperation, interventions with the aim to enhance access to justice are a relatively new phenomenon that has famously been described as the ‘legal empowerment alternative’ which goes ‘beyond the rule of law orthodoxy’. Generally speaking, while traditional approaches primarily aim at promoting the rule of law ‘top–down’ by strengthening state structures and capacities, access to justice projects take a ‘bottom–up’ approach focusing on the empowerment of ‘users’ of justice systems. The overarching theory of change behind this approach is that empowered citizens are better able to participate in decision-making processes at the grassroots level, helping build greater trust and confidence in the justice system and public institutions, particularly in fragile and conflict-affected situations. Focusing on the provision of legal aid services, this article outlines the international normative framework, depicts the various practical approaches, and reflects some findings resulting from a recent evaluation commissioned by the German Federal Foreign Office on its engagement in enhancing access to justice, drawing from examples in Palestine, Ukraine, and Pakistan.

Improving knowledge and trust in vaccines: A survey-based assessment of the potential of the European Union Clinical Trial Regulation No 536/2014 plain language summary to increase health literacy

The European Clinical Trial Regulation No 536/2014 is the first mandate for a non-technical, publicly disclosed, plain language summary (PLS) of clinical trial results. This easy-to-understand summary has the potential to inform the public about clinical trial results and thereby improve health literacy in vaccines.To investigate the utility of the PLS, we undertook 2 online surveys (July/October 2020) in the United Kingdom, the United States and India. Participants were selected by quota sampling to ensure representation of gender, age and parental status. Those lacking interest in vaccine clinical research were excluded. In survey 1, participants were questioned about their interest in and expectations of vaccine trial results. In survey 2, the perceptions of participants to a range of written communication styles used in publicly available PLSs were evaluated.A total of 66 (13%) and 122 (29%) individuals were excluded solely due to lack of interest in vaccine clinical research in surveys 1 and 2, respectively; 450 respondents (150/country) completed survey 1 and 300 (100/country) completed survey 2. In survey 1, there was a correlation (p < 0.01) between claimed knowledge of and trust in vaccines. Healthcare professionals were the most trusted source for vaccine information, while vaccine companies were ranked relatively low. In survey 2, infographic PLS formats were considered easiest to understand, most engaging and the strongest communicators. Emphasizing the main points of the infographics in the text did not improve comprehension or recall. Most respondents (86%) indicated that they would like to see this type of communication in the future.Overall, this research suggests that the PLS, by optimizing content and format, has a potential to increase health literacy, and thereby, as part of a wider integrated communication strategy, build vaccine knowledge and confidence.

Development of Scientific Techniques in Investigation of Criminal Cases in India

Solving crime is a major task to the investigators and it is also considered as a serious business. Successful investigation as well as prosecutions contributes to public safety to a great extent by incapacitating violent criminals. In doing so, people build confidence in our criminal judicial system. Whenever, investigation fails, the offenders remain free and therefore, the public is at risk of harm by the offenders. Similarly if innocent person was arrested and convicted, it will be horrible injustice done to that person which causes reputation of criminal justice system. To solve this problem, it is the forensic science, which plays an important role in criminal investigation of crime cases. The scientific method of investigation helps the courts to reach at logical conclusion of an offence. Tremendous scientific and technological developments have been made in India during the last century and also intensified in the 21st century. The 20th century is often called as the age of science. Many scientific Institutions came into exist in India at the beginning of 20th Century and the flow is continued till now. Various scientific technologies such as fingerprinting, DNA profiling ,Narco-analysis, Polygraph, Brain Mapping, Electronic surveillance, Computer forensics etc. are being used by the investigating officers to bring out the real facts of the case. At present, the Government has created a lot of forensic facilities for the disposal of cases in timely manner through scientific investigation. This paper aims to explore the use of scientific and modern technologies in criminal investigation and how it helps to keep law and order in our society. It also discusses the problems in investigation, contemporary sciences and the essentialities of forensics in India.