Clinical Career Research Articles

Concept Analysis of the Clinical Nurses Career Plateau

Concept Analysis of the Clinical Nurses Career Plateau

Implementing a mentoring program for clinical research professionals: A novel professional development initiative for university health research staff.

Clinical and translational research relies on a well-trained workforce, but mentorship programs designed expressly for this workforce are lacking. This paper presents the development of a mentoring program for research staff and identifies key programmatic outcomes. Research staff participating in this program were matched with a senior mentor. Focus groups were conducted to identify key program outcomes. Surveys were administered throughout the program period to assess participants' experience, gains in skill, and subsequent careers. Analysis of the resultant qualitative and quantitative data are used to characterize the implementation and impact of the program. A total of 47 mentees and 30 mentors participated in program between 2018 and 2023. A comprehensive logic model of short-, intermediate- and long-term outcomes was developed. Participants reported positive valuations of every programmatic outcome assessed including their program experience, learning and research careers. The pool of available mentors also grew as new mentors were successfully recruited for each cohort. This mentorship program developed and implemented by senior research staff successfully provided junior research staff with professional development support, mentorship, and professional development opportunities. Junior and senior health research staff built mentoring relationships that advanced their clinical and translational research careers.

Perception of Saudi undergraduate medical students on telemedicine training and its implementation.

The use of telemedicine has increased considerably in healthcare delivery, especially during this time of the coronavirus disease 2019 (COVID-19) pandemic. It has, therefore, become necessary to train medical students to better equip them for this new means of healthcare delivery. The aim of the present study was to assess the perception of undergraduate medical students on telemedicine training. A cross-sectional study was conducted on a total of 521 undergraduate medical students studying in the Eastern Region of Saudi Arabia. Data were collected via a self-administered pretested questionnaire comprising two main sections: demographics and knowledge and opinions regarding telemedicine training. About 73% students think that the use of telemedicine for patient care will increase in the future, and 59.3% think that the medical students should be trained in telemedicine. Majority of the students (78%) opined that telemedicine training should be optional and 58% said it should be taught during the clinical phase of the undergraduate curriculum. The best telemedicine training course learning objectives medical students opined to be included were: telemedicine practical skills (70.2%), legal aspects of telemedicine practice (68.3%), and potential positive and/or negative use of telemedicine tools and methods (67.6%). Telemedicine skills students would like to learn how to effectively engage patients, knowledge about telemedicine regulations and the consequences of breaching them. Medical students are aware of the importance of incorporating telemedicine training into the medical curriculum. Training these students is vital to ensure their competence as physicians in their future clinical careers, that is make them a digitally health-literate future workforce.

Qualitative Research on the Development of the Humanities Therapy Program for the Older Adults Living Alone

The purpose of this study is to develop a draft of the humanities therapy program for the psychological and emotional support of older adults living alone. To achieve that, Focus Group Interview (FGI), as a sort of Qualitative research, was conducted with experts in humanities and art therapy. The selected research participants were six experts who had over five years of clinical career. They are specialists in life history, humanities therapy, arts therapy, reminiscence therapy, multicultural counseling, and drama therapy. As a result, three themes, seven categories, and fourteen details were drawn. First, regarding counselors’ attitude and viewpoint for elderly clients, their patience and wait, intently listening and empathy, and the attitude of stopping judgment were emphasized. Second, it was necessary to design the program in consideration of the physical, cognitive, and emotional characteristics of older adults living alone. In addition, in the social-context dimension, it was necessary to develop the program in consideration of residential characteristics such as urban, agricultural, or fishing areas. Lastly, it was necessary to modify the humanities therapy program in consideration of the purpose of the program, the theory of integration, session operation plan, and the appropriateness of media use. This study was aimed at developing a humanities therapy program for older adults living alone. It is expected to be used as the basic data to develop psychology and emotion programs for older adults living alone in the preventive dimension.

Awareness of HPV Infection and its Relationship to Cervical Cancer in Medical Students of Karachi, Pakistan A Cross Sectional Study

Objective: To assess the level of awareness among medical students about HPV, its vaccines and its relation to cervical cancer Methodology: This is a cross-sectional, multicenter study conducted at Creek General Hospital, Karachi from March 2020 to November 2021 after IRB approval from United Medical and Dental College. Data was collected from undergraduate MBBS students via an online questionnaire. Results: Total participants in the study were 219. Age range was between 18 and 26 years. A majority (82%) of medical students were aware of the causal relationship between HPV and cervical carcinoma. Only 53% of students had the knowledge for the need for regular pap smear. Students confessed about lack of knowledge regarding HPV and its preventive measures with 82% of students admitting to having gaps in their knowledge. Conclusion: The study brings us to the conclusion that the current medical curriculum is not fortified and hence the medical students are unaware about the diagnostic and preventive strategies of cervical cancer which is a good gap in their clinical career.

VOCATIONAL ASSESSMENT AND INDIVIDUAL DEVELOPMENT PLANNING IN DIVERSITY-FOCUSED UNDERGRADUATE MENTORSHIP

Abstract The UC San Diego MADURA Mentorship Program, funded the National Institute on Aging, strives to improve diversity in Aging/Alzheimer’s Disease and Related Dementias (ADRD) research and clinical practice. Goals include improved academic success of undergraduate URM trainees, and facilitating graduate/medical school applications and entry into Aging/ADRD research or clinical careers. Mentees receive paid research experience, training, Program and lab-based faculty supervision, peer support, seminars, and professional development opportunities. To enhance educational and career planning, MADURA incorporated Individual Development Plan (IDP) use, in 2022. IDP training by a Career Services presenter was followed by interactive IDP completion during small group break-outs, with ongoing revisions occurring throughout the quarter. Further, all trainees were offered formal vocational assessment (Strong Interest Inventory®, College Edition). 21 trainees participated and some engaged in individual 30-minute feedback sessions. All mentors were asked to incorporate IDP and vocational assessment discussions into year-end professional development meetings with mentees. Data to be presented includes: Student evaluation of IDP training; prior vocational assessment access; student and mentor ratings of IDP and vocational assessment feasibility, utility and satisfaction; and cohort vocational profile characteristics. Discussion includes implementation challenges, benefits and limitations of IDP and vocational assessment use, and future research suggestions.

ADVANCING DIVERSITY IN ADRD/AGING RESEARCH AND CLINICAL CARE: EDUCATIONAL AND CAREER TRAJECTORIES OF MSTEM MENTEES

Abstract As an NIA-funded mentorship program, MADURA addresses the lack of diversity among Aging and Alzheimer’s Disease & Related Dementia (ADRD) researchers and clinicians. Aims include improving retention and academic success of URM MSTEM undergraduates, and increasing rates of graduate/medical school applications and entry into Aging/ADRD clinical careers. MADURA offers paid research lab experience, weekly whole-cohort research skills training, guest seminars and presentations, and weekly faculty-facilitated small group supervision, advising and support. It served 23–29 undergraduates/quarter, in its initial five quarters. The Program accepts students at varying undergraduate educational levels, particularly because students from target populations often enter as Junior-level transfers from community colleges. Thus, although the Program just completed its second year, 17 MADURA trainees have already graduated. While ongoing data collection on Program, Mentor and Student Mentee performance is beneficial, outcomes data are of utmost importance to ensuring achievement of aims. This poster will present descriptive data on MADURA graduates’ immediate employment and educational activities. Notable findings include a significant proportion of trainees who take a gap year before applying to graduate or medical school (for financial and personal reasons), and others taking internships, post-baccalaureate training or research jobs, to strengthen future medical and graduate school applications. Understanding the multiple pathways of recent graduates will enable mentorship programs to help current trainees critique and optimize preparations for their selected educational and career trajectories. These findings also suggest additional mentorship program outcomes of interest (beyond a sole focus on graduate program acceptance), and the need for longer-term alumni follow-up.

The Experiences of Clinical Academic Nurses: A Meta-Aggregation

ObjectiveHistorically, clinical academic careers were only available for dental and medical professions. The title of a clinical academic nurse is recognized as a role that concurrently engages in both clinical practice and research. This systematic review aimed to synthesis qualitative evidence to understand the experiences of clinical academic nurses. Data SourcesA meta-aggregation systematic review was conducted. Key search terms were used in CINAHL and MEDLINE. The review has been reported according to ENTREQ checklist. This meta-aggregation review followed the principles from Joanna Briggs Institute (JBI) and the reviewers conducted a methodological quality assessment on all included studies. Qualitative studies which explored experiences of clinical academic nurses were included. ConclusionA total of 2,202 articles identified five studies met the inclusion criteria. Five synthesized findings from the included qualitative studies, related to (i) clinical academic preparation, (ii) challenges, (iii) enablers, (iv) clinical practice, and (v) role expectation of clinical academic nursing roles. The meta-aggregation has identified that although there are numerous clinical academic nursing discussion articles, commentaries, and editorials on the topic area, few empirical studies have explored the perceptions and experiences of clinical academic roles in nursing. Implications for Nursing PracticeThis systematic review has highlighted the variety of reported experiences of clinical academic nursing in relation to implications for practice, research, and leadership. Clinical academic roles are being developed across the nursing professions outside of medicine, and effective leadership it is important to support sustainable career pathways and curricula and to enable the evaluation of these roles. This review has made an important contribution to the literature by highlighting several issues to consider in developing and safeguarding the progress already made in clinical academic nursing career pathways.

Health-Related Factors Influencing Nurse Turnover by Clinical Career: A Secondary Data Analysis of Clinical Nurses in South Korea.

The increase in clinical nurse turnover is an important issue in human resource management worldwide. Factors influencing it include health-related risk factors such as sleep quality and presenteeism, which need further exploration. We examined differences in job survival time of clinical nurses in relation to nurses' sleep quality and presenteeism. Participants were 857 Korean clinical nurses with more than three months' experience providing direct patient care. Data were analyzed using a time-independent Cox proportional hazard regression analysis of factors affecting actual turnover of clinical nurses. Average job survival times of competent, proficient, and expert nurses were 33, 64, and 143 months, respectively. Sleep quality and presentism significantly affected turnover risk. For clinical nurses with less than three years of experience, sleep quality significantly influenced the risk of turnover. For clinical nurses with more than six years of experience, presenteeism significantly affected the risk of turnover. The findings of this study offer a clinical career-based approach to reduce the turnover rate of clinical nurses. A differentiated approach based on work experience is necessary to establish a turnover management strategy for clinical nurses.

Harnessing the nursing and midwifery workforce to boost Australia's clinical research impact.

Harnessing the nursing and midwifery workforce to boost Australia's clinical research impact.

Ementation Of Patient Safety Objectives With Nurse Caring Attitude As A Variable Mediation In Rs-X

Patient safety is an important part of health services. Patient safety is determined by the implementation of patient safety goals. Implementation of patient safety goals plays an important role in the prevention and reduction of risks, errors and injuries that may occur during service. The application of optimal patient safety goals can be determined by the nurse's behavioral factors. Nurse behavior is influenced by several factors, namely individual factors, organizational factors, and psychological factors. Research Objectives: This study aims to analyze the relationship between the leadership style of the head of the room and the clinical career leveling of nurses on the application of patient safety goals with the caring attitude of nurses as a mediating variable. Research method: quantitative explanatory because to determine the relationship between variables based on the previous hypothesis that has been put forward by previous researchers. The sample in this study was a total sampling, that is, all the nurses were 80 people. The analysis technique uses path analysis. The results of the study: (1) the leadership style of the ward head significantly affects the caring attitude of nurses; (2) Clinical career leveling significantly influences nurses' caring attitude; (3) The leadership style of the ward head significantly influences the Implementation of Patient Safety Goals; (4) Clinical career leveling significantly affects the implementation of patient safety goals; (5) The caring attitude of nurses significantly affects the implementation of patient safety goals; (6) The leadership style of the ward head indirectly significantly affects the implementation of patient safety goals through the caring attitude of nurses; and (7) Nurse's clinical career leveling indirectly significantly influences the implementation of patient safety goals through nurses' caring attitude.

Nurses’ duty to care during the COVID-19 pandemic: a cross-sectional survey

BackgroundDespite the increased demand for nurses worldwide, discussion of nurses’ duty to care is lacking. This study aimed to examine nurses’ duty to care during the coronavirus disease 2019 (COVID-19) pandemic and to identify the influencing factors.MethodsThis was a cross-sectional descriptive research study that used a structured online questionnaire. Registered Korean nurses answered a demographic questionnaire and the Nash Duty to Care Scale.ResultsAge and employment at tertiary hospitals increased nurses’ duty to care. Male sex, a highly educated status, and employment at tertiary hospitals increased the perceived risk. Male sex and employment at tertiary or general hospitals increased confidence in the employer, while a high level of education and a longer total clinical career decreased the same. Age and a higher monthly wage increased perceived obligation. Age, lack of religious beliefs, and clinical experience of 3–7 years increased professional preparedness.ConclusionWithout enough nursing manpower, the disaster response system could prove to be inefficient. Considering that adequate nurse staffing is essential in disaster management, it is crucial to ensure that nurses have a will to provide care in the case of disaster. In the future, a more active discussion on nurses’ duty to care and additional research on factors that may hinder and facilitate the same are needed.

ODP358 The effect of multi-cultural inter-facility endocrine video case conferencing – A novel model of education during the COVID pandemic

Abstract Introduction Coronavirus disease 2019 (COVID-19) pandemic brought not only physical and mental health problems but also negative impacts on social, economic and educational activities. Trainees, including medical students, residents, and clinical fellows had fewer opportunities to see and discuss patients with supervisors in person. In contrast, recent advances in technology have made it possible to review cases with overseas experts through online conferences. We launched a biannual inter-facility endocrine case review meeting in a video conference format during the pandemic of COVID-19. Here we present the format of our inter-facility online case conference and its impact on trainees. Methods The conference was organized by clinical faculty members from Japan, USA and Canada. For each conference, each facility prepared one to two cases in English. Four to five cases were presented and discussed with participants and guest commentators. After completion of the 4th conference, an anonymous multiple-choice online survey was administered to all attendees, and data was collected and analyzed by the committee members. Differences in responses before and after attendance were analyzed by paired t-test. Results Four conferences were held between July/31/2020, and Dec/10/2021 (CST). The facilities participating was as follows: University of Minnesota, Hokkaido Univ., University of Alberta, and Kobe Univ. Participants included medical students, residents, endocrine fellows, and faculty. Presenters were medical students (n=1), endocrine fellows (n=15), and neurosurgery faculty (n=1). Presented topics included the following: 11 cases with pituitary disorders, 3 cases with neuroendocrine tumors, 2 cases with adrenal disorders and 1 case of thyroid disorder. Sixty-two percent of the attendees stated that 3-4 facilities are an ideal size of the collaborations in inter-facility case conference, and 82% of the attendees felt twice a year is an appropriate frequency of the conference. Ninety-seven percent of the participants indicated their willingness to continue to attend. The survey results also revealed that the conference has a positive impact on trainees’ clinical practice and career development. Furthermore, the confidence in presenting skills in English significantly increased after the conference (p<0. 01). Conclusion Under the COVID-19 pandemic, we launched a new format of inter-institutional case review meeting using a video conferencing system that transcends national boundaries. This represents a new educational method for trainees. A small-scale (3-4 facilities) international collaboration in a video format may provide opportunities for learning rare endocrine cases, cultural diversity of endocrine care, enhanced active learning for trainees, and the opportunity for international presentation. This may lead to the development of a novel educational system in the future. Presentation: No date and time listed

Factors Influencing Nursing Practice for Physical Restraints among Nurses in the Intensive Care Unit

Purpose : This study aimed to identify the factors influencing physical restraint-related practice among nurses working in the intensive care unit (ICU).Methods : The participants consisted of 169 ICU nurses in three general hospitals in B and U cities. Data were collected from December 2021 to January 2022 through a structured selfadministered questionnaire. Demographic characteristics, physical restraint-related practice, Person-centered Critical Care Nursing (PCCN), work environment, and attitudes toward physical restraint use were measured. For data analyses, hierarchical multiple regressions were conducted using SPSS/WIN 25.0.Results : Clinical careers in the ICU, better work environments, higher PCCN levels, and more positive attitudes toward physical restraint use were associated with a better practice of physical restraints, which together explained 35.5% of the total variance of the outcome.Conclusion : Our findings suggest that to promote a safe physical restraintrelated practice among ICU nurses, it is important to improve the nursing environment, prepare guidelines for applying PCCN, and provide education for endorsing positive attitudes toward the use of physical restraints.

Perception of Clinical Ladder System, Professional Self-Concept, Self-Efficacy, and Organizational Commitment by the Level of Clinical ladder among Intensive Care Unit Nurses

Purpose : This study aimed to verify the effectiveness of the clinical ladder system (CLS) by identifying the perception of the CLS, professional self-concept, self-efficacy, and organizational commitment among intensive care unit (ICU) nurses.Methods : Data were collected through a questionnaire survey of 173 nurses working in 11 ICUs at a tertiary hospital in Seoul.Results : The perception of the CLS, self-efficacy, and organizational commitment showed significant difference according to the CLS level. As a result of the partial Spearman correlation analysis after adjusting for demographic difference according to CLS (age, marital status, education, and clinical career), CLS positively correlated with the perception of the CLS (r=.16, <i>p</i>=.045), professional self-concept (r=.24, <i>p</i>=.001), and self-efficacy (r=.21, <i>p</i>=.007). On the contrary, organizational commitment negatively correlated with the perception of the CLS (r=-.43, <i>p</i>＜.001) and self-efficacy (r=-.32, <i>p</i>＜.001).Conclusion : The CLS is effective for professional self-concept and self-efficacy. However, specialists 2 nurses, who had high professional self-concept and self-efficacy, showed low level of organizational commitment. Thus, it is necessary to examine the factors of work burden and career plateau that are imposed after promotion and improve experience and planning according to the growth needs. Moreover, regular evaluation of the CLS will require hospital support to ensure that ICU nurses appreciate and actively participate in the support.

Educating students while recruiting underrepresented populations for Alzheimer’s disease research: the Student Ambassador Program

BackgroundIncreasing numbers of patients with Alzheimer’s Disease and related disorders (ADRD) necessitates increasing numbers of clinicians to care for them. Educational programming related to community outreach with older adults may help inspire interest in future ADRD clinical careers, while increasing awareness of ADRD in the community and aiding recruitment of underrepresented participants into research studies.MethodThe Boston University Alzheimer’s Disease Research Center (BU ADRC) created the BU ADRC Student Ambassador Program, where medical students, graduate students, and undergraduates interested in medicine completed a curriculum during the academic year that included six educational and three outreach events, including monthly dementia-focused didactic meetings and outreach focusing on Black participant recruitment. A pre-post program survey design was implemented to assess changes in students’ knowledge of and attitudes toward dementia and related disorders.ResultsBetween September 2015 and May 2020, thirty-seven students completed the program. Following program completion, students demonstrated increased knowledge of dementia and willingness to work with patients with dementia, as well as more positive attitudes toward patients and the role of empathy in physician practice. In terms of recruitment benefits, the students helped the BU ADRC reach older adults from underrepresented groups who could serve as participants in future research studies.ConclusionsThe BU ADRC Student Ambassador Program can serve as a model for other clinical research programs who wish to encourage students to consider a career in a specific field. In addition, this model has the potential to increase enrollment of participants to research studies. We discuss limitations of our initial efforts and directions for future work to quantify the anticipated benefits for student education and participant recruitment.

Pediatric Clinical Pharmacology Research Career Development Award (NICHD)

Pediatric Clinical Pharmacology Research Career Development Award (NICHD)

Evaluation of cardiac involvement in patients with clinical post-COVID-19 syndrome

Abstract Introduction The underlying pathophysiology of Post-COVID-19 syndrome remains unknown, but increased cardiometabolic demand and state of mitochondrial dysfunction have emerged as candidate mechanisms. Cardiovascular magnetic resonance (CMR) provides insight into pathophysiological mechanisms underlying cardiovascular disease and 31-phosphorus magnetic resonance spectroscopy (31P-MRS) allows non-invasive assessment of the myocardial energetic state. Purpose We sought to assess whether Post-COVID-19 syndrome is associated with abnormalities of myocardial structure, function, perfusion and tissue characteristics or energetic derangement. Methods Prospective case-control study. A total of 20 patients with a clinical diagnosis of Post-COVID-19 syndrome (seropositive) and no prior underlying cardiovascular disease (CVD) and ten matching controls underwent 31P-MRS and CMR at 3T at a single time point. (Figure 1) All patients had been symptomatic with acute COVID-19, but none required hospital admission. Results Between the Post-COVID-19 syndrome patients and matched contemporary controls there were no differences in myocardial energetics (phosphocreatine to ATP ratio), in cardiac structure (biventricular volumes, left ventricular mass), function (biventricular ejection fractions, global longitudinal strain), tissue characterization (T1 and extracellular volume [ECV] fraction mapping, late gadolinium enhancement) or perfusion (myocardial rest and stress blood flow, myocardial perfusion reserve). One patient with Post-COVID-19 syndrome showed subepicardial hyperenhancement on the late gadolinium enhancement imaging compatible with prior myocarditis, but no accompanying abnormality in cardiac size, function, perfusion, ECV, T1, T2 mapping or energetics. This patient was excluded from statistical analyses. (Table 1) Conclusion In this study, the overwhelming majority of patients with a clinical Post-COVID-19 syndrome with no prior CVD did not exhibit any abnormalities in myocardial energetics, structure, function, blood flow or tissue characteristics. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Welcome Trust Clinical Career Development Fellowship (221690/Z/20/Z);NIHR-UKRI COVID-19 Rapid Response Rolling Call (COV0254)ESC Training Grant

Nursing and allied professional research at St Bartholomew's Hospital: post-doctoral clinical academic careers

Nursing and allied professional research at St Bartholomew's Hospital: post-doctoral clinical academic careers

Academic program recommendations for graduate degrees in medical physics: AAPM Report No. 365 (Revision of Report No. 197).

Academic program recommendations for graduate degrees in medical physics: AAPM Report No. 365 (Revision of Report No. 197).