Collaborative Team Research Articles

Improving Craniofacial Team Collaboration: A Multicenter Interview Study of Effective Team Meetings.

In the USA, the American Cleft Palate Association-Craniofacial Association (ACPA-CPF) specifies guidelines to ensure craniofacial teams function in a multidisciplinary fashion to provide care in a sequence that mirrors the patient's needs. Among these guidelines is the expectation that teams hold regular multidisciplinary team meetings to discuss patient care. The purpose of this study was to identify factors that contribute to optimal team functioning during these meetings. The impact of the virtual format on meetings was also evaluated. One-hour semi-structured interviews of craniofacial team members, queried on current and ideal team meetings, were conducted from December 2020 - January 2021. Interviews were recorded, transcribed, and coded to identify common themes until thematic saturation was achieved. Sixteen team members from three major American craniofacial centers were interviewed virtually. Three major categories were identified as integral to successful meetings: (1) meeting content, (2) meeting processes, and (3) team dynamics. Within these categories are several factors that participants reported as important to optimize their multidisciplinary meetings: key content for discussions, integration of patient perspective, recognition of collaboration in determining proper sequence of treatments, an attentive discussion leader promoting equitable discussions, managing absences, and team diversity. Participants also identified benefits and pitfalls of hosting meetings in the virtual setting, including lack of engagement and awkward communication. Diverse groups of disciplines are expected to come together during craniofacial multidisciplinary meetings to formulate intricate care plans for complex patients. In this study, craniofacial team members have identified several key factors to optimize these meetings. The research group used these factors to propose a self-evaluation instrument for meeting quality improvement, provided in printable format. Further studies should evaluate how implementation of these factors affects meetings and ultimately guides patient care.

Development of an instrument to measure the competencies of health professionals in the process of evidence‐based healthcare: A Delphi study

AbstractAimsTo identify and reach consensus on dimensions and criteria of a competence assessment instrument for health professionals in relation to the process of evidence‐based healthcare.DesignA two‐round Delphi survey was carried out from April to June 2023.MethodsConsensus was sought from an expert panel on the instrument preliminarily established based on the JBI Model of Evidence‐Based Healthcare and a rapid review of systematic reviews of relevant literature. The level of consensus was reflected by the concentration and coordination of experts' opinions and percentage of agreement. The instrument was revised significantly based on the combination of data analysis, the experts' comments and research group discussions.ResultsSixteen national and three international experts were involved in the first‐round Delphi survey and 17 experts participated in the second‐round survey. In both rounds, full consensus was reached on the four dimensions of the instrument, namely evidence‐generation, evidence‐synthesis, evidence‐transfer and evidence‐implementation. In round‐one, the instrument was revised from 77 to 61 items. In round‐two, the instrument was further revised to have 57 items under the four dimensions in the final version.ConclusionThe Delphi survey achieved consensus on the instrument. The validity and reliability of the instrument needs to be tested in future research internationally.Implications for the Profession and/or Patient CareSystematic assessment of nurses and other health professionals' competencies in different phases of evidence‐based healthcare process based on this instrument provides implications for their professional development and multidisciplinary team collaboration in evidence‐based practice and better care process and outcomes.ImpactThis study addresses a research gap of lacking an instrument to systematically assess interprofessional competencies in relation to the process of EBHC. The instrument covers the four phases of EBHC process with minimal criteria, highlighting essential aspects of ability to be developed. Identification of health professionals' level of competence in these aspects helps strengthen their capacity accordingly so as to promote virtuous EBHC ecosystem for the ending purpose of improving global healthcare outcomes.Reporting MethodThis study was reported in line with the Conducting and REporting of DElphi studies (CREDES) guidance on Delphi studies.Patient and Public ContributionNo patient or public contribution.

Challenges and Benefits of a Multidisciplinary Approach to Treatment in Clinical Medicine

Introduction: The multidisciplinary approach in healthcare unites professionals from different fields to deliver patient-centered care. This collaborative team, comprising care partners, hospitalists, nurses, pharmacists, and others, operates with shared goals, leveraging electronic records, regular assessments, and patient involvement. Objective: In this review, we aim to investigate the challenges and benefits of a multidisciplinary approach to treatment in clinical medicine. Methodology: In our study, we included English studies from online databases such as Web of Science, Scopus, Google Scholar, PubMed, and the Cochrane Library using the following keywords “delusions”, “pharmacotherapy”, “psychotherapy”, and “antipsychotics” till January 2024. Results: The result of the search using our search strategy was 2367 articles. We screened these articles to choose the articles related to our topic. We did a full-text screening of 344 articles after excluding the remaining articles by title and abstract screening. Finally, we used 50 articles to gather information about our topic and write this review. Scientific Novelty: Lies in its integration of diverse expertise, methodologies, and perspectives to address complex healthcare challenges. Practical Significance of the Results Obtained: Its practical significance lies in improving patient outcomes, optimizing resource utilization, and fostering innovation through collaborative problem-solving and evidence-based practices. Conclusion: This literature review focused on the multidisciplinary approach in medicine to ensure quality healthcare for patients. Stressing the advantages such as decreasing negative patient outcomes and increasing treatment strategies by collaboration among health care professionals.

INTERNAL TEAMWORK PRACTICES AND PROJECT IMPLEMENTATION IN NON-PROFIT PROJECT IN RWANDA: A CASE OF UPHLS

Background:This research study aimed to assess the influence of internal teamwork practices on project implementation in non-profit organizations operating in Rwanda, with a specific focus on The Umbrella of Organizations of Persons with Disabilities in the Fight Against HIV&AIDS and for Health Promotion (UPHLS). The study was structured around three specific objectives which were: To assess the effect of Team Collaboration on Project Implementation Success within the UPHLS project in Rwanda. To determine the influence of Resource Allocation on the Timeliness of project implementation within the UPHLS project in Rwanda. And finally, to evaluate the influence of Training and Development on the Quality of Deliverables in the UPHLS project in Rwanda. Materials and Methods:In order for the researcher to achieve the objectives of the research, a descriptive and correlation research design were adopted. Data was collected through a combination of both quantitative and qualitative methods, utilizing interview guides and questionnaires. The research population of this research included the broader staff population of 22 at UPHLS headquarters, these individuals were all considered as the sample size through the adoption of the census sampling technique where the entire population is inclusive in the study under investigation due to the small size of this population. Results:From the collected data the findings identified critical factors influencing success. Effective communication (mean=4.23, SD=1.45), clear task allocation (mean=4.27, SD=1.31), appropriate leadership (mean=4.36, SD=1.27), a culture of trust (mean=4.46, SD=1.18), and regular feedback (mean=4.32, SD=1.29) were key contributors to successful project implementation. Resource allocation significantly impacted timeliness, with financial resources (mean=4.68, SD=1.23), human resources (mean=4.89, SD=1.56), material resources (mean=4.45, SD=1.34), procurement practices (mean=4.76, SD=1.45), and budget oversight (mean=4.89, SD=1.23) playing crucial roles. Training and development initiatives positively influenced the quality of project deliverables, with mean scores ranging from 4.39 to 4.58 and corresponding percentages of agreement ranging from 44.46% to 50.87%. Correlation analysis demonstrated a strong positive correlation (r=0.736, p=0.001) between internal teamwork practices and project implementation. The research therefore concluded by emphasizing the significant role of cohesive teamwork in project success. The study went further to mention that these findings underscored the importance of effective communication, resource management, and training initiatives in enhancing project outcomes in the context of non-profit projects, providing actionable insights for organizations aiming to improve their project implementation processes. Conclusions: Based on the studys findings and conclusions, several recommendations were made by the research where the study suggested enhancing internal teamwork practices in non-profit projects, especially UPHLS in Rwanda, by fostering trust, allocating resources, investing in training, and recognizing the strong correlation between teamwork and project success. These recommendations aimed to improve collaboration, efficiency, and project outcomes. Building on the insights from the current study on internal teamwork practices in Rwandan non-profit projects, the study suggested further research, including cross-cultural analysis, longitudinal studies, qualitative leadership styles, external stakeholders, comparative analysis, and global events, to enhance project management and foster social development.

CVD Case Series: Screening and Risk Reduction

Undetected cardiovascular disease is one of the leading causes of complications during pregnancy in the United States. Maternal mortality reviews indicate that lack of suspicion and delays in diagnosis are the primary drivers of CVD-related mortality. Purpose of this study is to examine the effect of implementing the CVD (Cardiovascular Disease) Risk Assessment tool developed by the California Maternal Quality Care Collaborative (CMQCC) team in 2018. Eligibility of patients in the case series was determined through CVD risk screen score of 4 or higher using a standardized stool adopted from the CMQCC. The patient was scored at the point of hospital entry. Factors used in scoring included symptoms, vitals and risk factors. Patients who scored positive were sent for further work up. This included in-depth analysis of other significant clinical factors influencing patient presentation and subsequent management. The CV patient cases presented in this case series illustrate the benefits of early identification and implementation of standardized CVD risk assessment. There are significant benefits in early use of the CV screening tool contributing to mortality risk reduction including continued close antenatal surveillance, postpartum follow-up, and continued collaborative multidisciplinary care. Patients with risk factors underwent continued surveillance and received appropriate specialized follow-up that allowed for improved maternal outcomes. Proper implementation of CVD risk assessment tool for patients who are at-risk of development of CVD in pregnancy can effectively reduce adverse maternal outcomes related to cardiac disease.

Analysis of the Implementation of Re-Thinking Strategic Leadership in MSMEs for Sheet and Bed Cover Products in the City of Bandung

MSMEs in the bed linen industry often face challenges in increasingly tight market competition and changing consumer dynamics. To remain relevant and competitive in an ever-changing market, MSME leaders need to rethink their leadership strategies. Rethinking in this context includes re-evaluating business models, marketing strategies, production processes, and relationships with customers. MSME leaders need to consider new strategies that enable them to face challenges and exploit opportunities in the bedsheets industry. Based on the results of observations and in-depth interviews with MSME owners who produce bed sheets and bed covers in the Bandung area, it is clear that most of the MSME players who produce bed sheets and bed covers, especially the owners, in this case who are the leaders, have implemented re-thinking strategic leadership, especially those in the bed sheet business who produce on a large scale. . Re-thinking strategic leadership in this case means that MSME bed sheet and bed cover players have re-evaluated business models, marketing strategies, production processes and relationships with customers. MSME owners of bedsheet and bedcover products in Bandung have adopted various strategies to understand and adapt to the rapidly changing business environment. They use e-commerce and social media platforms, prioritize environmentally friendly products, adopt health protocols during the pandemic, and adjust production processes according to environmental regulations. Their strategic leadership drives adaptation through market research, product innovation, sales channel diversification, improved customer service, operational efficiency, collaboration, pricing flexibility, and human resource development. Additionally, they apply long-term thinking through SWOT analysis, market trend monitoring, competitor research, and data analysis. Team collaboration and engagement are also enhanced through cross-functional teams, open communication, shared goals, and collaborative rewards. Technology and innovation are encouraged with training, support systems, feedback loops, and innovation awards. Systemic thinking and leadership development is carried out through outreach, training, open communication, and feedback. These MSMEs also have risk awareness with appropriate risk analysis and risk mitigation as well as regular performance measurements for evaluation and strategy adjustments. MSME leaders are also considering new strategies that will enable them to face challenges and exploit opportunities in the bedsheets industry. MSME leaders in the bed linen industry have implemented strategic leadership to direct their business in a direction that is in line with the company's vision and mission. Strategic leadership involves making smart decisions, identifying market opportunities, managing risks, and developing long-term strategies. Even though the results obtained, not all MSMEs producing bed sheets are as expected.

CVD Case Series: Screening and Risk Reduction

Undetected cardiovascular disease is one of the leading causes of complications during pregnancy in the United States. Maternal mortality reviews indicate that lack of suspicion and delays in diagnosis are the primary drivers of CVD-related mortality. Purpose of this study is to examine the effect of implementing the CVD (Cardiovascular Disease) Risk Assessment tool developed by the California Maternal Quality Care Collaborative (CMQCC) team in 2018. Eligibility of patients in the case series was determined through CVD risk screen score of 4 or higher using a standardized stool adopted from the CMQCC. The patient was scored at the point of hospital entry. Factors used in scoring included symptoms, vitals and risk factors. Patients who scored positive were sent for further work up. This included in-depth analysis of other significant clinical factors influencing patient presentation and subsequent management. The CV patient cases presented in this case series illustrate the benefits of early identification and implementation of standardized CVD risk assessment. There are significant benefits in early use of the CV screening tool contributing to mortality risk reduction including continued close antenatal surveillance, postpartum follow-up, and continued collaborative multidisciplinary care. Patients with risk factors underwent continued surveillance and received appropriate specialized follow-up that allowed for improved maternal outcomes. Proper implementation of CVD risk assessment tool for patients who are at-risk of development of CVD in pregnancy can effectively reduce adverse maternal outcomes related to cardiac disease.

Analysis of the Phenomenon of Involution among Young People

"Involution" among young people refers to the continuous efforts of the young generation in pursuit of better grades, career development, and quality of life in today's competitive social environment. This phenomenon reflects the problems of the current education system because the school evaluation system focuses too much on scores and rankings. It is also associated with a highly competitive job market. As the economy slows down, young people are facing increasing pressure to find a job. There is also the phenomenon of "involution" in pursuing a better quality of life. With the popularity of social media and the advent of the information age, many young people measure their happiness by comparing themselves with others in terms of material conditions and travel experiences. This comparison mentality encourages them to constantly exert pressure on the outside world and chase the so-called "success" standard. In this context, this paper studies the characteristics, causes, and problems of the phenomenon of involution among young people in China. According to analysis, it is concluded that the phenomenon of "involution" exhibits evident utilitarian characteristics and can weaken team collaboration. It is mainly caused by parental expectations, societal norms and values, and the education system. The "involution" phenomenon leads to excessive competition and an unbalanced distribution of resources. In addition, it also hurts the education system and brings negative impacts on the workplace.

Improving Virtual Team Collaboration Paradox Management: A Field Experiment

Virtual teams are ubiquitous in the workplace, yet they experience frequent collaboration challenges. Successfully managing the team collaboration paradox, in terms of maintaining a unified team perspective and diverse individual perspectives, presents a potentially important lever to improve virtual team performance. However, scholars have conflicting opinions regarding whether such improvement is possible. We argue that team collaboration paradox management will positively relate to team performance over time and can be improved via a theory-based intervention. This intervention draws from theory on paradoxes for its content (paradoxical thinking) and team development interventions for its structure (general content knowledge, team-specific feedback, action-focused planning). Given the complexity of paradoxes, it is unclear whether a single training session could substantively improve their management; therefore, one intervention condition was comprised of a single training session and the other condition included a follow-up session. Analyzing two waves of multisource quantitative data from a sample of 76 virtual teams from 37 organizations, we find a positive relationship between team collaboration paradox management and team performance at both time periods. We also find that only the intervention condition with the follow-up session, as compared with untreated control teams, significantly improved how well teams managed the collaboration paradox and thereby facilitated subsequent changes in team performance. Supplementary qualitative insights from the intervention sessions illuminate the actions virtual teams took to improve their collaboration paradox management. These results have important implications for the paradox and teams literatures, as well as the managers and members of virtual teams. Funding: This work was supported by the SHRM Foundation [Project 166].

Cultural Communication Models and Strategies of Red Archives in Colleges and Universities under the Perspective of Digital Empowerment

This study explores the significant impact of digital technology on the dissemination and accessibility of red archives within colleges and universities, highlighting it as a crucial evolution in these institutions' cultural endeavours. By applying Maletzke's communication model, the research thoroughly investigates the factors influencing red archive culture communication in the digital context within colleges and universities. It develops a specific communication model for these educational institutions. It outlines five strategic approaches to enhance digital empowerment: improving the quality of content, building and enhancing collaborative team structures, upgrading functional features for personalized service offerings, effectively identifying and engaging the target audience, and utilizing policy, culture, and technology as fundamental elements for the sustainable development of red archive resources. This strategic proposal aims to facilitate the effective promotion and use of red archive resources in colleges and universities amidst the ongoing digital transformation.

The role of human agency in nurses' hopeful career state

AbstractThis study explores the role of human agency in shaping the hopeful career state (HCS) of nurses in Oman during the COVID‐19 pandemic. Utilizing the enhanced critical incident technique (ECIT) and integrating Albert Bandura's three modes of agency (i.e., personal, proxy, and collective), this study aimed to identify helping and hindering factors affecting Omani nurses' HCS during the pandemic, while uncovering their wishes. Sixteen nurses from Oman's public healthcare sector were interviewed. The top three helping factors were family support (81.3%), support from leaders and senior colleagues (56.3%), and multidisciplinary team collaboration (43.8%). The most frequently reported hindering factors were lack of equipment, supplies, and infrastructure (100%), shortage of nurses (56.3%), and increased workload (50%). The top three wish‐list items included specialized hospitals for infectious diseases (62.5%), training and staff development (43.8%), and more nurses (31.3%). Through force‐field analysis, we delineated the agents and modes of agency at play, offering insights for targeted Human Resource Development (HRD) interventions. This study contributes to the HRD literature by illustrating the dynamic interplay of agency factors in crisis conditions. The findings highlight the need for HRD practitioners to develop multilevel interventions that foster personal, proxy, and collective agency to support healthcare workers' HCS during crises, providing a foundation for future strategies in healthcare and beyond.

Problem-Based Learning for Interprofessional Education: A Review of the Concept and Its Application in a Geriatric Team.

The global population is aging, with those aged 65 years or over increasing in number and accounting for a growing share of the population. There are increasing demands for geriatric care which makes the development and delivery of effective geriatric team training a priority. Training in geriatrics is complex because of the multiplicity of medical, psychosocial, and functional issues in elderly individuals which need to be addressed by a multidisciplinary approach using interprofessional education (IPE). Problem-based learning, a student-centered educational model that brings several natural strengths to IPE, is a unique curriculum replacing the traditional lecture-based learning model. This model enhances physician competency after graduation, mainly in psychosocial and teamwork issues that are fundamentally essential for geriatrics. IPE has been shown to have a substantial positive impact on team collaboration, individual development, and healthcare improvement. In this paper, we summarize the current findings from recent studies on training professionals from different healthcare disciplines to deliver care for the elderly in collaborative practice. We also discuss if an interprofessional problem-based geriatric team program in geriatrics is a promising solution to enhance professional collaboration and quality of patient care.

Exemplary Self-Discipline, Leniency towards Others: Competitive Contexts Amplify the "Black Sheep Effect" in Restoring Ingroup Trust.

Intergroup interaction, a pivotal aspect of social interaction, encompasses both cooperation and competition. Group identity significantly impacts individual behaviors and decision-making processes. This influence manifests in two contrasting ways when addressing rule-breaking by interaction partners: in-group favoritism, where individuals are more lenient towards infractions committed by in-group members, and the black sheep effect, where in-group members are penalized for their rule-breaking. Although trust is crucial in intergroup interactions, the precise impact of group identity on trust restoration and the potential moderating role of intergroup interaction types remain to be elucidated. This study presents two experiments designed to explore these dynamics. In Study 1, the manipulation of group identity through a point estimation task was utilized to evaluate its impact on intergroup trust restoration via a series of repeated trust games. Study 2 aimed to explore the moderating role of intergroup interaction on intergroup trust restoration by contrasting cooperation and competition situations. The results uncovered a "black sheep effect", where participants demonstrated a greater propensity for trust restoration with out-group members than with in-group members. This effect, however, was only evident in competitive contexts. Conversely, in cooperative contexts, the individual's trust in the in-group and out-group members is effectively repaired. These findings contribute to a deeper comprehension of trust dynamics in intergroup interactions, promoting trust establishment and repair between diverse groups, thereby boosting team collaboration efficiency and mitigating conflicts.

A descriptive analysis of skin-only closure and Bogota bag techniques for achieving complete fascial closure in damage control abdominal surgery

BackgroundTemporary abdominal closure (TAC) techniques are essential in managing open abdomen cases, particularly in damage control surgery. Skin-only closure (SC) and Bogota bag closure (BBC) are commonly used methods for TAC, but their comparative effectiveness in achieving primary fascial closure (PFC) remains unclear. The objective of this study was to evaluate the rates of PFC between patients undergoing SC and BBC techniques for TAC in peritonitis or abdominal trauma cases at a tertiary care hospital.MethodsA retrospective cross-sectional study was conducted at the Surgical A Unit of Hayatabad Medical Complex, Peshawar, from January 2022 to July 2023. Approval was obtained from the institutional review board, and patient consent was secured for data use. Patients undergoing temporary abdominal closure using either skin-only or Bogota bag techniques were included. Exclusions comprised patients younger than 15 or older than 75 years, those with multiple abdominal wall incisions, and those with prior abdominal surgeries. Data analysis utilized SPSS version 25. The study aimed to assess outcomes following damage control surgery, focusing on primary fascial closure rates and associated factors. Closure techniques (skin-only and Bogota bag) were chosen based on institutional protocols and clinical context. Indications for damage control surgery (DCS) included traumatic and non-traumatic emergencies. Intra-abdominal pressure (IAP) was measured using standardized methods. Patients were divided into SC and BBC groups for comparison. Criteria for reoperation and primary fascial closure were established, with timing and technique determined based on clinical assessment and multidisciplinary team collaboration. The decision to leave patients open during the index operation followed damage control surgery principles.ResultsA total of 193 patients were included in this study, with 59.0% undergoing skin-only closure (SC) and 41.0% receiving Bogota bag closure (BBC). Patients exhibited similar demographic characteristics across cohorts, with a majority being male (73.1%) and experiencing acute abdomen of non-traumatic origin (58.0%). Among the reasons for leaving the abdomen open, severe intra-abdominal sepsis affected 51.3% of patients, while 42.0% experienced hemodynamic instability. Patients who received SC had significantly higher rates of primary fascial closure (PFC) compared to BBC (85.1% vs. 65.8%, p = 0.04), with lower rates of fascial dehiscence (1.7% vs. 7.6%, p = 0.052) and wound infections (p = 0.010). Multivariate regression analysis showed SC was associated with a higher likelihood of achieving PFC compared to BBC (adjusted OR = 1.7, 95% CI: 1.3–3.8, p < 0.05).ConclusionIn patients with peritonitis or abdominal trauma, SC demonstrated higher rates of PFC compared to BBC for TAC in our study population. However, further studies are warranted to validate these results and explore the long-term outcomes associated with different TAC techniques.

Addressing Challenges in Enhancing Team Collaboration and Evaluating Interdisciplinary Projects

The aim of this paper is to clarify the extent to which collaborative project work needs to be promoted to develop key competences, notably autonomous learning, and effective collaboration, essential in the context of our rapidly evolving world. The impact of different assessment methods on the final outcomes of Project Based Learning (PBL) is examined in its interdisciplinary perspective. The samples encompassed 180 American College of Sofia (ACS) students divided into two cohorts: a control group of 60 and an experimental one of 120. Of particular interest is to examine whether the use of alternative assessment techniques is applicable to an interdisciplinary project and how effective they are in incentivizing teamwork. Recommendations aimed at reducing instances of social loafing and increasing student activity in collaborative project work are also discussed. The assessment tools used to measure the course objectives comprise purpose-designed checklists tailored to the specifics course needs. The research methodology is based on extensive observations of project-related activities, including periodic evaluations, questionnaires on the achievement of intermediate objectives, peer evaluations and teachers’ feedback, culminating in a final project report. In addition, a comparative analysis of the students’ academic performance is made, focusing only on the area of mathematics in the context of a multidisciplinary project. This comparative analysis is intended to provide an overall assessment of the efficacy of the alternative assessment techniques used and their suitability for PBL. Keywords: project-based learning, project-oriented learning, interdisciplinary project, teamwork, feedback, alternative assessment, rubric

Shallow strategic thinking: findings from a multinational problem-based learning pilot study

PurposeResearchers piloted a problem-based learning (PBL) activity in a master’s degree-granting strategic studies program to explore how students apply knowledge and skills learned from the curriculum to their formulation of a strategy addressing a real-world global security scenario.Design/methodology/approachThis mixed-methods pilot study used ethnographic observation, participant feedback, document analysis and surveys to assess the learning and engagement of multinational postgraduate students in the context of a PBL environment.FindingsFindings revealed gaps in students’ causal logic and literacy, as well as student discomfort with ambiguity and reliance upon heuristic frameworks over willingness to conduct substantive, current and relevant research. Additionally, observed group dynamics represented a lack of inclusive collaboration in mixed gender and multinational teams. These findings suggest foundational issues with the curriculum, teaching methodologies and evaluation practices of the studied institution.Originality/valueThis study highlights the need to include explicit instruction in problem-solving and causal literacy (i.e. logical reasoning) in postgraduate programs for national and global security professionals, as well as authentic opportunities for those students to practice interpersonal communication.

Patient-authored medical record II: A not-knowing approach to psychiatric nursing

A patient-authored medical record (PAMR) is a narrative-based prescription that is written by a psychiatric patient with help from a nurse. It is a tool specifically designed and developed for psychiatric nursing. We have reported its notable therapeutic effects for Japanese patients and found that the patients had accurate views of how to improve their illness. The present paper, which broadens the scope of this examination, includes the entire process of using this tool, including both patient-authored medical records and follow-up dialogue. We aim to demonstrate how a patient's potentials are leveraged and expanded through the interpretation of such texts through dialogue, in which interpretation takes the form of a conversational question based on not-knowing. Follow-up meetings facilitate the therapeutic process and team collaboration for patients, medical staff, and families. We also reaffirm the soundness and legitimacy of psychiatric patients writing their own prescription with help from a nurse.

Situational diagnosis carried out at ESF 303

The Family Health Strategy (ESF) is crucial to expanding health coverage. This study, carried out by the second term of the Medicine course at the Centro Universitário de Goiatuba, analyzed the Family Health Strategy - 303, in Goiatuba, through situational diagnosis, which assesses the health conditions of a population, allowing us to know the challenges experienced in that place and plan strategic actions for possible improvements. Goiatuba, in Goiás, has 13 Family Health Units serving 35,664 inhabitants. Data from the health unit was collected and analyzed, including interviews with the preceptor and nurses, as well as site visits. A prevalence of cases of hypertension, diabetes and schizophrenia was observed, as well as structural weaknesses such as the lack of a vaccination room, a preventive care room, problems in the dental office and the absence of a full team of collaborators. These factors hamper the efficiency of the service and the quality of care. Pamphlets were distributed and an awareness campaign on healthy lifestyles was carried out, encouraging healthy eating, physical exercise and structural improvements to the unit were suggested, such as implementing psychological counseling. The research highlighted the importance of situational diagnosis in order to understand the reality of local health and implement more effective actions aimed at serving the entire population.

Leadership 5.0, Cross-Functional Collaboration, and Team Innovation Attributes Among Faculty in Selected Higher Education Institutions

This study investigates the Leadership 5.0 characteristics of school administrators and assesses the importance of these leadership qualities on cross-functional collaboration and team innovation of faculty members within a higher education setting. Covering a spectrum of leadership competencies such as digital savviness, agility, innovation, and sustainability, the analysis reveals how these attributes correlate significantly with the dynamics of team collaboration and innovation. The findings highlight the imperative for administrators to continuously develop their capabilities to navigate the complexities of modern educational environments effectively. Key areas identified for development include enhancing digital and agile leadership skills, fostering a culture of innovation, and strengthening ethical frameworks and linkages within and beyond the institution. Recommendations emphasize the need for targeted professional development programs that address these key competencies, promoting a more collaborative and innovative organizational culture. Through structured training sessions, the adoption of collaborative tools, and the reinforcement of team-oriented practices, this study provides a strategic blueprint for enhancing the efficacy of educational leaders. The results affirm that successful leadership in education is not merely dependent on inherent traits but on continual growth, strategic foresight, and the effective management of interpersonal and technological resources, ensuring resilience and success in meeting contemporary educational challenges.

Contribution of Canva For Education In Enhancing Students' Creativity and Presentation Skills

This article discusses the role of Canva For Education in enhancing the creativity and presentation skills of students at Universitas Negeri Malang. Faced with the challenges of the global job market, the university recognizes the potential of Canva For Education as an innovative solution with features such as visual design, team collaboration, and multimedia integration. Despite implementation challenges such as integrating technology into the curriculum and data security issues, Canva For Education can provide a positive contribution to the development of students' skills. Literature reviews indicate that this platform can boost creativity through appealing visual designs, team collaboration, and the utilization of learning resources. Furthermore, Canva For Education can advance presentation skills through attractive slide designs, effective use of visualization, and consistent content design. The article concludes by affirming that Canva For Education is a valuable tool in preparing students for the demands of the increasingly visually-oriented global job market