Competent Health Research Articles

Mental health competencies are stronger determinants of well-being than mental disorder symptoms in both psychiatric and non-clinical samples

The present study aimed to investigate whether the strength of mental health competencies and the severity of mental disorder symptoms, and their interaction, differ in the strength of their associations with several dimensions of well-being in Hungarian adult psychiatric and non-clinical samples. All respondent in the psychiatric sample (129 patients (44 male, 85 female)) and in the non-clinical community sample (253 adults (43 male, 210 female)) completed the Mental Health Test, six measures of well-being and mental health, and the Symptom Checklist-90-Revised. Including both mental health competencies and mental disorder symptoms in a regression model in both samples can predict patients’ well-being even more accurately. Mental health competencies were positively related; mental disorder symptoms were negatively related to subjective well-being. In all models and in both samples, mental health competencies were found to be stronger determinants of well-being than mental disorder symptoms. The interaction of mental health competencies and mental disorder symptoms is no more predictive of well-being in either psychiatric or non-clinical samples than when the effects of each are considered separately. The assessment of mental health competencies has an important predictive value for well-being in the presence of psychopathological symptoms and/or mental disorders.

The Relationship between Spiritual Health and Spiritual Care Competencies in Nurses: A Cross-sectional Study

The Relationship between Spiritual Health and Spiritual Care Competencies in Nurses: A Cross-sectional Study

Phacoemulsification Plus Intraocular Lens Implantation with Gold Nanoparticles for Complicated Cataract Secondary to Uveitis: Efficacy Analysis

This study analyzes the efficacy of phacoemulsification (PE) plus intraocular lens implantation (IOLI) in patients with complicated cataracts secondary to uveitis. Nanostructured photothermal ring integrated (nano)-intraocular lens (IOLs) were developed to improve the biocompatibility and optical properties of IOLs. However, data on the safety profile and effectiveness of IOLI for patients with complicated cataracts secondary to uveitis are scarce, and studies have questioned the safety of PE in patients undergoing cataract surgery. We used gold nanoparticle (AuNP)-modified commercially available intraocular IOLs combined with PE technology to treat patients with complicated cataracts secondary to uveitis. First, we found that AuNP-modified IOLs were effective in reducing macrophage and bacterial adhesion and were biocompatible with the organism. Then, 64 patients with complicated cataracts secondary to uveitis were totally selected from February 2019 to February 2022, of which 33 cases were treated with PE+IOLI (test group) and 31 with conventional small-incision extracapsular cataract extraction (SIECCE) and IOLI (control group). Intergroup comparisons based on efficacy, safety, visual acuity (VA), aqueous humor protein levels before and after treatment, and quality of life (assessed with the Generic Quality of Life Inventory-74, GQOLI-74) revealed higher overall treatment efficacy and postoperative VA, as well as lower complication rate and postoperative aqueous humor protein levels, in the test group than the control group. Moreover, the test group had higher GQOLI-74 scores in the dimensions of physical function, mental health, psychological health, and social competence than the control group. Thus, PE+IOLI is more suitable for patients with complicated cataracts secondary to uveitis than conventional SIECCE+IOLI. PE+IOLI can improve treatment efficacy and safety, as well as patient VA and quality of life.

A life span perspective on competencies for a healthy, physically active lifestyle: Findings of a data pooling initiative with over 7000 individuals.

Individuals are recommended to lead active lifestyles throughout the life course. The model of physical activity-related health competence (PAHCO) adopts a competence approach by integrating physical, cognitive, and motivational determinants for health-enhancing PA (movement competence, control competence, self-regulation competence). Drawing on a comprehensive dataset pooling, the goal of the present study was to model the idiosyncratic courses of 10 PAHCO indicators over the life span. We identified studies that empirically operationalized PAHCO, combining data of 7134 individuals (age range: 15-97years; 61% female) from 18 different populations (prevention and rehabilitation sectors). We applied a stepwise multilevel analysis approach with disjunct sub-samples (n=48) to examine linear and quadratic associations between age and PAHCO. Indicators of movement competence (i.e., manageability of endurance, strength, and balance demands; task-specific self-efficacy) congruently showed negative associations with age (0.054≤ ≤0.211). However, parameters of control competence remained stable across the life span (-0.066≤β≤0.028). The three indicators of self-regulation competence revealed an inconsistent relationship with age, though uncovering positive associations for self-control (β=0.106) and emotional attitude toward PA (β=0.088). The associations of some indicators varied significantly across sub-samples. The results suggest differential analyses for associations between PAHCO and age. While the physically determined PAHCO indicators (movement competence) probably decline across the life span, the ability to ensure regularity of PA (self-regulation competence) or align PAs with an individual's health (control competence) appear to remain constant or improve with increasing age. The findings reinforce a de-stigmatizing approach for PA promotion practices with considerable space for aligning activities with health also in the elderly.

Health Competence Is a Determinant of Exercise Frequency in Older Adults With CKD

Health Competence Is a Determinant of Exercise Frequency in Older Adults With CKD

A qualitative analysis of student reflections on public health internships

PurposeReflective practice (RP) is a key skill for developing one’s professional practice. It has, however, not been unanimously prioritised in public health (PH) competency and education frameworks. Reflection activities are often unstructured in higher education. There is also a dearth of literature on the RPs of undergraduate PH students. This study aims to explore in greater depth how RP helps undergraduate PH students explore their own learning in internships.Design/methodology/approachReflection prompts were designed using the DEAL model. 124 written reflection entries from 32 students were collected and analysed thematically using a deductive-inductive approach. The conceptual framework of internship learning goals by Ash and Clayton (2009) was used to guide the deductive analysis.FindingsThree themes were identified: initial engagement with reflective learning; gradual integration of reflective learning, and a transformative phase involving professional development, personal growth, civic learning, growth through struggle, being confronted with differences in expectations, and skill acquisition.Originality/valueThis study extends the limited evidence regarding RP in undergraduate non-medical PH education, and contributes toward informing the revision of undergraduate PH programmes, for example, by integrating structured reflection earlier in the curricula, and establishing/supporting mentorship programmes between institutions. The findings call for PH educators to be more intentional in creating opportunities to nurture RP among budding PH professionals.

Promotion of physical activity-related health competence in the workplace—a qualitative evaluation of a pilot program

Zusammenfassung Hintergrund Körperliche Aktivität kann einen wichtigen Beitrag zur Prävention chronischer Erkrankungen leisten. Büroangestellte bewegen sich jedoch häufig zu wenig. Deshalb wurde ein digitales Bewegungsprogramm für diese Zielgruppe entwickelt, das sich direkt am Schreibtisch durchführen lässt. Es enthält wöchentliche Videoübungen, die durch wissensbasierte Aspekte und motivationsfördernde Informationen auf Basis des Modells der bewegungsbezogenen Gesundheitskompetenz ergänzt wurden. Begleitend wurden die Teilnahmemotivation am Bewegungsprogramm und potenzielle Barrieren aus der Perspektive der Nutzenden erhoben mit dem Ziel, das Programm zu evaluieren und anhand der Ergebnisse anzupassen. Studiendesign und Untersuchungsmethoden Auf Basis von leitfadengestützten Interviews wurden 11 Personen aus der Interventionsgruppe (5 Abbrecher*innen und 6, die die Studie abgeschlossen haben; Altersdurchschnitt: 49 ± 8 Jahre) zu ihrer Wahrnehmung des Bewegungsprogramms befragt. Der Leitfaden beinhaltete Fragen zur Bewegung im (Arbeits)alltag, dem Ablauf und der Bewertung des Bewegungsprogramms. Die Auswertung erfolgte anhand der strukturierenden qualitativen Inhaltsanalyse nach Kuckartz. Ergebnisse Die Befragten bewerten das Bewegungsprogramm, insbesondere die kurzen Videos, die jeweils eine Übung und Erklärungen dazu beinhalten, mehrheitlich positiv. Ein förderlicher Faktor zur Teilnahme am Bewegungsprogramm war dessen Design. Zu Barrieren für die Teilnahme zählen das Arbeitsumfeld, insbesondere die Bürosituation, potenzielle Reaktionen von Kolleg*innen, oder wahrgenommene Einstellungen der Vorgesetzten. Zum Abbruch der Teilnahme führten persönliche oder arbeitsbezogene Gründe wie Mehrarbeit oder ein eigenes Trainingsprogramm. Von den Teilnehmenden beschriebene Effekte des Programms beinhalten ein höheres Bewusstsein darüber, dass Bewegung wichtig ist, ebenso wie die Adaption von einzelnen passenden Übungen im eigenen Alltag. Schlussfolgerung Aus Sicht der Teilnehmenden besteht ein Bedarf nach mehr Bewegung am Arbeitsplatz. Damit die Implementierung gelingt, braucht es aber Unterstützung von den Organisationen (z. B. Unternehmen) und Kolleg*innen sowie Möglichkeiten, das Programm auf die eigene Arbeitssituation abzustimmen.

METHODS AND ACTIVITIES OF HEALTH COMPETENCE DEVELOPMENT IN NON-FORMAL ENVIRONMENT: EXPERIENCE OF CHILDREN WITH TYPE 1 DIABETES MELLITUS

Diabetes mellitus is a disease when certain processes in the body, which maintain a normal blood glucose concentration, get imbalanced. Research object is educational methods and activities used for the development and training of health competence. The aim of the research is to reveal educational methods and activities used for the development of health competence in non-formal environment, based on the experience of children with type 1 diabetes mellitus. Research methods: theoretical – analysis, comparison, and generalization of scientific literature; empirical – the use of focus group discussions with children with diabetes mellitus for data collection; Empirical research revealed that various educational methods and activities aimed at developing health competences are carried out for children with type 1 diabetes mellitus in non-formal educational environments (medical facilities, summer camps and health camps). The following activities and classes are used in medical facilities: lessons, conversations, questionnaires, and games. Activities used in summer camps are as follows: walks, cycling, games designed to develop physical activity skills. In the educational environment of health cams, the following educational methods and activities are used for the development of health competence for children with type 1 diabetes mellitus: lessons, games, educational activities, trips, and creative activities.

DEVELOPMENT OF HEALTH COMPETENCE OF CHILDREN WITH DIABETES MELLITUS IN THE SUMMER CAMP ENVIRONMENT

Diabetes mellitus is becoming a leading disease in paediatric endocrinology, which causes health problems and complications that can shorten life expectancy. The object of the research is the development of health competence of children with diabetes mellitus in the summer camp environment. Research aim is to reveal the development of health competence of children with diabetes mellitus in the summer camp environment. Tasks: 1) to identify the development of health competence in the environment of summer camps; 2) to reveal health topics being discussed by children in summer camps; 3) to reveal pedagogical interactions between the educator and the students in the environment of summer camps. Research methods: theoretical: analysis, generalisation and systematisation of scientific literature; empirical: document analysis. The research found that not only does the environment of summer camps contribute to the development of health competence of children with diabetes mellitus but it also encourages them to fully get used to living with the disease and creates a favourable educational environment that encourages communication. The research revealed that in the summer camp environment children discuss the following topics: blood sugar control, causes of diabetes mellitus and independence in managing the disease. The summer camp environment is friendly, active as well as engaging and tolerant of learner interaction.

Telephone Health Coaching and Remote Exercise Monitoring (TeGeCoach) in Peripheral Arterial Occlusive Disease.

Supervised exercise programs are used to treat intermittent claudication (IC). Home-based exercise programs have been developed to lower barriers to participation. We studied the effects of one such exercise program (TeGeCoach) on self-reported walking ability in patients with IC. In a pragmatic multicenter randomized controlled trial (registration number NCT03496948), 1982 patients with symp - tomatic IC insured by one of three German statutory health insurance funds received either telephone health coaching with remote exercise monitoring (TeGeCoach; n = 994) or routine care (n = 988). The primary outcome was the change in Walking Impairment Questionnaire (WIQ) scores after 12 and 24 months in the intention-to-treat population. The secondary outcomes were healthrelated quality of life, symptoms of depression or anxiety, health competence, patient activation, alcohol use, and nicotine depen - dence. There was a significant group difference in WIQ score in favor of TeGeCoach (p < 0.0001), amounting to 6.30 points at 12 months (Bonferroni-corrected 95% CI [4.02; 8.59], Cohen's d = 0.26) and 4.55 points at 24 months ([2.20; 6.91], d = 0.19). Some of the secondary outcomes also showed positive results in favor of TeGeCoach at 12 months with small effect sizes (d ≥ 0.20), including physical health-related quality of life and patient activation. The average daily step count was not higher in the TeGeCoach group. Significant improvements regarding symptom burden demonstrate the benefit of a home-based exercise program and thus expand the opportunities for guideline-oriented treatment of IC. Future studies should additionally address the effect of home-based exercise programs on clinical variables by means of, for example, the 6-minute walk test.

Bridging the evidence-to-practice gap: exploring dental professionals' perspectives on managing oral health during pregnancy in Tasmania, Australia.

Poor oral health is associated with adverse health, social and economic consequences for pregnant women. While dental professionals promote good oral health within the dental practice context, more broadly, women in the antenatal period face poor oral health outcomes. Therefore, this study explored dental professionals' perceptions of their role in managing the oral health of pregnant women and identified the barriers and facilitators to improving maternal oral health. This study employed a descriptive qualitative method utilizing semi-structured interviews. Convenience and snowball sampling were used to recruit 13 dental professionals from Tasmania, Australia, comprising dentists (n = 10), oral health therapists (n = 2) and dental therapist (n = 1). Interviews were audio-recorded, transcribed verbatim and analysed using inductive thematic analysis. Three major themes were constructed from the interviews: (1) dental professionals' oral health care of women during pregnancy; (2) perceived challenges to maternal oral health; and (3) proposed strategies to improve maternal oral health. Findings suggest dental professionals' competence in maternal oral health, but that several barriers, such as dental care access and maternal factors, hinder oral health outcomes. To address these barriers, oral health policies that support interprofessional collaboration, professional training and evaluation of existing community oral health programmes are needed. © 2024 Australian Dental Association.

Implementation and dissemination of physical activity-related health competence in vocational nursing training: study protocol for a cluster-randomized controlled intervention trial

BackgroundAlthough the nursing sector gains growing importance in an aging society, students representing the future workforce often show insufficient health. Acknowledging the health-enhancing effects of adequate physical activity, the educational system in Bavaria, Germany, has recently integrated the promotion of physical activity-related health competence (PAHCO) into the nursing curriculum. However, it cannot be assumed that PAHCO has sufficiently permeated the educational practices and routines of the nursing schools. Therefore, the goal of the present study is to examine and compare the effectiveness as well as implementation of different intervention approaches to address PAHCO in the Bavarian nursing school system.MethodsWe randomly assign 16 nursing schools (cluster-based) to four study arms (bottom-up, top-down led by teachers, top down led by external physical activity experts, control group). Schools in intervention group 1 (IG-1) develop multicomponent inventions to target PAHCO via cooperative planning (preparation, planning, and implementation phase). Intervention groups 2 and 3 (IG-2, IG-3) receive both an expert-based intervention (developed through intervention mapping) via trained mediators to address PAHCO. External physical activity experts deliver the structured PAHCO intervention in IG-2, while teachers from the nursing schools themselves conduct the PAHCO intervention in IG-3. In line with a hybrid effectiveness implementation trial, we apply questionnaire-based pre-post measurements across all conditions (sample size calculation: nfinal = 636) to examine the effectiveness of the intervention approaches and, simultaneously, draw on questionnaires, interview, and protocol data to examine their implementation. We analyze quantitative effectiveness data via linear models (times-group interaction), and implementation data using descriptive distributions and content analyses.ConclusionThe study enables evidence-based decisions about the suitability of three intervention approaches to promote competencies for healthy, physically active lifestyles among nursing students. The findings inform dissemination activities to effectively reach all 185 schools of the Bavarian nursing system.Trial registrationClinical trials NCT05817396. Registered on April 18, 2023.

Bringing a Structural Competency Framework to the (Simulated) Bedside: The Premature Discharge Objective Structured Clinical Exam.

Structural competency is increasingly valued as a framework to address health equity within undergraduate medical education. As of academic year 2023-2024, the Liaison Committee on Medical Education (LCME) requires that medical schools have content regarding basic principles of structurally competent health care. Despite encouraging data about the effectiveness of structural competency curricula, most occur within the walls of a classroom and do not enter the authentic or simulated clinical space. From 2022 to 2023, an objective structured clinical exam (OSCE) focused on premature discharge, previously known as discharge against medical advice, was integrated into the required fourth-year Health Policy course at Weill Cornell Medical College, which uses the framework of structural competency. After a simulated clinical encounter, students completed a reflection assignment and participated in group debriefing to reflect on how policy coursework affected their simulated clinical experience. Students completed an evaluation about their OSCE experience, and OSCE checklist performance was analyzed. Of 82 students who participated in the curriculum, 68 completed a curricular evaluation, and 62 consented to have their OSCE performance evaluated for research. Mean overall OSCE checklist performance evaluating students' patient-centered communication skills, harm reduction skills, and discharge planning and counseling was 14.3/16 (89.6%; standard deviation, 9.8%). Students reported it was valuable to focus on structural factors affecting care within the simulated clinical encounter by using the structural competency framework. To the authors' knowledge, this is the first OSCE for medical students designed to deepen their understanding of structural competency by embedding the experience into an existing course using the framework. Future work should explore how this curriculum affects students' attitudes toward structurally vulnerable patients. With structural competency as an LCME requirement, the use of OSCEs may give educators a means to teach and assess fundamental concepts.

Identifying Physician Public Health Competencies to Address Healthcare Needs in Underserved, Border, and Outer Island Areas of Indonesia: A Rapid Assessment

Phenomenon: Most medical schools in Indonesia have developed innovations to integrate public health content into the curricula. However, ensuring that all schools meet appropriate standards regarding the quality of subjects, content relevancy, and course delivery takes time and effort. Approach: This study employed a rapid assessment procedure to identify the current knowledge and competencies required to practice medicine effectively in underserved, border, and outer island areas of Indonesia. Ninety-three participants from six remote districts were involved in 12 focus group discussions. Qualitative data were analyzed using content analysis using the social determinants of health as a guiding framework. Findings: Under decentralized health system governance, the local socio-geographical context is critical to understanding the current public health landscape. Medical education with respect to public health must emphasize physicians’ ability to advocate and encourage the coordination of healthcare services in responding to disasters, as well as community-based surveillance and other relevant data for synergistic disease control. As part of a healthcare facility management team, prospective doctors should be able to apply systems thinking and provide critical input to improve service delivery at local health facilities. Also, recognizing underlying factors is essential to realizing effective interprofessional collaboration practices and aligning them with leadership skills. Insights: This study outlines recommendations for medical schools and relevant colleges in formulating compulsory block or integrated public health curricula. It also provides a public health learning topic that may aid medical schools in training their students to be competent for practice in underserved, border, and outer island areas. Medical schools should offer initiatives for students to acquire the necessary public health competencies merited by the population’s health needs.

Service Quality and Related Factors in Primary Health Care Services: A Cross-Sectional Study.

Primary health care services aim to prevent diseases and improve health efficiently and effectively. This study measures perceived service quality in a primary healthcare organization and examines the effect of personality traits on service quality. The cross-sectional study population comprised individuals over the age of 18 who applied to the Bingöl Central Community Health Centre. A total of 460 participants were included in the study between November 2018 and March 2019. The participants completed a face-to-face questionnaire that included socio-demographic characteristics, the SERVQUAL Scale, and an abbreviated form of the revised Eysenck Personality Questionnaire. This study is based on doctoral research in public health. The study found median values for personality trait sub-dimensions as follows: neuroticism: 2, psychoticism: 2.65, extraversion: 4, and lying: 5. The SERVQUAL Score was -0.02. The study revealed that the quality of primary health care services did not meet the participants' expectations. The study findings also indicated that age, educational attainment, and extraverted and psychotic personality traits were significantly associated with the satisfaction of service quality expectations (p < 0.05). It is recommended to provide primary health care services in facilities with good physical characteristics, with sufficient and competent health personnel, and in a timely and accurate manner to improve service quality.

Analysis Effect of Personnel Competence in Medicine and Health (BIDDOKKES) on Health Service Satisfaction in Southeast Sulawesi Regional Police

The aim of this research is to examine the influence of skills on the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department. Analyzing the knowledge towards the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department. Analyzing the social roles towards the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department. Analyzing the self-image towards the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department. Analyzing the attitudes towards the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department. This research adopts a cross-sectional approach. The population in this study consists of 351 personnel. The results of this study indicate that skills significantly influence the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department. Knowledge significantly influences the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department. Social roles significantly influence the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department. Self-image has no significant effect on service satisfaction for Medical and Health Personnel at the Southeast Sulawesi Regional Police. Attitudes significantly influence the satisfaction of service personnel in the Medical and Health Affairs of the Southeast Sulawesi Regional Police Department.

Sexual and gender minority content in undergraduate medical education in the United States and Canada: current state and changes since 2011.

To characterize current lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI +) health-related undergraduate medical education (UME) curricular content and associated changes since a 2011 study and to determine the frequency and extent of institutional instruction in 17 LGBTQI + health-related topics, strategies for increasing LGBTQI + health-related content, and faculty development opportunities. Deans of medical education (or equivalent) at 214 allopathic or osteopathic medical schools in Canada and the United States were invited to complete a 36-question, Web-based questionnaire between June 2021 and September 2022. The main outcome measured was reported hours of LGBTQI + health-related curricular content. Of 214 schools, 100 (46.7%) responded, of which 85 (85.0%) fully completed the questionnaire. Compared to 5 median hours dedicated to LGBTQI + health-related in a 2011 study, the 2022 median reported time was 11h (interquartile range [IQR], 6-16h, p < 0.0001). Two UME institutions (2.4%; 95% CI, 0.0%-5.8%) reported 0h during the pre-clerkship phase; 21 institutions (24.7%; CI, 15.5%-33.9%) reported 0h during the clerkship phase; and 1 institution (1.2%; CI, 0%-3.5%) reported 0h across the curriculum. Median US allopathic clerkship hours were significantly different from US osteopathic clerkship hours (4h [IQR, 1-6h] versus 0h [IQR, 0-0h]; p = 0.01). Suggested strategies to increase content included more curricular material focusing on LGBTQI + health and health disparities at 55 schools (64.7%; CI, 54.6%-74.9%), more faculty willing and able to teach LGBTQI + -related content at 49 schools (57.7%; CI, 47.1%-68.2%), and more evidence-based research on LGBTQI + health and health disparities at 24 schools (28.2%; CI, 18.7%-37.8%). Compared to a 2011 study, the median reported time dedicated to LGBTQI + health-related topics in 2022 increased across US and Canadian UME institutions, but the breadth, efficacy, or quality of instruction continued to vary substantially. Despite the increased hours, this still falls short of the number of hours based on recommended LGBTQI + health competencies from the Association of American Medical Colleges. While most deans of medical education reported their institutions' coverage of LGBTQI + health as 'fair,' 'good,' or 'very good,' there continues to be a call from UME leadership to increase curricular content. This requires dedicated training for faculty and students.

Public health communication professional development opportunities and alignment with core competencies: an environmental scan and content analysis.

Communication is vital for effective and precise public health practice. The limited formal educational opportunities in health communication render professional development opportunities especially important. Competencies for public health communication describe the integrated knowledge, values, skills and behaviours required for practitioner and organizational performance. Many countries consider communication a core public health competency and use communication competencies in workforce planning and development. We conducted an environmental scan and content analysis to determine the availability of public health communication professional development opportunities in Canada and the extent to which they support communication-related core competencies. Three relevant competency frameworks were used to assess the degree to which professional development offerings supported communication competency development. Overall, 45 professional development offerings were included: 16 "formalized offerings" (training opportunities such as courses, webinars, certificate programs) and 29 "materials and tools" (resources such as toolkits, guidebooks). The formalized offerings addressed 25% to 100% of the communication competencies, and the materials and tools addressed 67% to 100%. Addressing misinformation and disinformation, using current technology and communicating with diverse populations are areas in need of improved professional development. There is a significant gap in public health communication formalized offerings in Canada and many of the materials and tools are outdated. Public health communication professional development offerings lack coordination and do not provide comprehensive coverage across the communication competencies, limiting their utility to strengthen the public health workforce. More, and more comprehensive, professional development offerings are needed.

Primary Mental Health Competencies for Palliative Medicine Physicians: A Consensus-Prioritized List

Primary Mental Health Competencies for Palliative Medicine Physicians: A Consensus-Prioritized List

Experiences and perceptions of nurses and air ambulance service providers in carrying out aeromedical evacuations in Indonesia: A qualitative research.

Basic non-military flight nurse training is essential for enhancing nurses' competency in conducting aeromedical evacuations. Trained nurses possessing flight nurse proficiency are indispensable for ensuring stable patient conditions amidst the unique physical, physiological, and psychological challenges encountered during flights. This study aimed to describe the experiences and perceptions of nurses and air ambulance service providers regarding aeromedical evacuations. This study employed a qualitative descriptive design. Data were gathered from February to July 2023 through semi-structured online interviews with seven nurses and air ambulance service providers engaged in aeromedical evacuation. Content analysis was utilized to interpret the interview data. Seven themes were generated: 1) Experiences in aeromedical evacuation experiences, 2) Challenges faced by nurses and air ambulance service providers during aeromedical evacuations, 3) Essential knowledge for nurses involved in aeromedical evacuations, 4) Efforts to improve nurses' knowledge and skills, 5) Leveling of flight nurse training, 6) Flight nurse training methods, and 7) Flight nurse training evaluation strategies. Nurses and air ambulance service providers acknowledge the significant influence of the flight environment on changes in patient conditions during aeromedical evacuations. To effectively manage alterations in patient conditions during flights, healthcare workers equipped with aviation health competency are imperative. One approach to enhancing the competency of healthcare workers is through flight nurse training. The findings from this study serve as a valuable resource for policymakers and health-related institutions endeavoring to formulate aeromedical evacuation strategies.