Component Of Practice Research Articles

Defining Systemic Change in School Counseling: A Delphi Study

ABSTRACT Systemic change is regarded as a key component of professional school counseling practice for increasing positive, equitable outcomes for PreK-12 students. Although related constructs like leadership and advocacy have been thoughtfully explored, systemic change requires consultation and collaboration with educational and community partners. To date, there has been a lack of clarity around how systemic change looks in practice for school counselors. The purpose of this study was to explore the foundational components of systemic change in school counseling. Using Delphi methodology, an expert panel of 22 participants consisting of professional school counselors, counselor educators, and school counseling supervisors developed a consensus list of 130 items describing the core beliefs, knowledge, dispositions, and skills necessary for school counselors to conduct systemic change. The findings suggest future implications for school counseling research, preparation, and consultation.

Agency support for at-risk families: service provision, challenges and effective elements for intervention

ABSTRACT There is an urgent need to locate effective interventions for parents involved with child protection services (CPS), Oranga Tamariki in Aotearoa New Zealand. This article describes a qualitative research study that sought to understand: (1) the nature of service provision to families; (2) workers’ perceptions of challenges and effective treatment components in delivering intervention; and (3) effective practices for working with Māori. Participants were staff members working within NGOs, providing interventions to families with ongoing Oranga Tamariki involvement. Data comprised responses to semi-structured interviews (n = 9), interpreted using thematic analysis. Findings highlighted that all participants worked within family homes to deliver intervention, and drew on Te Whare Tapa Whā. Challenges included ongoing child maltreatment concerns and participants’ sense of responsibility for keeping children safe whilst being unable to do so adequately within their non-mandated roles. Perceived effective elements were: strong relationships, transparency, and having courageous conversations when needed. For indigenous clients, self-determination and the effects of colonisation were of prime importance. Themes highlighted responsive practice, with a pragmatic understanding that family priorities may not always align with professional views. This is consistent with international findings regarding challenges in delivering parenting interventions and identifies potential essential components for effective practice. HIGHLIGHTS Practitioners’ perceptions of essential elements to effective practice included: strong relationships, honesty, reciprocity, and directness regarding child protection concerns. Effective practices seen to be particular to working with Māori families were trusting, reciprocal relationships and ensuring self-determination and autonomy. Ethical tensions and a sense of complicity and helplessness at times were described, with ongoing child protection concerns evident during intervention for some families. Practitioners took a holistic approach to their work, expressing non-judgment, sympathy for, and understanding of the complex circumstantial and personal challenges faced by Oranga Tamariki-involved parents. Glossary of Māori terms: awhi: embrace, cherish; kaimahi: staff members; kanohi ki te kanohi: face to face; karakia: blessing; kaupapa Māori: Māori approach; kete: basket; kōrero: to speak; mana: prestige; manaakitanga: hospitality; mana whenua: people with rights over the land; marae: meeting house; Pākehā: New Zealander of European descent; pepeha: introduction; pēpi: baby; pono: true; pōwhiri: welcome ceremony; tamariki: children; tangata: people; tika: correct; tikanga: custom; tutū: mischevious; waiata: song; whakapapa: genealogy; whānau: family; whanaungatanga: relationship; whare: house.

Closing the divide: Exploring higher education teachers’ perspectives on educational technology

Incorporating technology into education has become a crucial component of contemporary teaching practices. Technological advancements have led to the development of innovative teaching tools and methodologies that promote active learning and engagement among students. This study used a modified version of the Technology Acceptance Model (TAM) to analyze the key factors that impact the integration of technology in the teaching practice of higher education instructors. Among the factors to be included in the modified model are technostress and teaching tradition. These factors have been rarely examined within the mandatory technology integration in higher education settings. Partial Least Squares Structural Equation Modelling (PLS-SEM) is used to analyse the empirical data collected from 657 higher education teachers in Jordan. Findings reveal that teachers’ technological, pedagogical and content knowledge (TPACK) played a crucial role in facilitating the effective integration of technology into teaching practices. This boosted self-efficacy, personal innovativeness and perceptions of ease of use and usefulness. Additionally, teachers’ TPACK negatively influenced their technostress and teaching tradition. Indeed, technostress and teaching tradition were identified as significant obstacles to the effective integration of technology into teaching practices. Significant implications for theory and practice can be derived from the findings of this study to effectively incorporate technology in higher education.

White Cement Concrete as an Element Sustainable Construction

The effect of materials on local air temperature is a rapid expansion of research. Basic research in this area is directed to color and the composition of materials and their ability to reflect or absorb (and emit) solar radiation. The color and composition of materials greatly affect the temperature Materials exposed to solar radiation. The thermal energy from the absorbed solar radiation will They eventually enter the surrounding atmosphere, causing local heating. Smog levels It has also been associated with high temperature. Thus, as urban temperature It increases, as does the potential for smog and pollution. One of the discounted items, among other things, the above-mentioned negative effects on the environment are white Cement. White cement concrete is very popular with architects thanks to it Pure and uniform appearance. The paper presents the properties of white cement, white Concrete and the benefits of its use as a component of sustainable construction practice. The main research significance is producing white concrete mix by using sustainable white material made from natural material and compare it with normal concrete the results that this study conclude was: White concrete made from white material with cubic compressive strength (35.), cylindrical compressive strength (277 MPa) at 28 days of curing and density (2274 kg/m3) it can be used in the structure's construction. Otherwise, the cubic compressive strength of the normal concrete was (29.2 MPa) cylindrical compressive strength (25 MPa) at 28 days of curing and density ( 2474 kg/m3). Splitting Tensile Strength was 3.57 for Wc and 3.64 for Nc at age of curing 28 days, percentage decrease in the tensile strength for white concrete by 3% to the normal concrete as a reference mix due to the density of the mix. Flexural Tensile Strength (Modulus of Rupture )74 for white concrete and 5.1 for normal concrete. there were an decrease by 7% compared to reference mix.

Enabling access: Reflecting on inclusive education practice

AbstractInclusive education is a multifaceted approach that celebrates diversity, acknowledges individual differences and fosters an environment where all students can thrive. This reflective piece delves into key components of inclusive education practice, including embracing diversity, implementing differentiated instruction, fostering collaborative partnerships, creating an inclusive environment and engaging in continuous reflection and professional development. Drawing from over two decades of teaching experience, I seek to highlight the importance of catering to individual needs, building collaborative relationships and nurturing a culture of inclusivity and empowerment which are factors essential in creating inclusion and equity within the classroom. Through embracing inclusive practices, teachers can create learning communities where each student, regardless of their ability or challenges, has the opportunity to succeed.

Evaluation of a basic-clinical integrated pharmacology case-based learning program from a student perspective using the CIPP model.

This study aimed to systematically evaluate the effectiveness of case-based learning (CBL) within a basic-clinical integrated educational program using the Context, Input, Process, and Product (CIPP) evaluation model. The CBL program was integrated into the Pharmacology-Clinical Case Practice component of the pharmacology course, a mandatory course for first-year medical students. To evaluate the program, a CIPP model-based questionnaire was developed, assessing needs, goals, resources, educational management, and outcomes. To ensure the reliability and validity of the variables, factor analysis was performed, reducing an initial set of 28 items to 18 final observation variables distributed across four factors. The survey, designed to measure learner satisfaction, was administered to 37 students who participated in the Pharmacology-Clinical Case Practice course during the first semester of 2022. Participants rated their satisfaction with the CBL program based on the CIPP model (on a 5-point scale), giving an average score of 4.17. This suggests that learners who followed the CBL program combining basic and clinical components generally found the program operationally effective with positive outcomes. The teaching model and evaluation model applied in this study can be utilized in various majors when operating CBL classes that link basic and clinical education in medical schools in the future.

Daily living skill support for autistic people through a neurodiversity-affirming practice lens.

Supporting daily living skill (DLS) development for autistic people is a component of occupational therapy practice. DLSs are essential for an increased quality of life (QoL), independent living, and community participation. Autistic young people experience poorer outcomes in terms of QoL and independent living than non-autistic peers. Finding a balance between targeted DLS support to maximise independent living and improve QoL, while avoiding attempts to 'normalise' or 'change' autistic people, presents as a dilemma for therapists striving to align with neurodiversity-affirming practice. This theoretical paper explored literature pertaining to DLS and the neurodiversity movement in the context of occupational therapy values and the Canadian Model of Occupational Participation. Consideration of whether targeted DLS support is neurodiversity-affirming or whether occupational therapists are compelling autistic people to mimic behavioural norms perceived by society was discussed. DLSs are an important factor for maximising QoL, regardless of neurotype. Occupational therapy values align with the core tenets of the neurodiversity movement, and occupational therapists are equipped with the values and skills to support the development of DLSs utilising affirming practice. Occupational therapists should critically reflect on their practice to ensure alignment with the professions core values and recent occupational therapy models, to ensure affirming practice. Further research investigating DLS and neurodiversity-affirming practice would benefit occupational therapists striving to align with neurodiversity-affirming practice. No consumer or community involvement. Consumers have been considered throughout the development of this paper through their representation in the literature. This involved a process of reviewing the literature and considering it in the scope of the questions and how occupational therapy sits within the neurodiversity movement. It is important to help autistic people to learn to do everyday things. Everyday things include activities like showering, cleaning, and cooking. These things are important so that autistic people can live on their own. It has shown that autistic young people are less likely to be able to do everyday activities on their own. It is important that therapists help autistic people learn how to do everyday things; however, do not try and change who they are. This is because completing everyday activities is an important part of QoL for all people.

Primed for Discovery.

Antibiotics are essential components of current medical practice, but their effectiveness is being eroded by the increasing emergence of antimicrobial-resistant infections. At the same time, the rate of antibiotic discovery has slowed, and our future ability to treat infections is threatened. Among Christopher T. Walsh's many contributions to science was his early recognition of this threat and the potential of biosynthesis─genes and mechanisms─to contribute solutions. Here, we revisit a 2006 review by Walsh and co-workers that highlighted a major challenge in antibiotic natural product discovery: the daunting odds for identifying new naturally occurring antibiotics. The review described strategies to mitigate the odds challenge. These strategies have been used extensively by the natural product discovery community in the years since and have resulted in some promising discoveries. Despite these advances, the rarity of novel antibiotic natural products remains a barrier to discovery. We compare the challenge of discovering natural product antibiotics to the process of identifying new prime numbers, which are also challenging to find and an essential, if underappreciated, element of modern life. We propose that inclusion of filters for functional compounds early in the discovery pipeline is key to natural product antibiotic discovery, review some recent advances that enable this, and discuss some remaining challenges that need to be addressed to make antibiotic discovery sustainable in the future.

Focusing on the educational environment for harmonic child development

The study aims to enlighten the need for a focusing towards some psychological aspects of a child`s functioning in a pluralistic, pulsating, and flexible educational environment. It reveals resources for its harmonious development through a model of its construction. It is based on the synergistic effect between sustainable transversal skills and variables, according to socio-economic conditions and key competences. The synergy integrates in the model the personality, communicative, sociocultural, methodological, emotional, practical, and physical components. This is achieved through the psychological aspects of the two levels of education of suggestopedic communicative framework - the level of conscious activity and the level of the unconscious psychological reactivity of the learner. Its utilization provides transforming pedagogy into an art and the teacher into a creator.

Pediatric Dental Care and Antibiotics: A Comprehensive Update

Abstract Antimicrobial agents, a foundational component of contemporary medical practice, have significantly transformed the management of microbial infections, effectively protecting human well-being and prolonging life expectancy. Nevertheless, this extraordinary advancement faces a mounting challenge in the form of antimicrobial resistance (AMR). The ongoing evolution of microorganisms to withstand the impact of these substances has led to a decline in the efficacy of formerly dependable treatments, thereby presenting a critical menace to medical progress and prompting an exigent need for action. This paper undertakes a comprehensive exploration of the utilisation and correct application of antimicrobials within the context of paediatric dental healthcare. By meticulously examining the intricate interplay between therapeutic efficacy and the emergence of AMR, the overview delves into the pivotal function these agents fulfil in both preventing and treating dental infections in young patients. In addition, this update sheds light on the potential repercussions stemming from improper prescription practices, unwarranted overutilisation and insufficient adherence to established guidelines.

Development of a Japanese version of the patient perceptions of deprescribing – Short form

AbstractBackgroundDeprescribing is a critical component of clinical practice, especially in geriatric medicine. Nevertheless, the attributes of patients who are prepared for, interested in, and could potentially benefit from deprescribing have not been well examined. The Patient Perceptions of Deprescribing (PPoD) evaluates patients' overall readiness for deprescribing and is complemented by an 11‐item validated short form (SF‐PPoD). The objective of this study was to develop a Japanese version of the SF‐PPoD and assess its reliability and validity within Japanese older adults with polypharmacy.MethodsThe SF‐PPoD was translated, back‐translated, and assessed in a cognitive interview. We conducted a cross‐sectional survey with 196 patients aged 65 years or older with five or more medications using the Japanese version to test for reliability and validity. We examined internal consistency and construct validity to determine if the Japanese sample responses reproduce the two subscales in the original SF‐PPoD. Finally, we examined intra‐person replicability using the intraclass correlation coefficient, in which 100 participants were invited and 93 participated.Results118 males and 78 females, with a mean age of 79.2 [SD 6.5] years, completed the survey. Confirmatory factor analysis of the Japanese version of SF‐PPoD revealed satisfactory structural validity with two‐dimensional structure, “Motivation for Deprescribing” and “Primary Care Physician Relationship.” Cronbach's alpha showed good internal consistency, and test–retest demonstrated acceptable intra‐rater reliability.ConclusionsWe developed and validated a Japanese version of SF‐PPoD with an 11‐item, two‐dimensional structure consistent with the original SF‐PPoD. This scale may facilitate shared decision‐making for medication optimization among older adults living with multimorbidity.

Study on the Management of Diabetic Foot Ulcer in Diabetic Patients at a Tertiary Care Hospital

AIM: To study the treatment pattern of diabetic foot ulcer and to assess the effect of patient counselling on diabetic foot ulcer patients. OBJECTIVE: 1. To study the various modalities of treatment used for Diabetic Foot Ulcer patients in a tertiary care hospital. 2. To assess the effect of patient counselling on diabetic foot ulcer patients with standard questionaries METHODS: The protocol was reviewed, revised, and approved by the Institutional Review Committee of MVJ Medical College and Research Hospital before commencement of the study. Over the course of six months, a tertiary care hospital conducted prospective research. Following the giving of written informed permission, diabetic patients with foot ulcers of both genders who were visiting the hospital were invited to participate and enrolled. A total of 150 patients participated in the study. The patients were recruited according to the inclusion and exclusion criteria mentioned. The study was attempted to improve the patient’s knowledge and attitude towards the self-management of diabetic foot ulcer. And thus, patient counselling is an essential component of clinical pharmacy practice in hospital. RESULTS: In this study, majority of the study participants belonged to the age group 61-70 years (30.7%) of age. 22% of the study participants were of the age group between 51-60 years of age. Majority (64.7%) of the study participants were males. In this study, Nottingham Assessment of Functional Footcare (Revised 2015) was used and an improvement in the total score was found i.e., from 18.27+5.85 before counselling jym oof ff\c b to 44.07+4.70 post counselling which was found to be statistically significant (P<0.001). Thus, a proper foot care education program has been shown to reduce the risk of ulceration. CONCLUSION: The present study was conducted to study the effect of patient counselling on diabetic foot ulcer patients using NAFFC score. Majority in the study belonged to 61-70 years and were males. Most of them had type 2 DM and grade 1 foot ulcer. In this study, Nottingham Assessment of Functional Footcare (Revised 2015) was used and an improvement in the total score was found i.e., from 18.27+5.85 before counselling to 44.07+4.70 post counselling which was found to be statistically significant (P<0.001). NAFFC score played an important role in the study to assess the functional outcome among diabetics with foot ulcers. Though there is development of new therapies for the management of diabetic foot ulcers, a high rate of failure ending with amputation still exists. Hence a counselling session to the diabetics with foot ulcers can prevent further complications.

Reconstruction of deep and perforating corneal defects in dogs-A review (Part II/III): Biomaterials and keratoprosthesis.

The surgical reconstruction of severe corneal ulcers is a common and crucial component of the clinical practice of veterinary ophthalmology. Numerous surgical techniques are used in dogs for corneal reconstruction, and these techniques may be categorized by the material used to repair the corneal lesion. The first part of the present review described procedures that utilize autogenous ocular tissues, homologous donor tissues, and heterologous donor tissues. In this second part of the review, the categories of biomaterials and keratoprosthetics will be summarized. Biomaterials that are reported for use in dogs include amniotic membrane, porcine urinary bladder acellular matrix, porcine small intestinal submucosa, acellular porcine corneal stroma, and other miscellaneous soft tissue and cartilage grafts (e.g., preserved equine renal capsule, autologous omentum, autologous buccal mucosa membrane, bovine pericardium, and homologous peritoneum). Descriptions of keratoprosthesis surgery in dogs are currently limited, but the use of artificial corneal transplants hold promise for dogs with severe, vision-compromising corneal disease that is not amenable to other reconstruction techniques. This review describes the results of experimental studies evaluating these graft materials in dogs, and it will summarize the findings and outcomes of the clinical articles published in each material category. Reporting inconsistencies and areas where additional research is required will be highlighted to help guide future studies in this area. A major aim of this review is to help identify potential subjects that could be evaluated in future investigations and that might lead to refinements in clinical practice.

Linking Leading-Following and Family.

It is thought-provoking to reflect on the ways in which the idea of family arises within many leading-following situations, especially within work settings where coworkers may refer to each other as or name each other their "work family." In this paper, the author explored the ways in which the humanbecoming paradigm (Parse, 2021) and its models may be used to lead with others from a family view. There are many meaning-making moments within leading-following professional relationships that shape all constituents (families) over time. As in all unique disciplines, such as nursing, that have leadership and practice components, it is important that there is a theoretical framework serving as the foundation to co-build professional relationships.

Exploring worldwide training pathways that enable clinical pharmacy career development

BackgroundPharmaceutical education is crucial for preparing pharmacists for evolving professional practice. The clinical component of pharmaceutical education and practice has grown and improved globally, though its implementation varies. Training pathways for clinical pharmacy careers vary worldwide. ObjectiveThis study aimed to explore training pathways enabling career development in clinical pharmacy. MethodsIn-depth interviews on clinical pharmacy career development were conducted with a purposive sample of academic and practice experts from thirteen countries, selected based on a prior literature review. Interviews were recorded following participants’ consent, transcribed verbatim, thematically analyzed by one researcher, and verified by a second. Disagreements were resolved through discussion with a third researcher. ResultsIn ten of the analyzed countries, the competencies required to perform clinical activities were considered the foundation of the pharmacy profession, suggesting that undergraduate education is sufficient to perform clinical pharmacy activities.Reported training-related success factors associated with the development of a career in clinical pharmacy included: interprofessional education, focus on the health context of each country, ensuring students’ readiness, practice site partnerships, patient-centricity and patient contact, good mentorship and preceptorship, time and work flexibility of the candidates, effective training evaluation and, financial support for training. Conversely, shortage of mentors and teachers with clinical practice experience, slow responsiveness of the regulatory environment, insufficient funding, resistance to change, and education-practice mismatch were identified as training-related constraints. ConclusionClinical activities form the foundation of the pharmacy profession in most countries, and undergraduate education directly provides the skills to undertake these, even though optional postgraduate education may be pursued. Understanding existing training pathways, including success factors and implementation challenges, can inform the creation, development, and optimization of education for clinical pharmacy careers.

Data-informed psychological therapy, measurement-based care, and precision mental health.

Measurement-based care, that is, incorporating data-informed decision support for therapists into psychological therapy, has undergone significant advancements over the past 2 decades. Technological innovations such as computerized data assessment and feedback tools have facilitated its widespread adoption across various settings. For instance, clinicians can utilize psychometric data to personalize therapeutic approaches, strategies, or modules and track a patient's response to therapy in real time (e.g., Lutz, Schwartz, & Delgadillo, 2022). Furthermore, new algorithm-based clinical support tools used within measurement-based care can optimize treatment for such patients at risk for treatment failure. Consequently, measurement-based care is evolving into a data-informed and precision psychological therapy concept that can be viewed as a low-intensity transtheoretical adjunct to evidence-based treatments. It can be integrated at multiple care points into clinical practice regardless of the clinical modality, manual, or program used in a given health care system. Therefore, it emerges as an important component of clinical competence, practice, and training, akin to continuous monitoring of physical health indicators (e.g., insulin, fever, or blood pressure). In this viewpoint article, we summarize the core concepts of data-informed psychological therapy that customizes individual psychological interventions to meet specific patient needs. We also explore implications and future steps to integrate this approach into clinical practice and further advance precision mental health care. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Reconstruction of deep and perforating corneal defects in dogs-A review (Part III/III): The use of corneal sutures and reporting of ocular discomfort.

The surgical reconstruction of severe corneal disease is a common and crucial component of the clinical practice of veterinary ophthalmology. The first part of the present review described procedures that utilize autogenous ocular tissues, homologous donor tissues, and heterologous donor tissues in dogs, while the second part reviewed the use of biomaterials and keratoprosthetics in this species. This third part is dedicated to the review of the use of corneal sutures including suture type and suture pattern in corneal reconstruction of small animals including dogs and cats. The review also focused on the way studies report postoperative ocular discomfort/pain and how this is treated. Lastly, the author briefly presents the simple but effective techniques available to bury corneal knots for corneal reconstructive surgery in small animal patients, such as the "tugging" and "deep-superficial-superficial-deep" methods for simple interrupted sutures, and the adaptation of the latter for simple continuous sutures.

Correlation of the concepts innovative marketing and marketing of innovations in the context of promotion of goods and services

This article analyzes the relationship between the concepts of innovative marketing and marketing of innovations with an emphasis on their impact on the effective promotion of goods and services. It was found that innovation marketing and marketing of innovations are closely interrelated. Their relationship can be depicted as a form of mixed approach. Innovation marketing serves as a fundamental strategic approach that lays the foundation for the development and implementation of marketing strategies that are not limited to the area of innovation. On the other hand, marketing of innovations acts as a more practical component aimed at promoting innovations and innovative products on the market. This article presents a comparative analysis of these concepts, revealing their parallels, differences and synergistic aspects within the framework of promoting goods and services. The study highlights new approaches and strategies that promote the effective use of innovation marketing and marketing of innovations for advertising purposes

Teaching practice: Contributions to Spanish prospective mathematics teachers

Prospective primary education (PE) teachers of mathematics are trained on university programs which include core subjects in the field of the didactics of mathematics. However, these subjects have no general practical component. Therefore, this research aims to analyze the contribution of practical courses to the development of good practice in mathematics education. For this purpose, an ethnographic study was carried out with the participation of 23 prospective teachers who completed a questionnaire with closed and open-ended questions. The closed responses were analyzed by frequency and percentage, and the open-ended responses were analyzed using the ATLAS.ti software (v. 22) (ATLAS.ti, 2022). The results show that most of the prospective teachers identified principles of good practice in mathematics classes, and most of them found a relationship between their initial training and what they experienced in these classrooms. In the light of the results, contributions are made to improve the initial training of mathematics teachers in PE.

Integrating Essential Practical Sessions into the Generic Elective Course in Physical Education Curriculum: A Case Study

Physical education courses, traditionally a blend of theory and practice for their own department students, are often delivered as purely theoretical classes for students from non-physical education disciplines enrolled in Generic Elective Courses (GEC). This approach can lead to disengagement and boredom, as students are already exposed to multiple theoretical classes throughout the day. To address this issue, the Department of Physical Education at the Central University of Haryana revised its GEC curriculum to include practical sessions alongside theoretical content. This study explores the impact of this curriculum revision on student engagement and physical fitness. Feedback from 200 postgraduate students, aged 20-25, indicated a strong preference for incorporating practical sessions into the curriculum, with 98% of respondents favoring this change. The revised curriculum allocated two hours per week for physical activities, aimed at enhancing student engagement and promoting the importance of physical fitness. The effectiveness of the new curriculum was assessed through a one-minute push-up test, measuring upper body strength at the beginning and end of the semester. Initial results showed that 50% of the students struggled to complete the test. However, by the end of the semester, 96% of students successfully completed the one-minute push-up test, indicating significant improvement in physical fitness. The study concludes that integrating practical sessions into GEC physical education courses not only improves student engagement but also enhances physical fitness. It highlights the need for a balanced approach, combining theory with hands-on activities, to foster holistic development. The findings suggest that other departments offering practical-oriented courses could benefit from incorporating similar practical components into their curricula.