Professional Considerations Research Articles

The Use of Social Media in Pediatric Urology-Forging New Paths or Crossing Boundaries?

There has been a remarkable change in how people connect, access, and share professional and medical information over social media. This perspective article describes opportunities, potential pitfalls, and guidelines for social media use by pediatric urology providers. Pediatric urologists have effectively used social media to connect and share expertise, augment scientific conference participation, promote themselves and their research, disseminate guidelines and best practices, participate in virtual journal clubs, and engage with patients and their families. Information shared over social media is not protected by copyright law, not confidential, not regulated, permanent, and subjected to public domain and scrutiny. Despite these potential pitfalls, social media is a useful tool if best practices are observed and online communication adheres to professional guidelines and organizational policy. Social media use in healthcare is here to stay and pediatric urologists have online visibility whether or not they choose to actively participate. Despite new legal, ethical, and professional considerations that social media introduces, a well-executed social media presence provides pediatric urologists a wealth of new opportunities for networking, research, and disseminating high-quality medical information online.

An exploration of physical activity experiences throughout the Huntington’s disease journey: supporting development of theoretically underpinned complex interventions

Purpose Huntington’s disease is an autosomal dominant neurodegenerative disease. Progressive physical, behavioural and cognitive impairments cause loss of independent function. Physical activity interventions are important components of comprehensive intervention strategies and may help alter the functional decline trajectory. Qualitative research has an important role to play in developing theoretically sound, well-defined physical activity interventions in Huntington’s disease. Materials and methods Eight focus groups were conducted with people with prodromal to late stage Huntington’s disease, caregivers (family members/formal), and healthcare professionals. An analytical coding framework was developed from the data and Levanthal’s self-regulation model to assist analysis. Results and conclusions Key themes were identified: evolving representations of Huntington’s disease and physical activity; varying social environment of the person with Huntington’s disease and the impact on physical activity; achieving physical activity participation while coping with the nuances of Huntington’s disease. Levanthal’s model facilitated understanding of physical activity experiences, however with progression, self-regulation of activities needs to become more collaborative with caregivers. A modified self-regulation model specific to physical activity in Huntington’s disease is presented. Using a novel approach to generate new understanding of physical activity across the Huntington’s disease lifespan facilitated development of an original and significant theoretical foundation to underpin development of a range of much needed physical activity and exercise interventions in Huntington’s disease. Implications for rehabilitation Social and familial context of individuals with HD is a key consideration for health care professionals supporting physical activity participation. Strategies such as using physical activity as a way of achieving control and adjusting expectations can help people with HD to continue to be active. People with HD adapt physical activity from high level to more functional activities with symptom progression.

Practice standard for the management of dermal filler complications

In recent years, a great deal of attention has been paid to the diagnosis and management of complications arising from the use of dermal fillers. However, alongside the clinical factors, professional considerations must not be neglected, because to do so can lead to often avoidable claims

The “other side” of architectural reconstruction

Focusing on architectural reconstructions after armed conflicts1 in the area of the former Yugoslav republics2, we would like to present the “other side” of the reconstruction by the example of the Old Bridge in Mostar; or rather, what is determinative in this special area of monumental preservation over the professional consideration: the social and political aspects. These aspects will be dealt with in more detail by examining the overall post-conflict reconstruction situation of cultural heritage in Bosnia and Herzegovina, involving diverse opinions from experts and international assistance. This article re-examines, among others, the prosperity of the recovery indicating an authenticity question, posed as: “how far can an authentic experience be recreated or conjured through the simulation of an absent original monument?”3 We evaluate the process and stages of the reconstruction of the Old Bridge in a spirit of “identical” restoration, by understanding its structure and rebuilding in identical shape and dimension, using original materials and construction techniques, based on archival documents. The judgement of the architectural reconstruction or rebuilding also depends on multiple aspects: the recognition and assertion of the hierarchy of values — material or physical, as well as intangible or immaterial. Delayed in the process, by nearly a decade due to the political and economic situation, it is important to evaluate several problems that occur, emphasizing in turn: the question of the original form, original spaces in the mirror of the history that formed in another way. This side raises ethical and moral questions as well. The approach and judgement of the architectural reconstruction is also different in the republics of the former Yugoslavia after the recent armed conflict. Seeing the diverseness in the social and political background the question arises whether the new reconstruction is another layer in the “stratigraphy” of the monument or it is the lockup of the past?

FAKTOR-FAKTOR YANG MEMPENGARUHI PEMILIHAN PROFESI AKUNTANSI OLEH MAHASISWA AKUNTANSI

The research aims to test factors influencing students in accounting majors in the election career as an accountant. Samples were used as many as 119 students of 2015 to 2018 and were still active in 2018 with sampling techniques in the form of convenience sampling. Data retrieval techniques use questionnaires directly shared and analyzed using discriminant analysis techniques. The results of the study showed professional training variables, social value and job market considerations affecting career selection as an accountant. While the variable financial awards, professional recognition, work environment and personality have no effect in the career selection as an accountant. The most widely chosen profession is the profession of an internal accountant or company.

Single-Case Data Analysis: A Practitioner Guide for Accurate and Reliable Decisions.

Practitioners frequently use single-case data for decision-making related to behavioral programming and progress monitoring. Visual analysis is an important and primary tool for reporting results of graphed single-case data because it provides immediate, contextualized information. Criticisms exist concerning the objectivity and reliability of the visual analysis process. When practitioners are equipped with knowledge about single-case designs, including threats and safeguards to internal validity, they can make technically accurate conclusions and reliable data-based decisions with relative ease. This paper summarizes single-case experimental design and considerations for professionals to improve the accuracy and reliability of judgments made from single-case data. This paper can also help practitioners to appropriately incorporate single-case research design applications in their practice.

A Proposed Definition and Structure of Counselor Dispositions

Dispositions have been identified as critical elements of counselor development and competency. Although there is currently no professional agreement regarding the definition or structure of counselor dispositions, the Council for Accreditation of Counseling and Related Educational Programs (CACREP 2016) accreditation standards require counselor educators to assess students’ professional dispositions. We endorse the need for a disposition measure that yields reliable and valid scores for use in admissions and gatekeeping processes. We present results of a confirmatory factor analysis of the Professional Dispositions Scale–Counseling Student Version (PDS–CSV), which revealed that counselor dispositions are best understood as a single higher order factor made up of 9 subfactors addressing personal and professional considerations. Based on these findings, we propose a definition of counselor dispositions for consideration by professional colleagues.

Formative assessment practices and children’s singing accuracy: A mixed methods inquiry

The purpose of this mixed methods study was to determine the effect of formative assessment strategies on second grade students’ singing accuracy and to examine how music educators planned for and enacted these practices. Student participants ( n = 63) were divided into three groups over a six-week period: (a) a partial treatment group where the teacher used data from the pretest to improve areas of singing weakness; (b) a full treatment group where the teacher used data to improve areas of weakness and engaged students in self- and peer-assessment techniques; and (c) a control group who received no formalized treatment. Linear regression analysis indicates that the “partial treatment” group had the largest gains in singing accuracy, but the case study analysis revealed that the teachers’ knowledge and values mediated their enactment of these practices as they adopted and adapted them in varied ways. The “partial treatment” teacher’s motivation and proclivity for creating new assessment practices indicates that gains in this group’s singing accuracy may have been due to teacher effects and not the strategies themselves. Implications for teacher professional development and practical considerations for embedding meaningful formative assessment in music contexts are provided.

Rap and recovery: A music therapy process-oriented intervention for adults with concurrent disorders

Drawing on their experience facilitating a group called “Rap and Recovery,” the authors examine the intersections between recovery and psychodynamic views of health and share their social justice perspectives to consider how clients with concurrent disorders might develop senses of agency, well-being, and community in weekly music therapy sessions. They present theoretical influences as well as practical details, including the description of a Rap and Recovery session. This includes a critical, reflexive analysis of professional roles and considerations. The authors conclude that the power of rap-based music therapy to nurture, disrupt, and transform serves as a dynamic space for clients and therapists to question individual and collective commitments, relationships, and identities in attempts to rethink and re-engage understandings of health and wellness.

Project management in executive authorities of the Russian Federation subjects: The professional staffing considerations

Project management in executive authorities of the Russian Federation subjects: The professional staffing considerations

Clinical photography of skin lesions: Professional and legal considerations in primary care.

Clinical photography is a fundamental component of visually oriented medical fields. The ubiquity of digital technology has brought the capacity to capture clinical photographs to the palm of a practitioner's hand. It is important for general practitioners (GPs) who take clinical photographs of skin lesions to be aware of the associated legal and ethical obligations. The aim of this article is to explore and explain current professional and legal considerations related to the use of clinical photography in general practice. Ensuring compliance with professional and legal standards when using clinical photography in general practice requires a firm grasp of the obligations associated with image capture, use, sharing, storage and security. GPs should ensure that before employing clinical photography, they have adequate consent-obtaining practices, regular habits of uploading images to the patient record, and sufficient device security. This will help to ensure that patient images are protected from being compromised.

Enrolment of families with overweight children into a program aimed at reducing childhood obesity with and without a weight criterion: a natural experiment

BackgroundDifficulties engaging families with overweight children to enrol into programs aimed at reducing childhood obesity have been well documented. During the implementation of the Parenting, Eating and Activity for Child Health Program (PEACH™) over a large geographical area (Queensland (QLD), Australia), a natural experiment developed. This experiment provided an opportunity to observe if there was a difference in enrolment for families with overweight children with a weight criterion (referred to as the period with a Targeted Eligibility Criterion (TEC)) compared to when a weight criterion was removed (the period referred to as Universal Eligibility Criterion (UEC)). We also examined the eligibility criterion’s relationship with attendance, parental concern about their child’s weight, estimation of overweight and obesity from parent-reported data.MethodsA secondary analysis of baseline data from 926 overweight/obese children from 817 families enrolled in PEACH™ QLD was performed. Analyses were adjusted to control for the presence of clustered data. Bivariate statistics were performed using Pearson chi-square test with the second-order Rao-Scott correction, and Mann–Whitney U-test for non-parametric continuous variables. Generalized Estimating Equations (GEE) explored the association between weight status-based eligibility criteria and enrolment of overweight children. GEE were adjusted for sex, age and socioeconomic index and stratified for weight category.ResultsCompared to obese children, overweight children were almost twice as likely to be enrolled when the program did not have weight status-based eligibility criteria (during UEC period) (OR = 1.90 (CI 95% 1.35–2.68, p < 0.001)). Parents of overweight children enrolled during the UEC period were more likely to regard their child’s weight as less of a concern than during the TEC period (UEC 67% vs. TEC 45%, p = 0.036). Children whose parent-reported data underestimated their weight category were more likely to be enrolled while the program did not have weight-related eligibility criteria OR = 2.27 (CI 1.38–3.70, p < 0.01). Program session attendance did not appear to be impacted by the changes in eligibility criteria.ConclusionsThe omission of weight criteria for healthy lifestyle programs is a consideration for health professionals and decision-makers alike when encouraging the enrolment of children who are overweight into healthy lifestyle programs.Trial registrationACTRN12617000315314. Retrospectively registered 28 February 2017.

Accounting and professional work in established NPM settings

PurposeThe paper problematizes previous research on accountingisation, where the role of accounting in determining the scope of professional work is understood in relation to a professional/economic dichotomy and a model of episodic change. The purpose of this paper is to investigate everyday professional work in established new public management (NPM) settings, and proposes a new conceptual framework to analyze the role of accounting therein. The aim is to enable future investigations into how, when and where a situated “bottom line” emerges, by conceptualizing professional work as a process of calculation.Design/methodology/approachQualitative data from case studies of two tertiary level geriatric organizations using observations of 33 employees and four interviews. Data related to patient discharge, and the management of the discharge processes, were analyzed.FindingsFew visible trade-offs between distinctly professional or economic considerations were observed. Rather, the qualification of patients’ status and evaluation of their dischargeability centered on debates over treatment time. Time therefore operated as a situated “bottom line,” to which various other concerns were emergently linked in a process of calculation. Professional practitioners seldom explicitly evoke accounting concepts and technologies, but these were implicated in the ongoing translation of each patient into something temporarily stable, calculable and thus actionable for the professionals involved in their care. The study’s findings have implications for the conceptual understanding of professional work in established NPM settings.Research limitations/implicationsCase study research is context-specific and the role of accounting in professional work will vary due to the professional groups and accounting technologies involved.Practical implicationsThe study’s findings have implications for how to influence professional behavior through interventions in the existing landscape of accounting technologies. The possibility to change behavior through the introduction or removal of individual accounting technologies is questioned.Originality/valueTo date, research on the role of accounting in determining the scope of professional work has assumed a professional/economic dichotomy and studied episodic change linked to accounting-oriented reforms. This paper analyses the role of accounting as an on-going process with emergent boundaries between professional and economic considerations.

Assessing the Clinical Competence of Health Care Professionals Who Perform Airway Suctioning in Adults.

Airway suctioning is an important health care intervention that can be associated with serious adverse effects. Given the risks involved with suctioning, it is important to ensure the clinical competence of health care professionals who perform it. A scoping review was conducted to identify the nature and extent of research related to the assessment of airway-suctioning competence for health care professionals working with adults. This included an examination of the assessment context, the type of suctioning and health care professionals being assessed, and the methods used to assess competence. Four scientific electronic databases (MEDLINE, EMBASE, CINAHL, and the Cochrane Library) were searched from inception to March 9, 2018. A gray literature search was also performed. Two reviewers independently screened articles and resources for inclusion, and data were extracted using a form created by the authors. Seventy full text articles and resources were screened for eligibility, with 36 included in the review. Endotracheal suctioning was the most common type, and intensive or critical care units were the primary setting of interest (28 of 36, 78%). Competence or a component of competence for nurses, nursing students, nursing assistants, or nurse technicians was specifically addressed in 97% (35 of 36) of the included articles and resources; 4 of 36 (11%) also included physical therapists, 1 of 36 (3%) included respiratory therapists, and 1 of 36 (3%) was aimed toward all clinicians who perform suctioning. Nine (25%) used questionnaire-based assessments, 11 (31%) used checklists, audit forms, or other observational tools, and 16 (44%) used both. Directed content analysis revealed 3 major themes: consistency across overarching evaluation frameworks, inconsistency across detailed components, and inconsistency in the evaluation or reporting of assessment tool measurement properties. Additional gaps in the literature included limited consideration of health care professionals beyond nursing, limited consideration of settings beyond intensive and critical care, a lack of tools to assess nasotracheal and orotracheal suctioning, and limited detail regarding assessment tool development.

Artificial abortus from the male partner's perspective

Induced abortion is an intervention that scientific research primarily addresses from the concerned women's point of view in terms of either the causes or the consequences of the abortion decision. Nevertheless, each case of abortion involves a man as much as a woman (in the same vein as conception), which calls for the better knowledge of male partners' needs, expectations and experiences related to induced abortion. The present summary addresses male partners' status and importance in abortion care in a practical approach based on professional considerations. Available empirical findings suggest that male partners' involvement in abortion care has importance both in protecting men's emotional balance and in providing support for women in adapting to the abortion process. Male partners' deeper involvement possibly includes roles such as seeing the female partner to the intervention, participation in pre-abortion counselling, presence during the intervention, and participation in post-abortion care. Related findings show that all of these forms of support are related to women's positive abortion-related experiences and thus to their better recovery (provided that the female partner expresses a need for her male partner's personal support). Furthermore, male partners' involvement in abortion care enables health care providers to tailor counselling (information on the intervention, on possible consequences, on contraceptive methods etc.) to men's specific needs. These practices facilitate partners' joint and informed decision making, joint responsibility for conception or contraception, and eventually contribute to reducing the incidence of induced abortion. Orv Hetil. 2019; 160(18): 694-699.

Gambling on Big Data: Designing Risk in Social Casino Games

Since 2007, a surge of new gambling opportunities, often referred to as social casino gaming, has emerged on social media platforms and mobile apps. At the present time, the social casino gaming industry is unregulated and challenges our conventional understanding of gambling and risk. Currently, the minimum age requirement to create a profile on Facebook and engage in social casino games is 13 years of age. The emergence of this new gambling frontier, and its low barrier to entry, inevitably adds a new layer of risk and raises several ethical considerations for public health and risk regulation professionals, particularly to developers’ use of game mechanics and advanced data analytics. Using findings from a virtual ethnographic case study focusing on Zynga Poker (ZP), this article will call attention to potential ethical and risk concerns about game mechanics and the use of big data to personalise players’ gameplay to optimise player engagement and monetisation.

The Paradise Papers – A Reminder of the Legal and Professional Constraints in Advising on Offshore Tax Matters

After the revelations in the Paradise Papers at the end of 2017 many people started to ponder the legal and professional requirements that are imposed on tax advisers and the consequences for those advisers in breach of them. This article addresses these issues in the Australian context, and examines the main concerns faced by Australian tax professionals when providing advice and assistance to clients that engage in offshore activities. The author concludes that offshore activities are a high-risk area for advisors and that, when tax advice is given, it should be within the letter and spirit of the law, after taking account of the advisors’ legal and professional obligations and ethical considerations.

Seizure Management and Determining Potentially Misdiagnosed Seizures in Older Adults

Many older adults taking antiseizure medication have a diagnosis of seizure disorders that are not supported by objective diagnostic evidence. These “seizure disorders” are the result of years of misdiagnosis and a belief that the benefits of medication outweigh the potential for a seizure event. However, as the adverse effects of antiseizure medications increase with age and raise the risk of debilitating injury, re-evaluation of patients should be performed to ensure appropriate management. This article provides a foundation for geriatrics providers to appropriately manage misdiagnosed seizures as well as true seizures in older adults. Specific considerations for professionals working in long-term care are included.

Hungarian Psychotherapists’ Experiences of the Cooperation with Spiritual Directors and Pastoral Counselors : A Qualitative Study

There has been a constantly growing interest towards the themes of psychotherapy and spirituality in the past decades. The questions and experiences concerning spirituality can come up and play an important role in the psychotherapeutic relationship. Often another helping relationship, spiritual direction or pastoral counseling is already present in religious people’s life, before or at the time of starting psychotherapy. In our research we tried to find answers to the question of how psychotherapists approach cooperation with spiritual directors and pastoral counselors, what attitudes and experiences they have in this regard. In the research semi-structured in-depth interviews were carried out with 31 Hungarian psychotherapists, and they were analyzed with the method of Grounded Theory. Four main categories evolved during the analysis of the interviews. In the first main category, where there is no cooperation between the helping professionals, codes refer to the attitudes, whether the psychotherapists would be open to cooperate, what professional considerations they would follow, and in what framework the cooperation could be realized. In the second main category the psychotherapist and the spiritual director work parallel with the patient, without contacting each-other, in the third the psychotherapist is in contact with the spiritual director / pastoral counselor, and in the fourth the psychotherapist evaluates the experiences of the cooperation.

International Control Efforts to Curb the Global Production and Trafficking of Fentanyl and Other Synthetic Opioids.

The purpose of this Policy Watch column is to provide a brief overview of the global problems associated with the illicit production and trafficking of synthetic opioids as well as international efforts and policy approaches designed to curb them. An in-depth evaluation of drug control efforts of many different nations is important for a comprehensive analysis. However, because of the vast amount of information available, this column is limited to cooperative global control efforts, not efforts specific to any one nation. A great deal of information about production methods, clandestine laboratories, international trafficking methods, and online sales over the dark Web has been omitted. It is important to understand key issues regarding the illicit cultivation and distribution of plant-based opioids derived from natural compounds found in opium poppies (heroin, opium, morphine, codeine) or other drugs (cocaine, methamphetamines, etc.), but the scope of this column is limited to discussion about synthetic opioids including fentanyl, fentanyl analogues, and fentanyl precursor chemicals. Issues about human rights and ethical considerations for nurses and other addictions professionals are also discussed.