Continuing Education Programs Research Articles

Diversity, Equity, and Inclusion Initiatives from Providers of Continuing Pharmacy Education

Abstract: Although continuing education (CE) plays an important role in educating health care providers on diversity, equity, and inclusion (DEI), little is known about the DEI initiatives promoted and implemented by providers of CE. Surveys were electronically administered to accredited pharmacy continuing education providers (CEPs) from 2021 to 2023. Survey items were assessed providers' current efforts and best practices for incorporating DEI into organizational culture and educational programming. Frequencies and percentages were calculated for categorical responses, and a general interpretivist approach was used to code open-ended response items and describe themes. Overall, 50 and 33 responses were received in 2021/2022 and 2023, respectively. The most common step taken by programs to advance DEI was to engage pharmacists and/or pharmacy technicians in DEI discussions. Qualitative analysis described categories and themes as follows: best practices (CE programming DEI strategies, organizational DEI strategies), DEI goals (mission statement and DEI strategic plan, developing CE, continuing pharmacy education committee and task force, and faculty development and guidance), and accrediting body support (sharing best practices and training and technical support). Although CEPs described current efforts and best practices related to DEI in CE, organizations involved in CE accreditation can continue to explore ways to support DEI initiatives.

The Looking Glass Framework: Using Virtual Reality and Video Game Simulations to Improve Clinical Decision-Making and Reduce Healthcare Disparities in African Americans

A central mission of a healthcare organization is to provide equal access and excellent health outcomes to all populations, regardless of race and ethnicity. However, in the everyday practice of healthcare, organizations have fallen short of this primary tenant. Healthcare disparities in the Black community are well-documented in the literature. Although the reasons are multi-faceted, racial bias contributes to healthcare disparities, and eliminating those disparities should be a chief focus in improving the health and well-being of every community. This paper discusses healthcare disparities in the Black community and the complex cycle that enables gaps to persist despite best efforts among healthcare professionals, policymakers, and the general public. It concludes with a presentation of the Looking Glass Framework; an innovative onboarding and continuing education program using virtual reality and computer-based educational modules to reduce healthcare disparities within clinics, hospitals, and health systems.

Well-Being Outcomes of Health Care Workers After a 5-Hour Continuing Education Intervention

Compromised well-being in health care workers (HCWs) is detrimental to the workforce, organizations, and patients. To test the effectiveness of Well-Being Essentials for Learning Life-Balance (WELL-B), a web-based continuing education program to deliver brief, evidence-based, reflective, psychological interventions to improve 4 dimensions of HCW well-being (ie, emotional exhaustion, emotional thriving, emotional recovery, and work-life integration). A randomized clinical trial (RCT) of US inpatient and outpatient HCWs randomized 1:1 was conducted from January 3 through May 31, 2023, using a web-based intervention. Cohort 1 received 5 hours of WELL-B over 8 days; cohort 2 acted as the control group and received WELL-B after the end of the RCT. Eligibility criteria were US HCWs aged 18 years or older, including clinical (physician, nurse, and respiratory therapist) and nonclinical (administrative, information technology, and finance) roles. Continuing education sessions exposed participants to positive psychology interventions (gratitude letter, work-life integration, self-compassion and cultivating awe). The primary outcome was emotional exhaustion on day 8; secondary outcomes included emotional thriving, emotional recovery, and work-life integration. All outcomes were measured using psychometrically valid scales previously reported in well-being RCTs and were assessed on days 1 and 8 (primary end point). Differences in outcome measures between the WELL-B intervention group and controls were assessed using t tests. Baseline-adjusted multiple linear regression models were evaluated to examine the association between the WELL-B intervention and the outcome measures after adjusting for additional covariates (sex, race and ethnicity, age, HCW role, and discipline). Intention-to-treat analysis was performed. The cohorts were similar at baseline, mostly female (528 [89%]) and nurses (177 [30%]). A total of 643 respondents participated in the study. In cohort 1, 331 participants initiated WELL-B, and 262 (71%) completed the day 8 follow-up; in cohort 2, 312 participants initiated WELL-B and 291 (77%) completed the day 8 follow-up. Compared with the control cohort, WELL-B significantly improved emotional exhaustion (estimate: -9.0; 95% CI, -13.1 to -4.9; P < .001), emotional thriving (estimate: 6.6; 95% CI, 3.2-10.0; P < .001), emotional recovery (estimate: 5.5; 95% CI, 2.0-9.0; P = .002), and work-life integration (estimate: -5.0; 95% CI, -8.2 to -1.9; P = .002). After adjusting for baseline outcome measures, sex, race and ethnicity, age, HCW role, and discipline, the linear regression model showed WELL-B improved day 8 emotional exhaustion (estimate: -9.6; 95% CI, -12.5 to -6.6; P < .001) compared with the control group. Favorable impressions of WELL-B were reported by more than 90% of the participants. In this RCT, brief well-being activities delivered during continuing education sessions improved short-term HCW emotional exhaustion, emotional thriving, emotional recovery, and work-life integration, with and without adjusting for covariates. Health care worker impressions of WELL-B were positive. These findings suggest that WELL-B is a beneficial intervention. ClinicalTrials.gov Identifier: NCT05636072.

Addressing the Epidemics of HIV, Sexually Transmitted Infections, and Hepatitis Through an Integrated and Coordinated Undergraduate and Continuing Education Program in Idaho.

Addressing the Epidemics of HIV, Sexually Transmitted Infections, and Hepatitis Through an Integrated and Coordinated Undergraduate and Continuing Education Program in Idaho.

Knowledge, Attitude, and Prevention Practice towards Scabies among Haramaya University Health and Medical Science Students, Harar, Ethiopia 2022

Background: Scabies is a skin disease caused by infestation and sensitization to Sarcoptes scabies mites and is an endemic in tropical and subtropical areas. It is a common skin infestation, endemic in developing countries, usually affecting families and large groups of people living together. Objective: The study was aimed to assess Knowledge, attitude, and prevention practice towards scabies among Haramaya university health and medical science students, Harar, Ethiopia, 2022. Methods: Institutional -based Cross-sectional study was conducted from April 25- May 21, 2022 among 417 randomly selected students. Self-administered questioner was used to collect data. The collected data was entered into SPSS version 22 for analysis. Descriptive and analytic data was used to present the finding. Result: Approximately 62.85% of the students demonstrated a high understanding of scabies, encompassing its transmission, symptoms, and prevention methods. Conversely, 6.1% exhibited poor knowledge. A finding of attitudes towards scabies among students only 36.7% demonstrating good attitude towards the condition. The data provided underscores a significant variation in scabies prevention practices among students with 65.8% exhibiting good practices. Conclusion: The study highlights the importance of continuous education and awareness programs to enhance knowledge and attitudes, which in turn can lead to better practices. It also underscores the need for targeted interventions to address the gaps identified in both knowledge levels and attitudes to foster a more proactive approach to scabies prevention and management. The findings serve as a valuable benchmark for the university and health authorities to develop tailored strategies that can improve health outcomes related to scabies within the community.

A Qualitative Study on the Impact and Feasibility of a Simulation-Based Program for Shared Decision-Making in Non-Small Cell Lung Cancer Care.

In the pursuit of improved clinical outcomes and patient experience in health care, shared decision-making (SDM) stands as a pivotal concept garnering increasing attention, but SDM utilization varies widely, often leading to confusion regarding team members' roles. This study explores knowledge, skills, and attitudes of oncology clinicians engaged in a pioneering educational initiative at a comprehensive cancer care center, aimed at enhancing frontline SDM capabilities. Utilizing a prospective cohort qualitative approach, the team conducted interviews with 6 clinicians in a multidisciplinary oncology program who were engaged in an SDM continuing education program. In the program, participants were immersed in experiential learning activities including standardized didactic sessions and simulation-based SDM case role-play activities. Thematic analysis of interview data revealed 5 major categories: 1) perceptions of SDM; 2) training; 3) patient-centered care; 4) challenges and constraints; and 5) leadership buy-in. Participants perceived benefits, including adopting a better approach to integrate SDM into their practice, heightened engagement, emphasizing team collaboration, and embracing a patient-centric care model. This study underscores the transformative impact of education and training on enhancing SDM capabilities among oncology clinicians and is not intended for generalizability. By promoting a basic understanding and application of SDM principles, practicing clinicians can be better empowered to improve health care outcomes and experience. Our findings contribute to the broader endeavor of embedding practical SDM principles within clinical practice, thereby fostering a more patient-centered and effective health care environment.

A Practical Approach for Developing Shared Decision-Making Knowledge, Skills, and Capability for Busy Health Care Practitioners.

There has been substantial development of shared decision-making (SDM) methods and approaches in the past few decades, but despite this, building capability and scaling application of SDM in clinical practice remains a challenge. Here the authors describe the development and initial experience with a new virtual Practical Approach continuing education program for busy practicing clinicians who care for people with complex, chronic, and costly conditions who are frequently faced with preference-sensitive decisions. This program was designed to provide plain language training in SDM for real-world clinical practice using an easy 4-step approach that does not require prior training or formal education in SDM theory or methods. The authors describe the development of the Practical Approach program using established evidence-based principles. The program was piloted in 4 different settings across 2 chronic conditions. Qualitative interviews of program participants were conducted to observe SDM attitudes and observed performance in repeated case-based simulation role-play exercises to assess knowledge and skills performance. The authors observed improved and more realistic SDM attitudes in qualitative interviews with program participants after exposure to the program compared to baseline, and they similarly observed improved knowledge and skills demonstrated in sequential simulations conducted as participants were exposed to the program. Post-program focus groups revealed that participants perceived the program to be feasible, acceptable, and useful. Initial experience with the Practical Approach program suggests that it may beneficially affect basic SDM knowledge, skills, and attitudes in busy practicing clinicians who are novices in SDM. It also has demonstrated initial feasibility, utility, and acceptability.

Evaluating Medical Students' Knowledge, Attitudes, and Practices in Pharmacovigilance: A Cross-Sectional Study

Background: It is an indispensable tool for ensuring patient safety, while its practice raises numerous questions in developing countries, including Bangladesh. This paper aims at determining medical students’ Knowledge, attitude and practice (KAP) of pharmacovigilance to inform ADR reporting. Objective: To evaluate the KAP of pharmacovigilance with second-year students, final-year students, and interns enrolled in a community-oriented medical college in Bangladesh. Methods: A quantitative study design using the cross-sectional survey approach was used together with a self-administered, well-validated structured questionnaire. Second-year, final-year, and intern groups were selected with one hundred participants from each group. Descriptive statistical analysis and chi-square analysis were used in data analysis. Results: A total of 49 percent of the participants were able to correctly define pharmacovigilance; final-year students had the highest knowledge score of 72 percent. A total of 80–85% of the participants endorsed the need to report ADRs, and 75–84% believed that reporting ADRs is a professional responsibility. However, ADR reporting practice varied significantly: In the final-year students, 90% reported having filled out an ADR form, while the corresponding numbers for second-year students and interns were 12% and 34%, respectively. While 70-90% of the participants claimed to have ever been trained on how to report an ADR, only 20-28% of the participants reported to have ever experienced an ADR. Conclusion: Thus, though attitudes toward pharmacovigilance were mostly positive, major knowledge and practical implementation deficits were found, mainly concerning interns. The study underscores the need for enhanced systematic, comprehensive, and clinically focused instruction in pharmacovigilance learning in medical schools. This paper recommends that foresulfide should strengthen the existing knowledge prerequisite, integrate compulsory continuous education programs, advance practical practice, and smoothen the procedure of reporting ADRs to amplify the practices in pharmacovigilance among future healthcare human resources of Bangladesh.

Knowledge and practices of vegetable consumption in Accra and greater Lomé: nutritional, health and environmental sustainability

In Accra and Greater Lomé, research into the harmful effects of food transitions focuses scarcely on the levels of knowledge and good practices (LKGP) of vegetable consumers. However, these foods play a key role in the nutritional, health, socio-economic and ecological sustainability of cities. This research aims to assess the health, nutritional, ecological and socio-economic sustainability of LKGP linked to vegetable consumption in these conurbations. A quantified multi-criteria evaluation approach was adopted. The respondents (394), selected via judgmental sampling, were equally distributed between the two cities. Data were collected using a Food Frequency Questionnaire administered by Kobocollect. The overall average rate of good vegetable consumption knowledge and practices in Accra and Greater Lomé is low (37.43%). This result stems from the low LKGP for daily vegetable consumption (24.62%), their inclusion in the main daily meals (33.50%) and consideration of their nutritional composition (30.86%). The target population is unaware of the health, nutritional and ecological drawbacks of poorly preserved vegetables (66.93%) and adopts inappropriate waste management practices when handling them (65.91%). The average proportions of access to vegetable procurement technology (47.08%) and sustainable food education (11.29%) were also low. The research results, unfavorable to the achievement of the SDGs in Accra and Greater Lomé, call for an inclusive, integrated and continuous sustainable food education program.

Proposal of Educational Models and a Simulation Program for Learning Piezosurgery in Stomatology, Implantology and Maxillofacial Surgery

Background and Objective: The acquisition of technical skills, using piezosurgery devices, would be facilitated by simulation on educational models. This study aims to disseminate a simulation program and propose educational models of animal origin enabling progressive achievement of psychomotor skills in learning piezosurgical procedures. Material: As part of the national continuing education program in stomatology, implantology, and maxillofacial surgery that we founded and have been leading since 2015, seven procedural simulation sessions for piezosurgery training were realized. The simulation program included two steps: first, specific tasks carried out on a sheep's head to learn psychomotor skills using piezoelectric device. Then, similar tasks were reproduced on a hen egg to reach a higher level of mastery and proficiency. The program and simulation models were evaluated according to a questionnaire by 200 practitioners at the end of each session. Results: Almost all participants reported that working on a sheep head authentically reproduced the tasks, that were completed after at least two attempts, with a feeling of projection into the clinical environment. All participants considered that undermining the membrane from the eggshell reproduced the same gesture on the Schneiderian membrane. However, only 30% of practitioners achieved this task on the hen egg requiring more than five attempts. Conclusion: The simulation program using the educational models that we have proposed allows us to carry out in the first stage of the simulation the basic learning of technical gestures in a high-fidelity environment and the second stage considered as an advanced simulation, to acquire a higher level of competence and technical capacity. Our simulation method is simple, inexpensive, and reliable to become standardized and followed on a larger scale in learning piezosurgical skills.

Gamma irradiation pilot project: Enhancing food safety and export quality in Indonesia

This study aims to evaluate the feasibility of establishing a gamma irradiator pilot project in Indonesia to reduce food loss and food waste, as well as to enhance the value of export commodities. Gamma irradiators have the potential to extend shelf life, improve food safety, and reduce losses during distribution and storage. The research methodology involves weighting to assess the feasibility of location selection, incorporating secondary data analysis and economic value-added analysis. The results indicate that the PUSPIPTEK Serpong location meets all mandatory criteria and nearly all non-mandatory criteria, making it a suitable site for this pilot project. The operation of the gamma irradiator in Serpong has successfully increased the volume of irradiation services, though its utilization is predominantly for export purposes. The main challenges include a negative public perception of irradiated food and a lack of education on its benefits. This study concludes that gamma irradiators are effective in reducing food loss and food waste, as well as increasing the value-added of export commodities. Strong government support and continuous education programs are necessary to improve public acceptance. Future research could focus on long-term evaluations of the impact of gamma irradiators and the development of more effective educational programs.

Perspectives of stakeholders on the implementation of a dietary and exercise intervention for postpartum mothers with a history of gestational diabetes mellitus (GDM): a community-based qualitative study

Women with a history of Gestational diabetes mellitus (GDM) have a high risk of developing Type 2 diabetes mellitus (T2DM) in their future life. Lifestyle interventions are known to reduce this progression. The success of a lifestyle intervention mainly depends on its feasibility. Therefore, this study aimed to evaluate the feasibility of a lifestyle intervention programme aimed to attenuate the development of T2DM in mothers with a history of GDM. This qualitative phenomenological study was carried out in selected Medical offices of Health (MOH) areas in Sri Lanka. Postpartum mothers with a history of GDM who have undergone a comprehensive, supervised lifestyle intervention program for 1 year, their family members, and public health midwives (PHM) were recruited for this study. Focus group discussions (FGD) were carried out with mothers and PHM while In-depth interviews (IDI) were conducted with family members. Framework analysis was used for the analysis of data. A total of 94 participants (45 mothers, 40 healthcare workers, and 9 family members) participated in FGDs and IDIs to provide feedback regarding the lifestyle intervention. Sixteen sub-themes emerged under the following four domains; (1) Feelings and experiences about the lifestyle intervention programme for postpartum mothers with a history of GDM (2) Facilitating factors (3) Barriers to implementation and (4) Suggestions for improvement. Spouse support and continued follow-up were major facilitating factors. The negative influence of healthcare workers was identified as a major barrier to appropriate implementation. All participants suggested introducing continuing education programmes to healthcare workers to update their knowledge. The spouse’s support and follow-ups played a pivotal role in terms of the success of the programme. Enhancing awareness of the healthcare workers is also essential to enhance the effectiveness of the programme. It is imperative to introduce a formal intervention programme for the postpartum management of mothers with a history of GDM. It is recommended that the GDM mothers should be followed up in the postpartum period and this should be included in the national postpartum care guidelines.

Perioperative pain management intervention in older patients with hip fracture in an orthogeriatric unit. A controlled before/after study assessing an audit and feedback intervention (PAIN-AGE)

BackgroundPostoperative pain delays ambulation, extends hospital stay, reduces the probability of recovery, and increases risk of long-term functional impairment. Pain management in hip fractured patients poses a challenge to the healthcare teams. Older adults are more vulnerable to opioid-associated side effect and it is primordial to minimize their exposure to opioids. Acetaminophen is associated with reduced opioid use so we need to focus on acetaminophen use in first-line analgesia.MethodsWe conducted a controlled before/after study to assess the ability of an audit and feedback (A&F) intervention built with nurses to improve the quality of perioperative pain management in older patients hospitalized for hip fracture in an orthogeriatric unit (experimental group) versus a conventional orthopedic unit (no A&F intervention). The primary endpoint was the percentage of patients who received 3 g/day of acetaminophen during the three postoperative days, before and after the A&F intervention. Secondary endpoints included nurses’ adherence to medical prescriptions, clinical data associated with patients and finally factors associated with intervention. The significative level was set at 0.05 for statistical analysis.ResultsWe studied data from 397 patients (mean age 89 years, 75% female). During the postoperative period, 16% of patients from the experimental group received 3 g/day of acetaminophen before the A&F intervention; the percentage reached 60% after the intervention. The likelihood of receiving 3 g/day of acetaminophen during the postoperative period and adhering to the medical prescription of acetaminophen were significantly increased in the experimental group as compared with the control group. The patient’s functional status at discharge (assessed by Activities of Daily Living scores) was significantly better and the length of hospital stay significantly reduced after the A&F intervention.ConclusionOur controlled before/after study showed that an A&F intervention significantly improved perioperative pain management in older adults hospitalized for hip fracture. Involving teams in continuous education programs appears crucial to improve the quality of pain management and ensure nurses’ adherence to medical prescriptions.

Job Service Specialists’ Lifelong Learning Experience in Taiwan: A Qualitative Study

Lifelong learning is a key element that helps adults undergo and adapt to different career stages. This study analyzed job service specialists’ lifelong learning experience of successfully matching the needs between job seekers and employers. The researchers adopted the qualitative research method and conducted semi-structured in-depth interviews with 11 outstanding-performing job service specialists to collect their learning experiences. The findings were that: (a) Job service specialists improve their professional competencies through formal education (Bachelor’s and Master’s degrees), non-formal education (obtaining licenses and participating in training programs), and informal learning (self-directed learning and seeking others’ experiences). (b) Job service specialists’ duties include understanding job seekers’ backgrounds, needs, motivations, expectations, career plans, and previous training experiences; job application assistance; and regular follow-ups. (c) The greatest difficulties job service specialists encounter are insufficient understanding of job seekers’ physiological and psychological characteristics and job seekers’ and employers’ needs. (d) Job service specialists can effectively match jobs for job seekers and fulfill employers’ needs by learning continuously in workplaces. These results can provide a reference for government agencies to design continuing education programs for job service specialists to promote their professional competencies.

Knowledge of occupational hazards and practice of occupational safety among diagnostic radiographers in university of port Harcourt teaching hospital, rivers state

Health workers particularly radiographers have continuously faced with various occupational hazards due to the occupational environment that is associated with unsafe working conditions and lack of protective equipment. This study aimed to explore knowledge of occupational hazards and practice of occupational safety among diagnostic radiographers in university of Port Harcourt teaching hospital, Rivers state. The study adopted descriptive cross-sectional study, a questionnaire was the instrument used to collect data from 226 radiographers. Data was analyzed using SPSS version 25.0. Results shows good knowledge occupational hazards (72.8%); and good practice of occupational safety (68.5%). Regarding safety practices, radiographers exhibited moderate radiation protection practices (71.2%), with most portraying good practices. No significant gender or age differences were found in practices. Experience did not affect practices significantly. Radiographers with specialized training displayed better practices. The study concluded that radiographers had appreciably high knowledge and moderate safety practices. The study recommended continuing education programs, monitoring of practices, adequate protective facilities, and enhanced curriculum on radiation safety are required to address knowledge and practice gaps among radiographers in Nigeria.

Rooting for Change: Unveiling Farmers' Bio-input Awareness and Knowledge Across Tamil Nadu's Agro-climatic Zones

Aim: The purpose of this research is to analyse farmers' awareness and knowledge towards bio-inputs across six agro-climatic zones in Tamil Nadu, India. Study Design: The study used an ex post facto research strategy with multistage random sampling. Place and Duration of Study: The research was conducted in eight districts spanning six agro-climatic zones of Tamil Nadu. Data was collected between December 2023 to April 2024 using a well-structured interview schedule. Methodology: A total of 240 farmers were surveyed, with 30 drawn from each of the eight districts. Participants were selected via snowball sampling. Data was gathered through structured interviews and evaluated using percentage analysis. Results: The survey found that 55.56% of farmers across all districts were highly aware of bio-inputs, 26.64% were somewhat knowledgeable, and 17.79% were unaware. Thoothukudi district had the highest awareness rate (68%), followed by Thanjavur (66.66%) and Villupuram (64%). Kodaikanal was the outlier, with the lowest high awareness (24.50%) and the greatest low awareness (39.50%). The research identified various factors influencing these variances, including the efficacy of extension services, access to knowledge and resources, demonstration programs, peer influence, and socio-economic status. Conclusion: The data show a significant gap between farmers' awareness and in-depth understanding of bio-inputs such as Rhizobium, Azotobacter, and Phosphate Solubilizing Bacteria (PSB), with noticeable regional differences. While overall awareness is good, the prevalence of medium knowledge levels suggests the need for additional practical, hands-on training and continuing education programs. This can be achieved through region-specific initiatives, including on-farm demonstrations, farmer-to-farmer knowledge sharing, and collaboration with local agricultural universities. Addressing these challenges has the potential to promote sustainable farming methods, ensuring food security and environmental health across Tamil Nadu's diverse agro-climatic zones.

Financial education: the challenges of training educators of young learners

This paper aims to investigate the current scenario of how Financial Education is taught by teachers at an institution that trains young learners, in order to propose a continuing education program in Financial Education. It is considered essential that teachers have knowledge acquired from both training and practical experience. The methodology employed was applied research, with a qualitative approach, using data collection and analysis, as well as thematic analysis. The study presents a scenario in which the importance of Financial Education in the lives of young learners is recognized, but identifies that the lack of teacher training is an obstacle. This challenge can be overcome through continuing education and communities of practice to train them in Financial Education.

Knowledge of Hepatitis-B Management and its Prevention among the Senior Staff Nurses Working at Bangabandhu Sheikh Mujib Medical University (BSMMU)

Background: Hepatitis B, caused by the Hepatitis B virus (HBV), presents a significant global health challenge, especially in regions like Bangladesh where its prevalence is intermediate. The virus is transmitted through percutaneous or mucosal exposure to infectious blood or bodily fluids, posing a substantial risk to healthcare workers. Hepatitis B can lead to severe liver diseases if untreated. In Bangladesh, the burden of Hepatitis B is high, necessitating urgent intervention, particularly among healthcare professionals such as senior staff nurses who are on the frontline of managing and preventing the disease. Methods: This cross-sectional study assessed the knowledge levels of 210 senior staff nurses at Bangabandhu Sheikh Mujib Medical University (BSMMU) regarding Hepatitis B management and prevention. A structured questionnaire, translated into Bengali, was used for data collection through structured interviews. Convenience sampling was employed, and data were analyzed using SPSS (Version 24.0). Descriptive statistics and t-tests/ANOVA were used to explore the relationship between socio-demographic characteristics and nurses' knowledge about Hepatitis B. Ethical clearance was obtained from the Institutional Review Board (IRB) of BSMMU. Results: The majority of respondents were female (70%), aged below 30 years (59.5%), and had basic nursing education (89.5%). Most had 1-10 years of work experience (89%) and earned less than 35,000 BDT monthly (78.1%). Regarding vaccination, 64.3% had completed it, 26.7% were partially vaccinated, and 9% were unvaccinated. Occupational exposure to blood or body fluids was reported by 73.3% of nurses. Knowledge about Hepatitis B infection, transmission, and prevention was generally high, with 85.44%, 89.14%, and 85.11% of nurses demonstrating good knowledge in these areas, respectively. Marital status and vaccination status were significantly associated with higher knowledge levels (p &lt; 0.05). Conclusion: Senior staff nurses at BSMMU exhibit substantial knowledge about Hepatitis B infection, transmission, and prevention. However, misconceptions persist regarding non-transmission routes and some preventive measures. Married nurses and those with complete vaccination status demonstrated higher knowledge levels. These findings highlight the need for targeted educational interventions to address knowledge gaps and reinforce preventive practices among nurses. This study underscores the importance of continuous education and vaccination programs to enhance the effectiveness of Hepatitis B management and prevention efforts in healthcare settings.

Survey on the knowledge and practices in anorexia of aging diagnosis and management in Japan.

Anorexia of aging (AA) is a condition in older adults that includes loss of appetite and reduced food intake. There is a lack of detailed analysis of the potential influence of educational initiatives in addressing AA. This study aimed to clarify the current state of knowledge and practice regarding AA and its relationship with the availability of continuing education opportunities among Japanese healthcare professionals involved in treating older patients. The Japan Geriatrics Society and the Japanese Association on Sarcopenia and Frailty, in collaboration with the Society on Sarcopenia, Cachexia, and Wasting Disorders, conducted an online questionnaire survey on the knowledge and practices in AA detection and management. Questions were asked in the areas of demographics, screening, definition/diagnosis, treatment, referral, and awareness, with those who 'participate' in continuing education and professional development programmes in nutrition for their patients were classified as the 'education group' and those who 'do not participate' were classified as the 'non-education group'. The results for each question were compared. The analysis included 870 participants (physicians, 48%; registered dietitians, 16%; rehabilitation therapists, 14%; pharmacists, 12%; nurses, 6%; and other professionals, 5%). The education group (45%) was more likely than the non-education group (55%) to use the Mini-Nutritional Assessment Short Form (MNA-SF) to screen for AA (49% vs. 27%) and less likely not to use a validated tool (33% vs. 47%). More participants used evidence-based tools and materials for AA care (38% vs. 12%), and fewer used their clinical judgement (23% vs. 35%) or were unaware of the tools and materials (9% vs. 23%). The proportion using a team of professionals experienced in AA care were 47% and 24% of the education and non-education groups, respectively. By profession, few physicians used specific validated tools and resources for AA screening and treatment. More than half of the dietitians used the MNA-SF regardless of training opportunity availability. Regarding professional availability and team use, differences in educational opportunities were particularly large among physicians. Participation in continuing education programmes on nutrition is associated with responsiveness to AA screening and treatment and the availability of a team of professionals, which may influence the quality of AA treatment. Nutrition education may support the confidence of healthcare professionals working with older adults in AA with complex clinical signs and encourage them to conduct evidence-based practice.

Standing tall: A continuing education program and participatory study offered to arts therapists working in the israeli education system

This article is based on an arts-based participatory action research study conducted as an integral part of the Standing Tall continuing education program. Focusing on arts therapists within the Israeli education system, the research investigated their perceptions of the state of creative arts therapies in the system, their experiences, and their suggestions for enhancing their work environment. Finally, it explored co-researchers’ perceptions of the meaningfulness of their involvement in the program and participatory research initiative. The 20 arts therapists-co-researchers who participated in this program conducted interviews with 142 colleagues to learn about their job experiences and then analyzed these interviews. The lead researchers thematically analyzed the written and artistic materials collected during the program. The research findings showed the participants, both co-researchers, and interviewees, perceived the integration of arts therapy into the educational system as significant and potentially beneficial. The co-researchers aspired to play an active role in enhancing this integration while acknowledging the challenges involved. They saw the program as a meaningful opportunity for arts-based self-exploration. The findings suggest that while decision-makers play a crucial role in shaping the working conditions of arts therapists, the therapists themselves can catalyze change in the educational system and perhaps in other public systems as well.