Development Of Practices Research Articles

Comparative Effectiveness of Blended Teaching Models with Micro-Teaching Assistants in Clinical Pharmacokinetics Education

Objective: This study aimed to evaluate the effectiveness of micro-teaching assistants within a hybrid online-offline teaching framework in the context of clinical pharmacokinetics education.Material and Methods: A total of 320 clinical pharmacy students participated, with 143 students from earlier cohorts forming the control group and 177 students from the 2019 and 2020 batches comprising of the observation group. Traditional teaching methodologies instructed the control group, while the observation group benefited from a novel, blended teaching approach incorporating micro-teaching assistants. The evaluation criteria encompassed theoretical knowledge acquisition, practical skill development, pass rates, and score distribution.Results: This investigation into clinical pharmacokinetics education demonstrates the superiority of a blended teaching model, enhanced by micro-teaching assistants, over traditional methodologies. The observation group, utilizing this approach, displayed a significant 15% increase in theoretical knowledge scores, maintained high practical skill levels, alongside achieving a 94.9% pass rate, markedly surpassing the control group’s 91.6%. Feedback from students corroborated the model’s effectiveness, with satisfaction scores exceeding 4.8 out of 5; despite potential respondent bias. Notably, the application of micro-teaching assistants was most pronounced in Pharmacology, highlighting its value in teaching complex theoretical content, and advocating for expanded use in medical education.Conclusion: This study concludes that the integration of micro-teaching assistants into blended teaching strategies for clinical pharmacokinetics significantly improves educational outcomes. This approach not only facilitates a more effective learning environment but also underscores the potential of innovative pedagogical tools in enhancing student performance, and comprehension in complex subjects.

Ethics in Business Research and Innovation. An Institutionalisation Framework

AbstractProgress in Responsible Research and Innovation (RRI) has proved to be a decisive step in many institutions, following the guidelines and encouragement of the European Union and academic proposals. One of the dimensions recent studies have considered central for making progress in the practical development of theoretical proposals for RRI is the institutionalisation of reflexivity at the core of the organisations that develop RRI. This is particularly the case with the promotion of processes that facilitate the establishment of ethical standards throughout the research and innovation cycle. This study attempts to deal with discourses about the institutional reflexivity formulated in the past 15 years based on RRI from a critical-ethical point of view. It does so using the business ethics theory of discourse. This analysis shows that, for this institutional reflexivity to be possible, it is necessary to base the RRI model on a critical-ethical horizon and design an ethical governance system that allows its practical development.

Development of Reading Skill Practices on Pronouncing Thai Diphthong for Grade 5 students at Ban Pa Sang School (Sangdarunanusat) Mae Chan District, Chiang Rai Province

Development of Reading Skill Practices on Pronouncing Thai Diphthong for Grade 5 students at Ban Pa Sang School (Sangdarunanusat) Mae Chan District, Chiang Rai Province

REFLEXÃO CORPORAL: PRÁTICAS INOVADORAS NA FORMAÇÃO DE PROFESSORES DE EDUCAÇÃO FÍSICA

The present work entitled "Bodily Reflection: Innovative Practices in the Training of Physical Education Teachers" addresses the importance of articulating bodily practice with critical reflection in the teacher training process in physical education. The central proposal is to discuss how new pedagogical approaches can contribute to the development of innovative practices in teaching this subject, considering the challenges faced by teachers in training. Bodily reflection, understood as a process that unites theory and practice, emerges as an essential tool for improving teaching skills, especially regarding the ability to adapt content and methodologies to the school context. The study also explores how these practices can positively influence the interaction between the teacher and their students, promoting more meaningful learning that is connected to current needs. Thus, the research highlights the need for training that goes beyond technical knowledge, also incorporating a critical and reflective understanding of corporeality and its pedagogical application.

Empowering Nonprofits: The Role of Sustainable Spiritual Leadership in Driving Performance

This study investigates the impact of sustainable spiritual leadership on the performance of nonprofit organizations, specifically focusing on 64 churches within the East Java Christian Church (GKJW) Synod from 2021 to 2023. The research uses quantitative data and a multiple regression model to assess spiritual leadership across three dimensions: Pastoral Ministry, Church Ministry, and Leadership. The findings reveal that Church Ministry has a positive and significant effect on organizational performance, while Pastoral Ministry and Leadership have negative yet significant impacts. These results suggest that improving Pastoral Ministry and Leadership may temporarily reduce performance but is essential for fostering long-term sustainable spiritual leadership. On the other hand, Church Ministry produces immediate performance benefits. The study emphasizes the complexity of promoting sustainable spiritual leadership, as all three dimensions need to be harmonized for long-term organizational success and societal impact. The research offers empirical evidence, highlighting the need for balancing short-term performance outcomes with the development of sustainable leadership practices in nonprofit organizations.

Butyrolactone-I from Marine Fungal Metabolites Mitigates Heat-Stress-Induced Apoptosis in IPEC-J2 Cells and Mice Through the ROS/PERK/CHOP Signaling Pathway

Heat stress poses a significant challenge to animal husbandry, contributing to oxidative stress, intestinal mucosal injury, and apoptosis, which severely impact animal health, growth, and production efficiency. The development of safe, sustainable, and naturally derived solutions to mitigate these effects is critical for advancing sustainable agricultural practices. Butyrolactone-I (BTL-I), a bioactive compound derived from deep-sea fungi (Aspergillus), shows promise as a functional feed additive to combat heat stress in animals. This study explored the protective effects of BTL-I against heat-stress-induced oxidative stress and apoptosis in IPEC-J2 cells and mice. Our findings demonstrated that BTL-I effectively inhibited the heat-stress-induced upregulation of HSP70 and HSP90, alleviating intestinal heat stress. Both in vitro and in vivo experiments revealed that heat stress increased intestinal cell apoptosis, with a significant upregulation of Bax/Bcl-2 expression, while BTL-I pretreatment significantly reduced apoptosis-related protein levels, showcasing its protective effects. Furthermore, BTL-I suppressed oxidative stress markers (ROS and MDA) while enhancing antioxidant activity (SOD levels). BTL-I also reduced the expression of p-PERK, p-eIF2α, ATF4, and CHOP, mitigating oxidative and endoplasmic reticulum stress in intestinal cells. In conclusion, BTL-I demonstrates the potential to improve animal resilience to heat stress, supporting sustainable livestock production systems. Its application as a natural, eco-friendly feed additive will contribute to the development of sustainable agricultural practices.

A Comprehensive Review of Food Safety Culture in the Food Industry: Leadership, Organizational Commitment, and Multicultural Dynamics

Food safety culture (FSC) has transitioned from a narrow compliance-based concept to a comprehensive organisational value that is essential for ensuring food safety. This review explores the pivotal roles of leadership, organisational commitment, and cultural diversity in shaping an effective FSC. It highlights how leadership style, particularly transformational leadership, can enhance employee engagement and foster a proactive safety culture. Additionally, the impact of national and organisational cultures on FSC is analysed, emphasising the challenges posed by a multicultural workforce in standardising food safety practices. This article also provides a comparative analysis of FSC across various sectors, such as meat and dairy processing, identifying sector-specific challenges and best practices. In particular, high-risk sectors tend to exhibit a stronger FSC due to regulatory pressure, while other sectors struggle with issues like communication and employee ownership. The importance of integrating behavioural training with cultural considerations is underscored as a key strategy for sustaining a positive FSC. For maintaining a strong FSC, tailored approaches, which account for cultural and operational differences, are necessary for improving food safety outcomes. This comprehensive analysis provides valuable insights for industry professionals and policymakers, offering a foundation for future research and the development of more effective food safety management practices.

Rethinking Children’s Nursing: Critical learnings from Childhood Studies

Within this commentary, I contest dominant views and practices regarding im/maturity within Children’s Nursing that are rooted in refuted age-based conceptions of child development. I highlight how these operate as forms of epistemological oppression that perpetuate the exclusion of young people’s voices and experiences in research, policymaking and practice development that affects them. These dominant approaches breach their participation rights and can generate significant distress and trauma. To counter these oppressive views and practices, I discuss an inclusive participatory framework that is centered on the recognition of young people as human agents, acknowledging their voices as forms of agential expression and action. I argue that all research, policymaking and practice development that affects young people should be informed by their aspirations and concerns expressed through respectful – not tokenistic - youth engagement initiatives. I argue for an urgently-needed restructuring of Children’s Nursing theory and practice.

Advancements in regulatory agility, regional collaboration, and digital transformation: insights from the Asia Partnership Conference of Pharmaceutical Associations (APAC)

PurposeThe Asia Partnership Conference of Pharmaceutical Associations (APAC) examines recent developments in regulatory practices across Asia, focusing on regulatory agility, regional collaboration, and digital transformation. The paper identifies key improvements made by national regulatory authorities (NRAs) in adopting regulatory agilities over a two-year span. It also suggests optimizing regional reliance pathways and recommends best practices for implementing e-submission, real-world evidence (RWE), decentralized clinical trials (DCTs), and paperless e-labelling.MethodsAPAC surveyed all 14 member associations to track progress in regulatory agility implemented by our NRAs from 2022 through April 2024. Additionally, APAC assessed the uptake of regional reliance pathways and the implementation levels of e-submission, RWE, DCTs, and paperless e-labelling. Through the analysis of case studies and survey results, the paper aims to identify key trends, challenges, and opportunities in the regulatory landscape.ResultsNine of twelve NRAs have advanced in regulatory agility, with Thai FDA leading with a 36% improvement and ranking 7th in the number of best practices implemented. e-Labeling adoption rose by 50%, and there was a 17% increase in the use of multiple sites under one license, good reliance practices, and acceptance of electronic Certificates of Pharmaceutical Product (eCPP) and Good Manufacturing Practice (eGMP). Perceived issues with the ASEAN Joint Assessment (JA) procedure include timeline constraints, limited flexibility in choosing participating NRAs, and country-specific requirements. NRAs have achieved 100% adoption of e-submissions and 50% for paperless e-labeling. Additionally, 67% accept data from DCTs and RWE using good reliance practices. However, 42% still require paper documents in e-submissions, and 50% continue to accept dossier format different from the International Council for Harmonisation Electronic Common Technical Document (ICH CTD).ConclusionsAPAC supports adopting agility best practices to reduce country-specific requirements, optimizing the ASEAN JA procedure. APAC also values strategic partnerships with NRAs, as demonstrated by the case studies of Vietnam and India. The shift towards digital transformation is evident, with 50% adoption of paperless e-labeling and 100% adoption of e-submissions, though not all processes are paperless with the use of ICH CTD dossier format. Overall, continued alignment with international standards for implementing eCTD, RWE, and DCTs is required in all 12 economies to realize the full benefits of globally harmonized digital advancement.

J. Biden’s First Term: Renaissance of U.S. Public Diplomacy?

Since the end of Cold War, U.S. public diplomacy (PD) has displayed signs of a systemic crisis, largely due to a lack of political will to regard PD as one of the key foreign policy instruments. At the beginning of J. Biden’s presidency, it seemed likely that under his administration American PD would finally undergo significant modernization. Indeed, during the period from 2021 to 2024, there have been numerous changes within U.S. PD. The author analyzes the most prominent changes using principles of historic approach, systemic approach, as well as structural-functional approach. The article classifies these changes into three categories: institutional reforms, practical reforms, and methodological reforms. Reforms from the first category aim to optimize the organization of PD institutions and improve staff qualifications. Those from the second category focus on revision of the old practical methods and development of the new ones. The third category is defined by scientific analysis of the current U.S. PD system, its target audiences as well as the possible ways PD can be used to advance American foreign policy goals. All indicators discovered through the research conducted for this article suggest that J. Biden’s presidency has indeed become a starting point for major modernization of the U.S. PD and its re-emergence as one of the key foreign policy instruments.

Hands-On Learning During Pandemic: Through the Lens of Socioeconomically Underprivileged Students

ABSTRACT Amidst the COVID-19 pandemic, education and training faced disruption, necessitating a shift to open and distance learning (ODL) due to lockdowns and social distancing. Socioeconomically disadvantaged hospitality students encountered significant obstacles, including limited electricity, connectivity, devices, and caregiver support, potentially exacerbating educational disparities. This study focuses on hospitality students who underwent a practical-intensive food and beverage class during the pandemic. Interviews were conducted to explore students’ ODL challenges, experiences returning to campus, and resilience in self-directed learning. Thematic analysis revealed three main themes and seven sub-themes. It was found that poor internet access and inadequate self-training tools hindered practical skill acquisition. Short video tutorials were proven effective, fostering students’ self-directed learning and video editing skills. Suffice to say, educational tools like short videos and social media assist underprivileged students’ practical skill development, thus bridging the digital divide in education despite the challenges.

Challenges of regional hospice and palliative care networks: A group discussion study with coordinators and network experts.

Within hospice and palliative care, professionals from various disciplines collaborate to deliver comprehensive care to terminal patients and their relatives. Regional hospice and palliative care networks exist in various countries, aimed at facilitating cooperation among health care providers at a local level. To date, little is known about the challenges faced by these networks. This study aimed to explore the challenges faced by regional hospice and palliative care networks in Germany. A qualitative study with n = 6 group discussions was conducted. Group discussions were recorded, transcribed verbatim and analysed using qualitative content analysis. Participants were n = 19 coordinators or leaders of regional hospice and palliative care networks in Germany or persons with theoretical expertise about these structures. Regional hospice and palliative care networks face numerous challenges relating to: (1) establishment and development, (2) infrastructure, (3) moderation, (4) public relations and information exchange, (5) education and training and (6) the development of regional care services and practices. Network moderation appears crucial for network success and is highly dependent on infrastructural conditions. A key challenge is gaining network acceptance and support from potential network partners. Specifically, this includes securing the commitment of network partners to agree on common goals, develop joint actions and standards and allocate resources effectively. Sustainable infrastructure, competent network governance and adequate resources for network members are essential for the success of regional hospice and palliative care networks. To improve networking, funding conditions should be simplified, the involvement of network partners should be improved and network coordinators should receive training in network management.

Project‐Based Learning in Bioprocess Engineering: MATLAB Software as a Tool for Industrial‐Scale Bioreactor Design

ABSTRACTThe project‐based learning (PBL) methodology has proven to be a valuable pedagogical approach in engineering programs for decades. However, a significant gap remains in the application of such methodologies in the field of bioprocess engineering. This study addresses this gap by exploring the implementation and outcomes of innovative PBL methodology in the context of bioprocess engineering education. The educational innovation involved the study of a bioprocess at the industrial scale, which comprises the definition of the culture medium, the operational units of the process, the design of the bioreactor with the assistance of MATLAB software, and the performance of a techno‐economic analysis. The results over eight academic years (441 students) demonstrated consistently high average grades in case studies (8.9 ± 0.3 out of 10), indicating successful student navigation of PBL challenges. The students’ positive feedback highlighted the satisfaction and effectiveness of the methodology in promoting collaboration, enhancing comprehension, and preparing students for real‐world scenarios. Overall, this study provides valuable insights into the successful implementation of PBL in bioprocess engineering education, highlighting its potential for fostering active learning, practical skill development, and student engagement. These findings contribute to the growing body of literature on innovative pedagogical approaches in engineering education and underscore the importance of ongoing evaluation and refinement for enhancing student learning outcomes.

Enhancing digital currency adoption: examining user experiences

PurposeThis study aimed to analyse user experiences and perceptions of eRupee banking applications in India, focussing on understanding the key factors driving user satisfaction and dissatisfaction.Design/methodology/approachA comprehensive text-mining approach was employed to analyse 5,176 user reviews collected from the Google Play Store. Sentiment analysis and latent Dirichlet allocation (LDA) were used to classify reviews and uncover prevailing themes.FindingsThe analysis revealed that positive reviews highlighted the themes of usefulness, convenience, satisfaction, app attributes, and ease of use. Negative reviews emphasise issues related to lack of trust, faulty updates, unreliability, security concerns, and inadequate customer support. The Logistic Regression model demonstrated superior performance in predicting user sentiments, achieving an AUC of 0.7926 and an accuracy rate of 77.90%.Research limitations/implicationsThis study was limited to reviews from a single-platform source. Future research could incorporate data from multiple online sources and employ qualitative methods to gain deeper insight. Additionally, longitudinal studies and cross-cultural analyses are recommended to capture evolving user sentiments and global perspectives.Practical implicationsThe findings provide actionable insights for bank managers, app developers and policymakers to enhance eRupee applications by addressing identified issues and leveraging positive aspects to improve overall user experience and satisfaction.Originality/valueThis study makes a novel contribution to the literature on digital currency and advanced text-mining techniques using machine-learning models to analyse user feedback in the context of an emerging economy. The proposed conceptual model and practical recommendations serve as the foundation for future research and practical development in digital financial services.

N.A. Vigdorchik — is the founder of the Leningrad scientific school of occupational pathology, an outstanding scientist, teacher and public figure (on the 150th anniversary of his birth)

November 17, 2024 marked the 150th anniversary of the birth of Nikolai (Nathan) Abramovich Vigdorchik, one of the founders of occupational health, the creator of the country's first department of occupational diseases and a research institute for their study in Leningrad. N.A. Vigdorchik is an iconic figure in Russian occupational pathology. The formation of occupational health as an independent discipline is associated with his name. The biography, creative and scientific path of this man are closely intertwined with the dramatic events of the historical era of the late nineteenth and early twentieth centuries, in which the pioneer scientist lived and worked. Professor Vigdorchik can rightfully be attributed to those outstanding Russian medical scientists who actively contributed to the progressive formation and development of Russian medical science and practice in the first half of the twentieth century. His multifaceted scientific, pedagogical, therapeutic and social activities had a wide resonance, including at the state level. Thanks to his talent and vast practical experience, N.A. Vigdorchik had the ability to notice in time the shifts in medicine, economics, politics, and the social sphere taking place in our country and abroad, give them a qualified assessment and outline ways to solve topical issues, primarily in the field in which he was an outstanding specialist — occupational health and social insurance. Vigdorchik belongs to that rare breed of specialists who are commonly called encyclopedists. According to the recollections of colleagues, in addition to his brilliant abilities, he possessed excellent human qualities. In the articles devoted to the life and work of this extraordinary man (especially in connection with the 140th anniversary), N.A. Vigdorchik's contribution to Russian science and practice is analyzed in sufficient detail. At the same time, the scale of this personality is such that not all facets of his talent are reflected in literature. In this article, the author tried to focus on information that is little known to a wide range of readers, on issues where the role and importance of professor Vigdorchik are very significant, but, in our opinion, are not fully appreciated by contemporaries.

The ghosts of research past, present and future: understanding the past to inform a future of models-based practice research

ABSTRACT Background Each year, at the Invisible College – a one-day physical education and sport pedagogy (PESP) special interest group conference hosted prior to the main British Educational Research Association’s annual conference – a scholar is honoured with the Scholar Lecture in recognition of their significant contribution to the PESP field. This paper represents the 2024 Scholar Lecture. Purpose The purpose of this Scholar Lecture is to reflect on my contributions to the field of PESP, offering a modest overview of the development, current state, and future possibilities of Models-based Practice as seen through my research. Key concepts This paper draws inspiration from Charles Dickens’ novel, A Christmas Carol. In this work, the miserly protagonist is visited by three spirits – the Ghosts of Christmas Past, Present, and Future – to warn him of the consequences of leading a parsimonious life. In the paper, the metaphor of research ghosts is used to explore the past, present, and a possible future of Models-based Practice (MbP) research. I argue that, over a research career, ideas and concepts not only evolve and mature but also go in and out of vogue. Despite this, ideas are often grasped and used by other researchers to ‘make a point’ without regard to the evolution of the same idea. As a result, researchers with a significant ‘back catalogue’ are left to live with the echoes of their past research. Consequently, I argue that both the genesis and the evolution of ideas need to be considered if we are to give due recognition to the work in the field of physical education and sport pedagogy. Discussion and conclusion Moving from the past to the present and a possible future of MbP research, I explore the ideas of model fidelity and hybrid pedagogical models, consider the dissonance that exists between my ghosts of research past and present and acknowledge that the fault for any (mis)interpretation of my ideas lies with me. Finally, I consider what I believe is missing from MbP research and reflect on the Whiteness, able-bodied-ness, lack of social justice-ness and Eurocentric nature of MbP. I note that there are, for example, few, if any, people of colour in models’ scholarship, and argue that we need to better understand the unique experiences of different groups in this space. Fundamentally, we need to consider the different bodies that might be impacted by our research and better acknowledge that the global crisis of school physical education is far more nuanced and far less global than we might imagine. Finally, we must ensure that we are not haunted by our own ghosts but instead see them as reminders of our oversights and assumptions, and ultimately as a vehicle through which to understand the ways in which our thinking quite rightly evolves over time.

Parenteral Nutrition in the Health-Care Setting: A Comprehensive Review

Parenteral Nutrition (PN) is a critical therapeutic technique that delivers necessary nutrients straight into the circulation, bypassing the gastrointestinal system. This strategy is critical for people who are unable to acquire appropriate nourishment through oral or enteral routes owing to a variety of medical issues. PN first appeared in the mid-twentieth century, primarily to help those who were very malnourished or recuperating from significant surgery. As medical understanding of nutrition grew, so did the complexity and customization of PN formulations, allowing for personalized nutritional support depending on metabolic demands. The indications for PN are diverse, including gastrointestinal diseases, cancer therapies, severe illnesses, neurological issues, and pediatric demands. Patients suffering with Crohn's illness, short gut syndrome, and severe malnutrition caused by cancer therapies frequently rely on PN to maintain their nutritional status. Furthermore, critically sick patients in intensive care settings typically encounter elevated metabolic demands, needing efficient nutritional therapies that oral feeding cannot deliver. While PN has considerable advantages, such as increased recovery, malnutrition prevention, and quality of life, it is not without hazards. Infections, metabolic abnormalities, and liver dysfunction are all possible complications, emphasizing the importance of thorough monitoring and following best practices in PN administration. A multidisciplinary approach including healthcare specialists from several professions is required to achieve the best outcomes for patients seeking PN. Looking ahead, technological developments, personalized dietary techniques, and artificial intelligence integration promise to improve the safety and efficacy of PN. Continuous research and innovation are required to solve current difficulties and enhance the overall quality of care for patients requiring parenteral feeding. As the healthcare environment shifts, PN will remain an important component of nutritional support, requiring continuing attention and development in clinical practice.

The Theban Parthenon: Contextualising Female Lay Spirituality in a Twelfth-Century Byzantine Provincial City

Stemming from a canonical commentary of Theodore Balsamon (1130s–1195), this article examines an underexplored Byzantine Christian practice: the consecration of virgins. It focuses on an unusual religious establishment, a parthenon, founded in Thebes by its metropolitan John Kaloktenes (1166–c.1190), which accommodated lay virgins to pursue asceticism without demonstrating monastic commitments. It investigates the practice's origins, development and significance in Byzantine religious heritage, highlighting Kaloktenes's innovative revival of the practice. This study offers a unique case for exploring Byzantine monasticism and ecclesiastical leadership, while also demonstrating the potential for integrating Byzantium into the religious movements of the contemporary Latin West.

The Influence of Positive Growth Experience of Craftsmen on Vocational Education of Automotive Inspection and Maintenance Technology and Mental Health

Since 2014, in China, there has been a principle to divert the graduating junior high school students to regular high schools and secondary vocational schools in an orderly manner, with a ratio of 50%. Vocational education serves as an important foundation for cultivating technical and skilled talents, as well as craftsman talents. However, vocational education, as a distinct type of education, has not yet gained widespread recognition in society. And it is a very meaningful thing to explore how their teachers’ positive growth experience influence these students to become successful and feel pleasure. Using a qualitative methodology, we interviewed ten Zhejiang craftsmen specializing in the automotive field, who work as full-time or part-time teachers in technical colleges and vocational schools, to explore the relationship between their growth experiences and the impact of teacher education on the cultivation and development of craftsmen. The study not only focused on their professional development but also delved into the psychological aspects of their journey. By examining the interplay between professional growth, educational impact, and psychological factors, this results provide valuable insights into the holistic development of skilled craftsmen. The findings reveal that the growth characteristics of Zhejiang craftsmen can be categorized into four stages: aspiration, enjoyment, dedication, and innovation. These stages are reflected in various aspects such as career aspirations, professional identity, and collaborative innovation, which are further subdivided into 29 factors. Moreover, the analysis demonstrates how these self-growth experiences can be effectively transferred to the student training process, thereby stimulating students' enthusiasm for learning vehicle inspection, testing, and repairs. The development of vocational education can draw insights from the growth process of Zhejiang craftsmen, with a specific focus on fostering workplace learning, integrating theoretical instruction with practical skill development, and nurturing both technical expertise and personal qualities. And the comprehensive strategy focuses on the areas, such as fostering workplace learning, integrating theoretical instruction with practical skill development, nurturing both technical expertise and personal qualities, promoting psychological health and so on. By implementing these strategies, vocational education institutions can help students grow into healthy, skilled, and psychologically robust professionals.

"Hello… I'm Here!" A Co-Productive Qualitative Study Involving Older People With Vision Impairment and Their Experiences of Acute Hospital Care.

To understand the experience and care needs of older people living with vision impairment in the acute hospital setting. A qualitative study using co-productive user-based design. Seven older people living with vision impairment and six healthcare students collaborated in a series of six researcher facilitated co-productive workshops. Recorded data were analysed using thematic analysis. The needs of older people with vision impairment are often overlooked in the acute hospital setting. Four themes identified (1) Trauma and Loss; (2) Vulnerability and Feeling Invisible; (3) Being disabled, and (4) Feeling safe. Trauma associated with vision loss was acute, particularly if acquired during the hospital admission. The experience of vision impairment coupled with illness served to heighten feelings of vulnerability and needs were often overlooked creating a sense of invisibility. The hospital environment was experienced as disabling, and care needs were not always acknowledged. Supportive communications and access to own audio/supportive devices were vital in supporting a sense of safety. Our study is significant in highlighting the increasing global importance of vision aware care in the context of an ageing population. The study is also unique in illustrating the potential for inclusive and creative co-productive approaches which engage both older people with sight loss and healthcare students to promote vision aware practice. Supporting vision impaired older people through diagnosis, care and discharge is vital for promoting equitable positive health outcomes and quality of life. What problem did the study address? Despite a high prevalence of sight loss within the older patient population, it is unclear how the acute hospital setting supports people living with vision impairment. What were the main findings? The hospital environment and lack of vision aware care can impact negatively on the care experience resulting in poorer physical and psychosocial wellbeing. Where and whom will the research have an impact? This work will inform the development of vision aware care educational resources, policy, and practice. Vision aware care is vital for supporting quality of life and health outcomes for all older people. EQUATOR guidelines have been adhered to using the COREQ checklist. The charitable organisation Sheffield Royal Society of Blind (SRSB) was involved in the planning of the research to ensure that volunteer participants could take part and the conduct of the research was inclusive to their needs.