Practical Experience Research Articles

Experiences of antenatal care practices to reduce stillbirth: surveys of women and healthcare professionals pre-post implementation of the Safer Baby Bundle

BackgroundThe Safer Baby Bundle (SBB) aimed to reduce stillbirth rates in Australia through improving pregnancy care across five elements; smoking cessation, fetal growth restriction (FGR), decreased fetal movements (DFM), side sleeping in late pregnancy and decision making around timing of birth. We assessed experiences of women and healthcare professionals (HCPs) with antenatal care practices around the five elements.MethodsA pre-post study design using online surveys was employed to assess change in HCPs awareness, knowledge, and frequency of performing recommended practices (22 in total) and women’s experiences of care received related to reducing their chance of stillbirth. Women who had received antenatal care and HCPs (midwives and doctors) at services participating in the SBB implementation program in two Australian states were invited to participate. Surveys were distributed over January to July 2020 (pre) and August to December 2022 (post). Comparison of pre-post responses was undertaken using Fisher’s exact, Pearson’s chi-squared or Wilcoxon rank-sum tests.Results1,225 women (pre-1096/post-129) and 1,415 HCPs (pre-1148/post-267, ≥ 83% midwives) completed the surveys. The frequency of HCPs performing best practice ‘all the time’ significantly improved post-SBB implementation across all elements including providing advice to women on side sleeping (20.4–79.4%, p < 0.001) and benefits of smoking cessation (54.5–74.5%, p < 0.001), provision of DFM brochure (43.2–85.1%, p < 0.001), risk assessments for FGR (59.2–84.1%, p < 0.001) and stillbirth (44.5–73.2%, p < 0.001). Practices around smoking cessation in general showed less improvement e.g. using the ‘Ask, Advise and Help’ brief advice model at each visit (15.6–20.3%, p = 0.088). Post-implementation more women recalled conversations about stillbirth and risk reduction (32.2–50.4%, p < 0.001) and most HCPs reported including these conversations in their routine care (35.1–83.0%, p < 0.001). Most HCPs agreed that the SBB had become part of their routine practice (85.0%).ConclusionsImplementation of the SBB was associated with improvements in practice across all targeted elements of care in stillbirth prevention including conversations with women around stillbirth risk reduction. Further consideration is needed around strategies to increase uptake of practices that were more resistant to change such as smoking cessation support.Trial registrationThe Safer Baby Bundle Study was retrospectively registered on the Australian New Zealand Clinical Trials Registry database, ACTRN12619001777189, date assigned 16/12/2019.

Navigating the AI Revolution: AI’s Impact on Business Practices and Employee Experiences

Navigating the AI Revolution: AI’s Impact on Business Practices and Employee Experiences

Социально-культурно-экономический процесс развития здорового образа жизни россиян: вклад визионеров П.И. Макушина и Н.С. Кузьмина

The study of the socio-cultural and economic process of developing a healthy lifestyle of modern Russians necessitates turning to the heritage of the visionaries of the past, covering cultural, educational, housing and everyday practices of pre-revolutionary and Soviet Russia. The methodological basis of the study was an interdisciplinary approach (political economic, philosophical, cultural), as well as the method of dialectical unity of knowledge of the processes of socio-cultural and economic development of society. The continuity of the main components of a person’s healthy lifestyle, his culture, including the forms of organizing cultural education, housing and everyday life, formed by different generations of Russians, is substantiated. The process of transforming pre-revolutionary people's houses (Tomsk people's house of P.I. Makushin) into Soviet and modern cultural houses and leisure centers is described. The significance and influence of the socio-economic experiment of implementing the idea of scientific organization of housing and life on the basis of complete socialization is shown - the project of the «Anzhero-Sudzhensky house-commune» by N.S. Kuzmina, (his other architectural projects) on the healthy lifestyle of modern Russians. Scientific novelty: for the first time, the experience of cultural, educational and housing practices of two Siberian personalities - entrepreneur P.I. Makushin and architect N.S. Kuzmin, which had an important influence on the formation and development of a healthy lifestyle of Russians in the past and present, the visionary nature of their content is revealed. The research findings can be used to form the cultural policies at both regional and federal levels to increase the level of socio-economic well-being of Russians and preserve cultural heritage visionaries.

What does leisure have to do with mental health – arts, creative and leisure practices and living with mental distress

ABSTRACT There is a growing interest in the role of leisure, arts and creative activities in cultivating health and wellbeing across different contexts. Leisure sports have historically been considered beneficial for achieving health, and similar focus has recently been placed on arts and creativity. Recent research into the role of arts and creative engagement for wellbeing highlights the benefits of these modes of engagement on emotional wellbeing and social connectedness. In this article, we examine the ways arts, creative and leisure practices and mental health converge, co-exist and collide. We draw on feminist leisure studies scholarship and Sarah Ahmed’s work on emotion to discuss insights from our research into the everyday experiences of people living with a diagnosis of borderline personality disorder (BPD). We utilise qualitative methods to investigate people’s experiences of meaningful leisure practices and the dynamics between leisure practices and living well with the distress. We explore how leisure activities initiate complex processes of discovery and production of meanings, identity and wellbeing. Our discussion emphasises that leisure practices contribute to producing everyday forms of self-care and provide transformative space for self-discovery yet are simultaneously inseparable from the politics of living with mental distress while navigating accumulated effects of distress.

The Impact of Mentoring Youth Placed At-Risk on the Socialization of Preservice Physical Educators

Purpose: Grounded in occupational socialization theory, the purpose of this study was to investigate the influence of mentoring underserved youth on the socialization of preservice teachers within a community-engaged after-school program. Methods: Data consisted of semistructured interviews, critical incident accounts, and field notes. All interviews were audio-recorded and transcribed. Data were analyzed inductively using elements of grounded theory and constant comparison. Findings: Four themes were developed. First, each participant entered teacher training to provide positive experiences for students. Second, the practical experience supported preservice teachers in feeling more comfortable in their roles as educators. Third, preservice teachers developed personal relationships with the students in the after-school program. Fourth, preservice teachers internalized the obligation to model healthy social–emotional behaviors. Conclusions: Findings indicate the benefits of mentoring in a community-engaged learning project. Interacting with a diverse population of students can positively impact teacher socialization and feelings toward students and teaching.

IN-SERVICE TRAINING PRACTICES AND TRAINERS€™ PERFORMANCE IN TECHNICAL AND VOCATIONAL EDUCATION AND TRAINING SCHOOLS IN RWANDA, A CASE OF KICUKIRO DISTRICT RWANDA

The primary aim of this study was to investigate the effect of in-service training practices on the performance of trainers in Technical and Vocational Education and Training (TVET) schools in Kicukiro District, Rwanda.The participants included personnel from the Rwanda Technical and Vocational Training Institute (RTTI), trainers, and school managers, totalling 398 respondents. This number comprises 12 school managers, 26 RTTI staff members, and 360 trainers from TVET schools in the Kicukiro district.The data analysis process utilized SPSS 22.0 software. The results indicated a strong relationship between in-service training practices and trainers performance in TVET schools in Kicukiro, Rwanda. This relationship was supported by a Pearson correlation coefficient (r) of 0.958, with a statistically significant p-value of 0.000 for a two-tailed test. This suggests that there was a statistically significant relationship between in-service training practices and trainers Performance in TVET Schools in Kicukiro District, Rwanda and confirmed by the R Square=.918which means that in-services trainings are highly appreciated to enhance trainers performance in TVET Schools in Rwanda. The study reveals the positive impact of industry partnerships on trainers performance. Industrial exposure allows trainers to gain firsthand experience of current industry practices and technological innovations. This study recommended that the government should allocate more financial resources to support in-service training programs in TVET schools.

Using evidence-based applied positive psychology to promote student well-being.

There has been a noticeable decline in life satisfaction among adolescents globally in recent years. The present study explored the immediate and long-term effects of a positive psychology intervention course, Study with Strength, on the well-being of students at general upper secondary school in Finland during the pandemic. Based on a partly randomized wait-list control group design, the study included a final sample of 350 students from 10 schools. Self-report measures were used to assess both immediate between-group effects and long-term within-group effects of the intervention on student well-and ill-being. A combination of methods from positive psychology and cognitive therapy were applied, and the course was administered by the participating schools' own teachers and student-welfare personnel. The findings show that the Study with Strength intervention course enhanced the students' experiences of positive practices at school, happiness and of positive emotions. However, the effect sizes were small. The intervention did not have any immediate effects on all aspects of well-being, negative emotions, depression, or study-related burnout. The significant, positive changes in students' well-being in the analysis of long-term effects must be interpreted with caution. The students also reported a positive effect of the intervention both on their personal lives and in their studies. Overall, it appears that the intervention had a small but positive impact, nudging students towards enhanced well-being. The results offer valuable insights into the implementation of positive education on students at general upper secondary school aged 15-19.

Insights and Guidance for China’s Offshore CO2 Storage Development: Evidence from Global Experience

Through extensive data research and analysis, this paper comprehensively summarizes the status and key insights of global carbon dioxide capture and storage (CCS) development. It aims to gain a comprehensive understanding of the relevant policies, technologies, and security measures adopted by major countries in their CCS development processes. Furthermore, it explores the existing status and limitations of China’s offshore development efforts, while providing valuable recommendations for enhancing China’s offshore CCS initiatives, as well as serving as a reference for other nations worldwide. Offshore CCS plays a crucial role for China to achieve the development target of carbon peak and carbon neutrality, due to its energy structure and industrial distribution. While China possesses significant offshore CCS potential, achieving commercialization still requires substantial efforts. To facilitate the process and draw insights from successful experiences in other countries, this paper illustrates the characteristics and generalizes the experience of offshore CCS industry practices in America, Europe and Japan, respectively. Furthermore, it is recommended that a new round of investigation into offshore CCS potential be conducted, while promoting integrated collaboration between geological surveying and marine scientific research. Additionally, further research on industrial policies and green financial strategies should be undertaken.

Informed consent to midwifery practices and interventions during the second stage of labor-An observational study within the Oneplus trial.

To study informed consent to midwifery practices and interventions during the second stage of labor and to investigate the association between informed consent and experiences of these practices and interventions and women's experiences of the second stage of labor. This study uses an observational design with data from a follow-up questionnaire sent to women one month after giving birth spontaneously in the Oneplus trial, a study aimed at evaluating collegial midwifery assistance to reduce severe perineal trauma. The trial was conducted between 2018-2020 at five Swedish maternity wards and trial registered at clinicaltrials.gov, no NCT03770962. The follow-up questionnaire contained questions about experiences of the second stage of labor, practices and interventions used and whether the women had provided informed consent. Evaluated practices and interventions were the use of warm compresses held at the perineum, manual perineal protection, vaginal examinations, perineal massage, levator pressure, intermittent catheterization of the bladder, fundal pressure, and episiotomy. Associations between informed consent and women's experiences were assessed by univariate and multivariable logistic regression. Of the 3049 women participating in the trial, 2849 consented to receive the questionnaire. Informed consent was reported by less than one in five women and was associated with feelings of being safe, strong, and in control. Informed consent was further associated with more positive experiences of clinical practices and interventions, and with less discomfort and pain from interventions involving physical penetration of the genital area. The findings indicate that informed consent during the second stage is associated with feelings of safety and of being in control. With less than one in five women reporting informed consent to all practices and interventions performed by midwives, the results emphasize the need for further action to enhance midwives' knowledge and motivation in obtaining informed consent prior to performance of interventions.

Metaverse and Fashion: An Analysis of Consumer Online Interest

Recent studies have demonstrated the value that the Internet and web applications bring to businesses. Among other tools are those that enable the analysis and monitoring of searches, such as Google Trends, which is currently used by the fashion industry to guide experiential practices in a context of augmented reality and/or virtual reality, and even to predict purchasing behaviours through the metaverse. Data from this tool provide insight into fashion consumer search patterns. Understanding and managing this digital tool is an essential factor in rethinking businesses’ marketing strategies. The aim of this study is to analyse online user search behaviour by analysing and monitoring the terms “metaverse” and “fashion” on Google Trends. A quantitative descriptive cross-sectional method was employed. The results show that there is growing consumer interest in both concepts on the Internet, despite the lack of homogeneity in the behaviour of the five Google search tools.

Consumer experience and outcomes of insertion, removal, and management practices of short and midline peripheral intravenous catheters in acute health care: a mixed methods systematic review protocol.

This review will synthesize and integrate current research on the practices relating to the insertion, removal, and management of short and midline peripheral intravenous catheters on consumer experiences and outcomes in acute health care. The aim is to provide consolidated evidence to support policy decision-makers and health care workers in overcoming peripheral intravenous catheter device management challenges. Implementing the evidence provided by this review could increase positive consumer outcomes and reduce the gap between research evidence and clinical practice. Peripheral intravenous catheterization is a process in which a device is inserted into a patient's peripheral vein to administer medication, blood products, and therapeutic fluids. Recent studies have demonstrated the positive and negative impacts of peripheral intravenous catheter site placement, pain relief for insertion, complications, consumer engagement, and routine versus clinically indicated removal of these devices on consumers and the health care system. Managing these impacts in relation to research-practice gaps and conflicting evidence remains challenging. Moreover, consumer experiences and outcomes concerning these challenges are unclear. This review will consider quantitative, qualitative, and mixed methods studies on consumer experiences and outcomes in acute health care. The quantitative component will consider outcomes of patients' pain, satisfaction, anxiety, distress, preferences, fear, and comfort. The qualitative component will consider consumer experiences, including perceptions, preferences, perspectives, attitudes, expectations, and satisfaction. This study will follow JBI's convergent segregated approach for mixed method systematic reviews. A search of 11 databases will be conducted for peer-reviewed published articles, theses, and dissertations. There will be no age, date, or language limitations. PROSPERO CRD42023410214.

Modern Dance “Body – Mind Teaching Method’’ Rooted in National Culture

As dance programs in higher ed works to de-center Euro centric styles, learning how dance in China draws upon Confucianism would be a valuable addition to the field. Philosophical perspective, this paper describes modern dance teaching that values the national symbolic experience of the dance body and constructs the national cultural thinking of the dance individual as an experiential practice of college arts education that focuses on the performance of students’ spiritual existence.

Navigating the Labyrinthine

This paper presents research undertaken which explored the experience of creative practice by creative practitioners. I was particularly interested to gain some understanding of how people engaged with the space of creative practice, identified as ‘the studio’, and within the project articulated as the labyrinth. A key outcome of the research was the discovery that the space of the studio could be articulated as practised place (de Certeau, 1984) and that engaging with this is a process of navigating the labyrinthine.

Mindfulness Practice and Expressions of Wellness: Experiences of Doctoral Counselor Education and Supervision Students

ABSTRACT Researchers advocate for wellness as part of counseling practices to minimize stress, improve quality of life, and promote well-being. Furthermore, mindfulness may play a critical role in the cultivation of wellness, particularly among counselor education and supervision (CES) students. This study aimed to capture the lived experiences of wellness practices among CES doctoral students who received formal mindfulness training. The following four themes emerged: (a) self-discovery through awareness, (b) practices of presence, (c) wellness as a whole person, and (d) resistance and challenges. Participants identified awareness as central to the intersection of mindfulness and wellness. Implications include using mindfulness as a vehicle to identify and engage in wellness practices that best serve students’ needs and ways to skillfully integrate mindfulness into CES curricula. Examining the in-depth stories of wellness cultivation and the influence of mindfulness could lead to new insights and practical steps to enhance counselor training and whole-person development.

Using an artificial intelligence software improves emergency medicine physician intracranial haemorrhage detection to radiologist levels

BackgroundTools to increase the turnaround speed and accuracy of imaging reports could positively influence ED logistics. The Caire ICH is an artificial intelligence (AI) software developed for ED physicians to...

Exertional Heatstroke Survivors' Knowledge and Beliefs about Exertional Heatstroke Diagnosis, Treatment, and Return to Play.

Little information exists regarding what exertional heatstroke (EHS) survivors know and believe about EHS best practices. Understanding this would help clinicians focus educational efforts to ensure survival and safe return-to-play following EHS. We sought to better understand what EHS survivors knew about EHS seriousness (e.g., lethality, short- and long-term effects), diagnosis and treatment procedures, and recovery. Design: Multi-year, cross-sectional, descriptive design. An 11.3-km road race located in the Northeastern United States in August 2022 and 2023. Forty-two of 62 runners with EHS (15 women, 27 men; age: 33±15 y; pre-treatment rectal temperature [TREC]: 41.5±0.9°C). Medical professionals evaluated runners requiring medical attention at the finish line. If they observed TREC ≥40°C with concomitant central nervous system dysfunction (CNS) EHS was diagnosed and patients were immersed in a 189.3-L tub filled with ice-water. Before medical discharge, we asked EHS survivors 15 questions about their experience and knowledge of select EHS best practices. Survey items were piloted and validated by experts and laypersons a priori (content validity index ≥0.88 for items and scale). Survey responses. Sixty-seven percent (28/42) of patients identified EHS as potentially fatal and 76% (32/42) indicated it negatively affected health. Seventy-nine percent (33/42) correctly identified TREC as the best temperature site to diagnose EHS. Most patients (74%, 31/42) anticipated returning to normal exercise within 1 week post-EHS; 69% (29/42) stated EHS would not impact future race participation. Patients (69%, 29/42) indicated it was important to tell their primary care physician about their EHS. Our patients were knowledgeable on the potential seriousness and adverse health effects of EHS and the necessity of TREC for diagnosis. However, educational efforts should be directed towards helping patients understand safe recovery and return-to-play timelines following EHS.

External and internal food fraud prevention in Finnish food businesses

This two-part survey study focused on external and internal food fraud vulnerability in Finnish food businesses. The aim of Study 1 was to investigate food businesses' experience of food fraud and their views on food fraud vulnerability and prevention. Study 2 focused on food production businesses’ organizational culture from an internal food fraud prevention perspective. The first survey was targeted at representatives of Finnish food businesses operating in food production, wholesalers, and central firms (N = 98). While many food business operators (FBOs) had experience of fraudulent practices, they often thought that their businesses were well prepared to prevent food fraud. The businesses used different methods in assessing the reliability of their suppliers, such as buying from familiar businesses and using networks to gain information, but public registers, such as the Tax debt register, were rarely used. The second survey targeting the employees of ten Finnish food production businesses (N = 691) underwent logistic regression analysis. Differences in perceived possibility of internal fraud in the business, organizational integrity, and wrongness of certain fraudulent practices were found based on respondent and business characteristics. Specialists and directors less often fully agreed on the possibility of internal fraud than workers. In addition, specialists, directors and experienced employees reported high organizational integrity more often than workers and less experienced employees. The results highlight that food businesses should take notice of both external and internal food fraud prevention by thoroughly assessing the food fraud risks in their operations and enforcing good organizational culture.

Physician frontline treatment preferences for stage III/IV classic Hodgkin lymphoma: the real-world US CONNECT study.

Aim: To understand US physicians' frontline (1L) treatment preferences/decision-making for stage III/IV classic Hodgkin lymphoma (cHL). Materials & methods: Medical oncologists and/or hematologists (≥2years' practice experience) who treat adults with stage III/IV cHL were surveyed online (October-November 2020). Results: Participants (n=301) most commonly considered trial efficacy/safety data and national guidelines when selecting 1L cHL treatments. Most physicians (91%) rated overall survival (OS) as the most essential attribute when selecting 1L treatment. Variability was seen among regimen selection for hypothetical newly diagnosed patients, with OS cited as the most common reason for regimen selection. Conclusion: While treatment selection varied based on patient characteristics, US physicians consistently cited OS as the top factor considered when selecting a 1L treatment for cHL.

Mathematics teachers’ beliefs about mathematics, its teaching, and learning: The case of five teachers

This study explores the views of mathematics teachers at Assosa University regarding effective mathematics teaching. The study used a case study method as a mode of inquiry through semi-structured interviews with five mathematics teachers at Assosa University. The data were analyzed thematically. The results showed that mathematics teachers view memorization, practice, and concrete experiences as ways to enhance their students’ understanding of mathematics. Teachers expressed different views on the nature of mathematics. Some teachers have an instrumental view, while others have a problem-solving view, and others have a Platonist view of the nature of mathematics. The study showed important arguments about the belief systems of mathematics teachers, showing that teachers’ beliefs about the nature of mathematics provide the basis for their mental models of mathematics teaching and learning. The study revealed those mathematics teachers’ beliefs about effective mathematics teaching influence their educational practices. The study suggests that developing the expertise of teachers in higher education institutions by changing their entrenched beliefs about mathematics needs particular attention, which ultimately affects their practice.

Examination of Psychological Counselor Candidates’ Views of Using Cognitive Behavioral Therapy (CBT) in Individual Psychological Counseling: A Q Methodology Approach

Individual Psychological Counseling Practicum is an applied course in which Guidance and Psychological Counseling undergraduate senior students have an opportunity to have a practical experience with an actual client in Turkey. In the course, the theoretical approaches chosen by the counselors and their views on this approach may affect their attitudes towards the practicum process and their experiences. Therefore, the current study aims to determine the opinions of guidance and psychological counseling senior students who took the course Individual Psychological Counseling Practicum about using Cognitive Behavioral Therapy in individual psychological counseling with the Q-methodology approach. For this purpose, 33 senior undergraduate students participated in the current study, taking the Individual Psychological Counseling Practicum-2 course in Atatürk University. The research utilized Q-statements crafted by the researcher along with a Q-sort comprising 18 sentences ranging from -3 to +3, facilitating forced placement, as the data collection instrument. Results showed that the opinions of the counselor candidates about the use of Cognitive Behavioral Therapy were gathered in a single dimension, which indicates a positive attitude.