Hospital Program Research Articles

Provider perception of the acceptability, appropriateness, and feasibility of a transdiagnostic intervention in a youth partial hospitalization setting: A mixed methods implementation process evaluation.

Partial hospitalization programs (PHPs) are increasingly relied upon to provide intensive mental health treatment for youth with acute and severely impairing mental health symptoms, yet very few interventions have been adapted to fit this unique delivery context. Transdiagnostic treatments hold promise for addressing the complex clinical presentations and workflow needs of PHP programs, but more work is needed to understand factors that influence successful implementation. We conducted a formative implementation process evaluation to identify barriers and facilitators of acceptability, appropriateness, and feasibility of implementing an evidence-based transdiagnostic intervention in a PHP setting and further targets for intervention and implementation adaptation. Seventeen PHP clinical providers completed a survey about the implementation of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A). Providers completed measures on the UP-C/A's characteristics, acceptability, appropriateness, feasibility, leadership implementation support, and open-ended questions about the UP-C/A implementation. A mixed methods approach was used to analyze and integrate data. Ratings of acceptability, appropriateness, and feasibility were high. The most influential implementation facilitators were positive views of the innovation characteristics, while the most influential barriers were insufficient access to knowledge and information as well as limited processes for reflecting on implementation. Aspects of intervention design (e.g., low complexity, observability, adaptability) contributed to high levels of acceptability. Barriers to appropriateness and feasibility included perceived deficiencies in leadership and training supports and perceived needs of some intervention recipients not matching the intervention. Key adaptations included translating the UP-C/A, increasing interactive group components, providing additional supervision, and a process for receiving implementation feedback. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Implementation of an information system for tuberculosis in healthcare facilities in Indonesia: evaluation of its effectiveness and challenges

BackgroundTuberculosis (TB) surveillance in Indonesia is currently supported by the recording and reporting technology Tuberculosis Information System (Sistem Informasi Tuberkulosis [SITB]). SITB is used by all health workers responsible for TB programs in health facilities or hospitals throughout Indonesia. The satisfaction and ease of use of SITB affect the speed and accuracy of TB case reporting. Therefore, evaluating the information system’s quality is crucial. SITB utilization is comprehensively assessed using the End-User Computing Satisfaction (EUCS) method, which considers the dimensions of content, accuracy, timeliness, and ease of use. Furthermore, the effectiveness of the user interface using heuristic evaluation methods is critical. The primary objective of this study is to conduct a comprehensive evaluation of the System for Information on Tuberculosis (SITB) focusing on its usability and user satisfaction.MethodsThis study employed a multi-method design approach. First, a heuristic evaluation was conducted by three expert user experience designers. Second, a cross-sectional survey of 115 SITB users was carried out across all health facilities in the Special Region of Yogyakarta, Indonesia, for reporting TB cases, using the EUCS method. Finally, in-depth interviews were conducted in 10 health facilities, focusing on identifying specific attributes that needed improvement to enhance user satisfaction.ResultsThe evaluation indicated that user convenience and timeliness require improvement, as well as the match between the system and the real world and error prevention, as shown in the heuristic evaluation of the SITB user interface. These findings were confirmed through interviews that identified the need for user manuals, server repairs, and information and SITB forms that are suitable for TB management in the field. The overarching assessment of the SITB reveals persistent challenges in data entry, attributed to the functionality of the application, thereby potentially impacting user satisfaction.ConclusionsSITB application requires “major” improvements to make recording, reporting, and tracing activities more efficient and precise. Moreover, the integration of existing information systems in healthcare facilities is essential to support the tuberculosis surveillance reporting system in Indonesia.

Exploring Research Attitudes and Capabilities: Hospitality and Tourism Management Students' Readiness for Academic Research

Background: In today’s rapidly evolving hospitality and tourism industry, strong research skills are essential for students in Hospitality and Tourism Management programs. These skills enable students to analyze trends, solve industry-specific problems, and contribute to both academic and practical advancements. Despite the growing importance of research in these fields, there is a gap in understanding how well-prepared students feel and how capable they are at conducting research. Existing studies often generalize research skills across disciplines, but the unique challenges in hospitality and tourism demand specialized approaches. This study aims to address this gap by exploring the research attitudes and capabilities of Hospitality and Tourism Management students, with the goal of identifying areas for improvement and enhancing research training programs to better prepare students for future industry challenges and academic contributions. Methods: This descriptive-comparative study examined the research attitudes and capabilities of third-year BSHM students at Biliran Province State University using stratified random sampling. A modified version of Papanastasiou’s (2005) 'Attitude Toward Research' Scale was used to assess research skills in crafting introductions and writing conclusions. Data from 100 students were analyzed through descriptive statistics and the Mann-Whitney U-test to identify significant differences in attitudes and capabilities. Ethical standards were maintained, ensuring confidentiality and voluntary participation through informed consent. Results: The majority of respondents rate the on-campus OJT as being moderately effective, with a mean score of 3.32 and a median level of satisfaction. It was found that their on-campus training experience had generally matched their satisfaction with gaining new knowledge and skills. Conclusion: The analysis of third-year BSHM and BSTM students' research capabilities and attitudes reveals key differences. While both groups show competence in research, BSHM students are slightly more skilled in articulating study importance and defining research scope. BSHM students also have a more positive attitude towards research, viewing it as essential to their careers, while BSTM students are less enthusiastic. Statistical tests confirm these differences, highlighting the need for tailored educational strategies to improve research skills and foster a more positive attitude among BSTM students, ultimately better preparing them for success in hospitality and tourism management.

Development of specialist palliative care in Dutch hospitals between 2014 and 2020: a repeated survey

BackgroundSpecialist palliative care teams (SPCTs) have significant benefits for patients with advanced disease or frailty, including improved quality of life, greater satisfaction with care, and less potentially inappropriate care at the end of life. Experienced SPCTs are recognised to have higher referral rates compared to novice teams. The aim of this study was to assess the development of hospital-wide integration of specialist palliative care (PC) and of SPCTs in Dutch hospitals between 2014 and 2020.MethodsThree cross-sectional surveys of SPCTs in Dutch hospitals were conducted in 2015, 2018 and 2021. Key members of the hospital SPCTs completed questionnaires about the preceding year that included items on hospital and PC program characteristics, hospital-wide integration of specialist PC, and SPCT characteristics (92 hospitals in 2015, 79 in 2018 and 74 in 2021). The analysis included hospitals with an operational SPCT, as determined by providing inpatient PC consultation services. Univariate analyses compared hospitals and SPCTs by year. Significance was determined by p-values < 0.05.ResultsIn 2014, 65% of participating hospitals provided inpatient PC consultations (n = 48). This increased to 92% in 2017 (n = 58) and 98% in 2020 (n = 48). Over the years, participating hospitals showed an increasing level of hospital-wide integration of specialist PC, such as an increased number of dedicated PC outpatient clinics (56% in 2020, compared with 47% in 2017 and 27% in 2014). The annual number of inpatient referrals to SPCTs has increased significantly over the years. The SPCTs have developed significantly in various aspects, including collaboration between primary and hospital care, the availability of services to patients at home and non-clinical activities.ConclusionOver the years, Dutch hospitals have shown growth in hospital-wide integration of specialist PC. Specialist palliative care teams have made significant progress in increasing inpatient consultations, and in improving collaboration between primary and hospital care.

Assessing Program Culture in Virtual Fellowship Interviews: Insights From Pulmonary and Critical Care Fellows.

Virtual interviewing for fellowship training programs has been widely adopted since the COVID-19 pandemic. However, whether fellowship candidates can adequately evaluate training program culture through virtual interviews is unclear. Our aim was to explore how pulmonary and critical care fellows ascertained program culture during virtual and in-person fellowship program recruitment interviews, with the overall goal of improving our virtual recruiting interview processes. Exploratory semi-structured one-on-one interviews (study-interviews) following a constructivist approach were done during the fall of 2022 with a convenience sample of current fellows within the pulmonary critical care medicine fellowship program in an urban tertiary care hospital. Questions probed fellows' perspectives on program culture, what features of program culture they valued, and how they evaluated program culture during their initial fellowship interviews (recruitment-interviews). Study-interviews were framed to explore four deductive themes, and transcripts were analyzed with inductive thematic analysis. Of the 11 fellows interviewed, two had completed in-person and nine had completed virtual recruitment-interviews. There was an overall favorable perception of program culture during all recruitment-interviews, regardless of format. Elements of program culture that fellows valued included training program quality, an academic focus, complexity in cases, workplace diversity, a positive socioemotional environment, and a collaborative/supportive working/learning environment. This study suggests that important elements of program culture can be evaluated by fellowship candidates through virtual interviews when applicants are allowed ample opportunity for high-quality interactions with faculty and current trainees.

Effectiveness of a program director for osteopathic medical education to support osteopathic recognition at a training site with multiple programs.

With the advent of the Single Accreditation System (SAS) within the Accreditation Council for Graduate Medical Education (ACGME), few programs have achieved Osteopathic Recognition (OR) status to date. OR is an accreditation that graduate medical education (GME) programs can achieve to distinctly acknowledge the additional focus on osteopathic training. There is an effort by national osteopathic organizations to determine barriers for programs to achieve OR and what innovative methods might help overcome them. In identifying its own barriers, a central Ohio hospital created a unique Program Director for Osteopathic Medical Education (PDOME) role to assist its 10 programs in achieving OR. The objectives of this study were to determine the effect that a PDOME role has through measures of the numbers of programs achieving OR and standards met, as well as the perceived 'helpfulness' of the role based on surveys of program leadership. Upon initiation of the PDOME in July 2021, the PDOME assessed applications, citations, and curriculums of the 10 hospital programs with varied OR status to help determine curricular goals. Additional osteopathic activities, evaluation tools and faculty development were subsequently offered based on this information and needs assessments of the programs. A survey was sent to all programs at intervals of 12 and 18months after role inception to be utilized as process improvement. Comparisons were made between surveys, as well as between the total number of programs with continued OR status and the total OR requirements achieved before and after PDOME. A chi-square test (or Fisher's exact test when the 'n' was too small) was utilized for significance, and the p value was set at 0.05. After the PDOME, there was a significant increase in the number of OR standards met across programs (p<0.001). Although not significant, the number of programs achieving continued OR increased from 4 to 8 (p=0.168). Due to many positive responses in both surveys, there was no significance between surveys in the "helpfulness" of PDOME; however, there was a significant increase in the number of respondents from 13/67 (or 19.4 %) to 32/67 (or 47.8 %) (p<0.001), indicating increased engagement among respondents. This study suggests that a PDOME role in medical education may be well received and may assist GME programs in achieving OR. Implementation of a similar role elsewhere could help programs overcome barriers and stir growth in OR programs nationwide.

The psychological resources of success: satisfaction with academic majors, psychological capital, and achievement motivation among future tourism and hospitality leaders.

Exploring the factors that drive academic achievement motivation is a vital area in educational psychology, particularly within specialized fields like tourism and hospitality higher education. Achievement motivation, essential for academic and career success, is shaped by various positive psychological resources and contextual factors. Grounded in the framework of positive psychology, this study examines how satisfaction with academic majors (SAT) predicts achievement motivation among tourism and hospitality students in Saudi Arabia. Additionally, the research investigates the mediating role of psychological capital (PsyCap) - a positive psychological construct encompassing hope, optimism, resilience, and self-efficacy - within this relationship. A quantitative approach was employed using Partial Least Squares Structural Equation Modeling (PLS-SEM). Data were collected from 522 junior and senior undergraduate students enrolled in tourism and hospitality programs across Saudi Arabia. Validated scales were used to measure SAT, PsyCap, and achievement motivation. The findings indicate that greater satisfaction with one's academic major (SAT) positively predicts both PsyCap and achievement motivation. Furthermore, PsyCap was found to be positively and significantly associated with achievement motivation and partially mediate the relationship between SAT and achievement motivation. This study's findings underscore the vital role of positive psychological resources in empowering students and advancing motivation, offering a validated model that informs future educational studies and interventions within tourism and hospitality while underscoring the significance of fostering psychological well-being in higher education.

Factors Influencing Nursing Interns' Engagement in Fall Prevention Activities in Saudi Arabia.

To assess the knowledge, attitudes and engagement of nursing interns regarding fall prevention activities during their internship within hospital settings. This study used a cross-sectional design. This was a cross-sectional, descriptive, correlational study. A convenience sample of 187 nursing interns was recruited from three hospitals in Riyadh, Saudi Arabia. A questionnaire was administered to the participants to collect data on their demographics, knowledge, attitudes and engagement in fall prevention. The collected data were analysed using descriptive and inferential statistics. The participants exhibited insufficient knowledge, relatively negative attitudes and acceptable fall prevention engagement. There was a low-to-moderate positive association only between attitude and fall prevention engagement. Moreover, hierarchical multiple regression analysis showed that attitude was the only predictor for fall prevention engagement. Fall prevention is an important subject that needs more attention from nursing programmes in universities and preceptorship programmes in hospitals to enhance nursing interns' attitudes, knowledge and practices in this regard. The findings of this research could be beneficial for clinical coordinators and faculty members to enhance nursing interns' engagement in preventing falls among at-risk patients. Participants were not involved in the design, conduct, reporting or dissemination of this research.

Gaps and Barriers to the Implementation of Antimicrobial Stewardship Programmes in Hospitals of Pakistan.

Antimicrobial-resistant bacteria are particularly prevalent in Southeast Asia, mainly due to inadequate infection prevention and control (IPC) and the widespread and uncontrolled use of antibiotics. Pakistan is the third largest low-middle-income country (LMIC) user of antibiotics. Antibiotic consumption increased by 65%, from 800 million to 1.3 billion defined daily doses (DDD). Antimicrobial consumption is high and poorly regulated, and an estimated 300,000 people die because of bacterial antimicrobial resistance (AMR) annually. Due to the changing government priorities, antimicrobial stewardship programmes (ASP) implementation is not compulsory for hospitals to acquire national accreditation, which has led to de-prioritisation among hospital managers and clinical teams. Additionally, lack of support from hospital administration, limited nationwide health insurance coverage for bacterial cultures, and a lack of surgical centres and microbiology laboratories, information technology (IT) support to collect and analyse AS-related data, reduced availability of pharmacists, ID physicians, and IPC staff for ASP events are the primary contributing factors creating hindrance to the long-term viability of ASP. Briefly, strong hospital leadership support is the major factor for allocating the resources for ASP structures and activities and also for establishing the key performance indicators (KPIs), enforcing compliance with hospital-specific clinical practice guidelines, as well as addressing friction between ASP team members and prescribers. Key Words: Antimicrobial resistance, Antimicrobial stewardship programmes, Infection prevention and control.

Illuminating power dynamics that influenced a relational coordination program in a tertiary hospital: An institutional ethnography study.

Amidst the difficulty and contentiousness of improving hospitals, a relatively new approach is the Relational Model of Organizational Change (RMOC). However, this approach has its own challenges, including reports that its focus on communication and relationships is undervalued despite evidence supporting its use to facilitate practice improvements in hospitals. Research suggests power dynamics in hospitals influences how the RMOC is used, but the precise mechanisms through which this occurs have not been fully examined. The purpose of this study was to examine how power dynamics shaped the implementation of a program using the RMOC in a hospital: the QPH RC Program. Institutional ethnography was applied to explicate textually mediated ruling relations (power dynamics) and examine how they exerted their influence on the QPH RC Program. This involved interviewing people and analyzing texts embedded in work processes that organized the implementation of the program. The QPH RC Program was embedded in a cluster of ruling relations comprising an economic rationalist and scientific discourse and project management methodology. These ruling relations exerted their power via textually mediated social processes that influenced the focus and management of the program. The ruling relations functioned to align the QPH RC Program with the priorities of the hospital, suggesting that financial objectives were prioritized over objectives to improve communication or culture. Future research and practice change should include investigating and addressing the intersection of institutional contexts and the application of the RMOC to facilitate practice improvements in health care organizations, particularly hospitals.

The analysis of the implementation of Occupational Health and Safety (OHS) Programs at the South Buton Regency General Hospital

Background: This study analyzes the implementation of the Occupational Health and Safety (OHS) program at the Regional Hospital of Buton Selatan using bivariate analysis. The results show that the OHS input variable (X1) has a moderate correlation with the OHS output (Y1) with a coefficient value of 0.434. The correlation between the OHS process (X2) and the OHS output (Y1) is categorized as low with a value of 0.390. Meanwhile, the combined correlation of input (X1) and process (X2) to output (Y1) is 0.475, which falls under the moderate category. Method: The research used is qualitative phenomenology to understand and describe the dominant accident-causing factors from mining accident phenomena in transportation activities using trucks. The research employed a cross-sectional design conducted between July and August 2024. Using proportionate stratified random sampling, 60 employees participated by completing structured questionnaires. Data were analyzed using bivariate correlation to evaluate relationships between input (policies, resources), process (OHS management practices), and output (safety outcomes). Results: Buton Selatan Regional General Hospital (RSUD Buton Selatan) has been a type C healthcare facility since 2022. As a government-owned hospital, its main vision is to become the best healthcare provider in Southeast Sulawesi by 2030. The implementation of the Occupational Health and Safety in Hospital (K3RS) program shows good management of facilities and infrastructure but still requires improvements in policies, human resources, and hazardous waste management. Conclusion: The study highlights gaps in OHS program implementation, particularly in process components. Recommendations include increasing OHS-certified personnel, enhancing risk management protocols, and regular evaluations to ensure compliance and effectiveness.

Supervised vs home-based exercise program in kidney transplant recipients: A pilot pragmatic non-randomized study.

Although the benefits of exercise for kidney transplant recipients (KTRs) have been widely demonstrated, these patients experience several barriers in undertaking a structured exercise program in hospital and non-hospital facilities. To compare the effects of a supervised moderate-intensity gym-based intervention with a home-based low-intensity walking program on exercise capacity in KTRs. KTRs were asked to choose between two six-month programs. The first group performed a low-intensity interval walking intervention at home-based exercise intervention (HBex). The second group performed a supervised training program at an adapted physical activity gym (Sgym), including aerobic and resistance training. The outcomes, collected at baseline and at the end of the programs, included the 6-minute walking test, the peak oxygen consumption (VO2peak) during a treadmill test, the 5-time sit-to-stand test, and blood pressure. Seventeen patients agreed to participate and self-selected into the HBex (n = 9) and Sgym (n = 8) groups. Two patients in the Sgym group dropped out because of familial problems. At baseline, patients in the HBex group were significantly older and had lower walking distance, VO2peak, and lower limb strength. Primary outcome changes were significantly greater in the HBex group than in the Sgym group (52 ± 23 m vs 8 ± 34; P = 0.005). No other significant differences between groups were observed. Both groups improved most of the outcomes in the within-group comparisons, with significant variations in VO2 peak. Six-month moderate-intensity supervised or low-intensity home-based training programs effectively improved exercise capacity in KTRs. Gym-based programs combine aerobic and resistance training; however, in-home walking may be proposed for frail KTRs.

Developing a DBT-Informed Adolescent Partial Hospitalization Program to Increase Equity and Access

ABSTRACT Background Rising mental health problems and systemic barriers have reduced available services for adolescents with acute mental illness in recent years. Objective This article describes the development of a partial hospitalization program (PHP) to treat adolescents with a wide range of severe mental health problems and high-risk behaviors in a major metropolitan hospital. Method We describe our advocacy efforts to fund higher levels of care for patients with public insurance, the evidence-based clinical programming developed, and early implementation challenges, including managing high patient risk outside of a locked facility. Results Our program opened in 2023 and served 96 adolescents with severe mental health conditions and diverse demographic backgrounds in the first year, 51% of whom were covered by Medicaid. Conclusions This article is intended to provide a practical guide and example for clinicians and program developers interested in increasing access to evidence-based treatments at higher levels of care for underserved patients.

Data mining identifies meaningful severity specifiers for anorexia nervosa.

The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders defines anorexia nervosa (AN) severity based on body mass index (BMI). However, BMI categories do not reliably differentiate the intensity of AN and comorbid symptoms. Shape/weight overvaluation has been proposed as an alternative severity specifier. The present study used structural equation model (SEM) Trees to empirically determine specific levels of BMI and/or shape/weight overvaluation that differentiate AN severity. We also compared whether the SEM Tree-derived severity groups outperformed existing AN severity definitions. Participants were 1,666 adolescents and adults with AN who were receiving eating disorder treatment at one of the three levels of care (outpatient, partial hospital program, or residential). Participants completed self-reported questionnaires assessing eating pathology and comorbid symptoms. SEM Tree analyses first specified an outcome model of AN severity, and then recursively partitioned the outcome model into subgroups based on all values of BMI and shape/weight overvaluation. One-way analyses of variance and t tests determined which severity definition explained the most variance in clinical characteristics. SEM Tree analyses yielded five severity groups, all of which were defined based on increasing intensities of shape/weight overvaluation: < 2.25, 2.25-3.24, 3.25-4.24, 4.25-5.24, and ≥ 5.25. No groups were defined based on BMI. SEM Tree-derived groupings explained more variance in clinical characteristics than existing severity definitions. Taken together, shape/weight overvaluation appears to be a more accurate marker of AN severity than BMI. The empirically determined AN severity scheme accounted for the most variance in clinical characteristics. Future research should assess the predictive value of these empirically defined AN severity indicators. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

EMR 'one size does not fit all': Nurses' and midwives' opinions about using electronic medical records

Objective: To describe the impact that electronic medical record (EMR) documentation has on nurses’ and midwives’ practice. Background: Although both advantages and disadvantages of a digitised health system have been documented, nurses and midwives continue to express concerns about the effect EMRs and computers have on their practice and patient relationships. Study design and methods: A cross-sectional survey design was used. An anonymous questionnaire was distributed in electronic and paper formats to identify nurses’ and midwives’ opinions of the impact of EMRs and computers on their practice and patient relationships in a regional tertiary-level hospital. Quantitative data was analysed descriptively; free-text responses were analysed thematically. Results: Nurses (n=31) and midwives (n=49) responded. Both respondent groups disagreed that the EMR had improved teamwork with other health professionals. Overwhelmingly, midwives disagreed that EMRs had improved the quality of care (n=43, 87.8%). Nurses agreed EMRs had improved documentation standards (n=24, 77.4%) and patient safety (n=22, 71%). However, midwives responded that EMRs had not improved women’s safety (n=31, 63%). Three themes emerged from the data: computers affect my productivity; computers affect my relationship with the patient/woman; the EMR increases my frustration and stress levels. Nurses and midwives felt the heavy documentation load and lack of integration across the EMR platform reduced efficiency, discouraged teamwork, and further excluded patients/women from participating in their care. Discussion: Although nurses and midwives agreed that the accessibility of EMRs to all health care staff is advantageous, the documentation demands of each clinical area are vastly different. The hybrid system of paper and electronic documentation increases documentation workload. Generally, midwives were more critical of the impact of EMRs on their practice. Conclusion: Nurses and midwives identified current challenges of EMRs with respect to productivity, relationships with patients and colleagues, and user wellbeing aligning with results of other published studies. As primary users of EMRs, nurses and midwives can offer valuable feedback to health services to help deliver digitised healthcare that is user-friendly, and patient/woman centred. Implications for research, policy, and practice: Organisations need to enact policies and procedures that facilitate nurses and midwives identifying areas of potential improvement to increase the usability and operability of the EMR. Such processes should lessen the negative impacts of EMR (such as documentation burden) on nursing/midwifery practice, with the aim of enhancing clinical and safety outcomes. It is suggested that ethnographic research studies be undertaken to gain a deeper understanding of the EMRs on nurse/midwife productivity, wellbeing, job satisfaction and patient safety concerns. What is already known about the topic: Positive and negative EMR outcomes for patients and clinicians have been documented. Involving clinicians (especially nurses and midwives) in the development of digital systems prior to implementation has been shown to reduce negative attitudes towards them. Ongoing user analysis is recommended in human-centred design to improve usability and user wellbeing. What this paper adds: Description of the differing experiences and challenges faced by nurses and midwives using the EMR program and computers in the same hospital. Positive and negative effects of the current EMR program and computers have been identified. This paper verifies the results of other national studies about the effects of EMRs and computers on nurses’ and midwives’ productivity, relationships, and wellbeing.

Trauma-Informed Healthcare Systems: An Evaluation of Trauma-Informed Care Training for Hospital-based Healthcare Professionals in the Aftermath of the 2023 Earthquakes in Türkiye.

Disasters are complex global problems with increasing impact with rising prevalence of associated illness, mortality, and intensifying health inequities. In recent years, there has been an emphasis on integrating trauma-informed care approaches into health policies and protocols. The purpose of the current study was to investigate the benefits of a trauma-informed healthcare training program for hospital-based healthcare providers with a focus on knowledge acquisition, empowerment of professional practice, and personal well-being. The program was implemented in the aftermath of the 2023 earthquakes in southeastern Türkiye. The training consisted of four modules, developed based on psychological trauma theories, behavior change theories, and was evaluated using a mixed methods approach. Assessments were conducted at the end of training program, at baseline, and at six-months follow-up. A structured questionnaire including items covering the content of the training, trainer effectiveness, and program suitability, was administered at the end of training program. At six months, participants completed an 18-item follow-up questionnaire which assessed their understanding of the principles of the trauma-informed care approach. The Maslach Burnout Inventory was also administered, and themes regarding the impact of the training program extracted through in-depth individual qualitative interviews. Data were obtained from 501program participant. The intervention program was found to improve healthcare workers' understanding of trauma, professional practices, and interpersonal relationships, and significantly reduced symptoms of burnout. These results demonstrate the critical role of trauma-informed training programs in hospitals in disaster affected regions, especially when assistance to survivors will be enhanced by strengthening healthcare workers' resilience and improving their perceptions of service efficacy and value. The study highlights the need for more widespread adoption of these training initiatives and emphasizes that they may play significant future roles in transforming trauma-informed healthcare systems in disaster-prone countries and regions.

Developing a toolkit for building a community hospital clinical research program.

Although health research in Canada is primarily conducted in academic hospitals, most patients receive their care in community hospitals. The benefits of increasing research capacity in community hospitals include improved study recruitment, increased generalizability of results, broader patient access to novel therapies, better patient outcomes, enhanced staff satisfaction, and improved organizational efficiency. Nevertheless, building research programs in community hospitals remains challenging because of a lack of support and expertise. To address this gap, we developed a toolkit to help community hospital professionals build and sustain their community hospital research programs. The toolkit was developed by the Canadian Community Intensive Care Unit Research Network (CCIRNet), a group of clinician-researchers and research staff from community hospitals across Canada who have experience building community hospital research programs. Feedback from a concurrent qualitative study of Canadian community critical care professionals informed the toolkit's design. The CCIRNet toolkit outlines five stages of community hospital clinical research program development: 1) building a research team and gaining support, 2) developing a new research program, 3) choosing a first research study, 4) getting the study up and running, and 5) sustaining a research program. Feedback from qualitative interviews emphasized the need for a step-by-step approach, frequently asked questions, and essential resources. Accordingly, each stage is structured in a question-and-answer format and includes relevant resources for each section. The CCIRNet toolkit is a practical resource for establishing research programs in community hospitals. The toolkit may increase research participation and support clinical research capacity building in community hospitals.

Congenital Cytomegalovirus Infection and Hearing Loss: It's Time to Screen.

Congenital CMV infection is the leading nongenetic cause of sensorineural hearing loss worldwide, yet most parents have never heard of it. The majority of infected newborns have no clinical signs of infection, although a substantial proportion may have hearing loss at birth or develop it later in life. As antiviral treatment with ganciclovir or valganciclovir initiated in the first month of age improves audiologic outcomes, there is an urgent need for timely identification of infected neonates. A targeted approach that tests neonates who refer on the newborn hearing screen has been implemented in many states and hospital programs, but it fails to identify about 40% of children who experience CMV-related hearing loss. A universal screening approach is optimal given the prevalence of congenital CMV infection, its associated sequelae, the availability of a simple saliva screening tool, the available antiviral treatment, and the directed therapies for hearing impairment.

CDC's Core Elements to promote diagnostic excellence.

Nearly a decade after the National Academy of Medicine released the "Improving Diagnosis in Health Care" report, diagnostic errors remain common, often leading to physical, psychological, emotional, and financial harm. Despite a robust body of research on potential solutions and next steps, the translation of these efforts to patient care has been limited. Improvement initiatives are still narrowly focused on selective themes such as diagnostic stewardship, preventing overdiagnosis, and enhancing clinical reasoning without comprehensively addressing vulnerable systems and processes surrounding diagnosis. To close this implementation gap, the US Centers for Disease Control and Prevention (CDC) released the Core Elements of Hospital Diagnostic Excellence programs on September 17, 2024. This initiative aligns with the World Health Organization's (WHO) 2024 World Patient Safety Day focus on improving diagnosis. These Core Elements provide guidance for the formation of hospital programs to improve diagnosis and aim to integrate various disparate efforts in hospitals. By creating a shared mental model of diagnostic excellence, the Core Elements of Diagnostic Excellence supports actions to break down silos, guide hospitals toward multidisciplinary diagnostic excellence teams, and provide a foundation for building diagnostic excellence programs in hospitals.

HALAL AWARENESS AMONG HOSPITALITY LECTURERS AND STUDENTS: A QUANTITATIVE STUDY AT CHENDEROH COMMUNITY COLLEGE, MALAYSIA

This study investigates Halal awareness among hospitality lecturers and students at Chenderoh Community College, Malaysia. Halal awareness, defined as the understanding, perception, and practice of Halal principles, is crucial in ensuring compliance within the hospitality industry. Using a quantitative approach, data were collected from 50 respondents comprising 28 lecturers and 22 students through a structured questionnaire. The results reveal that knowledge has the strongest positive correlation with Halal awareness (r = .791, p &lt; .01), followed by practice (r = .652, p &lt; .01), and perception (r = .524, p &lt; .01). This suggests that a comprehensive understanding of Halal principles and active engagement in Halal practices significantly contribute to heightened awareness. The study also found that lecturers tend to have higher levels of Halal awareness compared to students, primarily due to their extensive exposure and professional experience. These findings indicate the need for more robust educational interventions that integrate theoretical and practical aspects of Halal education to bridge the knowledge and experience gap among students. Curriculum reform in hospitality programs, including hands-on training and exposure to Halal certification processes, is recommended to enhance students’ preparedness for the industry. This study underscores the importance of a holistic approach, incorporating knowledge, perception, and practice to cultivate a well-rounded understanding of Halal standards among future hospitality professionals.