Management Training Research Articles

Teaching Disaster Nursing Competencies: Strategies to Succeed.

Disaster education for nurses at all levels is imperative to improve the ability for communities to be prepared to respond and recover from disasters and public health emergencies. A variety of educational strategies are available to deliver this vital content. A variety of strategies to deliver necessary disaster nursing education are discussed. The development of online disaster response modules for nurses at all levels from nursing student through advanced practice, delivered via a learning management system is described along with standard approaches to disaster content delivery. All methods of teaching disaster nursing competencies are valued. Through the effective online approach, nurses can receive disaster management training at the time and location that is most comfortable and convenient for them, thus increasing the potential to train more nurses in this important content area. [J Nurs Educ. 2024;63(X):XXX-XXX.].

Enhancing Productivity and Innovation Through Strengthening Occupational Health and Safety Management

This research aims to analyze the effectiveness of occupational safety and health management in enhancing employee productivity and innovation at PT XYZ (Persero) Central Java Transmission Implementation Unit (UPT), specifically in the West Java area including UPT A, UPT B, UPT C, and UPT D. The study finds that current occupational safety and health management and achievement motivation variables have not fully contributed to employee productivity and innovation, indicating high epsilon coefficients. The research employs both quantitative and qualitative methods, using surveys and in-depth interviews. The analysis of structure 1 and structure 2 shows that the epsilon coefficient is high, suggesting that occupational health and safety management effectiveness and achievement motivation have not fully contributed to employee productivity. Additionally, these variables have not fully contributed to employee innovation, with many other factors influencing these outcomes. The findings highlight that effective occupational safety and health management positively influences employee productivity and innovation. However, other variables, such as the work environment and leadership style, also significantly impact these outcomes. The study suggests that strengthening occupational health and safety management—including management commitment, communication, monitoring, training, and implementation—can lead to better employee performance and innovation. The implications of this research are significant for improving safety and productivity in similar organizational settings. Enhanced occupational health and safety management practices can foster a more productive and innovative workforce, but attention must also be paid to other influential factors.

Enhancing Prehospital Care During the Conflict in Ukraine: NATO's Role in Global Health Engagement.

The conflict in Ukraine, ongoing since 2014 and escalating with the Russian invasion in 2022, has unveiled profound challenges in prehospital care essential for the survival and recovery of warfighters and civilians alike, necessitating a detailed examination of the current medical response mechanisms and their effectiveness. This study provides an overview of these challenges and examines how these critical vulnerabilities have impacted the delivery of medical care in war-torn regions. It also explores the role of NATO and its member states in addressing these challenges, focusing on the efforts to standardize prehospital care, enhance training, and foster interoperability among medical services. Furthermore, it explores the role of global heath engagement through NGOs in addressing these prehospital care gaps within the Ukrainian conflict zone, drawing from direct observations, expert testimonials, and secondary data. Findings reveal significant enhancements in prehospital care through improved training, interoperability, and logistics management, despite ongoing challenges in medical infrastructure and extended evacuation times, which continue to impact the quality of care. The study underscores the critical role of international collaboration and standardized protocols in bolstering prehospital medical responses in conflict settings, highlighting the need for continuous adaptation and support to mitigate the complexities of modern warfare. The insights gained from the Ukraine conflict offer valuable lessons for future military and humanitarian medical responses in similar conflict settings.

DYNAMICS OF ENTREPRENEUR ARCHIVALISTS OF GOVERNMENTAL ORGANIZATIONS

This study aims to examine the management of dynamic records in the General Affairs section of Humbang Hasundutan Regency. The research method used is qualitative with a descriptive approach, which seeks to analyze the current state of dynamic records management, identify challenges encountered, and provide recommendations to enhance the efficiency of this management. Data collection techniques included observation, interviews, and document studies. The results of this study indicate that the management of dynamic records in the General Affairs section of the Regional Secretariat of Humbang Hasundutan Regency is still not optimal, requiring comprehensive and integrated actions, such as formulating clear dynamic records management policies and implementing them with discipline. Additionally, the adoption of an electronic records management system and training for relevant staff are also important steps in improving the optimization of dynamic records management.

Implementation of Hygiene and Sanitation in Novotel Hotel Kitchen, Tangerang

Hygiene is an effort to maintain health with a focus on individual actions and personal care, while sanitation is an effort to maintain the health of the human environment. Good hygiene and sanitation in hotel kitchens is essential to maintain food health and safety, as well as to meet food industry hygiene standards. In a clean and well-maintained kitchen environment, the risk of food contamination can be minimized, preventing food-borne illnesses and ensuring customer satisfaction. This article discusses important practices for maintaining hygiene and sanitation in hotel kitchens, including maintaining equipment cleanliness, waste management, personal hygiene, and staff training. Implementation of strict monitoring and control systems is also necessary to ensure the effectiveness of these efforts in maintaining high standards of hygiene throughout hotel kitchen operations. This research aims to evaluate how cleanliness and sanitation are implemented in the Novotel Tangerang hotel kitchen, including aspects such as personal hygiene, cleanliness and sanitation of the kitchen area, and maintenance of kitchen equipment. The research method used uses descriptive (qualitative) data analysis, using various primary data sources such as observations, interviews, and secondary data such as certificates and log books. Research findings show that even though observations, interviews and document recording have been carried out, cleanliness and sanitation standards in the Novotel hotel kitchen, Tangerang have been fully met. This can be seen from various aspects such as personal hygiene, kitchen sanitation, and cleanliness of kitchen equipment

Endotracheal Intubation Performance in Novices: Comparing the Training Effect Resulting From Two Airway Management Training Simulators.

Between 2011 and 2014, the Combat Casualty Training Consortium research study sought to evaluate all aspects of combat casualty care, including mortality, with a special focus on the incidence and causes of potentially preventable deaths among American combat fatalities. This study identified a major training gap in critical airway management. Because of the high rate of morbidity and mortality associated with poor or incorrect airway management, an effort to address this training gap was necessary. This experiment compared the training using the Advanced Joint Airway Management System, a novel high-fidelity airway simulator, relative to one of the most utilized simulators for endotracheal intubation (ETI) via a parallel group randomized control trial design. Before training, participants (n = 19) attempted an ETI on a cadaver using direct laryngoscopy. Performance during the attempt was recorded and scored by trained blinded raters. Participants were then randomly allocated to either novel or conventional training. Post-training, participants completed a second ETI under the same parameters. Analysis was completed via 2 × 2 mixed analysis of variance for (1) ETI Score, (2) Errors, (3) Critical Failures, and (4) Duration, across both the pre- and post-training tests and between the two groups. A priori power analysis required a total sample size of 84 participants in this experimental design. Consequently, this study is under-powered to reach statistical significance. Scores for all trainees did improve with training, yet analyses did not reveal a difference in overall ETI score between the novel and conventional training group, at baseline or at the post-training test (P = .249). The Advanced Joint Airway Management System simulator presents a training effect that is comparable to the conventional training model. However, given this study's small sample size, these results must be considered preliminary and further research is merited to draw firm conclusions about its impact on trainee performance. Future studies engaging larger cohorts of trainees and exploring the other capabilities of the Advanced Joint Airway Management System (cricothyroidotomy, needle chess decompression) are needed to further examine the educational potential of this novel airway management training system.

Utilization of the Lentera DESA Website in Blended Learning-Based Soil Fertility and Health Management Training in Yogyakarta

Knowledge of soil fertility and soil health management is essential, especially in Yogyakarta, where the soil fertility and health of rice fields are low. This study employed an experimental research design involving 715 farmers, with data collected in August 2022 and June 2023. The research explored the effectiveness of a blended learning training scheme, especially in the use of The Lentera DESA website. The primary objectives were to identify factors that are related to the use of the Lentera DESA website and to examine the correlation between the duration of watching training videos and farmers’ knowledge. Factor analysis was carried out using multiple linear and mediated regression analyses. Multiple linear regression analysis was conducted to examine whether there is a relationship between video viewing duration and increased knowledge. As a result, four factors directly relate to the use of the Lentera DESA website, namely re-login activity (P = 0.001), farmer age (P = 0.047), presence of info-session (P = 0.054), and smartphone ownership (P = 0.023). Mediated regression analysis revealed that re-login activity plays an essential role in increasing the utilization of the Lentera DESA website through both partial mediation and complete mediation. However, using the Lentera DESA website as an online training medium showed no significant correlation with increasing farmers knowledge of soil fertility and soil health management.

Human Resources Management and Lean Management Tolls

For more than two decades, Algeria has been seeking to diversify its economy through optimal exploitation of available resources and not relying on energy resources. Therefore, the human resources sector has recently received great attention in Algerian economic policies. This research paper aims to research and show the relationship between human resources management and lean management, by studying a sample of workers in the Aïn Témouchent- Algeria Telecom - that is active in the field of services. Lean management refers to a technology that has been developed with the aim of reducing waste from the production process and maximizing the value of the product or service to the customer, without sacrificing quality, Formulated by Toyota's production system, it is part of the distinct thinking, We used the questionnaire as a main tool for this study, as it was distributed to a random sample of 40 workers in the institution under study.At the conclusion of this study, we concluded that there is a positive and statistically significant relationship between training, motivation and lean management, while there is less statistically significant relationship between evaluation, leasing and lean management.

Teacher Training and Strategic Management in Chinese Universities

Teacher Training and Strategic Management in Chinese Universities

The Relation between Parental Locus of Control and Willingness to Implement Parent Management Training Strategies.

In child disruptive behavior treatment, successful parent management training (PMT) outcomes are dependent on parents' use of strategies outside of sessions. This study aimed to identify the influence of parental locus of control (PLOC) on a key treatment acceptability variable: parents' willingness to implement PMT strategies. We sought to investigate this relationship for individual strategies within PMT, given the composite nature of the intervention. In this study, 109 parents of children (ages 2-12) with disruptive behavior watched brief videos detailing three proactive PMT strategies (child-directed interaction, effective commands, positive attention) and three reactive PMT strategies (ignoring, time out, and removal of privileges) and rated their willingness to implement each strategy. Internal PLOC predicted greater overall willingness to use PMT strategies, above and beyond the influence of child age, child gender, and disruptive behavior severity. Notably, the relationship between willingness and PLOC differed across individual strategies. PLOC predicted willingness to implement proactive PMT strategies to a greater degree than willingness to implement reactive strategies. External PLOC may be a greater barrier to use of proactive strategies because of these strategies' misalignment with external PLOC-related beliefs. Results have implications for the personalization of PMT based on parent cognitions, as well as for the separate analysis of individual components of PMT in future research.

Pelatihan Manajemen dalam Peningkatan Produktivitas Pelaku UMKM di Desa Sanrobone, Kec Sanrobone, Kabupaten Takalar

This training activity is a community service activity that aims to improve the ability of MSME actors in terms of business management to increase their business productivity. This training activity is a collaboration between STIEM Bongaya and Micro, Small and Medium Enterprises (MSMEs) partners in Sanrobone Village, Takalar. This activity was carried out on November 7, 2023 and was attended by 15 MSME business actors in Sanrobone Village. The implementation of these activities was carried out in stages, starting with the Socialization of Management Preparation Training to sharing sessions or discussions. Based on the results of the activities that have been described, the conclusions of the community service activities regarding management training in increasing the Productivity of MSME actors in Sanrobone Village, Sanrobone District, Takalat Regency are as follows: This activity aims to improve understanding of management management and increase the productivity of MSME actors. This training activity provides benefits in increasing productivity for MSME actors. Follow-up activities are expected to be more on continuous training techniques and mentoring for MSME actors.

Medically not yet explained symptoms in hypothyroidism.

Persistent symptoms are common in the general population and even more so in people with hypothyroidism. When symptoms are unexplained and brought to medical attention, they can be referred to as medically not yet explained symptoms (MNYES), a term preferred to other descriptors by patients, care-givers and experts. MNYES might be neglected by endocrinologists or misattributed to hypothyroidism. Awareness of MNYES could open up more effective and less harmful interventions for patients who present to endocrinologists with unexplained symptoms than costly over-investigations and over-treatment with thyroid hormones (such as levothyroxine and liothyronine). The role of the endocrinologist is to recognize and acknowledge that MNYES could be underlying a patient's presentation, to communicate effectively with the patient and others involved in the patient's care, to apply a 'two-track approach' in management by paying equal attention to physical and psychosocial contributors, and to collaborate with other relevant health professionals. Categorization of patients into levels of risk for symptom deterioration helps in selecting suitable therapies. Effective management of MNYES demands time, training, expertise and resources.

Entrepreneurship Counseling Seminar, Basic, Bookkeeping Management Training For SMEs, And A Cooking Competition For PKK Women In Mojoasem Village Kec. Sidayu

Entrepreneurship Counseling Seminar, Basic, Bookkeeping Management Training For SMEs, And A Cooking Competition For PKK Women In Mojoasem Village Kec. Sidayu

Numerical simulation of wormhole propagation in fractured carbonate rocks during acidizing using a simplified Stokes–Brinkman model

Most numerical simulations for modeling acid reactive fluid transport and wormhole propagation during matrix acidizing, waterflooding, and CO2 sequestration in carbonate formations are computationally expensive, limiting real-time reservoir management and deep learning training datasets generation for inverse modeling research. Therefore, there is a need for less computationally expensive acid-reactive fluid flow models with adequate accuracy. This study developed and validated a simplified acid reactive-transport model by integrating a simplified Stokes–Brinkman model (as opposed to Darcy’s law), an averaged continuum model, and a pseudo-fracture model. Using FEniCS, the model effectively simulates acid-reactive fluid transport and wormhole propagation in carbonate rocks, achieving a high R-square value of about 0.97 based on a quantitative comparison of the breakthrough volume with other models. The simplified model can also simulate wormhole propagation for the reciprocal of the Damköhler number (1/Da) ranging from 0.001 to 1 with adequate accuracy. Sensitivity studies on the natural fracture parameters such as orientation, length, width, and density showed that higher fracture density, wider fracture aperture, longer fracture length, and orientation aligned with the direction of acid injection contribute to lower pore volume to breakthrough ratio but may not increase long-term acid stimulation efficiency. Also, the presence or absence of fractures in the matrix does not alter the dissolving patterns and optimum injection rate. This simple acid reactive-transport model can generate large training datasets for developing surrogate models in deep learning research. Finally, the FEniCS code in this paper is shared so future researchers can reproduce the results or extend the research work.

Parent management training and parent training on the Islamic basis: A randomized control trial for children’s externalizing problems.

Parent management training and parent training on the Islamic basis: A randomized control trial for children’s externalizing problems.

Digitalisasi Desa Wisata untuk Optimalisasi Promosi Pariwisata dan Budaya di Desa Batuan Kabupaten Gianyar

Tourism is one of the main sectors in economic growth in several countries in the world. A well-developed tourism sector can make a great contribution to a region. In Indonesia, tourism is one of the most important sources of income, especially in Bali, which is one of the most popular tourist destinations in the world. One of the interesting destinations in Bali is the Batuan Tourism Village. Batuan Tourism Village has indeed planned from the beginning to create a website that is specifically for Tourism Villages only, because it has the goal of focusing more on the Tourism Village website only so that tourists can more easily find tourist destinations they want to visit. Batuan Village apparently still has difficulties in introducing its cultural and artistic tourism to prospective tourists who want to come. With the problems that have been explained, the researcher provides a solution in the form of a website that focuses on the tourism sector in the Batuan Tourism Village. The results of the post-test evaluation given to the village staff showed good results after the website management training was held.

Delirium care burden of intensive care nurses caring for patients undergoing open-heart surgery: A mixed-method research.

Delirium is an acute confusional state characterized by inattention, cognitive dysfunction and an altered level of consciousness. Delirium causes negative outcomes in patients, and patients with delirium increase the workload of nurses. Therefore, it is important to recognize the challenges and burdens experienced by nurses caring for patients with delirium. To determine the subjective burden experienced by intensive care nurses caring for patients who have undergone open-heart surgery. A mixed-method sequential explanatory design. A non-probability purposive sampling method was used for the quantitative stage. Using OpenEpi, we employed the method of sample calculation with an unknown universe. The sample size of the quantitive study comprised 130 nurses. Quantitative data were collected with Google survey. For gathering qualitative data, online video interviews were conducted with 10 nurses, an interpretive phenomenological approach was used and content analysis was performed. In the quantitative phase, we found that the subjective burden was high. In the qualitative phase, five main themes emerged: difficulty in recognizing delirium, physical burden, emotional burden, burden in care management of patients with delirium and the effect of patients with delirium on other patients. The nurses experienced physical and emotional burden in delirium management and felt lonely while caring for patients with delirium. Because nurses play a key role in the care of patients with delirium, reducing the burden nurses experience when caring for patients with delirium should be considered important in ensuring that this patient population receives adequate care. Delirium patients create a care burden for intensive care nurses. To reduce this burden of care, in-service training in patient management and bedside teaching support should be provided to nurses. Furthermore, the use of a valid scale to diagnose delirium should be integrated into health policies. Nurses should not be left alone in the management of delirium. Managing delirium patients with a team including physicians, nurses and professionals from other health disciplines will ensure that patients receive high-quality care, thereby reducing the care burden of nurses.

2168 A survey of non-consultant hospital doctors’ perspectives, knowledge, and practices towards delirium in a large Irish hospital

Abstract Background Delirium is a common condition in hospitals, especially among older people. This refers to a dramatic decline in mental capabilities marked by diminished concentration and consciousness. Aims The purpose of this study is to assess the views, knowledge, and behaviour of non-consultant hospital doctors about managing delirium in a large Irish hospital. Methods Questionnaires were given to 28 healthcare professionals from various departments according to Davis and MacLullicin (2009). It was conducted between July and September 2023 with emphasis on finding out its prevalence rate, diagnostic criteria, and management strategies for delirium. Results The study established that majority of the respondents recognised the importance of delirium but there appears to be a gap in practical management of this clinical syndrome. Although many doctors agreed that delirium was significant, most lacked confidence in diagnosing as well as managing it. The use of standardised assessment tools like the 4AT was limited. Conclusions This study highlights the disparity between what is known and practiced by hospital doctors concerning delirium care. It implies increased training for delirium management with frequent use of assessment tools and ongoing education aimed at enhancing patients’ outcomes during cases of delirium. Keywords: Delirium Management, Hospital Doctors, Medical Training, 4AT, Clinical Practice, Elderly Care.

Assessing ChatGPT as a Medical Consultation Assistant for Chronic Hepatitis B: Cross-Language Study of English and Chinese.

Chronic hepatitis B (CHB) imposes substantial economic and social burdens globally. The management of CHB involves intricate monitoring and adherence challenges, particularly in regions like China, where a high prevalence of CHB intersects with health care resource limitations. This study explores the potential of ChatGPT-3.5, an emerging artificial intelligence (AI) assistant, to address these complexities. With notable capabilities in medical education and practice, ChatGPT-3.5's role is examined in managing CHB, particularly in regions with distinct health care landscapes. This study aimed to uncover insights into ChatGPT-3.5's potential and limitations in delivering personalized medical consultation assistance for CHB patients across diverse linguistic contexts. Questions sourced from published guidelines, online CHB communities, and search engines in English and Chinese were refined, translated, and compiled into 96 inquiries. Subsequently, these questions were presented to both ChatGPT-3.5 and ChatGPT-4.0 in independent dialogues. The responses were then evaluated by senior physicians, focusing on informativeness, emotional management, consistency across repeated inquiries, and cautionary statements regarding medical advice. Additionally, a true-or-false questionnaire was employed to further discern the variance in information accuracy for closed questions between ChatGPT-3.5 and ChatGPT-4.0. Over half of the responses (228/370, 61.6%) from ChatGPT-3.5 were considered comprehensive. In contrast, ChatGPT-4.0 exhibited a higher percentage at 74.5% (172/222; P<.001). Notably, superior performance was evident in English, particularly in terms of informativeness and consistency across repeated queries. However, deficiencies were identified in emotional management guidance, with only 3.2% (6/186) in ChatGPT-3.5 and 8.1% (15/154) in ChatGPT-4.0 (P=.04). ChatGPT-3.5 included a disclaimer in 10.8% (24/222) of responses, while ChatGPT-4.0 included a disclaimer in 13.1% (29/222) of responses (P=.46). When responding to true-or-false questions, ChatGPT-4.0 achieved an accuracy rate of 93.3% (168/180), significantly surpassing ChatGPT-3.5's accuracy rate of 65.0% (117/180) (P<.001). In this study, ChatGPT demonstrated basic capabilities as a medical consultation assistant for CHB management. The choice of working language for ChatGPT-3.5 was considered a potential factor influencing its performance, particularly in the use of terminology and colloquial language, and this potentially affects its applicability within specific target populations. However, as an updated model, ChatGPT-4.0 exhibits improved information processing capabilities, overcoming the language impact on information accuracy. This suggests that the implications of model advancement on applications need to be considered when selecting large language models as medical consultation assistants. Given that both models performed inadequately in emotional guidance management, this study highlights the importance of providing specific language training and emotional management strategies when deploying ChatGPT for medical purposes. Furthermore, the tendency of these models to use disclaimers in conversations should be further investigated to understand the impact on patients' experiences in practical applications.

Diagnostic and therapeutic challenges for PCPs regarding heart failure with preserved ejection fraction and obesity: results of an online internet-based survey

BackgroundObesity (body mass index ≥ 30 kg/m2) is a major risk factor for heart failure with preserved ejection fraction (HFpEF) and affects most patients with HFpEF. Patients living with obesity may experience delays in HFpEF diagnosis and management. We aimed to understand the clinical journey of patients with obesity and HFpEF and the role of primary care providers (PCPs) in diagnosing and managing patients with both conditions.MethodsAn anonymous, US population-based online survey was conducted in September 2020 among 114 patients with self-reported HFpEF and obesity and 200 healthcare providers, 61 of whom were PCPs who treat patients with HFpEF and obesity.ResultsHalf of patients (51%) with HFpEF reported waiting an average of 11 months to discuss their symptoms with a PCP; 11% then received their diagnosis from a PCP. PCPs initiated treatment and oversaw the management of HFpEF only 35% of the time, and 44% of PCPs discussed obesity treatment medication options with their patients. Only 20% of PCPs indicated they had received formal obesity management training, and 79% of PCPs indicated they would be interested in obesity management training and support.ConclusionPCPs could play a valuable role in addressing obesity and referring patients with obesity and signs and symptoms of HFpEF to cardiologists. Increased awareness of HFpEF and its link to obesity may help PCPs more quickly identify and diagnose their patients with these conditions.Graphical