Need For Training Research Articles

Power and racial differences in the communication experiences of Black and White patients living with advanced cancer and their care partners: An application of co-cultural theory

ABSTRACT We investigated power imbalances in racially discordant medical interactions in the context of advanced cancer care within the United States. We applied co-cultural theory to the transcripts of 43 interviews conducted with Black and White cancer patients and their care partners. We found Black patients and care partners perceived providers as dismissing their concerns. In response, they engaged in extensive preparation, rationalization, and utilizing liaisons. White patients and care partners recognized and took advantage of their privilege and utilized liaisons. Some patients acquiesced and conferred with others in response to power enacted by oncologists. We concluded co-cultural theory is useful in explaining what occurs in racially discordant patient-provider interactions. Our findings highlight the need for provider communication and de-biasing training. Trial registration: ClinicalTrials.gov identifier: NCT03780816..

Applied Learning in Advanced Asylum Medicine: Piloting Experiential Learning in Forensic Medical Evaluations.

Asylum medicine clinics that train clinicians to conduct forensic medical and mental health evaluations (FME) have proliferated in the United States, but there is still significant unmet need in training. We created a 12-week curriculum to develop the core skills needed to conduct effective, trauma-informed FME. Our course used a "flipped classroom" model; participants reviewed didactics in advance from a national, peer-reviewed training program, the Asylum Medicine Training Initiative, and used in-class time for case-based practice as experiential learning. Participants completed feedback surveys after each session in addition to pre-and post-course assessments. Sixteen clinicians with diverse geographic, professional, and demographic backgrounds participated in the course from January-March 2023. The three key themes that emerged from qualitative feedback were high participant satisfaction with the course model; participant desire for additional opportunities for practice; and participant desire for community-building. Post-course surveys showed that most participants felt only "somewhat comfortable" with the core skills emphasized in the course. Taken together, these findings suggest that curricula in asylum medicine should focus on experiential learning, skills practice, and building longitudinal mentorship. This curriculum is an innovative educational model that differs from the traditional didactic training that has been the mainstay in asylum medicine education. The curriculum is replicable and can be tailored to local environments or broad virtual communities.

A review of the role of artificial intelligence in Journalism

Artificial intelligence (AI) technologies have revolutionized journalism in the digital era. This study is constructed on a general literature review revealing the role of AI in journalism and emphasizes the following key facets: (i) automated reporting, (ii) automated content creation, (iii) automated transcription and translation, (iv) data mining and analysis, (v) fact-checking and verification, and (vi) content personalization. The role of AI is observed in creating news reports like financial digests, sports outcomes, and weather updates, gearing up the automated content creation, transcribing the interviews, providing multilingual support for content translation, data mining and analysis, detecting fake news, personalizing the content in line with audience's preferences. The wide application of AI in journalism automates routine journalistic tasks, thereby improving efficacy and productivity and saving time and effort. Though AI is transforming journalism, there are several challenges facing journalism using AI, including biased algorithms, data availability and quality, data privacy and security, the need for training and education, transparency, and cost concerns. Journalists must be trained to identify and address issues such as data privacy, algorithmic bias, and the ethical implications of adopting AI in news reporting. News agencies should also implement strong data protection measures and transparent AI algorithms to overcome these challenges. They must attain a balance between considering user privacy and offering personalized content. It is paramount to have robust regulatory frameworks to oversee the utility of AI in journalism. Also, warranting ethical standards in AI implementation is crucial to preserving journalistic integrity.

Construction Safety Management: Analyzing the Effectiveness of Safety Training Programs on Job Sites

Occupational injuries and fatalities at work are a worldwide problem, particularly in the construction industry. With technological progression, construction sites are still extremely high risk environments where workers put themselves at the mercy of many hazards. They have emerged as a critical part of reducing these risks and the safety of the workers. In this paper, I examine in detail the effectiveness of safety training programs in controlling job site hazards with an emphasis on accident reduction, behavioral changes, and safety culture. The paper looks at different types of training programs, the conventional classroom-based instruction, on the job training and innovative programmes such as virtual reality (VR) and simulation based training programmes. The paper also discusses the challenges, including language barriers and the need for site specific training, and suggests approaches for enhancing safety training practice to encourage a good safety culture among construction practitioners. Keywords Construction Safety, Job Site Hazards, Safety Training, Accident Prevention, Worker Behavior, Safety Compliance, Risk Management, OSHA Standards, Safety Management Systems, Safety Culture.

E-learning adoption: a comparative analysis of public sentiments during COVID-19

ABSTRACT The COVID-19 pandemic accelerated e-learning adoption, presenting both opportunities and challenges for educational development, particularly in the context of Information Technology for Development (ITD). This study profiles public sentiments on e-learning to identify key factors influencing IT-enabled education. A text analysis of Tweets from the United States and India posted from March 2020 to January 2022 was conducted using a computer-aided text analysis and natural language processing alongside a content analysis using a machine learning technique. Findings show positive sentiments towards e-learning from both countries, with trust, anticipation, and joy as predominant emotion categories. Themes of strongest importance are students, schools, and education as central to e-learning discussions. The study also uncovers challenges such as the need for internet infrastructure and teacher training in digital pedagogy. These findings contribute to the broader understanding of how information technologies can address educational challenges and promote development in diverse global contexts.

Importância da Enfermagem na Implementação de Protocolos de Cuidado Integral para Gestantes com Pré-Eclâmpsia: Estratégias e Desafios

Introduction: The article investigates the importance of nursing in the implementation of comprehensive care protocols for pregnant women with preeclampsia, highlighting the strategies adopted and the challenges faced by healthcare professionals. Objective: Analyze the importance of nursing in implementing comprehensive care protocols for pregnant women with pre-eclampsia, highlighting the strategies used and the challenges faced. Methodology: This study was developed based on a bibliographical review of scientific literature and national and international guidelines on the management of pre-eclampsia, as well as practical case studies and reports from health units. The search was carried out in the PubMed, Scielo and Google Scholar databases, using the following descriptors: “pre-eclampsia”, “integral care”, “nursing”, “pregnant women” and “health protocols”, where as inclusion criteria Of the articles selected for data collection, we delimited the period from 2014 to 2024, which was in accordance with the present study. Data collection was carried out from July to October 2024, on the other hand, productions that were unrelated or did not correspond to the theme were excluded. Results: Evidence suggests that there are significant challenges in clinical practice, such as a lack of resources and the need for ongoing training, which hinder the effective implementation of care. Furthermore, it was also observed that the pregnant woman’s lack of knowledge regarding her condition, poor appreciation of the work of health professionals and operational challenges faced by nursing are obstacles that directly impact the quality of care and their satisfaction. Conclusion: The adoption of comprehensive protocols improves clinical results and better meets the needs of pregnant women, highlighting the relevance of nursing in promoting maternal-fetal health and well-being.

Information seeking behaviour of informal caregivers at the premier tertiary teaching hospital in Nigeria

This study was conducted to examine the information behaviour of informal caregivers in a university college hospital in Ibadan, Nigeria. Informal caregivers in the teaching hospitals constitute critical pubic health care players whose information behaviours have not been studied. Data was collected from 208 caregivers using a questionnaire that consisted of structured and open-ended questions. The study found that healthcare providers were the primary source of health for caregivers, with 34.1% actively seeking information from them. The caregivers seldom utilised sources like the internet, community organizations, books, family, and friends. The preference for healthcare providers as sources is due to their accessibility and ability to provide prompt and accurate answers. Caregivers have diverse information needs, including medication-related information, first aid techniques, nutrition, exercise, mental health, and lifestyle choices. They seek this knowledge to make informed decisions that improve their loved ones’ well-being. The study also revealed that caregivers heavily rely on information technology for health information due to its accessibility and reliability. The study highlights the need for ongoing training and proactive information sharing by healthcare providers to better support informal caregivers in Nigeria, emphasizing the importance of integrated support systems within healthcare facilities. To meet diverse information needs, healthcare institutions should diversify dissemination strategies, including culturally sensitive materials and digital literacy programs, while developing tailored mobile applications and online support communities for caregivers. Policymakers must focus on creating supportive healthcare policies, funding caregiver programs, and expanding insurance coverage to alleviate financial burdens, ensuring that caregivers have access to necessary resources and information.

Enhanced Curvature-Based Fabric Defect Detection: A Experimental Study with Gabor Transform and Deep Learning

Quality control at every stage of production in the textile industry is essential for maintaining competitiveness in the global market. Manual fabric defect inspections are often characterized by low precision and high time costs, in contrast to intelligent anomaly detection systems implemented in the early stages of fabric production. To achieve successful automated fabric defect identification, significant challenges must be addressed, including accurate detection, classification, and decision-making processes. Traditionally, fabric defect classification has relied on inefficient and labor-intensive human visual inspection, particularly as the variety of fabric defects continues to increase. Despite the global chip crisis and its adverse effects on supply chains, electronic hardware costs for quality control systems have become more affordable. This presents a notable advantage, as vision systems can now be easily developed with the use of high-resolution, advanced cameras. In this study, we propose a discrete curvature algorithm, integrated with the Gabor transform, which demonstrates significant success in near real-time defect classification. The primary contribution of this work is the development of a modified curvature algorithm that achieves high classification performance without the need for training. This method is particularly efficient due to its low data storage requirements and minimal processing time, making it ideal for real-time applications. Furthermore, we implemented and evaluated several other methods from the literature, including Gabor and Convolutional Neural Networks (CNNs), within a unified coding framework. Each defect type was analyzed individually, with results indicating that the proposed algorithm exhibits comparable success and robust performance relative to deep learning-based approaches.

A quantitative needs assessment for a tele-ultrasound consult program in a tertiary care Emergency Department.

Point-of-care ultrasound (POCUS) has been shown to be beneficial in facilitating patient care, but its adoption is variable among emergency medicine (EM) clinicians. We identified the patterns of POCUS use and gaps in POCUS integration in a tertiary care emergency department (ED). These data provide a user-centered platform for subsequent development of a tele-ultrasound (tele-US) consultation program. We developed a 25-item needs assessment survey and used a 5-point Likert scale to assess current patterns of POCUS use and potential needs for POCUS among EM clinicians. Data were analyzed descriptively, and a chi-square analysis was used to assess for differences in POCUS use and comfort levels among clinicians. Overall, 48% (91/190) of eligible providers responded to the survey. Clinician responders included 38% (35/91) attendings (including fellows), 29% (26/91) residents, and 33% (30/91) advance practice providers (APPs). In assessing needs, 70% (58/83) of clinicians noted they would use POCUS more if they had more training. 76% (63/83) of clinicians felt comfortable with image acquisition and 68% (56/83) with image interpretation. APPs were less comfortable with POCUS image interpretation and clinical integration of POCUS findings compared to residents (χ2: 16.3, p < 0.0001 and χ2: 5.1, p = 0.02, respectively). 65% (54/83) of clinicians would use POCUS more if real-time supervision via tele-US was available for image acquisition and image interpretation. EM clinicians indicated a substantial need for further real-time POCUS training and supervision, especially for image interpretation. A clinician-centered strategy, such as tele-US, has potential to increase proficient use of POCUS.

THE IMPACT OF TELEMEDICINE ON ACCESS TO PRIMARY CARE

The COVID-19 pandemic has driven the implementation of telemedicine as a solution for maintaining access to healthcare, transforming the primary care landscape in many parts of the world. In Brazil, telemedicine has established itself as an essential tool for overcoming geographical and social barriers, facilitating access to basic care for populations that traditionally faced difficulties in accessing health services. This study seeks to investigate the impact of telemedicine on access to primary care, analyzing its main challenges and opportunities in the context of post-pandemic primary care. This study seeks to analyze the impact of telemedicine on access to primary care, exploring the main challenges and opportunities that arise with this modality of care. It also aims to identify practices and policies that can strengthen the implementation of telemedicine in Primary Care, ensuring that remote care is effective, safe and inclusive. This is a literature review, based on a qualitative approach, using the Scielo, Google Scholar and PubMed databases. To refine the research, the health descriptors “telemedicine”, “primary care”, “COVID-19”, and “equity in access to health” were selected, with a time frame between 2021 and 2023. Through a literature review, the study explores recent data on telemedicine in primary care, focusing on the main opportunities it offers, such as improved access and efficiency of services, as well as the challenges, including limited technological infrastructure in poor regions, privacy and confidentiality issues, and the need for adequate training for health professionals. Telemedicine enables more agile care and coverage of a larger population, but still faces obstacles related to digital accessibility and maintaining quality and continuity of care, especially for vulnerable groups. Telemedicine has therefore proved to be a strategic tool for expanding access to primary care, offering a viable alternative for reducing gaps in primary care. However, in order to maximize its impact, it is essential to overcome the technological challenges, guarantee information security and train health professionals in this new type of care. The continued use of telemedicine in the post-pandemic context presents an opportunity to strengthen the Unified Health System (SUS) in Brazil, expanding the reach of primary care and promoting greater equity in access to health.

When the going gets tough: Educational leadership and resilience in times of crises

Managing and leading under challenging conditions is one of the hallmarks of effective leadership. In today’s educational environment, educational leaders and managers must be swift-thinking and fast-acting in their approach. This demands building resilience. In this mixed-methods study, the researchers explored educational leadership and resilience during crises. The study sought to answer two overarching questions: What lessons did educational leaders learn from the COVID-19 experience, and How do the lessons learned prepare educational leaders to be resilient in times of crises? Data for this study were collected via survey and interviews. Survey data were analysed using descriptive statistics, and interview data were analysed using Taylor-Powell and Renner’s (2003) five-step approach. The major findings revealed a necessity for proactive planning, effective communication, and a team approach. Leaders highlighted the importance of resilience training, preparation, and emotional intelligence in navigating crises. The findings provide valuable information that could be used to equip educational leaders and managers to build resilience and augment the practice of educational leadership, particularly during times of crises. Therefore, the recommendations emphasise the need for comprehensive crisis leadership training, the development of contingency plans, and continuous professional development to enhance leaders’ capacity to manage future disruptions effectively.

Changes in Technology Acceptance of Smart Care Beds Among Long-Term Care Workers in Korea.

This study investigates the changing perceptions of Korean care workers regarding a robotic bed designed to assist with repositioning and prevent pressure ulcers. With the primary aim of assessing the technology acceptance among care workers using the robotic bed to solve the problem of a shortage of care workers in Korea, we sought to examine the possibility of applying care robots in the field. A total of 20 long-term care workers participated in the experiment, and their attitudes were measured before and after using the robot. Frequency analysis and paired t-tests were conducted using Stata 17 to analyze the data. The results show significant changes in the perceived ease of use (PEOU), facilitating conditions (FCs), and gerontology anxiety (GA), with the PEOU increasing by 19.87%, FC increasing by 20.63%, and GA decreasing by 17.2%. However, there was no significant change in the perceived usefulness (PU) and intention to use (IU). The results showing that the perception of technology acceptance changed significantly mean that the use of the care robot means that there is a high possibility of positive perceptions in Korean care settings when care robots are distributed in the field in the future, considering that the experimental environment was limited due to the early stage of development of care robots. This study highlights the need for practical demonstrations and thorough training to improve technology acceptance among care workers before the application of care technology in the long-term care environment in South Korea.

Statewide Assessment of Confidence and Training Needs Among Educators Who Support Transition-Aged Students With Visual Impairments

Introduction: Students with visual impairments represent a low-incidence disability group with poor postschool outcomes. Educators who support these students at the transition-age level need access to high-quality training and resources. Method: I surveyed 87 special educators and teachers of students with visual impairments in a southeastern state to ask about their confidence in implementing 33 transition practices and their interest in training and resources on these same topics for youth with visual impairments. Results: Overall, teachers indicated moderate levels of confidence and moderate levels of interest in additional training across the 33 practices. There were some significant differences between teacher groups on ratings of confidence. Discussion: The findings of this study demonstrate the need for regular in-service opportunities for all teachers who support transition-aged youth with visual impairments to increase teacher confidence, as well as a stronger emphasis on transition in preservice programs. Findings of low interest in additional training suggest that more research is necessary to better understand the perceptions of teachers related to their roles in preparing youth in transition. Implications for Practitioners: This study should prompt educators to collaborate around transition for youth with visual impairments to ensure that knowledge that would improve student outcomes is shared, to encourage administrators to survey their staff members to understand which transition topics represent the most pressing need for ongoing training, and to prompt personnel preparation programs to place a stronger emphasis on transition education throughout their courses.

Analysis of a survey of the adult population on oral hygiene products

Aim – to assess the use of oral hygiene products by consumers as a method of primary prevention of the development of dental diseases, as well as to study their motivation when choosing personal oral hygiene products. Materials and methods. The study was carried out using an individually developed and validated questionnaire. The questionnaire included 21 questions. Respondents were selected by random selection. Results. Established a low level of hygiene education of respondents (34% of respondents to the questionnaire visit a dentist twice a year or more, the main criterion for choosing toothpaste for 36% of respondents is the possibility of using the whole family, 53.5% of respondents do not matter the content of fluoride in the toothpaste, 89.1 do not use other sources of fluoride, less than 50% of those surveyed use additional means of oral hygiene. The results of the questionnaire showed that about 40% of respondents acquire oral hygiene products in a pharmacy and need professional consultations of specialists on the composition of toothpaste and its effectiveness, the right choice of toothbrush, which determines the area of knowledge, that a pharmaceutical worker should own. Conclusion. Have been identified the information needs on oral hygiene products. The need for training in proper oral care and orientation to timely treatment of the dentist for preventive purposes and at the first symptoms, as well as information on primary prevention measures to preserve the dental health of the population. It is important to raise public awareness of the role of fluoride in the prevention of the development of caries, as well as to use additional means of oral hygiene products and fluoride sources. One way to improve public hygiene awareness is for a pharmacist to provide competent advice to pharmacists and to increase the level of completeness in the use of oral hygiene products by the consumer.

Exploring Educators’ Perception of and Readiness for Hybrid Flexible Learning in Technical and Vocational Education and Training (TVET) in Higher Education

In Malaysia, technical and vocational education and training (TVET) focuses on equipping students with practical skills for specific careers, blending classroom instruction with hands-on training. Regarding hybrid flexible (HyFlex) learning, which integrates face-to-face and online instruction, TVET institutions face both opportunities and challenges in incorporating digital tools into practical training. This study explores educators’ perceptions of and readiness for HyFlex learning in TVET higher education. A quantitative survey was conducted with 30 purposively selected educators to assess their attitudes, beliefs, and preparedness concerning HyFlex implementation. The data were collected through an online questionnaire and analyzed using the SPSS v25 software. The educators viewed HyFlex learning positively, with mean scores above 3.29 indicating approval of its benefits. They also felt confident about students’ success (mean = 4.16) and their own technological skills (mean = 3.92). However, concerns were noted regarding increased workload (mean = 3.44) and the need for better training and resources, as reflected in the lower scores for instructional design (mean = 3.54) and access to resources (mean = 3.77). Therefore, enhancements in training and resources are necessary. This study recommends strategies to improve educators’ readiness, including the provision of clear workload guidelines, support for instructional design, professional development, technological resources, and a supportive institutional culture. Addressing these areas will facilitate more effective and sustainable adoption of HyFlex learning models. KEYWORDS hybrid flexible learning, educator perception, readiness, TVET, higher education, instructional design

Modernization of Religious Courts: An Analysis of the Effectiveness of Mediation Through E-Court in Resolving Divorce Cases in Padang

This study is important to understand the effectiveness of e-Court in handling divorce cases involving mediation, especially in the Class 1A Religious Court of Padang. Although e-Court has improved administrative efficiency and access, there are gaps in the effectiveness of online mediation, especially in cases involving emotional conflict or domestic violence. These limitations indicate the need for a more in-depth approach to addressing the emotional dimension in the e-Court process as well as improving technical support and staff competence. The object of this study is e-Court as a means of divorce proceedings, with a focus on analyzing the effectiveness of the legal process in cases requiring mediation. This study uses a qualitative descriptive method through in-depth interviews and observations. Primary data were obtained from key informants such as judges, e-Court employees, advocates, and the community, while secondary data were taken from related literature. The findings show that e-Court is effective in terms of ease of access, process efficiency, decision quality, and user satisfaction. Although technological infrastructure supports accessibility, improvements in internet access are still needed. E-Court reduces case handling time, but physical interaction is still needed. User satisfaction is high, although there are complaints about the system sometimes experiencing errors, as well as the need for further training for employees to improve competence.

Determinants of the effectiveness of education and training in Indonesian migrant workers

This study explores the effectiveness of education and training programs for Indonesian migrant workers, who often seek employment abroad due to limited opportunities and low wages in their home country. The increasing numbers of migrant workers, combined with their significant economic contributions, highlight the need for effective training to enhance their self-reliance and reduce the likelihood of returning to overseas work. Employing a mixed-methods approach, the research identifies key determinants of program success, including financial literacy, self-management, motivation, and social support. The findings reveal that while macro-level policies are still insufficient, effective mapping and guidance at the micro level show promising results. Successful training programs positively impact the workers' independence, with those who acquire essential skills more likely to pursue entrepreneurship upon returning to Indonesia, rather than seeking further employment abroad. The study underscores the importance of incorporating financial and digital literacy, along with entrepreneurship training, into the curriculum to foster long-term economic independence for Indonesian migrant workers.

Challenges in Medical Imaging in Tshopo Province (DRC): Addressing the Need for Equipment and Staff Training in Low-resource Settings

Challenges in Medical Imaging in Tshopo Province (DRC): Addressing the Need for Equipment and Staff Training in Low-resource Settings

Trauma-Informed Care in Undergraduate Nursing Education: An Integrative Review.

Trauma-informed care (TIC) requires health care providers and organizations to provide care in a way that assumes everyone has a trauma history (Hopper et al.). Although there has been a recent rise to investigate TIC within various nursing specialties, knowledge related to integrating TIC into nursing curricula remains unclear. An integrative review following Whittemore and Knafl procedures synthesized the literature related to TIC in undergraduate nursing education. Five themes surfaced: (1) isolated tic integration in undergraduate courses; (2) TIC for safe learning environments; (3) inconsistent TIC definitions in nursing education; (4) prerequisite nurse educator training; and (5) students recognizing an implementation gap and seeking solutions. This review highlights TIC integration challenges in nursing education, emphasizing the need for ongoing research, training, and collaboration. These efforts are vital to equip future nursing professionals with the skills to provide high-quality trauma-informed care, benefiting students, patients, and health care delivery. [J Nurs Educ. 2024;63(11):737-745.].

Roles of lecturer and student in the context of transformation of higher education (using of project based learning)

Introduction. In modern conditions, the higher education system is forced to respond to new challenges and change to meet the needs of society and the market. These changes are associated, first of all, with the need for practice-oriented training, bringing science and education closer together, increasing the role of student independence, as well as the need to use an interdisciplinary approach. In this regard, the role of the lecturer in the educational process is changing. The teacher must use new techniques and teaching methods, ones that will prepare a future specialist, a university graduate, to solve practical problems immediately after receiving a diploma. Project activity as part of the educational process at a university can solve many problems that teachers and students now face. The purpose of the study is to understand the changing roles of lecturer and students in the context of transformation of higher education using the example of organizing project activities. Materials and methods. The survey involved 152 regional studies students of the Faculty of Humanities Education of the Novosibirsk State Technical University (Russian Federation) aged 19 to 23 years (1-4 years). Statistical processing of the results was carried out by combining and grouping statistical materials. Results. Based on the survey, the results of students' expectations in the process of obtaining an education were revealed. It was not intended to explain or understand these results in detail. But we can state their general collective orientation and this is connected with the desire to learn (gain new knowledge, get acquainted with methods of processing/analysis of factual material). The main function of a student, according to the survey, is studying/gaining knowledge (100%), second place is occupied by a function related to communication (79.6%), followed by respect (34.51%). It is interesting that students perceive the functions of a teacher in a similar way: in the first place – to teach (100%), in the second place – to communicate (51%), third – to respect (48%). Conclusion. The use of project activities in the educational process in higher education helps the lecturer organize the educational process in such a way that learning takes place on the basis of the convergence of theory and practice, students act as active participants, mastering not only professional, but also communicative competencies, learn to work in a team, decide current tasks within the framework of your future profession. However, a detailed study of the mechanism for using this technology within individual academic disciplines is necessary.