Perceptions Of Professionals Research Articles

A Collaborative Initiative for Mobility and Autonomy of Older Adults

ABSTRACT Social participation is associated with successful aging. However, older adults encounter many barriers for social activities. The study aims for the proposition of solutions in favor of increasing the participation of older adults in daily life activities. A living-lab design was chosen to ensure the active participation of older adults and the stakeholders. The data collected included questionnaires, workshops writings and surveys. A total of 159 older adults and 126 collaborators participated in the study. The results showed a gap between the perception of the geriatric professionals and the reality of the difficulties reported by the older adults. Professionals perceived for 80% that walking was the main issue for mobility while only 23% of older adults said so. Seven topics were investigated: Technology, Nutrition, Health, Housing, Transportation, Social Network and Activities. To maintain autonomy and mobility, Social Network was the most important topic before health and transportation. Older adults and collaborators were unaware of the variety of local existing solutions. That shows malfunctioning in the communication strategy. The study detected contact person among the older adults who are highly motivated and convinced by the action. The collaborators should rely on contact persons for the transmission of the information to their peers.

Health professionals' perceptions of the development needs of incident reporting software: A qualitative systematic review.

To systemically identify and synthesize information on health professionals' and students' perceptions regarding the development needs of incident reporting software. A systematic review of qualitative studies. A database search was conducted using Medline, CINAHL, Scopus, Web of Science and Medic without time or language limits in February 2023. A total of 4359 studies were identified. Qualitative studies concerning the perceptions of health professionals and students regarding the development needs of incident reporting software were included, based on screening and critical appraisal by two independent reviewers. A thematic synthesis was conducted. From 10 included studies, five analytical themes were analysed. Health professionals and students desired the following improvements or changes to incident reporting software: (1) the design of reporting software, (2) the anonymity of reporting, (3) the accessibility of reporting software, (4) the classification of fields and answer options and (5) feedback and tracking of reports. Wanted features included suitable reporting forms for various specialized fields that could be integrated into existing hospital information systems. Rapid, user-friendly reporting software using multiple reporting platforms and with flexible fields and predefined answer options was preferred. While anonymous reporting was favoured, the idea of reporting serious incidents with both patient and reporter names was also suggested. Health professionals and students provided concrete insights into the development needs for reporting software. Considering the underreporting of healthcare cases, the perspectives of healthcare professionals must be considered while developing user-friendly reporting tools. Reporting software that facilitates the reporting process could reduce underreporting. The ENTREQ reporting guideline was used to support the reporting of this systematic review. There was no patient or public contribution. The protocol is registered in the International Prospective Register of Systematic Reviews with register number CRD42023393804.

Water insecurity among seasonal agriculture workers: perspectives from Spanish professionals

BackgroundMigrant seasonal agricultural workers face conditions of material vulnerability such as inadequate housing difficulties prevent access to running water supplies. The purpose of this study is to explore the perceptions of professionals involved in the care and support of seasonal migrant agricultural workers, as it relates to water access and water consumption and their impact on these workers’ health, in a context of COVID-19 pandemic. Methods: A qualitative exploratory and descriptive study was conducted in 2021 as part of a larger research project, based on 63 personal semi-structured interviews with professionals who provided support to seasonal migrant agricultural workers in three Spanish autonomous regions. COREQ checklist was used for reporting. The interviews were recorded, transcribed, and imported into ATLAS.ti-9 for an inductive thematic analysis. Results: The results have been structured into two main themes: (1) Accessing and obtaining water; and (2) Health problems related to water consumption. Seasonal migrant agricultural workers experience barriers to obtaining safe water for hygiene, cleaning, food preparation and drinking. The implementation of regulations to reduce COVID-19 transmission resulted in improved hygiene levels in the migrants’ quarters, including access to safe drinking water. Conclusion: This study suggests that water insecurity experienced by migrant seasonal agricultural workers in Spain results from their poor living conditions and causes health problems related to a lack of hygiene and the use of unsafe water. Sustainable solutions are needed beyond the pandemic in order to provide migrant workers with adequate living conditions and ensure their water needs are fulfilled.

Social Work and Intractable Conflict: Professional Experiences and Role Perceptions

Abstract Social workers worldwide share a common framework and mission: to provide aid to those in need and promote social justice. Yet as an international profession, both global and local realities contribute to the unique ways in which the profession is understood and practised in various locations. This article considers the broad issue of how local and global realities shape social workers’ understanding of the profession using the case of Israeli-Jewish social workers as an exemplar. Narrative and life story methods were used to understand individual life stories within collective political and professional contexts. Sixteen Jewish-Israeli social workers participated in two, individual zoom interviews each in which they described becoming a social worker and practising in the context of an intractable conflict, the Israeli–Palestinian conflict. Three approaches to social work practice emerged, suggesting that social work in Israel has shifted away from applying ecological perspectives, limiting both how social workers understand their roles and how they practise. Recommendations for incorporating a politically aware framework to social work practice, research and education are discussed.

‘Unleash the tiger within your soul’: Interplays among professionalism, socializing discourses, and work–life management in adventure work

Abstract Socializing messages shape individuals’ perceptions of professionalism and meaningful work. For individuals in the USA, many anticipatory socialization messages consist of normative notions of work; socializing discourses often draw from dominant ideologies. However, not all workers align their understandings and enactments of work with socializing discourses and/or dominant ideologies. This study draws on 14 interviews with adventure workers (AWs) to examine how socializing messages interplay with their conceptualizations of meaningful work and professionalism, as well as take shape in their work–life management. AWs simultaneously resisted and retooled professionalism depending on the value they associated with work, illuminating ways that professionalism can be a resource and constraint in particular contexts. Our findings illustrate how AWs’ perceptions of work–life management, notions of meaningfulness, and enactments of professionalism are co-constituted. We situate our findings alongside work–life scholarship and call for future investigations of the interplay between meaningfulness and professionalism in nonnormative work.

An interprofessional approach to collaborative management of low-back pain in primary care: A scholarly analysis of a successful educational module for prelicensure learners.

In 2008, an interprofessional education (IPE) working group was formed to develop a module on interdisciplinary low-back pain management to fill a curricular gap at our institution. This article describes the program evaluation outcomes and highlights factors contributing to its successful implementation over 8 years through reference to Brigg's Presage-Process-Product (3-P) Model of Teaching and Learning. Program evaluation occurred through administration of a pre- and postmodule Health Professional Collaborative Competency Perception Scale, with scores compared using paired t tests. Descriptive statistics were analyzed from 5-point Likert scales for module session components. A total of 853 students from 9 health care occupations (medicine, chiropractic, physiotherapy, pharmacy, nursing, nurse practitioner, occupational therapy, physiotherapy assistants, and occupational therapist assistants) participated in 51 iterations of the module from 2011 to 2019, averaging 16 participants each session. All Health Professional Collaborative Competency Perception Scale items significantly improved from pre- to postintervention (p < .001) for learners from 6 health professions. Module components were rated highly, with the majority of learners rating these as 4 (helpful) or 5 (very helpful) for their learning. Participants also improved their scores in perceived history and physical exam comfort, knowledge of pharmacotherapy, management options, and attitudes regarding an interprofessional approach to back pain (p < .001). This article describes the presage, process factors, and products of this model IPE program that provides learners from various health care professions with an opportunity to gain a deeper understanding of the interdisciplinary management of low-back pain, as demonstrated through improvement in collaborative competencies.

Want a More Effective School? Better Start with the Culture

ABSTRACT In this article, the relationships between the nature of the professional leadership culture and student learning are examined according to the professionals’ perceptions. The qualitative case study examined the perceptions of school-level professionals in one elementary school with a reputation for strong results in student learning, regarding the nature of the professional leadership culture and its relationship to student learning. Professional leadership culture is defined by this author as shared assumptions, practices, beliefs and values concerning leadership activities that are understood and practiced among school professionals. E. H. Schein’s (2010) organizational culture and leadership model provided the conceptual framework for the study. The three most common representations of the professional leadership culture included pervasive collaboration among professionals, a culture of trust, and a supportive environment. This study prompts some reflection for theory-building on the connection between the concept of leadership and its role in improving school culture. Policy implications of the study are discussed as they relate to human resources issues and their connection to culture and leadership, priorities regarding personnel supervision and evaluation, standards for a respectful workplace, the institutionalization of trust, open communication, supportive relationships, collaboration, and the anticipation and management of workplace conflict.

Working with suicidal mothers during the perinatal period: a reflexive thematic analysis study with mental health professionals

BackgroundSuicide is the leading cause of death in mothers postpartum and one of the most common causes of death during pregnancy. Mental health professionals who work in perinatal services can offer insights into the factors they perceive as being linked to mothers’ suicidal ideation and behaviour, support offered to mothers and improvements to current practices. We aimed to explore the experiences and perceptions of perinatal mental health professionals who have worked with suicidal mothers during the perinatal period.MethodSemi-structured interviews were conducted face-to-face or via telephone with mental health professionals working in perinatal mental health inpatient or community services across England. Data were analysed using reflexive thematic analysis.ResultsFrom the professionals’ (n = 15) accounts three main themes were developed from their interview data. The first, factors linked to suicidal ideation and behaviour, overarched two sub-themes: (1.1) the mother’s context and (1.2) what the baby represents and what this means for the mother. These sub-themes described factors that professionals assessed or deemed contributory in relation to suicidal ideation and behaviour when a mother was under their care. The second main theme, communicating about and identifying suicidal ideation and behaviour, which outlined how professionals enquired about, and perceived, different suicidal experiences, encapsulated two sub-themes: (2.1) how to talk about suicide and (2.2) types of suicidal ideation and attempts. The third main theme, reducing suicidal ideation through changing how a mother views her baby and herself, focused on how professionals supported mothers to reframe the ways in which they viewed their babies and in turn themselves to reduce suicidal ideation.ConclusionProfessionals highlighted many factors that should be considered when responding to a mother’s risk of suicide during the perinatal period, such as the support around her, whether the pregnancy was planned and what the baby represented for the mother. Professionals’ narratives stressed the importance of adopting a tailored approach to discussing suicidal experiences with mothers to encourage disclosure. Our findings also identified psychological factors that professionals perceived as being linked to suicidal outcomes for mothers, such as self-efficacy; these factors should be investigated further.

The Impact of Shared Governance Model’s Implementation on Professional Governance Perceptions of Nurses in Saudi Arabia: A Randomised Controlled Trial

Objective. This study aimed to evaluate the impact of the shared governance model application on the level of perceived professional governance among clinical nurses in a tertiary hospital in Riyadh. Background. Professional governance continues traditional governance, shared governance, and self-governance. Shared governance (SG) is the engagement of clinical nurses in decision-making at different levels. This empowers nurses, increases job satisfaction, improves clinical outcomes, and enhances patient satisfaction. Methods. This randomised control trial in which researchers distributed the Index of Professional Nursing Governance (IPNG) to a random sample of 440 nurses working in a 1200-bed tertiary hospital in Riyadh and divided into experimental and control groups. The intervention included designing and implementing a nursing shared governance model at the hospital level; professional governance was measured before and eight months after implementation. The IPNG was used to measure nurses’ perceived level of professional governance before and after the intervention. The sample was divided into experimental and control groups. Results. By comparing experimental and control groups, there was no statistically significant difference between them regarding professional governance subscales and the total IPNG scores before the intervention. At the same time, there was a considerable difference between them after the intervention. Moreover, the scores of the six professional governance subscales and the overall IPNG scores significantly increased after the intervention in the experimental group. They showed no significant difference in the control group. Conclusion. Designing and implementing specific shared governance structures and processes effectively enhanced nurses’ perceived level of shared governance at the hospital, as evidenced by significantly higher postintervention IPNG scores. Elements of the shared governance model that proved effective included engaging nurses in decision-making at various organizational levels and empowering their involvement.

Professional Values and Perception of Knowledge regarding Professional Ethics in Physiotherapy Students in Navi Mumbai: An Observational Study

Professional Values and Perception of Knowledge regarding Professional Ethics in Physiotherapy Students in Navi Mumbai: An Observational Study

Stakeholders’ Perceptions on EFL Teacher Professionalism: A Phenomenological Study at a Bachelor Programme in Nepal

Teaching English as a foreign language (EFL) in the twenty-first century has witnessed several changes, which have sparked tremendous changes in the teachers’ standpoints and the conceptualizations of professionalism. In this context, this study explored the stakeholders’ perceptions of EFL teacher professionalism. For this, the phenomenological research design was adopted. The study site was a Bachelor's Programme on a community campus in Nepal. The informants comprised the real stakeholders of the programme that comprised three EFL teachers, nine students, two administrators, and one member of the campus management committee. To collect the informants’ lived experiences, the researcher used an unstructured interview in a naturalistic setting. The results revealed that EFL teachers’ professionalism can be measured by their roles and skills; teacher-student relationships; and teachers as administrators and change agents. This implies that EFL teachers, like the teachers of other subjects, should be loyal, committed, accountable, and responsible as the success or failure of the autonomous programmes mainly depends on the teachers.

College professor perceptions of effective professor characteristics: A cross-cultural study

This study explores college professor perceptions of effective professor Characteristics through the lens of Media Naturalness Theory (MNT). A survey questionnaire was administered to samples of college professors in two countries (USA and Qatar) regarding their perceptions of effective professor’s characteristics. Demographic variables such as gender, age, discipline, rank, and teaching style were included in the questionnaire. The results of nonparametric analysis revealed significant differences in professors’ responses between the two samples. However, these differences were in the level of their ratings (e.g. very important versus important). The top five-rated characteristics were similar in both countries for each component of the media naturalness theory. Speech and body language components had the highest rating by professors in both countries. While gender was the most significant demographic factor that influenced professors’ perceptions for the American sample, discipline was the most critical factor for the Qatari sample. The second most crucial factor for both countries was teaching style. Even though the two groups differed in their ratings of effective professor characteristics, which could be partially explained by the cultural background differences between the two countries, professors agreed to be respectful of students, make class expectations clear, and explain course material clearly and concisely are the most important characteristics in both instruction delivery modes (face-to-face and online). Theoretical and practical implications are discussed.

Attitudes and perceptions of Irish health care professionals regarding functional neurological disorder: A national survey.

Functional neurological disorder (FND) is a common and often disabling condition. Limited access to services for FND poses challenges both for patients and their health care providers. This survey explored the attitudes, experiences, support needs and training needs of health care professionals (HCPs) who provide care to individuals with FND in Ireland. A broad range of HCPs working with patients with FND in Ireland partook in an anonymous online 12-item survey. Participants were recruited via professional bodies and snowball convenience sampling utilising social media and email invitation. Descriptive and inferential statistics were employed to analyze data. A total of 314 HCPs working in Ireland completed the survey. 80% were female and over half worked in their current role for more than 10 years. 75% of the sample encountered three or less individuals with FND per month. Identified service-related challenges to effective patient care included insufficient clinic time, lack of confidence explaining the diagnosis, and the need for greater access to specialist support. Data revealed persisting negative attitudes toward FND patients among a proportion of respondents. The majority of respondents did not feel they received adequate education on FND, with the exception of neurologists, of whom 65% felt adequately trained. The majority of respondents (85%) also felt that people with FND did not have access to appropriate FND services in Ireland. This study indicates that there is a significant need to improve FND education among HCPs in Ireland, in addition to developing appropriately resourced, integrated, multidisciplinary care pathways for the FND patient group.

Attitudes toward implementation of electronic medical record and its associated factors among health professional workers in selected public hospitals in Addis Ababa, Ethiopia, 2023: A multi-center cross-sectional study.

Electronic medical record (EMR) systems in healthcare delivery have the potential to transform healthcare in terms of saving costs, reducing medical errors, and improving data quality. This study aimed to assess the Attitudes toward implementing electronic medical records and associated factors among health professional workers in selected public hospitals in Addis Ababa. An institution-based cross-sectional study was conducted on 422 health professionals in selected hospitals in Addis Ababa, Ethiopia, in 2023. The study participants were selected using a simple random sampling technique. A binary and multivariable logistic regression model was used to identify associated factors for electronic medical record implementation. A p-value < .05 was considered statistically significant. The overall electronic medical record implementation perceived as useful by health workers is 298 (73.6%), with an allocation of enough budget [AOR = 3.196 (1.49-6.735)] has no networking or problem with internet access [AOR = 1.794(1.089-2.954)]. Electronic medical record increases workload [AOR = 2.350 (1.302-4.243)], which was significantly associated with electronic medical record implementation. According to this study, the overall perception of health professionals toward electronic medical record implementation was high. However, it would be better to build and establish strong internet connectivity and stable power supply or internet access without networking problems, allocate enough budget, and work in collaboration with hospitals and health bureaus to strengthen and support the electronic medical record in their facilities.

Practices Used to Improve Patient Safety Culture Among Healthcare Professionals in a Tertiary Care Hospital.

A patient safety culture primarily refers to the values, beliefs, attitudes, and behaviors within a healthcare setup in a community that assists in prioritizing patient safety and encouraging the reporting of errors and near-misses in that facility. There is a direct impact of patient safety culture on how well patient safety and quality improvement programs work. The aim of this cross-sectional descriptive study was to investigate the practices to improve patient safety culture and adverse event reporting practices among healthcare professionals in a tertiary care hospital located in Mirpur Azad Jammu and Kashmir. In the non-probability convenience sampling of this cross-sectional study, Divisional Headquarters Teaching Hospital in Mirpur, Azad Kashmir used the Agency for Healthcare Research and Quality Surveys on Patient Safety Culture Hospital Survey to collect data about the perceptions of healthcare professionals regarding patient safety culture within their hospital to assess the trends of patient safety culture by obtaining longitudinal data. A pre-validated questionnaire that has undergone a rigorous trial of testing to maximize the reliability and accuracy of the outcomes was distributed among clinical staff (healthcare professionals who interact with patients on a daily basis, such as nurses, doctors, pharmacists, and laboratory technicians) and administrative staff (medical superintendent, deputy medical superintendent, assistant medical superintendent, heads of departments). A total of 312 questionnaires were returned (response rate, 76%). The study found that the dimension "supervisor/manager expectation and action promoting safety" had the highest positive response rate (65.16%), and "nonpunitive response" had the lowest (27.4%). Higher scores in "nonpunitive response to error" were associated with lower rates of medication errors, pressure ulcers, and surgical site infections, and higher scores in "frequency of event reporting" were associated with lower rates of medication errors, pressure ulcers, falls, hospital-acquired infections, and urinary tract infections. We suggest that in order for hospital staff to continue providing excellent, clinically safe treatment, a well-structured hospital culture promoting patient safety is necessary. Moreover, further study is needed to determine strategies to improve patient safety expertise and awareness, and lower the frequency of adverse occurrences.

Perceptions on artificial intelligence-based decision-making for coexisting multiple long-term health conditions: protocol for a qualitative study with patients and healthcare professionals

IntroductionCoexisting multiple health conditions is common among older people, a population that is increasing globally. The potential for polypharmacy, adverse events, drug interactions and development of additional health conditions complicates...

Perceptions of Built-Environment Professionals on Using ISO 19650 Standards for Information Management

Perceptions of Built-Environment Professionals on Using ISO 19650 Standards for Information Management

Healthcare professionals' experiences and perceptions about LGBTIQA+ safety and responsiveness in a mainstream Australian health service: Qualitative findings

ObjectiveTo explore experiences and perspectives of healthcare workers regarding LGBTIQA+ safety and responsiveness. MethodsThematic analysis of semi-structured, in-depth interviews, and pre-surveys to collect demographics and knowledge self-rating scales. ResultsOf 38 multidisciplinary healthcare staff, 44.7 % identified as LGBTIQA+ and 55.3 % as heterosexual and cisgender allies. Participants discussed experiences, noting strengths and gaps in affirming practice and organisational support, and training and education opportunities. ConclusionsHealth services need to prioritise LGBTIQA+ safety and responsiveness for staff, patients, carers and families. LGBTIQA+ healthcare staff report that they have had experiences of trauma, minority stress, discrimination, homophobia and/or transphobia, and look for visible safe spaces at work and see safer clinical care.

Healthcare professionals’ understanding and perception of drug-related issues linked to off-label pharmacological medications used for COVID-19

ABSTRACT Background To evaluate the opinions of healthcare workers regarding drug therapy problems linked to anti-infective medicines used for the treatment of COVID-19 infection in Pakistan. Research methodology This cross-sectional study was conducted from January to October 2022 using a self-administered questionnaire developed by the authors, having three sections: demographics, knowledge, and perception. The study was validated by research experts and pilot-tested on 30 subjects. The study included medical doctors, nurses, pharmacists from Punjab’s government and private medical institutes. Results In this study, 382 of 400 participants replied. The mean knowledge score was 9.52 (SD 2.97), showing that participants had adequate knowledge of COVID-19 pharmacological interventions. The knowledge scores were significantly higher of those who treated COVID-19 patients and were from Lahore. Many doctors considered that elderly patients and those with blood disorders were at greater risk of experiencing drug-related problems. Most pharmacists support electronic prescription systems. Many doctors thought the lack of unified treatment guidelines, multiple prescribers, and self-medication were key obstacles in managing COVID-19 patients. Conclusion Most respondents had adequate knowledge. Older patients with comorbidities are at risk of adverse effects. Self-medication, polypharmacy, and multiple prescriptions can lead to misdiagnosis and complications. Electric prescriptions, team effort, and training programs can decrease these issues.

Evaluation of Professional Self-Efficacy Perceptions of Medical School Intern Students

Purpose: The aim of this study was to assess interns' perceptions of professional self-efficacy and to identify the factors associated with it.&#x0D; Material and Methods: This is a cross-sectional study. The data of the study, which was approved by the ethics committee, were collected from 204 trainees between September and October 2022 using the face-to-face interview method. Data analysis was performed using the SPSS 27.0 package. The type 1 error level was accepted as 5% for statistical significance.&#x0D; Results: 62.3% of the study group were female and the median age of the group was 24.00 years. The participants' median score on the self-efficacy sub-dimension of the scale was 60.00. The median self-efficacy score was significant and higher than those who felt inadequate to work in the periphery and those who felt that patients could actively participate in the history, physical and treatment processes during the internship (p