Perceptions Of Professionals Research Articles

Supporting service integration through early childhood education: challenges and opportunities in regional contexts

IntroductionChildren and families residing in regional Australia experience higher rates of vulnerabilities coupled with inadequate access to the early childhood health and early intervention services which pose increased risk to their health, development and wellbeing. The current study was designed to respond to the inherent complexity of supporting effective integrated service provision in regional communities, with a view to develop a model of effective service integration that leverages the capacity and opportunity of universal early childhood education (ECE) provision.MethodThe study adopted a qualitative multiple case study design to explore the perceptions of ECE professionals across six regional ECE services and two early intervention professionals operating from a regional early childhood intervention (ECI) organization. Data included an initial audit of the service system landscape coupled with facilitated discussions (focus groups and interviews) to identify facilitators and challenges to service integration and current patterns of service usage and engagement.ResultsFindings highlighted the foundational importance of relationships for establishing trust, engagement and service sustainability, as well as the need for embedding structural supports, including the professionalization of educators, the utilization of a key worker model, and staff retention. Systemic constraints, including limitations and inconsistencies in community infrastructure, program atrophy, and the complexity of referral systems, were seen to undermine effective service integration.DiscussionFindings speak to the potentiality of the ECE context as a hub for effective service integration within a functional practice framework for ECE. We conclude by offering a suggested model to ensure service connections, and enhance professional capacity and sustainability.

Deinstitutionalization of children in residential care facilities: Experiences and perceptions of professionals in Ghana

AbstractAccording to the literature, the success of deinstitutionalization (DI) practices in low‐ and middle‐income countries (LMICs) is dependent on key factors including, a well‐functioning family‐based alternative care and social protection system, adequate funding and resources, and professional and other stakeholders' engagement and support. Following a practice research qualitative method, the study explored practitioner's experiences and perceptions on the status of Ghana's ongoing DI efforts and their recommendations for improving implementation. The study's main themes were establishing the need for residential homes for children (RHCs), RHCs not being an ideal family environment and RHCs as respite. Family marital problems, poor financial situation, stigma attached to some children in care, abusive parents and a lack of suitable alternatives when families have a crisis were identified as key factors that impede DI implementation in Ghana. The findings suggest the need for a progressive approach towards DI implementation in LMICs, with the first step being the re‐positioning of RHCs as respite care centres while progressively developing other alternative family‐based care options (such as kinship care) for children.

An Overview of Children’s Participation in Shared Decision-making in Healthcare Settings

Paediatric settings use shared decision-making, which is also known as the pinnacle of patient-centred care. Nevertheless, implementing shared decision-making is relatively challenging as it involves the triad constellation interaction (communication between parents, children and healthcare professionals). This article provided an overview of previous studies related to children’s involvement levels in health care decisions and the perception of children, healthcare professionals, and parents of children’s participation in shared decision-making. It was concluded that children were engaged minimally in decision-making and most children were involved in minor decisions instead of major decisions. Furthermore, there was a diverse participation pattern, which varied in the same child based on the circumstances.

Augmented Reality in Portuguese Museums: A Grounded Theory Study on the Museum Professionals’ Perspectives

Augmented Reality (AR) is increasingly present in several fields, including the museological space, where the challenges of presenting objects interactively and attractively are constant, especially with the sociocultural changes of recent decades. Although there are numerous studies on AR in museums, the perspective of museum professionals on the technology still needs to be explored. Thus, in this study, we use a qualitative design and conduct in-depth interviews with professionals from 10 Portuguese museums involved in creating or applying AR within these environments. Applying the grounded theory, the researchers propose a framework to understand Portuguese museum professionals’ practices, perceptions, and experiences with AR in museum environments. The findings allow the creation of a theoretical framework divided into four levels, namely the perceptions of museum professionals on the role and use of AR, the understanding of departments, museum teams, and digital strategies, the perceived challenges, limitations, and advantages in the use of augmented reality technologies, and the future perspectives of AR in museums. The theory resulting from this study may also contribute suggestions for the design and implementation of AR in museums, which both museum professionals and designers can use.

Assessment of perception of oral healthcare professionals in management of medical emergencies in children: A cross-sectional study

Background: Medical emergency is an acute condition which can occur when least expected. It is more common to occur in a dental setup as this environment can be stressful for a patient. Children are more prone to emergencies as their dental procedures usually takes place under sedation. Therefore, it is mandatory for a dentist to have adequate knowledge, proper attitude and good training in handling any medical emergency seen in children during their dental treatment. Objectives: To assess the perception of oral healthcare professionals in management of medical emergencies in children. Method: A cross-sectional survey comprising 270 participants was conducted on oral healthcare professionals including interns, postgraduate students, practising dentists and faculty dentists. An 18-item validated questionnaire containing four domains of professional demographic data, knowledge, attitude and practice were distributed among the participants. Descriptive analysis was used followed by Chi Square test to check for association between age, gender, educational qualification and years of experience.Results: The level of knowledge, attitude and practices was lower in graduate dentists than postgraduate dentists. The correlation between knowledge, attitude and practices was found to be highly statistically significant (p=0.001).Conclusions: The study concluded that while knowledge and attitude levels were high in the population, there is a gap in practices of the dentists to handle a medical emergency.

PROFESSIONAL PERSONALITY IDENTITY: THEORETICAL REVIEW OF MODERN RESEARCH

The development of professional identity should take into account self-development, which is directly related to professional development. Self-esteem is self-understanding and conscious assessment of one's own personality qualities, thoughts, words, and actions. Thus, self-esteem affects the effectiveness of one's own activities and the activities of other people, as well as overcoming difficulties in solving the set tasks. Mastering the structure of students' professional motivation and perception of motivation allows you to reasonably solve promotion problems, correctly navigate the choice of specialty, build a professional career, study remotely, and obtain the necessary knowledge for future work. In conditions of instability, this significantly affects the responsibility and desire to acquire education. The purpose of the article is to conduct a theoretical and methodological review of the state of development of the problem of the professional identity of personality. The phenomenon of "professional identity" is quite new in psychology, its purposeful study began at the end of the 19th and the beginning of the 20th centuries, when it became a question of a person's professional self-determination and the aspect of the attitude of the greatest was aimed at abilities, and not at the acquisition of knowledge. The personality goes through many stages of development and, accordingly, changes, both physiological and valuable, understands his abilities and chooses his profession more than once, which enables the personality to develop throughout his life. Each of these stages of personality development brings its own skills and understanding, forming a stable image of professional identity, i.e. the individual identifies himself with the future professional activity, sometimes changing the chosen profession radically, and this leads to the acquisition of new skills, but the process itself knowledge of personality, in our opinion, the most important process, especially in the current difficult time, almost every person is faced with a radical review of both his life and his professional activity.

Perception, attitudes, knowledge of using complementary and alternative medicine for cancer patients among healthcare professionals: A mixed-methods systematic review.

With the rapid increase in the prevalence of cancer worldwide, the utilization of complementary and alternative medicine (CAM) has increased among cancer patients. This review aimed to understand the perception, attitudes, and knowledge of healthcare professionals toward using CAM for cancer patients. A mixed-methods systematic review was undertaken in four databases. Inclusion criteria were primary studies reporting perception, attitudes, and knowledge of healthcare professionals for using CAM for cancer patients were eligible. A mixed-methods convergent synthesis was carried out, and the findings were subjected to a GRADE-CERQual assessment of confidence. Forty-two studies were chosen. The majority of the studies were quantitative and had less than 100 participants. Most publications were from European countries, and oncology was the highest among the specialties. The review found the following themes: feasibility of having negative adverse effects, low expectations of using CAM among HCPs, potential positive effects of using CAM, specific CAM training may be helpful, no concrete regulations to promote CAM practice, and poor physician-patient communication. Nurses had more positive views than other professions; oncologists were concerned regarding herb-drug interactions; integration of CAM into the healthcare system was favorable; HCPs felt the need to participate in specific CAM training; and HCPs agreed that CAM education should be provided more regularly. Future studies should explore the studies views of cancer patients and details of in-depth evidence of CAM in oncology settings.

Self-report of Nurse Professionalism and Factors Affecting It: A Cross-sectional Study.

To evaluate the perception of professionalism by nurses and identify factors that affect the evaluation of professionalism. Professionalism is conceptualized as the set of beliefs related to the autonomy of the profession. Lack of professional respect, a disruptive work environment, and suppression of progressivism in the profession are identified as factors that lead to leaving the profession. The study was carried out according to the CHEERIES (Checklist for Reporting Results of Internet E-Surveys) checklist and included 250 RNs. The Nurses' Professionalism Inventory (NPI) was used. The mean composite score of the NPI indicates a positive reflection of the professionalism of the nurse. Nurse education and job position were the most significant factors that affected perception of professionalism (P < 0.05). The results show the need to examine the issue of professionalism in nursing to a greater extent and implement the findings of research on innovations at all levels of nursing education.

수술실 실습을 통한 간호대학생의 학습 경험 및 전문직관

Professionalism, which encompasses competencies, ethics, and societal expectations, is an essential feature of modern medical practice. For nurses, practical education in clinical settings, including the operating room, can foster professionalism by demonstrating the importance of patient safety, ethics, and collaboration. This article reports on a study that investigated nursing students’ learning journey and perceptions of professionalism during an operating room practicum. This qualitative descriptive study, which used Bengtsson (content analysis, analyzed 202 self-reflective reports written by junior students at a nursing college in one city in South Korea between 2021 and 2022. The analysis yielded 50 key meanings and 10 sub-categories and identified the following three categories: “Perceptions of a collaborative operating room care environment,” “Observations on nurses as advocates for surgical patients,” and “Challenges to professionalism and growth as future perioperative nurses.” The results of the study indicate that the operating room practicum offered more than clinical exposure; it also fostered professional growth and shaped ethical values. On the basis of these findings we suggest that practical education in the operating should be integrated with ethics education to enhance skills, cultivate professional awareness, and promote professionalism in nursing.

Planning for the perfect storm: Perceptions of UK mental health professionals on the increasing impacts of climate change on their service users

Planning for the perfect storm: Perceptions of UK mental health professionals on the increasing impacts of climate change on their service users

CAIXA TEATRAL: EXPLICANDO A HISTÓRIA DA TERRA EM 10 MINUTOS

The present work aimed to make a didactic model called Caixa Teatral, related to the transformations of the primitive Earth for the development of life, and to evaluate it from the perspective of undergraduates in Biological Sciences. Planet Earth was a hostile place that did not allow the existence of life forms, from billions of years of transformations it was possible for life to arise. In this way, it is necessary to understand these processes, however, because they are contents marked by different theories and approaches, students may have difficulties in their learning. The use of didactic models as teaching-learning tools allows the conduction of subjects in the classroom in a practical, playful and illustrative way. Therefore, the National Curricular Common Base provides for the construction of knowledge about the transformations of the primitive Earth for the development of life within the theme Life, Earth and Cosmos. In this sense, from the creation of the didactic model “Caixa Teatral” it was presented to undergraduate students of Biological Sciences to demonstrate its use in teaching the contents of Earth's evolution and emergence of life. Subsequently, a questionnaire was applied to assess the perception of future teaching professionals about the exposed didactic model. Through it, it was possible to identify the profile of these students, to know the way in which the teaching of the contents worked in Caixa Teatral took place during the high school of these students and to acquire the evaluation of the didactic model from the perspective of the licentiates. Therefore, it was possible to perceive that non-traditional methods enable effective education, with Caixa Teatral being a cheap, applicable and efficient teaching tool.

Perception of Health Care Professionals Toward Hospital Accreditation at Johns Hopkins Aramco Healthcare.

The quality of health care relies on achieving the best quality and patient safety goals, and accreditation plays a fundamental role in achieving these goals through compliance with standards that guide excellence. Accreditation also helps streamline operations and supports evidence-based quality improvement plans. This study aims to evaluate the perception of health care professionals on the accreditation process and its impact on the quality of health care and patient safety. This is a cross-sectional questionnaire survey distributed via the SuccessFactors website and made accessible to all hospital staff. The online questionnaire was completed by 2047 participants, representing 51% of the entire hospital staff at Johns Hopkins Aramco Healthcare (JHAH). Overall analysis indicated a positive perception of accreditation benefits among health care employees (as indicated by participation in accreditation activities and/or preparation for the survey visits) and reflected on patient health care quality and safety dimensions, with an overall Likert median score of 4.0 (interquartile range = 3.7-5.0; P < .05). The outcomes of our study confirm that JHAH employees perceived a positive impact of accreditation on health care quality improvement and patient safety. Also, the study supports considering accreditation as a fundamental requirement to improve health care system processes. However, it is critical to sustain quality of services over time during accreditation cycles.

Professional Accountants' Perception on the Mandatory Continuing Professional Development (MCPD) Programmes of the Institute of Chartered of Nigeria (ICAN) and Association of National Accountants of Nigeria (ANAN)

Mandatory Continuing Professional Development (MCPD) programmes are primarily organised by professional accounting bodies to train and update professional accountants with the latest development in the field. This study was carried out to explore the perspectives of ICAN and ANAN members on the MCPD programmes of their respective professional bodies. A qualitative case study design was adopted for the study. The study population comprised professional accountants affiliated with ICAN and ANAN. The study was carried out in Lagos and Abuja. Purposive and snowballing sampling techniques were used to select the study area and the samples. A semi-structured interview guide was used for data collection. The instrument was validated with expert opinion and pilot tested on some professional accountants. Twenty professional accountants were interviewed while the interview sessions were recorded. Recorded files were transcribed electronically and manually. The data were analysed with Braun and Clarke (2006) 's six steps analytical technique. Data analysis was conducted using Computer Assisted Qualitative Data Analysis Software (CAQDAS), MAXQDA and ATLAS.ti. Two themes, theme one with four sub-themes and theme two with three sub-themes, emerged from the data analysis. The study showed that the MCPD programmes organised by ICAN and ANAN were of high quality, worth attending, and largely attended. Members were satisfied with the contents and the resource persons invited. The programmes were rich in content, practically taught, and promoted the ICT skills development of the members. It was recommended that professional accountants should prioritise their participation in the MCPD programmes in their busy schedules. ICAN and ANAN should collaborate to organise professional development programmes to produce professional accountants equipped to compete with their counterparts in the global space.

HR’s hands are tied! Perceptions of the role of HR departments in Jordanian organisations

PurposeThe aim of this study is to explore employees’ perceptions of the role of human resources (HR) departments in Jordanian organisations and the reasons behind these perceptions.Design/methodology/approachSemi-structured interviews were conducted with 23 employees who work at different organisations in various industrial sectors in Jordan.FindingsEmployees perceive HR roles as: providing transactional services (traditional); working as business partners to facilitate other departments’ roles (limited). Perceptions of HR professionals and the role of HR departments were generally negative, due to: societal-cultural norms and stereotypes of HR departments and HR professionals; the role of Wasta (a localised form of favouritism) in affecting HR practices; employees’ personal experiences with HR departments and HR professionals at their workplace; and the non-availability of human resources management (HRM) degrees in Jordan.Originality/valueLimited research has explored varying perceptions about HR departments and their impacts on business contexts in emerging markets, including Jordan. This research is unique as it identifies the reasons behind common misconceptions of HR roles in Jordanian organisations. It extends beyond existing literature by integrating employees’ perceptions of the role of the HR departments to understand the consequences for HR practices’ operational effectiveness. It also pioneers consideration of societal culture in shaping these perceptions, which helps us build theories for future testing and generalisation purposes in other contexts with cultural commonalities. This study also highlights the current state of HRM development in Jordan, which helps in setting the agenda for future research in the country and the Middle East and North Africa region.

Studying the Association Between Knowledge of Professionalism and Demographic Characteristics in King Saud University Medical Students.

Objectives To study the association between the level of knowledge regarding professionalism and demographic characteristics among medical students from years three to five atKing Saud University, Riyadh, Saudi Arabia. Methods Data for this quantitative observational cross-sectional study were collected using stratified random sampling. The participants included male and female students from years three to five studying at the College of Medicine, King Saud University. Data were collected using a self-administered questionnaire and analyzed using the Student's t-test and a one-way ANOVA test. Results The study comprised 112 female (52%) and 103 male (48%) students who completed 215 questionnaires. The mean percentage values of correct answers by females and males were 59.99% and 59.31%, respectively. Statistical analysis revealed no significant difference between the mean percentage of correct answers given by males and females (p=0.684). The mean percentage of correct answers among the 3rd, 4th, and 5th-year medical students was 59.27%, 56.56%, and 62.72%, respectively. Statistical analysis revealed significant differences between the academic year groups (p<0.05), and the grade point average (GPA) groups showed significant differences (p<0.05). Conclusion A highly significant association was found between knowledge of professionalism and both academic level and performance among medical students. This suggests that professional perception evolves parallel to acquiring basic science and clinical knowledge.

Partnering with families known to child protection in an interprofessional context

BackgroundTo meet the diverse needs of children and their families known to child protection, interprofessional collaboration across a range of services is critical. Children and their parents/caregivers are key stakeholders in these collaborations and current research highlights the need to strengthen their participation in these service responses. Practitioners have a critical role in strengthening family member participation in child welfare and protection responses. ObjectiveTo explore professional's experiences and perceptions of working in partnership with children and families known to child protection in an interprofessional context. Participants and setting14 professionals with extensive experience in the fields of family support and child protection. MethodsSemi-structured interviews were completed, recorded, transcribed, and then coded using NVivo 12 Pro. Reflexive thematic analysis was used to guide data analysis. ResultsTrusting practitioner-family relationships were affirmed to be critical to engaging and partnering with families. Results pertaining to the interprofessional context encourage a more community-oriented perspective of practitioner-family relationships, where practitioners have a collective responsibility to welcome families into an integrated network of community services. Further, the conflict for child protection practitioners between their legislated role and their need to build trusting relationships with families to support partnered work is discussed. ConclusionsThe centrality of practitioner-family relationships needs to be better recognized and supported in policy and practice across all sectors supporting children and families known to child protection. An interprofessional approach to building practitioner-family relationships across this range of services may enhance family engagement and partnerships in their service responses.

Evaluating healthcare professionals’ perceptions of dispensing separation and sale of pharmacy medicine in Brunei Darussalam

BackgroundPharmacy medicine (P) is obtained exclusively from a pharmacy under the supervision of a pharmacist. This study aims to understand the perception of healthcare professionals towards the dispensing separation, as well as the dispensing of pharmacy medicine by community pharmacies to enhance patient health outcomes in Brunei Darussalam.MethodsA cross-sectional study was conducted between 1st March 2023 and 20th April 2023 among healthcare professionals. A newly designed and validated questionnaire was used. Its face and content validity, along with internal consistency, was adequately established. Convenient sampling was employed to recruit participants for the study. Statistical analysis using one-way ANOVA was performed, considering a p-value < 0.05 as statistically significant.ResultsThe study compiled data from 108 participants, comprising doctors (38.9%) and pharmacy technicians (45.4%). Approximately 28.7% of respondents had 11–20 years of healthcare experience, while 25.9% had less than 5 years. Nearly all respondents (98.1%) agreed on the vital role pharmacists and pharmacy technicians play in prescription checks. A significant number of participants (93.5%) agreed that Brunei’s current medicine dispensing system needs improvement. The mean total score for the perception of medicine dispensing in Brunei was 3.79 ± 1.103. A statistically significant difference was found between the perception score and the respondents’ profession (p = 0.018), but not with their age, experience, or place of work. Respondents’ awareness score showed no statistically significant correlation with their profession, age, experience, or place of work.ConclusionThe study underscores the necessity for more patient-centered care in community pharmacies in Brunei Darussalam. The country’s healthcare professionals should recognize the potential advantages of expanding pharmacy services. However, to implement these services successfully, regulatory restrictions and infrastructure limitations must be addressed.

The Communicating Needs and Features of IBD Experiences (CONFIDE) Study: US and European Patient and Health Care Professional Perceptions of the Experience and Impact of Symptoms of Moderate-to-Severe Ulcerative Colitis.

The Communicating Needs and Features of IBD Experiences (CONFIDE) study aimed to evaluate the experience and impact of ulcerative colitis (UC) symptoms on patients' lives and elucidate gaps in communication between patients and health care professionals (HCPs). Online, quantitative, cross-sectional surveys of patients with moderate-to-severe UC and HCPs responsible for making prescribing decisions were conducted in the United States (US) and Europe. UC disease severity was defined by treatment, steroid use, and/or hospitalization history. Surveys were completed by 200 US and 556 European patients and 200 US and 503 European HCPs. The most common UC symptoms experienced in the preceding month were diarrhea, bowel urgency, and increased stool frequency. Many patients (45.0% of US patients, 37.0% of European patients) reported wearing diapers/pads/protection at least once a week in the past 3 months due to fear/anticipation of fecal urge incontinence. The top reasons for declining participation in social events, work/school, and sports/exercise were due to bowel urgency and fear of fecal urge incontinence. HCPs ranked diarrhea, blood in stool, and increased stool frequency as the most common symptoms. While over half HCPs ranked bowel urgency as a top symptom affecting patients' lives, less than a quarter ranked it in the top 3 most impactful on treatment decisions. Similar disparities exist between patient and HCP perceptions in the United States and Europe on the experience and impact of UC symptoms. Bowel urgency has a substantial and similar impact on US and European patients, is underappreciated by HCPs, and should be addressed during routine appointments.

Translation and transcultural adaptation of the Person-Centred Practice Inventory Staff (PCPI-S) for health professionals in Spain

Person-centred practices - following national and international developments in health-care policies - have become a key approach in healthcare. The Person-Centred Practice Inventory - Staff is an instrument based on the theoretical framework Person-Centred Practice that focuses on the staff's perspective and how they experience person-centred practices. Here, the aim of this study is to obtain the first Spanish version of the PCPI-S translated and adapted into the Spanish context. The translation and adaptation of the instrument followed the Translation and Cultural Adaptation of Patient Reported Outcomes Measures - Principles of Good Practice, which included a consulting session with experts. Content validation measures on clarity and relevance were assessed for every item (I-CVI) and the survey as a whole (S-CVI/Ave). No major difficulties were registered to reach an agreement on the 12 items that needed to be clarified. Regarding clarity and relevance. The validity index per item (I-CVI) obtained excellent scores for clarity in 53 items and for relevance in 59; the S-CVI/Ave showed excellent results (=90). This first version of the Person-Centred Practice Inventory - Staff instrument adapted to the Spanish context is conceptually and semantically equivalent to the original one. This valuable tool will be of great help to identify the perception of healthcare professionals on person-centred practices.

The perception of patients, mothers and healthcare professionals regarding introduction of home visits for adolescents with type 1 diabetes.

Despite advancements in diabetes management, a subgroup of patients does not achieve an acceptable level of metabolic control. To achieve treatment goals for high-risk patients, a higher frequency of contact with healthcare professionals is essential. However, socioeconomic challenges often lead to nonattendance at the outpatient clinic. Therefore, home visits were introduced as a supplement/an alternative to consultations at the paediatric diabetes clinic. The aim of this study was to uncover the perception of patients, mothers and healthcare professionals regarding home visits versus consultations at the outpatient clinic in order to being able to improve the services offered. Semistructured interviews with patients, mothers and healthcare professionals were conducted to explore the experiences and perspectives of the concept at two paediatric diabetes clinics in Denmark. Paired t tests were used to compare the glycated hemoglobin A1c (HbA1c) levels at the start of the intervention with HbA1c 1 year before and HbA1c at the end of the intervention. Both patients, mothers and healthcare professionals found consultations in familiar surroundings to result in stronger relationships between healthcare professionals and families, creating greater opportunities to discuss personal issues aimed at improving the outcome of diabetes. Furthermore, home visits facilitated finding alternative methods of helping patients and the families integrating diabetes into everyday life. Overall, home visits were found to contribute toward creating a more constructive relationship. However, it was still a challenge to keep the scheduled appointments, and during this short study, no improvement in metabolic control could be observed.