Practitioner Perspectives Research Articles

Designing with Community Health Workers in Latin America

Community + Culture features practitioner perspectives on designing technologies for and with communities. We highlight compelling projects and provocative points of view that speak to both community technology practice and the interaction design field as a whole. --- Sheena Erete, Editor

Different perspectives of prison guards and mental health workers in forensic care.

This study investigates the differences in treatment perspectives of prison guards and mental health practitioners within a Psychiatric Prison Unit (PPU). This qualitative study uses questionnaires and focus groups to explore the relationships between prison guards (N = 4) and mental health professionals (N = 6) working at the Psychiatric Prison Unit in Zwolle, the Netherlands. Two questionnaires (the Recovery Attitude Questionnaire and the Recovery Knowledge Inventory) were completed by the participants. A selected subsample based on diverging beliefs concerning treatment perspectives was recruited for additional focus groups. The dialogues were transcribed and coded into a comprehensive scheme. Responses were analyzed to describe perceptions and attitudes of respondents towards forensic care. This study identified three main themes: policy, communication, and person-dependent factors. Understaffing and high turnover rates in the correctional facility led to prioritization of safety concerns over treatment objectives. Guards and mental health professionals had different communication styles which hindered the alignment of treatment goals. Person-dependent factors, including personality traits and individual attributes, were significant in shaping collaborative interactions. This study reveals agreement in the viewpoints between prison guards and mental health professionals but highlights the complex challenges in providing effective treatment within the confines of a correctional facility. These challenges are influenced by policy dynamics, communication limitations, and individual-specific factors.

An Athlete-Centered Career Assistance Intervention Program for the Chinese Sport System: Reflections Into Polyphonics

The aim through this manuscript is to share our career intervention situated in individual, group, and meta-reflective practice, to help elite athletes manage changes in their careers and support their autonomy and development within the Chinese Whole Nation System (CWNS). Translating findings from a science to practice project, we provide an athlete-centered reflective intervention integrating the perspectives of sport psychology practitioners (SPPs), coaches, athletes, and parents from a Chinese collective vantage. First, we introduce how athlete career transition scholarship and theoretical frameworks guided this intervention. Second, we explain how different levels of reflective practice can be used as a part of a career intervention. Third, we provide a brief summary of recent research project from which the intervention was derived, and fourth, we describe a six-step intervention to inform future implementations.

External practitioner perspectives on validating selection tools against performance ratings

External practitioner perspectives on validating selection tools against performance ratings

Analytic Network Process on Early Warning Indicators for Financial System Stability

The purpose of this research is to find out the leading indicators of financial crisis from the perspective of expert practitioners, micro and macroeconomic sides; Based on the results of interviews with banking practitioner experts, related to the most important indicators of financial system stability in Indonesia, both microprudential and macroprudential criteria, both aspects are equally considered important and priority. However, from the practitioners' perspective, the microprudential aspect is a more important factor (0.506) than the macroprudential aspect (0.494). Macroprudential and Microprudential policies issued by Bank Indonesia as the central bank with full authority play an important role in maintaining Financial System Stability. The presence of the Financial System Stability Coordination Forum (FKSSK) which consists of several financial authorities is expected to be able to save the economic conditions of the Indonesian nation in the financial sector. For future research, this study is expected to be an initial step. For example, by further expanding the number of expert respondents who are not only from banking practitioners, but also from academics and policy makers.

Comparative analysis of genetic diversity in wild and restored subtropical rainforest trees: Argyrodendron trifoliolatum, Ficus watkinsiana, and Diploglottis australis

Since European settlement of Australia, substantial areas of subtropical rainforest have been cleared. More recently, effort is being made to restore areas of this ecological community. The financial investment and increasing reliance on ecological restoration in biodiversity conservation justifies a need for better understanding of how to improve success at the genetic level. This research measures genetic diversity (allelic richness [Rs], expected heterozygosity [He], and inbreeding using Wright's coefficient [FIS]) for expected neutral DNA markers in three Australian subtropical rainforest trees—White booyong (Argyrodendron trifoliolatum), Watkin's fig (Ficus watkinsiana), and Native tamarind (Diploglottis australis). Wild and restored populations of these species were compared in two neighboring regions in Northeast New South Wales (the Tweed Caldera and the Big Scrub). There were no statistically significant differences in Rs or He between wild and restored populations for any of the target species. Inbreeding was significantly higher in one of the restored versus wild population comparisons: F. watkinsiana in the Tweed (restored F = 0.20; wild F = −0.02; p = 0.01). The comparable levels of genetic diversity observed in restored and wild populations targeted in this study are likely due to informed practitioner perspectives and practices, staged plantings over several years, and high genetic diversity and low genetic differentiation within source populations.

Barriers to Cancer Diagnosis and Treatment: A Pilot Qualitative Study of Patient and Practitioner Perspectives in Rural India

Barriers to Cancer Diagnosis and Treatment: A Pilot Qualitative Study of Patient and Practitioner Perspectives in Rural India

Practitioner Perspectives on Agency Social Work in Children and Families Social Work in England

Abstract This article examines practitioner perspectives on agency social work in Local Authority Children’s Services Departments in England. There have been ongoing concerns about the use of agency workers, relating to cost, quality and impact on services, despite a recognition that temporary staff may be needed for a range of reasons. However, recent labour shortages and the escalating costs of agency staffing are fuelling calls for some form of regulation of agency workers. The article reviews literature on agency workers from the UK and elsewhere. It presents demographic survey data about agency workers drawn from a five-year longitudinal study on the recruitment and retention of child and family social workers and reports qualitative data from forty semi-structured interviews with social workers in Year 4 (Johnson et al., 2022) of the project about their experience of agency social work and agency social workers. The findings indicate several reasons for choosing agency work, pay being the most significant but by no means the only one. The advantages and disadvantages of agency work for workers, employers and service users are considered, and suggestions are offered about further research to assist in understanding how employers can identify and address recruitment and retention factors to reduce dependence on agency staff.

Practitioner perspectives on dealing with victimhood and offending in UK ‘County Lines’ drug supply investigations

This paper examines the investigative challenges associated with the ‘County Lines’ drug supply phenomenon from the perspective of police practitioners. Two areas are identified and explored: the presence and role of autonomy, coercion, and exploitation, and the legal and procedural issues. The police response appears confounded by non-specific legislation, unintended implications of the statutory defence, problems with the National Referral Mechanism (NRM), safeguarding deficiencies, incomplete statutory guardianship, and limited recognition of neurodevelopment and neurodivergence among those involved. The research is relevant to law and public policy and will be of interest to investigators and criminal justice system professionals.

Social workers’ experiential accounts of complex intervention development for youth and families in practice settings

ABSTRACT We aimed to explore social workers’ experiential accounts of developing complex interventions for youth and families within practice settings. Social workers’ experience of developing interventions has not been leveraged in scientific research even though many complex interventions in use are developed by social workers in practice settings. Lack of insight into the intervention development process impairs our ability to link approaches to outcomes and thereby assess whether specific approaches produce interventions that are more successful than others. We conducted semi-structured interviews with 12 developers of seven complex interventions. Through qualitative content analysis we identified 11 categories of activities participants engaged in during the development process. Participants described engaging in a range of activities found in the scientific literature. However, participant engagement in development activities were motivated on different grounds and conducted at different stages than suggested by current intervention development frameworks. Contextual and organisational factors were important in shaping the final approach to intervention development. We recommend future research on intervention development from the practitioner perspective to further explore and validate these findings. We encourage practitioners to document important details in their intervention development work to build a literature base and guide other practitioners who engage in complex intervention development.

Who is suited to work in remote First Nations health? Perspectives of staff in remote Aboriginal Community-Controlled Health Services in northern Australia.

There is a shortage of nurses, Aboriginal Health Practitioners, GPs and other staff in remote Australian health clinics. There is also high turnover of staff, leading to questions of 'who' is appropriate for remote First Nations practice? The aim of this paper was to identify the characteristics of staff who are likely to work well in remote First Nations settings, from the perspectives of remote health practitioners. This is a qualitative study involving content analysis of interviews. The study is conducted in and with 11 Aboriginal Community Controlled Health Services across northern and central Australia. Eighty-four staff working in these clinics who spoke about staff qualities suited to remote practice. Participants identified a range of qualities desirable in remote practitioners, which were grouped into three topics: (1) professional qualifications and experience, including cultural skills; (2) ways of working, including holisitic approach, resilience, competence, and being a team player, approachable, flexible and hard-working; and (3) specific community needs, namely the need for local First Nations staff, male practitioners and returning short-term staff. The combination of experiences, ways of working, and fit to both the team and community were emphasised. Identifying the characteristics of staff who are likely to work well in these settings can inform recruitment strategies. This study found that a combination of professional qualifications, skills and experience as well as ways of working, individual characteristics and needs of communities are desirable for working in remote, First Nations settings.

Youth justice-involved LGBTIQA+ young people: exploring practitioner and policy perspectives

ABSTRACT A growing body of research explores the intersectional needs and experiences of youth justice (YJ)-involved young people. However, there remains limited research on the experiences of and service responses to justice-involved lesbian, gay, bisexual, transgender, intersex, queer, asexual and other sexually or gender-diverse (LGBTIQA+) young people. This paper contributes practitioner and policy perspectives on the topic, with focus group data from one Australian jurisdiction and a review of jurisdictional YJ policy directions. In relation to LGBTIQA+ young people, the study found that: intersectional factors influence experiences of and engagement with services; pathways to justice-system contact are variable and influenced by several factors; current service responses have several limitations in both statutory and non-statutory settings; young people’s experiences in one service influence their experiences and engagement with other services. These findings are largely unreflected in current state and territory YJ policy direction documents. The findings can inform policy and practice with justice-involved LGBTIQA+ young people in Australia and provide recommendations for future research. IMPLICATIONS: Current limitations to practice with justice-involved LGBTIQA+ young people cannot be addressed fully by individual practitioners or organisations. Identified practice concerns and limitations are largely not reflected in current state and territory YJ policy direction. Further research should explore perspectives of justice-involved LGBTIQA+ young people.

Practitioner perspectives on the implementation of the Lee Silverman Voice Treatment BIG® program

BackgroundThe Lee Silverman Voice Treatment BIG® (LSVT BIG®) intervention, originally designed for the patients with Parkinson’s disease, is a high amplitude, high repetition therapy protocol that encourages bigger, more quality movements. The purpose of this study was to understand practitioner utilization and perspectives of the LSVT BIG® intervention as there is no published work in this area. MethodsAn electronic survey with optional debriefings was distributed to LSVT BIG® certified practitioners via the Facebook page run by parent company, LSVT Global Inc. ResultsForty-seven practitioners engaged in this study. Practitioners were largely in the outpatient setting. Forty-seven percent reported utilizing the LSVT BIG® intervention for patient populations outside of the Parkinson’s disease diagnosis. Sixty-one percent of respondents reported using the same assessment tools and ninety-five percent reported billing insurance for their services. Twenty-three percent reported offering the LSVT BIG® intervention via telehealth. Debriefings identified barriers to implementation. ConclusionPractitioners are implementing the LSVT BIG® intervention across settings and are most likely to be in the outpatient setting, serving patients who possess a neurological diagnosis, and focus their assessment on lower extremity, gait, and balance. When billing insurance, practitioners routinely select the three CPT® codes: Neuromuscular Re-Education, Therapeutic Activity, and Therapeutic Procedure/Exercise. Practitioners identified several barriers to implementing the LSVT BIG® program, such as the high frequency of in-clinic visits. Practitioners are currently unsystematically modifying the program to meet patient and practitioner needs. Further research should continue to explore the practitioner perspectives on implementation of the LSVT BIG® intervention.

Approaches to Supporting Young People in Out-of-Home Care Who ‘Self-Place’ in Unapproved Locations: Perspectives of Statutory Child Protection Practitioners

Abstract The responsibilities of statutory child protection practitioners (SCPPs) include supporting the care and protection needs of young people in out-of-home care. SCPPs face challenges in responding to young people’s preferences and rights to self-determination within child protection systems that are often risk averse. This article considers SCPPs’ approaches to working with young people who leave approved placements to stay in other, unapproved locations. This phenomenon is referred to as ‘self-placing’ in Queensland (Australia), where this study was conducted. These young people are often disconnected from support, at increased risk of homelessness and exploitation, have increased contact with the justice system, disengage from education, face barriers to mental and physical health care and experience ongoing trauma and crisis. We draw on data from seven focus groups conducted with twenty-six practitioners from Queensland’s child protection authority to explore how they work with this cohort. Our findings highlight the discomfort that SCPPs experience, due to concerns about risk and a lack of formal practice guidelines. Despite sharing concerns for the safety of young people, SCPPs adopt different approaches to manage the complexities of this work. Understanding these practices can assist in developing more responsive policies and practices for supporting this cohort.

Artificial Intelligence and Health Inequities in Dietary Interventions on Atherosclerosis: A Narrative Review.

Poor diet is the top modifiable mortality risk factor globally, accounting for 11 million deaths annually with half being from diet-linked atherosclerotic cardiovascular disease (ASCVD). Yet, most of the world cannot afford a healthy diet-as the hidden costs of the inadequate global food system total over USD 13 trillion annually-let alone the much more clinically, financially, and ecologically costly and resource-intensive medical interventions required to address the disease progression and acute complications of ASCVD. Yet, AI is increasingly understood as a force multiplying revolutionary technology which may catalyze multi-sector efforts in medicine and public health to better address these significant health challenges. This novel narrative review seeks to provide the first known overview of the state-of-the-art in clinical interventions and public health policies in healthy diets for ASCVD, accelerated by health equity-focused AI. It is written from the first-hand practitioner perspective to provide greater relevance and applicability for health professionals and data scientists. The review summarizes the emerging trends and leading use cases in population health risk stratification and precision public health, AI democratizing clinical diagnosis, digital twins in precision nutrition, and AI-enabled culinary medicine as medical education and treatment. This review may, therefore, help inform and advance the evidence-based foundation for more clinically effective, financially efficient, and societally equitable dietary and nutrition interventions for ASCVD.

Collaborative Robotics: A Survey From Literature and Practitioners Perspectives

Collaborative robotics possesses the potential to revolutionise industrial automation by offering affordable and accessible solutions with reasonable skill requirements. However, identifying the most valuable and appropriate applications for this technology remains a challenge. This study conducted a comprehensive literature review to analyse the existing collaborative robotics applications, and the results showed that only a limited number of applications can be considered true collaboration, with even fewer classified as intelligent collaboration. The study comprised a survey designed to offer valuable insights to not only enhance the state-of-the-art analysis in the identification of existing challenges in the field of collaborative robotics but also to provide motivation to guide future advancements. By leveraging the survey results, researchers and practitioners will be better equipped to navigate the complex landscape of collaborative robotics and develop innovative solutions to tackle the identified challenges. This study also informs on the latest research and development in the field.

Shaping future practices: German-speaking medical and dental students’ perceptions of artificial intelligence in healthcare

BackgroundThe growing use of artificial intelligence (AI) in healthcare necessitates understanding the perspectives of future practitioners. This study investigated the perceptions of German-speaking medical and dental students regarding the role of artificial intelligence (AI) in their future practices.MethodsA 28-item survey adapted from the AI in Healthcare Education Questionnaire (AIHEQ) and the Medical Student’s Attitude Toward AI in Medicine (MSATAIM) scale was administered to students in Austria, Germany, and Switzerland from April to July 2023. Participants were recruited through targeted advertisements on Facebook and Instagram and were required to be proficient in German and enrolled in medical or dental programs. The data analysis included descriptive statistics, correlations, t tests, and thematic analysis of the open-ended responses.ResultsOf the 409 valid responses (mean age = 23.13 years), only 18.2% of the participants reported receiving formal training in AI. Significant positive correlations were found between self-reported tech-savviness and AI familiarity (r = 0.67) and between confidence in finding reliable AI information and positive attitudes toward AI (r = 0.72). While no significant difference in AI familiarity was found between medical and dental students, dental students exhibited slightly more positive attitudes toward the integration of AI into their future practices.ConclusionThis study underscores the need for comprehensive AI education in medical and dental curricula to address knowledge gaps and prepare future healthcare professionals for the ethical and effective integration of AI in practice.

Conceptualizing the phenomenon of construction industrialization: linking theory and practice through a cross-sector case study

This study examines the intersection between Practitioner and Academic perspectives on the Construction Industrialization (CI) phenomenon. The goal was to understand the prevailing perspectives of how CI is perceived, how it is performed, and what benefits it is expected to offer. The study begins with a literature review, followed by an exploratory multiple-case study encompassing the Architecture, Engineering, Traditional Construction, and Manufactured Construction sectors. Within-case and cross-case analyses were performed, leading to 10 new insights that elaborate the theoretical understanding of the phenomenon. An important conclusion is the criticism of the interchangeable terms of Off-site Production, Modular Construction, or Prefabricated Construction as being insufficient to conceptualize CI across the four sectors. This article proposes a more comprehensive conceptualization that challenges current definitions. It distinguishes between the Constructive System and the Productive System; it redirects the CI theory toward a constant process of technical and sociocultural change; and it emphasizes the importance of societal sustainable development beyond productivity. This article represents the first attempt to conceptualize the CI phenomenon bridging the theory-practice gap. It seeks to stimulate further research and create new debates about the phenomenon.

How Social Work Education Fosters Professional Resilience: Student and Newly Qualified Practitioner Perspectives

ABSTRACT Navigating complex and evolving practice environments requires resilient social workers. However, education's contribution to professional resilience development is underinvestigated. As part of a longitudinal, qualitative study, this article reports the findings on how social workers as students and then newly qualified practitioners perceived how their education fostered professional resilience. In stage one, interviews were conducted with 23 social work students from eight Australian universities in the final 12 months of their Master of Social Work (Qualifying) degree. In stage two, the sample was reduced to 19, with interviews occurring after approximately six months of practice. Framed by critical theory and social constructionism, narrative inquiry guided the analysis of participants’ perceptions. The results revealed professional resilience is relational and developed through curricula and pedagogy facilitating connection, building knowledge through critical reflection, and preparing students for the realities and complexities of practice. The study extends evidence that transitioning from student to practitioner is a crucial time in social workers’ careers. The findings identify that professional resilience can be fostered by responsive external resources and evidence-based programs offered by universities, practice organisations, and professional bodies. IMPLICATIONS Social workers' resilience relies upon education fostering connection between students, academics, and qualified social workers, incorporating critical reflection and developing knowledge and skills in navigating practice contexts. Field education is integral to this process. Social workers in Australia could benefit from a nationwide program creating a consistent and evidence-informed approach to support newly qualified social workers as they transition into the workforce.

What does it take to be a good in-house translator? Constructs of expertise in the workplace

In this paper, we explore constructs of translation expertise and experts held by practitioners working in the translation sector. Practitioner perspectives are often overlooked in the translation studies debate around expertise yet they can yield valuable insights and enrich the academic discourse. In our analysis, we draw on data from a qualitative interview study that focuses on the selecting and hiring process for in-house translators. The interviews were conducted with employers and translation professionals in Austria and reveal their understandings of what it takes to be a good translator. Aside from a relevant educational background as well as language and translation skills, these practitioners place particular emphasis on soft skills and the willingness of applicants to learn and adapt to diverse teams, tasks, and work situations. The emerging picture of translation expertise in the workplace is highly dynamic and context-dependent, calling for a more nuanced understanding of expertise in translation studies which highlights its social constructedness and encompasses situative and performative factors.