Practice Of Healthcare Professionals Research Articles

Reporting guidelines for clinical practice guidelines of traditional Chinese medicine: Current status and future prospects

High-quality Traditional Chinese Medicine (TCM) guidelines can standardize the clinical practices of relevant healthcare professionals, enhance medical quality, reduce healthcare costs, and promote the standardization of TCM. This article provides a summary and analysis of the status and quality of guidelines in the TCM. Additionally, it briefly introduces the reporting standards for three types of TCM guidelines, aiming to serve as a reference for those involved in the development and reporting of TCM guidelines.

Impact of Educational Intervention on Knowledge, Attitude & Practice About Pharmacovigilance in Nursing Students in A Tertiary Care Teaching Hospital in India: A Cross-Sectional Study

Background: It is crucial for healthcare professionals to know how to report adverse drug reactions (ADRs). To improve reporting rates, it is essential to improve knowledge, attitude and practice (KAP) of healthcare professionals regarding Pharmacovigilance (PV) and adverse drug reactions (ADR) reporting. According to previous studies, there has been a lack of knowledge in nursing students regarding Pharmacovigilance (PV) and reporting of adverse drug reactions (ADR). Hence, this study was planned to assess the impact of educational intervention on nursing students' knowledge, attitude, and practice of pharmacovigilance at a tertiary care teaching hospital in India. Materials and Methods: This was an interventional study conducted among 93 BSc nursing students at a tertiary care teaching hospital, India. Each participant was explained the purpose of study and asked to fill in a questionnaire about their knowledge, attitude and practice of pharmacovigilance. The post-KAP questionnaire was re-circulated among participants at the end of the intervention and data was analyzed using Chi square test.    Results: The study involved 93 BSc nursing students aged 21.52 ± 1.11 years, with a male to female ratio of 1:2. All statistical calculations were performed using Graph Pad prism v10.1.0. Results showed significant differences in understanding pharmacovigilance between pre-intervention and post-intervention, and a significant change in attitudes towards pharmacovigilance due to the educational intervention. A statistically greater proportion of students learned about Pharmacovigilance and ADR reporting forms. Conclusion: The Continuing Medical Education (CME) and group discussions significantly enhanced the knowledge and attitude of nursing students regarding pharmacovigilance.

The use and perceived value of electronic health information resources by health care professionals in the field of medicine, pharmacy, and nursing in Jazan province, Saudi Arabia

BackgroundHealthcare workers increasingly use Electronic Health Information Resources (EHIRs) to make evidence-based decisions. Our study was intended to assess the perception, attitude, and practice of healthcare professionals in medicine, pharmacy, and nursing regarding their perceived value and use of EHIRs. MethodsWe conducted an observational cross-sectional study using a pre-validated questionnaire among healthcare professionals in Jazan province from September 2022 to February 2023. We included healthcare professionals and interns with medical, pharmacy, or nursing degrees and excluded those who refused informed consent. ResultsWe included fully completed data from 294 participants, with an actual response rate of just 80.1 %. Almost 87.41 % utilized the health information resources at their workplace, with UpToDate [39.45 %] and Medscape [67.01 %] being the most frequently used medical databases. The health facilities' access to electronic health resources significantly impacted healthcare professionals' [p = 0.04] and medical interns' [p = 0.02] roles. Faculty members felt the need to access electronic health information at their workplace [p = 0.00]. Lack of time to access electronic health information due to a busy schedule was a significant reason that impacted the attitude of medical professionals [p = 0.008] and nursing staff [p = 0.025]. An excessive amount of clinically unrelated data was the primary obstacle (181/294, p < 0.0001) in using electronic health information resources. ConclusionOur study showed the pattern of healthcare professionals using EHIRs in the Jazan province, Saudi Arabia. We believe the study's outcome can help increase the calibre of electronic health information services available to healthcare professionals and raise awareness of different EHIRs in improving clinical care.

Digital Health Education for the Future: The SaNuRN (Santé Numérique Rouen-Nice) Consortium's Journey.

SaNuRN is a five-year project by the University of Rouen Normandy (URN) and the Côte d’Azur University (CAU) consortium to optimize digital health education for medical and paramedical students, professionals, and administrators. The project includes a skills framework, training modules, and teaching resources. In 2027, SaNuRN is expected to train a significant portion of the 400,000 health and paramedical professions students at the French national level. Our purpose is to give a synopsis of the SaNuRN initiative, emphasizing its novel educational methods and how they will enhance the delivery of digital health education. Our goals include showcasing SaNuRN as a comprehensive program consisting of a proficiency framework, instructional modules, and educational materials and explaining how SaNuRN is implemented in the participating academic institutions. SaNuRN is a project aimed at educating and training health-related and paramedics students in digital health. The project results from a cooperative effort between URN and CAU, covering four French departments. The project is based on the French National Referential on Digital Health (FNRDH), which defines the skills and competencies to be acquired and validated by every student in the health, paramedical, and social professions curricula. The SaNuRN team is currently adapting the existing URN and CAU syllabi to FNRDH and developing short-duration video capsules of 20 to 30 minutes to teach all the relevant material. The project aims to ensure that the largest student population earns the necessary skills, and it has developed a two-tier system involving facilitators who will enable the efficient expansion of the project’s educational outreach and support the students in learning the needed material efficiently. With a focus on real-world scenarios and innovative teaching activities integrating telemedicine devices and virtual professionals, SaNuRN is committed to enabling continuous learning for healthcare professionals in clinical practice. The SaNuRN team introduced new ways of evaluating healthcare professionals by shifting from a knowledge-based to a competencies-based evaluation, aligning with the Miller teaching pyramid and using the Objective Structured Clinical Examination and Script Concordance Test in digital health education. Drawing on the expertise of URN, CAU, and their public health and digital research laboratories and partners, the SaNuRN project represents a platform for continuous innovation, including telemedicine training and living labs with virtual and interactive professional activities. The SaNuRN project provides a comprehensive, personalized 30-hour training package for health and paramedical students, addressing all 70 FNRDH competencies. The program is enhanced using AI and NLP to create virtual patients and professionals for digital healthcare simulation. SaNuRN teaching materials are open-access. The project collaborates with academic institutions worldwide to develop educational material in digital health in English and multilingual formats. SaNuRN offers a practical and persuasive training approach to meet the current digital health education requirements.

Managing the new wave of weight loss medication in general practice: A qualitative study.

In early 2023, a new type of weight loss medication, Wegovy (semaglutide), was made available in Denmark. Both subsequent media coverage and public demand were huge. Wegovy is only available by prescription, primarily via general practitioners. However, there is very little knowledge about how healthcare professionals (HCPs) in general practice might deal with the great demand for and attention surrounding a new weight loss drug. The aim of this qualitative study was, therefore, to explore how Wegovy is managed and negotiated in general practice, particularly in terms of prescribing and follow-up. We conducted a focused ethnography study based on direct observation of consultations and both formal and informal interviews with seven doctors and four nurses from three general practices in Denmark. Using discourse analysis, we identified four central discourses revolving around trust in medicine, individual responsibility for health, the cost of weight loss medication, and the importance of shared decision-making. This study shows that the availability of a new, sought-after weight loss medication presents both opportunities and challenges for HCPs in general practice. The management of Wegovy involves numerous factors, including medical, economic, organizational, interpersonal and moral concerns.

Awareness of Medical Ethics Among Undergraduates of Physical Therapy

Background: Ethical awareness is fundamental to the practice of healthcare professionals, including physical therapists. With the evolving landscape of healthcare, an understanding of medical ethics becomes crucial for ensuring quality patient care and adherence to professional conduct. Objective: This study aimed to evaluate the awareness and attitudes towards medical ethics among undergraduate students in Doctor of Physical Therapy programs in Lahore, assessing both gender differences and the impact of educational exposure on ethical understanding. Methods: A cross-sectional survey was conducted among 200 undergraduate physical therapy students from both private and government universities over a six-month period following research synopsis approval. The sample size was calculated based on confidence level, predicted proportion, and desired accuracy. Data were collected through structured questionnaires and analyzed using SPSS version 25.0. Both qualitative and quantitative methods were used to analyze data, focusing on frequencies, percentages, means, and standard deviations. Results: The study revealed that 34.5% of participants considered ethical issues to be very important, and 19.5% regarded them as extremely important. Lecture classes were the primary source of ethical knowledge for 47.0% of the students, while 23.5% relied on ethical books, and smaller percentages used seminars, workshops, and clinical training. There was a slight, non-significant difference in ethical awareness scores between male (52.5%) and female (47.5%) students. The duration of study was positively correlated with an increase in ethical awareness levels. Conclusion: The findings suggest that while there is a high regard for the importance of medical ethics among physical therapy students, there are variations in the sources of their ethical knowledge and the depth of their understanding. Enhancing ethics education through diversified methods and increased practical applications may further improve ethical awareness and application in clinical settings.

ChatGPT/GPT-4 (large language models): Opportunities and challenges of perspective in bariatric healthcare professionals.

ChatGPT/GPT-4 is a conversational large language model (LLM) based on artificial intelligence (AI). The potential application of LLM as a virtual assistant for bariatric healthcare professionals in education and practice may be promising if relevant and valid issues are actively examined and addressed. In general medical terms, it is possible that AI models like ChatGPT/GPT-4 will be deeply integrated into medical scenarios, improving medical efficiency and quality, and allowing doctors more time to communicate with patients and implement personalized health management. Chatbots based on AI have great potential in bariatric healthcare and may play an important role in predicting and intervening in weight loss and obesity-related complications. However, given its potential limitations, we should carefully consider the medical, legal, ethical, data security, privacy, and liability issues arising from medical errors caused by ChatGPT/GPT-4. This concern also extends to ChatGPT/GPT -4's ability to justify wrong decisions, and there is an urgent need for appropriate guidelines and regulations to ensure the safe and responsible use of ChatGPT/GPT-4.

Enhancing clinical management of neurological disorders: Feedback from the healthcare provider perspective

Objectives: Neurological disorders are a global health concern, and their management requires competent health-care professionals (HCPs). This study aimed to evaluate the current state of neurological case management among Indian HCPs by focusing on different aspects such as frequency of encounters, confidence, and upskilling preferences in managing neurological cases. Materials and Methods: A quantitative cross-sectional survey was conducted among 104 HCPs, including general practitioners (GPs) and consulting physicians (CPs). The survey gathered data on the frequency of encountering neurological cases, confidence levels, areas for improvement, preferred upskilling methods, and willingness to seek guidance from neurology experts. Results: Of the 104 HCPs surveyed, 69 (66.35%) HCPs frequently encountered neurological cases in their daily practice. Among them, 70.19% expressed a moderate level of confidence in managing such cases. Nearly, all HCPs (99.04%) showed a keen interest in upskilling their expertise in the field of neurology. The preferred approaches for upskilling included case-based learning (38.38%) and online webinars or lectures (38.38%). In addition, they showed a willingness to engage with neurology experts for guidance. Conclusion: Our study results highlight the high prevalence of neurological cases in the daily practices of HCPs. The findings reveal that HCPs are moderately confident in managing these cases, underscoring the necessity for targeted interventions to enhance their proficiency. Overall, the study emphasizes the importance of tailored neurological interventions to address the specific needs of Indian HCPs in managing neurological cases.

Des fenêtres culturelles à l’hôpital : susciter de nouvelles perspectives cliniques dans les établissements de santé

ContextThis article is based on doctoral research interested in the effects of “médiation culturelle” – the bi-directional interplay and effects of embedding a cultural experience or artistic process – on institutional behavior, environment, daily routine, and corporate culture. The specific focus here is an original institutional experience, entitled “Windows Open to the World,” that examines the effect of embedding an artist and artistic process into the everyday life of a regional rehabilitation center for patients with acquired neurologic disease or traumatic injury. This study was completed in partnership with the Biennale d’Art Contemporain of Lyon, via the Veduta platform and the artist/photographer Karim Kal, as part of the national Culture and Health program. MethodThis is exploratory research. In an institutional clinical setting, we present clinical observations and propose lines of reflection and analysis. ObjectivesThis study seeks to analyze the function of art on healthcare institutions (daily routine, corporate culture, environment) and professional practice. This study further explores the modulatory effect of embedding artistic and cultural experiences (“médiation culturelle”) on clinical staff, including the potential to improve providers’ feelings of well-being, renew professional interest and commitment, spark individual and team creativity, improve team cohesion, and reduce burn-out. ResultsAs an interventional device, the “médiation culturelle” process created new opportunities at the institutional level: in a dynamic interplay, embedding the artistic process created new common space and spontaneous gatherings; and time spent in discussion promoted collaboration between professionals, allowing new projects to come to life despite the current constraints of the institutional environment. The preparatory work required for any project, often undocumented and hidden from view, is shown by these results to be essential.These interdisciplinary projects are conducive to group work, prompting a review of and a strengthening of the team's approach to collaborative clinical care. Moreover, through the interactive creative nature of the artistic cultural intervention, these projects serve to generate enduring psychological interactions and emotional experiences between patients, artists, and professionals, ultimately forging more vibrant relationships through these shared experiences. These cultural interventions make it possible to reset and re-ignite the imagination in the institution, in support and advocacy of artistic creativity. Similarly, they rejuvenate the professional staff, stimulating new ideas, fostering creative exchange, and prompting collaboration with natural extensions to their clinical practice. These cultural projects can also serve as a kind of libidinal recharge for professionals, supporting their ability to generate and maintain patient motivation over time. InterpretationsIn the current context of deteriorating working conditions for health care professionals, psychologists within multidisciplinary teams are increasingly led to find creative means to support their colleagues’ work. Incorporating a system of artistic and cultural processes into institutional healthcare systems is a novel and innovative approach that humanizes the hospital environment, enriches the patient experience, and re-invigorates the professionals who work there.

Knowledge and Practice of Health Care Professionals Regarding the Prevention of Surgical Site Infections at Tertiary Hospitals in Rwanda

BackgroundThe prevention of surgical site infections heavily relies on healthcare professionalswho adhere to appropriate use of guidelines. However, there is limited evidence ontheir knowledge and practices regarding surgical site infections prevention in Rwanda.Therefore, this study aimed to evaluate the knowledge and practice of health careprofessionals regarding the prevention of surgical site infections at tertiary hospitalsin Rwanda.MethodologyA cross-sectional study involving 213 healthcare professionals was conducted toassess the practice and knowledge of surgical site infection preventions. Univariateand multivariable logistic regression analyses were performed using SPSS version 25.ResultsThis study indicated that 53.1% of healthcare professionals had good knowledgeregarding surgical site infections prevention, while 57% reported good practices.Nurses were significantly more likely to have good practices, with a 4.7 times higherlikelihood (AOR=4.66, 95% CI=1.23-17.77) than other healthcare professionals.Healthcare professionals who received in-service training on infection preventionwere more likely to demonstrate good practices compared to those who are not trained(AOR=2.99, 95% CI=1.29-6.92).ConclusionThe current study revealed that 43% of study participants reported poor surgicalsite infections prevention practices. Therefore, healthcare professionals' knowledgeon surgical site infections prevention needs upgrading, and in-service training oninfection prevention necessary.Rwanda J Med Health Sci. 2024; 7(1):22-35

Assessing the Efficacy of a Novel Massive Open Online Soft Skills Course for South Asian Healthcare Professionals

In healthcare professions, soft skills contribute to critical thinking, decision-making, and patient-centered care. While important to the delivery of high-quality medical care, soft skills are often underemphasized during healthcare training in low-and-middle-income countries. Despite South Asia’s large population, the efficacy and viability of a digital soft skills curriculum for South Asian healthcare practitioners has not been studied to date. We hypothesized that a web-based, multilingual, soft skills course could aid the understanding and application of soft skills to improve healthcare practitioner knowledge, confidence, attitudes, and intent-to-change clinical practice.In September 2019 a needs assessment observing soft skills practices was conducted in several Indian states. We developed a communication-focused soft skills curriculum that comprised seven 10-minute video lectures, recorded in spoken English and Hindi. Participants consisted of any practicing healthcare professionals and trainees in select South Asian countries age 18 and over. Participant knowledge, confidence, attitudes, and intent-to-change clinical practice were evaluated using pre- and post-course tests and surveys. Statistical analyses were performed using STATA and SPSS.From July 26, 2021 to September 26, 2021, 5750 registered and attempted the course, 2628 unique participants completed the pre-test, and 1566 unique participants completed the post-test. Participants demonstrated small but statistically significant gains in confidence (\U0001d45d<0.001), attitudes toward course topics relevance (\U0001d45d<0.001), and intent-to-change clinical practice (\U0001d45d<0.001). There was no statistically significant gain in knowledge. A digital soft-skills massive open online course for healthcare practitioners in South Asia could serve as a viable approach to improve the quality of soft skills training in low-to-middle income countries.

Prevalence of Low Back Pain in Medical Students due to Prolonged Sitting

Background: Low back pain (LBP) is a prevalent condition among medical students, attributed to their sedentary lifestyle and prolonged periods of sitting due to the demanding nature of medical education. This health concern not only affects their academic performance and quality of life but also has implications for their future professional practice in healthcare. Objective: This study aims to determine the prevalence and severity of low back pain among medical students at Akhtar Saeed Medical and Dental College, Lahore, and to assess its impact on their daily functioning and academic activities. Methods: A cross-sectional study was conducted over six months, involving 169 medical students aged 18-25 years from various programs (DPT, MBBS, BDS, Pharm-D). Participants were selected through stratified random sampling. The study utilized the Oswestry Disability Index and the Visual Analog Scale to measure the severity of LBP and its impact on daily activities. Data were analyzed using SPSS version 25 for descriptive and inferential statistics. Results: Out of 169 participants, 56.8% reported experiencing LBP. Among those with LBP, 69.8% described their pain as mild, 27.1% as moderate, and 3.1% as severe. Regarding disability, 63.5% of the affected students reported minimal disability, 25% moderate disability, 7.3% severe disability, and 4% were crippled. The study highlighted a significant correlation between prolonged sitting and the incidence of LBP among medical students. Conclusion: The high prevalence of low back pain among medical students at Akhtar Saeed Medical and Dental College indicates a need for targeted interventions. These include ergonomic adjustments, promotion of physical activity, and incorporation of musculoskeletal health education into medical curricula. Addressing these factors is essential for improving the health and academic performance of medical students and preparing them for healthier professional practices.

Accessing the behavior and awareness of veterinary professionals towards antimicrobials use and antimicrobial resistance in Indian district.

Antimicrobial resistance (AMR) poses a significant public health threat, and understanding the awareness and practices of healthcare professionals is crucial for its mitigation. Since the animal sector plays a key role in India's economy, we decided to explore the understanding of Antimicrobial Use (AMU) and AMR among veterinary professionals. The study aimed to evaluate the awareness and behavior of veterinarians and para-veterinarians working in the Jhunjhunu district, Rajasthan, India, concerning AMU and AMR. Questionnaire surveys were administered to them with closed-ended questions. The data was collected and subjected to statistical analysis to derive meaningful insights. The key findings highlight notable differences in certain behavioral aspects of antibiotic prescription among the two groups. It appears that 53.8% of veterinarians as compared to 25.8% para-veterinarians do not surely inform farmers about the importance of adhering to antibiotic withdrawal periods, thereby failing to raise awareness about proper antibiotic use. Moreover, para-veterinarians (46.6%) tend to engage less in evidence-based antibiotic prescription than veterinarians (81%). Furthermore, both groups exhibit a lower frequency of advice on Antimicrobial Susceptibility Testing (ABST), essential for informed prescribing decisions. Most significantly, both groups show a tendency to prefer critically important antibiotics for prescription, raising concerns about the escalating threat of AMR. This study thus emphasizes the areas that need targeted interventions to enhance responsible antimicrobial usage and curb the growth of AMR in the region.

Digital Anti-Aging Healthcare: An Overview of the Applications of Digital Technologies in Diet Management.

Diet management has long been an important practice in healthcare, enabling individuals to get an insight into their nutrient intake, prevent diseases, and stay healthy. Traditional methods based on self-reporting, food diaries, and periodic assessments have been used for a long time to control dietary habits. These methods have shown limitations in accuracy, compliance, and real-time analysis. The rapid advancement of digital technologies has revolutionized healthcare, including the diet control landscape, allowing for innovative solutions to control dietary patterns and generate accurate and personalized recommendations. This study examines the potential of digital technologies in diet management and their effectiveness in anti-aging healthcare. After underlining the importance of nutrition in the aging process, we explored the applications of mobile apps, web-based platforms, wearables devices, sensors, the Internet of Things, artificial intelligence, blockchain, and other technologies in managing dietary patterns and improving health outcomes. The research further examines the effects of digital dietary control on anti-aging healthcare, including improved nutritional monitoring, personalized recommendations, and behavioral and sustainable changes in habits, leading to an expansion of longevity and health span. The challenges and limitations of digital diet monitoring are discussed, and some future directions are provided. Although many digital tools are used in diet control, their accuracy, effectiveness, and impact on health outcomes are not discussed much. This review consolidates the existing literature on digital diet management using emerging digital technologies to analyze their practical implications, guiding researchers, healthcare professionals, and policy makers toward personalized dietary management and healthy aging.

Emergence of the “e-patient” and “e-caregiver” around a serious game in ETP

The advent of e-health has an impact on many areas of health care practice, including TPE. The impact of the introduction of information and communication technologies (ICTs) in health care, such as serious games, remains largely unexplored in the field of e-TPE. To ask patients and health care professionals about the use of a serious game, in order to clarify the impact of these technologies on health care practices and on the relationship between caregiver and patient, as well as their advantages and limitations. A qualitative study based on the grounded theory approach, using semi-structured interviews with six health care professionals and six patients using the DRAGO© serious game, a smartphone application designed to improve compliance with allergy treatment. A lexicometric analysis was carried out, with classification by theme and sub-theme, followed by a statistical breakdown of verbatims according to whether they expressed a favorable or unfavorable opinion. 64% of professionals surveyed are in favor of digital innovations in health care, and 67% of patients. Health care professionals have reservations about their patients’ eligibility for these new technologies. In both categories, the ethical issues surrounding the emergence of e-health are positively echoed, with 69% of health care professionals and up to 83% of patients in favor. Both categories are more reserved about the impact of ICTs on the health care relationship. Health care professionals and patients alike consider the presence of ICTs in TPE to be “acceptable,” although they remain vigilant about the impact they can have on the health care relationship. These developments imply a necessary change in the practices of health care professionals, leading them to think about and encourage the emergence of the profile of tomorrow’s e-caregiver working with e-patients.

Evaluation of point-of-care ultrasound training among healthcare providers: a pilot study.

The use of Point-of-Care Ultrasound (POCUS) has become prevalent across a variety of clinical settings. Many healthcare professionals have started getting hands-on training. To evaluate the effectiveness of such training programs, this study aimed to assess a 4day POCUS training course on healthcare providers' skills and knowledge acquisition. A secondary objective of this study is to gain valuable insights into the degree of perception, attitude, interest levels and perceived barriers of medical providers performing POCUS. This is a prospective cohort study performed on healthcare providers in an integrated healthcare facility in Abu Dhabi undergoing the POCUS training course in February 2022. Course participants took a pre-course survey to evaluate their baseline knowledge, skills, confidence, perception, and interest in POCUS. The same survey was repeated immediately post-course. In total, seven healthcare professionals responded to the survey with a response rate of 53.8%. All data and information gathered were used to understand the effectiveness of POCUS training and gain insights into the degree of perception, interest and preparedness of POCUS among healthcare professionals in practice. Our results demonstrated that the brief POCUS course was effective in improving POCUS skills, knowledge and confidence amongst in-practice healthcare providers from varying medical specialties. The median skill score increased from 25% pre-course to 50% post-course. There is a notable increase in all skills scores after the POCUS training course with the greatest change in scores seen for adjusting 'gain and depth of image (54.84%), assessing VeXUS score (52.38%) and evaluating lung congestion (50%). The study also provided valuable insights into the perception, attitude, interest and potential barriers of POCUS implementation. Although significant barriers to POCUS are present including the lack of POCUS curriculum, what is challenging is lack of expertise and skills to perform POCUS. Therefore, medical providers must acquire prespecified skills to fully utilize POCUS effectively. The study confirmed the effectiveness of short POCUS training in improving the skills, knowledge and confidence of medical providers in practice. Healthcare professionals can master POCUS skills and techniques and gain confidence through brief training courses.

Interpretive Autoethnography in Medicine: An Accessible Way to Introduce Healthcare Professionals to the Craft of Critical Qualitative Writing

Qualitative research is valuable in medicine because of the deep insights it offers into the social and cultural dimensions of healthcare. Historically, qualitative methods have been influenced by critical theory and have shared its constructivist epistemology and orientation towards social justice. It can be challenging to teach such critical qualitative inquiry to healthcare professionals because its underlying philosophy can seem at odds with the objectivist biological perspective emphasized in medical education. This is unfortunate because several social inequities are perpetuated by modern healthcare systems and critical qualitative inquiry is essential to the project of addressing them. This article argues that Norman Denzin’s interpretive autoethnography is a promising method through which educators could introduce healthcare professionals to critical qualitative inquiry. In this method, the author uses the craft of writing creatively about their personal experiences as a tool for cultural interpretation and social justice activism. Such a creative analytic practice might seem alien to many medical professionals. On the other hand, the idea of analyzing their own experiences in detail is likely to feel familiar to them because of the prominence of reflective writing in healthcare professional development practice. This familiarity might make interpretive autoethnography accessible to healthcare professionals and practicing the method could help them to appreciate the value of interpretive writing as a way of investigating sociocultural meaning and promoting just change. 

Cytomegalovirus infection during pregnancy: cross-sectional survey of knowledge and prevention practices of healthcare professionals in French-speaking Switzerland

BackgroundLack of Cytomegalovirus (CMV) knowledge among healthcare professionals has been proven to be the main threat to pregnant women's awareness, preventing them from reducing the risk of infection. The aims of this study were to assess the knowledge and practices of French-speaking Swiss perinatal professionals in terms of CMV prevention, as well as the sociodemographic-professional factors that influence them.MethodsThis observational study used a cross-sectional design to collect data-via an anonymous electronic questionnaire in French distributed to gynecologists-obstetricians, general practitioners and midwives via various channels: e-mails and social networks of partner centers, professional associations, and conferences. The 41-item questionnaire collected data on sociodemographic and professional characteristics, general CMV knowledge, national recommendation knowledge and prevention practices. Univariable and multivariable analyses were performed.ResultsA total of 110 gynecologist-obstetricians, 5 general practitioners and 226 midwives participated in the study. While more than 80% of practitioners were familiar with protective hygiene measures, significant gaps were highlighted concerning the transmission routes, as well as the signs of short- and long-term congenital CMV infection. Regarding practice, 63.3% of participants provided information on CMV to their patients, mainly during the first antenatal visit. Among those who did not, lack of knowledge and forgetfulness were the two main reasons cited. Concerning systematic screening, 45.7% of participants offered it to their patients, and 37.3% only offered it to “at risk” groups. The existence of national guidelines on CMV was known by 62.0% of participants. Multivariable analysis revealed that working as a gynecologist-obstetrician was independently associated with higher score of preventive practices, while performing ultrasound or preconception consultations was independently associated with a higher score of general CMV knowledge, and working in a university hospital was independently associated with a higher score of Swiss recommendation knowledge. A level of training higher than the basic medical or midwifery diploma and participation in fetal medicine symposia both promote a higher score of CMV knowledge and prevention practices in line with current recommendations.ConclusionThis study confirms the significant gaps in CMV knowledge among French-speaking Swiss caregivers along with the heterogeneity of their prevention practices. To raise awareness among pregnant women and reduce the burden of congenital CMV infections, improving professional knowledge through access to specific training and standardizing practices should be a national priority.

Knowledge, Attitude, Practice, and Perceived Barriers Regarding Colorectal Cancer Screening Practices Among Healthcare Practitioners: A Systematic Review.

The recommendations of medical professionals play a significant role in colorectal cancer (CRC) screening. This study aims to systematically review knowledge, attitude, practice, and perceived barriers regarding CRC screening practices among healthcare practitioners (HCPs). From January 2023 to December 2023, a comprehensive literature search was conducted using online databases, including Web of Science, PubMed, Scopus, and Research Gate, by using the following keywords in combination: "knowledge," "attitude," "practice," "perceived barriers," "colorectal cancer," and "health practitioners." The researchers screened and examined the retrieved literature. A total of 21 studies were considered relevant for the current review. Among these studies, eight assessed the level of knowledge, attitude, practices, and perceived barriers toward CRC screening among various health practitioners. Three studies assessed knowledge and attitudes toward CRC screening among health practitioners. The remaining ten studies assessed awareness, perceived barriers, or only knowledge of CRC screening among HCPs. In addition, all the included studies employed a cross-sectional design. The review shows that many healthcare providers need more fundamental knowledge of CRC screening. Healthcare procedures must be improved to enhance the knowledge, attitudes, and practices of healthcare professionals regarding CRC screening and their understanding of the associated barriers.

MTBI evaluation, management, and referral to allied healthcare: practices of first-line healthcare professionals

ABSTRACT Primary objective To gain an understanding of current evaluation practices, post-injury recommendations, and referrals to allied healthcare professions (AHP) by first-line healthcare professionals (FHPs) providing care for people with mild traumatic brain injury (mTBI). Research design Survey study Methods and procedures Physicians, physician assistants, nurse practitioners, nurses, and athletic trainers (n = 126) completed an online survey, including Likert scale and free response question relating to mTBI evaluation, management, and referral practices. Main outcomes and results FHPs surveyed reported being confident in their ability to evaluate patients with suspected mTBI, relying most heavily on patient-reported symptoms and physical signs as methods of evaluation. Most FHPs reported making recommendations to compensate for the symptoms experienced following mTBI diagnosis. In contrast, FHPs expressed challenges in the evaluation and management of symptoms associated with mTBI along with limited knowledge of and referrals to AHPs. Conclusions Overall, FHPs feel confident in the diagnosis of mTBI but experience assessment and management challenges. AHPs are underutilized on mTBI management teams calling for a need for multidisciplinary collaboration on research, education, and rehabilitation efforts to optimally care for people experiencing mTBI symptoms.