Practice Of Healthcare Professionals Research Articles

Knowledge, Attitude and Practice towards Haemovigilance among Health care Professionals in North Karnataka

Haemovigilance Programme of India was launched in 2012 with the purpose to identify, analyse and learn the complications related to transfusion and blood donation, in order to avoid such complications in future. It is essential to identify the adverse transfusion reactions to reduce the incidence and make transfusion easier. Thereare rare reports available about knowledge, attitude, and practice of healthcare professionals towards haemovigilance. A prospective questionnaire survey was conducted for a period of three months in 100 Healthcare Professionals. Data was collected using pre-validated questionnaire and that questionnaire emphasized on knowledge, attitude and practice of healthcare professionals towards haemovigilance. Data was analysed using descriptive statistics. From all the Participants, most of them were in the age group of 20-30 years i.e., 64% and 36% were physicians and 34% pharmacists. Among them 67% were aware about Haemovigilance and 64% did not have knowledge about how to report transfusion reaction. From the depicted results 44% had documented blood transfusion reaction, 56% didn’t document. Factors discouraging reaction, 56% of them had fear of consequences and 56% healthcare professionals said that due to lack of time they didn’t report any transfusion reaction. 86% participants opted thathealth care professionals should be trained in reporting. Most of healthcare professionals have a positive attitude towards transfusion reaction reporting but knowledge regarding the haemovigilance concept was poor and the majority of them never reported adverse transfusion reaction. There is a need for training program to strengthen the haemovigilance system, especially adverse transfusion reaction reporting.

Knowledge, attitudes and self-reported practices of healthcare professionals on Carbapenemase Producing Enterobacterales (CPE): A cross sectional study

A self-administered validated questionnaire was used to assess the knowledge, attitude and self-reported practices among 109 healthcare professionals in an acute hospital in Ireland on Carbapenemase Producing Enterobacterales. Respondents mean knowledge and self-reported practices scores of CPE were 11.27 (±2.076) and 6.35 (±.846), respectively. Nurses self-reported practice scores were significantly higher than doctors (P<.001). The mean positive attitude score towards CPE management was 10.06 (±1.252). This study demonstrated that healthcare professionals were knowledgeable on the topic of CPE, however there was deficiency in some aspects of knowledge that is relevant to control of CPE transmission.

Management of copy number variants associated with incomplete penetrance and variable expressivity-Results of a French survey.

Increasing interest regarding neurodevelopmental disorders and democratization of chromosomal microarray analysis have led to growing identification of neuro-susceptibility copy number variations (CNVs). These CNVs have incomplete penetrance and variable expressivity (PIEV), which makes phenotypic features hard to predict. The French Consortium "AchroPuce" has provided a list of 17 CNVs that should be considered as PIEV CNVs. This list led to consensual French practices of healthcare professionals in postnatal diagnosis. However, no consensus was established in prenatal diagnosis and fetal pathology. 121 French health professionals were surveyed their opinions and practices regarding reporting of PIEV CNVs to patients, in order to identify key points so as to establish French recommendations. The survey showed that professionals in favor of reporting PIEV CNVs to patients in prenatal diagnosis and fetal pathology (respectively, 76% and 84% of respondents) considered highlighted that multidisciplinary consultation is the main point-of-care management before family survey. This statement is close to recommendations published worldwide. As a consequence, multidisciplinary expertise should be the basis of French recommendations concerning the reporting of PIEV CNVs and genetic counseling in prenatal diagnosis and fetal pathology.

The Experience of Health Professionals With Misinformation and Its Impact on Their Job Practice: Qualitative Interview Study.

Misinformation is often disseminated through social media, where information is spread rapidly and easily. Misinformation affects many patients' decisions to follow a treatment prescribed by health professionals (HPs). For example, chronic patients (eg, those with diabetes) may not follow their prescribed treatment plans. During the recent pandemic, misinformed people rejected COVID-19 vaccines and public health measures, such as masking and physical distancing, and used unproven treatments. This study investigated the impact of health-threatening misinformation on the practices of health care professionals in the United Kingdom, especially during the outbreaks of diseases where a great amount of health-threatening misinformation is produced and released. The study examined the misinformation surrounding the COVID-19 outbreak to determine how it may have impacted practitioners' perceptions of misinformation and how that may have influenced their practice. In particular, this study explored the answers to the following questions: How do HPs react when they learn that a patient has been misinformed? What misinformation do they believe has the greatest impact on medical practice? What aspects of change and intervention in HPs' practice are in response to misinformation? This research followed a qualitative approach to collect rich data from a smaller subset of health care practitioners working in the United Kingdom. Data were collected through 1-to-1 online interviews with 13 health practitioners, including junior and senior physicians and nurses in the United Kingdom. Research findings indicated that HPs view misinformation in different ways according to the scenario in which it occurs. Some HPs consider it to be an acute incident exacerbated by the pandemic, while others see it as an ongoing phenomenon (always present) and address it as part of their daily work. HPs are developing pathways for dealing with misinformation. Two main pathways were identified: first, to educate the patient through coaching, advising, or patronizing and, second, to devote resources, such as time and effort, to facilitate 2-way communication between the patient and the health care provider through listening and talking to them. HPs do not receive the confidence they deserve from patients. The lack of trust in health care practitioners has been attributed to several factors, including (1) trusting alternative sources of information (eg, social media) (2) patients' doubts about HPs' experience (eg, a junior doctor with limited experience), and (3) limited time and availability for patients, especially during the pandemic. There are 2 dimensions of trust: patient-HP trust and patient-information trust. There are 2 necessary actions to address the issue of lack of trust in these dimensions: (1) building trust and (2) maintaining trust. The main recommendations of the HPs are to listen to patients, give them more time, and seek evidence-based resources.

Understanding the Knowledge, Attitudes, and Practices of Healthcare Professionals toward Climate Change and Health in Minnesota

Climate change is an urgent public health issue that is impacting health locally and across the world. Healthcare professionals are on the front lines for public health, caring for people affected by climate change; yet few studies have assessed their knowledge and experiences of local climate change effects. The purpose of this study was to improve our understanding of the health impacts of climate change in Minnesota from the perspective of healthcare professionals. An electronic survey was administered by the Minnesota Department of Health (MDH) to a convenience sample of Board-certified nurses and physicians in Minnesota. Seventy-five percent of respondents agreed that climate change is happening, and 60% agreed that it is currently impacting the health of their patients. However, only 21% felt well prepared to discuss climate change, and only 4% discussed climate change with all or most of their patients. Similarly, results from open-ended questions highlighted the importance of climate change and acknowledged the challenges of discussing this topic. While most respondents recognized the health impacts of climate change, they also reported feeling uncomfortable discussing climate change with patients. Thus, there is an opportunity to develop targeted resources to support healthcare professionals in addressing climate change.

Knowledge, attitudes and practices of Egyptian healthcare professionals toward therapeutic drug monitoring service as a principal component of personalized medicine.

Aim: To assess pharmacists' and physicians' knowledge, attitudes and practices toward therapeutic drug monitoring (TDM) service at the Children's Cancer Hospital Egypt 57357. Materials & methods: This was a single-site cross-sectional study where all practicing pharmacists and physicians were eligible to participate. Results: A statistically significant difference in the knowledge scores between pharmacists and physicians (p=0.022) was found. In general, attitudes toward TDM among pharmacists and physicians were positive. Regarding practices, pharmacists were more likely than physicians to agree or strongly agree that they have studied some scientific references on TDM (p=0.034), but more physicians recommend the TDM service (p=0.046). Conclusion: A multidisciplinary educational program in Egypt for TDM for both medicine and pharmacy staff will improve interprofessional collaboration in the clinical setting, leading to better personalized medication management.

Knowledge And Practice Of Healthcare Workers Regarding The Use Of Medicine Safety Surveillance Tools In A Primary Healthcare Setting

Despite the implementation of pharmacovigilance centers in developing countries and the institution of Therapeutic Committees at different healthcare delivery levels, the use of official medicine safety surveillance tools among healthcare workers is not widespread. In order to provide evidence on the knowledge and practice of healthcare professionals in the public sector on the use of medicine safety reporting tools, a cross-sectional survey using a self-administered questionnaire to assess the use of medicine safety surveillance tools amongst healthcare workers in Eenhana State Hospital was carried out. Data from the questionnaires were entered into the statistical package Epi Info® version 7 for analysis. About fifty percent of the healthcare workers in this study have identified at least one adverse drug reaction (ADR) in their professional practice. In contrast, only 29% reported ADR using at least one officially prescribed medicine safety reporting tool. The nursing cadre seems to have the least knowledge of medicine safety surveillance tools and pharmacovigilance practice. Pre-registration healthcare workers and continuing professional training for registered healthcare workers must be strengthened to encourage the use of medicines safety surveillance tools, in particular, and pharmacovigilance, in general.

Academic Health Centers and the Quintuple Aim of Health Care.

The Quintuple Aim of health care adds health equity to the existing Quadruple Aim of improving the individual experience of care for patients, improving the health of populations, reducing the per capita cost of care, and improving the experience of health care professionals. Health equity has previously been subsumed within the other 4 aims. Elevating health equity to the status of a distinct aim is necessary to address persistent health inequities that disproportionately affect underrepresented and minoritized groups. Academic health centers (AHCs) bear a unique responsibility to advance health equity due to the societal importance of their 4 missions: patient care, education, research, and community collaboration. Interprofessional education and practice provide natural connection points that enable AHCs to prepare both health professions students and practicing health care professionals to address all 5 aims. AHCs are well positioned to assess health outcomes related to health equity, develop a health care workforce that is representative of their communities, develop innovative research questions regarding health equity, and engage and invest in the communities they serve.

Evaluating awareness, knowledge and practice of healthcare professionals following implementation of a revised pregnancy prevention programme for isotretinoin in Ireland: A multi-stakeholder cross-sectional study.

In 2018, following an EU-wide safety review, a revised pregnancy prevention programme (PPP) was introduced for isotretinoin (Roaccutane®). This study aimed to examine awareness, knowledge, and experience implementing the revised isotretinoin PPP in clinical practice across three healthcare professional (HCP) groups in Ireland. A cross-sectional study using anonymous online surveys among general practitioners (GPs), community pharmacists, and specialist consultants was undertaken. Descriptive analyses are presented. Across all HCP groups there was high (≥87%) awareness that oral isotretinoin is contraindicated in women of childbearing potential (WCBP) unless the conditions of the PPP are fulfilled, but varying awareness among GPs (54.9%) and community pharmacists (45.9%) that exposure during pregnancy can cause both severe fetal malformations and spontaneous abortions. Implementation of the PPP in clinical practice varied across HCP groups. When initiating isotretinoin in WCBP, 66.7% of specialists and 40.8% of GPs indicated they had considered alternative treatment options, and 71.4% of specialists and 31.6% of GPs reported they first requested a pregnancy test. There was limited provision of the patient reminder card to WCBP, where 26.1% of community pharmacists provide this at each dispensing, while 47.6% of specialists and 11.8% of GPs ensured WCBP had a copy of the card when initiating treatment. Across all HCP groups, there was high (≥81.6%) awareness of the need for urgent consultation and immediate cessation of isotretinoin in the event of an unplanned or suspected pregnancy. Reinforcement of the provision and utilisation of the isotretinoin patient reminder card may be required, and further targeted education on specific elements of the PPP should be considered for GPs and community pharmacists.

Who really needs a Metaverse in anatomy education? A review with preliminary survey results.

The term Metaverse ("meta" defined as beyond, transcendence or virtuality, and "verse" meaning universe or world) denotes a "virtual reality space" for anatomy teaching. To ascertain how many anatomists are familiar or are using this adjunct in teaching, we conducted a short survey at the 2022 annual meeting of the American Association of Clinical Anatomists (AACA). Interestingly, only six respondents (9.4%) had used a Metaverse for teaching anatomy. Moreover, the vast majority of attendees were anatomy educators or basic science faculty, but not practicing physicians/surgeons or other actively practicing health care professionals; a group where this technology has been used much more commonly. The present manuscript was authored by anatomy educators, practicing physicians and other actively practicing health care professionals with backgrounds in diverse medical fields, that is, anatomists, medical doctors, physician assistants, dentists, occupational therapists, physical therapists, chiropractors, veterinarians, and medical students. Many of these authors have used or have been exposed to a Metaverse in the clinical realm. Therefore, the aim of the paper is to better understand those who are knowledgeable of a Metaverse and its use in anatomy education, and to provide ways forward for using such technology in this discipline.

Knowledge, attitudes and practices of healthcare professionals toward the novel coronavirus during the early stage of COVID-19 in a lower-and-middle income country, Bangladesh.

Healthcare workers (HCWs) are at an increased risk of COVID-19 infection because of their direct exposure to suspected and confirmed coronavirus patients in healthcare facilities. This condition is even more acute in low-and lower-middle-income countries (LMICs). Given the poor healthcare settings of Bangladesh, it is challenging to halt the spread of infection without proper knowledge, attitudes, and good behavioral practices (KAPs). Therefore, this study conducted a cross-sectional study from May 5 to 31, 2020, with 203 healthcare professionals to determine the knowledge, attitudes, and practices (KAP) toward COVID-19. Participants were doctors, nurses, dentists, and allied health professionals. A self-administered questionnaire including several KAP-related items aligned with the World Health Organization (WHO) guidelines was distributed over various online platforms to collect data. Bivariate and multivariable logistic regression analyses were conducted to determine the factors influencing KAP levels. The majority of participants were male (52.22%). The prevalence of high knowledge levels, positive attitudes, and good practices were 51.23, 45.81, and 49.75%, respectively. Social media was the most common source for seeking coronavirus information. Workers at private institutions were less likely (OR = 0.56, 95% CI = 0.30–0.95, p < 0.05) to be knowledgeable than workers at public institutions. Doctors had more positive attitudes than other healthcare professionals. Older participants showed high rates of good behavioral practices (OR = 1.05, 95% CI = 1.06–1.32, p < 0.05) than younger ones. Workers at private institutions had a better practice level toward COVID-19 (OR = 2.11, 95% CI = 1.17–3.83) than those at public institutions. These results point to the necessity for proper training programs for medical professionals that help them gain confidence to deliver the correct treatment to their patients and the need to implement preventative steps during pandemics.

Global burden and trends of pelvic organ prolapse associated with aging women: An observational trend study from 1990 to 2019.

PurposeWorldwide, about 40% of women will experience pelvic organ prolapse (POP), and this proportion is expected to increase with the aging of the population. We investigated the global, regional and national influenza burden in the past 30 years through the age and sociodemographic index (SDI).Patients and methodsData were extracted from the Global Burden of Disease (GBD) 2019 database for 195 countries and territories between 1990 and 2019. Estimated annual percentage changes (EAPCs) were used to explore the age-standardized incidence rate (ASIR) and age-standardized disability adjusted life years (AS-DALYs) trends, and the corresponding 95% uncertainty intervals (UI). In addition, the time cut-off points of 1990 and 2019 were used to separately analyze the incidence rate and DALYs.ResultsIn 2019, the global ASIR and AS-DALYs for POP were 316.19 (95%UI: 259.84–381.84) and 10.37 (95%UI: 5.79–17.99) per 100,000 population, respectively. Moreover, from 1990 to 2019, the ASR of both showed a downward trend, and EAPCs were −0.46 (95%CI: −0.52 to −0.4) and −0.53 (95%CI: −0.58 to −0.47), respectively. In addition, DALYs of POP also showed a downward trend in most regions and countries with high SDI. From 1990 to 2019, the global incidence rate and DALYs rate were highest in the 65–75 and ≥60 age groups, respectively.ConclusionOver the past three decades, the incidence and DALY of POP have been decreasing from 1990 to 2019. However, POP remains a major health problem, especially among females in less developed countries. Primary and secondary prevention measures of POP should be integrated into the practice of healthcare professionals dealing with aging women.

Biomedical waste management associated with infectious diseases among health care professionals in apex hospitals of a typical south asian city

Biomedical waste from healthcare activities poses a higher hazard of infection and damage than other types of trash. The main objective of the study was to assess the awareness knowledge and practices of biomedical waste management (BMWM) among health care professionals in the health care units. The cross-sectional study was carried out to access the awareness, knowledge and practices of health care professionals for BMWM. Using a qualitative approach, the study was escorted in two Apex hospitals i.e. the Allied Hospital and the District Head Quarter Hospital, Faisalabad, Pakistan from August 5, 2019 to October 15, 2019. More than 90% of respondents knew the phrase BMWM, but just 35.4% had awareness about biomedical waste regulations. About 71.6% of the respondents were familiar with biomedical waste's color-coding segregation. The study concludes gap in the awareness, knowledge and practices for BMWM. The sanitary workers of the hospitals had no knowledge about BMWM and the BMWM/healthcare waste management rule 2005 established in Pakistan due to the lack of training regarding waste management and the segregation process. Some of the staff members were aware of the BMWM practices under the rules and regulations of Pakistan but were unable to implement at their work place. It is necessary to dispose of the biomedical waste according to the established terms and conditions of BMWM rules (2005) of Pakistan. Weak structure of BMWM was observed at the study sites due to the lack of training, liabilities and absence of penalties against improper biomedical waste disposal as violation of the rules and regulations. It's a dire need of the time to consider the biomedical waste as hazardous waste and make policies for its safe disposal and ensure the implementation of the policies in all the medical centers of Pakistan.

An Endorsement of the Removal of Race From GFR Estimation Equations: A Position Statement From the National Kidney Foundation Kidney Disease Outcomes Quality Initiative

An Endorsement of the Removal of Race From GFR Estimation Equations: A Position Statement From the National Kidney Foundation Kidney Disease Outcomes Quality Initiative

Survey of healthcare professionals’ knowledge, attitudes and practices regarding spontaneous intracranial hypotension

ObjectiveTo assess the knowledge, attitudes and practices of healthcare professionals regarding the diagnosis and management of spontaneous intracranial hypotension (SIH).MethodsWe performed a cross-sectional, web-based survey of multiple healthcare professional groups...

Professional Competencies for Diabetes Technology Use in the Care Setting.

The integration of diabetes technology into diabetes care and self-management is evolving so rapidly that providing sufficient support has become an obstacle for many health care professionals (HCPs) in practice. Diabetes technology requires HCPs to stay current with treatment goals and practice guidelines. Diabetes care and education specialists (DCESs) are well positioned to take on this challenge by seizing opportunities to apply their skills, knowledge, and experience to contribute to a technology-enabled practice environment. Diabetes technology includes devices, hardware, and software utilized to manage all aspects of diabetes care, including lifestyle management, glucose monitoring, and insulin delivery. The complexities of caring for persons with diabetes (PWD) who utilize diabetes technology is best accomplished in partnership with other members of the care team and support staff to cover all aspects of technology including prior authorizations, onboarding PWD, downloading and interpreting data, and supporting ongoing utilization. The purpose of this article is to introduce a comprehensive set of role-based competencies for HCPs, DCESs, and staff for the selection, implementation, and sustainability of diabetes technology when providing diabetes care, education, and support. The role-based competencies described in this article are intended to support the initiation, continuation, and optimal use of diabetes technology in practice through ongoing education and guidance of care team members. This article describes the diabetes technology competencies essential for all levels of the care team and support staff in various care settings to deliver comprehensive diabetes management and support to PWD utilizing diabetes technology in their self-care regimen.

Content Validity of the AHRQ Health Care Professional Survey on Informed Consent: A Methodological Study

Objective: To assess the content validity of the Agency for Health Research and Quality (AHRQ) healthcare professional survey on informed consent. Background: The AHRQ has developed the healthcare professional survey on informed consent to assess the impact of the informed consent quality improvement training module on the healthcare professional knowledge, practices, and attitudes about informed consent. Methods: A qualitative study was carried out as part of a doctorate student dissertation study to assess the healthcare providers' and patients' perspectives and experiences on the informed consent process utilizing a descriptive, cross-sectional study design. The researchers have contacted 13 experts by email, asking for their voluntary support to validate the survey. The researchers adopted five domains of content validity measures, including relevancy, sufficiency, simplicity, clarity, and ambiguity. A four-point Likert scale was adopted and communicated to the experts to guide their scoring criteria. Preliminary pilot testing was done to assess the psychometric properties of the newly modified tool. Results: Seven experts have responded and shared their feedback either through email or hard copies, representing a response rate of 53.8%. Only one survey item scored less than 0.78 on I-CVI and was dropped from the survey. One subscale, “the Informed consent process overall effectiveness,” was dropped from the study as it falls below the acceptable level of 0.9. All edits requested by the experts' panel were done. The psychometric properties were then tested, and further enhancement of the tool was done to reach the acceptable Cronbach's alpha level. Conclusion: The AHRQ initiated the first stage of survey item development, and this study continued the efforts by validating the content of the survey and testing its content validity. The final poll was judged to have excellent content validity, good psychometric properties, and 41 items.

Proposing a Scientific and Technological Approach to the Summaries of Clinical Issues of Inpatient Elderly with Delirium: A Viewpoint.

Background/rationale: Despite mounting evidence about delirium, this complex geriatric syndrome is still not well managed in clinical contexts. The aging population creates a very demanding area for innovation and technology in healthcare. For instance, an outline of an aging-friendly healthcare environment and clear guidance for technology-supported improvements for people at delirium risk are lacking. Objective: We aimed to foster debate about the importance of technical support in optimizing healthcare professional practice and improving the outcomes for inpatients’ at delirium risk. We focused on critical clinical points in the field of delirium worthy of being addressed by a multidisciplinary approach. Methods: Starting from a consensus workshop sponsored by the Management Perfectioning Course based at the Marco Biagi Foundation (Modena, Italy) about clinical issues related to delirium management still not addressed in our healthcare organizations, we developed a requirements’ analysis among the representatives of different disciplines and tried to formulate how technology could support the summaries of the clinical issues. We analyzed the national and international panorama by a PubMed consultation of articles with the following keywords in advanced research: “delirium”, “delirium management”, “technology in healthcare”, and “elderly population”. Results: Despite international recommendations, delirium remains underdiagnosed, underdetected, underreported, and mismanaged in the acute hospital, increasing healthcare costs, healthcare professionals’ job distress, and poor clinical outcomes. Discussion: Although all healthcare professionals recognize delirium as a severe and potentially preventable source of morbidity and mortality for hospitalized older people, it receives insufficient attention in resource allocation and multidisciplinary research. We synthesized how tech-based tools could offer potential solutions to the critical clinical points in delirium management.

Optimizing patient-centered, inclusive care in oncology: Healthcare professionals' knowledge, attitudes, and practices in caring for LGBTQ2+ individuals

Background The sexual and gender diverse community of lesbian, gay, bisexual, transgender, queer/questioning, two-Spirit, plus (LGBTQ2+) patients experience cancer-related health disparities and inequities compared to heterosexual and cisgender patients. Our objective was to examine healthcare professional (HCP) knowledge, attitudes, practices, and education interest when caring for LGBTQ2+ patients with cancer, and identify gaps and opportunities to improve care. Methods A 38-item online survey was sent to all Gynecologic oncology staff (n=92) within a tertiary care cancer centre in Toronto. Items included respondent demographics (n=7), and LGBTQ2+ knowledge (n=7), attitudes (n=15), practice behaviours (n=5), education interest (n=1), and open comments (n=3). Descriptive statistics summarized survey responses. Fisher's exact test was used to assess interactions between demographics and survey responses. Thematic analysis was used to analyze open-ended questions. Results 75/92 (82%) HCPs completed the survey. Although most respondents felt comfortable (96% strongly agree/agree) treating LGBQ2+ patients, only 45% felt knowledgeable about their specific health needs. In comparison, staff reported less comfort (87%) and knowledge (27%) caring for transgender patients. Respondents believed it is important to know a patient's sexual orientation (58%) and gender identity (41%); however, significantly less felt comfortable inquiring (sexual orientation 41%, p=0.023 and gender identity 36%, p<0.001). LGBTQ2+ health-related knowledge items yielded responses of "neutral" and "not sure" ranging from 19-73% and most were "not sure" about institutional practices regarding collecting patient sexual orientation (61%), sex assigned at birth (52%) and gender identity (60%). Almost all (96% strongly agreed/agreed) were interested in receiving LGBTQ2+ specific education. Age, having friends/family who identify as LGBTQ2+ and non-white race were found to have some influence on attitudes. Thematic analysis of open-comments identified two main themes: (i) HCPs are concerned of offending LGBTQ2+ individuals because of their lack of knowledge and experience, and (ii) HCPs desire LGBTQ2+-specific health training and the creation of inclusive environments. Conclusions Although HCPs report feeling comfortable caring for LGBTQ2+ individuals, most report a lack of knowledge and awareness in caring for this population. We recommend institutions implement cultural competency training for HCPs to improve high quality and inclusive patient-centered care for LGBTQ2+ patients and their caregivers. The sexual and gender diverse community of lesbian, gay, bisexual, transgender, queer/questioning, two-Spirit, plus (LGBTQ2+) patients experience cancer-related health disparities and inequities compared to heterosexual and cisgender patients. Our objective was to examine healthcare professional (HCP) knowledge, attitudes, practices, and education interest when caring for LGBTQ2+ patients with cancer, and identify gaps and opportunities to improve care. A 38-item online survey was sent to all Gynecologic oncology staff (n=92) within a tertiary care cancer centre in Toronto. Items included respondent demographics (n=7), and LGBTQ2+ knowledge (n=7), attitudes (n=15), practice behaviours (n=5), education interest (n=1), and open comments (n=3). Descriptive statistics summarized survey responses. Fisher's exact test was used to assess interactions between demographics and survey responses. Thematic analysis was used to analyze open-ended questions. 75/92 (82%) HCPs completed the survey. Although most respondents felt comfortable (96% strongly agree/agree) treating LGBQ2+ patients, only 45% felt knowledgeable about their specific health needs. In comparison, staff reported less comfort (87%) and knowledge (27%) caring for transgender patients. Respondents believed it is important to know a patient's sexual orientation (58%) and gender identity (41%); however, significantly less felt comfortable inquiring (sexual orientation 41%, p=0.023 and gender identity 36%, p<0.001). LGBTQ2+ health-related knowledge items yielded responses of "neutral" and "not sure" ranging from 19-73% and most were "not sure" about institutional practices regarding collecting patient sexual orientation (61%), sex assigned at birth (52%) and gender identity (60%). Almost all (96% strongly agreed/agreed) were interested in receiving LGBTQ2+ specific education. Age, having friends/family who identify as LGBTQ2+ and non-white race were found to have some influence on attitudes. Thematic analysis of open-comments identified two main themes: (i) HCPs are concerned of offending LGBTQ2+ individuals because of their lack of knowledge and experience, and (ii) HCPs desire LGBTQ2+-specific health training and the creation of inclusive environments. Although HCPs report feeling comfortable caring for LGBTQ2+ individuals, most report a lack of knowledge and awareness in caring for this population. We recommend institutions implement cultural competency training for HCPs to improve high quality and inclusive patient-centered care for LGBTQ2+ patients and their caregivers.

Experience in training competitive medical staff in a hybrid learning environment

The role of the system of vocational education, especially medical education, increases as health advances along the path of progress. The conditions for the development of medicine set new priorities and tasks for the system of medical education. The key task is to train nursing professionals with key and professional competencies. Training of highly professional, competitive medical personnel of a new generation based on the formation of a special environment for mutual cooperation between teachers, students and employers; introduction of innovative educational technologies; the desire to ensure a competence-based approach in education and continuous professional training throughout the life of practical healthcare professionals requires managerial, organizational and administrative decisions.