Care Professionals Research Articles

Effectiveness of Field Experience Program in the United Arab Emirates (UAE): A Mixed-Methods Study of Stakeholders’ Perceptions in the Light of Vision 2030

The quality of field experience training is vital for the pre-service teachers’ professional development. However, limited research works on field experience training programs limits the formation of optimised educational policies in the UAE. Further, proper understanding of the stakeholders’ perceptions is essential for forming suitable educational policies. Therefore, this study employed a mixed-methods model to investigate the perceptions of pre-service teachers and instructors about their field experience training. The pedagogic standards set by Danielson was used as the framework for assessing the perceptions of the participants regarding their pedagogy. Further, ‘Bem’s self-perception theory’ was applied while making detailed assessments on the perceptions of participants. By using a random sampling method, 113 pre-service teachers and 15 instructors were recruited. Descriptive as well as inferential statistics was used for the quantitative assessments whereas thematic analysis was used in the qualitative phase. Quantitative analysis suggested that most of the respondents perceived that they are well-prepared for the professional teaching career. However, some respondents indicated that stakeholders have little role in the decision-making process and there is a lack of opportunity to interact with the parents/community. The qualitative analysis also affirmed the lack of stakeholders’ involvement. Other significant factors include: insufficient co-ordination, conflicts with mentors, inadequate training, and lack of exposure to research. Consequently, this study has made suggestions for rectifying these issues. It is anticipated that findings of present research will add on to the essential knowledgebase for achieving the goals set for education sector, as per UAE’s Vision 2030.

Integrating Diverse Data Streams for Enhanced Emotional Intelligence in Mental Health Care

This research presents a comprehensive system for real-time emotion recognition and analysis using multimodal data, including image, video, audio, and text. The system employs deep learning models to extract features and classify emotions from each modality. By integrating these predictions, we aim to provide a holistic understanding of a user's emotional state and assess potential risks. The system further analyzes the collected emotion data to identify trends, patterns, and indicators of emotional well-being and suicide risk. Visualizations such as time-series plots, distribution charts, and stacked area charts are employed to represent the emotional dynamics over time.Based on the analysis; the system generates personalized recommendations and alerts for users exhibiting signs of distress or emotional instability, including potential suicide risk factors. The goal is to promote proactive well-being management and early intervention. It is crucial to emphasize that this system is a tool for early detection and should be used in conjunction with professional mental health care.

Early Childhood Education and Care Services, and Parents’ Work–Life Balance

Parents’ work–life balance represents a major challenge, especially for those who have young children. The present article aims to identify the perceptions of parents relating to the purpose of early childhood education and care (ECEC) services, care responsibilities, and factors that affect the balance between caring responsibilities for children and the professional career of parents. Using a database with 825 parents, who have children aged between 0 and 6 years enrolled in the ECEC system (nurseries, kindergartens), we performed a descriptive statistical analysis and a logistic regression to identify factors that affect the balance between caring responsibilities and career. The results indicate an appreciation of the usefulness of ECEC services (nurseries/kindergartens) by parents and underline the importance of parents’ involvement in the activities of ECEC services. Results also show that three factors affect the balance between caring responsibilities for children and professional career as follows: the residence area, the educational level, and the proximity to ECEC services. The need to develop ECEC services in Romania is correlated with the work–family balance field. Policymakers should focus more on structural changes and the development of early childhood education and care services, as well as the expansion of such services in both rural and urban areas.

Career Duality and Work Performance: Insights from Women in Bangladesh

This study looks into how women's professional success in Bangladesh is affected by career dualism, work-life balance, and cultural expectations. Data were gathered from thirty women in Dhaka who worked in the public, private, and self-employed sectors using a qualitative study methodology. The research utilized semi-structured interviews and theme analysis to effectively capture the intricacies of the participants' perspectives, underscoring the subjective aspect of work-life balance. The participants brought to light considerable difficulties in juggling dual responsibilities as careers and professionals, which are made worse by inflexible gender stereotypes and restricted access to childcare facilities. The results show that women's ability to balance conflicting demands is greatly aided by family support, especially that provided by mothers and spouses. However, respondents said that the lack of maternity benefits, childcare services, and flexible schedules were substantial barriers, and that workplace regulations frequently lacked the flexibility required to meet women's multiple obligations. The study also looks at the post-pandemic trend towards remote employment, which brought difficulties since it blurred the lines between home and professional life even while it offered flexibility. The critical need for institutional reforms-including the implementation of family-friendly workplace practices like paid parental leave, on-site daycare, and remote work options-is highlighted by this study. It also emphasises how crucial cultural changes are to easing the burden on women who want to advance professionally but are under pressure to live up to conventional norms. To investigate the effects of career duality on professional women's long-term career growth and well-being, longitudinal research approaches should be used in future studies.

“The stay here is, of course, not appropriate for an old person”: the perspective of healthcare providers on older patients in the emergency department

BackgroundIn aging societies, emergency departments (ED) face an increasing number of older, geriatric patients. Research shows that older emergency patients have a greater burden of comorbidities and a higher risk of adverse events. It has been questioned whether contemporary ED structures can meet the specific needs and characteristics of older patients. Little is known about how professional health care providers perceive and experience ED care for older patients. This study aimed to get insight into the perspective of healthcare providers working with older ED patients and to explore the challenges they experience in their daily work.MethodsThe study used a qualitative research design with a social-constructivist perspective and a Grounded Theory based methodology. Data were collected through qualitative interviews with N = 25 healthcare providers from different urban EDs in Berlin, Germany, and adjacent healthcare institutions. Following the Ground Theory approach, categories and central themes were identified, analyzed, and interpreted to gain a comprehensive understanding of the healthcare provider perspective.ResultsThe interviews revealed a significant and increasing relevance of geriatric ED patients for healthcare providers. However, there was no shared definition of ‘the geriatric patient’. Most interviewees found ED structures to be inadequate for older patients. They described specific challenges, such as information gathering and safety risks in the ED, as well as an increased use of resources (both time and personnel) when caring for older patients. In addition, specific problems in the collaboration with other professions and institutions were addressed, namely nursing homes, hospital wards, consultations, and the hospital social service.ConclusionHealthcare providers experience a structural mismatch between contemporary EDs and the specific needs of geriatric patients. They are aware of the vulnerabilities of geriatric patients and try to compensate for inherent structural shortcomings. Such structures and limited resources often cause practical, organizational, and ethical problems. There is a great need to develop, implement, and evaluate systematic approaches and care concepts that address the specifics of ED care for geriatric patients.

Adolescent Mental Health Crisis: Current Situation, Challenges and Solutions

This paper explores the mental health issues faced by 10-19-year-olds globally, which remain primarily under-recognized and under-treated. Although depression and anxiety in adolescents cannot be solved quickly, long-term improvements can be achieved. Long-term solutions to the adolescent mental health crisis need to include intergenerational shifts, social reform, medical advances, and public health engagement. The article analyzes the impact of family dynamics, social pressures, technological influences, and external crises on adolescent mental health. It makes policy recommendations, including raising awareness of depression and anxiety symptoms among guardians, establishing robust mental health services, training professional health care providers, and enforcing stricter regulation of cyberspace. And encourage young people to reduce stress through sports, hobbies and social activities. Overall, the paper argues for a policy framework that combines administrative and emotional care to protect young people’s mental health and enable them to reach their full potential.

Teoría Sociológica en la trama curricular de la formación en Psicopedagogía

The purpose of this work is to describe and interpret the pedagogical experience that, from the curricular space of Sociological Theory, as a social science, epistemological, methodological, theoretical, and ethical perspectives are deployed to address the object of study of Psychopedagogy, and to intervene regarding the social subject in a learning situation. Sociology, as a teaching space, together with other pedagogical spaces, enriches the career of professionals in Psychopedagogy, and it recognizes a set of tensions that accompany the interaction processes between various disciplines of the Social Sciences. An attempt is made to provide lenses from which to look dialectically at the learning subjects and all those who intervene in this process, with possible readings of the multiple, diverse, and complex social reality. A search is recognized to define the intersection of disciplinary fields of the Social Sciences, where many come into relationship, such as educational, sociological, historical, and psychopedagogical fields, among others.

A high-performance sports career as a signal in the job application process

AbstractThe decision to pursue a career in sports often has far-reaching consequences in the professional career planning of high-performance athletes. Therefore, it is highly relevant to examine how the high-performance sports career is perceived as a signal in terms of the signaling theory (Spence, 1973) during a job application. To this end, an experiment was conducted to investigate how recruiters evaluate job applications from former high-performance athletes (both single and team sports), considering social, motivational, and cognitive competencies. In total, 303 subjects participated in this study. It is shown that the same person as a team athlete was considered significantly more capable for a professional entry than as an individual athlete or someone without a high-performance sports background. Although careers in high-performance sports can be considered a risky way to earn a living, our findings indicate that this is not necessarily the case: athletes who manage to complete an apprenticeship alongside their sport reduce their risk enormously, as their high-performance sports career is interpreted as a positive signal when applying.

Variation in nutritional therapy practices: results of a survey on nutritional management of severe inflammatory bowel disease.

The optimal nutritional management during a severe flare of inflammatory bowel disease is uncertain. The goal of this study was to describe variations in nutritional practices between different countries, professions and types of hospitals, as well as between ulcerative colitis (UC) and Crohn's disease (CD). In this cross-sectional study, a novel questionnaire was distributed in the ECCO Congress 2022 and via ECCO country representatives. The survey was completed by 313 participants. In total, 68% of the respondents were physicians. No specific nutritional screening tool was used by 45% of respondents. Almost a quarter of respondents reported less than 25% of patients being assessed by a dietitian in the first 3 days of a flare. The most common form of nutritional therapy was oral nutritional supplements (ONS) with easy-to-digest food. Total parenteral nutrition (TPN) was used by 10% of respondents for UC patients and 7% for CD. Energy intake, stool frequency and inflammatory biomarkers were the most common factors in determining when to change nutritional therapy. There were significant differences between different countries and health care professions for all the outcomes (P < 0.05). Nutritional management did not generally vary according to hospital type (university vs. general). During the first 3 days of a flare, a diet consisting exclusively of ONS was significantly more frequently used for CD than UC (P = 0.018). Otherwise, similar nutritional therapy strategies were reported for CD and UC, including using TPN to a similar extent. There is significant variation in nutritional management practices. Country is the main determinant of differences in practice.

STI/HIV care in times of COVID-19 according to Dutch healthcare professionals: A mixed methods study

Abstract Background Surveillance data from the Netherlands show that STI/HIV testing decreased at the start of the COVID-19 pandemic, suggesting barriers in access to STI/HIV care. However, the impact of the pandemic on STI/HIV care may be more complex, and key populations could be differentially affected. The aim of this study was to gain more insight into the impact of COVID-19 on STI/HIV care in the Netherlands from the perspective of STI/HIV care providers. Methods We investigated whether professionals in STI/HIV care experienced changes compared to pre-COVID in access to care, demand and provision of care, shifts online care, and quality of care. An online survey was completed by 192 STI/HIV care professionals. Additionally, semi-structured interviews were held with 23 STI/HIV care professionals. Results According to participants, specific subgroups of priority populations may have had difficulties accessing STI/HIV care during the pandemic especially during lockdowns and at public sexual health services. Professionals were concerned to have lost sight of subpopulations in vulnerable circumstances and that the pandemic may have magnified inequalities in access to STI/HIV care, which may be related to different levels of health and digital literacy required for telephone and video consultations. Furthermore, participants found online care provision was not up to standards and were concerned about follow-up care for patients using private online providers of remote tests. Conclusions Professionals experienced that COVID-19 measures may have compounded existing disparities. To minimize inequalities in access to STI/HIV care during a pandemic, it is recommended to prioritize services for people in vulnerable circumstances such as recent migrants and people with low health or digital literacy. More collaboration between and within sectors may help in better organizing healthcare and prevent overburdening of specific sectors. Key messages • According to STI/HIV care providers, the COVID-19 pandemic differentially impacted different STI/HIV care sectors, but also increased existing inequalities in access to care for vulnerable groups. • Professionals experienced that COVID-19 measures impacted the provision of STI/HIV care, access to care for vulnerable populations, and quality of care.

The indirect costs of motherhood and fatherhood: impacts on income, working hours, and perceived health across 32 European countries

Abstract Background Parenthood may affect men’s and women’s personal lives, professional careers, and well-being differently. In the last decades, structural modifications in gender norms, the labor market, and family-supporting policies have occurred, but with cross-country variations, even within European borders. This study aimed to update the estimates on the impact of parenthood on men’s and women’s income, working hours, and perceived health status, and better comprehend their variation across 32 European countries, using a longitudinal approach. Methods Data from the European Survey on Income and Living Conditions (2004-2020) were used to estimate the income variation and the likelihood of transitioning into a non-income status, less than 40 weekly hours, and less than very good health status, from one year before to one year after parenthood. Estimates were done by sex and country. Pooled effects were estimated using random effects meta-analysis. Results We found a short-term 29% income penalty for women and a 12% income premium for men after parenthood. Seventy percent of women who transitioned their status after motherhood shifted to work less than 40 hours per week while no effect was found for men. Regarding perceived health, no shifts were overall observed. A large cross-country heterogeneity was found. Conclusions Motherhood-related income penalties concurred with losses of employment and reductions of weekly working hours, while among men the income premiums were not necessarily coupled with transitions to employed status or 40 weekly working hours. The cross-country heterogeneity is, probably, multifactorial, depending on countries’ policies, norms, labor market, and social structure.

Integrated Care in Parkinson’s disease: e-training for multidisciplinary team members

Abstract Background Parkinson’s is a high prevalence disease worldwide and training in Integrated Care (IC) for professionals in this field is an obvious need. The SUPER training course is focused on integrated care applied to Parkinson’s disease (PD) and aimed at social and health professionals. Both the content and the training methodology have been co-designed with people living with PD, relatives/caregivers and professionals from Spain and Italy. The course comprises3 training modules (10 units), alongside self-assessment questions, as well as case studies. Accessible open access via an e-learning platform. It is available in English, Spanish, Italian and French enhancing its applicability and transferability. Objectives The SUPER e-training course aims to equip members of multidisciplinary teams with knowledge, skills and competencies in IC applied to PD. Results The course was validated with 89 socio-health professionals in Spain and Italy (M age = 37.28; 75.28% women), who completed a questionnaire assessing the usefulness and quality of the training modules and the platform, as well as an overall evaluation of the training in terms of quality and impact. According to the them: the training could improve the quality of care offered to people living with PD; it is expected to heighten interest in IC, while also introducing novel and invaluable elements. Conclusions This course is useful to train professionals of different profiles (and European contexts) on IC in PC, increasing their knowledge and skills and improving the provision of care to people living with PD. The SUPER multilingual course is an innovative tool because it has been designed from a bottom-up approach and makes available to any professional a free training that can be taken online at any time. Key messages • SUPER training course equips professionals from a holistic, multidisciplinary and person-centred approach to PD. • This multilingual tool aids diverse professionals in social &amp; health care.

Social Diversity in Focus: Assessing the Impact of Socioeconomic Backgrounds and Work Experience on Psychological Well-Being and Academic Confidence Among German First-Year Medical Students

This investigation pioneers an examination of the scarcely explored terrain of social diversity in medical education, assessing the complex impacts of socioeconomic status (SES), prior working experiences, and completed apprenticeships on a spectrum of psychological and academic facets among first-year medical students (n = 336) in an urban university setting. By utilizing a systematic and detailed approach, the study illuminates prior anatomical knowledge and various psychological constructs, marking a significant stride into a domain where knowledge remains profoundly limited. Analyses indicated that SES significantly affects financial anxiety (F(4, 331) = 17.391, p &lt; 0.001) and academic behavioral confidence (F(4, 331) = 4.323, p = 0.002). Students with prior working experience reported higher self-perceived clinical experience but lower A-level grades (t(279.459) = −6.690, p &lt; 0.001), competence in natural sciences (t(321.045) = −3.178, p = 0.002), and online competence (t(319.429) = −2.026, p = 0.044). Those who completed an apprenticeship showed higher resilience, academic confidence, self-efficacy, and greater concerns about balancing studies and work (t values ranging from 2.020 to 3.158, p &lt; 0.05). Correlation analysis revealed a positive relationship between resilience (RQS) and coping with academic stress (CAS) (r = 0.632, p &lt; 0.001), as well as between resilience and academic behavioral confidence (ABC) (r = 0.608, p &lt; 0.001). Negative correlations were observed between resilience, coping with academic stress, academic confidence, and cognitive test anxiety (CTA) (r values from −0.235 to −0.404, p &lt; 0.001). The findings emphasize the need for tailored support for students from diverse SES backgrounds and with varying experiences. The study highlights the value of a comprehensive approach in medical education, considering the diverse backgrounds and experiences of students. Future research should explore the long-term impact of these factors on professional competencies and patient care, leveraging the diversity of the student body for a holistic educational experience.

Ways of self-renewal of kindergarten teachers in forest kindergartens change

ABSTRACT The study examined the self-renewal and conceptual change kindergarten teachers in Israel, underwent from a professional career perspective in the process of implementing the transition to a forest kindergarten model. Educator’s career consists of four consecutive stages: entry, building, mid-career, and the late career. In education, self-renewal is a phenomenon characteristic in the mid-career stage. Self-renewal has scarcely been studied in early childhood educators. This article examines self-renewal based on interpretations of interviews with 19 kindergarten teachers in Israel who responded to an institutional initiative to create forest kindergartens. Results show three ways that mid-career kindergarten teachers used to update their pedagogical knowledge and reframe their educational perceptions. Self-renewal reflects the professional kindergarten teachers’ background based on their past experiences and aspects of entrepreneurial behavior. The article can help policymakers improve early childhood education and launch new enterprises.

Factors influencing an advanced nursing practice service for people with intellectual disabilities

Abstract Background People with intellectual disabilities (PWID) have less access to preventive healthcare services and are therefore more likely to suffer from certain chronic diseases. Advanced Practice Nursing (APN) can be a suitable approach for this group. However, APN is not yet widespread in all European countries. This intervention focuses on PWID in Hamburg, Germany, who receive case management and prevention focusing on stress, nutrition, mobility and addiction through community-based APN to improve their health status. We aimed to explore the facilitators, barriers and experiences of stakeholders in the context of the APN intervention. Methods We conducted 90 semi-structured problem-centered interviews with PWID, family members, professional caregivers and prevention service providers in 2023 and 2024. We employed convenience sampling. Data were analyzed by qualitative content analysis with mixed inductive-deductive coding using MAXQDA. Results Overall interviewees were satisfied with the intervention. It was reported that the clients exercised more, ate healthier, learned techniques to reduce stress and coped better with addiction. In addition, barriers to preventive services were reduced. We identified factors that positively influenced the success of the intervention: good interprofessional collaboration, successful relationship building with clients, concise goal setting and target group-specific work materials. Barriers were: neglect of the professional care network, difussion of agreements, lack of available prevention services, and communication problems. The results are preliminary. Conclusions This is one of the first evaluation studies of an APN intervention for PWID in Germany. The results show that this new form of care can be implemented if the relevant stakeholders work together and good relationships with the clients are established. Specific goals should be defined and the professional carergivers should develop a community network. Key messages • APN is a suitable approach for disease prevention and health promotion for people with intellectual disabilities, given interprofessional collaboration and a well-established relationship with clients. • Preventive healthcare for the target group is difficult to implement if the stakeholders do not work together and if there are insufficient suitable preventive services available in the community.

Community Informatics &amp; I

In this essay, inspired by the timeliness of our chronologically shared symbolic birth (the journal’s inaugural issue and my professional career as a faculty member) I briefly discuss and critically analyze the influence of community informatics upon my professional journey, in our mutual symbiotic growth, intersections and divergences. I also share my insights and reflections of the process that might influence readers’ own thinking about the past, present, and future of community informatics and its identity, intersections, growth, and more. This opportune moment allows me to draw upon intersections with my current work in social justice and inclusion advocacy and trace my privileged positionality to the “nurturing intellectual embrace” of community informatics that opened many proverbial doors and areas of impact over the years. In the process, I use evidence chronicled in my current curriculum vita that serves as a roadmap providing documentation “on the record” of milestones and activities referenced along the journey as I also develop ponderings of the past, current, and future emergence and growth of community informatics. In tracing key directions of growth through my own lens of experience and reality with community informatics shows how broader aspects in the larger society, academic world, and information field have strongly curtailed its emergence and adoption. Considering such factors directly might be helpful to shape its positive placement and positionality moving into the future.

Patient Experiences of Patient-Initiated Brief Admission in Psychiatric Care: A Systematic Review.

Patient-initiated brief admission (PIBA) is an innovative psychiatric care intervention that gives patients the autonomy to initiate a short admission (approximately 1-3 days) to psychiatric inpatient care. This intervention is structured around a mutual agreement between the patient and their care provider that outlines the specific structure and content of their care. Unlike regular psychiatric admissions, healthcare professionals do not review the patient's decision for admission during PIBA. Similar interventions have been developed globally to reduce the need for long inpatient admissions and compulsory care by enhancing patient autonomy, promoting active participation in care, and empowering patients to recognise early signs of mental health deterioration. The objective of this systematic review was to explore the experiences of PIBA among individuals with mental health disorders. A systematic review was conducted using qualitative articles sourced from the PubMed, CINAHL, and PsycINFO databases. A total of thirteen original articles were included in the review, encompassing 186 patients. Research demonstrates that PIBA significantly impacts patients' care experiences in various ways. Access to PIBA gives patients the opportunity to take a break from daily stressors, which has proven significant in interrupting the cycle of worsening symptoms and negative thoughts. Furthermore, when the care environment is characterised by trust and respect, patients experience an increased sense of freedom, which contributes to a more effective recovery process. PIBA provides patients with a sense of safety and offers the possibility of a more functional daily life. Healthcare professionals'attitude and care provision also significantly influences patients' experiences. Central to a positive patient experience are a warm reception, attentiveness, and active listening. PIBA can not only change patients' perceptions of healthcare but, more importantly, fosters a transformative view of themselves as active participants in their own well-being. Knowledgeable healthcare professionals are crucial for the successful implementation of this intervention. By offering dignity and warmth alongside safety, PIBA addresses a critical gap in patient mental health care.

Midwifing Modernity: Popularizing Modern Health Care for Women in Late Imperial Russia

AbstractThis article examines the discourse on Russian women’s health care in the late Imperial period within the context of modernization. One of the hallmarks of modernity, health care is also one of the most intimate areas of contact between the agents of modernity and the public at large. The discussion was starkly divided between those concerned with peasant women and those concerned with educated women, but both were firmly situated in the overarching project of healthification (ozdorovlenie). While the authors concerned with peasant women’s health sought to overcome traditional beliefs and practices and replace them with the findings of modern science, the literature directed at the educated public illustrates the anxiety that accompanied the modernity project. The authors writing to and about educated society were far more conflicted about the array of problems they observed developing as traditional beliefs and practices were challenged by changes in society. The article explores the development and role of women’s health care, the tensions between professional and popular health care practitioners, and their relationships with the population from cultural, political and gendered perspectives, and analyzes modernization as a site of contention over women’s agency as well as a social and cultural process.

Mental health matters: Evaluating the preparedness of sport psychologists to incorporate within their role.

Mental health has become increasingly important for the applied sport psychologist, a factor which may include screening, promoting literacy, individual support, and educational programs. However, despite of this importance, few checks have been made on the perceived preparedness of sport psychologists to undertake this work and whether differences may exist between those recently qualified compared to experienced practitioners. Underpinned by the theoretical domains framework, 62 Health and Care Professions Council registered practitioner sport and exercise psychologists (30 females: age: M=46.13years and SD=10.44years and 32 males: age: M=43.25years and SD=10.47years) completed an online survey to assess whether they felt equipped to address the mental health dimension of their work. The survey comprised three sections: Demographic and background information, a series of statements (n=31) adapted from the determinants of implementation behavior questionnaire, and three questions with space for free text comments, inviting participants to explain their level of preparedness to incorporate and deliver mental health interventions. A 6×12 analyses of variance yielded significant differences between domain ratings but not across levels of experience or interactions. Data from free text comments were analyzed thematically and categorized into the following three themes: (a) complementing the performance role, (b) awareness of professional boundaries, and (c) importance of further continued professional development. Combined, although practitioners emphasized importance, preparedness ratings ranged from neutral to somewhat agree, calling for further specific sport psychology-based mental health training.

Insights in Practice: Success Stories of Applied Human Factors and Ergonomics

Practitioners of Human Factors and Ergonomics (HF/E) must frequently adapt to the constraints of organizations, multidisciplinary teams, changing customer requirements, and development lifecycles. Tradeoffs are made in applying techniques and levels of rigor; made to ensure that the highest caliber of HF/E is achieved that is also adoptable and impactful in practice. HF/E professionals, and particularly early career professionals, benefit from positive examples of HF/E practice in a variety of applied settings. In this panel, we will present perspectives and success stories that enable community dialogue about the art of the possible for HF/E in application. Success stories applying HF/E methods and practices at work is a thread deserving of continual discussion to add to the adaptive repertoire of our field and support the next generation of HF/E professionals.