Professional Challenges Research Articles

Physical and respiratory therapy in the critically ill patient with obesity: a narrative review.

Obesity has become increasingly prevalent in the intensive care unit, presenting a significant challenge for healthcare systems and professionals, including rehabilitation teams. Caring for critically ill patients with obesity involves addressing complex issues. Despite the well-established and safe practice of early mobilization during critical illness, in rehabilitation matters, the diverse clinical disturbances and scenarios within the obese patient population necessitate a comprehensive understanding. This includes recognizing the importance of metabolic support, both non-invasive and invasive ventilatory support, and their weaning processes as essential prerequisites. Physiotherapists, working collaboratively with a multidisciplinary team, play a crucial role in ensuring proper assessment and functional rehabilitation in the critical care setting. This review aims to provide critical insights into the key management and rehabilitation principles for obese patients in the intensive care unit.

Comparison of perception of stress and consumption of anxiolytics in hospital and out-hospital conditions: a cross-sectional study.

The workplace is a place where medical workers are exposed to extreme stress, particularly during medical emergencies or events of epidemic or pandemic proportions. Anxiolytic therapy is often used to overcome professional challenges. Deepening knowledge about the prevalence of the use of anxiolytics and the perception of stress among medical workers enables the timely recognition of problems and the preparation of measures to improve the working conditions and quality of life of medical workers. The study's primary objective was to investigate whether there were differences in the usage of anxiolytics among healthcare professionals in and out of the hospital. In addition to the main objective, there are other objectives that have been established: To examine whether there are statistically justified differences in stress perceptions between hospital and outpatient healthcare professionals; 2. To examine the stress factors in the workplace in both hospital and outpatient settings. To compare the frequency of taking anxiolytics with respect to various variables (age, seniority, occupation and level of education); 4. determines the impact of working conditions on stress perception and life satisfaction in healthcare professionals. The design of research: Cross-sectional research. The research involved 159 healthcare professionals in Slavonski Brod: 96 employees of the General Hospital "Dr. Josip Benčević" and 63 employees of the Health Center and the Institute for Emergency Medicine of Brodsko-Posavina County. Respondents were able to participate in the study by filling out questionnaires online. The questionnaire was designed to be voluntary and anonymous and contained 53 questions. Statistically significant differences were shown in the perception of stress, which is greater in hospital staff, than in the difference between stressors in the workplace, where hospital staff showed higher values in all categories, but three factors are more significant differences: "Organization of the workplace and financial issues," "Conflicts and communication at work" and "Professional and intellectual requirements." There are significant differences in the frequency of using anxiolytics with the assistance of a psychiatrist. Working conditions have a much greater impact on the perception of stress and life satisfaction in hospital staff, while in hospital staff only a weak link between the perception of stress and life satisfaction is expressed. Anxiolytics are consumed by 27.10% of hospital workers and 23.80% of outside-the-hospital workers. The consumption of anxiolytic drugs by healthcare professionals in hospital and outpatient conditions does not make a significant difference, but they do have statistically significant differences in their perception of stress.

Natal Teeth: A Rare Case Report and Management Strategies

Background: The occurrence of teeth at birth is a rare phenomenon that can pose challenges for bothparents and health care professionals.Case presentation: A 30-year-old primigravida presented at 41 weeks in latent labor. She progressedwell and delivered by spontaneous vertex delivery, a live female infant, 3700 g with an Apgar score of 8and 10 at 1 and 5 minutes, respectively. On examination, two natal teeth were observed in themandibular anterior region. Vitamin K was administered to the infant after birth. The following day, it wasnoted that the baby had difficulty breastfeeding, and the mother reported bruising of the nipples and painwhile breastfeeding. A pediatric dentist noted that the teeth had severe mobility and planned forextraction. Extraction was performed under topical anesthetic gel successfully. Follow-up visits revealednormal breastfeeding with associated infant weight gain, and the gums had healed well.Conclusion: The occurrence of teeth at birth is a rare phenomenon that can pose challenges for bothparents and health care professionals. It is a culture-bound phenomenon that can cause parents to denytheir baby love and affection. Healthcare professionals need to be aware of this condition in order tocounsel the parents and manage the baby appropriately.

Implementation of an Advance Care Planning Intervention in Nursing Homes: An International Multiple Case Study.

The inability of individuals in the advanced stage of dementia to communicate about preferences in care at the end-of-life poses a challenge for healthcare professionals and family carers. The proven effective Family Carer Decision Support intervention has been designed to inform family carers about end-of-life care options available to a person living with advanced dementia. The objectives of the mySupport study were to adapt the application of the intervention for use in different countries, assess impact on family satisfaction and decision-making, and identify costs and supportive conditions for the implementation of the intervention. A multiple-case study design was chosen where the nursing home was the case. Nursing homes were enrolled from six countries: Canada, Czech Republic, Italy, Netherlands, Republic of Ireland, and United Kingdom. Seventeen cases (nursing homes) participated, with a total of 296 interviews completed including family carers, nursing home staff, and health providers. Five themes relevant to the implementation of the intervention were identified: supportive relationships; committed staff; perceived value of the intervention; the influence of external factors on the nursing home; and resource impact of delivery. There is a commonality of facilitators and barriers across countries when introducing practice innovation. A key learning point was the importance of implementation being accompanied by committed and supported nursing home leadership. The nursing home context is dynamic and multiple factors influence implementation at different points of time.

The Transformation of Teachers’ Subjectivities in Swedish Municipal Adult Education: An Autoethnographic Perspective

Within the specific cultural and historical context of Swedish adult education, this article employs autoethnography to explore teachers’ complex experiences during the era of neoliberalism. Its aim is to illuminate teachers’ multifaceted realities within this dynamic and shed light on the diverse challenges and struggles they encounter. Drawing on personal experiences and Stephen Ball's conceptual framework, the article asserts that neoliberal ideologies prompt significant shifts in education, emphasizing market-oriented practices, individualization, and flexibility. Consequently, these influences have a profound impact on teachers’ work, belief systems, values, behaviors, and pedagogical approaches. The narrative offers insights into the emotional, professional, and ethical challenges prompted by these reforms. It captures the interplay between policy changes, teachers’ responses, and broader implications for education quality and teachers’ wellbeing. This process becomes interwoven with teachers’ negotiations amid tensions between neoliberal policies and their professional ideals, evoking a range of emotions—from subjective alienation to ontological uncertainty.

Modelling individuality but advising universality: ethnography of mentoring pre-service teachers with regard to student diversity

ABSTRACT Student diversity in the classroom represents a significant professional challenge for pre-service teachers. The goal of this study is to explore how mentor teachers support pre-service teachers in addressing student diversity during their practicum. Eight pre-service teachers and their six mentor teachers were participants in a multi-sited ethnographic study conducted in the Czech Republic. Data collection took place at lower secondary schools and in a teacher education faculty. We identified seven strategies that mentor teachers use and we explain how these strategies shape pre-service teachers’ thinking and behaviour related to student diversity. The overall outcome presents a contradiction: when mentor teachers model practice, they tend to emphasise individuality; however, when they provide feedback, they tend to emphasise universality. Importantly, we proved that feedback shaped pre-service teachers more than modelling. From the discussion of our findings, we derive six indicators that determine quality mentoring regarding addressing student diversity.

(333) Evaluation and Characterization of Testosterone-Related Mobile Health Applications

Abstract Introduction Given the rise of digital health applications and direct-to-consumer (DTC) testosterone platforms, testosterone-related mobile applications (apps) pose significant challenges for both consumers and healthcare professionals. Objective The purpose of this study is to investigate trends and characterize the landscape of currently offered testosterone-related mobile health applications. Methods A search query of the term “testosterone” was conducted on the Apple app store. A comprehensive analysis of 23 testosterone-related apps was conducted, evaluating them based on categorization, primary service, specific health topics addressed, release years, cost model, user ratings, and evidence base. Apps were also evaluated on an established misinformation index score from one to five, whereby a score of five indicated complete accuracy and one, complete inaccuracy. Results Most apps were categorized as Health and Fitness apps, focused on sexual performance optimization, and addressed specific testosterone-related issues. A marked 600% increase in app releases were observed from 2020-22 when compared to prior to 2018. Apps frequently claimed to improve testosterone-related issues, but few cited scientific literature, resulting in a mean misinformation index score of 3.0. Conclusions The findings highlight the urgent need for healthcare professionals' active involvement in guiding patients through the digital health landscape. It is crucial to establish guidelines that ensure the provision of accurate, evidence-based information in health apps. Further research should focus on assessing the real-world impact of these apps on patient outcomes and developing strategies to mitigate digital health misinformation risks. Disclosure No.

Review of literature and clinical practice experience for the therapeutic management of Morgellons disease.

Morgellons disease (MD) is a rare and contentious health condition characterized by dermatological symptoms including slow-healing skin lesions 'attributed' to fibres emerging from or under the skin. Patients also report sensations of crawling, biting and infestation with inanimate objects. This review examines the aetiology, patient characteristics, epidemiology, historical context, correlation with Lyme disease, role of internet, impact on quality of life and treatment approaches for MD. Despite ongoing debate, MD is not officially recognized in medical classifications, with differing views on its aetiology. Some link MD to Lyme disease, while others view it as a variant of delusional infestation. The literature suggests both psychiatric and environmental factors may contribute. The manuscript explores the association with substance abuse, psychiatric comorbidities, infectious agents and the role of internet communities in shaping perceptions. MD's impact on quality of life is significant, yet often overlooked. Treatment approaches are varied due to limited evidence, with low-dose antipsychotics being considered effective, but patient beliefs may influence adherence. A patient-centred, multidisciplinary approach is emphasized, considering both the physical and psychological dimensions of MD. Addressing the controversies surrounding MD while focusing on patient well-being remains a critical challenge for healthcare professionals.

Students’ perception of the impact of a Geotechnical Engineering field activity on their competences development

The need to develop several students’ competencies is one of the leading challenges for Engineering instructors in undergraduate courses. It has been quite exhausting in many cases, mainly due to the lack of professors’ expertise in engineering education. Case studies may provide examples and help develop professors’ ability to design effective learning experiences. In this context, this paper presents a case study of implementing an in-class/ ex-class activity conducted in the Soil Mechanics-I course at the Federal University of Rio Grande do Norte. Additionally, it aims to discuss students’ perception regarding development of the proposed activity and competences. The activity comprised three phases: selection of Geotechnical Engineering problems on university campus, documentation and analysis of each situation, and presentation of solutions considering technical, environmental, and social aspects. Students’ perceptions were assessed using an anonymous online survey (18 Likert and open-ended questions), divided into three categories: general impressions, competencies development, and open statements. General impressions and competencies development were mostly positive, with deadlines reported as the most challenging aspect. Open questions responses provided positive feedback, emphasizing the main developed competencies, according to students’ perspective (e.g. leadership, interpersonal relationship, and analytical view of the problem). The need of dealing with real problems and work in groups appears to be a successful approach for teaching Geotechnical Engineering courses and developing competences in Engineering undergraduate courses. This case study can support innovation in teaching any engineering course and help students face future professional challenges.

From field of dreams to back to the future? Exploring barriers to participating in continuing professional development (CPD) programs

BackgroundIn 2009, Yvonne Steinert et al., at McGill University, published a study exploring barriers to faculty development (FD) participation among urban faculty. Over a decade later, we set out to replicate and expand on that study to learn what has changed in continued professional development (CPD) and what the current barriers are to participation in CPD for specialists and family physicians in rural and urban locations.MethodsInformed by a collaborative inquiry research framework, we invited faculty across rural and urban Saskatchewan to focus groups and interview sessions. The results were analyzed for themes.ResultsThirty-four faculty members from both rural and urban areas participated in this study. Of these, 50% were female, 74% practiced in urban areas, and 56% had over 20 years of experience. Frequently cited reasons for nonparticipation included time constraints, organizational and logistical challenges, poor resonance with material and presenters, and lack of recognition for teaching provided. Racism contributed to feelings of disconnectedness among physician faculty members.ConclusionEven after more than a decade, our research uncovered consistent reasons for nonparticipation in locally organized CPD events. New findings highlighted feelings of disconnectedness, notably stemming from racism and workplace discrimination. However, with recent societal developments brought about by the COVID-19 pandemic, can we ride these major waves of change to a new future of engagement? The pandemic led to a shift to virtual and hybrid professional development programs, presenting both benefits and challenges. Additionally, the peri-COVID anti-racism movement may positively address previously unidentified reasons for nonattendance. Harnessing these major changes could lead to a new future of engagement for continued professional development.

Reflection on action by activation workers as professional learning strategy

ABSTRACT In this article, social work theory on reflective practice is used to explore the potential value of reflection on action for professional learning by activation workers who support people receiving welfare benefits to find work. The article focuses on the role of reflection on action in professional learning concerning three challenges which activation workers face: dealing with normative dilemmas, translating formal and informal knowledge into decision-making and dealing with power relations. The article presents tentative findings stemming from qualitative research on Dutch activation workers participating in reflection on action. Participants report multiple learning outcomes concerning these challenges. The theoretical and empirical exploration suggests that reflection on action can support learning by activation workers to better deal with professional challenges inherent to their work. However, these empirical findings are preliminary and based on a specific context. Further exploration by both scholars and practitioners is therefore suggested, in which the social work profession has a lot to offer.

The evolution of human capital management and HR technologies in the digital economy

Managing human capital and HR technologies is crucial in transitioning to a digital economy. It ensures organizations can adapt to rapid technological changes, develops skills and competencies for practical work in the digital environment, and supports a culture of innovation and continuous learning. Effective human resources management enables organizations to implement innovations faster, enhance productivity, and maintain resilience in the dynamic digital landscape. The article aims to substantiate the changes occurring in human resources management approaches under the influence of digitization, identify new tools and technologies in the HR field that help improve personnel efficiency, and examine the impact of digital innovations on corporate culture, motivation, and employee development. The research aims to identify critical trends and challenges faced by HR professionals in new economic conditions and develop recommendations for adapting management strategies to the needs of the digital era, thereby ensuring the sustainable development of organizations and preserving their competitiveness. The research draws on works by domestic and international authors focused on exploring the concept of the digital economy and HR technologies in the context of the digital economy. Scientific methods such as theoretical generalization and grouping (to form the substantive content of the concepts), formalization, analysis, and synthesis (to define the components of HR technologies in the digital economy), and logical generalization of results (formulating conclusions) were employed in the research process. It is determined that the evolution of human capital management in the digital economy occurs against the backdrop of rapid technological changes that fundamentally transform approaches to work, communication, and management in organizations. The transformation of HR technologies in the development of the digital economy is justified as a vital aspect of the development of business structures seeking to adapt to modern challenges and requirements. Digitization is changing traditional approaches to personnel management, selection, training, evaluation, and motivation, introducing innovation and efficiency into all aspects of HR. However, the evolution of human capital management poses challenges for HR professionals, including the need for continuous learning, adaptation to new technologies and tools, and ensuring data protection. Further research will analyze the challenges and opportunities facing Ukrainian organizations and employees in the context of global digital changes. Studying this issue can contribute to developing strategies for adapting human capital management to the needs of the digital economy, which is crucial for ensuring the country's competitiveness internationally. Keywords: digital economy, human capital, HR technologies, human resources management, digital transformation.

Assessment of the emotional intelligence and its dimensions of medical interns

Background: Emotional intelligence (EI) is multidimensional and includes maturity, sensitivity and competency. It is the skill to identify and understand own and others’ emotions to respond appropriately. Medical interns are expected to have a high degree of EI to face their professional career challenges. During the medical professional training cognitive and clinical skills are evaluated but their EI and its dimensions are nor assessed; hence this study was planned to assess the EI and its dimensions in medical interns. Methods: Objectives were to assess the EI and its dimensions of 140 medical interns. Study design was a descriptive and cross-sectional study. Ethical approval from institutional ethics committee and informed written consent from participants was obtained; administered a questionnaire-based EI test. Data obtained was analysed by ANOVA. Results: Eighty (62.0%) participants were females and 49 (38.0%) males. The mean age of them was 23 years. The mean total EI score was 343.72. It was slightly higher (344.00) in the female interns than in males (343.27). Among the emotional dimensions majority (79.1%) of interns had significantly high (p=0.0001) percentile scores in competency. 67.4% were having significantly lower (p=0.0001) percentile scores in maturity dimension of EI. Sensitivity percentile score was high in 54.3% and low in 45.7% (p=0.7724). Conclusions: This study provides insight about the EI and its dimensions in the medical interns. The maturity and sensitivity are the weaker dimensions of EQ requiring improvement or further development.

Unveiling the Language Techniques Behind the Pragmatic Meaning of Sarcasm in American Confrontational Film Discourse

. This article delves into the concept of sarcasm in confrontational American film discourse, examining its primary functions and characteristics. Specifically, the study focuses on how sarcastic statements are used in American television series to heighten emotional engagement and aesthetic appeal. The defining features of sarcasm, namely implicitness and double meaning, are also discussed. The analysis is conducted through a case study of the modern American drama series This Is Us, which highlights the key mechanisms utilized to achieve the pragmatic effect of sarcasm, including intonation, metaphors, and repetitions. Additionally, the article examines the work of translators, their professional challenges, and the methods and techniques employed to convey the semantic content of sarcastic messages in the target language. The findings suggest that translational means such as literal translation, ellipses, and equivalent translation are effective in transferring the intended sarcasm across languages. Overall, this study provides insight into the language techniques and translational strategies involved in the implementation of sarcasm in confrontational American film discourse.

P814 Empowering IBD communities worldwide: The global impact of www.ibd-eii.com in disseminating evidence-based information and educational support

Abstract Background In recent decades, the volume of inflammatory bowel disease (IBD) research has surged, presenting a challenge for health care professionals to be updated. This is even more complicated for professionals in countries with low IBD prevalence and for registrars, fellows and other healthcare professionals. Methods IBD-EII website was launched the 8th February 2023 and serves as a comprehensive, unfunded and free platform offering up-to-date IBD evidence-based data. To highlight the impact, analyzing its first 8 months (data extracted via Google Analytics as of October 26, 2023) and using a google form questionnaire that was sent to subscribers in August 2023. Results The website encompasses over 300 trials and study summaries, along with 22 evidence-corner summaries, 102 guidelines from 12 scientific societies, 19 infographics featuring classifications and scores, 65 Cochrane meta-analyses and 13 network meta-analysis. Over the study period, there were 151,736 visits from 139 countries, with an average of 8.29 visits per user. The top-engaged countries were the United States, United Kingdom, Spain, Russia, and India (Figure 1). The site garnered 1058 subscriptions, with 10 (0.9%) individuals unsubscribing during the study period. Of the 850 invited users, 81 (9.5%) filled the questionnaire. Of them 53 (65.4%) were female. There were 49 (60.5%) healthcare professionals, 35 (43.2%) patients/family members of a patient, 4 (6%) were IBD researchers/ pharma industry workers, working for patients organization or both doctor and patient. Among healthcare professionals, 22 (44%) were IBD specialists, 14 (28%) general gastroenterologists, 4 (8%) trainees/ med school, 12 (24%) were IBD nurses/dieticians or pharmacists, 3 (6%) others. Most people have heard of the website in social media 66 (81.5%), by colleagues recommendation 8 (9.9%), congresses 7 (8.6%), or other 5 (6%). Website impact: 80 (98.8%) thought it was useful, 80 (98.8%) recommended to be subscribed. The most valuable sections were "evidence corner" 56 (69.1%) followed by guidelines 48 (59.3%) and timeline 35 (43.2%). Conclusion The data highlights the significant global impact of www.ibd-eii.com in disseminating evidence-based information to a diverse international community of healthcare professionals and patients. The website stands as a novel resource, fostering collaboration and empowerment within the global IBD community.

The Gig Is Up: Examining Side Gig Income and Allowable Deductions

ABSTRACT The expansion of the gig economy has provided opportunities and challenges for tax professionals. In this case study, a rideshare driver receives a Form 1099-K for side gig income and seeks tax advice from a friend, ultimately deciding to consult with a tax professional (the student) for income tax preparation. The friend provides a video that describes misleading information giving the students a chance to consider authoritative sources as they research appropriate reporting on an individual income tax return. The case learning objectives are: (1) distinguish between credible and noncredible sources of information; (2) evaluate expenses and income to determine the taxable nature of each item; (3) analyze data for completeness in order to compile all relevant data needed for compliance reporting; (4) apply authoritative sources to resolve tax issues; (5) prepare an accurate individual income tax return; and (6) demonstrate effective written communication skills for business documentation.

The Female Emergency Medical Services Experience: A Mixed Methods Study

Background Emergency Medical Services (EMS) is a challenging profession. Little is known if there are gender differences in the experiences among EMS clinicians. Therefore, our aim was to understand and characterize the occupational experiences of female EMS clinicians. Methods A mixed methodological study was conducted among currently licensed female EMS clinicians via focus group and self-report survey data. Three focus groups (n = 5, 4, 13, respectively) were conducted with participants purposively recruited from primarily Northeastern EMS agencies. Through ongoing collaborations, a recruitment advertisement was provided to EMS leadership at respective agencies for distribution among their female staff. Sessions were recorded and transcribed for thematic analysis. A six-phase inductive analytical approach was utilized to evaluate focus group data. Qualitative findings were utilized to inform a cross-sectional, self-report survey consisting of occupational specific experiences, such as harassment and pregnancy, and validated measures of mental wellbeing. Descriptive statistics were used to describe the study sample and female EMS clinician occupational and personal experiences. Results A total of 22 female EMS clinicians participated across the three focus group sessions. Four major themes were identified: 1) the female EMS experience; 2) impact on personal wellbeing; 3) impact on occupational wellbeing; and 4) coping mechanisms. Each theme had multiple subthemes. There were 161 participants that attempted the 72-item survey, 13 partial and 148 competed surveys. Median age was 32 years (IQR: 25-42), and the majority were EMT-Bs (55.1%). Approximately 70.0% met the criteria for probable anxiety, 53.9% probable depression and 40.9% elevated symptoms of burnout. Almost 73.0% reported workplace harassment, with most experiences being perpetrated by patients and coworkers. Over 61.0% reported reconsideration of their career in EMS. Overall, survey data indicated interactions with peers and leadership, and social support were positive. Conclusions Findings highlight the need to improve the occupational experiences of female EMS clinicians to preserve and encourage the continuation of their participation in this workforce. Specifically tailored interventions aimed at protecting and improving their overall wellbeing are critical, particularly considering the increased occupational burden resulting from the pandemic. Future research should aim to understand specific predictors of adverse mental health outcomes among this population.

The Whole Picture of Female Nurse Faculty Leaders: A Systematic Review of Qualitative Studies

Background: Gender stereotypes influence women and men who work as nurses. In education setting, the dominance of female nurses has been challenging given their respective roles in management and leadership, both professionally and personally.Objective: To explore the experience and synthesise available literature on female nurse leaders in the academic settings.Methods: Systematic review of qualitative study on any type of qualitative from academic database: ProQuest, PubMed, CINAHL, and MEDLINE was conducted. Starting from 1st January 1990 to 31 December 2021. The criteria; freely accessible, complete in terms of content, authored, published in the English language, and combination of keywords including nurse, nursing, faculty, dean, head, and director were applied. The review was reported following PRISMA format. The studies included were assessed using the Critical Appraisal Skills Program tool (CASP) 2017.Results: The screening process resulted in the selection of fourteen (14) studies from the USA, Canada, UK, and Australia that used a range of qualitative methodologies, including descriptive explorative, phenomenology, grounded theory, feminist research, case studies, and a number of data collection techniques, including open-surveys, interviews, field notes, campus observations, document analysis, and analytic memos. Thematic analyses were applied and yielded six main themes: dealing with power imbalance and gender discrimination; addressing problems related to people; disruption in fulfilling leadership roles; leadership personalities; people-oriented leadership quality; and change-oriented leadership quality.Conclusion: Female faculty leaders in nursing reported a variety of personal and professional challenges. The existing literature scarcely captured the gender-specific challenges encountered, including gender stereotyping, and struggle to balance their personal and professional life. Therefore, it is crucial that nurses provide chances for the following leaders in order to enhance nursing education, support the process of leadership regeneration, and develop the profession.

Experience in Professional Resilience for Nurses Caring for Patients with COVID-19: A Qualitative Descriptive Study

During the COVID-19 pandemic, nurses have faced many professional and ethical dilemmas and challenges along with bearing physical, mental, and emotional stress resulting from worrying about themselves or their family being infected and stigmatized. This stress can potentially lead to burnout and resignation. Professional resilience is crucial for nurses to cope with these adverse situations. This study aimed to investigate the process by which nurses adapt, change, and overcome challenges during the COVID-19 pandemic and ultimately demonstrate professional resilience. Descriptive phenomenology was applied. Semi-structured interviews were conducted with 11 nurses working in COVID-19 wards and intensive care units to collect data. Giorgi's phenomenological analysis method was employed. Based on the interview responses, four major themes were identified: 1) balancing patient care, self-protection, and passing on experience; 2) providing timely pandemic team resources and social support; 3) nurses' perseverance amid social discourse and constrained lives; and 4) selfless dedication shaping nursing's pinnacle experiences. In the face of a sudden pandemic, frontline nurses play a critical role in maintaining medical capacity. Consequently, they must balance their families, lives, and work while adapting to the impact of the pandemic and changing practices and procedures based on the development of the pandemic and policy demands. The study findings provide insights into the challenges and emotional experiences encountered by nurses during a sudden pandemic outbreak and can serve as a reference for developing strategies to help nurses overcome these challenges and enhance their professional resilience.

Modern trends in the training of library and information specialists

Global transformations necessitate a re-evaluation of training models for library and information specialists and the modernisation of educational programmes to meet new professional challenges and competencies, including entrepreneurial skills. The aim of the article is to analyse the conditions for ensuring the development of entrepreneurial competence elements among bachelor’s degree students in the specialty 029 “Information, Library and Archival Affairs” at higher education institutions in Ukraine through the lens of evolutionary transformations in higher library and information science education. The research employs a systematic approach, including analysis, synthesis, generalisation, and various analytical methods. Effective professional training in the library and information field relies on adapting educational programmes to rapidly evolving professional demands. Analysis of educational programmes at four institutions shows their potential to develop entrepreneurial skills through a variety of mandatory and elective courses, fostering competencies such as creative thinking, management, communication, and teamwork. Mastery of these skills is increasingly crucial for modern library and information professionals. It has been found that the compulsory educational components as well as the elective educational components from the catalogue of elective disciplines, selected from the educational programmes to assess the development of entrepreneurial competence in future specialists, highlight the uniqueness of each programme and reflect the educational institution’s overall approach to training bachelor’s students in this field. It is noted that the list of compulsory and elective educational components, according to a particular educational and professional programme, demonstrates a positive tendency in understanding the current needs of the industry and social requirements in general. The research results can be used to improve the content and structure of educational programmes for training specialists in the specialty 029 “Information, Library and Archival Affairs”, as well as to develop new syllabi and working programmes for educational components