Recommendations For Staff Research Articles

MOBILE HEALTH AND RESOURCE FAIRS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH OF LOW-INCOME OLDER ADULTS

Abstract Mobile Health and Resource Fairs (MHRFs) were designed to provide resources, education, and social engagement to low-income communities through reducing traditional barriers and constraints for older adults. We (1) explored effective marketing approaches and rationale for resident attendance; (2) examined satisfaction and expectations of the MHRFs, and (3) examined the likelihood for attending future events. MHRF events comprised 2 sites in Greenville, SC. Ninety-four participants (ages 50-90+) registered (site 1=77%; site 2=23%). Participants were asked to complete survey items on how they learned of the event and their reason for attending (aim 1). At the end of the MHRF, participants reported on event expectations and satisfaction (aim 2) using a Likert scale ranging from 0 (not all) to 10 (very much), and the likelihood of attending future events (aim 3) using a single Likert-Scale question ranging from 0 (very unlikely) to 4 (very likely). Attendees were predominately female (64%), Black/African American (73%), with a high school education (55%). Effective marketing approaches (aim 1) were event flyers (62%), other (14%; e.g., MHRF-specific staff/activities or housing activities/advertisements), walking by the event (11%), family/friends recommendations (9%), and housing staff recommendations (5.3%). Attendance rationale included obtaining healthy-aging information (49%), social engagement (28%), access to necessities (19.1%); and volunteerism (16%). Participants reported high expectations (M=9.72) and satisfaction (M=9.58) with the MHRF. Participants reported they were “somewhat-very likely” to attend future events (83%, aim 3). These findings affirm MHRFs can successfully provide critical health/social service resources, while simultaneously engaging older adults from underserved lower-income communities.

Behind the Frontlines: Insights for Supporting Mental Health and Staff Retention in the Long-Term Care Workforce.

Background/Objectives: Canada's long-term care (LTC) sector is struggling with a significant staffing crisis related to shortages, high-turnover rate, and challenging working conditions. The COVID-19 pandemic exacerbated these issues and emphasized the need for improved mental health support for LTC staff. Understanding and addressing the wellbeing of staff is important for ensuring quality of care and promoting a positive work environment for a healthy workforce. This study explored staff experiences in Canadian LTC homes during the COVID-19 pandemic and offers staff-driven recommendations to support staff mental health and retention moving forward. Methods: We applied the Collaborative Action Research (CAR) methodology to explore practical strategies with LTC staff to inform actions for change. Sixteen staff members working in two large urban Canadian LTC homes were interviewed using remote videoconferencing and phone calls to conduct one-on-one interviews. Thematic analysis was performed. Results: Our analysis identified four themes: depletion, lack of support, providing resources and sense of community. The SUPPORT framework was created based on staff recommendations to improve LTC staff mental health and retention. Conclusions: Urgent attention is needed to support the LTC workforce through practice change and improved policy. The implementation of comprehensive frameworks such as SUPPORT can play a pivotal role in fostering staff resilience, enhancing job satisfaction, and promoting a healthy workforce for aged care.

Gender identity and pronouns among trans and nonbinary students entering college

Surveys indicate that a growing number of young people in the United States identify as trans and especially as nonbinary. Further, there is evidence that an increasing number of young adults use nongendered or nonbinary pronouns for themselves (e.g. ‘they/them’). However, research to date has not captured the full range of ways that young adults label their gender identities, the specific pronouns they go by, and the intersections between their gender identities and pronoun choices. This study examines the gender identities and pronouns of the more than 2.4 million students who applied to college in Fall 2022 or Fall 2023 using the Common Application, the admissions platform utilized by more than 1,000 U.S. colleges and universities. We consider how students identified their gender in general and by legal sex, race, and citizenship status, and what pronouns they used by these same demographic factors. Our research finds major differences in students’ gender identities and pronoun use by legal sex and citizenship status and fewer significant differences by race. We conclude by making recommendations for college administrators, faculty, and staff on how they can better understand gender diversity and support trans and nonbinary students.

Chinese Medical Association guideline for clinical diagnosis and treatment of lung cancer (2024 edition)

To further standardize lung cancer prevention and treatment measures in China, enhance the quality of diagnosis and treatment, improve patient prognosis, and provide evidence-based medical guidance for clinicians at all levels, the Chinese Medical Association convened experts from respiratory medicine, oncology, thoracic surgery, radiotherapy, imaging, and pathology to develop the Chinese Medical Association's Clinical Diagnosis and Treatment Guidelines for Lung Cancer (2024 edition). This consensus resulted in several updates from the 2023 version. The 2024 guidelines highlight that the risk of lung cancer in smokers remains higher than that of non-smokers even 15 years after quitting. Additionally, a new lung cancer incidence risk model is expected to become a critical tool for screening high-risk groups. In pathology, the guidelines now include pathological evaluation of surgically resected lung cancer specimens following neoadjuvant therapy and suggest that immunohistochemical staining of certain transcription factors may aid in the classification of small cell lung cancer (SCLC). In molecular detection, the guidelines propose simultaneous detection of driver gene variations based on both RNA and DNA from specimens. The new edition also provides detailed descriptions of patient selection and surgical requirements for thoracic sub-lobectomy, aligned with the 9th TNM staging. Moreover, the guidelines expand treatment options, approving more therapies for immunoadjuvant and EGFR-TKI resistant lung cancer patients, as well as additional drug options for advanced non-small cell lung cancer (NSCLC) patients with EGFR mutations, EGFR 20 insertions, ALK fusions, and MET exon 14 skipping. These recommendations are based on state-approved drug applications, international guidelines, and current clinical practices in China, integrating the latest evidence-based medical research in screening, diagnosis, pathology, genetic testing, immune molecular marker detection, treatment methods, and follow-up care. The goal is to provide comprehensive and reasonable recommendations for clinicians, imaging specialists, laboratory technicians, rehabilitation professionals, and other medical staff at all levels.

The Practice of Distance Technology Application in the Training Future Maritime Specialists

In the article, the authors describe the features of the implementation of distance learning under current conditions in Ukraine for future specialists in the maritime industry. The authors analyze the benefits associated with the implementation of distance learning methods in the maritime industry, and also recommend the use of various innovative technologies, such as virtual reality, video conferencing models and online courses, which can improve the quality of education and training of future professionals. The scientific research analysis in the context of the specified problem has been carried out, and the trend of developing distance education as an element of sustainable development of maritime education has changed. The relevance of this article lies in the increasing need to modernize the educational process in the maritime transport, and the usage of remote technologies is becoming more and more widespread, especially in the current conditions in Ukraine: the war started by the Russian Federation in February 2022, the rapid development of the Internet and the communication technology. The maritime industry requires highly qualified professionals who have in-depth knowledge and skills in various aspects of this industry. The authors also note that lecturers' digital skills are the key ones in the success of distance learning for future maritime professionals, as they help to ensure quality teaching and effective communication between teachers and students, regardless of physical distance. The advent of distance technology allows providing educational applicants with wider access to educational materials, communication with experts and opportunity to acquire knowledge in real time. In the article, the authors give recommendations for lecturers, pedagogues, scientific and pedagogical staff, that can be useful in the process of distance learning.

Chinese Medical Association guideline for clinical diagnosis and treatment of lung cancer (2024 edition)

To further standardize lung cancer prevention and treatment measures in China, enhance the quality of diagnosis and treatment, improve patient prognosis, and provide evidence-based medical guidance for clinicians at all levels, the Chinese Medical Association convened experts from respiratory medicine, oncology, thoracic surgery, radiotherapy, imaging, and pathology to develop the Chinese Medical Association guideline for clinical diagnosis and treatment of lung cancer (2024 edition). This consensus resulted in several updates from the 2023 edition. The 2024 guidelines highlight that the risk of lung cancer in smokers remains higher than that of non-smokers even 15 years after quitting. Additionally, a new lung cancer incidence risk model is expected to become a critical tool for screening high-risk groups. In pathology, the guidelines now include pathological evaluation of surgically resected lung cancer specimens following neoadjuvant therapy and suggest that immunohistochemical staining of certain transcription factors may aid in the classification of small cell lung cancer (SCLC). In molecular detection, the guidelines propose simultaneous detection of driver gene variations based on both RNA and DNA from specimens. The new edition also provides detailed descriptions of patient selection and surgical requirements for thoracic sub-lobectomy, aligned with the 9th TNM staging. Moreover, the guidelines expand treatment options, approving more therapies for immunoadjuvant and EGFR-TKI resistant lung cancer patients, as well as additional drug options for advanced non-small cell lung cancer (NSCLC) patients with EGFR mutations, EGFR 20 insertions, ALK fusions, and MET exon 14 skipping. These recommendations are based on state-approved drug applications, international guidelines, and current clinical practices in China, integrating the latest evidence-based medical research in screening, diagnosis, pathology, genetic testing, immune molecular marker detection, treatment methods, and follow-up care. The goal is to provide comprehensive and reasonable recommendations for clinicians, imaging specialists, laboratory technicians, rehabilitation professionals, and other medical staff at all levels.

Investigation on low-iodine diet implementation by medical staff before radioactive iodine treatment for differentiated thyroid carcinoma.

To explore the implementation of low-iodine diets by medical staff caring for patients with differentiated thyroid carcinoma prior to 131I therapy across 58 hospitals, and offer valuable insights for the development of guidelines on low-iodine diets. Convenience sampling was utilized to conduct a survey among 163 medical staff members working in nuclear medicine departments across 58 tertiary hospitals using a self-designed questionnaire. Concerning the duration of the low-iodine diet prior to treatment, the medical staff's recommendations were as follows: 58.28% suggested 2-4weeks, 31.29% recommended more than 4weeks, 9.2% opted for 7-13days, and 1.23% favored less than 1week. Regarding the timing of resuming a normal diet, the respondents' recommendations ranged from immediately after treatment (1.84%) to 3months post-treatment (8.58%), with intermediate recommendations of 2h (8.58%), 24-48h (14.11%), post-discharge (12.26%), and 1month (42.94%). Furthermore, the surveyed medical staff unanimously recommended abstaining from seafood, with 90.8% also advising against the consumption of iodized salt, 91.41% recommending avoidance of iodine-containing medications, and 71.17% advising caution with moderately high-iodine foods. Notably, 75.46% of the medical staff evaluated patient compliance with the low-iodine diet. When patients failed to adhere to the diet preparation, 33.74% of healthcare workers chose to proceed with treatment. In terms of guidance sources, 96.93% of respondents relied on relevant guidelines, 66.26% referred to the literature, and 49.69% drew upon their clinical experience. During hospitalization, 58.28% of the medical staff continued to guide patients on the low-iodine diet, while only 8.59% provided such guidance after discharge. Notably, only 20.25% of the staff considered consulting the nutrition department. This study underscored substantial variations in the duration and selection criteria for low-iodine diets, which were linked to a scarcity of standardized evaluations. Consequently, there is an urgent need for further research to establish detailed, practical, accessible, comprehensive, and dependable implementation programs for low-iodine diets.

The STEP-ONE program (Supportive Training and Essential Preparation for Optimal Nursing Education) - what have we done and what will we do in the STEP-TWO edition?

Abstract Introduction The STEP-ONE program was a significant initiative designed to enhance the skills and knowledge of nurses specializing in heart failure care in Central and Eastern Europe, and the Baltic countries (CEE-BA). Purpose Its importance lies in addressing the crucial role of nurses in heart failure management, an area often overlooked in these regions. By training nurses to provide optimal, integrated care, the program aims to improve patient outcomes and reduce hospitalizations. The number of nurses who participated in the program is not specified, but its impact is likely substantial in advancing heart failure care. Continuing the program as the STEP-TWO edition is planned to be updated of nurses and patients materials according to ESC HF 2023 guidelines6, taking into account the profile of the patient with HFrEF, HFmREF, HFimEF, HFpEF and taking into account the implementation of pilot projects: (1a) Assessment of HFpEF risk7 and recommendations for medical staff regarding further diagnostics; (1b) Analysis of recommended therapies according to guidelines; (2) Pilot training Program center Poland centers- CEE-BA; (3) Pilot research programs - 1a and 1/b in 2-3 centers (fig.1). All of the activities undertaken in the program are intended to improve care for heart failure patients and can be seen as a model solution for providing qualified personnel in the European countries. Conclusions The STEP ONE educational program was developed with the participation of the medical community, especially nurses caring for HF patients. Educational materials for nurses and patients, as well as an educational program, were prepared and implemented in Poland and the region of CEE-BA. During the second phase, an updated materials with the 2023 guidelines on HF will be prepared. A pilot study will evaluate the impact of educating HF nurses on patient risk assessment of HFPEF and on identifying patients who do not have optimal therapy according to GDMT. Optimization of the HF patient pathway at the pilotage centers of the program and collaboration between HF nurses and cardiologists will be sought. Moreover, the STEP-TWO program will include preparing educational materials focused and dedicated not only on patients but also on caregivers.

“I’m not guarding the dungeon”: faculty members’ perspectives on contract cheating in the UAE

Students are increasingly relying on contract cheating (CC), a phenomenon in which a third party completes the assignment, quiz, or homework for students in exchange for a fee. Using an exploratory qualitative method and underpinned by critical theory and social responsibility theory, this study explored the perceptions of faculty members regarding CC in the United Arab Emirates’ (UAE’s) higher education institutions. In particular, this study addressed how faculty members perceive and deal with CC in contexts where policies towards the practice are absent from higher institution honour codes. Using thematic analysis, the results showed that CC arouses the indignation of faculty and staff to the violation of individual and religious rights. Also, they believe they have a sense of responsibility towards students and the community. The results also showed that faculty members’ hesitation in reporting CC incidents was due to their perceived lack of support from higher administration institutions and the lack of clear procedures in ethical manuals. This paper concludes with practical recommendations for faculty and staff, managers, department heads and decision makers to mitigate this phenomenon proactively.

Personal branding strategies in online hashtag communities: the case of #AcademicTwitter

Several studies have explored the uses and benefits of social media hashtag communities in higher education… Yet, more research is needed to examine communication structures and strategies for personal branding in educational social media hashtag communities. In otherwords, to understand the dynamics, characteristics, and strategies for faculty, university staff, and graduate students need to brand themselves professionally in social media hashtag communities. This research aims to explore social network structures, dynamics, influencer characteristics, and personal branding strategies of the #AcademicTwitter online community. X (formerly known as Twitter) data on #AcademicTwitter from 2021 were retrieved and analysed using social network and quantitative content analysis. Our study found that most of the recurrent users in the community were scholars (faculty and researchers) predominantly from the STEM field. However, the most influential users were media/fan pages (a profile account created for different purposes such as sharing tips in academia, publishers, etc.) and other professionals (freelancers or university staff). Our research sheds light on the current practice of disclosing specific teaching and research interests or expertise in social media bio profiles for personal branding, especially among scholars. Unique communication contexts such as social media hashtag communities still bring challenges to the dissemination of information, relationship building, and personal branding strategies. Our results also provide recommendations for scholars (faculty and researchers), graduate students, university staff, and practitioners to improve communication practices and personal branding strategies on social media hashtag communities.

Exploring child welfare worker wellbeing, organizational social context, and staff recommendations for change: a mixed method case study

ABSTRACT Unpacking evidence-based practice in social work education: a scoping review Child welfare workers are the link between families and the system and are tasked with assessing and mitigating child maltreatment. While US-based research suggests that organizations are prime for child welfare workers to experience poor overall wellbeing, there is a dearth of research in Canada. This mixed method case study explored workers’ levels of burnout, secondary trauma, and compassion satisfaction, and the organizational social context. Qualitative recommendations to promote wellbeing include, Help us help families, Listen to me and appreciate me, Give us time to breathe, Give me my independence, We want to connect, and We are fighting the system.

An attempt to cheat using GPT-4: findings, discussion and recommendations for academic staff and students

This manuscript explores the use and detection of ChatGPT artificial intelligence (AI) content, in the academic setting. The study involves faculty and student partnership at a Higher Education Provider (HEP), examining the implications of the chatbot's use in academic writing and its potential impact on educational practice.
 We employ a dialogical approach in this Scholarship of Teaching and Learning (SoTL) study, mirroring the ChatGPT conversational style. A former student uses ChatGPT-4 to rewrite an essay, and the generated content is evaluated by free-to-use AI checking tools, Turnitin, and the module tutor.
 Our findings illustrate that while ChatGPT-4 could generate a passable assignment, it lacks depth, criticality, and contextualisation. Further, AI checking tools, while useful, exhibit limitations. However, the generated content could serve as a starting point for students, suggesting a possible shift in the educational paradigm with AI's integration.
 The manuscript also underscores the importance of understanding and navigating AI responsibly, calling for clear guidelines for AI use and improved methods of detecting AI generated content. While AI has emerged as an efficient tool for generating academic content, our study highlights the necessity of human-centric learning and critical thinking skills in academia, emphasising that AI should not replace personal research. We also discuss potential changes to assessment methods in response to AI advancements, recommending strategies for both academic staff and students.
 Our findings have implications for educational institutions worldwide as AI tools become increasingly accessible, raising questions about academic integrity, pedagogical strategies, and the evolving relationship between technology and education.

Factors associated with HPV vaccine hesitancy among college students: A cross-sectional survey based on 3Cs and structural equation model in China

ABSTRACT Despite the high effectiveness of HPV vaccines in preventing infection, vaccine hesitancy remains a concern, particularly in China. This study aimed to explore college students’ attitudes toward HPV vaccination and identify associated factors. Data was collected through a cross-sectional survey using self-administered questionnaires in four cities from May to June 2022. Chi-square tests and logistic regression analyses were conducted to identify factors. Additionally, an integrated structural equation model (SEM) based on the 3Cs (confidence, convenience, complacency) was developed to understand underlying factors contributing to hesitancy. The results from 2261 valid questionnaires were enlightening. A significant 89.47% (59.4% for females) considered HPV vaccination necessary, with 9.82% remaining neutral and only 0.71% deeming it unnecessary. Factors like higher education, being a medical student, residing in urban areas, having medical insurance, more extraordinary living expenses, a family history of tumors, and a solid understanding of HPV played a role in perceiving the vaccine as necessary. Among the 1438 female respondents, 84.36% had no hesitancy toward HPV vaccination, 13.53% expressed hesitancy, and 2.11% refused vaccination. Factors like age, understanding of HPV, medical staff recommendations, living expenses, and family history influenced hesitancy levels. SEM revealed that the 3Cs significantly affected vaccine hesitancy. Factors like price, booking process, vaccination times, trust in vaccines, medical staff recommendations, efficiency, and risk perception collectively influenced hesitancy. In conclusion, this study found high acceptance of HPV vaccination but acknowledged the complexity of hesitancy factors. It recommends medical staff disseminate scientific knowledge, offer recommendations, simplify booking procedures, and expand vaccination sites to address vaccine hesitancy effectively.

Virtual Cancer Care Beyond the COVID-19 Pandemic: Patient and Staff Perspectives and Recommendations.

COVID-19 catalyzed rapid implementation of virtual cancer care (VC); however, work is needed to inform long-term adoption. We evaluated patient and staff experiences with VC at a large urban, tertiary cancer center to inform recommendations for postpandemic sustainment. All physicians who had provided VC during the pandemic and all patients who had a valid e-mail address on file and at least one visit to the Princess Margaret Cancer Centre in Toronto, Canada, in the preceding year were invited to complete a survey. Interviews and focus groups with patients and staff across the cancer center were analyzed using qualitative descriptive analysis and triangulated with survey findings. Response rates for patients and physicians were 15% (2,343 of 15,169) and 41% (100 of 246), respectively. A greater proportion of patients than physicians were satisfied with VC (80.1 v 53.4%; P < .01). In addition, fewer patients than physicians felt that virtual visits were worse than those conducted in person (28.0 v 43.4%; P < .01) and that telephone and video visits negatively affected the human interaction that they valued (59.8% v 82.0%; P < .01). Major barriers to VC for patients were respect for care preferences and personal boundaries, accessibility, and equitable access. For staff, major barriers included a lack of role clarity, dedicated resources (space and technology), integration of nursing and allied health, support (administrative, clinical, and technical), and guidance on appropriateness of use. Patient and staff perceptions and barriers to virtual care are different. Moving forward, we need to pay attention to both staff and patient experiences with virtual care since this will have major implications for long-term adoption into clinical practice.

Pharmacy Staff's Recommendations for Self-Medication Requests on Non-Infectious Productive Cough: A Study in Padang City, Indonesia

Cough is a physiological reflex to liberate the airway from mucus or foreign objects. Many cough medicines in pharmacies require special expertise to select the proper medication according to the patient's condition. This research aims to evaluation recommendations of drugs for non-productive cough for self-medication from pharmacy staff in Kuranji subdistrict, Padang City. A cross-sectional study with total sampling techniques is used for collecting data. This research uses a structured interview technique with the main question, what medicine would pharmacy staff recommend if an adult patient comes with a productive cough without any symptoms of infection? There are 30 pharmacies in Kuranji subdistrict, but data that meets the inclusion criteria is only from 25 pharmacies because five pharmacies are not willing to be research sites. Those who were willing to take part in this research were 16 pharmacists and nine non-pharmacist staff. Only 37.5% (6 of 16) of correct drug recommendations were given by pharmacists, and 33.3% (3 of 9) of proper drug recommendations were provided by non-pharmacist staff. There are still many things that could be improved in drug recommendations for this case, with a total average of correct administration of only 36%. The proper drug choices were Bromhexin and Acetylcysteine, while other drugs that were incorrectly chosen were drugs that should have been given with a doctor's prescription, branded drugs with more than one active ingredient , herbs or not the drug of choice for now.There are still many mistakes in the medicine choice, with an average total of only 36% accurate recommendations.

School of social welfare transgender justice group: student-led advocacy to promote justice and equity for gender diverse college students

Transgender and gender diverse (TGD) social work students experience microaggressions on campuses, curricula that are often cissexist and stigmatizing, and a lack of inclusive facilities, like gender-neutral bathrooms. The Transgender Justice Group (TJG) was founded by students at a School of Social Welfare (SSW) to respond to these and other pressing issues on the campus of a public university in the Midwestern U.S. This report aims to describe the formation process and activities of the TJG and provide recommendations for students, staff, and faculty who are interested in creating similar groups at other universities. Students and supporting faculty used a nonhierarchical approach to define, strategize, and implement advocacy goals, including creating more trans-affirming classrooms and increasing positive and proactive administrative responses to recent harmful anti-trans laws. Strategies for achieving these goals included engagement with a private, student-only online group chat, the production of regular informational webinars, and student-led meetings with school administrators to formally address state political actions negatively affecting TGD and queer people. Our group benefited from a dual focus on student support and advocacy. Through the TJG’s ongoing work, students learned to collaborate more effectively, a skill that is crucial for their careers in the social work profession.

Hepatitis A outbreak in a refugee shelter in Kiel, northern Germany.

In the spring of 2023, three Ukrainian war refugees from a municipal community shelter and a volunteer caregiver at an affiliated daycare center in Kiel, Germany, were diagnosed with infectious jaundice attributable to a single hepatitis A virus (HAV) subgenotype IA strain. Similar HAV sequences have been observed in Germany and other European countries for several years. One refugee and the volunteer required hospitalization. Four children were asymptomatically infected but excreted high levels of HAV ribonucleic acid in the stool. The infections were probably acquired in Germany, but a source could not be determined. The outbreak was contained through vaccination, increased hygiene, and education. The existing HAV vaccination recommendation for refugee shelter staff and volunteers should be consistently implemented.

Canadian Long-Term Residential Care Staff Recommendations for Pandemic Preparedness and Workforce Mental Health

Canadian Long-Term Residential Care Staff Recommendations for Pandemic Preparedness and Workforce Mental Health

My brother’s keeper: two Black men navigating the tenure-track experience

ABSTRACT This study explores the tenure-track experiences of two junior faculty Black men in higher education, while growing still remains vastly unexplored in higher education. Using an autoethnography approach with a critical race theory lens, the authors explore how race and institutional expectations shape their experiences along the primary components of the tenure process: research, teaching and service. While one author is beginning their tenure journey while the other is ending, findings highlight commonalities along teaching and service experiences are being mediated by their identities as Black men. Their research experiences are distinct from one another given the different research expectations of their respective institutions. The authors suggest recommendations for faculty, staff, and institutional leadership to support Black men who seek tenure and promotion in higher education.

A dog called Chaos: what’s the use of in-house psychodynamic consultation to think about the unhoused mind?

The article aims to apply psychodynamic thinking in the context of psychological consultation to hostel staff, who were offering support to people experiencing homelessness in a residential hostel setting. The article focusses on how Rey’s claustro-agora-phobic dilemma was used to help staff to think about one resident and their dog, whose escalation in behaviour threatened the safety of everyone in the hostel. The article concludes with a reflection on the challenges and opportunities of offering psychological consultation in this sector, with some recommendations for commissioners and staff.