Role Of Practitioner Research Articles

Respecting the role of general practitioners.

Respecting the role of general practitioners.

A Dually Certified Nurse Practitioner Role in a Housing First Location

This article sets forth the innovative model of a dually certified primary care/psychiatric mental health nurse practitioner (PC/PMHNP) and elucidates Peplau’s nursing roles (rather than her entire theory) as a foundational component of the treatment in people with complex conditions. The case example presented here describes the care of a person with substance use disorder and complex mental and physical disease processes by a PC/PMHNP in a clinic situated within a permanent supported housing community. Rooted in Peplau’s Theory of Interpersonal Relations, the PC/PMHNP is a key interdisciplinary team member in transforming needed treatment solutions for this challenging population

Patient experience during their joint replacement journey: The role of the Orthopaedic Nurse Practitioner

The benefits of the Nurse Practitioner role in acute care are known however, the patient's experience of having an Orthopaedic Nurse Practitioner involved in their joint replacement care is unknown. This study aimed to explore the experience of patients undergoing a hip or knee joint replacement who had an Orthopaedic Nurse Practitioner involved in their care. This study used a qualitative descriptive design using semi-structured interviews with eleven participants. Data were analysed using Braun and Clark's six step reflexive thematic analysis framework. Four themes emerged from the thematic analysis: 1) Information sharing and education; 2) Support throughout the journey; 3) Coordination of care, and 4) Reassurance. The role of the Orthopaedic Nurse Practitioner in supporting participants throughout their joint replacement journey provided benefits for the patient's health and recovery.

English for specific purposes in surging English-medium instruction contexts

Abstract English-medium instruction (EMI) research increasingly reports on students’ language-related challenges and a lack of academic and language support classes, collaboration between content and language teachers and overall teacher training. Our study explores EMI in Japan and China, two contexts where EMI has been referred to as emerging but is now “surging.” In these contexts, EMI is closely linked to English language proficiency goals, yet research on supporting students remains scarce. Data were collected via interviews and focus groups with students, English teachers and content teachers, who provided insights into approaches to EMI policy implementation, stakeholders’ attitudes, and the need for English for specific purposes (ESP) and English for specific academic purposes (ESAP). The results provide much needed insights for evidence-informed EMI policy implementation, curriculum development and teacher training. The study also provides insights into institutional infrastructure conducive to EMI policy, with findings revealing ESP needs of EMI students and the training needs of teaching staff. The study presented in this paper furthers the work that has been conducted in Anglophone settings on the complexity of ELT practitioner roles. The results also provide directions for future research.

Role of general practitioners in acne inversa care

Role of general practitioners in acne inversa care

Research outcomes informing the selection of public health interventions and strategies to implement them: A cross-sectional survey of Australian policy-maker and practitioner preferences

BackgroundA key role of public health policy-makers and practitioners is to ensure beneficial interventions are implemented effectively enough to yield improvements in public health. The use of evidence to guide public health decision-making to achieve this is recommended. However, few studies have examined the relative value, as reported by policy-makers and practitioners, of different broad research outcomes (that is, measures of cost, acceptability, and effectiveness). To guide the conduct of research and better inform public health policy and practice, this study aimed at describing the research outcomes that Australian policy-makers and practitioners consider important for their decision-making when selecting: (a) public health interventions; (b) strategies to support their implementation; and (c) to assess the differences in research outcome preferences between policy-makers and practitioners.MethodAn online value-weighting survey was conducted with Australian public health policy-makers and practitioners working in the field of non-communicable disease prevention. Participants were presented with a list of research outcomes and were asked to select up to five they considered most critical to their decision-making. They then allocated 100 points across these – allocating more points to outcomes perceived as more important. Outcome lists were derived from a review and consolidation of evaluation and outcome frameworks in the fields of public health knowledge translation and implementation. We used descriptive statistics to report relative preferences overall and for policy-makers and practitioners separately.ResultsOf the 186 participants; 90 primarily identified as policy-makers and 96 as public health prevention practitioners. Overall, research outcomes of effectiveness, equity, feasibility, and sustainability were identified as the four most important outcomes when considering either interventions or strategies to implement them. Scores were similar for most outcomes between policy-makers and practitioners.ConclusionFor Australian policy-makers and practitioners working in the field of non-communicable disease prevention, outcomes related to effectiveness, equity, feasibility, and sustainability appear particularly important to their decisions about the interventions they select and the strategies they employ to implement them. The findings suggest researchers should seek to meet these information needs and prioritize the inclusion of such outcomes in their research and dissemination activities. The extent to which these outcomes are critical to informing the decision of policy-makers and practitioners working in other jurisdictions or contexts warrants further investigation.

Sharing Accountability of Versatile AI Systems: The Role of Developers and Practitioners

AI systems pose both opportunities and threats in various industries. To harness these opportunities and mitigate risks, accountability is crucial. Traditionally, developers bear the responsibility for auditing and modifying algorithms. How-ever, in the evolving landscape of versatile AI, developers may lack contextual understanding across diverse fields. This paper proposes a theoretical framework that distributes accountability to developers and practitioners according to their capabilities. This framework enhances systemic com-prehension of shared roles, empowering both groups to col-laboratively avert potential adverse impacts.

The difficult discussion on the deactivation of implantable cardioverter devices at the end of life: a systematic review.

Implantable cardioverter defibrillators (ICDs) reliably prevent death due to life-threatening arrhythmias; this may become less relevant in people with more severe heart failure who are reaching the end of life (EOL). This review aimed to explore the ICD deactivation process and identify ethical issues, especially around the initiation of relevant discussions among professionals and patients. Available literature was reviewed using four electronic databases to identify issues that may deter healthcare professionals from having important deactivation discussions and to address considerations for ICD management prior to the EOL. The search resulted in the retainment of 12 studies. Three themes emerged from the data: barriers and facilitators, ethical considerations in clinical practice, and nurse's role. Lack of knowledge, which has been associated with cultural differences, has been found among the barriers, and interdisciplinary education and open communication appeared as facilitators. As clinicians' ethical considerations and fears emerged from the literature, nurses' special role has not been sufficiently supported. Complex care requires facilitation by multidisciplinary teams and education around the device's function regarding EOL issues. Establishing expert consensus statements on advance care planning might help define the distinct roles of each healthcare practitioner involved. Further research is needed in addressing the identified gaps.

Optometrist-delivered selective laser trabeculoplasty in the HES – a training protocol and early service evaluation

Over the last decade, the delivery of glaucoma care in the UK has changed dramatically, with more non-medical ophthalmic practitioners involved in the care of glaucoma patients. Optometrists and other non-medical professionals are now involved in the delivery of laser treatments in the Hospital Eye Service (HES), but there is currently no standardised national training framework for non-medical clinicians. Moorfields Eye Hospital and UCL’s Institute of Ophthalmology have developed and delivered an education and training programme for the delivery of lasers, including Selective Laser Trabeculoplasty (SLT) by non-medical ophthalmic practitioners. The training programme is based on medical education principles, is informed by previous qualitative research into the role of ophthalmic practitioners in the delivery of laser treatments and is expected to have multidisciplinary benefits for ophthalmic healthcare. Clinical audit data indicate that optometrists can deliver safe SLT treatments, adhering to local protocols.

Coming of age, part 2: the assistant practitioner role

This is the second in a series of two articles looking over the past 21 years of developing assistant practitioners (APs) at the University of Bolton. Part one looked at the history and background of the AP and the university's long-lasting involvement in developing this innovative and versatile role. This article will focus on the case studies of two individuals who have engaged with the programme at the University of Bolton and how it has helped shape—or is shaping—their careers.

Bidding for B2B or B2G tenders: toward the adoption of pricing models in practice

AbstractThis study investigates the lack of adoption of pricing models for tenders in business-to-business (B2B) and business-to-government (B2G) markets. We aim to identify the gaps between research and practice and propose a future research agenda to bridge these gaps. Our study contributes in three ways: First, we outline how our research agenda can influence the adoption of pricing models across specific practitioner roles in tendering. Second, we introduce systematic science mapping (SSM) as a novel methodology for literature reviews. SSM combines a systematic review and science mapping in a multi-stage, mixed-methods research design. We chart the evolution of 1042 research publications from 1956 to 2022 into three thematic areas. Our review of 163 gray literature publications reveals seven schools of thought on tender price modeling and the causes of theory-to-practice gaps. Finally, we introduce a new metric, the mapping factor (MAPF), as a robustness indicator for systematic literature reviews.

Awareness and Attitude of Oral Biopsy among Dental Practitioners in Riyadh City, Saudi Arabia: A Cross-Sectional Study.

The role of dental practitioners is crucial in diagnosing oral conditions or lesions. To evaluate the awareness and attitude of oral biopsy among the sample dental practitioners in Riyadh City, Saudi Arabia. A survey among 369 dental practitioners assessed their knowledge of oral biopsy using a structured questionnaire, with descriptive statistics and Chi-square tests applied. 31.7% of dental practitioners called specialists for an oral biopsy, with 41.7% citing a lack of experience or skill. Most (40.9%) did not perform biopsies, using incisional methods. Dental practitioners showed knowledge of oral lesions requiring biopsies, but lacked the necessary skills and expertise, leading to referrals to higher centers or specialists.

Stigmatization and Mental Health Impact of Chronic Pediatric Skin Disorders

Chronic skin disorders in children frequently are visible and can cause stigmatization. However, the extent of stigmatization from chronic skin disease and association with mental health needs further study. To examine the extent of stigma, dependence on disease visibility and severity, and association with mental health and quality of life (QOL) in chronic pediatric skin disease. A cross-sectional, single-visit study was conducted at 32 pediatric dermatology centers in the US and Canada from November 14, 2018, to November 17, 2021. Participants included patients aged 8 to 17 years with chronic skin disease and 1 parent. Using the Patient-Reported Outcomes Measurement Instrumentation System (PROMIS) Stigma-Skin, the extent of stigma with child-, caregiver-, and physician-assessed disease visibility (primary outcome) and severity was compared, as well as reduced QOL (assessed by Skindex-Teen), depression, anxiety, and poor peer relationships (PROMIS child and proxy tools) (secondary outcomes). The study included 1671 children (57.9% female; mean [SD] age, 13.7 [2.7] years). A total of 56.4% participants had self-reported high disease visibility and 50.5% had moderate disease severity. Stigma scores significantly differed by level of physician-assessed and child/proxy-assessed disease visibility and severity. Among children with chronic skin disorders, predominantly acne, atopic dermatitis, alopecia areata, and vitiligo, only 27.0% had T scores less than 40 (minimal or no stigma) and 43.8% had at least moderate stigma (T score ≥45) compared with children with a range of chronic diseases. Stigma scores correlated strongly with reduced QOL (Spearman ρ = 0.73), depression (ρ = 0.61), anxiety (ρ = 0.54), and poor peer relationships (ρ = -0.49). Overall, 29.4% of parents were aware of bullying of their child, which was strongly associated with stigma (Cohen d = -0.79, with children who were not bullied experiencing lower levels of stigma). Girls reported more stigma than boys (Cohen d = 0.26). Children with hyperhidrosis and hidradenitis suppurativa were most likely to have increased depression and anxiety. The findings of this study suggest that physician assessment of disease severity and visibility is insufficient to evaluate the disease impact in the patient/caregiver. Identifying stigmatization, including bullying, and tracking improvement through medical and psychosocial interventions may be a key role for practitioners.

Impact of Nurse Practitioner Role in Emergency Departments

Background Overcrowding and long wait times in the emergency department (ED) have resulted in decreased patient satisfaction and quality of care. One of the solutions proposed to address wait times is the introduction of the nurse practitioner (NP) role in the ED. We present a systematic mixed studies review protocol that aims to gather and analyze available knowledge on the impact of the NP role in the ED on patients, other healthcare providers, and organizations. Methods The review will employ a mixed studies analysis approach. Data will be gathered from peer-reviewed and grey literature in English with no time limit. All international publications on the impact of NP role implementation that meets the inclusion criteria in the ED setting will be included. Each study will be appraised for quality using the mixed methods appraisal tool and data extracted by two independent authors. In the presence of conflict, a third author will provide a resolution. Study characteristics and findings will be synthesized using descriptive analysis, meta-analysis, and a three-stage thematic analysis approach. The review results will be presented using the PRISMA checklist for systematic reviews. Conclusions The systematic review will present current evidence on the impact of NP role implementation in the ED setting. The results are anticipated to support decisions and policymakers in their quest to decrease ED wait times and improve the quality of patient care in healthcare settings. Keywords: Nursing, Nurse Practitioner, Emergency Department, Patient Care, Systematic Review

The Role of Private Practitioners in Bridging the Healthcare Gap and Achieving Universal Health Coverage in India

abstract In a mixed Healthcare System such as India, private practitioners or private sector Health care providers play a significant role in providing health care to the community. This is especially true in settings where public healthcare systems are overburdened and face challenges in providing universal and timely access to medical services. The availability of ample private healthcare options allows patients to receive the medical care they receive where individuals can select the provider that aligns with their preferences, timings and needs and enhance overall patient satisfaction. Although private practitioners have the potential to bridge healthcare gaps, there are also challenges faced by the private healthcare sector. A proper balance and cooperation between the public and private sectors are a must for achieving Universal Health Coverage (UHC). Integrating private practitioners into UHC should be tailored to each country’s context and demand. When private practitioners collaborate with public healthcare, they can collectively bridge gaps, improve general access and improve service quality.

Who Should Act? Distancing and Vulnerability in Technology Practitioners' Accounts of Ethical Responsibility

Attending to emotion can shed light on why recognizing an ethical issue and taking responsibility for it can be so demanding. To examine emotions related to taking or not taking responsibility for ethical action, we conducted a semi-structured interview study with 23 individuals working in interaction design and developing AI systems in Scandinavian countries. Through a thematic analysis of how participants attribute ethical responsibility, we identify three ethical stances, that is, discursive approaches to answering the question 'who should act': an individualised I-stance ("the responsibility is mine"), a collective we-stance ("the responsibility is ours"), and a distanced they-stance ("the responsibility is someone else's"). Further, we introduce the concepts of distancing and vulnerability to analyze the emotion work that these three ethical stances place on technology practitioners in situations of low- and high-scale technology development, where they have more or less control over the outcomes of their work. We show how the we- and they-stances let technology practitioners distance themselves from the results of their activity, while the I-stance makes them more vulnerable to emotional and material risks. By illustrating the emotional dimensions involved in recognizing ethical issues and embracing responsibility, our study contributes to the field of Ethics in Practice. We argue that emotions play a pivotal role in technology practitioners' decision-making process, influencing their choices to either take action or refrain from doing so.

The Practice and Modalities of African Traditional Medicine in Tuberculosis Treatment - A Traditional Medical Practitioners’ Perspective

Aims: This study sought to explore the role of the traditional medical practitioner (TMP) and document the modalities of tuberculosis (TB) treatment in traditional medicine (TM) in Harare, Zimbabwe. Study design: An ethnographic research survey of TMPs in Harare urban. Place and Duration of Study: Harare’s southern suburbs of Warren Park, Mufakose, Budiriro, Belvedere, Mbare (Mupedzanhamo) and Harare central business district, between April and June 2021. Methodology: Fourteen (14) experienced TB practitioners, registered with the Zimbabwe National Traditional Healers Association (ZINATHA) were recruited for the study. These included exclusive herbalists (36%), spiritualists (14%) and those who used a combination of spiritualism and herbalism (50%) in their practice. Data was collected through semi-structured in-person interviews. The practices and treatment modalities in the traditional treatment of TB were documented; and any linkages with the conventional medical system were identified. Results: Forty-six (46) plant species from 28 families were prescribed in various polyherbal combinations for a maximum of 6 months in difficult cases. TMPs were found to be relevant and knowledgeable in the treatment of TB. In addition to offering alternative or complementary treatment options to patients, TMPs were also agents of health education promotion, and collaborated to some extent with allopathic healthcare providers across the service delivery system from diagnosis to treatment of patients. Conclusion: If formalized, TMPs have the potential to make considerable contributions to TB treatment strategies and help improve treatment outcome in TB patients.

Advocating for population health: The role of public health practitioners in the age of artificial intelligence.

Over the past decade, artificial intelligence (AI) has begun to transform Canadian organizations, driven by the promise of improved efficiency, better decision-making, and enhanced client experience. While AI holds great opportunities, there are also near-term impacts on the determinants of health and population health equity that are already emerging. If adoption is unregulated, there is a substantial risk that health inequities could be exacerbated through intended or unintended biases embedded in AI systems. New economic opportunities could be disproportionately leveraged by already privileged workers and owners of AI systems, reinforcing prevailing power dynamics. AI could also detrimentally affect population well-being by replacing human interactions rather than fostering social connectedness. Furthermore, AI-powered health misinformation could undermine effective public health communication. To respond to these challenges, public health must assess and report on the health equity impacts of AI, inform implementation to reduce health inequities, and facilitate intersectoral partnerships to foster development of policies and regulatory frameworks to mitigate risks. This commentary highlights AI's near-term risks for population health to inform a public health response.

Digital Media and Islamic Jurisprudence: Exploring Legal Adaptations and Challenges

This study examines the profound impact of digital media within Islamic societies across diverse domains such as culture, economics, healthcare, environment, gender dynamics, and political participation. Through extensive literature review and empirical evidence, it reveals how digital media has revolutionized cultural preservation, economic development, healthcare delivery, environmental sustainability, gender empowerment, and political engagement within these societies. By understanding the multifaceted role of digital media, policymakers, researchers, and practitioners can effectively harness its potential to foster inclusive development and drive positive societal change in Islamic contexts.

Exploring the professional role identities of English for academic purposes practitioners: a qualitative study

Abstract While English for Academic Purposes (EAP) has developed theoretically and empirically over the past decades, there are few documented studies on EAP practitioners’ identities. Our study examined 12 Iranian EAP practitioners’ role identities (as one type of identity) in light of the conceptualization of English for specific purposes (ESP) practitioner roles. Adopting a qualitative approach, the study revealed the role of various contextual factors shaping the practitioners’ role identities as being EAP practitioner agents of transformative education, being a course designer and the quest for needs analysis, being a materials provider and managing the oscillations, being a collaborator and the lack of collegiate connection, being a researcher and dispositional variations, and finally being an evaluator and dynamic assessors. The study provides implications regarding how policy and planning shape practitioners’ role identities and suggests future lines of inquiry to build the associated scholarship.