Additional Skills Research Articles

“It’s so complicated”: a qualitative study of interpreters’ experiences working with speech pathologists to support the provision of aphasia rehabilitation

Purpose International migration and global ageing have resulted in burgeoning cultural and linguistic diversity in aphasia caseloads worldwide. Increasingly, speech pathologists do not share a language with their clients, yet there is a lack of evidence to guide the provision of aphasia rehabilitation when an interpreter is required. There is no available research exploring the perspectives of interpreters who work with speech pathologists in aphasia therapy sessions. Methods Semi-structured interviews were conducted with eight certified interpreters, exploring their experiences of working with speech pathologists delivering therapy to people with aphasia. The data were analysed using Interpretative Phenomenological Analysis. Results Data analysis revealed eleven Group Experiential Themes. These were further clustered into three top-level categories: (i) interpreting for aphasia involves non-standard practices for interpreters; (ii) collaboration between the speech pathologist and interpreter is crucial for understanding critical aspects of aphasia therapy and interpreting; and (iii) additional knowledge and skills are required to manage interpreting for aphasia. Conclusions This study offers new insights into the challenges interpreters face working with speech pathologists to support the provision of aphasia therapy. The findings emphasise the need for broader systemic changes to ensure health services offer culturally responsive and equitable aphasia rehabilitation to diverse caseloads.

Systematic review of the most relevant competencies for projects managers in the construction industry

Construction organisations are now focusing on ensuring that project managers acquire the core competencies they require to be successful in their assignments. An organisation can maximise its probabilities of consistent project success by recruiting, developing, nurturing and retaining skilled project managers. Working closely with a range of other professionals, project managers organise, plan, schedule and control work and are responsible for ensuring that the project is completed within established time and cost constraints. To manage the project professionally and successfully, a project manager must possess the necessary skills and knowledge. An extensive evaluation on the essential and relevant skills of project managers was carried out in order to analyse the most important skills. The past few decades have produced a number of investigations into the correlation between project managers’ competencies and project success. As a result, competencies lists have become too extensive, and the field is in constantchange; therefore, this study updates the discussion and downsizes the number of competencies to fewer, more relevant items. Communication capabilities are a necessity for a project manager to be as effective as possible. The ability to lead the team, solve problems and handle conflicts, while being result-oriented and team-oriented, are a must for project managers. To achieve project goals, a project manager needs a range of additional skills, including organisation, emotional intelligence, technical expertise and interpersonal relationship skills.

Strategi Komunikasi dalam Mengatasi Keluhan Pelanggan: Studi Kasus PT. Namto Kraf Indo

This research aims to analyze communication strategies in dealing with customer complaints at a company called PT. Namto Kraf Indo. Handling complaints is a crucial part of the business world that can have a big impact if not resolved quickly. Therefore, an effective communication strategy is needed so that complaints can be resolved immediately. This research uses a qualitative approach with a case study method. Data collected through observation, in-depth interviews and documentation of workers, managers and other related divisions. Data analysis was carried out using descriptive qualitative analysis techniques to identify forms of communication strategies carried out by the company and to look for factors inhibiting the communication process in the company. The results of the research show that the communication strategy used by the Namto company is not completely good, it needs to continue to be developed by improving the quality of the workforce so that it is better able to compete with other companies and it needs to hold gradual job training for employees so that they are able to have additional skills to support better service capacity. good for the company. Researchers suggest the need for a more intense evaluation, this is useful so that companies know where the capacity of their workers is and how to improve it to help the company compete with other companies in terms of service and quality of its workforce.

First experiences with the introduction of genetic counselors in human genetic services in the German-speaking countries.

In 2019, the Medical University of Innsbruck introduced the first Genetic and Genomic Counseling master's program in the German-speaking countries. A major challenge of this process was the absence of practicing Genetic Counselors (GC) in these countries, leading to a lack of experience with GCs in medical genetic services and the absence of a legal framework for the profession. Consequently, student placements within the program commenced with neither the students nor their supervising consultants having any previous experience of collaborative teamwork between clinical geneticists and GCs. To share insights from the initial implementation phase, supervising consultants from the seven student placement institutes were invited to participate in semi-structured interviews guided by open-ended questions. From these interviews, three models of interprofessional teamwork between GCs and clinical geneticists emerged: (1) the alternating or tandem model, (2) qualified preliminary and follow-up patient interviews, and (3) the provision of genetic (counseling) services without genetic counseling in the legal sense. In addition, the interviewees provided recommendations for addressing legal concerns and for the effective establishment of appropriate compensation structures for GCs within the German-speaking countries. Clinical geneticists taking part in the study estimated that the integration of GCs could potentially enhance their counseling capacity by as much as 50%. Importantly, they did not foresee any reduction in counseling quality caused by the inclusion of GCs. This study provides evidence that the GC profession can provide additional skills to human genetic services and positively impact both patient support and overall capacity of genetic services also in the German-speaking countries.

Perceptions of undertaking a higher degree alongside dental specialty training: A cross-sectional survey of UK dental specialty trainees.

The curricula for UK dental specialty training have recently been under review and until 2024, completion of a research component during training in Dental Public Health, Oral Microbiology and Orthodontics has been mandatory (with an alternative route for Orthodontics involving the submission of two scientific papers for those trainees not wishing to undertake a higher degree). Anecdotally, some trainees in other dental specialties choose to undertake higher degrees alongside specialty training. The aims were to investigate how many dental specialty registrars study for higher degrees alongside specialty training, and whether undertaking a higher degree alongside specialty training has an impact on completion of training, research skills, research experience, patient care and career opportunities. This was a cross-sectional study design, involving the distribution of an online, anonymous questionnaire-based survey to UK dental specialty registrars in November and December 2022. In total, 38 questionnaires were completed, representing a 7.7% response rate of the entire dental specialty registrar cohort in the UK and 42% of those who received it. Most respondents (76.3%) were either studying or had completed a clinically relevant higher degree prior to specialty training. Most respondents (76.3%) reported that the higher degree increased career opportunities and gave them additional skills. Dental specialty trainees who responded to this survey perceived the higher degree to be beneficial in terms of preparing for exams, gaining skills in critical appraisal and for increasing future career opportunities.

Long-term efficacy of concomitant surgical ablation for atrial fibrillation with cardiac surgery

Abstract Background Concomitant surgical ablation (SA) is recommended at the time of cardiac surgery in patients with atrial fibrillation (AF) but it is only performed in the minority due to perceived barriers such as increased risk, longer procedure duration and additional technical skills required [1,2]. Furthermore, long-term outcome reporting is limited to only a few high-volume centres. Purpose We sought to report on our centre’s 11-year experience with cardiac surgery and concomitant SA. Methods This was a retrospective observational study on 625 patients with AF who underwent SA in addition to other cardiac surgery at our centre between April 2011 and March 2022. Patients undergoing standalone SA were excluded. Complications were recorded up to 30 days post-procedure. Freedom from atrial tachyarrhythmias (ATA) was determined by electrocardiography, Holter monitoring and pacemaker interrogation at various time points, if available, with or without additional therapies for AF. Results Mean age was 69 +/- 9.9 years and the median duration of AF was 1.2 years (interquartile range 0.4-3.8), persistent in 79% of patients. The median left atrial volume index (LAVI) was 55 ml/m2 (interquartile range 43-71). Concomitant surgery included coronary artery bypass grafting (26%), mitral (68%), aortic (27%), tricuspid (21%) and/or other (5%). Biatrial Cox-Maze IV was performed in 51% of patients and the left atrial appendage was occluded in 74%. Major complications included 30-day mortality (3%), stroke (3%) and pacemaker implantation (4%). Freedom from ATAs was 80% (312/391), 64% (154/240), 53% (76/144) and 44% (33/75) at 1, 3, 5 and 7 years, respectively (Figure 1). Cox regression demonstrated diabetes mellitus, AF duration, persistent AF and LAVI as predictors of 7-year ATA recurrence. Conclusion Concomitant SA for AF has good early and acceptable longer-term rhythm outcomes with no significantly increased complication rate, which should encourage greater uptake of the procedure.

4.L. Skills building seminar: Skills building seminar: Enhancing your elevator pitch: persuading a policymaker in seconds

Abstract Numerous public health researchers aim to influence evidence-based policymaking with their scientific discoveries. However, bridging the gap between research and policy remains a significant challenge. While researchers excel in data analysis and publishing, effectively communicating with policymakers requires additional skills. One crucial skill is the ability to succinctly present research findings, such as in an elevator pitch. In this seminar, top-scoring abstract presenters will have the opportunity to convey their work in just 60 seconds to a panel of policymakers and politicians. Through a hands-on approach, both presenters and attendees will learn, as each pitch receives immediate feedback from the panel. Are they interested? Do they remember the key message? And if all goes well, do you get an invitation to come back and present more of your work? Since several years the European Public Health Association (EUPHA) has been organising skills-building seminars on the elevator pitch. Building forward on those previous five successful and well-attended workshops, the current workshop will follow up on this series and take forward where the previous editions ended. Lessons learned at the previous elevator pitch workshops: - Have a clear ask (keep it simple) and show enthusiasm. - Appeal to the policymaker’s own interests and priorities. - Spell out how action will be beneficial for the policymaker. - Be aware of upcoming elections. - Build a relationship with the assistants of politicians. - Consider the ‘policy window’. - Make the comparison with the policy plan. - Propose an action the politician should undertake. - Identify the relevant stakeholders and groups affected by the problem. For this sixth edition we take the elevator pitch to the next level. Whereas previous editions allowed pitches up to 2 minutes, the current seminar will set the timer at 60 seconds. The previous editions showed that keeping the pitch very short was more successful. The session will be wrapped up by a key note with reflections on the pitches exercise and linking this to what the literature says about influencing healthy policy making. Key messages • The elevator pitch is a useful skill to have for public health researchers to facilitate the outcomes of their research feed into health policies. • There are numerous tools available to effectively communicate public health messages to policymakers and promote evidence-informed policy making. Speakers/Panelists Charlotte Marchandise EUPHA

Health System Resilience and Sustainability in India - Odisha's Strategies on Human Resources Management during COVID-19

Background: COVID-19 pandemic caused widespread loss of life, economic downturns, emotional distress and overwhelmed the public health delivery systems across the globe. Odisha was one of the few states in India that deployed proactive management of human resources in health (HRH) to fight the menace. This paper analyzes key decisions related to HRH during COVID-19. The findings aim to strengthen HRH practices to address future pandemics. Materials and Methods: We analyzed the structures, functions, and processes related to HRH management during the COVID-19, using a qualitative lens. Through purposive sampling, in-depth interviews were conducted with 20 key informants, including policymakers and state-level managers. Data were analyzed thematically to reflect upon the perspectives of key stakeholders, identify barriers and enablers, and document the decision-making dynamics. Results: Odisha strengthened its hospital infrastructure and capacity of health workforce through additional deployment and skill upgradation in a short period. Restriction of movements and strengthening the health system pillars led to considerable success. As COVID-19 cases surged in mid-2020, focus shifted to clinical treatment, active case finding and surveillance. Specific training modules were developed with guidance from the Ministry of Health, WHO, and UNICEF. A whole range of human resources were trained by both online and offline modes. Community-level training programs focused on enforcing COVID-appropriate behavior and management of vulnerable population. Infusion of technology enhanced the system’s capacity to deliver high quality training in a short period of time to a vast majority of stakeholders. Conclusion: The Odisha State Disaster Management Authority (OSDMA) and the National Health Mission (NHM) played critical roles in enhancing systems’ preparedness and institutionalizing such large-scale capacity building initiatives during periods of crisis. The state's approach in terms of scale, skill, and speed of human resources management could be a model for addressing future health crises.

Preparing Graduate Registered Nurses for Independence in Aged Care.

Graduate registered nurses (RNs) start their careers working in a variety of clinical areas including aged care. However, they may not be fully prepared to work in aged care settings that often require them to work independently as the only RN on the premises. A list of essential clinical skills is crucial for supporting the development and effective transition of graduate nurses into aged care. To identify and rank a list of essential clinical skills for graduate RNs working in aged care settings on commencement of practice. An explanatory sequential mixed-methods design was applied and included a modified Delphi Study and semi-structured interviews. Five expert aged care RNs engaged in the three iterative Delphi rounds and five graduate aged care RNs were interviewed to confirm the clinical skills and ranking from their perspective. Quantitative data were presented through descriptive statistics. Qualitative data were analysed using thematic analysis. Thirty-six essential clinical skills for graduate RNs working in aged care settings were identified and ranked by the experienced aged care RNs. Graduate RNs supported this list of essential clinical skills on commencement and identified palliative care as an additional skill required by graduate RNs working in aged care. The derived essential skills offer aged care a guided approach to ensure that graduate RNs are work-ready, safe practitioners and supported to work independently. The study recommends the essential clinical skills for graduate nurses transitioning in their role as RNs in aged care that will support safe, quality clinical care.

INNOVATION AND KNOWLEDGE TRANSFER AS A COMPETITIVE ADVANTAGE IN SMART RURAL DESTINATIONS

Smart and Competitive Rural Areas was one of the broad themes of the European Network for Rural Development (ENRD) in the 2014-2020 programming period. As the current situation shows, we must explore smart rural development based on knowledge and innovation. The main purpose of the article is to analyse what is the role of innovation in rural destinations and how it gives a competitive advantage to the regions. The article, based on qualitative and quantitative research methods, highlights and studies the importance of knowledge transfer and innovations in the context of smart rural destinations. The main purpose of the article is to study smart rural destination experiences in Georgia and other foreign countries, especially in the EU. In conclusion, it can be said that smart rural development is one of the important trends of regional development and innovations play the most important role in it, but this represents a big challenge for developing countries and implementing innovations needs additional financial resources, skills and policies.

PELATIHAN KEWIRAUSAHAAN UNTUK MENGEMBANGKAN UMKM DESA WIBAWAMULYA

Entrepreneurship training is training that can train participants in stages to have entrepreneurial and business competencies, train entrepreneurs and the business world, train entrepreneurs to be able to act in establishing a viable business by taking advantage of the opportunities that exist at a certain time. And in certain fields as well as developing human resources capable of creating jobs for themselves and others in accordance with development demands with the aim of creating motivation for participants so that they can improve quality and quantity. An entrepeneur has a role both internally, entrepreuner play a role in reducing the level of dependence on other people, increasing self-confidence and increasing the purchasing power of the perpetrator. Externally, an entrepreuner plays a role in providing job opportunities for job opportunities for seekers. By attacting the workforce through job opportunities provided by entrepreneurs, the national unemployment rate can be reduced. Training can also make Human Resources more critical, creative and have additional skills. Skills are an important component needed in various areas of life. These 21st century skills are life and career skills, learning and innovation skills, and media and information technology skills

ARTIFICIAL INTELLIGENCE AND INTERNAL AUDIT STAFFING PRACTICES: NECESSITATING A DIFFERENT SKILL SET FROM AUDITORS

A decade ago, no machine matched human skills in many areas, but now AI surpasses humans in at least some skill sets. Internal auditors' effectiveness and value addition to organizations hinges critically on their possession of essential skills like risk management, independence, and deep knowledge of internal controls, along with their professional training and ability to align audit plans with organizational goals. Thus, it is important in the literature to highlight the need to understand the relative importance of internal auditor skills, their practical application in the selection, hiring, training, and promotion processes, and the consideration of additional skills or factors that may impact the application of these skills. However, the necessity for auditors to adapt and acquire new skills to meet the evolving requirements of technology, particularly AI, has not been discussed before. There are two main skill sets that are important for internal auditors: perceived behavioral, sometimes called soft, and cognitive, sometimes called hard, skills. Consequently, this text will discuss the changing skill sets and sub-categories of competent internal auditors according to AI. The study’s findings contribute to professional practice and literature by understanding and improving internal auditors’ skills, elevating performance, and streamlining risk assessment processes.

Exploring Curriculum In Outdoor And Environmental Education: Uncovering The Hidden Curriculum In Leave No Trace Master Educator Courses

Demonstrated though the illustration of uneven distribution of benefits, disproportionate representation of diverse populations, and the perpetuation of negative perceptions and biases, the fields of outdoor and environmental education have fallen short in providing inclusive and equitable experiences. Though efforts to address discrepancies can be explored through multiple avenues, the present study centers on understanding the presence of hidden curriculum within the Leave No Trace Master Educator Course. Distinct from the overt curriculum, the hidden curriculum includes both positive and negative implicit messages taught alongside the written goals and objectives. Through a qualitative thematic analysis in which interviews with course instructors were coded inductively, we identified the presence of 18 elements of hidden curriculum. Though half of those elements support positive additional knowledge, skills, and attitudes, the remaining half showed the presence of learning and messages related to knowledge and attitudes that may negatively impact learners and contribute to inequities within the field.

Pedicled Anterolateral Thigh Flap (ALT) for Vulva Reconstruction: Journey to a New Horizon

AbstractSurgery for vulval malignancies necessitates extensive resection necessitating the use of musculocutaneous grafts. We present one such case where the patient needed both a V–Y plasty and an anterolateral thigh flap to ensure a tension-free repair. She underwent a partial deep vulvectomy followed by V–Y plasty and ALT flap. The procedure has been described in detail along with intraoperative photographs. She recovered uneventfully and is receiving post-operative adjuvant radiotherapy. We would like to highlight this “additional skill” of plastic surgery which will empower surgeons to undertake radical surgeries to ensure the best outcomes for patients.

SUPPLEMENTARY EDUCATION PORTAL CREATION FOR STUDENTS

The aim of the research described in this article is to develop and implement an educational portal that enables students to acquire additional knowledge and skills by studying the process of creating electronic resources in the educational field. The portal addresses the current demands of digital learning and provides access to supplementary educational opportunities. The article discusses software development methods, the selection of an optimal environment for application creation, and the key stages of the development process. The focus of the research is on creating a supplementary education portal, emphasizing the use of object-oriented programming (OOP) methods, web technologies, web programming, and electronic educational resource creation techniques. As a result of the research, technologies such as PHP, MySQL, and JavaScript were chosen, leading to the successful implementation of the application. An analysis of existing educational portals, such as BilimLand and Daryn Online, was conducted. The outcome of the work was the creation of a functional educational portal that allows students to effectively gain additional knowledge, meeting modern requirements. The portal offers interactive tools available to users and adapts to individual educational needs.

PRODUK OLAHAN IKAN (PROKAN) UPAYA MENINGKATKAN INOVASI PRODUK PERIKANAN DI DESA SISARAHILI TELUK SIABANG, KECAMATAN SAWO, KABUPATEN NIAS UTARA

Sisarahili Village is one of the underdeveloped villages that has a lot of potential in the fisheries sector. Based on survey information in the village, the income and economy of the people of Sisarahili Teluk Siabang Village have decreased since the Covid-19 pandemic in 2020. The problem faced by the community in Sisarahili Teluk Siabang Village is the lack of knowledge and skills possessed by the community to process fishery products into processed fish products that are highly nutritious and have high selling value. In order to solve this problem, this service activity aims to provide knowledge and skills to the community in Sisarahili Teluk Siabang Village about the technology of processing fishery products into processed fish products (PROKAN) which are highly nutritious and can increase the income and economy of the community. The implementation method used to achieve the target of service activities is by conducting counseling, training on the technology of processing fishery products into Processed Fish Products (PROKAN): nuggets and meatballs and mentoring. The community group that is the special target of this service activity is fisherwomen. Through the Student Organization Capacity Strengthening Program (PPK ORMAWA), it becomes a student movement in providing knowledge about the technology of processing fishery products into Processed Fish Products (PROKAN). This community service activity was welcomed enthusiastically by the community by attending the counseling and training of Processed Fish Products (PROKAN). The community stated that they got additional insights and skills in processing fish into various products, namely nuggets and meatballs.

Perspectives of work readiness among Australian health students trained during the COVID-19 pandemic

BackgroundTo explore perspectives of work readiness, including readiness to work rurally, among health students trained in Australia during the COVID-19 pandemic.MethodsParticipants were allied health, medicine, and nursing students in the later years of their degree (third, fourth or final year of an undergraduate entry to practice degree, or second year of postgraduate entry to practice degree), where training is clinically immersive. These students had completed a University Department of Rural Health facilitated rural and remote placement between January 2021 and October 2022. They participated in a cross-sectional online survey (n = 426), comprising Likert-scale questions. Interested survey respondents participated in a semi-structured interview (n = 34). Multiple logistic regression was conducted to examine the predictors of work readiness within the survey, and interview data was analysed via reflexive thematic analysis.ResultsAmong survey respondents, 69.7% felt they would be ready to be a health practitioner when the time came to graduate and 71.8% felt clinically prepared to work in a rural location. Concerns about having developed enough clinical skills on placements to competently practice on graduation and being able to continue studying their course during the pandemic were both predictive of work readiness and feeling clinically prepared to work rurally. Four themes reflecting factors impacting work readiness were developed from interview data: (1) ‘I’d estimate probably a 20–30% reduction in face-to-face handling practice over the course of all of my placements’ encompassed student concerns regarding the collective impact of cancelled placements and lower patient attendance at healthcare facilities on clinical skill development; (2) ‘Two and a half years of sitting behind a computer’ related to student experiences of superficial learning and cohort disconnectedness due to online course delivery and loss of on campus simulations; (3) ‘I’ll still need like a lot of support in my grad year’ related to students recognising the need for support and supervision post-qualifying to bridge the gaps in their learning; and (4) ‘We are the COVID nurses’ encompassed student recognition of skills gained including communication skills, competence with technology and telehealth, knowledge of infection control, and work readiness skills (e.g. adaptability and resilience) as a result of training during the global pandemic.ConclusionsUniversities can support work readiness during pandemic circumstances by fostering clinical skills development through continuation of quality placement experiences and face-to-face curriculum delivery. Although health graduates trained during the pandemic are likely to have a range of additional work ready skills, health services will need to proactively support their transition into the workforce in the coming years.

Radiotelephony Untuk Personel Pangkalan TNI AU Atang Sendjaja

In the aviation industry, radiotelephony is the primary communication tool between pilots and personnel involved in aircraft operations. According to the Director General of Civil Aviation Regulation Number KP 038 of 2017, personnel providing apron management services are required to have specific licenses, such as Air Traffic Controllers, Aeronautical Communication Officers (ACO), or Apron Movement Controllers (AMC), with additional skills in radiotelephony. However, the personnel at the Atang Sendjaja Air Force Base currently do not meet the radiotelephony competency requirements. To perform services according to national and international standards, the use of radiotelephony is essential. To address this need, a training program was conducted as part of a community service initiative, aimed at equipping personnel with radiotelephony skills in line with applicable regulations. This training includes both theoretical and practical sessions conducted on-site, utilizing table-top exercise simulation methods. The outcome of this training indicates that the personnel at the Atang Sendjaja Air Force Base have acquired adequate skills to implement radiotelephony in their daily operational activities.

The use of the QGIS tools to determine hydrological characteristics. The experience in higher education

The development of geo-information systems with open access significantly expands the information technology possibilities in the modern educational environment. The use of geoinformation technologies is especially important for STEM specialties, for whom mastering BIM technology is a significant advantage in the labor market. Quantum geographic information system QGIS is widely used by various STEM specialties to expand learning opportunities and gain practical experience of calculations in higher education both in Ukraine and abroad. Morphometric parameters calculation for Ulichka river by QGIS tools is represented in the article. The 1st year master's degree students used QGIS for hydrological calculations. The calculations performed on QGIS were compared with the reference data and cartographic materials of Google map. Calculations showed a high correspondence of the obtained results with reference literature. Modern geographic information systems with free code are not very complex, but require additional knowledge and work skills. Methodical materials and information about additional possibilities of QGIS tools encourage students to study related educational components and search for information on Internet resources, which contributes to the development of the individual student trajectory and stimulates the study of professional English vocabulary. The ability to obtain high-quality illustrative material in the form of scaled maps with reference to coordinates provides the possibility of further use of the obtained material in BIM designs on the Autodesk family software and to use the results in future attestation thesis.

Finger counting training enhances addition performance in kindergarteners.

Our study on 328 five- to six-year-old kindergarteners (mainly White European living in France, 152 girls) shows that children who do not count on their fingers and undergo finger counting training exhibit drastic improvement in their addition skills from pre-test to post-test (i.e., accuracy from 37.3% to 77.1%) compared to a passive control group (39.6% to 47.8%) (p < .001, = .15). This result was replicated on a much smaller scale (37 five- to six-year-olds, mainly White European, 22 girls) but in more controlled setup and was further replicated with an active control group (84 five- to six-year-olds, mainly White European, 37 girls). Therefore, we demonstrate here for the first time that training finger counting constitutes a highly effective method to improve kindergarteners' arithmetic performance.