Professional Strategies Research Articles

Bereavement coping strategies among healthcare professionals: A qualitative systematic review and meta-synthesis.

Coping with a patient's death is one of the most challenging events faced by healthcare professionals in clinical practice. A broad understanding of the coping strategies used by healthcare professionals is fundamental to the development of effective interventions and the provision of good bereavement care. This review aims to systematically synthesize the coping experience of healthcare professionals in the course of their work when they are confronted with patient deaths. PubMed, Embase, ScienceDirect, CINAHL, PsycINFO, Web of Science, Cochrane Library, Scopus, and Wiley online library were searched in April 2023 with no restriction on publication date. A 3-stage thematic synthesis method was applied for data integration and analysis. Thirty studies involving 545 participants met the inclusion criteria and scored a high level on quality assessment ranging from 9.0 to 10.0. Six themes were identified: emotional coping, cognitive coping, behavioral coping, relational coping, spiritual coping, and occupational coping. Overall, the coping strategies used by healthcare professionals in response to bereavement were found to be unique and multidimensional. Understanding how healthcare practitioners use emotional, cognitive, behavioral, relational, spiritual, and professional strategies to cope with bereavement will prove extremely beneficial in helping them to manage their grief, and can furthermore promote their professional growth and ensure the provision of excellent bereavement care for patients.

Правозащитная деятельность с использованием уголовно-правовых, криминалистических и оперативно-розыскных мер как актуальное направление междисциплинарных исследований

Due to the adoption of a new nomenclature of scientific specialties in specialty 5.1.4 — “Criminal Law Sciences”, research on human rights activities can now be carried out using an interdisciplinary approach, that is, using criminal law, criminal procedure, criminalistic, operational investigative and other knowledge. The article examines the main directions of interdisciplinary research in the field of human rights activities, such as: criminal law, forensic and operational investigative means of protecting businesses; nomination and verification of protective versions in criminal cases of certain categories, and others. There are 11 directions in total. Some methodological and, most importantly, ethical requirements for this kind of interdisciplinary research are analyzed. It is noted that, despite the lack of scientific literature, in recent years, leading Russian law universities have prepared and successfully implemented educational projects of the appropriate profile. The data on the level of interest of young lawyers, practitioners and trainees in obtaining relevant knowledge and conducting scientific research are presented. It is necessary to stimulate such developments, develop their methodology, and offer young scientists, including lawyers, practice-oriented human rights thesis topics that take into account personal professional strategies. It has been established that the increased demand of the population for information in the field of protection from defamation, mass inspections and criminal prosecution (especially business) determines the rapid growth of human rights content in social networks, messengers, profile sites and business magazines. However, this is mainly journalistic and educational content that does not have a proper scientific basis. In conclusion, conclusions are formulated about the high level of relevance and relevance of interdisciplinary knowledge of human rights issues. And this demand, of course, must be met by appropriate scientific research.

If You're So Successful, Why Are You Still Working 70 Hours a Week? Exploring the Costs and Benefits of an Always-On Work Culture

This article explores the costs and benefits of working excessively long hours through an analysis of academic research and real-world industry examples. It argues that while dedication and hard work have driven success initially for many professionals, an "always on" culture risks normalizing unsustainable practices that undermine well-being in the long run. extensive research documents the negative impacts of chronic overwork on physical health, mental health, job satisfaction, and productivity. However, evidence also suggests that balanced boundaries between work and personal life can yield individual rewards like reduced stress and organizational rewards like stronger engagement and innovation. The article provides strategies for professionals and leaders to strike a balance appropriate for their context, through mechanisms like clearly communicating expectations, measuring outcomes over hours, guarding time for learning and relationships, and role modeling boundaries. With care and intention, even competitive industries can promote sustainable success over the long term.

Strategies for Improving Financial Professional Ability in the Digital Age

The purpose of this paper is to explore the career development and ability training strategies of financial professionals in the digital age. With the rapid development of digital technology, the financial field is facing unprecedented challenges and opportunities. This paper analyzes the influence of digitalization on financial professionals, analyzes the current professional development status of financial professionals, focuses on determining the core competencies required by financial professionals in the digital era, such as technical skills, data analysis and communication and cooperation, and discusses the corresponding ability training strategies[1]. At the same time, it also studies the changes in the roles and responsibilities of financial professionals brought about by the digital transformation of enterprises, with a view to providing useful reference for related work.

Abstract P330: Next-Gen Hypertension Control: Integrating Clinical Pharmacists And Cutting-Edge EPIC Electronic Medical Record For Quality And Result Driven Approaches at Federally Qualified Health Centers

Hypertension management in Federally Qualified Health Centers (FQHCs) requires innovative and comprehensive strategies beyond traditional methods. This study explores a collaborative approach by integrating clinical pharmacists into the healthcare team and utilizing the EPIC Electronic Medical Record (EMR) system. The model addresses medical and non-medical health determinants, offering comprehensive treatment for underserved communities regardless of their ability to pay. We hypothesized that integrating clinical pharmacists would improve and sustain blood pressure control, resulting in more patients achieving their target health outcomes. As part of multidisciplinary teams, clinical pharmacists identify, track, and analyze patient data, manage medication therapies under collaborative practice agreements, and coordinate with other healthcare providers to ensure continuous care. By leveraging EPIC EMR’s data management and patient monitoring capabilities, clinical pharmacists use real-time data to tailor medication regimens, ensure timely interventions, and conduct follow-ups every 2 to 4 weeks via telemedicine or in-clinic visits until patients reach their goals. This approach enhances patient engagement and medication adherence, which is crucial for adequate blood pressure control and cost management. It also supports personalized care addressing medical needs, lifestyle, and socioeconomic factors affecting patient health. The study, initiated in January 2024, involves adult patients with hypertension at one of the largest FQHC in Houston, TX. Key performance indicators include the percentage of patients achieving target blood pressure levels, medication adherence rates, and the frequency of follow-up visits. Preliminary data from quarter 1, 2024, shows that out of 327 patients, 58% have had at least 2 consultations with a clinical pharmacist. Out of those patients, 46% reached blood pressure control below 140/90 mmHg, while 27% showed improvement toward their goal. This quality and result-driven approach elevates hypertension management standards, reduces health disparities, and enhances healthcare delivery within FQHCs. Clinical pharmacists have proven to be indispensable members of the healthcare team. This session aims to provide practical insights and strategies for healthcare professionals to implement similar models, paving the way for the future of hypertension care.

Unveiling the Enigma of Molar Incisor Hypomineralisation: Causes, Consequences and Management Strategies

Abstract Molar incisor hypomineralisation (MIH) is a defect in the development of tooth enamel, affecting permanent first molars and incisors. This article explores MIH causes, consequences and management strategies for dental professionals. MIH is widespread, ranging from 2.4% to 40.2% globally. South America has the highest prevalence, while Africa has the lowest. Clinically, MIH presents as demarcated white, yellow or brownish opacities on the enamel surface. Affected teeth are fragile and prone to chipping, hypersensitivity and caries. MIH disrupts the tooth’s structure, increasing the risk of fractures, dentin exposure, pulp inflammation and rapid tooth decay. It can also lead to poor oral hygiene, aesthetic concerns and reduced quality of life for children. The causes of MIH are multifactorial and involve systemic or environmental factors during pre-natal or post-natal tooth development. Potential factors include childhood illnesses, antibiotic use, environmental toxins and Vitamin D deficiency. Early diagnosis and intervention are crucial for MIH management. Treatment options depend on the severity of the condition and may involve remineralisation, desensitisation, fluoride therapy, pit and fissure sealants, restorations or extractions. MIH is a common dental concern in children. Early management by dental professionals can help prevent complications and improve oral health outcomes.

Типология педагогических общностей и их включенность в непрерывное педагогическое образование: социологический подход

The article examines pedagogical communities and their typology through the lens of their inclusion in the process of continuous pedagogical education. The analysis of the works of Russian scientists dealing with the typologization of schoolchildren, students and teaching staff on various grounds allowed us to propose our own typology, uniting pedagogical communities included in the process of continuous pedagogical education. As the basis of the typology of pedagogical communities, the position to continuous pedagogical education as a necessary condition of pedagogical skill or a formal condition for the teaching profession and educational and professional strategies are highlighted. The author identifies four types of pedagogical communities: “Devotion to the Teaching Profession”, “Selection of Alternative Professional Pathways Related to Education”, “Retirement from the Teaching Profession” and “Uncertainty in Professional Strategy”. Each type possesses specific characteristics that differentiate one from another. Particular attention is given to the pedagogical community characterized by “Uncertainty in Professional Strategy”, which illustrates the issue of the outflow of young professionals from the educational sector in Russian pedagogical education.

O PARADOXO DO SOBREDIAGNÓSTICO DO TDAH E SUAS CONSEQUÊNCIAS

Attention Deficit Hyperactivity Disorder (ADHD) is defined as a psychomotor developmental disorder that is characterized by a persistent pattern of inattention and/or hyperactivity and/or impulsivity. Currently, it is observed that discrete signs of psychological distress tend to be classified as pathological, initiating the early use of psychotropic drugs. In this sense, given that the increase in medicalization becomes alarming in adults, the scenario becomes even more serious in the children’s situation, in view of the child’s motor and neuropsychic immaturity. The present study aims to analyze and discuss the increase in the diagnosis of ADHD in the last decade and the consequent hypermedicalization of children. The methodology used was a literature review of a quantitative nature, through searches in PubMed, Scielo and Google Scholar, with publication date from 2010. Regarding the results, it was observed: increase in overdiagnosis and overmedicalization in around 25% of the evaluated studies; approximately 40% of the articles highlighted the importance of carrying out training projects for health professionals to make more accurate diagnoses and more effective treatments; around 25% of the articles concluded that methylphenidate, from the amphetamine group, has benefits and that it increases quality of life, even though it has side effects. Finally, it is concluded that it is necessary to analyze and propose training strategies for health professionals, in addition to implementing a more efficient multidisciplinary work together with family educators, in order to assess the real need for the diagnosis, performing it in a more efficient way. efficient and avoid unnecessary medicalization of children and adolescents who do not fit the ideal diagnostic criteria for ADHD.

Einstein's combinatory play: A promising practice for creativity and well-being among public health professionals

The purpose of this commentary is to describe combinatory play as a practice for elevating creativity and well-being among public health professionals. Albert Einstein introduced combinatory play in a letter to a colleague, and, in this commentary, we define it as engagement in an intrinsically enjoyable, cognitively stimulating artistic activity that is distinct from one's job tasks and conducive to connecting ideas toward insight and creative problem-solving. Combinatory play aligns with empirical and experiential evidence demonstrating connections between art and science. We present combinatory play in the context of research on creativity and well-being, including the growing issue of work-related stress among public health professionals. To provide an example of combinatory play, we recount how Robert Frost's poem “Mending Wall” inspired email blackout periods and an intervention for health researchers. Finally, we outline concrete strategies for public health professionals to integrate combinatory play into their lives. Overall, combinatory play is a promising practice for catalyzing novel solutions to public health issues while fueling the well-being of public health professionals themselves.

Evidence-based early rehabilitation for children with cerebral palsy: co-development of a multifaceted knowledge translation strategy for rehabilitation professionals.

Cerebral palsy (CP) is the most common childhood physical disability. Early and evidence-based rehabilitation is essential for improving functional outcomes in children with CP. However, rehabilitation professionals face barriers to adopting evidence-based practices (EBP)s. The objective of this project is to develop a knowledge translation (KT) strategy to support CP-EBP among pediatric rehabilitation professionals. We follow an integrated KT approach by collaborating with clinician- and patient-partners. Partners engaged in co-design through team meetings and content review via email. The KT strategy comprises two components: (1) An electronic (e)-KT toolkit was created from summarized evidence extracted from randomized clinical trials on early rehabilitation for children with CP, and (2) a multifaceted online KT training program developed with guidance from a scoping review exploring effective KT strategies. The e-KT toolkit summarizes twenty-two early interventions for children with or at risk for CP aged 0-5 years. Each module features an introduction, resources, parent/family section, and clinician information, including outcomes, intervention effectiveness, and evidence level. The KT training program includes three 10-15 min video-based training modules, text summaries, quizzes, and case studies. Site champions, identified as qualified rehabilitation professionals, were onboarded to support the site implementation of the training program. A champion-training booklet and 1-hour session were designed to equip them with the necessary knowledge/resources. The tailored, multifaceted, and co-designed KT strategy aims to be implemented in pediatric rehabilitation sites to support professional's uptake of CP-EBPs. Lessons learned from its development, including the co-development process and multifaceted nature, hold potential for broader applications in rehabilitation.

Challenges and coping strategies for providing maternal health care services among health care professionals in rural health facilities in Wolaita Zone, Southern Ethiopia: a qualitative study

BackgroundMany factors can decrease job productivity and cause physical and psychological complications for health care professionals providing maternal care. Information on challenges and coping strategies among healthcare professionals providing maternal healthcare services in rural communities is crucial. However, there needs to be more studies, especially qualitative research, to explore challenges and coping strategies for providing maternal health care services in Ethiopia among health care professionals, particularly in the Wolaita zone.ObjectiveTo explore the challenges and coping strategies of professionals providing maternal health care in rural health facilities in Wolaita Zone, Southern Ethiopia, in 2023.MethodA phenomenological qualitative study design was applied from May 20 to June 20, 2023. The study was conducted in rural areas of the Wolaita Zone, southern Ethiopia. Healthcare professionals from rural areas were selected using purposive sampling, and in-depth interviews were conducted. A qualitative thematic analysis was employed to analyze the data. Field notes were read, recordings were listened to, and each participant’s interview was written word for word and analyzed using ATLAS.ti 7 software.ResultFive main themes emerged from the data analysis. These themes included inadequate funding from the government, societal barriers to health and access to health care, professionals’ personal life struggles, infrastructure related challenges and health system responsiveness, and coping strategies. Reporting to responsible bodies, teaching mothers about maternal health care services, and helping poor mothers from their pockets were listed among their coping strategies.ConclusionHealthcare professionals have a crucial role in supporting women in delivering babies safely. This study revealed that they are working under challenging conditions. So, if women’s lives matter, then this situation requires a call to action.

Behavioral Segmentation of Personnel in the Human Resource Management System of Universities

In the conditions of modernization of higher education, the importance of effective methods of managing the personnel potential of universities and higher education institutions is increasing. The use of segmentation allows you to form an effective strategy for personnel management of various categories, minimize personnel risks, save time and financial resources. The purpose of the study is to identify the technologies of behavioral segmentation of the organization’s personnel and to consider the possibilities of their use in the management of the human resources potential of higher education institutions. The analysis of the data of sociological surveys indicates the presence of significant difficulties in conducting behavioral segmentation of university teachers, which is due to a wide range of objective and subjective factors that determine the specifics of professional strategies of teachers. Based on the research results, a variant of behavioral segmentation of teachers is proposed, taking into account two factors: on the one hand, the level of expectations from work, requests to the employer, the most significant for teachers, on the other hand, the level of practical implementation of requests and expectations from the professional activity of teachers. The general characteristics and boundaries of the segments allocated depending on behavioral characteristics can become the basis for the development and implementation of a differentiated personnel policy, the formation of an effective system of motivation of employees of different categories. The behavioural segmentation of teachers, proposed by the author of this study, is based on general marketing approaches to the analysis of motivational orientations and preferences of a specific category of employees; the article considers a wide range of factors that determine teachers’ satisfaction with their work. The complexity of the implementation of these approaches is due to the fact that there is no universal toolkit for behavioral segmentation of personnel, and the choice of criteria and methods for separating and dividing personnel should be specified each time taking into account the objectives facing managers.

Compassion fatigue, secondary traumatic stress, and coping strategies of mental health professionals

Background: The prevalence of compassion fatigue (CF) and secondary traumatic stress (STS) has been studied with a predominant focus on medical care professionals, indicating a significant presence of STS and CF among them. The present study has identified a dearth in the representation of mental healthcare professionals (MHPs), grouped by psychiatrists, clinical psychologists, psychiatry nurses, and psychiatric social workers within the Indian context. Aim: To assess the degree of CF and STS and the subsequent coping mechanisms adopted by MHPs. Materials and Methods: This study followed a cross-sectional research design. There were 75 participants selected using purposive sampling and administered scales that measured CF, STS, and coping strategies adopted by the participants. Results: There is a strong presence of CF in MHPs along with problem-focused coping as the preliminary approach to STS. Participants with average or higher scores in STS had higher intrusion scores. Higher STS scores tend to have avoidant coping styles in comparison to the larger sample. Female participants indicated higher levels of CF and STS than their male counterparts. Conclusion: The study emphasizes on the immediate requirement to address and manage CF levels among the MHPs and focus on the factors that continue to aggravate STS.

The study of socio-demographic characteristics and professional strategies of graduate students of the Far East based on the results of a questionnaire survey

The study of socio-demographic characteristics and professional strategies of graduate students of the Far East based on the results of a questionnaire survey

Others as Security Threats: Securitizing Discourses, Social Magic, and the Bureaucratic Field

For over 20 years, there has been an ongoing debate about what is primary in the process of securitization—discourses or practices. Traditional research on securitization tends to analyze discourses and practices separately, which can be seen even in studies that attempt to combine these two approaches. In this context, the concept “discourses” refers to a wide range of public political statements, while the concept “practices” mainly refers to the strategies of security professionals. I argue that, in order to gain a better understanding of securitization processes, the research focus should be narrowed to first-order securitizing performatives and the related securitizing practices. This approach will highlight political statements that can genuinely alter social reality, bridge the gap between discourses and practices, facilitate the analysis of institutional mechanisms of securitization, and help obtain much new relevant empirical material. The potential benefits of the proposed approach are illustrated through the analysis of two cases: the Italian case and the Russian case. For the Italian case, the analysis includes declarations of states of emergency related to the exacerbation of the “nomad issue.” For the Russian case, it examines legal acts stipulating the official recognition of migrants as prone to terrorism.

Conceptualising culturally nourishing pedagogies for professional learning in Australian schooling

AbstractThere is a growing body of evidence highlighting effective pedagogical approaches for educating First Nations students around the world. Despite this evidence, and a plethora of culturally-inclusive aligned policies and professional strategies, many Aboriginal students continue to receive inequitable and poor-quality schooling in Australian schools in ways that do not meet their sovereign needs. While a range of culturally responsive / sustaining / competent / etc. practices have been argued to positively impact Aboriginal and/or Torres Strait Islander students' educational experiences, there remains a lack of cohesive understanding about the factors at play that impact student outcomes over a sustained period of time. This conceptual paper explores scholarship that has either provided empirical evidence of, or coherent descriptions about, cultural pedagogies to provocate a culturally nourishing framework and guide educators in working with Aboriginal students and knowledges. Beyond general descriptions, we conceptualise what such pedagogies might look like as observable attributes of classroom practice. The aim in doing so is to offer a framework that supports the authentic and effective professional learning of educators who work with, and learn from, local Aboriginal and/or Torres Strait Islander students to actualise nourishing pedagogies throughout the everydayness of schooling.

Evaluation of the effectiveness of a video-based educational intervention on perinatal mental health related stigma reduction strategies for healthcare professionals: A single group pre-test-post-test pilot study

BackgroundHealthcare professionals have a role to play in reducing perinatal mental health related stigma. AimTo assess the effectiveness of a video-based educational intervention developed to provide guidance to healthcare professionals on perinatal mental health related stigma reduction strategies. DesignA single group pre-test-post-test pilot study with no control group. Setting(s)A university affiliated maternity hospital in Ireland ParticipantsA convenience sample of registered midwives, nurses and doctors (n = 60) recruited from October 2020-January 2021. InterventionA twenty-minute video-based educational intervention. MethodsRespondents (n = 60) completed a pre-test (time point one) and post-test (time point-two) questionnaire, and a three-month follow-up post-test questionnaire (time point-three) (n = 39). The questionnaire included the Mental Illness Clinicians' Attitudes Scale, Reported and Intended Behaviour Scale, Reynolds Empathy Scale and open-ended questions. Wilcoxon Signed Rank Test was selected to evaluate the pre-test post-test scores. ResultsThe difference in mean Mental Illness: Clinicians' Attitudes-4 scores were statistically significant between time points one and three (z = 3.27, df=36, P = 0.0007) suggesting more positive attitudes towards people with mental health conditions after the intervention. The mean total score for the Reported and Intended Behaviour Scale increased from 18.7 (SD 1.87) at time point one to 19.2 (SD 1.60) at time point two (z= -3.368, df=59, P = 0.0004) suggesting an increase in positive intended behaviours towards those with mental health issues immediately following the intervention. These findings were also corroborated by responses to open-ended survey questions. ConclusionsFurther research with a larger sample of healthcare professionals evaluated over a longer period would provide further evidence for the sustainability of the intervention. TweetableAbstract: A video-based intervention can increase healthcare professionals’ knowledge of perinatal #mentalhealth related stigma reduction strategies @Journal. Link to article

Hepatitis C: a Welsh perspective

The Infected Blood Inquiry report sparked renewed focus on hepatitis C. This article explores Wales' ambitious eradication strategy, highlighting achievements, challenges and opportunities for healthcare professionals

The Role Of Swimming Training In Preventing Preeclampsia During Pregnancy

Introduction: Preeclampsia is a serious complication that affects pregnant women and poses risks to both maternal and fetal health. Understanding the relationship between swimming training and the risk of preeclampsia is crucial in developing comprehensive guidelines and exercise programs. This knowledge can empower pregnant women and healthcare professionals to utilize swimming as part of a strategy for preventing and managing preeclampsia. Materials & Methods: The research method involved a thorough literature search in various sources such as electronic databases, journals, and other related articles. Inclusion criteria were set to select studies relevant to the research topic. The results of the literature search were systematically analyzed and synthesized. Results: According to the findings of this study, swimming training has a significant role in preventing preeclampsia during pregnancy. Engaging in regular swimming exercises during pregnancy can effectively reduce the risk of developing preeclampsia. The underlying mechanisms that contribute to this preventive effect include improved blood circulation, better control of blood pressure, and a reduction in inflammation within the body. These research findings hold important implications for the development of comprehensive guidelines and exercise programs specifically designed for pregnant women. By incorporating swimming as a part of the prevention and management strategy for preeclampsia, pregnant women and healthcare professionals can benefit greatly Conclusions: The effectiveness of swimming training in preventing preeclampsia during pregnancy by improving blood circulation, blood pressure control, and reducing inflammation

Healthcare Sustainability to Address Climate Change: Call for Action to the Infectious Diseases Community.

The U.S. healthcare system's contribution to greenhouse gas emissions and climate change is disproportionately high and harms the public. Several medical specialties are now reassessing how they can mitigate healthcare's harmful environmental impact. Healthcare sustainability is broadly defined as measures to decrease greenhouse gas emissions, waste, and other pollutants generated during the healthcare delivery process. Prior efforts and programs by infectious diseases (ID) professionals, such as antimicrobial stewardship and infection prevention and control can form a framework for ID professionals to help apply this expertise to healthcare environmental sustainability more broadly. This call to action proposes strategies for ID societies and professionals to incorporate climate change education for trainees, increase research and funding opportunities in healthcare sustainability, and calls for action by ID societies to champion system changes to decrease greenhouse gas emissions.