Team Of Professionals Research Articles

225 Curricula-Based trainers’ Training: Integrated Approach for Preventing Diseases and Parasites in Small Ruminants in the Southeast

Abstract A high prevalence of diseases and parasites is one of the major constraints in the small-ruminant industry in the Southeast because of its warm and humid climate, and poor management practices. Drug resistance developing in pathogens, and the lack of access of producers to and affordability for veterinarians practicing in small ruminants warranted us to look for integrated preventive approaches. To promote integrated approaches for preventing diseases and parasites in small ruminants, a team of scientists and professionals from five institutions (Tuskegee University, Fort Valley State University, USDA-ARS Booneville, University of Arkansas, and the University of Maryland Eastern-Shore) worked together with an objective to develop curricula (training handbook) and train the trainers (educators) and small-ruminant producers in the Southeast. The Training Handbook consisted of nine chapters authored by project collaborators and invited experts. Relevant aspects of keeping small ruminants healthy and preventing possible diseases and parasites, including basic facilities and health care, suitable sites, grazing systems and management, biosecurity, selection and breeding, nutrition, and economics have been presented and discussed in the Handbook. After the handbook was developed, a 3-day train-the-trainers training was conducted at Tuskegee University. County agents, specialists, and technical-service providers working at various land-grant universities and other institutions working with small-ruminant producers or their educators were invited to participate in the training. Additionally, selected lead producers raising small ruminants from Alabama and graduate students working on small-ruminant research and outreach were invited to the training. Twelve professionals from four different states (Alabama, Georgia, Mississippi, and North Carolina) six farmers, and four graduate students attended the training. Training included indoor sessions with presentations, discussions, and question-answer sessions. Outdoor sessions included demonstrations, hands-on activities, and tours of the small-ruminant production sites and facilities. Evaluations by participants were conducted before adjournment on the same day or at the beginning on the next day. Most participants expressed that presented topics, hands-on activities, demonstration, and tours were extremely useful (71-85%) or very useful (13-23%). They stated that they were extremely likely (73-89%) or very likely (11-23%) to apply what was learned from the training. Similarly, most participants reported that the ultimate condition of small-ruminant health would be improved if the learned knowledge and skills are applied on the farms (producers) or on education endeavors (professionals) with most improvements (64-83%) or reasonable improvements (15-21%). Evaluations by participants showed that the training handbook and the overall training could be very useful to improve health of small ruminants significantly.

Hospital discharge using salbutamol as required after acute attacks of wheeze in children: a service evaluation

ObjectiveMost UK hospitals discharge children after acute wheeze with advice to give regular salbutamol using a fixed dose weaning regime. We have introduced and evaluated the safety and efficacy of...

CPT 2024: Revisions to Guidelines for Split or Shared Visits

Current Procedural Terminology (CPT®) 2024 brings new guidelines for split or shared visits, including the combined work of a team of physicians and other qualified health care professionals (QHPs) providing portions of a single evaluation and management (E/M) service. This article addresses the following: Defining split or shared visits Split or shared visits versus incident-to services Determining who reports a split or shared visit

Enhancing Disaster Triage Competencies through Simulation-Based Training: An Interventional Study among Undergraduate Nursing Students

This pre–post interventional study explores the effectiveness of simulation-based training in enhancing disaster nursing skills among nursing students at Taif University, Saudi Arabia. The training, which uses a realistic train accident simulation and involves a response team of healthcare professionals, aims to improve knowledge and performance in crisis management and triage during mass casualty incidents. The study’s necessity stems from the critical role nurses play in disaster response, requiring a comprehensive understanding of challenges, collaboration among stakeholders, and improved capabilities. A random sample of 101 nursing students voluntarily participated in the study, with the necessary approvals obtained. We measured their emergency management skills and knowledge using a detailed questionnaire (27 items) and conducted pretest and posttest evaluations. Data analysis was performed using SPSS. The results indicate the training’s effectiveness, as a significant portion of participants achieved high performance levels in the posttest, contrasting with a higher percentage of fail-level grades in the pretest. These findings underscore the potential to improve disaster management protocols and nursing professionals’ preparedness in Saudi Arabia. The study emphasizes the importance of comprehensive education in disaster nursing in enhancing emergency response and patient outcomes.

Evaluation of “High Potential” Indicators

Purpose – To identify and evaluate high potential indicators in employees by the organization’s management team and HR professionals. We are identifying implicit criteria used in practice by HR professionals to improve assessment tools for potential indicators. Methodology – Both quantitative and qualitative research methods are used. Questions to identify/assess high-potential indicators are developed based on familiarity with existing practices worldwide. Top managers of Georgian companies participated in the research - 162 respondents in total. Semi-structured in-depth interviews were also used in the research, which was conducted with HR professionals of 21 Georgian companies. The purpose of the interview was to reveal the differences that may exist between HR professionals’ implicit evaluations of high potential and verbally expressed criteria during selection. Limitations/results of the study - The size of the sample is a limitation; therefore, the conclusions drawn from the study results of the shouldbe treated with caution. Practical implications - Detection and assessment of high potential indicators; Identifying high potential, recruiting, promoting, and developing training strategies by top managers and human resource management specialists in organizations.

Aging Research Biobank: First Results — Russian Gerontology Research and Clinical Centre, Pirogov Russian National Research Medical University

This article describes the creating and first results of Aging Research Biobank affiliated with the Institute for Research on Aging, Pirogov Russian National Research Medical University. The Biobank was created to preserve, store and use of various biological species — such as blood, serum, plasma, saliva, gut microbiota and others. These samples are used to conduct research on age-related changes and associated diseases. The article represents in detail the sample collection and storage process, carried out in strict compliance with international standards and recommendations. Each stage of the Biobank operation is supervised by a team of professionals, controlling the quality of biological materials to reduce the risk of errors and damage when collecting and storing of samples. The paper also presents the first results from studies using biological material stored in the Biobank. They make important contributions to the scientific understanding of various aspects of the aging process and age-related diseases. These studies can help identify and analyze the mechanisms of age-related changes, thereby developing new methods to prevent and treat age-related diseases. The creation of the Biobank and its operation also contribute to improving the quality of healthcare and scientific developments in the field of age-related disease research.

Hospital discharge of adults and older adults: checklist elaboration and validity

Objective To describe content elaboration and validity of a checklist for preparing adults and older adults for hospital discharge. Methods This is a methodological study, developed from May 2020 to September 2022 (in two stages), for checklist elaboration and validity. The Delphi technique was used, with assessment by an expert committee for content validity. To calculate the degree of agreement, the agreement rate and the Content Validity Index (CVI) were used. Results A checklist with 17 items that help organize hospital discharge was prepared and validated. The checklist was prepared based on the compilation of results obtained from interviews with multidisciplinary team professionals, who worked in inpatient units, an integrative review on transition of care at hospital discharge of adult patients and reading of articles on the use of discharge checklist. In the first stage of validity, a mean was obtained for the instrument’s agreement rate, scope (94%) and relevance (91%). At the end of the second round, the mean CVI calculation was obtained (clarity: 0.95; relevance: 0.96). Conclusion The checklist was validated as to its content by consensus by an expert committee, and can be used by care teams or hospital discharge management.

The mental health of children and adolescents at Matosinhos: characteristics and obstacles to care

Abstract Background Mental health disorders are a public health issue. Most mental disorders begin during childhood and adolescence. Epidemiological studies regarding the diagnosis, prevalence, and access to treatment by children and adolescents are scarce, especially in Portugal. This research protocol aims to characterize the referral process and waiting times for these consultations at a Portuguese Local Health Unit between 2017 and 2022 (covering about 180,000 people); and to identify barriers to adequate health care for children and adolescents from the perspective of healthcare professionals from the hospital and primary care units. Methods We used a mixed methods study. Qualitative data allowed interpretation and reflection of quantitative data, with validation and integration of results. We conducted a descriptive analysis of the variables obtained through the local Health Information System and semi-structured interviews with a sample of healthcare professionals involved in mental health care for children and adolescents at the hospital and primary care unit levels. Results Preliminary results show a break in the number of consultations in 2018, due to the lack of professionals, and a yearly increase after COVID-19. Follow-up appointments and evaluation processes have long waiting times since there is a focus on ensuring shorter waiting times for the first consultation, and there is a shortage of professionals in mental health teams. The staff identified the need to integrate schools into care - referral and evaluation - and to promote community-based programs that train skills in children, adolescents, and caregivers. Conclusions Health indicators allow the assessment of epidemiological data and access to care, yet it is fundamental to listen to the professionals in the field to identify barriers, needs, and possible actions that more effectively promote mental health in this population. Key messages • Mental health disorders in children and adolescents are a significant public health issue in Portugal, yet there are scarce epidemiological studies on diagnosis, prevalence, and access to treatment. • There is a need to address the shortage of mental health professionals and integrate schools and community-based programs into mental health care to improve access and promote mental health.

Sustaining treatment of vulnerable people: assessing needs for integrated care in mental health

Abstract Background About half the population in Denmark will experience mental health challenges during their lives. Among them a group of vulnerable people often experiences higher unmet needs and lack of coherence between sectors. They therefore require cross-sectoral initiatives. The Flexible Assertive Community Treatment (FACT) model offers integrated healthcare access to people with severe mental illness, through interprofessional teams across health and social services. The model is implemented in Central Denmark Region between the specialist (regional) and the (municipal) community mental health services. This study aimed to explore the pathways through the healthcare system of citizens with severe mental illness, and to analyze the abilities of provider organizations to meet the needs of the target group. Methods The study draws on interviews and observations with participants of FACT that suffer from severe mental illness, interviews with the health and social care professionals involved, and observations of interactions between the two groups of informants. Results The participants of FACT experienced smoother pathways between the regional and municipal sectors and more integrated access to services, as they had only one gateway instead of several. They further experienced closer relations with and between the professionals in the FACT teams (e.g., psychiatrists, community and social workers, nurses). These professionals to a larger extent understood and pursued the participants’ individual needs. This created for example higher levels of trust and contributed to the sustainment of the participants in treatment. Conclusions People with severe mental illness struggle to cope with many different aspects of life, including navigating the health system and sustaining treatment. To retain this vulnerable group in treatment it is key that health systems provide continuous and integrated treatment that meets individual needs. Key messages • The current study finds that FACT provides valuable tools to offer integrated and person-centered care for people suffering from severe mental illness. • The current study finds that FACT provides valuable tools to offer integrated and person-centered care for people suffering from severe mental illness.

Digital Patient Reported Outcome Measures Platform for Post-COVID-19 Condition and Other Long-Term Conditions: User-Centered Development and Technical Description.

Post-COVID-19 condition (PCC), colloquially known as long COVID, is a multisystem condition characterized by persistent symptoms beyond 4 weeks after the SARS-CoV-2 infection. More than 60 million people with PCC worldwide need prompt assessment, diagnosis, and monitoring, with many requiring specialist help from a multidisciplinary team of health care professionals (HCPs). Consequently, a scalable digital system is required for both people with PCC and HCPs to capture the breadth of symptoms and their impact on health, using patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs). We aim to develop and implement a novel PCC digital PROM (DPROM) platform for (1) securely collecting PROM and PREM data from people with PCC, (2) enabling users to monitor symptoms longitudinally and assess response to treatment, (3) generating reports for the electronic health records (EHRs), (4) providing summary reports on PCC services based on national requirements, and (5) facilitating the sharing of relevant data with authorized research teams to accelerate our understanding of this new condition and evaluate new strategies to manage PCC. We (1) undertook requirement analysis with people with PCC, HCPs, and researchers to identify the needs of the DPROM platform and determine its required functionalities; (2) designed and developed a clinically useful web portal for staff and a mobile app for patients, with a web-based alternative app to improve patient and staff choice, limit the risk of digital exclusion, and account for variability across services; (3) determined the PROMs and PREMs that PCC services would prefer to use on the platform; and (4) designed the summary report function that can be generated for each user for the EHR and for reporting to national health authorities. A DPROM platform to record PCC symptom profile, condition severity, functional disability, and quality of life, based on the C19-YRS (Yorkshire Rehabilitation Scale) and other PROMs and PREMs, was developed. Individual-level medical information and details on the COVID-19 illness can be captured systematically. The platform generates easy-to-understand scores, radar plots and line graphs for people with PCC to self-monitor their condition and for HCPs to assess the natural course of the condition and the response to interventions. Clinics can configure a suite of PROMs and PREMs based on their local and national service and commissioning requirements and support research studies which require large-scale data collection on PROMs. The DPROM platform enables automatic aggregate data analysis for services to undertake service evaluation and cost-effectiveness analysis. The DPROM platform generated summary report can be uploaded to the EHRs of people with PCC. A multifunctional DPROM platform to assess, grade, and monitor PCC has been developed. Future research will analyze the system's usability in specialist PCC clinical services and other long-term conditions.

Assessing the impact of blockchain technology on the overall performance of sustainable supply chains: an analytical perspective.

Supply chain control and sustainability can be significantly improved using distributed ledger technologies such as blockchain. The blockchain has the potential to facilitate responsible sourcing appropriately, compliance with weather requirements, and sustainable delivery chains. The purpose of this study is to address the hassle of managing conservatism when approaching era adoption and to explore the performance enhancements in blockchain-generated implementations. To achieve this goal, we introduce a scientific approach aimed at studying the outcomes of various factors in the adoption process in the blockchain era and verifying their impact on the overall performance of the delivery chain. Furthermore, a team of multidisciplinary professionals will establish causal relationships among these elements through a consensus-based approach. Ultimately, fuzzy reasoning tools can be used to determine the relative weights between identified factors and delivery chain performance goals. We will assemble causal representations of diagnoses using a dense scientific map model and dynamically generate scenarios for each. The study demonstrates that the integration of blockchain power generation can significantly improve the effectiveness of mineral supply chains. It uses smart contracts to promote environmental sustainability, traceability, and transparency.

The effect of body mass index on self-rated health in middle-aged and older adults: evidence from the China health and retirement longitudinal study.

Health promotion for middle-aged and older people has received a lot of attention recently in the context of healthy aging. Furthermore, it is unclear how body mass index (BMI) presently affects self-rated health (SRH), a reliable and representative indicator of health. This study used longitudinal follow-up data from the China Health and Retirement Longitudinal Study (CHARLS). Systematic collection of information on the socio-demographic, lifestyle, and health status of the subjects. Binary logistic regression was used to investigate the relationship between BMI and SRH, and gender-specific variations were examined. Subgroup analysis was used to examine interactions, and the results of the research stability were demonstrated. After adjusting for age, gender, education level, marital status, place of residence, number of chronic diseases, alcohol consumption, smoking, depressive symptoms, and SRH at baseline, it was found that obesity grade 1 and obesity grade 2 were good contributors to SRH compared to normal weight individuals, and this association was different in males and females. According to the results of the subgroup analyses, those under 65years old, with junior high school or less education, with a spouse, residing in a city, having one chronic disease, and not smoking or drinking, respectively, all had stable positive associations between obesity and SRH. Our findings suggest that obesity may be associated with good SRH. Teams of healthcare professionals should revisit the potential impact of obesity among middle-aged and older adults and focus on developing prevention strategies for morbid obesity.

"It has to be more than exercise": exploring multiple perspectives to community-based exercise program design for persons with breast cancer.

Connecting persons with cancer to exercise resources and/or supports requires a diverse team of professionals. As such, there is merit to engaging multiple individuals or "partners" along the cancer pathway to explore the relevant features of community-based exercise program (CBEP) design. The purpose of this study was to explore multi-partner perspectives to CBEP design for persons diagnosed with breast cancer (PWBC) to inform the implementation of a CBEP in a local setting. PWBC, health care professionals and qualified exercise professionals participated in one of four 60-min focus group discussions. Rich dialogue about preferred program environments, program delivery teams, and core program practices was encouraged using a semi-structured discussion guide. Focus groups were audio recorded, transcribed verbatim, and analyzed using inductive thematic analysis. Five main themes were identified based on focus group discussions, each pointing to an important feature of CBEP design for PWBC. Themes included the desire for CBEPs to incorporate elements designed to improve cancer literacy, provide opportunities to participate with peers, foster self-efficacy, prioritize program accessibility, and meaningfully integrate CBEPs within a network of supportive cancer care. The collective effect of fostering such elements in CBEPs may serve to increase the uptake and maintenance of exercise among PWBC; ultimately enhancing their overall well-being and quality of life.

Dedicated to the Memory of Academician Grigory Vasilievich Bondar and the 80th Anniversary of the Oncological Service of Donbass

The oncological service of Donbass has a rich history. The path of its formation began in 1943, when on September 9, 1943, Professor M.K. Afanasiev signed an order to restore the activities of the Stalin X-ray station and the oncological hospital.The first organizer of the radiological service in the Donbass is considered to be Ekaterina Vladimirovna Stelling, who was appointed in 1946 to the post of head of the oncological hospital in Stalino. The radiological service appeared in 1947, when the Regional Oncological Dispensary was organized. Soon the institution was renamed the Donetsk Regional Oncological Dispensary (DROD). Soon the institution was renamed the Donetsk Regional Oncological Dispensary. In 1955, DROD, in order to increase the number of beds, was transferred to the base of the Regional Clinical Hospital. M.I. Kalinin.Under the leadership of Grigory Vasilyevich Bondar, in September 1968, an oncology course was organized, the clinical base of which was DROD. August 19, 1975 Grigory Vasilyevich headed the Department of Oncology, established at the Donetsk State Medical Institute. M. Gorky. October 12, 1992 Donetsk Regional Oncology Center received the status of an antitumor center. Academician of the National Academy of Medical Sciences of Ukraine, Doctor of Medical Sciences, Professor Grigory Vasilyevich Bondar has been appointed its General Director.The center, which subsequently became the leading one in Ukraine, had the greatest experience in surgical and combined treatment of tumors of various localizations using the methods proposed in the clinic. In 2006, the first radiotherapy complex in Ukraine was installed in the Donetsk Regional Cancer Center.At the beginning of 2014, our teacher passed away. Students with dignity continue the work of Bondar Grigory Vasilyevich. At the end of 2014, on the basis of the Donetsk Regional Antitumor Center, the Republican Cancer Center of the Ministry of Health of the Donetsk People’s Republic was created, which was named after Professor Grigory Vasilyevich Bondar. The Center proudly bears the name of the great Teacher Grigory Vasilyevich Bondar! And in our present life, he is still a mentor and assistant!We are sure that the symbiosis of science and practice of a team of professionals who selflessly give their knowledge, experience and skills for the benefit of patients will give a powerful impetus to the further development of the oncological service of Donbass.

How to integrate a patient partner into a care team?

It is not rare anymore to find patients with knowledge and experience of a care pathway integrating a team of health professionals in order to improve the quality and relevance of their peers’ care pathways. The aim of this article is to propose practical methodological answers and structuring questions to institutions and any health actor interested in integrating a Patient Partner (PP) into a team of health professionals. The results of an action-research (AR) carried out within a Cancer Treatment Centre (CTC) provide both a methodological framework and answers to the questions raised by this experimentation: How did the team and the PP organize themselves to implement the mission of peer support? What evaluations of the project should be put in place? How does everyone find their place in the project? And finally, what are the operational procedures, limits, and levers for integrating the PP into the team? In the discussion section, we propose a model of experimentation based on AR, highlighting the main drivers and the interventions that feed them. Finally, we share a series of structuring questions arising from the co-construction work carried out by the people involved, which allowed us to build our action plan for the integration of a PP in the care team at the Rennes CTC, and which seems to us sufficiently generalizable to be tested and used by other teams and in other contexts.

Conditioning the work of colleagues: health professionals’ explorative work in technology design

Professional learning at work is related to the opportunities to participate in explorative and constructive practices. Co-designing tools and technologies to support work offers such opportunities, which need to be better understood in the field of professional and vocational learning. As digitalisation initiatives become more ambitious and aim at wider service reorganisation, more professionals from nontechnical domains become involved in the work of designing technologies and developing routines for their practice. This study explores how health professionals participate in the design of a technology for the registration and sharing of patient information across healthcare units in a Norwegian city. Over a year, we observed the design meetings with a team of health professionals and IT developers. The health professionals were mandated this task as part of their regular work to ensure that the way of categorising and displaying patient information would serve the services’ needs. The interactions in the design meetings were analysed to examine how categories of patient information were explored and negotiated as objects of design. Our findings show how the team needed to test candidate categories for various contexts of use. This implied both negotiation of future service routines and efforts to reconfigure tasks and responsibilities in multiple service contexts. This work brings extended responsibilities and opportunities for learning to health professionals. We discuss how their decisions are consequential beyond their own workplace as the information system and its categories condition the work of colleagues in the wider service chain.

A Literature Review on the Management of Preschool Teacher's Professional Competence Development in the 4.0 Industrial Revolution

Background: The era of technological revolution 4.0 has ushered in new obstacles as well as advantages for all aspects of social life, most notably bringing about significant changes in the education of countries. Technology Revolution 4.0 is a tool to support, enhance, increase efficiency, and enrich educational content. Technology enables the promotion of individual planning and organization of learning processes, thereby encouraging teachers to develop effective learning programs adapted to students' specific requirements. Faced with the challenges, preschool teachers are required to increase their professional competence and acquire the necessary skills for the teaching process. Methods: The study's purpose was to conduct a literature review on the professional competence of preschool teachers in Industry 4.0. In addition, the study examines the administration of preschool teachers' professional development within school systems. To develop educational managers must be able to adapt to new circumstances and surmount obstacles as technology continues to advance. Results: The findings emphasize the significant impact that technology has had on the management of schools, providing advantages such as enhanced teacher-student interaction, and preparing the groundwork for the evolution of education. Conclusion: Therefore, training quality management is a crucial technique for assembling a team of qualified professionals who adhere to contemporary standards.

Creating and sustaining a digital community of practice for quality improvement in South-East Asia during the COVID-19 pandemic

IntroductionEnsuring quality of care in Low and Middle Income countries (LMICs) is challenging. Despite the implementation of various quality improvement (QI) initiatives in public and private sectors, the sustenance of...

Introduction of a Systemic Innovation Management Model for Facilitating Process Innovation

Abstract Within health care projects for change and innovation, professionals should ambitiously cooperate in order to yield a creative multidisciplinary mindset for guaranteed innovative output. Failure of innovation projects is amongst others due to deterioration and insufficient focus on relational aspects. Aim; an innovative management tool for facilitating process innovation is launched. Methods; Systemic innovation (SI) is a social network management model, subsidiary to actual management models for quality improvement and innovation. The SI management model yields essential tools for stimulation of communication in multidisciplinary teams in order to shape alternative mindsets. Results; The key domains of SI representing socio-dynamics, value of arguments and flexibility for change concern topics for assessment of behavior with regard to psychosocial and organizational characteristics. The key domains yield a format enabling a critical appraisal concerning improvement of socio-technologic aspects in case of process innovation. Conclusion; SI yields a format for stimulation of social awareness with regard to self-assessment, interoperability and mindset generation in multidisciplinary teams of professionals.

Leader's influence on the climate in the team

This article analyses the influence of the leader on the team climate in different fields of activity. The article aims to determine the degree of influence of the leader's personality on forming the socio-psychological climate in teams from various fields of activity. The study was conducted with specialists from the IT sphere, pedagogical sphere, medicine, and law enforcement. Valid and reliable test methods were used to obtain reliable data. The prevalence of average indicators of leadership influence in the studied samples has been empirically proven. The tendencies of distribution of the components of the leader's personality depending on the sphere of professional activity were determined. Тhe study results suggest that leadership skills and organisational skills are the most important factors influencing team climate in teams of medical professionals and law enforcement, while communication skills and emotional intelligence are more important in teams of teachers and IT specialists. The research hypothesis has been confirmed. Prospects for further scientific research include studying the impact of different leadership styles on the organisational climate of the team, as well as expanding the research sample by involving representatives of a broader range of specialities.