Care Training Research Articles

The Enhancing of Nurses' and Midwives' Competence in Providing Spiritual Care through Innovative Education and Compassionate Care using the Spiritual Care Competency Self-Assessment Tool: Turkish Version.

Spiritual care is an important part of holistic care and is at the center of nursing/midwifery care. Nurses/midwives are expected to graduate by receiving adequate training in spiritual care and gaining spiritual care competence during their student days. It is important to evaluate the spiritual care competencies of nursing/midwifery students and to correct the deficiencies, if any. Therefore, a self-assessment tool is needed to increase awareness and knowledge and improve skills and attitudes in the field of spirituality and pastoral care. One of these tools is EPICC (Enhancing Nurses' and Midwives' Competence in Providing Spiritual Care through Innovative Education and Compassionate Care). This EPICC Spiritual Care Education Standard describes the spiritual care competencies expected from undergraduate nursing and midwifery students. For every competence, the learning outcomes are described in aspects of knowledge, skills, and attitudes. This research was conducted with a methodological design to ensure that the Turkish version of the EPICC Spiritual Care Competency Self-Assessment Tool can be used as a reliable and valid measurement tool in nursing research in Turkey. Methodological and cross-sectional research design was used in the research method. The research was carried out with 300 nursing and midwifery students in Turkey. Data were collected using the personal information form and the EPICC Spiritual Care Competency Self-Assessment Tool. The results of exploratory factor analysis and confirmatory factor analysis confirmed the four-factor structure of the scale. Cronbach's α, item-total correlation, test-retest analysis, and equivalent form analysis showed high reliability. EPICC Spiritual Care Competency Self-Assessment Tool For Student Nurses And Midwives: Turkish Validity And Reliability Study consists of 24 items on a five-point Likert-type scale. The Turkish version of the EPICC Spiritual Care Competency Self-Assessment Tool is a valid and reliable tool for assessing the Spiritual Care Competencies of nursing and midwifery students. Evaluating the Spiritual Care Competencies of nursing and midwifery students is an important issue, it is now possible in Turkey with this scale given its validity and reliability.

Voluntary head dunk: cooperative care for irrigating canine noses and eyes and rapid cooling.

To demonstrate the methods to teach dogs to voluntarily immerse (dunk) their head in a container of water, and to identify the 3 indications for voluntary head dunk: to clear a dog's nostrils of dust/debris, flush a dog's eyes, and cool a dog after exercise. Dogs. With the use of cooperative care and positive reinforcement training, the dog is taught to retrieve a toy or treat from a bucket or large container. Clean, room temperature water is added stepwise until the dog is comfortable immersing its nose and blowing bubbles or immersing its head to retrieve the toy or treat. The training may require minutes, weeks, or months, depending on the dog's motivation. Voluntary head dunk can remove dust and debris from the nasal passages and eyes and can facilitate cooling, especially after exercise. Positive reinforcement creates a cooperative environment in which first aid can be effectively administered. Contraindications include treatment of heat stroke, persistent or serious nasal or ocular discharge, or dogs that are uncomfortable or unable to dunk their heads. Pet owners and handlers of working dogs or canine athletes can teach their dogs to head dunk and implement this first aid technique for exercise-related cooling or ocular/nasal flush, even in environments with limited resources. Some dogs may be rapidly trained in the veterinary environment as an initial approach to a nasal or ocular flush. Cooperative care provides an effective intervention that preserves and enhances the human-animal bond.

Knowledge, Attitude, and Practice of Pediatricians for Eye Care of Children: A Personal Survey in Saudi Arabia.

To review the level, determinants, and sources of knowledge (K), attitude (A), and practice (P) of pediatricians regarding eye care of children in Saudi Arabia in 2024. In this cross-sectional survey, 120 pediatricians from central Saudi Arabia were invited to participate in a one-on-one study. A questionnaire included demographic and work profiles, 20 questions on knowledge, five on attitude, and five on practices. Responses were graded using a Likert scale. Median scores were associated with independent variables. We surveyed 113 pediatricians. The excellent knowledge, attitude, and practice grades were 78.8%, 30.1%, and 41.6% of participants, respectively. The knowledge score was not associated with any demographic variable. The attitude score was associated with the younger age group (P = 0.03), seniority (P = 0.001), and higher knowledge score (P = 0.01). The practice score was associated with females (P = 0.02) and hospitals with eye departments (P = 0.001), who underwent eye care training (P = 0.004), knowledge score (P < 0.001), and A score (P = 0.001). Reading journals, attending conferences, and eye care workshops were current sources of knowledge. However, the desired sources were eye care, which should be included in the curriculum, Google and PubMed searches, and interactions with ophthalmologists. Pediatricians' high level of knowledge of eye care is promising. However, based on the demography variations noted, their attitude and practices need strengthening. Policies for eye screening and referrals from pediatricians to ophthalmologists may be discussed in conferences, workshops, and policy documents. Knowledge should be disseminated using the modes preferred by pediatricians.

Peer Support Ambassadors: A Program to Advance a Supportive and Inclusive Clinical Learning Environment.

Peer support is beneficial to physicians in distress, but few institutions have created formal programs that train residents and fellows to effectively support their peers. Existing curricula also do not address the differential experience of residents from historically excluded groups, who are more likely to experience distressing mistreatment and discrimination in the clinical learning environment. The Graduate Medical Education (GME) Peer Support Ambassador (PSA) Program aimed to address this gap by: (1) offering peer support skills and trauma-informed care training to a diverse cohort of resident leaders representing a range of specialties, (2) deploying these leaders to support their peers, and (3) facilitating opportunities for participants to train other residents in these skills. In the PSA program's inaugural year, 10 residents were trained in fundamentals of peer support, trauma-informed care, and the restorative mindset. The training increased participants' confidence and skills in these areas, increased their understanding of when to refer a co-resident for additional levels of support, and their awareness of resources for mental health care and addressing mistreatment and discrimination. Beyond the skills training, the program broadened participants' perspectives about other residents' experiences and helped them feel more connected to residents in other specialties. Opportunities to improve the PSA program include creating more opportunities for program participants to connect between sessions and after the training, publicizing the program more effectively to residents experiencing distress, and training a larger number of residents in peer support skills.

Informed Consent in Clinical Training: Perspectives from Medical Students and Faculty in Portugal.

The student-patient relationship represents the cornerstone of medical education, shaping future doctors' knowledge, skills and attitudes. While most patients allow student involvement in their care, some may express discomfort. Thus, obtaining explicit consent is essential to respect patients' right of autonomy. This study mainly aims to assess the practical application of informed consent by medical students and teachers regarding students' presence and participation in patients' care. An observational cross-sectional study was performed, and an online questionnaire was given to students and teachers at a single medical school, via institutional email. The study included 289 participants, namely 232 students and 57 teachers. While 81% of teachers reported always asking the patient's consent for students' presence, only 28% of students claimed this to be the case. Despite challenges like overcrowding and limited time, involving students in healthcare benefits both students and patients. Moreover, medical ethics education is crucial to foster compassionate care and promote ethical reasoning. The disparities found between teachers' practices and students' perspectives highlight the need to intervene and provide them with an adequate education on ethical values in clinical practice. Strategic interventions at institutional levels are required for a simultaneous high quality of patient care and clinical training.

Perspectives on improving wound care for Aboriginal health workers in rural and remote communities in Queensland, Australia

BackgroundThe care of wounds is an ongoing issue for Indigenous people worldwide, yet culturally safe Indigenous wound care training programs for rural and remote Australian Aboriginal Health Workers are largely unavailable. The higher prevalence of chronic disease, lower socioeconomic status and poorer access to services experienced by Aboriginal and Torres Strait Islanders compared to non-Indigenous people, leads to a greater incidence of chronic wounds in Aboriginal and Torres Strait Islander people. Identifying the barriers and enablers for delivering wound care will establish areas of need for facilitating the development of a specific wound care program for Aboriginal Health Workers and Aboriginal Health Practitioners. This paper reports the first phase of a larger project directly aligned to the Indigenous Australians’ Health Program’s objective of supporting the delivery and access to high quality, culturally appropriate health care and services to Aboriginal and Torres Strait Islander Australians. This study aimed to examine experiences of Aboriginal Health Workers, Aboriginal Health Practitioners, and nurses for managing chronic wounds within rural and remote Aboriginal Medical Services in Queensland, Australia.MethodsYarning facilitated by two Aboriginal researchers among Aboriginal Health Workers, Aboriginal Health Practitioners, and nurses currently employed within four Aboriginal Medical Services located in rural and remote areas of Queensland, Australia.ResultsTwo themes were developed through rigorous data analysis of yarning information and responses: participants’ experiences of managing wounds and barriers and enablers to effective wound care.ConclusionsThis study contributes an insight into the experiences of Aboriginal Health Workers on the current barriers and enablers to timely treatment of chronic wounds. Results from this study indicate a significant barrier to obtaining timely and effective wound care in regional and remote settings is access to an appropriately skilled, culturally competent, and resourced health work force. A lack of education and professional development for Aboriginal Health Workers can compromise their ability to maximise patient outcomes and delay wound healing. Findings have informed the development of an evidence based, culturally competent open access chronic wound care education program for Aboriginal Health Workers.

What factors influence clinical nurses' self-efficacy after wound care training? A scoping review

The inadequate management of wounds carries significant implications for patients and challenges clinical nurses. Consequently, there is a need for wound care training to enhance self-efficacy. However, despite participation in such training, nurses often need more practical experience and educational background to exhibit higher confidence levels. This results in a deficiency in self-efficacy when performing wound care. This study aims to amalgamate literature discussing the determinants influencing self-efficacy and present strategies for clinical nurses to enhance it after wound care training.The article search utilized the PRISMA method, with searches conducted in Google Scholar, Proquest, Science Direct, and Pubmed databases. Sixteen articles met the specified inclusion criteria, which required English-language articles published within the last five years (2018-2023) discussing factors affecting clinical nurse self-efficacy after wound training.Various factors, including competence, social support, and self-motivation, influence wound nurses' self-efficacy. Competence factors encompass structured training and education, while social support involves sharing experiences and engaging in case reflection. Additionally, motivational factors play a significant role, such as reinforcing values and attitudes when facing obstacles and maintaining the belief that nurses can effectively adhere to wound care standards. Enhancing self-efficacy includes improving competencies through standardized wound training, increasing educational opportunities, self-experience, social persuasion support, sharing experiences, high self-motivation, and managing emotions when assessing one's ability to achieve goals successfully.Professional development programs designed to provide structured training for nurses have enhanced their competencies, social support, and motivation, strengthened holistic wound care clinical skills and improved self-efficacy. Therefore, exploring additional factors that may further contribute to this positive outcome is advisable.

Identifying implementation barriers and facilitators in an integrated behavioral health training program to improve workforce development.

Integrated behavioral health (IBH) in pediatric primary care settings can improve access to needed care and outcomes. Behavioral Health Workforce Education and Training (BHWET) programs can better prepare the workforce and support improved care access. This case study identified factors that impede and facilitate the implementation of practice-based training in a BHWET program using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework. Surveys were administered to BHWET trainees and primary care partners to assess stakeholder perspectives on field-based training processes. Qualitative data were extracted from surveys and trainee clinical logs. Providers reported high levels of satisfaction with IBH care training experiences. Data analysis identified several implementation facilitators and barriers. Implementation facilitators were associated with two EPIS outer context factors (leadership and collaboration) and one inner context factor (partner staffing). Identified barriers were associated with two inner context factors (organizational characteristics and data collection). Although the facilitators and barriers identified in this study were program specific, they have relevance for similar programs. Barriers identified at the organizational level reflect those identified in the research literature and provide insights for university programs regarding factors that must be considered when integrating IBH training components in primary care settings.

CAREER DEVELOPMENT: Key events and training for primary care nursing

CAREER DEVELOPMENT: Key events and training for primary care nursing

“… I carry their stories home …”: experiences of nurses and midwives caring for perinatal adolescent mothers in primary health care settings in Rwanda

IntroductionAdolescent mothers require trauma- and violence-informed care during the perinatal period due to trauma histories and ongoing violence as a result of pregnancy. Nurses and midwives play a critical role in caring for adolescent mothers in primary healthcare settings in Rwanda in the perinatal period.PurposeTo explore the experiences of nurses and midwives working with adolescent mothers in selected primary healthcare settings in Rwanda to inform the delivery of trauma- and violence- informed care.MethodsThis study utilized an interpretive description qualitative approach and was conducted in eight primary healthcare settings in Rwanda. Twelve nurses and midwives working in perinatal services and four heads of health centers participated in in-depth individual interviews. Data were analyzed thematically.ResultsThe analysis revealed four main themes and 11 (sub-themes): (a) relational practice (being creative and flexible, “lending them our ears”); (b) individual challenges of providing care to adolescent mothers (lack of knowledge to provide care related to gender-based violence, and gendered experience); (c) factors contributing to workarounds (inflexible guidelines, lack of protocol and procedures, lack of nurses’ and midwives’ in service training, and the physical structure of the perinatal environment); and (d) vicarious trauma (living the feelings, “I carry their stories home,” and hypervigilance in parenting).ConclusionNurses and midwives find caring for adolescent mothers challenging due to their unique needs. These needs require them to be creative, adaptable, and attentive listeners to better understand their challenges. These practitioners face difficulties such as insufficient specific knowledge related to, for example, gender-based violence, inflexible guidelines, and a lack of protocols and training. Additionally, in the perinatal environment attention to the needs of practitioners in those settings is often lacking, and many nurses and midwives report experiencing vicarious trauma. Consequently, there is a pressing need for guidelines and protocols specifically tailored for the care of adolescent mothers. Ongoing trauma- and violence- informed care training and professional education should be provided to enhance the ability of nurses and midwives to care for adolescent mothers and prevent re-traumatization and mitigate vicarious trauma effectively.

Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery.

Currently, 40% of counties in the United States do not have an obstetrician or midwife, and in rural areas the likelihood of childbirth being attended to by a family medicine (FM) physician is increasing. We sought to characterize the effect of the FM presence on unit culture and a key perinatal quality metric in Iowa hospital intrapartum units. Using a cross-sectional design, we surveyed Iowa physicians, nurses, and midwives delivering intrapartum care at hospitals participating in a quality improvement initiative to decrease the incidence of cesarean delivery. We linked respondents with their hospital characteristics and outcomes data. The primary outcome was the association between FM physician, obstetrician (OB), or both disciplines' presence on labor and delivery and hospital low-risk, primary cesarean delivery rate. Unit culture was compared by hospital type (FM-only, OB-only, or Both). A total of 849 clinicians from 39 hospitals completed the survey; 13 FM-only, 11 OB-only, and 15 hospitals with both. FM-only hospitals were all rural, with <1,000 annual births. Among hospitals with <1,000 annual births, births at FM-only hospitals had an adjusted 34.3% lower risk of cesarean delivery (adjusted incident rate ratio = 0.66; 95% CI, 0.52-.0.98) compared with hospitals with both. Nurses endorsed unit norms more supportive of vaginal birth and stronger safety culture at FM-only hospitals (P <.05). Birthing hospitals staffed exclusively by FM physicians were more likely to have lower cesarean rates and stronger nursing-rated safety culture. Both access and quality of care provide strong arguments for reinforcing the pipeline of FM physicians training in intrapartum care.

Integrating Fitness Training in Oncologic Care: Lessons Learned from a Large Telemedicine Trial

ObjectiveTo provide insights from patients and clinicians regarding the benefits and barriers of the introduction of a telerehabilitation fitness program into the oncologic care of people with late-stage cancer. DesignThis study is a qualitative assessment of the COllaborative Care to Preserve PErformance in Cancer trial, which involved the insertion of a telerehabilitation fitness program into the oncologic care of patients with late-stage cancer. SettingA large midwestern medical center. ParticipantsThirty-one patients who matched the overall demographics of the study participants as well as 3 oncologists, 2 physical therapist fitness care managers (FCMs), nurse pain care manager, and 2 supervisory physicians involved in the study. InterventionsFive hundred sixteen patients with late-stage (IIIC or IV) cancer were randomly assigned to 1 of 3 arms: a control group that received usual oncologic care and 2 intervention groups. The members of the latter continued with their usual care but also received either 6 months of a fitness program, with or without the addition of pain management assistance. All components were delivered via telemedicine with the fitness program consisting of progressive resistance and walking components. Main Outcome MeasuresPerceived benefits and shortcomings of the intervention were obtained via written narratives from the patients and as well as through interviews with the oncologists, FCMs, nurse pain care manager, and supervisory physicians involved in the study. ResultsThematic analysis revealed 87% (27/31) of the participants found the program helpful. Regular contact with someone who understood their situation, helped improve their function, and encouraged active engagement in their care was perceived as particularly beneficial. The FCMs who worked remotely with participants to coordinate their exercise programs agreed that regular interactions with the patient facilitated engagement, education, and meaningful goal setting. The oncologists were supportive of the intervention but had concerns about patient suitability. The supervisory physicians noted a number of institutional barriers such as oncology workflows and the need for better sharing of information across disciplines. ConclusionsA fitness program delivered via telemedicine was perceived as beneficial by the patients, the FCMs, and the supervising physicians. Success hinged on the quality of the interaction between patients and the FCMs. Institutional barriers to implementation seem similar to those encountered by many new programs that need to be inserted into the workflows of busy clinics and practices.

Characteristics of family physicians with additional training or focused practices in caring for older adults: Population-based retrospective cohort study.

To identify FPs with additional training and focused practice activities relevant to the needs of older patients within health administrative data and to describe their medical practices and service provision in community-based primary care settings. Retrospective cohort study. Ontario. Family physicians with Certificates of Added Competence in care of the elderly from the College of Family Physicians of Canada or focused practice billing designations in care of the elderly. Evidence of additional training or certification in care of the elderly or practice activities relevant to the care of older adults. Of 14,123 FPs, 242 had evidence of additional scope to better support older adults. These FPs mainly practised in team-based care models, tended to provide comprehensive care, and billed for core primary care services. In an unadjusted analysis, factors statistically significantly associated with greater likelihood of having additional training or focused practices relevant to the care of older patients included physician demographic characteristics (eg, female sex, having completed medical school in Canada, residential instability at the community level), primary care practice model (ie, focused practice type), primary care activities (eg, more likely to provide consultations, practise in long-term care, refer patients to psychiatry and geriatrics, bill for complex house call assessments, bill for home care applications, and bill for long-term care health report forms), and patient characteristics (ie, older average age of patients). The FP workforce with additional training or focused practices in caring for older patients represents a small but specialized group of providers who contribute a portion of the total primary care activities for older adults. Health human resource planning should consider the contributions of all FPs who care for older adults, and enhancing geriatric competence across the family medicine workforce should be emphasized.

Uncovering service gaps and patterns in smallholder dairy production systems: A data mining approach

Traditional clustering algorithms have often been used to categorize farmers but tend to overlook the underlying reasons for these groupings. Typically, clusters are formed based on common metrics such as dispersal and centrality, which provide limited insights into the relationships among key attributes. This study introduces an innovative approach using pattern and association rules analysis to better understand the characteristics of dairy production clusters. Focusing on Tanzanian smallholder farmers, the research moves beyond identifying clusters to uncovering the hidden relationships within them. Through pattern analysis, the study logically examines the behavioral mechanisms that define these clusters, highlighting service gaps that, if addressed, could enhance smallholder dairy farmers' productivity. Frequent patterns with support ranging from 57 % to 93 % and confidence levels between 85 % and 100 % were identified, revealing critical challenges faced by these farmers. For instance, farmers using Artificial Insemination—typically younger or new entrants—face constraints related to farm size, land holdings, fodder production, lack of farmer groups, and insufficient formal training in dairy care. Meanwhile, seasoned farmers deal more with institutional barriers such as limited access to marketplaces, extension services, and distant water sources. The study highlights the diverse challenges faced by different farmer groups and provides strategic recommendations for improving dairy productivity. Enhancing access to formal training, improving fodder production, supporting the formation of farmer groups, and addressing institutional barriers are key actions that could help Tanzanian smallholder dairy farmers increase milk yield and overall productivity.

The Relationship between Pediatric Medical Training and Neonatal Care in the Delivery Room and Beyond.

The modern neonate differs greatly from newborns cared for a half-century ago, when the neonatal-perinatal medicine certification examination was first offered by the American Board of Pediatrics. Delivery room resuscitation and neonatal care are constantly evolving, as is the neonatal workforce. Similarly, the Accreditation Council for Graduate Medical Education review committees revise the requirements for graduate medical education programs every 10 years, and the modern pediatric medical trainee is also constantly evolving. Delivery room resuscitation, neonatal care, and pediatric residency training are codependent; changes in one affect the other and subsequently influence neonatal outcomes. In this educational perspective, we explore this relationship and outline strategies to mitigate the impact of decreased residency training in neonatal-perinatal medicine.

Why Aren't There More Whistleblowers?

AbstractIn The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No, bioethicist Carl Elliot seeks to understand people who blow the whistle on unethical human research projects. The book compares whistleblowers in six scandals, and Elliot's main explanation for why someone becomes a whistleblower is personal honor. Exploring what led to or might have prevented these scandals, Elliot is critical of institutional review boards, and he links research ethics violations to injustices in everyday clinical care and medical training and to power imbalances in medical institutions. Some of the clinical and scientific details in the cases suggest other moral and ethical problems and the increasing irrelevance of the practice‐research distinction. Whistleblowers are also needed for the mass experiments that occur when practices diffuse without robust evidence and for the structural inequalities on which American clinical care, teaching, and research depend.

ESG Performance and its Impact of on Corporate Performance: Take China Everbright Bank as an Example

This paper has investigated China Everbright Bank (CEB)’s performance on ESG and analyzed the impact of ESG performance on CEB’s financial outcome. During the reported period, CEB has been performing well on ESG, especially on social perspective. From environmental perspective, CEB took proactive steps to mitigate its negative environmental impact. This included reducing emission by strictly conduct regulation within the company, assessing environmental risks associated with key industries and clients and setting rules on energy conservation. The bank also prioritized compliance with environmental standards, pollution control, and ecological protection in its credit approval processes. From social perspective, CEB has been actively promoting democracy and equality in employment by combating various discrimination, and continuously ensuring employee welfare besides wages, such as health care and skill training. Regarding governance, CEB has adopted strict supervision on its supply chain, strengthening the management of the procurement process by establishing an intelligent procurement platform. It has also emphasized supplier risk management. Considering the financial metrics of CEB in last years, the study suggests that the long-term profitability, operational capacity and growth potential of CEB have been positively affected, while the market value and the solvency are not. The paper concludes that ESG criteria can be considered as a reliable tool in business evaluation of potential and sustainability, therefore incorporated into business operation and investment.

Decreasing the rate of incontinence-associated dermatitis in intensive care units: A quality improvement project

PurposePatients in the intensive care unit (ICU) are at a high risk of developing incontinence-associated dermatitis (IAD), the incidence and severity of which are positively related to pressure injuries, thus affecting nursing quality indicators. This quality improvement project aimed to decrease the severity and incidence of IAD, with a focus on enhancing awareness among nursing staff. DesignThis 36-month project was implemented via the Plan-Do-Study-Act (PDSA) model. Subjectsand setting: Included staff members worked in the ICUs (central and emergency ICUs) at a Grade A tertiary hospital in Suzhou (South of Jiangsu), China. MethodsThe quality improvement project included three main procedures: (1) formulating and implementing a modified prevention and treatment nursing protocol for early structured skin care with perineum ventilation, formulating a guidance sheet for incontinence nursing care; (2) organizing training and assessments of theories and skills, including three special sections on incontinence care training (theoretical knowledge, project process, video watching), skills training for nursing staff, and an incontinence nursing workshop to engage and evaluate all staff; (3) annual analysis and discussion of nursing quality control. ResultsFollowing project completion, there was a decrease in the overall incidence of IAD. Moreover, ICU nurses may attach more importance/awareness to IAD. ConclusionsThis project successfully reduced the incidence of IAD among ICU patients.

AI Governance in Healthcare: Best Practices, Solutions, and Unresolved Issues

What challenges are presented by AI adoption in healthcare? What role should AI governance play in regard to the opportunities and risks for generative AI (large language models like ChatGPT-4, etc.) in health? How do we responsibly evaluate new technology and ensure guardrails for its deployment, but without stifling innovation? How do we address societal fears and biases? What level of reliability and robustness should algorithms achieve before being adopted with confidence across healthcare? How can AI support health equity and expand access? We will explore these questions and more with some of the nation’s leading experts on these topics. Learning Objectives Understand key opportunities and challenges for AI governance in healthcare, particularly in regard to rapidly emerging generative AI applications Discuss various responsible AI and AI governance frameworks that seek to ensure safety and efficacy in AI adoption Explore the role of government, legislation, and regulators in supporting safe and equitable adoption of AI in healthcare Explore opportunities for government, industry, and academic partnerships to accelerate AI validation, development, and adoption of safety standards Consider the potential impact of AI on the healthcare workforce and provider and patient experiences Identify the risks we should be most concerned with and what approaches can we take to mitigate those risks? By the end of the presentation, participants should have a sense of the opportunities and challenges of adopting AI in healthcare, key risks and frameworks for mitigating them, and the potential role of government, academia, and industry in addressing these issues Generative AI application examples Patient Communication and Engagement Intelligent chatbots interacting with patients, answering their queries, providing health advice, and helping them manage their conditions Mental Health Support Provide psychological support to patients, helping them manage stress, anxiety, depression, and other mental health issues. Provide interventions based on CBT and other therapeutic techniques Automated Medical Documentation Note-taking can allowing doctors to focus more on patient care Education and Training Create educational content and personalized training for medical students and healthcare professionals, potentially simulating things like patient cases and providing guidance on diagnosis, etc. Synthesis and Summarization of Medical Research Make it easier for people to keep up with the latest developments Public Health Communication In a public health emergency, help craft health messages, FAQs, and timely and accurate updates for the public Generative AI challenges and limitations Ensuring the accuracy of AI-generated information Maintaining patient privacy Handling the ethical implications of AI and human-machine interactions in healthcare “Hallucinations” (false or inaccurate information) can occur when model has limited knowledge of a particular domain “Distraction” (losing track of earlier inputs) can occur when inputs go beyond allowable token count for model “context window” and models start to produce responses not relevant to queries and context.

Enhancing Spiritual Care in Intensive Care Units: An Analysis of the Impact Nurses’ Knowledge, Motivation, and Competency

Spiritual care, a vital component of holistic nursing, is often overlooked in intensive care units (ICUs) because of the limited knowledge, motivation, and competency of healthcare providers. This study investigated ICU nurses' knowledge, motivation, and skill in providing spiritual care. This cross-sectional study included 38 ICU nurses. A systematic questionnaire was used to evaluate nurses' knowledge, motivation, and competency in spiritual care. The relationships between these parameters were analyzed using univariate and bivariate analyses. The findings indicated that ICU nurses moderately understood spiritual care (M = 7.2, SD = 1.9) and exhibited strong motivation (M = 4.0, SD = 0.8). Skills in spiritual care were positively correlated with knowledge (r = 0.41, p &lt; 0.05) and motivation (r = 0.52, p &lt; 0.01). Previous spiritual care training markedly enhanced nurses' competencies (p &lt; 0.05) and served as a significant predictor (β = 0.28, p &lt; 0.05). This study underscores the critical role of knowledge, motivation, and competency in enhancing spiritual care among ICU nurses. Targeted interventions such as educational programs and institutional support are essential for improving spiritual care practices. Future research should focus on developing comprehensive training models to address the individual and systemic barriers to spiritual care integration in critical care environments.