Training Support Research Articles

Effects of gamification in advanced life support training for clinical nurses: A cluster randomized controlled trial

BackgroundCardiopulmonary resuscitation training is a mandatory competency, especially for healthcare professionals. However, the spread of COVID-19 caused a sharp decline in the number of participants on advanced life support training, thereby accelerating the diversification of educational methods. Gamification is an increasingly popular method of diversifying instruction, but its effectiveness remains controversial. AimTo evaluate the effectiveness of gamification learning in advanced life support training. DesignA cluster randomized controlled trial. SettingA single advanced life support training center. ParticipantsClinical nurses who are currently practicing in a hospital. MethodsA part of the existing advanced life support course was gamified using Kahoot! platform. Conventional learning and gamified learning were each conducted 11 times, and the level of knowledge after training was assessed. The assessment questions were categorized into advanced life support algorithms, teamwork, and cardiac arrest rhythms. ResultsA total of 267 were enrolled in the study, and 148 and 139 learners were assigned to CL and GL, respectively. There was no difference in post-training knowledge related to teamwork, and cardiac arrest rhythms between the conventional learning and gamified learning groups, but knowledge related to the advanced life support algorithm was low in the gamified learning group. ConclusionsEven if the learners are the same, advanced life support gamification training can lead to negative outcomes depending on the simplicity or goal of the training content. To improve the effectiveness of the training, various methods of gamification training should be applied depending on the goal and content of the training.

Enhancing education quality: Exploring teachers' attitudes and intentions towards intelligent MR devices

AbstractThis research paper focuses on the adoption of multi‐perspective theory to study teachers' attitudes and intentions towards using intelligent mixed reality (MR) devices for classroom behaviour analysis. The research model integrates TRI (Technology Readiness Index), IDT (Innovation Diffusion Theory), ECM (Expectation Confirmation Theory) and TAM (Technology Acceptance Model) model. The variable of insecurity is considered to address the concerns regarding information security in the use of artificial intelligence in education. The study identifies that innovation and relative advantage significantly and positively influence teachers' attitudes towards using intelligent MR devices. PeoU (perceived ease of use), however, does not have a significant impact on attitudes, suggesting that teachers prioritize the benefits of enhancing teaching quality over the complexity of the devices. PU (perceived usefulness) emerges as a key variable for teachers' adoption of intelligent MR devices, prompting the need for attention from designers and manufacturers. Regression analysis reveals that gender does not influence the use of new technology, while teachers with more teaching experience and those working in remote areas express greater receptiveness towards utilizing new technology. The paper recognizes the potential of intelligent teaching devices to address educational challenges and promote equity in remote areas by providing auxiliary tools for teachers to improve teaching efficiency and quality. Teacher training and technical support are emphasized as crucial factors for effective use of artificial intelligence teaching devices.

Business manager training and employee support

The world is changing, and with it the way we work and how we relate to our work. Businesses face many challenges to which they must adapt if they hope to remain competitive. In addition to the question of an ecological transition, respect for human rights and working conditions is essential. Today, faced with recruitment difficulties and turnover issues, well-being and the quality of life in the workplace have become priorities for companies that wish to maintain their attractiveness and keep their current employees; in this context, motivation is an essential variable. As such, it is necessary to look into current managerial practices and skills and their underlying factors. In this context, we are interested in the impact of managerial practices on employees. The two principal means of becoming a manager are to be promoted “internally” or recruited externally; these two manager profiles differ in training, professional experience and organizational culture. Stemming from the theoretical field of social psychology, notably the “Five core social motives” model (Fiske, 2003), we reflect upon the issue of managerial practices in the context of a France-based business.

Challenges and real-world solutions for adoption of holistic skincare routine (cleansing, treatment, moisturization, and photoprotection) in acne, rosacea, atopic dermatitis, and sensitive skin: An expert consensus.

While treatment is a definitive therapeutic component in the management of inflammatory skin conditions, adjunctive skin care comprising of appropriate cleansing, moisturization, and photoprotection are just as important. Cleansing, treatment, moisturization, and photoprotection (CTMP) constitute the four major components of holistic skincare routine for dermatological conditions. However, inadequate patient understanding of the condition, limited resources for physicians, and insufficient time for patient education during busy dermatological consultations are the main obstacles to establishing a holistic skincare routine in the real world. This study aimed to identify key challenges in the implementation of a holistic skincare routine, and offer practical guidance to physicians to improve adoption in the management of acne, atopic dermatitis, rosacea, and sensitive skin syndrome. An expert panel comprising of nine dermatologists from Australia, China, Hong Kong, Taiwan, India, Philippines, Singapore, South Korea, and Thailand convened to develop consensus statements to stimulate real-world adoption of holistic skincare routine in acne, rosacea, atopic dermatitis, and sensitive skin syndrome using the Delphi approach. Consensus was defined as ≥80% of panel rating statement as ≥8 or median rating of ≥8. The final statements were collated to develop consensus recommendations to encourage adoption of holistic skincare routine. Promoting patient education on the skin condition, training support staff in patient counseling, and offering physician training opportunities are the key strategies to encourage real-world adoption of CTMP as a holistic skincare routine. The consensus recommendations presented here should be considered in all dermatology patients to accomplish the ultimate goals of improved treatment outcomes and patient satisfaction.

Basic life support training for intensive care unit nurses at a general hospital in Tabriz, Iran: a best practice implementation project

ABSTRACT Introduction and objectives: Basic life support (BLS) is foundational to the care delivered to cardiac arrest victims. This study evaluated current practices and implemented best practices related to BLS training for intensive care unit (ICU) nurses in a general hospital in Tabriz, Iran. Methods: This interventional before-after study was informed by the JBI Evidence Implementation Framework. An audit, feedback, and re-audit strategy was used to measure baseline compliance with best practices, develop an implementation strategy to address gaps in compliance, and undertake a final evaluation to measure changes in compliance. The JBI Practical Application of Clinical Evidence System (JBI PACES) and situational analysis Getting Research into Practice (GRiP) tool were used to support data collection and implementation planning. There were 13 evidence-based criteria and a sample of 9 ICU nurses. Results: The baseline audit revealed gaps between current practice and best practice in 9 of the 13 criteria. Barriers included insufficient education tools and programs, insufficient supervision, lack of skills laboratories, and a lack of continuous BLS education. Improvement strategies included providing a human stimulator manikin, developing an education program for nurses, as well as establishing a cardiopulmonary-cerebral resuscitation department, a skills laboratory, and continuous BLS education based on the American Heart Association guidelines. The follow-up audit revealed improvement of 100% across all criteria. Conclusions: This project indicates that a clinical audit is effective for assessing evidence-based BLS education for ICU nurses, thereby improving resuscitation performance and patient outcomes. Spanish abstract: http://links.lww.com/IJEBH/A213

Sustainability-informed dietetics education: key messages for educators and national dietetics associations.

Dietetics curricula currently fail to meet the educational needs of the future dietetic workforce to contribute expertise in sustainable, healthy food systems in the settings in which dietitians work. A 'Global Networking Event on Sustainable Food Systems in Nutrition and Dietetics Education' was held in June 2023 with the goals of building relationships among international stakeholders and informing the development of shared curricula. Plenary lectures, panels and roundtable discussions were held over 2 days, designed to provide the background required to generate informed actions. Topics included recent research from practice and education, competency standards and relevant policy documents, examples from the field, 'big questions' about scope and student perspectives. Key messages were summarised thematically to inform educators and national dietetics associations. Fifty-five delegates attended from 11 nations representing education, research, dietetic associations, industry and diverse practice backgrounds. Key priorities identified for educators included co-development of curricular frameworks and pedagogical theory, practical training supports and solutions to limited time and expertise. Key recommendations for national dietetics associations included strategic promotion of sustainable food systems in dietetic roles and practical supports. Outcomes are anticipated to stimulate ongoing discussion, collaboration and actions on sustainable food systems education within the dietetics profession leading to shared curricular models and supports.

Optimising Combat Readiness: Practical Strategies for Integrating Physiological and Psychological Resilience in Soldier Training.

This narrative review examines the intricate psychophysiological interplay between cognitive functions and physical responses within military personnel engaged in combat. It elucidates the spectrum of responses elicited by symmetric and asymmetric warfare alongside specialised combat scenarios, including close-quarters and subterranean warfare. Central to this discourse is the emphasis on integrating training programs beyond physical conditioning to encompass psychological resilience and decision-making efficacy under duress. The exploration further ventures into applying advanced technologies such as virtual reality and wearable devices, highlighting their pivotal role in augmenting training outcomes and supporting soldier health. Through a detailed analysis of psychophysiological variations across different military branches of service, the narrative review advocates for bespoke training regimens and support frameworks tailored to address the unique exigencies of each service branch. Concluding observations stress the importance of evolving military training paradigms, advocating for adopting realistic, immersive training simulations that mirror the complexities of the contemporary battlefield. This synthesis aims to contribute to the ongoing discourse on optimising military training protocols and enhancing the operational readiness and well-being of armed forces personnel. This narrative review is essential for military psychologists, trainers, and policymakers, aiming to bridge the gap between theoretical knowledge and practical implementation in military training programs.

Mind the gap: Facilitating early design stage building life cycle assessment through a co-production approach

Despite the transition towards a circular economy (CE) being a significant element in achieving the decarbonisation of the built environment, a clear and common pathway to applying CE principles to building design is still lacking in both industry practice and academia. The integration of Building Information Modelling (BIM) and Life Cycle Assessment (LCA) has the potential to enable the identification of feasible pathways to increase circularity. This study aims to investigate its practical use to facilitate the application of circular economy principles at the early stage of building design via using LCA-based BIM plugins. Within this aim, the paper centres on a co-production approach and presents a gap analysis by identifying gaps in knowledge and implementation as well as addressing the pressing needs of the current practice in the UK. A series of semi-structured interviews with expert practitioners in the field were conducted for data collection, contributing to the following phases of the co-production by allowing for an in-depth investigation and reflection of the practice. The findings have revealed that: (a) there is still an insufficient level of contextual awareness and readiness in the implementation of CE principles in the built environment and LCA understanding and (b) the adoption of BIM at the early stages of building design is still limited in the current practice; BIM models with sufficient level of data details and quality to enable circularity assessment are rarely produced. Thus, the paper highlights the need for enabling mechanisms, including the introduction of legislative instruments, the involvement and commitment of the industry and key stakeholders, the support for training and skills improvement, and the establishment of effective communication and implementation process management frameworks. Future research agenda points to the need of formulation of a BIM protocol to enable integration of BIM and LCA to promote CE principles in the building design process.

Training and learning support for people with vision impairment in the use of smartphones and applications (apps): an exploratory Australasian survey.

Occupational therapists working in low vision rehabilitation make recommendations for assistive technology (AT) and provide training in AT use for people with vision impairment (PVI) to support participation and independence. Smartphones and apps are an important AT for PVI, yet little is known about the training needs of PVI or what training is currently provided. Research exploring PVI's learning and training experiences is required to inform training development. This study aimed to explore the perspectives, needs, and recommendations of PVI from Australia and Singapore on smartphone training methods. An online survey collected data between November 2020 to February 2021. Participants were recruited from Australia and Singapore using purposeful sampling. The survey had three sections: (i) demographics, (ii) use of smartphones and apps, and (iii) training. It consisted of 26 closed and open-ended questions. The quantitative results from the survey were analysed descriptively, and responses to open-ended questions were analysed using content analysis. Sixty-eight PVI responded to the survey, with 34 (50%) participants from each country. There were more Australians (n = 19/34, 55.9%) who had accessed formal training compared to Singaporeans (n = 11/34, 32.3%). Participants valued both formal and informal training, and self-training was the most used method for informal training (Australia: n = 29/34, 85%, Singapore: n = 22/34, 64.7%). Participants stated they preferred individualised formal training that caters to their learning needs and is provided by patient and knowledgeable trainers. They also preferred formal training, which is flexible and convenient to access, including online training with peers. Findings such as providing individualised training, ensuring increased awareness of formal training, and using both formal and informal training methods can be considered by occupational therapists to enhance and develop training for PVI in the use of smartphones and apps. Consumers were involved at the development stage. Three people with vision impairment reviewed and provided feedback on the survey's accessibility and content.

Digital Lifestyle Interventions for Young People With Mental Illness: A Qualitative Study Among Mental Health Care Professionals.

Given the physical health disparities associated with mental illness, targeted lifestyle interventions are required to reduce the risk of cardiometabolic disease. Integrating physical health early in mental health treatment among young people is essential for preventing physical comorbidities, reducing health disparities, managing medication side effects, and improving overall health outcomes. Digital technology is increasingly used to promote fitness, lifestyle, and physical health among the general population. However, using these interventions to promote physical health within mental health care requires a nuanced understanding of the factors that affect their adoption and implementation. Using a qualitative design, we explored the attitudes of mental health care professionals (MHCPs) toward digital technologies for physical health with the goal of illuminating the opportunities, development, and implementation of the effective use of digital tools for promoting healthier lifestyles in mental health care. Semistructured interviews were conducted with MHCPs (N=13) using reflexive thematic analysis to explore their experiences and perspectives on using digital health to promote physical health in youth mental health care settings. Three overarching themes from the qualitative analysis are reported: (1) motivation will affect implementation, (2) patients' readiness and capability, and (3) reallocation of staff roles and responsibilities. The subthemes within, and supporting quotes, are described. The use of digital means presents many opportunities for improving the provision of physical health interventions in mental health care settings. However, given the limited experience of many MHCPs with these technologies, formal training and additional support may improve the likelihood of implementation. Factors such as patient symptomatology, safety, and access to technology, as well as the readiness, acceptability, and capability of both MHCPs and patients to engage with digital tools, must also be considered. In addition, the potential benefits of data integration must be carefully weighed against the associated risks.

New method for autonomous learning of BLS psychomotor skills: Pillow mannequin: Randomized controlled study

BackgroundEvidence supporting the benefits of autonomous learning of basic life support, such as rapid outcomes and cost-effectiveness, is increasing. Reports supporting the autonomous learning of cognitive skills in basic life support exist. However, there is currently no report supporting the autonomous learning of psychomotor skills in basic life support. AimThis study aimed to assess how using a research-developed pillow-made mannequin affects autonomous learning of psychomotor skills in basic life support training. DesignRandomized controlled trial. SettingThis study was conducted in a nursing school in Turkey. ParticipantsSixty-one (n = 61) third-year formal science undergraduate students. MethodsAt XXX University, 61 nursing students were divided into Intervention (n = 31) and Control Groups (n = 30). Students in both groups received basic life support training, including live demonstrations. Intervention Group students practiced with the mannequin for 15 days. Skill assessments were conducted by two independent evaluators using a real mannequin 15 days later and six months later. Researchers used a checklist to assess psychomotor skills. ResultsThe sociodemographic characteristics of both student groups were similar. There was no significant difference in cognitive knowledge levels after the blended training (p > 0.05). However, at both post-intervention assessments, after 15 days and after 6 months, significant skill differences emerged in “placing the index finger on the ends of the sternum,” “combining the thumbs in the middle,” “defining the lower sternum as a massage point,” “placing the base of the chest” “placing the weaker hand at the massage point,” “placing the body perpendicular to the ribcage,” and “performing 30 compressions.” Cohen's kappa value was calculated as 0.932. ConclusionUse of the mannequin facilitates autonomous learning of psychomotor skills and promotes accurate application. Trial registrationClinicalTrials.gov ID: NCT05346003, 08/02/2022.

Implementasi Metode Pembelajaran Berbasis Proyek dalam Pendidikan Tinggi untuk Memfasilitasi Pemecahan Masalah Multidisiplin

Project-Based Learning (PBL) has emerged as a prominent approach in higher education to facilitate multidisciplinary problem-solving skills among students. This article explores the implementation of PBL in higher education settings and its effectiveness in fostering collaborative learning and interdisciplinary problem-solving abilities. It discusses the challenges faced in implementing PBL, such as paradigm shifts in teaching roles, logistical issues, and disparities in student readiness and motivation. Effective strategies to address these challenges, including faculty training, resource allocation, and student support, are also discussed. The discussion underscores the potential of PBL to enhance student learning experiences and prepare them for the complexities of the modern workforce.

Analyzing the impact of technology on higher education: challenges and opportunities within the Ecuadorian context

Introduction: Technology serves as the framework for tools and resources that enhance collaboration, participation, and quality in higher education. This study analyzes the technological impact on higher education, focusing on access and equity, quality and personalization of learning, and changes in educational models. Methods: A quantitative and descriptive research design was employed, involving 400 participants: 200 students and 200 teachers from the higher education system in Ecuador. Results: Both students and teachers highlighted improved access to educational resources, flexible scheduling, and recognized the significant impact of technology on higher education. However, challenges such as lack of connectivity, insufficient devices, inadequate training, and limited government support persist. Conclusion: The findings underscore the importance of addressing these challenges to maximize technology's positive impact on education. Future research should incorporate qualitative methods, expand geographic scope, and evaluate long-term effects to provide more comprehensive insights.

Enhancing ACLS training effects through video-assisted boosting methods: A comparative analysis of self-simulation and model simulation videos

AimsTo assess the impact of learner-participation and instructor-led simulation videos on nurses’ CPR skills, focusing on iterative learning to boost proficiency in ACLS. BackgroundAdvanced cardiac life support (ACLS) training is crucial for nurses, especially to improve cardiopulmonary resuscitation (CPR) proficiency, for which an effective training strategy is needed. DesignA quasi-experimental, pretest–posttest design was implemented to assess the impact of self-simulation and model simulation videos on sustaining CPR education. MethodsThe research was carried out at a university hospital in Korea from August 2021 to July 2022. A total of 110 nurses were allocated into three groups based on the building of their workplace in the hospital. Each group watched training videos at 4-month intervals after the simulation training. The self-video group viewed simulations featuring their participation, while the model video group watched instructor-led simulations. A comparison group participated in the simulations without subsequent video boosting. ResultsBoth the self-video and model video groups exhibited significantly superior ACLS performance compatred with the comparison group at both four months (H = 70.33, p <.001) and eight months (H = 81.52, p <.001) following the intervention, with large effect sizes (self-video vs. comparison: d = 4.73 at four months, d = 12.54 at eight months; model video vs. comparison: d = 4.53 at four months, d = 11.01 at eight months). ACLS knowledge scores also significantly increased over time in both intervention groups (self-video: χ² = 22.09, p <.001; model video: χ² = 24.13, p <.001), but not in the comparison group (χ² = 3.75, p =.153). There were no significant differences among the groups in terms of CPR self-efficacy or stress at either time point. ConclusionSupplementary training using simulation videos is an effective method for maintaining and enhancing nurses’ ACLS competency, offering a sustainable approach to repetitive CPR training. This study underscores the value of incorporating recorded simulation videos in clinical training, offering insights into efficient methods for continuous learning and CPR proficiency among nursing professionals.

Enhancing Educational and Clinical Trainer's Support and Experience: A Quality Improvement Initiative

Enhancing Educational and Clinical Trainer's Support and Experience: A Quality Improvement Initiative

Pemberdayaan Guru sebagai Implementator Kurikulum PAI yang Efektif

The aim of this research is to identify and develop teacher empowerment strategies so that they can implement the Islamic Religious Education (PAI) Curriculum effectively and optimally. This research uses a qualitative method with a library approach, which is descriptive and uses inductive analysis to understand the phenomenon in depth. Data sources come from secondary literature such as books, scientific journals, papers and other writings that are relevant to the research topic. The data analysis technique used is content analysis, which involves collecting, reviewing and analyzing relevant literature. This research found that the implementation of the Islamic Religious Education (PAI) curriculum in Indonesia faces challenges such as low teacher welfare, shortage of teaching staff, lack of training, and inadequate facilities and infrastructure. To overcome this, steps are recommended such as improving teacher welfare, applicable training, improving facilities and infrastructure, and reducing administrative burdens. A holistic approach to teacher empowerment is essential, including training, professional development, and collaborative support. Support from various parties such as the school principal, colleagues, students and parents is also essential. With these strategies, it is hoped that the quality of PAI education can be improved, achieving the goal of inclusive and adaptive Islamic education.

Utilizing data to drive solutions for healthcare worker wellbeing.

9012 Background: Oncology Healthcare Workers (HCWs) provide extraordinary treatment to patients coping with distinct challenges. While experiences of burnout, compassion fatigue, and moral distress are not new, the COVID-19 pandemic further emphasized that intentional effort is needed to mitigate these negative work-related consequences. While Roswell Park Comprehensive Cancer Center (Roswell) initiated pre-pandemic grassroots efforts to examine burnout and build organizational resilience, deliberate resources were deemed necessary to support HCW resilience and well-being. Roswell committed to building a division solely focused on employee resiliency and burnout prevention. Methods: Qualitative and quantitative data were collected to identify organizational needs and pain points. Qualitative data was collected by the Resiliency Director who held over 100 conversations in 100 days with diverse personnel across the institute. Discussions focused on two questions (e.g., What’s working well? and What are the pebbles in employees’ shoes?) to assess organizational strengths are growth areas. Quantitative data was obtained through the Mini-Z, a validated burnout screener. All employees were emailed an invitation to take the survey over an 8-week period starting in December 2022. Concerned employees could self-refer to the Employee Assistance Program at the screener’s conclusion. Results: Qualitative data was categorized into Maslach's burnout drivers (workload, relationships, recognition, fairness, autonomy, and values conflict). Highlights included staff shortages, eroding of relationships during the pandemic, siloed communication, inconsistent recognition, micromanagement, and use of antiquated systems. Mini-Z results are displayed in the table. An interactive dashboard helped further examine demographics, role, and departmental data. Press Ganey employee engagement data also supported improvements for staff well-being, transparent communication, collaboration, recognition, and enhanced technology. Conclusions: Quantitative and qualitative data can drive individual, departmental, and organizational interventions to support HCW well-being. The newly established MedStaff Satisfaction and Wellness group is using the data to focus on recognizing the needs of the medical staff on an organizational level and is preparing to offer solutions to key stakeholders. HCWs are now incorporating activities aiming to build psychological safety, enhance communication, and advance well-being into their work routines through training, wellness activities, and emotional support. The Mini-Z screener has been made available in the Employee Health Portal permitting ease of personal reassessment. [Table: see text]

Blended Learning as a Strategy to Improve Sustainability and Equity for Professional Development of Rural Teachers

Abstract Teachers in rural areas should receive equal support and professional development training as those in urban areas. It is a strategy to promote education equity for the students in the former area. This study takes the learning experience and teaching practice experience of rural teachers who participated in the Rural Teacher Replacement Training Program (RTRTP) in Guangdong Province, China, as a case. Seventeen rural teachers who participated in the blended training program were chosen as a research sample. The effect of blended training was evaluated at four levels: participants’ reaction, participants’ learning, behavior, and learning results. A model of influencing factors for rural teachers’ blended training was developed. The results showed that rural teachers’ overall satisfaction with the blended training program was relatively high. Teachers reported a greater increase in knowledge skills, but the translation into practical knowledge and the impact on the organization was not as high as expected. Four dimensions and 14 main categories influence the blended training effect of rural teachers. This study provides a reference for improving the efficiency of rural teacher blended training, especially for promoting the teaching practice after teacher training.

Integrating Real-Time Biomechanical Feedback with Cognitive-Behavioral Interventions to Enhance the Efficacy of Strength Training

This study investigates the efficacy of integrating real-time biomechanical feedback with cognitive-behavioral interventions in enhancing the outcomes of strength training programs. A mixed-methods experimental design was utilized, involving 90 participants randomly assigned to three groups: a control group receiving traditional strength training, a biomechanical feedback group, and a combined intervention group receiving both biomechanical feedback and cognitive-behavioral strategies. The interventions lasted for 12 weeks, with assessments conducted pre- and post-intervention. Key performance indicators included improvements in one-repetition maximum (1RM) strength tests and psychological well-being metrics. Results indicated that the combined intervention group demonstrated significantly greater improvements in 1RM strength, technique efficiency, and psychological resilience compared to the other two groups. The integration of biomechanical and cognitive-behavioral strategies not only improved physical performance but also enhanced mental focus and training adherence, showcasing a holistic approach to strength training. The findings suggest that a synergistic approach, encompassing both biomechanical feedback and cognitive strategies, can substantially elevate the effectiveness of strength training regimes. These outcomes have implications for coaches, athletes, and sports medicine professionals looking to optimize performance and rehabilitation protocols. The study highlights the potential for a more personalized and psychologically supportive training environment, promising for future research and practical applications in sports science and physical training.

Effects of the Modified version of the Mental Health Supporter Training Program on mental-health-related public stigma among Japanese people: A pretest/posttest study.

Effects of the Modified version of the Mental Health Supporter Training Program on mental-health-related public stigma among Japanese people: A pretest/posttest study.