Views Of Staff Research Articles

Destructive leadership and its relationship to job performance among secondary school principals from the point of view of the educational staff

Destructive leadership and its relationship to job performance among secondary school principals from the point of view of the educational staff

Remote monitoring of patients with rheumatoid arthritis in a low disease activity state: a mixed methods evaluation across six hospitals in London, UK.

This study evaluated the scale-up of a remote monitoring service, capturing monthly Rheumatoid Arthritis Impact of Disease scores and patient-generated text messages, for patients with rheumatoid arthritis (RA; in remission or with low disease activity) attending routine outpatient clinics across six hospitals. We explored patients and staff experiences and implementation outcomes. A pragmatic, mixed methods approach was used, with active patient involvement throughout. We undertook a rapid review, analysed service-level data, and conducted a patient survey and patient and staff interviews, informed by the Capability, Opportunity, Motivation, Behaviour (COM-B) and Exploration, Preparation, Implementation, Sustainment (EPIS) theoretical frameworks. The review included 37 articles, covering themes of patient and clinician acceptability, engagement, feasibility and clinical impact. Service-level data (n = 202) showed high levels of patient engagement with the service. The patient survey (n = 155) showed patients felt the service was easy to use, had confidence in it and felt it improved access to care. Patient interview (n = 22) findings mirrored those of the survey. Motivating factors included increased responsiveness and ease of contact with clinical teams. Views from staff interviews (n = 16) were more mixed. Some implementation barriers were specific to roll-out sites. Prioritization of staff needs was emphasized. Patients were positive about the service and engagement was high. Staff views and engagement were more mixed. Results suggest that equal levels of patient and staff engagement are required for sustainability. These findings further our understanding of the implementation challenges to scaling remote monitoring interventions for patients with rheumatoid arthritis in routine care settings.

Rethinking higher education in light of the sustainable development goals: results from a workshop and examples of implementation in a medical university

PurposeThis study aims to analyse student and teaching staff views on how higher education (HE) can contribute to sustainable development, and to provide examples of how a medical university has adopted the sustainable development goals (SDGs) as part of its institutional strategies and practises.Design/methodology/approachThe study is based on participant views from a conference, which aimed to identify actions needed for HE to contribute to the SDGs. More than 500 students, teachers and academic leaders participated at workshops to discuss and reflect on the role of higher education institutions (HEIs) in sustainable development. The discussion key points were recorded on flipcharts, and the analysis builds on all written statements from the nine workshops. Based on the findings from the workshop, steering documents and activities of a medical university were identified as examples of implementation.FindingsTwo overarching interdependent themes were identified and indicated a need to rethink the role not only of HE per se but also that of HEIs at large, to meet the challenges of sustainable development. The study also provides an example of how such organizational change can be practically implemented at a medical university, through the establishment of overarching institutional strategies, funding opportunities and external collaborations.Practical implicationsThe findings reflect a “bottom-up” call from students and educational staff for HEIs to step up and contribute to systems change – both through a change in pedagogies, as well as through an institution-wide approach and a shift in the role of HEIs in society.Originality/valueThe study is unique in providing an exemplar of the implementation of sustainable development in HE at a specific medical university.

Challenges for Successful Transfer From Community to Bachelor’s Colleges: Views of Staff and Faculty With Transfer Responsibilities

Staff and faculty have influential roles in the success of students transferring from associate’s- to bachelor’s-degree programs (vertical transfer students). Our survey compared the reported views on transfer of 607 staff and faculty with transfer responsibilities in associate’s or bachelor’s programs at 19 City University of New York colleges. The findings included: (1) Staff reported feeling more confident in their responsibilities than did faculty. (2) Participants working with associate’s-degree students were more likely to report their colleges had sufficient transfer-service resources. (3) Associate’s-degree faculty were the least likely participant group to respond that the biggest barrier to the transfer process was GPA decline (transfer shock), and the most likely that it was credit transfer, whereas for bachelor’s-degree faculty, it was the reverse. These findings can inform policy and practice. For example, to work together towards a common goal of transfer student success and higher education equity, faculty may need more support in performing transfer-related duties and bridging their differing views across college sectors.

Promotion of 3–5-year-old girls’ and boys’ physical activity in the outdoor playground of kindergarten, viewed from female and male kindergarten staff’s perspective

ABSTRACT The purpose of this article is to qualitatively explore the disparity in the perspectives of female and male staff in promoting physical activity towards 3–5-year-old girls and boys in the outdoor playground of a Norwegian kindergarten. The sample consisted of eight female staff and two male staff members from one kindergarten. Semi-structured interviews were used to gather in-depth insight on their attitudes, thoughts, and actions. The results of the study illustrate a basic agreement that male staff are usually more physical and active with both girls and boys. Further, the results demonstrate that neither the female- nor male staff view promotion of physical activity in a gender perspective. The interviews reveal that both female and male staff intend to treat every girl and boy in the same manner when it comes to promoting physical activity; thus, a surprising result is that they do not seem to be conscious about their own stereotypical attitude and how this may affect the girls and boys when promoting physical activity. The staff members, regardless of their gender, obtain an attitude of learned helplessness because they feel there are not enough adults present in the outdoor playground of the kindergarten.

Cardiac rehabilitation for children and young people (CardioActive): protocol for a single-blind randomised feasibility and acceptability study of a centre-based cardiac rehabilitation programme versus usual care in 11–16 years with heart conditions

BackgroundCongenital heart conditions are among the most common non-communicable diseases in children and young people (CYP), affecting 13.9 million CYP globally. While survival rates are increasing, support for young people...

The constrains of using the technologies of the augmented reality in teaching English from the point of view of the teaching staff at the colleges of languages and translation of Najran University

هدفت هذه الدراسة إلى التعرف على معوقات استخدام تقنيات الواقع المعزز في تدريس اللغة الإنجليزية من وجهه نظر أعضاء هيئة التدريس بكليات اللغات والترجمة بجامعة نجران في المملكة العربية السعودية، ولتحقيق ذلك استخدمت الباحثة المنهج الوصفي التحليلي، واستخدمت الاستبانة كأداة رئيسية لجمع البيانات من أفراد مجتمع الدراسة، وتم اختيار عينة عشوائية تكونت من (38) فرداً من أعضاء هيئة التدريس بكليات اللغات والترجمة، وتكونت الاستبانة من محورين، المحور الأول: معوقات استخدام تقنيات الواقع المعزز في تدريس اللغة الإنجليزية ويندرج تحتها (16) فقرة. والمحور الثاني: الحلول والمقترحات المناسبة لهذه المعوقات ويتم الإجابة عنها بطريقة اختيارية. وقد أشارت النتائج إلى أن مستوى استجابات أفراد عينة الدراسة على فقرات معوقات استخدام تقنيات الواقع المعزز من وجهه نظر أعضاء هيئة التدريس بكليات اللغات والترجمة بجامعة نجران جاءت بدرجة (متوسطة)، بمتوسط حسابي (3.33 من 5)، وبنسبة 66.62%، وبالنسبة للمحور الثاني فقد أشارت النتائج إلى عدد من الحلول والمقترحات للتغلب على معوقات استخدام تقنيات الواقع المعزز بتدريس اللغة الإنجليزية بكليات اللغات والترجمة بجامعة نجران من وجهة نظر عينة الدراسة، وقد تضمنت هذه الحلول والمقترحات عقد دورات تدريبية لاستخدام تقنيات الواقع المعزز وتوفير التقنيات اللازمة لاستخدام الواقع المعزز وتعزيز الثقة لدى أعضاء هيئة التدريس وتشجيعهم وتحفيزهم على تعلم وإتقان مهارات استخدام تقنيات الواقع المعزز في تدريس الطالبات و أيضا معالجة المشكلات التي تواجههم في استخدام تقنيات الواقع المعزز في تدريس الطالبات.

The complex intervention day hospice — a quality-assured study on the implementation, realization, and benefits with model character for Germany (IMPULS) using the example of “Day hospice Adiuvantes”

BackgroundCurrently, a conclusive experience on the uniform implementation and benefits of day hospice structures and interventions is lacking in Germany. The following questions should be clarified: (1) Which structural conditions and interventional measures should be established in day hospices from the point of view of patients, relatives, and specialist staff?; (2) Are the planned structures or interventions feasible and implementable under real conditions and accepted by patients, relatives, and staff?; (3) How can a final implementation and intervention catalog for day hospices be designed?; (4) Is this final catalog of services feasible, reasonable, economical, and effective under everyday conditions in day hospices?MethodsWe planned to perform a multistage investigation, guided by the Medical Research Council Framework for the development and evaluation of complex interventions. In Stage 1, an initial theoretical construct on structures and interventions will be established through an extensive literature and guideline review on day hospices and through qualitative interviews. In a nominal group process, we will create a catalog of offers. In Stage 2, feasibility testing is conducted in a single-day hospice under real-life conditions using quantitative quality indicators and qualitative interviews. Structures and interventions can be adapted here if necessary. In a second nominal group process, a final structure and offer catalog is created, which is then implemented in Stage 3 in the day hospice under investigation and evaluated under real daily conditions through a process and effectiveness test. For this purpose, qualitative and quantitative quality indicators will be used and a comparative cohort of patients who are not cared for in the day hospice – but in the same network structure (oncology–palliative care network Lower Bavaria) – is examined.DiscussionFinally, the initial statements on the reasonable and realizable structures or interventions in day hospices and their benefits in daily real-life conditions as well as possible optimization processes shall be made.Trial registrationThe study was retrospectively registered in the German Clinical Trials Register (DRKS-ID DRKS00031613, registration date April 04, 2023) and the display portal of the Center for Clinical Trials of the University Hospital Regensburg (Z-2022-1734-6, registration date July 01, 2023).

Community pharmacists' perceptions on managing people with oral health problems-A prioritisation survey.

Alternative sources of oral health information are likely to be of benefit to the public, particularly where access to dental services is limited. There is evidence that community pharmacists are willing to advocate for oral health, but it is unclear what is needed to develop this role. The aims of this study were to obtain the views of community pharmacy staff on the frequency and type of oral health conditions they encounter challenges in management and training/research priorities. An anonymous online survey targeted pharmacy staff and elicited quantitative data related to the types and frequencies of oral health conditions experienced. Participants were stratified by age, gender, ethnicity, experience and setting. Free text responses allowed participants to detail challenging aspects of patient management, their priorities for service development and future research. Reflexive thematic analysis of free text responses identified key themes. Oral/facial pain and swelling were seen weekly by most respondents, and daily by 28.8%. Other commonly presenting conditions were ulcers, dry-mouth, thrush and denture issues. Challenges in managing oral health conditions included: access to NHS dentistry, awareness of referral pathways, examination/diagnosis and understanding 'Red Flags'. Acute and chronic oral health conditions commonly present to community pharmacists who lack necessary knowledge/training, which may result in missing 'red flag' symptoms for oral cancer or acute facial swellings which can be life threatening. There is a need to support pharmacists, who are willing to act as oral health advocates, in recognition, prevention and onward referral for oral diseases.

Teaching Philosophy at Kharkiv University in the 19th — Early 20th Century (according to students’ recollections)

The article highlights the peculiarities of teaching philosophy at Kharkiv University in the 19th and early 20th according to students’ recollections. Gaining this historical experience will contribute to solving the urgent problems of optimising humanities courses in higher education today. It is found out that Kharkiv University became the centre of development of philosophical science in Ukraine. Through the efforts of public figures, it was possible to invite Johann Schad, a graduate of the German school, to become a professor of the newly created Department of Speculative and Practical Philosophy. His efforts to develop the department and the progressive views of the academic staff alarmed the authorities resulting in the formation of a faculty subservient to the regime, decrease in the level of teaching of philosophical disciplines, and subsequently, the dissolution of the Department of Philosophy. The main emphasis in the professional training of students is placed on historical disciplines, primarily the study of Russian history. It was only in the 1870s that Kharkiv University was able to provide its students with a proper philosophical education. The analysis of students’ recollections of the institution shows the popularity of philosophy courses and the respect of students for the teaching staff. At the beginning of the twentieth century, with the permission of the government, student clubs were established. Unfortunately, the level of popularity of philosophical circles was low due to the chauvinistic views of their leaders. Nevertheless, it was found that thanks to the efforts of the academic staff of Kharkiv University, Ukrainian philosophical thought is being formed and popularised abroad.

How to promote telemedicine in underdeveloped cities in central China? Qualitative interviews with medical personnel in tertiary A-level hospital of Xinyang City.

Telemedicine has emerged as a novel healthcare service model that plays a vital role in addressing the unequal distribution of medical resources. Telemedicine has recently gained significant traction in economically prosperous cities such as Beijing, Shanghai, and Guangzhou in China. However, Xinyang City in Henan Province is an economically less developed city, and telemedicine is still in its early stages. By exploring the views of medical staff and administrators at Xinyang City's tertiary A-level hospital on telemedicine, this study aims to determine the development status of telemedicine services in Xinyang City. The objective was to identify the challenges in the construction process and formulate corresponding strategies for advancing telemedicine in Xinyang City. Face-to-face personal interviews were conducted with 16 medical staff and administrators from a tertiary A-level hospital in Xinyang City, Henan Province, and the data were collected and analyzed using grounded theory. In the process of data analysis, NVivo12 software was used to encode and organize the data line by line. The development of telemedicine in Xinyang City has the potential to benefit residents, hospitals, and healthcare personnel despite several challenges, including the absence of laws and regulations, inadequate policy support, limited hospital cooperation, and low resident awareness, which must be addressed to unlock the full potential of telemedicine. The telemedicine system in Xinyang City is currently in a coordinated developmental phase, and several areas require further improvement. The development of standardized telemedicine in Xinyang City requires government support, better training for general practitioners, public awareness campaigns, and improved technology while ensuring reasonable work schedules and motivating medical personnel.

The use of traditional Chinese medicine among the Chinese immigrants in the United Kingdom: An intersectionality perspective

This study queries why Traditional Chinese Medicine (TCM) has remained an important health care choice for the Chinese population living in the UK after decades of settlement. Data was gathered through participant observation and unstructured interviews in a TCM clinic in London. 105 h of observation and 3 in-depth unstructured interviews were conducted. Data analysis was done using a modified grounded theory (M-GT). This study focused on the activities and views of the clinical staff and the use of the clinic by different user groups. The analysis used an intersectionality approach to understand health behaviours. The study found that the utilisation of TCM was deeply related to multiple factors simultaneously, including, immigrant identity, language problems, limited access to mainstream health services, social isolation, and the health demands of aging Chinese immigrants. These factors worked together to make TCM an essential healthcare resource primarily to serve the aged Chinese people, young students and vulnerable immigrants, especially those who are undocumented. The study suggests that future research and policy making should consider the multiple, simultaneous dilemmas faced by social groups. Policymakers should take into consideration these dynamics and their likely impact on healthcare delivery policies. Further research also needs to be done to ensure the safety and efficacy of TCM.

Protocol for an implementation study of group metacognitive therapy for anxiety and depression in NHS cardiac rehabilitation services in England (PATHWAY-Beacons).

Cardiac rehabilitation (CR) services aim to improve heart disease patients' health and quality of life and reduce the risk of further cardiac events. Depression and anxiety are common among CR patients but psychological treatments have usually had small effects. In contrast, the recent NIHR-funded PATHWAY trial found that group Metacognitive Therapy (MCT) was associated with improvements in anxiety and depression when added to CR and was more effective than usual CR alone. The next stage is to test implementation of MCT within the National Health Service through the creation of a network of CR beacon sites. The study will test the quality of data capture following addition of a new MCT data-field to the national audit of cardiac rehabilitation (NACR), examine level of adoption at sites, examine mental health outcomes benchmarked against usual CR and the PATHWAY data, examine the enablers and barriers to implementation and the expected resource requirements. The study has been registered: NCT05956912 (13th July, 2023). Beacon sites will be recruited as preliminary adopters of group MCT from NHS CR services in England. A national invitation for expressions of interest from CR services will be issued and those meeting eligibility criteria will be considered for inclusion. Two staff at each site will receive training in MCT, and mixed-methods will be used to address questions concerning the quality of patient data recorded, level of adoption at sites, the characteristics of patients attending MCT, the impact of adding MCT to CR on mental health outcomes, and patient, healthcare staff and commissioner views of barriers/enablers to implementation. Exploration of implementation will be informed by Normalisation Process Theory. The study will support development of an NHS roll-out strategy, assess the mental health outcomes associated with MCT, examine treatment fidelity in real-world settings, and evaluate revised data collection structures that can be used to assess the impact of national-level implementation. NCT05956912; 13th July 2023.

HEALTHCARE WORKERS’ PERSPECTIVES ON AI-ENABLED ROBOTS USE IN LONG-TERM CARE: A SCOPING REVIEW

Abstract Artificial intelligence (AI) enabled robots are increasingly implemented in long-term care homes (LTC). However, the views of LTC staff on these robots remain largely unexplored. Our scoping review delves into the staff’s perceptions, outlining the advantages and challenges of using AI robots in LTC settings. Using the Joanna Briggs Institute’s methodology, we screened 86 articles from 2013 to 2023, with 35 fitting our criteria. Our analysis was informed by McCormack’s Person-centred Care Practice (PCP) Framework and the Consolidated Framework for Implementation Research (CFIR). We identified five key barriers: 1) the complexity of the robot, 2) potential job losses and increased workload, 3) concerns about safety and efficacy, 4) risk of depersonalized care, and 5) a lack of supportive regulations and resources in LTC facilities. To address these challenges, we recommend strategies: a) staff training, b) clarifying robot benefits to staff, c) demonstrating how robots can fulfill resident needs, d) implementing ethical guidelines, and e) aligning robot use with LTC policies while ensuring resource availability. In conclusion, partnership is required among healthcare workers, organizational leaders, robot developers, and researchers; they should not work in silos. More research is needed to explore how to facilitate effective partnerships.

IMPACT OF UNIFORMS IN LONG-TERM CARE FACILITIES: SYNTHESIS OF INTERNATIONAL EVIDENCE AND SURVEY OF UK STAFF VIEWS

Abstract Non-uniform-based staff dress codes are beginning to emerge in UK long-term care facilities for older people. However, there is little research evidence on the impact of staff clothing on resident, staff and visitor experiences, wellbeing or quality of life. Uniforms may be reassuring and facilitate identification of staff; a non-uniform approach may create a home-like, relaxed environment. This study aimed to synthesise existing international evidence and explore staff views about work clothing in three not-for-profit long-term care facilities in the UK. Five bibliometric databases were searched from inception. A narrative synthesis of included papers was conducted due to heterogeneity of study designs and outcome reporting. 77 (49%) of 158 staff responded to the survey. 68 staff (88%) did not currently wear a uniform at work. Views about the importance and impact of uniform were mixed: 25 (32%) believed that their role needed a uniform; 60 (78%) thought staff clothing made no difference in resident care quality but 45 (58%) agreed the environment felt more home-like when staff did not wear a uniform. 36 staff (47%) would choose to wear a uniform and 17 staff (22%) reported finding it difficult to afford clothes for work. In the context of limited research evidence, staff clothing is perceived to have little impact on care quality but considerable impact on long-term care facility atmosphere and staff working experiences. There is a need to research the impact of staff clothing to support evidence-based decisions about staff clothing policies in long-term care settings.

School staff's views on causes of early school leaving in regular secondary and adult education: Identifying the role of individual, job‐related and school climate characteristics

AbstractUnderstanding early school leaving (ESL) remains a key issue on political and academic agendas. Most research focuses on the experiences of young people who intend to leave or have left school early without a qualification from secondary education. In addition, most studies focus on regular secondary schools. We aim to add to this literature by studying how school staff in regular secondary and adult education schools explain ESL, and to understand how both groups' views differ. We also study whether school climate has an effect on the explanations of ESL given by staff. We analysed survey data collected in Flanders (northern part of Belgium) among 780 staff members using exploratory factor analysis and multilevel modelling. Findings indicate that staff in adult education have moderate views on the causes of ESL compared to staff in regular education. Staff in adult education have a strong focus on student‐focused explanations for ESL, rather than on contextual or systemic explanations. Future research could delve deeper into the impact of school characteristics, conduct more cross‐comparative research and/or include more views on diversity. Policymakers could prioritise the follow‐up of ESL, including feedback mechanisms to inform school staff on reasons why individual students decided to leave school early.

Assessing deprescribing tools for implementation in care homes: A qualitative study of the views of care home staff

BackgroundCare home residents often experience polypharmacy (defined as taking five or more regular medicines). Therefore, we need to ensure that residents only take the medications that are appropriate or provide value (also known as medicines optimisation). To achieve this, deprescribing, or the reduction or stopping of prescription medicines that may no longer be providing benefit, can help manage polypharmacy and improve outcomes. Various tools, guides, and approaches have been developed to help support health professionals to deprescribe in regular practice. Little evaluation of these tools has been conducted and no work has been done in the care home setting. ObjectiveThis qualitative study aimed to assess distinct types of deprescribing tools for acceptability, feasibility, and suitability for the care home setting. MethodsCognitive (think-aloud) interviews with care home staff in England were conducted (from December 2021 to June 2022) to assess five different deprescribing tools. The tools included a general deprescribing guidance, a generic (non-drug specific) deprescribing framework, a drug-specific deprescribing guideline/guide, a tool for identifying potentially inappropriate medications, and an electronic clinical decision support tool. Participants were recruited via their participation in another deprescribing study. The Consolidated Framework for Implementation Research informed the data collection and analysis. ResultsEight care home staff from 7 different care homes were interviewed. The five deprescribing tools were reviewed and assessed as not acceptable, feasible, or suitable for the care home setting. All would require significant modifications for use in the care home setting (e.g., language, design, and its function or use with different stakeholders). ConclusionsAs none of the tools were deemed acceptable, feasible, and suitable, future work is warranted to develop and tailor deprescribing tools for the care home setting, considering its specific context and users. Deprescribing implemented safely and successfully in care homes can benefit residents and the wider health economy.

Opioid treatment program culture and philosophy: Views of OTP staff and state officials on implementing interim methadone treatment

IntroductionPeople seeking treatment at opioid treatment programs (OTPs) can face admission delays. Interim methadone (IM) treatment, an effective approach to expedite admissions when programs lack sufficient counseling staff, has been seldom implemented. A study of implementation facilitation to spur the use of IM was conducted among six OTPs and their state opioid treatment authorities (SOTAs) in four US states. Between study recruitment and launch, organizational changes at three OTPs eliminated their need for IM. Two OTPs' requests to their states to provide IM (one prior to study launch and one following launch) were deferred by the states due to internal issues that required resolution to comply with federal IM regulations. During the study, another OTP's delays resolved, and one OTP streamlined its admissions procedures. MethodsVirtual interviews were conducted with 16 OTP staff and SOTAs from six OTPs in four US states following their participation in the parent study. Interviews focused on the feasibility and acceptability of the implementation intervention for IM. We analyzed data using a constant comparative approach. ResultsTwo overarching themes emerged from the qualitative data with respect to the role that organizational culture plays in OTP staff views of efforts to implement interim methadone: (1) the contrasting views of interim methadone based on whether staff adopt a traditional treatment vs. harm reduction philosophy and (2) the importance of reconciling these philosophies in addressing the culture shift that would accompany the process of implementing IM. ConclusionsOrganizational treatment philosophy and program culture emerged as important factors determining the OTPs' staff's willingness to adopt new approaches to expedite admissions. Participants noted a tension between traditional treatment and harm reduction philosophies that impacted their views of IM, in part based on when they entered the drug treatment field. While understanding and addressing treatment philosophy and organizational culture and willingness to change is of importance when implementing new approaches in OTPs, leadership at the state and OTP level are powerful drivers of change.

Views of Teachers and Support Staff at Schools on the Implementation and Development of Family Life Education

Views of Teachers and Support Staff at Schools on the Implementation and Development of Family Life Education

Preparing adults with intellectual disabilities for their future: How do support services staff view their role?

Person-centred service delivery underpins current approaches to working with individuals with intellectual disabilities. We investigated views of staff from a service organisation regarding their roles in creating desired futures for adults with intellectual disabilities. Data were gathered from staff of a large organisation that provided a range of services to adults with intellectual disabilities. Respondents were asked to describe their role in assisting an individual with intellectual disability to meet their goals for the future. Responses were analysed using a text analysis programme. Two major themes were identified: 'Support for self-determination' and 'Business-as-usual'. These themes were not entirely separate but had some overlap. There were indications that staff experienced competing demands in their role(s). Although central to person-centred planning, staff who work with adults with intellectual disabilities may not see support of self-determination as a key factor in creating a desired future.