Years Of Professional Experience Research Articles

Perceptions and concerns of emergency medicine practitioners about artificial intelligence in emergency triage management during the pandemic: a national survey-based study.

There have been continuous discussions over the ethics of using AI in healthcare. We sought to identify the ethical issues and viewpoints of Turkish emergency care doctors about the use of AI during epidemic triage. Ten emergency specialists were initially enlisted for this project, and their responses to open-ended questions about the ethical issues surrounding AI in the emergency room provided valuable information. A 15-question survey was created based on their input and was refined through a pilot test with 15 emergency specialty doctors. Following that, the updated survey was sent to emergency specialists via email, social media, and private email distribution. 167 emergency medicine specialists participated in the study, with an average age of 38.22 years and 6.79 years of professional experience. The majority agreed that AI could benefit patients (54.50%) and healthcare professionals (70.06%) in emergency department triage during pandemics. Regarding responsibility, 63.47% believed in shared responsibility between emergency medicine specialists and AI manufacturers/programmers for complications. Additionally, 79.04% of participants agreed that the responsibility for complications in AI applications varies depending on the nature of the complication. Concerns about privacy were expressed by 20.36% regarding deep learning-based applications, while 61.68% believed that anonymity protected privacy. Additionally, 70.66% of participants believed that AI systems would be as sensitive as humans in terms of non-discrimination. The potential advantages of deploying AI programs in emergency department triage during pandemics for patients and healthcare providers were acknowledged by emergency medicine doctors in Turkey. Nevertheless, they expressed notable ethical concerns related to the responsibility and accountability aspects of utilizing AI systems in this context.

Advancing Faculty Research in a “Bricolage” Environment"

In the typical, academic career path, individuals enter faculty roles immediately after graduate school, commencing their academic careers with research skills and a fledgling research agenda. Many faculty, however, take an indirect route to research. They may work in the commercial or nonprofit sector for years before joining the academy, allowing their research skills to fade. Some individuals who never completed research training are recruited as faculty due to their years of professional experience; this is especially true in business, engineering, and health care. When institutional expectations and personal goals change, however, these individuals may suddenly face the need to conduct research. They have the motivation but lack the necessary skills and confidence. This is especially true when institutions decide to seek accreditation that requires research activity among faculty. To help Bolivian faculty achieve research success, we developed a condensed workshop on qualitative, applied research and conducted it four times, in-person and online, following the action research model. The condensed workshop proved effective in helping faculty boost their research productivity, though participants expressed a desire for more extended coaching and support. Future workshops will include increased opportunity for collaboration. The workshop can be adapted to other regions.

Utilization of the Guidelines for First Responders among Healthcare Workers during the COVID-19 Pandemic: A Quantitative Descriptive Study

Objective: Nurses were among first responders during the COVID-19 pandemic and as a result experienced significant psychological distress. The present study explored the utilization of the Substance Abuse and Mental Health Services Administration (SAMHSA) guidelines for first responders (HHS Publications No. SMA-14-4873) among healthcare providers, the majority of whom were nursing professionals, in a medium-sized county located within the Southeastern United States during the COVID-19 pandemic. Findings contribute to the collective understanding of the COVID-19 pandemic response efforts and aim to guide future efforts to support the mental health of healthcare workers serving as first responders (e.g., nurses). Methods: This study utilized a cross-sectional, quantitative methods research design. Participants were recruited through email messaging and survey data was collected electronically. Descriptive statistics were generated using SPSS statistical software to analyze survey data and report findings. Results: Results indicated variable utilization of SAMHSA guidelines, and demographic trends related to the usage of guidelines showed differences by years of experience; whereas healthcare professionals reporting 25 years or more of professional experience reported a higher frequency of engagement in stress management practices when compared to healthcare professionals reporting less than 25 years of professional experience. Conclusion: Implications of findings and recommendations for future use / implementation of SAMHSA guidelines among nursing professionals are discussed, including the use of peer mentorship programs to support utilization. The need for individual protocols and organizational policies to support these efforts are also explored and recommendations for future research are outlined.

Clinical management of plant food allergy in patients sensitized to lipid transfer proteins is heterogeneous: identifying the gaps.

Patients sensitized to lipid transfer protein (LTP) present a wide clinical variability. The lack of practical diagnostic and therapeutic guidelines complicate their management. The aim of the study was to describe the clinical approach of Spanish allergists to this pathology using a survey designed by PICO method and subsequent Delphi approach validation. Designed survey was answered by 224 allergists (75% women; 57.1% with >20 years of professional experience). Homogeneity regarding clinical practice on the main points of LTP allergy diagnosis was observed, except for patients with suspected NSAID hypersensitivity (44.6% frequently include LTP skin testing). Oral food challenges were not frequently performed (63.6% occasionally to never), and they were generally (75.5%) used to confirm tolerance. It was common to recommend fruit skins avoidance (77.2%) and maintaining consumption of foods to which patients are sensitised but tolerant (99.1%). There was heterogeneity on other dietary indications, modifications due to co-factors, or traces avoidance. Peach sublingual immunotherapy (SLIT) was considered very/quite effective by 55.9% of allergists. The majority (79.5%) consider SLIT indicated in <25% of LTP allergic patients, based on severity (95.2%), frequency of reactions (99.4%), allergy to multiple food families (97.4%), and the quality of life/nutrition impairment (91.5%). There was different practice on SLIT prescription based on co-factor involvement. These data suggest that there is a need to increase evidence to reduce the clinical practice heterogeneity in the management of LTP allergy.

“You feel that you are stepping into a different world”: Vulnerability and biases in the treatment of anorexia nervosa

ABSTRACT The treatment of anorexia nervosa has been marked by challenges, prompting scholars to establish therapeutic guidelines aimed at overcoming barriers, and enhancing the efficacy of treatment. Although previous studies have documented the difficulties that usually arise in anorexia treatment, the challenges and the vulnerabilities therapists face have not been fully illuminated. The objective of this study is to delve into therapists’ experiences and explore the sense of vulnerability they encounter during the treatment of anorexia nervosa, thereby fostering a more profound comprehension of their perspectives. One-to-one interviews were carried out with a cohort of 7 Greek therapists, all of whom had a minimum of 5 years of professional experience. Data were analyzed using interpretative phenomenological analysis and two main themes were constructed: therapist-related factors and building communication. Therapists experienced moments of self-doubt wherein they questioned their capacity to provide an efficacious treatment plan. Aside from this sense of vulnerability, treatment was also thought to be hindered by personal biases while issues of mistrust and parental involvement were considered to be additional challenges. Lastly, the study raises doubts about the therapist’s role as the confident and unbiased expert, emphasizing the criticality of addressing these challenges to enhance the overall treatment outcomes.

Validation of 3D printed MAYO tubes and stethoscope in simulated medical environment – Tools fabricated with additive manufacturing for emergency care

Emergency and disaster medical care often face resource or equipment shortages. 3D printing technology has been proven to be effective in cases with insufficient supply chains. MAYO tubes and stethoscopes are essential components of ABCDE patient examinations; however, 3D-printed variants have not been fully tested. These 3D-printed instruments were substituted and validated in a simulated pre-hospital environment.In total, 26 participants were included in this study. Fifteen clinicians or paramedics with at least 3 years of professional experience and 10 medical students. One student was excluded because he had relevant experience with emergency care. As basic tasks, the placement of MAYO tubes and auscultation with stethoscopes were performed using medical simulators. 3D printed instruments were compared with conventional clinical devices by measuring the time required for the intervention, success rate, and user satisfaction. In the study FFF (Fused Filament Fabrication (FFF), SLS (Selective Laser Sintering (SLS), and SLA (stereolithography) 3D printing were used in this study.The times required for implementation and auscultation were examined for each instrument. There was no significant difference between the MAYO tube (p = 0.798) and the stethoscope (p = 0.676). In the case of stethoscopy, the study investigated the correct diagnosis, and no significant difference was found (p = 0.239), although an interesting trend was observed. Regarding the MAYO tube, the study found no significant difference in correct position formation (p = 0.163). The experience levels of the groups did not influence these factors. However, significant differences in user satisfaction were found in both cases in favour of the conventional versions (p < 0.001).Overall, the results of this study suggest that 3D-printed devices could be suitable replacements for clinic-based devices in emergency situations. The 3D-printed devices did not perform inferiorly at any of the indicated points compared to their classical counterparts. However, the practical applicability of the devices used in this study requires further investigation.

12-Leads Electrocardiogram Interpretation Competency among Nurses working in Critical Care Areas at Dow University Hospital, Karachi

OBJECTIVE: To assess the 12-lead Electrocardiograph (ECG) interpretation competency level of nurses working in the critical care units of Dow University Hospital, Karachi. METHODOLOGY: The descriptive cross-sectional design study was conducted from October to December 2019. The purposive sampling technique was used to include the participants. The study sample constitutes 120 registered nurses from the critical care units of Dow University Hospital (DUH), including the intensive care unit (ICU), coronary care unit (CCU), and emergency department(ED). Full-time Registered nurses with more than one year of professional experience and currently working in critical care units of Dow University Hospital were included, and those with post-basic-cardiology specialization were excluded. Data were collected through a 12-item validated study questionnaire and analyzed through descriptive statistics using SPSS version 21.0. RESULTS: Most of the participants, 84 (70.0%) in this study, were male, and 46(38.3%) of the nurses have completed Post RN-BS Nursing (post-diploma two years undergraduate nursing degree program) as the highest professional qualification. This study determined ECG interpretation competence as a score of ≥ 9 out of 12. The findings of this study revealed that 38(31.66%) nurses scored ≥ 9, whereas 82 (69.34%) nurses scored eight or less. CONCLUSION: The study found that most nurses performing their duties in critical hospital areas have suboptimal ECG interpretation competency levels. A relatively higher level of competency was found among nurses working in CCU. KEYWORDS: Nurse, Interpretation, competency level, Electrocardiogram, Tertiary care hospital

Revolutionising dental technologies: a qualitative study on dental technicians’ perceptions of Artificial intelligence integration

BackgroundThe integration of artificial intelligence (AI) in dentistry has the potential to revolutionise the field of dental technologies. However, dental technicians’ views on the use of AI in dental technology are still sparse in the literature. This qualitative study aimed to explore the perceptions of dental technicians regarding the use of AI in their dental laboratory practice.MethodsTwelve dental technicians with at least five years of professional experience and currently working in Malaysia agreed to participate in the one-to-one in-depth online interviews. Interviews were recorded, transcribed verbatim and translated. Thematic analysis was conducted to identify patterns, themes, and categories within the interview transcripts.ResultsThe analysis revealed two key themes: “Perceived Benefits of AI” and “Concerns and Challenges”. Dental technicians recognised the enhanced efficiency, productivity, accuracy, and precision that AI can bring to dental laboratories. They also acknowledged the streamlined workflow and improved communication facilitated by AI systems. However, concerns were raised regarding job security, professional identity, ethical considerations, and the need for adequate training and support.ConclusionThis research sheds light on the potential benefits and challenges associated with the integration of AI in dental laboratory practices. Understanding these perceptions and addressing the challenges can support the effective integration of AI in dental laboratories and contribute to the growing body of literature on AI in healthcare.

Moderators and mediators of effects of interventions to reduce stress in hospital employees: A systematic review.

This systematic review examines moderators and mediators tested in evaluations of stress management interventions for hospital employees to determine their significance for intervention outcomes. To be included, studies had to comprise a moderator or mediator analysis and a quantitative assessment of stress or mental well-being, and to be published in English or German language. Five databases (APA PsycInfo, APA PsycArticles, Embase, Medline, and Web of Science) were searched. Moderators and mediators were categorised thematically and examined using effect direction plots. Study quality was assessed using RoB 2 and ROBINS-I. In fifteen included studies, 22 moderators and ten mediators were identified. Moderators and mediators were categorised into individual psychological factors (14), socio-economic status (6), work situation (5), intervention (3), and duration of employment (3). Two moderators (perceived stressfulness of residency, job control) had a positive, two a negative impact (spirituality, socially desirable responding). One moderator (years of professional experience) had a positive and negative impact. Three moderators measured on categorical scales (gender, profession, and shiftwork) also had effects, favouring women, physicians and night-shift employees. Five mediators (adherence to intervention, mindfulness, non-reactivity to inner experience, total observing, and self-compassion) had a positive impact, while three (isolation, over-identification, psychological inflexibility) had a negative impact. In conclusion, effects of interventions were predominantly driven by individual psychological factors, while the role of other variables seems to be limited. Interventions focussing on primary or tertiary prevention were rare. Also processes through which organisational-level interventions can be most effective have been hardly investigated. Larger and methodologically robust studies are needed to better understand causal pathways and optimise matching of interventions to target groups.

Use of exercises with increased coordination complexity in the training process of young female volleyball players aged 13-14 years

Background and Study Aim. In the context of training young female volleyball players, understanding the criteria, extent, and impact of exercises with heightened coordination complexity becomes crucial. This study aims to determine the evaluation criteria, scope, and effects of incorporating exercises with elevated coordination demands on the specific athletic readiness of young female volleyball players aged 13–14 years. Material and Methods. The study involved female volleyball players aged 13–14 years (n=24) with an average of 4 years of professional experience. Participants were divided into a control group (n=12) and an experimental group (n=12). Prior to the study, both children and their parents were thoroughly informed about the research procedures, and parental consent was obtained for participation. The coordination exercises were categorized into five groups, each assigned a complexity rating from 1 to 5. The assessment utilized a battery of tests. Results. The findings reveal that coordination training yielded a more pronounced advancement in the development of various coordination abilities among female volleyball players in the experimental group, as compared to those in the control group. A statistically significant enhancement (p&lt;0.05) was evident across all indices of coordination readiness within the experimental group. In contrast, the control group demonstrated notable progress only in 3 out of 10 instances (p&lt;0.05). In the control group, noteworthy increases (p&lt;0.05) were observed in spatial orientation, motor activity restructuring, and response indicators. Female volleyball players in the experimental group exhibited substantial improvement (p&lt;0.05–0.001) across all indicators of technical readiness, including reception, attack hit, serve, and ball pass. Conversely, the control group players showed comparatively less remarkable changes in this aspect of readiness, with significant enhancement (p&lt;0.05) identified in three parameters. Conclusions. The strategic incorporation of exercises with progressively heightened coordination demands emerges as a valuable approach in substantially enhancing the range of coordination abilities among young female volleyball players. Recognizing this factor provides the means to expedite and optimize the mastery of motor skills more effectively.

An expert consensus–based checklist for quality appraisal of educational resources on adult basic life support: a Delphi study

Given the lack of a unified tool for appraising the quality of educational resources for lay-rescuer delivery of adult basic life support (BLS), this study aimed to develop an appropriate evaluation checklist based on a consensus of international experts. In a two-round Delphi study, participating experts completed questionnaires to rate each item of a predeveloped 72-item checklist indicating agreement that an item should be utilized to evaluate the conformance of an adult BLS educational resource with resuscitation guidelines. Consensus on item inclusion was defined as a rating of ≥7 points from ≥75% of experts. Experts were encouraged to add anonymous suggestions for modifying or adding new items. Of the 46 participants, 42 (91.3%) completed the first round (representatives of 25 countries with a median of 16 years of professional experience in resuscitation) and 40 (87.0%) completed the second round. Thirteen of 72 baseline items were excluded, 55 were included unchanged, four were included after modification, and four new items were added. The final checklist comprises 63 items under the subsections “safety” (one item), “recognition” (nine items), “call for help” (four items), “chest compressions” (12 items), “rescue breathing” (12 items), “defibrillation” (nine items), “continuation of CPR” (two items), “choking” (10 items) and “miscellaneous” (four items). The produced checklist is a ready-to-use expert consensus–based tool for appraising the quality of educational content on lay-rescuer provision of adult BLS. The checklist gives content developers a tool to ensure educational resources comply with current resuscitation knowledge, and may serve as a component of a prospective standardized international framework for quality assurance in resuscitation education.

Understanding pandemic resilience: a mixed-methods exploration of burdens, resources, and determinants of good or poor well-being among Austrian psychotherapists.

The COVID-19 pandemic has exacerbated the mental health burden on the general population, resulting in increased demands on mental healthcare professionals, including psychotherapists. This cross-sectional study assessed the challenges and resources encountered by 513 psychotherapists based on an online survey conducted between April and May 2022. Qualitative methods content analysis of written reports was employed to investigate the emerging challenges and sources of support during the pandemic. A comparative analysis of burdens, resources, sociodemographic factors and daily physical activity was conducted to discern patterns of good and poor well-being. The predominant burden identified was mental health-related issues, followed by global crises and government-imposed restrictions to mitigate virus transmission. Essential resources encompassed social connections, mindfulness, work satisfaction, and internal processes. Notably, psychotherapists demonstrating good well-being were older, more physically active, had a lower proportion of females, were employed in private practices rather than in institutionalized settings, had more years of professional experience and treated more patients weekly than their counterparts with poor well-being. Furthermore, they exhibited greater optimism, health focus, and satisfaction with their coping methods. These findings can help develop support systems, policies, and educational programs to better support mental health professionals during global crises and offer strategies for individual practitioners to maintain their well-being.

Chinese anatomy educators' perceptions of blended learning in anatomy education: A national survey in the post-COVID-19 era.

Blended learning, which combines face-to-face lectures with online learning, has emerged as a suitable teaching approach during the COVID-19 pandemic. This study used a national survey of anatomy educators in Mainland China to evaluate the changes in the implementation of blended learning in anatomical pedagogy. A total of 297 responses were collected from medical schools across all provinces. Respondents included 167 males and 130 females, with an average age of 44.94 (±8.28) and average of 17.72 (±9.62) years of professional experience. The survey showed adoption of online teaching and assessment by Chinese anatomy educators increased by 32.7% and 46.8%, respectively, compared to pre-pandemic levels. Perceptions of blended learning outcomes varied, with 32.3% and 37% educators considering it superior and inferior to traditional teaching, respectively. Faculty training programs related to blended learning increased significantly, fostering a collaborative learning environment; however, challenges remained in achieving satisfactory online assessment outcomes. Anatomy educators' attitudes reflected a strong preference for classroom learning (4.941 ± 0.856) and recognition of the importance of relevant technology (4.483 ± 0.954), whereas online learning received lower acceptance (4.078 ± 0.734). Female anatomy teachers demonstrated effective time management in online teaching. Meanwhile, educators with over 15 years of experience encountered difficulties with relevant technology, consistent with negative attitudes toward blended learning. Overall, this survey highlights the persistent challenges in implementing blended learning in anatomy education and provides insights for enhancing the pedagogical model in the post-COVID-19 era.

Towards implementing telemedicine in Tunisia: Results of a knowledge, attitude and practice study among medical doctors

Background: The use of information and communication technology such as telemedicine occupies nowadays a huge place in modern medicine practice all over the world, mainly after the COVID-19 pandemic. However, its implementation in Tunisia and other developing countries has achieved little success with low utilization and can be challenging for several reasons. In this study, our aim was to assess the knowledge, attitudes and practice of Tunisian medical doctors regarding telemedicine. Methods: This was a cross-sectional web survey, administered to medical doctors in Tunisia in October 2022. Respondents’ level of knowledge of telemedicine was assessed by calculating a knowledge score (0 to 12). Attitude subsections were about perceived telemedicine attributes of relative advantage, compatibility, trial ability and complexity. Results: A total of 243 participants were included. The mean age was 45 ± 9.6 years old, and 57.2% were female, with a mean of 14.3 ± 10.3 years of professional experience. The majority (95.9%) had an average or high level of computer skills. More than half (59.3%) had a poor level of telemedicine knowledge. A good level of knowledge was significantly associated with age category over 50 years (p = 0.02) and with years of experience over 10 (p = 0.03). The majority (89.3%) had a moderate or high score about perceived advantages. The majority (88.5%) accepted use of telemedicine in their future practice. Almost half (46.9%) had practiced telemedicine activities before using a mobile phone (91%) or social media (64%). The principal limitations of applying telemedicine were challenges of organization and implementation, and incomplete patient examination. Conclusions: Although Tunisian doctors’ knowledge and practice of telemedicine were unsatisfactory, their positive attitude and willingness to try it in their future practice were encouraging. There is an urgent need for implementing telemedicine in Tunisia to improve health care coverage in some unprivileged areas.

Perceived Quality of Postoperative Handover by Saudi Nurses: A Single-Center Cross-Sectional Study.

Handover is considered a basic nursing practice in which a patient's care information is moved to another nurse. Handover of patients after surgery is critical due to a number of care transitions, the presence of a surgical procedure, and the influence of anesthesia. High-quality postoperative handover is essential to safe patient care. Few studies have been conducted to evaluate the quality of current postoperative handover practices and the factors contributing to the quality of such processes, especially in Saudi Arabia. The present research aimed at evaluating nurses' perceptions of postoperative handover quality and assessing factors impacting this process.This cross-sectional study targeted registered nurses with at least one year of professional experience who were actively involved in the conduction of postoperative handovers across various surgical departments. A total sample of 143 nurses was selected via a convenient sampling technique. Study instruments included Handover Quality Rating Form, patient status, and nurses' background characteristics. Overall, postoperative handover quality was perceived as high by handing over and receiving nurses. Generally, 55.2% of nurses agreed on the different items supporting the positive circumstance for handover, and 92.3% agreed on the good conduct of handover compared to only 7.69% disagreement (p˂0.001). Significant agreements were observed for teamworking (p˂0.001), as well as four indicators (out of five) measuring the overall handover quality (p<0.001). The type of involved departments impacted significantlythe handover quality perception(p=0.004). The respondents' age had asignificant effect onquality (p=0.036), as well as circumstances of postoperative handover (p=0.046). Moreover, significant statistical differences were found for the circumstance of handover (p=0.031), as well as teamwork (p=0.019) according to the nurses' roles.Finally, the patient's blood circulation and respiration had a significant effect (p=0.023, p=0.033, respectively), as did the patient's level of consciousness (p=0.006) in the nurses' perception of the overall postoperative handover quality. Postoperative handover quality was highly perceived by nurses. This research explored a multitude of factors such as patient health status and nurses' socio-demographic variables and their impact on nurses' perception of handover quality. Several nurse and patient-related factors were found to impact the handover process. This current research provided findings that could direct future improvements in nursing handover practice to ensure high-quality patient care.

ACADEMICS’ VIEWS ON CONFLICT RESOLUTION SKILLS WHEN PROBLEMS ARISE IN INTERPERSONAL RELATIONS

This study aims to determine academics’ conflict resolution skills when problems arise in their interpersonal relationships. The data obtained to achieve this objective included academics’ sociodemographic distribution and administrator-staff relations in the university, the atmosphere among the stakeholders, the administrators’ relationships with teachers, students, and parents, the distribution of jobs between administrators and staff, and academics’ physical reactions of academic to conflict resolution. This qualitative study was conducted as a case study. The population of the study consisted of 20 academics working in a private university in Nicosia, in Northern Cyprus (Turkish Republic of Northern Cyprus) during the 2021-2022 academic year. Purposeful sampling to represent the study population was first determined using the purposeful sampling method; the snowball sampling technique would be used as long as different views were obtained. The majority of the participants consisted of women, most of whom were aged 30-40 years, married, had children, and 16 or more years of professional experience. A semi-structured interview form, which was prepared by the researcher, was used as a data collection tool. The research data were analyzed using the content analysis method. The results showed that the established relationship was positive and authoritarian. The participants expressed their views on the need to create a positive atmosphere among stakeholders and strengthen communication, and highlighted such illnesses as physical stress, heart palpitations, difficulty in breathing, headache, neck pain, shoulder pain, and depressive mood.

Cancer-Related Pain Management in Suitable Intrathecal Therapy Candidates: A Spanish Multidisciplinary Expert Consensus.

A consensus is needed among healthcare professionals involved in easing oncological pain in patients who are suitable candidates for intrathecal therapy. A Delphi consultation was conducted, guided by a multidisciplinary scientific committee. The 18-item study questionnaire was designed based on a literature review together with a discussion group. The first-round questionnaire assessed experts' opinion of the current general practice, as well as their recommendation and treatment feasibility in the near future (2-3-year period) using a 9-point Likert scale. Items for which consensus was not achieved were included in a second round. Consensus was defined as ≥75% agreement (1-3 or 7-9). A total of 67 panelists (response rate: 63.2%) and 62 (92.5%) answered the first and second Delphi rounds, respectively. The participants were healthcare professionals from multiple medical disciplines who had an average of 17.6 (7.8) years of professional experience. A consensus was achieved on the recommendations (100%). The actions considered feasible to implement in the short term included effective multidisciplinary coordination, improvement in communication among the parties, and an assessment of patient satisfaction. Efforts should focus on overcoming the barriers identified, eventually leading to the provision of more comprehensive care and consideration of the patient's perspective.

Evaluating YouTube as a source of patient information for pediatric tracheostomy care.

To evaluate YouTube's usefulness as a source of information concerning pediatric tracheostomy care. On August 10, 2022, the top 50 YouTube search results for "pediatric tracheostomy care" were displayed. Each video was evaluated by a jury of three otolaryngologists with at least 2 years of professional experience in pediatric otolaryngology using DISCERN, scoring system of Journal of the American Medical Association (JAMA), and the Global Quality Score (GQS). After exclusion criteria 24 videos were evaluated. Fifteen of the evaluated videos were produced by health professionals, and the other nine videos were produced by independent users. The average duration of the videos were 337.5s, varying between 82s and 1364s. The average Discern score of videos produced by health professionals was 38.9±13, compared to 36.6±14 for independent users. The mean JAMA score was 1.04±0.68 for health professionals and 1.11±0.94 for independent users. The GQS score was 2.82±0.73 for health professionals and 3.19±0.84 for independent users. There was no statistically significant difference between the two groups for Discern, JAMA, and GQS scoring. YouTube does not seem to be a good option for parents to get useful information about pediatric tracheostomy care at this time. Health professionals should provide websites with high-quality materials to improve awareness of pediatric tracheostomy care.

A digital medical tool for health care professionals communication with minority speaking heart surgery patients during hospitalization: A qualitative study

Abstract Funding Acknowledgements Type of funding sources: Foundation. Main funding source(s): The Foundation Dam Background/Introduction Despite today’s high-technology society, communications with minority speaking heart patients in hospitals still depend on non-verbal language, notes from informal caregivers and "google translate" in situations where interpreters are not available. Digital solutions may be of help, but research into this area is limited. Innovative research exploring the use of a 24-7 digital medical translation tool is needed prior to hospital implementation. Purpose To explore the health care professionals’ experiences using a digital, medical translation tool in communication with minority speaking heart surgery patients during hospitalization. Methods A digital medical translation tool was customized for use in communication with hospitalized heart surgery patients by including standardized checklists for safe surgery and phrases for symptom assessment. Then qualitative interviews with health care professionals, ultimately using the digital translation tool presented on a tablet with text and audio were performed a) at the hotel/ward, b) preoperatively by both operating room nurses and anaesthesia nurses at the operating room, c) in a postoperative unit, d) in an intermediary unit, and e) at the cardiothoracic ward. A semi-structured interview guide was used during face-to-face interview at a university hospital in Norway and were carried out during November – December 2022. Data analyses were performed in NVivo software tool, following Braun and Clarke`s thematic analysis process. Results A total of 24 healthcare professionals, 22 nurses and two physiotherapists, mean age of 33 (range 23-57 years), and a mean of 9.5 years of professional experience, were interviewed shortly after they had cared for a minority speaking heart surgery patient at their health care unit. Four main themes were identified: i) useful and user-friendly tool, ii) establishing trust with the patient, iii) mapping patients’ symptoms and needs and iv) safe translation reassures health care professionals communication with heart surgery patients. The digital medical translation tool was experienced as easy to navigate in and useful to inform the patient, for example about medications, and to build trust by communicating with the patient in their own language. Being able to secure mapping of patients’ symptoms, especially pain, was underlined as a highly positive experience. Health care professionals reported experiencing the minority speaking patients as understanding the information when communicating through the digital medical translation tool. Conclusions Health care professionals responsible for caring for the minority speaking heart surgery patients during hospitalization experienced the digital medical translation tool to improve communication in a safe and trustworthy way. The digital translation tool appeared to provide useful support and strengthen patient safety, increasing the quality of health care even without the presence of an interpreter.

Musicological reflections in the form of “Prelude and Fugue”: Serhii Turnieiev’s author’s concert

Statement of the problem. The article is the first experience in Ukrainian musicology to cover a significant artistic event in the cultural life of modern pre-war Kharkiv – the author’s concert of the composer Serhii Turnieiev, Honored Artist of Ukraine, Professor and until recently the Dean of the Kharkiv I. P. Kotlyarevsky National University of Arts. The event took place with the participation of famous solo musicians, as well as one of the best creative groups in Ukraine – the Symphony Orchestra of the Kharkiv Regional Philharmonic led by People’s Artist of Ukraine Yurii Yanko. The concert symbolically opened the chain of festive actions for the 105th anniversary of the University’s founding, although the “counterpoint” to this festive line was severe life events: the pandemic, and soon the war. This “contrasting polyphony”, and most importantly, S. Tournieiev’s inherent polyphonic thinking made possible a conceptual metaphor – likening the composition of an author’s concert to the structural logic of a fugue. This metaphor that became the key to revealing new meaningful facets of the works performed in the concert, is designed to deepen the analysis of the artistic meanings of the celebrate event and its reception by the listener. So, the purpose of the study is an attempt to get closer to understanding the inner processes in an experienced Ukrainian composers creative “workshop”. The methodological basis of the study consists of several directions: consideration of biography, vectors of action and existing musical pieces by S. Turnieiev; definition of role and place of some opuses in composer’s portfolio; systematization of the present scientific works; involvement of facts still not well known and our interviews with participants of recent artistic events; observation made upon such musicological spheres, as musical thinking, perception, composer’s artistic process on the example of complex analysis of content and performance vectors of S. Turnieiev’s musical pieces. Recent research and publications have shown the priority of some relevant issues: personalities and artistic life of modern composers (Ukrainian in the case); consideration of artist person “formula”, his musical thinking / style / method; belonging to traditions of particular school; studying of the process of art and its “consequences – composer’s and performer’s realization / interpretation of an artistic idea in musical piece. These trends actively integrating to spheres of the modern humanitarianism: philosophy, psychology, sociology of art, history, cultural studies, ethics, aesthetics and others. Among the authors whose works contributed to reveal our topic are М. Bevz (2017), Ye. Belova (2020), V. Bohatyrov (2021), І. Drach (2002), R. Kashyrtsev (2021), I. Horbunova (2015), I Konovalova (2018), D. Malyi (2017, 2018, 2021), Yu. Nikolaievska (2020), О. Roshchenko (2007, 2017), P. Rud (2021), H. Savchenko (2017, 2018, 2021), L. Shapovalova (2008), L. Maltseva, 2005, О. Shchetynsky (2017, 2019), and others. Some of publications by S. Turnieiev (2005, 2010, 2014) were studied. Results and conclusion. The role of the fateful creative meetings in the professional activity of the composer was revealed, that prompted him to create his own opuses. The meaningful components of the compositional portfolio / style / method of S. Turnieiev were clarified by the way of considering the history of writing, musical and expressive principles and the performing fate of the works that were performed in his author’s concert: the Symphonic Frescoes “Taras Bulba”, “Lamentoso” for viola and string orchestra, “Five Flemish Dances” for clarinet and string orchestra, symphonic picture “Tunes” (“Nahravannia”). It was concluded that S. Turnieiev’s author’s concert became a large-scale presentation of his many years of professional experience, as well as the traditions of the Kharkiv theoretical-composing school, which was historically formed namely in such integrated format – therefore the organic unity of musical theory and practice is felt in S. Turnieiev’s work at the level of worldview constants. It was the “school” of professional training that allowed him to build a solid foundation for further independent creative search, gave him a sense of confidence and inner freedom, and became for the composer not a “template” with a limited range of norms and rules, but a “space” for wide creative possibilities.