Years Of Professional Experience Research Articles

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.

Vocal Problems and Burnout Syndrome in Nonuniversity Teachers in Galicia, Spain

Introduction: Voice disorders and burnout syndrome are common among teachers. This study aimed to explore the relationship among vocal problems, burnout syndrome, and some personal work factors. Methods: This cross-sectional descriptive study enrolled 90 nonuniversity teachers who completed the Multidimensional Vocal Scale for Teachers (EVM-D) to evaluate vocal problems and an adapted Spanish version of the Maslach Burnout Inventory-Educators Survey (MBI-ES) to detect burnout syndrome. Results: Overall, 16% of teachers expressed symptoms compatible with burnout, and 60% of them were in the interval above the 75th percentile of the EVM-D, i.e., they had a high risk of vocal problems. An association between burnout and more vocal problems was established among teachers, particularly between the vocal symptoms and vocal abuse dimensions with the emotional exhaustion subscale of the MBI-ES. A history of anxiety/depression and fewer years of professional experience were associated with more vocal problems. The burnout group perceived more “loss of vocal power,” “vocal fatigue,” “vocal effort,” and “hoarseness.” Vocal abuse items received the highest scores of EVM-D. However, only “shouting” in the classroom was significantly different between the groups with and without burnout. Conclusion: Emotional exhaustion of burnout syndrome, history of anxiety/depression, and a shorter professional experience were associated with vocal problems, which could limit the performance of teachers. Reducing classroom noise, establishing strategies to avoid shouting, or strengthening personal accomplishments in teachers could be useful in breaking the cycle of vocal problems and emotional exhaustion, particularly at the beginning of their professional experience.

Perceptions of the Availability of Personal Protective Equipment and Its Association With Burnout Among US Healthcare Personnel During the SARS-CoV-2 Pandemic, 2020-2021.

The aim of the study is to explore associations among personal protective equipment (PPE) availability, workplace environment, and burnout among US healthcare personnel during the COVID-19 pandemic. The study used an online healthcare provider (HCP) survey (December 2020-February 2021) regarding PPE confidence, availability, burnout, and workplace environment. Lack of appropriate PPE was reported by 27% of 799 US HCP surveyed. Burnout, reported by 77% of HCP, was more likely among females, those with fewer years of professional experience, and those with a higher desire to quit, and less likely for those who perceived PPE was adequate or their employer took all steps to minimize workplace risks. This study suggests that lack of adequate PPE can lead to HCP burnout, which may result in employees quitting. A pandemic preparedness plan that includes adequate PPE is essential for HCP well-being, patient health, and employer fiscal health.

How does the work-life balance impact stress on primary healthcare workers during the COVID-19 pandemic?

BackgroundMost studies in advanced care settings reported that the increasing workload increases the work-life imbalance and harms the mental health of health workers. The COVID-19 Pandemic's tracing, testing, treatment, and mass vaccination also have multiplied the primary healthcare workers' workload. Nevertheless, studies on primary care workers are scarce. This study aimed to investigate how the COVID-19-related work-life balance impact stress on primary healthcare workers in the third years of the pandemic.MethodsThe study was a cross-sectional, web-based survey conducted on primary healthcare workers in Kediri Regency, Indonesia, with the highest Omicron case surge worldwide. It was conducted right after the surge between July and August 2022, the third year of the COVID-19 pandemic hit Indonesia. Under coordination with the local government health officials, primary healthcare workers were invited to participate in an online survey. The respondents were asked to evaluate their sociodemography, work conditions, personal life, and perceived stress (using the Perceived Stress Scale) during the pandemic. Their work-life balance was evaluated using the Work/Non-work Interference and Enhancement Scale. We used several hierarchical linear regression models to determine which variables contribute to work stress among primary healthcare workers.ResultsSociodemographic characteristics, including gender, age, marital status, years of professional experience, and educational level, were not significantly associated with stress levels among our respondents. Separately, work conditions and personal life variables did not associate with stress levels. However, primary healthcare workers' work and personal lives interfere with each other during the pandemic and are associated with their higher stress.ConclusionDuring the pandemic, the work life of primary health workers interferes with their personal life more than the interference of personal life on their work life. At the same time, the work life's enhancement on the personal life and vice versa were lower than its interference. Those conditions are associated with higher perceived stress of primary health workers.

Evaluating possible improvements in indwelling urinary catheter insertion from nurses' point of view: A pilot comparative study of simulated insertion between the novel T‐Control® and a Foley‐type catheter

AbstractThe aims of this study are to simulate the insertion of the new T‐Control® urinary catheter with experienced healthcare professionals in bladder catheterisation and evaluate the usability and functionality of the new catheter compared to conventional Foley‐type catheter open and closed systems. A small‐scale quantitative study was conducted with 11 professionals who had a minimum of 3 years of professional experience, and 1 year of experience in bladder catheterisation. To test the advantages of the new T‐Control® urinary catheter, a Living Lab, which is an instrument designed to test innovative solutions in real‐life environments with users, was performed. The catheters used in the simulation were: a conventional Foley‐type catheter in an open system, a conventional Foley‐type catheter in a closed system, and the new T‐Control® catheter. The participants evaluated the insertions through a satisfaction questionnaire and by a nurse expert utilizing a usability questionnaire after the complete visualization of the Living Lab was recorded. T‐Control® reduced by 27.3% the contamination of the urine collection bag and the contamination of the urine collection bag connector. Accidental spillages when connecting the urine collection bag were also reduced by 54.5% using the T‐Control® catheter, reducing the workload and reducing occupational accidents before connecting the urine bag. The trainer considered satisfactory 9/12 T‐Control® insertions performed, improving the number of satisfactory insertions observed with the Foley‐type catheter open and closed systems (with 3/12 and 7/12 results respectively). T‐Control® was the best‐rated product by the participants, requiring less time, and physical and mental effort. Fifty percent of the nurses would exclusively recommend T‐Control® in their units, while the other half would recommend it in combination with others. The insertion of T‐Control® makes the bladder catheterisation procedure easier and safer. The preparation of the sterile field requires less material since it does not include the urine collection bag while the fluid‐controlling system favours the reduction of contamination and accidental spillages. Based on the nurses’ evaluation, T‐Control® with its integrated urine‐controlling system could bring additional benefits to the healthcare staff for catheterisation.

Poster 207: Chronic Adaptations of the Ulnar Nerve in Professional Baseball Pitchers

Objectives: The presence of ulnar neuropathy in baseball pitchers is a poor prognostic factor of successful return to play and may adversely impact outcomes after ulnar collateral ligament reconstruction (UCLR). Screening programs to identify negative ulnar nerve adaptations in throwing athletes can help minimize injury risk, individualize treatment programs, and optimize rehabilitation. Ultrasound provides the advantage of viewing structural adaptations prior to the onset of symptoms, an important factor in identifying potential injuries in advance. However, it is currently unclear how the ulnar nerve adapts chronically in professional baseball pitchers. Therefore, the primary purpose of this study was to compare ulnar nerve ultrasound characteristics between the throwing (dominant) and non- throwing control (non-dominant) elbows in professional pitchers, with a secondary purpose of comparing ultrasound characteristics between subluxing and non-subluxing ulnar nerves. The authors hypothesized that ulnar nerve area and echogenicity (i.e. brightness) would be increased in the throwing elbow. Methods: All healthy professional baseball pitchers from a single organization underwent bilateral ultrasound examination at the beginning of the 2022 Minor League Baseball spring training. Ultrasound examination was done by a musculoskeletal radiologist (**) for imaging and subsequent quantification of the ulnar nerve properties, as well as to identify ulnar nerve subluxation. ImageJ software was utilized to measure ulnar nerve area, echogenicity (i.e. brightness), and circularity by one investigator (**) who was blinded to subluxation findings and arm dominance. Comparison of ulnar nerve ultrasound characteristics were performed between: dominant vs. non-dominant elbows, subluxing vs. non- subluxing dominant elbows, and between all (dominant and non-dominant) subluxing vs. non-subluxing elbows. Results: Overall, 74 male professional baseball pitchers (age: 22.5 ± 2.4 years; professional experience: 1.7 ± 1.5 years) were enrolled. There was a trend toward statistical significance for echogenicity bilaterally (dominant: 137 optical density vs. non-dominant: 128 optical density, p=0.053), while area (0.2 mm2 vs. 0.2 mm2, p=0.767) and circularity (0.67 vs. 0.69, p=0.165) did not differ bilaterally (Table 1). There were no demographic differences between pitchers with subluxing vs. non-subluxing dominant ulnar nerves, including similar years of professional experience and similar Beighton hypermobility scores between groups (Table 2). Echogenicity was significantly lower in subluxing dominant ulnar nerves compared to non-subluxing dominant ulnar nerves (128 optical density vs. 142 optical density, p=0.020). Echogenicity remained significantly lower in subluxing ulnar nerves after evaluating all subluxing vs. non-subluxing elbows (121 optical density vs. 138 optical density, p=0.001) (Table 3). Ulnar nerve area and circularity did not differ based on ulnar nerve subluxation. Conclusions: There was a trend towards the ulnar nerve of the throwing elbow having increased echogenicity relative to the non-throwing elbow, suggesting that echogenicity may play a role in the chronic adaptations of the ulnar nerve. Nerve echogenicity also differed based on ulnar nerve subluxation, however further research is necessary to determine why this difference exists and the potential direction of causality. [Table: see text][Table: see text][Table: see text]

TOURISM: FROM REARGUARD ACTION TO VANGUARD VISION?

Purpose. The aim of the study is to show the potentialities of travel and tourism on how to strengthen their impact, increase economic, environmental and social effects and demonstrate their industrial relevance in ordinary and extraordinary times.Method. This is an essay, based upon extended documentation, expert-talks, lectures given at technical universities and 40+ years of professional experience in management positions and on assignments in more than 20 countries.Findings. Leaving ones comfort zone is a must to explore new shores a useful idea in daily life and often a painful insight in times of crisis. We recall travel and tourism being highly affected by COVID-19, while its impact as a service industry was considered non-relevant. A nightmare and a wake-up call, too: more of the same is a no-go, rearguard action that will be useless. Instead, a strategic vanguard vision will include cross-cooperation, a change of paradigm and the enhancement of travel and tourism from a purely commercial viewpoint as a service industry to its higher purpose: Travel & Tourism (T&T) as an orchestrated cluster of multi-level communication tools, empowering T&T leaders to develop, promote and brand a country or region as a place to live, to work, to invest and to travel to. Furthermore, the self-proclaimed worlds Number One peace industry [see: International Handbook on Tourism and Peace 2013], is prone to play a far more important role as a recognised peace-maker on international forums.Research conclusions and limitations. The findings represent a personal expert opinion, they will require large-scale surveys and extensive interviews to be empirically verified.Practical implications. A more visionary leadership, cross-sector as well as key-stakeholder networking and structural amendments will be necessary; pilot projects are recommended.Originality. The Author is not aware of any similar endeavour.Type of paper. Discussion (polemical) article.

Impact of COVID-19 among otorhinolaryngologists in Malaysia: a cross-sectional online survey

Background: Coronavirus disease 2019 (COVID-19) has changed the lives of millions of people worldwide, including the lives of healthcare workers. The aim of this study was to determine the impact of COVID-19 on the quality of life, financial implications, and fear of COVID-19 among otorhinolaryngologists in Malaysia at the peak of the COVID-19 pandemic. Methods: A cross-sectional online survey was conducted for a period of one week from 1 to 7 June 2021 using the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) and the Consumer Financial Protection Bureau (CFPB) Financial Well-Being Scale and Fear of COVID-19 Scale (FCV-19S) available at a link sent to potential participants. The study’s target participants were otorhinolaryngology specialists residing and working in Malaysia. Results: A total of 115 participants completed the survey. The majority of them were of the Malay (51.3%) race, of Malaysian (99.1%) nationality, and predominantly female. Most of the respondents were 20–40 years old, working in public hospitals (46.1%). The mean WHOQOL-BREF scores for the physical domain, psychological domain, social domain, and environmental domain were 54.64 ± 12.93, 53.79 ± 11.09, 72.70 ± 20.74, and 67.22 ± 16.32, respectively. The mean CFPB and FVC-19S scores were 54.57 ± 8.47 and 19.13 ± 6.04, respectively. A significant difference between the participants with different lengths of professional experience was observed in the social relationship domain (p = 0.011) and the financial well-being score (p = 0.004). Participants with more than ten years of professional experience had the highest CFPD score (mean ± SD: 58.07 ± 8.65). Conclusion: COVID-19 has affected various domains of the quality of life, financial stability, and fear of COVID-19 across the various groups of otorhinolaryngologists in Malaysia. The findings of this survey identify negative effects and help to plan various strategies to address the issue.

Eğitim Yöneticilerinin Nepotizm Uygulamalarının Eğitimcilere Yönelik Etkilerinin Araştırma Bulgularının Değerlendirmesi

The general purpose of the research is to determine the “evaluation of research findings of the effects of nepotism practices of educational administrators on educators”. For this reason, it was tried to determine the perceptions of teachers working in a school located in Esenyurt district of Istanbul about nepotistic-discriminatory attitudes exhibited by managers by taking into account gender, age, teaching level and years of professional experience. In order to understand whether managers in educational institutions are involved in such nepotistic activities, answers to a number of research questions were sought. In addition, in this research, the reflection of the behavior of managers working in educational institutions on the perception and performance of teachers will be determined. It is aimed to enable people who have an administrative identity in a managerial sense to make self-assessment on their own behavior through an external eye. When the area related to nepotism was scanned in the summer, it was found that studies were mostly conducted on nepotistic behavior in private sector schools. With this study, it is expected that the determinations at the points where public educators are exposed to similar behaviors and this effect is actually maintained in a much more dominant way will benefit the field. For this reason, it will be beneficial to create fair, unifying environments in schools, strengthen communication channels, and adopt an equal distance approach to everyone. Since the decisions taken in any negative situation will be binding on everyone, managers who exhibit an inclusive attitude will thus be able to reduce the perception of favoritism in the teacher. It is thought that the findings obtained as a result of the study will guide institution managers to learn the perceptions of employees related to nepotistic behavior at work; in this context, institution managers will observe their shortcomings and misbehavior, if any, by self-criticism about nepotistic behavior in activities and correct them. Key Words: Education Manager, Nepotism, Educator, Research Findings

Teacher's reflections on their knowledge and practice of teaching high school functions

We report a characterization of the reflections made by high school mathematics teachers when discussing their resolutions of three numerical tasks related to the concept of function understood as a mathematical procept. Thematic analysis was used to code and categorize the reflections. Six teachers with at least 5 years of professional experience and an average age of 30 years participated. The results show that the teachers reflected on their actions in the tasks; their content knowledge; their teaching practice; and their professional training. As a result of these reflections, they recognized the need to improve their knowledge and practice of teaching functions in a more proceptual sense. The results contribute to deepen in how to make teachers reflect and incorporate a much more structural vision of functions in their teaching practices and, at the same time, incorporate the importance and role of their professional training in their reflections.

Eğitim Yöneticilerinin Nepotizm Uygulamalarının Eğitimcilere Yönelik Etkilerinin Veri Analizinin İncelenmesi

The general purpose of the research is to determine “the analysis of data analysis of the effects of nepotism practices of educational administrators on educators”. For this reason, it was tried to determine the perceptions of teachers working in a school located in Esenyurt district of Istanbul about nepotistic-discriminatory attitudes exhibited by managers by taking into account gender, age, teaching level and years of professional experience. In order to understand whether managers in educational institutions are involved in such nepotistic activities, answers to a number of research questions were sought. In addition, in this research, the reflection of the behavior of managers working in educational institutions on the perception and performance of teachers will be determined. It is aimed to enable people who have an administrative identity in a managerial sense to make self-assessment on their own behavior through an external eye. When the area related to nepotism was scanned in the summer, it was found that studies were mostly conducted on nepotistic behavior in private sector schools. With this study, it is expected that the determinations at the points where public educators are exposed to similar behaviors and this effect is actually maintained in a much more dominant way will benefit the field. For this reason, it will be beneficial to create fair, unifying environments in schools, strengthen communication channels, and adopt an equal distance approach to everyone. Since the decisions taken in any negative situation will be binding on everyone, managers who exhibit an inclusive attitude will thus be able to reduce the perception of favoritism in the teacher. Key Words: Education Manager, Nepotism, Educator, Data Analysis

Beliefs and attitudes of traditional healers regarding epilepsy in Cameroon

IntroductionPeople living with epilepsy suffer from stigmatization, overprotection, or exclusion, thus, part of these population in developing countries uses traditional medicine as a first resort. MethodsWe prospectively conducted a study to determine the knowledge, attitudes, and practices (KAP) of traditional healers (THs) concerning epilepsy. Over a 9-month period, we included 208 THs practicing in the Littoral, Center and West regions of Cameroon who agreed to participate in the study. The THs were interviewed using a standardized questionnaire. Data were analyzed using Epi Info version 7.2 software. ResultsTwo-hundred and eight THs were recruited, with a mean age ± standard deviation (SD) of 49.9 ± 11.4 years, and 169 (81.2%) were male. Primary 77(37.0%) and secondary 67(32.2%) levels of education were the most represented, and most of the THs had more than 10 years of professional experience. One hundred and forty-one TH (68,7%) had poor knowledge about epilepsy. The independent factors associated with poor knowledge were female sex, Muslim religion, and marital status of cohabitation. One hundred and eighty-four THs (88.4%) had a good attitude and practices toward people with seizures. Factors independently associated with poor practices and attitude were rural residence, Muslim religion, and education level. ConclusionOur result confirmed that THs had poor knowledge about epilepsy but good attitudes and practices about epilepsy. THs were in favor of future collaboration with modern medicine in the care of people living with epilepsy.

Perceived Barriers to Providing Spiritual Care in Palliative Care among Professionals: A Portuguese Cross-Sectional Study.

Spiritual care is an important dimension of palliative care (PC) and a facet of holistic care that helps ill people find meaning in their suffering and lives. This study aims to: (a) develop and test the psychometric properties of a new instrument, Perceived Barriers to Spiritual Care (PBSC); (b) explore participants' perceptions of how prevalent those (pre-identified) barriers are; and (c) examine the association of their personal and professional characteristics with those perceptions. A descriptive cross-sectional study was carried out using a self-reporting online survey. In total, 251 professionals registered with the Portuguese Association of Palliative Care (APCP) completed the study. The majority of respondents were female (83.3%), nurses (45.4%), had more than 11 years of professional experience (66.1%), did not work in PC (61.8%), and had a religious affiliation (81.7%). The psychometric assessment using PBSC provided sound evidence for its validity and reliability. The three most common perceived barriers were late referral for palliative care (78.1%), work overload (75.3%), and uncontrolled physical symptoms (72.5%). The least commonly perceived barriers were different spiritual beliefs among professionals (10.8%), differences between the beliefs of professionals and patients (14.4%), and the shame of approaching spirituality in a professional context (26.7%). The findings show there is some relationship between sex, age, years of professional experience, working in PC, having a religious affiliation, the importance of spiritual/religious beliefs, and responses to the PBSC tool. The results highlight the importance of advanced training in spirituality and intervention strategies. Further research is needed to properly study the impacts of spiritual care and establish outcome assessments that accurately reflect the effects of the various spiritual care activities.

The Relationship between Nursing Practice Environment and Pressure Ulcer Care Quality in Portugal's Long-Term Care Units.

The morbidity associated with ageing has contributed to an increase in the prevalence of Pressure Ulcers (PUs) in all care settings. The impact of these on people's quality of life and the extent of the associated economic and social burden constitutes today, by their importance, a serious public health problem. This study aims to describe the nursing work environment in Portuguese long-term care (LTC) units and to assess how this environment relates to the quality of PU care. A longitudinal study among inpatients with PUs was conducted in LTC units. The Nursing Work Index-Revised Scale (NWI-R) was sent to all nurses in these units. Cox proportional hazard models were used to relate the satisfaction degree with the service (measured by the NWI-R-PT items) to the healing time of the PUs, adjusting for confounders. A total of 165 of 451 invited nurses completed the NWI-R-PT. Most were women (74.6%) and had 1 to 5 years of professional experience. Less than half (38.4%) had education in wound care. Of the 88 patients identified with PUs, only 63 had their PU documented, highlighting the difficulties in updating electronic records. The results showed that the level of concordance with Q28 "Floating so that staffing is equalised among units" is strongly associated with a shorter PU healing time. A good distribution of nursing staff over the units will likely improve the quality of wound care. We found no evidence for possible associations with the questions on participation in policy decisions, salary level, or staffing educational development and their relationship with PUs healing times.

Chest physiotherapy techniques administered by certified specialists to hospitalized patients with COVID-19 in Brazil: A look towards future practice

BackgroundChest physiotherapy for hospitalized patients with COVID-19 has been poorly reported. Although recommendations were published to guide physiotherapists, practice might have differed depending on education and training. ObjectiveTo analyze the differences in chest physiotherapy applied for hospitalized patients with COVID-19 between certified specialists and non-certified specialists. MethodsAn online questionnaire survey was developed for physiotherapists involved in the management of hospitalized patients with COVID-19. The questionnaire inquired about professional information and characteristics of physiotherapy practice. ResultsThere were 485 respondents, yielding a completion rate of 76%. Of these, 61 were certified specialists and 424 non-certified specialists. The certified specialists were older, had more years of professional experience, were more qualified, and had better job conditions. For mechanically ventilated patients, the certified specialists used the ventilator hyperinflation maneuver more frequently (50.4% vs 35.1%, p = 0.005), and the hard/brief expiratory rib cage compression (ERCC) (26.9% vs 48.3%, p = 0.016), soft/long ERCC (25.2% vs 39.1%, p = 0.047), and manual chest compression-decompression (MCCD) maneuver (22.4% vs 35.6%, p = 0.001) less often. For spontaneously breathing patients, the certified specialists used the active cycle of breathing technique (30.8% vs 67.1%, p<0.001), autogenic drainage (7.7% vs 20.7%, p = 0.017), and MCCD maneuver (23.1% vs 41.4%, p = 0.018) less frequently. ConclusionsCertified specialists with higher levels of expertise seem to prefer the use of chest physiotherapy techniques that are applied with the mechanical ventilator over manual techniques. Furthermore, they use techniques that could potentially increase the work of breathing less frequently, mitigating the risk of exacerbating respiratory conditions in patients with COVID-19.

The relationship between working in the "gig" economy and perceived subjective well-being in Western Balkan countries.

The combination of accelerated digitalization and the recent COVID-19 crisis has increased the number of remote workers worldwide to unimaginable proportions. Among the large number of remote workers that execute their projects from home, there is a significant number of permanently self-employed remote workers, usually referred to as freelancers. Despite the importance of this kind of business activity for modern project management society, perceived drivers of freelancing are still unknown. The goal of this paper was to shed some light on the general subjective well-being of freelancing activity and investigate differences concerning gender, age, and education. The study was performed in late 2020 and included 471 freelancers from Serbia, Bosnia and Herzegovina, Macedonia, and Montenegro that participated in an online questionnaire evaluating their subjective well-being while participating in the "gig" economy. Factor analysis was used as a primary statistical method and two major groups were identified: (1) Impact of working from home on a freelancer's personal life and health and (2) Fulfillment of expectations in the economic and professional sense. Gender was found not to be significant for overall work satisfaction. However, older freelancers proved to be more satisfied with the fulfillment of economic and professional expectations, which correlate with years of professional experience. Another conclusion is that more educated freelancers are generally less satisfied with both groups of drivers - fulfillment of personal life and professional expectations. Understanding how the combination of occupations, technological infrastructure, and demographic characteristics in the region has affected the well-being of freelancers may help policymakers and organization owners, as well as future entrepreneurs, better prepare for this model of work in the future. It also increases the possibility of exploring individual dimensions of wellbeing useful for targeting interventions at the level of each country separately. In line with this, the present study contributes to the existing body of knowledge and the impact of hybrid models of work on the subjective well-being of workers in the "gig" economy.

Implementation strategies for occupational therapists to advance goal setting and goal management.

There is a need for an effective evidence-based system to support high-quality goal setting and goal management implementation. We developed a new system for community-based rehabilitation, MyGoals, along with implementation strategies to support occupational therapists (OTs) in its administration. This study evaluates the acceptability, appropriateness, and feasibility of the implementation strategies, Clinician Education and Audit & Feedback. It also explores whether OTs achieve the change objectives of the MyGoals implementation strategies and MyGoals intervention fidelity. This mixed-methods case series study evaluated the MyGoals implementation strategies developed using Implementation Mapping (IM), specifically IM Task 5 - Implementation Outcome Evaluation. Seven OTs and 13 adults with chronic conditions participated in this study. OTs participated in two Clinician Education sessions, delivered two MyGoals interventions, and participated in two Audit & Feedback sessions. We evaluated the implementation strategies using the Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), Feasibility of Intervention Measure (FIM), and semi-structured interviews and explored the OTs' self-rated MyGoals change objectives achievement and the intervention fidelity using quantitative MyGoals intervention fidelity measures and interviews. Quantitative data were analyzed using descriptive statistics. Qualitative data were analyzed by two independent coders using content analysis. Seven OTs participated in this study (mean years of professional experience = 9.3, SD = 5.9). Clinician Education and Audit & Feedback had high AIM (M = 17.9, SD = 2.7), IAM (M = 17.3, SD = 3.60), and FIM scores (M = 17.3, SD = 3). The OTs also had high mean scores on self-perceived achievement of change objectives and intervention fidelity. Qualitative interviews suggested that the time commitment for Clinician Education is a key barrier to its acceptability, appropriateness, and feasibility. Participants also provided suggestions on how to improve the strategies (e.g., providing recorded Clinician Education, etc.). The MyGoals implementation strategies are acceptable, appropriate, and feasible to OTs working in community-based rehabilitation. They support OTs in achieving the change objectives necessary to deliver MyGoals completely and competently. Thus, the MyGoals implementation strategies may support clinicians in implementing a theory-based, client-engaged goal setting and goal management for adults with chronic conditions in community-based rehabilitation. This can ultimately help improve the integration of evidence-based interventions into practice.

The Mediating Effect of Organizational Commitment towards Organizational Culture and Job Burnout

This study aimed to determine whether organizational commitment can mediate the relationship between organizational culture and job burnout. The data were gathered using a questionnaire that included questions about burnout, organizational commitment, and organizational culture. The employees of private schools in Cagayan de Oro City (CDO) were the study's target population with at least five (5) years of professional experience. Findings revealed that Organizational Culture alone cannot predict Job Burnout. No matter what kind of culture exists in the respondents' workplace, it has no effect on their burnout. This demonstrates that respondents are resilient enough to combat the influence of even a bad organizational culture. Organizational Commitment (M) reduces the effect of Organizational Culture (X) on Job Burnout (Y). As Organizational Culture increases, Job Burnout decreases. Only when organizational commitment is included in the equation does culture have an effect on job burnout.

Effect of an Educational Video Miniseries on Interprofessional Preceptor Development

ObjectiveExperiential rotation preceptors may lack confidence in instructing interprofessional learners. This study examined the effect of a 12-episode, professionally produced video miniseries on attitudinal, satisfaction, and confidence outcomes in a cohort of interprofessional preceptors comprising pharmacy, medicine, nursing, and other allied health professionals. MethodsAn invitation to view the miniseries was distributed to all health science preceptors within 1 large, public health science university. Participants were asked survey questions addressing their attitudes toward the miniseries, their comfort in precepting, and their satisfaction with the miniseries. ResultsA total of 61 interprofessional preceptors enrolled in the study, with 33 completing the entire miniseries. Participants displayed highly positive attitudes toward the miniseries. In addition, members of all professions enrolled demonstrated an increase in precepting confidence after viewing the miniseries episodes (2.31 vs 2.7 on a 3-point Likert scale). Subgroup analyses demonstrated that preceptors with>10 years of professional experience displayed less positive attitudes toward the miniseries than those with 2–10 years of professional experience. ConclusionThe miniseries model proved effective as a preceptor development strategy for a group of health professional preceptors. Given the diversity of learners, a collection of training options that allows preceptor self-selection of programming may be beneficial.