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Objective: 'Placement poverty' refers to the financial burdens imposed upon students by the completion of mandatory professional placement. We aimed to identify the financial implications of mandatory professional placements on student wellbeing. Methods: A cross-sectional online survey (August 2023 to January 2024) completed during students' most recent professional placement in the final year of their degree. Eligible participants were health or teaching students studying at Australian and New Zealand universities in degrees requiring mandatory professional placement. Questions included total and accommodation costs, financial support, impact of finances on placement preferences, presence of food insecurity, and implications for student wellbeing. Results: Participants (n = 530) were mostly health professional (65%) students (median, 25; interquartile range (IQR), 22–30 years, 95.3% domestic, 88.3% full time, 2.0% New Zealand). Health students had higher total costs (in Australian dollars) for the recent placement ($1500; IQR, 600–3453) compared to teaching students ($1200; IQR, 600–2757) (P = 0.02), likely due to longer placement duration (6 weeks for health students). A higher proportion of health students required financial support (P = 0.0001). Placement preferences were always or sometimes (63.8%) determined by cost rather than learning opportunity. Food insecurity was experienced by most students (70.2%) (10.4% marginal, 32.1% moderate, 27.7% severe), with no difference by degree type. Thematic analysis identified themes of burnout, emotional distress, inability to focus on learning, postponing care of oneself, urgent need for financial support, unanticipated family and other circumstances, and worsened societal inequity. Conclusions: Our study identified widespread financial difficulty in students undertaking placement that adversely impacted personal wellbeing. Strategies are needed to support wellbeing and ameliorate the financial burden. What is known about this topic? Health and education profession students experience a range of stressors on personal wellbeing when undertaking professional placements including financial stress. What does this paper add? Financial stress and food insecurity during unpaid placements impact emotional wellbeing, resulting in burnout and stress. What are the implications for practitioners? The costs associated with professional placements have the potential to worsen inequity, delay professional course progression, and influence transition to the health and teaching workforce. Further advocacy and embedding of financial wellbeing strategies and novel placement models in curriculum are required. [ABSTRACT FROM AUTHOR]

This article describes the construction and validation of an instruction manual geared toward nutritional care (NC) for people with severe obesity in the Brazilian Unified Health System (SUS). In the production of this instruction manual, a broad literature review was conducted for the identification and discussion of topics to be treated. The content and appearance validity were conducted according to the Delphi technique and to focus groups, respectively, with evaluators who were nutritionists and practitioners, from different regions of Brazil. According to the Delphi technique, the instruction attributes and their content as a whole were properly and sufficiently evaluated according to values obtained for the Content Validity Index (CVI > 0.8). In the focus groups, the saturation of content was reached. Furthermore, discussions considering the reality of SUS were conducted and subsequently incorporated into the instructions in order to adequate the final version of the instructions to SUS professionals' needs. In conclusion, the instruction manual produced to fill the gap regarding nutritional care for people with severe obesity presents an adequate content in terms of both quality and topics of interest (content validation), and is applicable within the reality of SUS nutritionists (appearance validity). [ABSTRACT FROM AUTHOR]

Background: Empowering individuals with knowledge and skills is necessary for maintaining good oral hygiene. Supplementing chairside oral hygiene instructions can enhance patient education in maintaining proper oral hygiene. Audiovisual aids offer a dynamic and visual medium for demonstrating proper techniques, showcasing the consequences of poor oral hygiene, and highlighting the benefits of preventive measures. Aim: This study aims to evaluate the influence of oral hygiene instructions on sustaining periodontal health in patients. Materials and Methods: Forty-two patients were divided into two groups containing 21 participants. Baseline measurements were taken for the Simplified Oral Hygiene Index (OHI-S) and the Patient Hygiene Performance (PHP) Index. After these initial recordings, scaling was performed, followed by the delivery of oral hygiene instructions. Group I received instructions via videos, while Group II received verbal instructions. The patients were recalled 15 days postscaling for a follow-up, during which OHI-S and PHP Index were re-recorded. Results: The data analysis was conducted using paired t-tests and unpaired t-tests. The mean value of the OHI-S and PHP Index after giving instructions via videos is more beneficial than orally. Group I showed a statistically significant difference compared to Group II. Conclusion: The study concluded that oral hygiene instructions delivered through audiovisual aids have a positive effect on the periodontal health of patients. There is a potential benefit in enhancing instruction methods using audiovisual aids to achieve better reinforcement.

Abstract Background Most surveys examining health professionals’ knowledge, attitudes and practices around abortion have used convenience samples and have targeted doctors. Our goal in the SACHA Study, drawing on evidence-based strategies to maximise response rates, was to achieve a representative sample of a wider range of health professionals, working in general practice, maternity services, pharmacies, sexual and reproductive health (SRH) clinics and specialist abortion services in Britain, to explore the knowledge, attitudes and experience of abortion care and views on future models of delivery. Methods A cross-sectional questionnaire-based survey of midwives, doctors, nurses and pharmacists in England, Scotland and Wales was undertaken between November, 2021 and July, 2022. We used a stratified cluster sampling approach to select a random sample of sites and all eligible staff within those services were asked to respond to the survey. Evidence-based strategies to maximise completion rates were adopted, including postal delivery of the one-page questionnaire with personal letter of invitation and a stamped address envelope for return, inclusion of an unconditional voucher and follow-up. Results Overall, 147 of the 314 (46.8%) health service sites randomly selected took part in the survey. Reasons for non-participation included local Research and Development (R&D) Department non-response, lack of resources or insufficient time to support or approve the study, lack of interest in or perceived relevance of the topic and insufficient capacity to take part, exacerbated by work demands during the COVID epidemic. Of the 1370 questionnaires sent to eligible identified participants within these services, 771 were completed and returned (56.3%). At the service level the highest proportion of returns was from SRH clinics (81.0%) and the lowest from general practice (32.4%). In relation to profession, returns were highest amongst midwives (69.6%) and lowest amongst pharmacists (36.5%). Conclusions Obtaining information about health professional knowledge, attitudes and practices is key to guide service development and policy and to identify gaps in training and service provision in abortion. Despite our attempts to gain a representative sample of health professionals, the challenges we experienced limited the representativeness of the sample, despite the use of an evidence-based strategy.

OBJECTIVES: This study aimed to develop and evaluate a job-exposure matrix (JEM) specific to healthcare workers, JEM Soignances, based on self-reported data. METHODS: The JEM was constructed using data from healthcare workers within the CONSTANCES cohort (N=12 489). Job titles and sectors of activity (eg, hospital activities) defined occupational groups. We assessed 24 exposures covering organizational, psychosocial, physical, chemical and biological factors. Several methods (group-based frequency, CART, random forest, extreme gradient boosting machine) were applied using a 70% training sample. Performance was evaluated on the remaining 30% using area under the ROC curve (AUC) and Cohen’s Kappa (κ). Two alternative JEM were proposed using only job titles or adding healthcare establishment size and type (public/private) to define occupational groups. RESULTS: All methods offered similar discriminatory power (AUC). We selected the group-based frequency method as it was the most understandable and easiest to implement. Of the 24 included exposures, 15 demonstrated satisfactory performance, with nine showing good discriminatory power and fair-to-moderate agreement, such as physical effort at work (AUC=0.861, κ=0.556), ionizing radiation exposure (AUC=0.865, κ=0.457), carrying heavy loads (AUC=0.840, κ=0.402), shift work (AUC=0.807, κ=0.383), and formaldehyde exposure (AUC=0.847, κ=0.289). The remaining nine exposures mainly showed poor-to-moderate discriminatory power and poor agreement. Compared to JEM Soignances, the job title-only JEM performed poorly, while the one incorporating healthcare establishment size and type showed similar results. CONCLUSIONS: JEM Soignances provides good internal performance and validity. Future research will assess its external validity by comparing it with existing JEM and examining its predictive validity regarding known associations between exposures and health outcomes (eg, long working hours and strokes).

Abstract Background Clinical care contributes to at least 50% of the greenhouse gas (GHG) emissions of healthcare. This includes the 40% of healthcare that is harmful or low value, adding avoidable emissions without improving health or quality of care. Clinicians are well-placed to mitigate emissions associated with the provision of clinical care. This study aimed to explore clinicians’ views on a new construct we have termed ‘carbon health literacy’ to understand how knowledge, skills and capacities related to the emissions of clinical care has application in clinical practice. Methods Qualitative interviews were conducted between August 2022 and February 2023 with clinicians from Australia (n = 15) and Canada (n = 13). Clinicians with an interest in climate change and healthcare sustainability were sampled from a variety of clinical specialty areas, such as primary care, nursing, anaesthetics, and emergency. Clinicians were recruited through advertising on social media and via professional networks. A pre-piloted interview schedule was used to guide the interviews. Interviews were audio recorded, transcribed verbatim and analysed using framework analysis. Results Participants viewed carbon health literacy as an increasingly important skill for clinicians to have or acquire, though they reported that the level of carbon health literacy and knowledge needed varies by job roles, clinical specialty areas, and individual capacity to generate healthcare system change. Many clinicians reported implementing strategies to mitigate their work-related GHG emissions, such as reducing waste or choosing lower carbon commuting options. There was limited awareness of reducing low-value care as a strategy to decrease emissions. All participants had encountered barriers to providing low-carbon care, including managing patient expectations, inadequate training and information, and limited capacity to generate system change in their organisational roles. Conclusions To support the delivery of high value low carbon healthcare, work is needed to build the carbon health literacy of clinicians and remove other barriers currently impeding their capacity to practice and promote sustainable clinical care.

Abstract Background Breastfeeding support interventions are associated with longer breastfeeding duration. Contemporary nationally representative data on breastfeeding support as reported by women in England is lacking. Using English national maternity survey data, we describe sources and modes of breastfeeding support as reported by women who gave birth in 2020; sources of support are compared with earlier maternity surveys (2014, 2016, 2018). We also explore the characteristics associated with source/mode of support in 2020 (n = 4,611). Methods Women who breastfed were asked about sources of breastfeeding support (midwife; other health professional; other formal breastfeeding support such as breastfeeding specialist, breastfeeding support group, peer supporter; and partner/friend/relative), how this help was given and whether they would have liked more help from a health professional with breastfeeding. Adjusted risk ratios (aRR) for the association between sociodemographic and pregnancy-related variables and each source/mode of support were estimated using modified Poisson regression. Results From 2014 to 2020 support from midwives and other health professionals declined (from 84.0% to 64.7%, and 61.6% to 15.5% respectively) whereas other formal breastfeeding support and informal support from partners/friends/relatives remained constant at 27–31% and 34–38% respectively. The proportion of women who wanted more help with breastfeeding increased from 30% in 2014–2018 to 46% in 2020. In 2020, women most likely to want more help with breastfeeding were nulliparous (aRR = 1.64, 95%CI:1.50–1.79), younger (aRR = 1.21, 95%CI:1.03–1.42) and of Pakistani ethnicity (aRR = 1.30, 95%CI:1.06–1.60). Receiving breastfeeding support over the phone (35%) was more common than via video call (13%) or text message (5%); these percentages varied according to socio-demographic and pregnancy-related factors. Conclusions Breastfeeding support has declined in recent years, and did not meet the needs of many women during the pandemic. Planning for a future emergency should include adequate provision of breastfeeding support particularly if staff are redeployed into other roles. The characteristics associated with support can inform service planning and delivery. Future research should use these factors to develop novel ideas for intervention, such as directly targeting partners or other informal networks with educational or psychosocial interventions.

AbstractPurposeMaterials and MethodsResultsConclusions\nIMPLICATIONS FOR REHABILITATIONTo explore the impact of family-centred service education on the knowledge, attitudes, self-efficacy, and practice of service providers working in paediatric disability.The review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews. The search strategy was completed in seven electronic databases. Screening and data extraction was undertaken by two reviewers. Data extraction included content, delivery methods and impact of professional development programs. A narrative synthesis was conducted.Twenty-two studies reported on twenty programs. Participants were from multiple disciplines in 13 programs and families were involved in development, delivery, or as participants, in nine. Program content typically related to participatory caregiving. Synthesis of findings suggested the ‘active ingredients’ were dynamic interactions among the participants and facilitators, and the program content and delivery methods, that promoted reflection and shifting perspectives among participants. Studies reported positive impacts on service provider attributes, but few studies evaluated behaviours in practice and broader influences on family-centred services.While all programs involved active participation and relevant content, programs promoting reflection, sharing perspectives as part of a diverse group, and lived experience through family involvement, supported learning about family-centred services as both a philosophy and a process.Authentic learning opportunities for service providers working in paediatric rehabilitation were promoted through involving families in the development and delivery of professional development targeting family-centred service and sharing knowledge and perspectives as part of a diverse group.Providing tools and strategies to support implementation of learning in practice may help service providers embed family-centred approaches into their work with children and families following professional development.Addressing service and system issues that impact implementation of family-centred service within professional development may reduce barriers and enhance uptake in practice.Authentic learning opportunities for service providers working in paediatric rehabilitation were promoted through involving families in the development and delivery of professional development targeting family-centred service and sharing knowledge and perspectives as part of a diverse group.Providing tools and strategies to support implementation of learning in practice may help service providers embed family-centred approaches into their work with children and families following professional development.Addressing service and system issues that impact implementation of family-centred service within professional development may reduce barriers and enhance uptake in practice. [ABSTRACT FROM AUTHOR]

In this study, the aim was to investigate the effect of an evidence‐based practice course on the lifelong learning skills and problem‐solving skills of health science students. A prospective one‐group pre‐test–post‐test design. The universe of the study consisted of 189 students from Cankiri Karatekin University. Student information form, Jefferson lifelong learning skill scale, Problem‐solving inventory (PSI) were used as data collection instruments. The sample of the study consisted of 156 students who completed the 14‐week course and fully completed the pre‐test and post‐test. For data analysis, IBM Corp. Released 2013. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp. package program was used. While 84% of the students said that they had never heard of the term EBP before, 91.7% of those who knew the term said they had heard it in their field courses. The lifelong learning skill scale total score change of the students, the PSI total score change of the students after the 26‐h EBP course were statistically significant. EBP is very important for health science students to increase their problem‐solving success and lifelong learning skills, and it should be integrated into the curriculum. [ABSTRACT FROM AUTHOR]

Diabetes is prevalent among incarcerated individuals, necessitating effective management within prison settings. This study aims to assess diabetes management among incarcerated individuals and analyze the methodological aspects of relevant research focusing on incarcerated individuals with diabetes. A systematic search was conducted in PubMed, Web of Science, Scopus, and Google Scholar databases, with data parameters from 1990 to 2021 and following Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, to investigate diabetes management in incarcerated individuals. The search yielded 706 records, from which 14 English-language quantitative studies meeting inclusion criteria were selected for analysis. These studies were predominantly retrospective with low levels of evidence. However, they consistently demonstrated the beneficial effects of dietary interventions, educational programs, and nursing guidance on diabetes management in incarcerated populations. This study highlights the need for more comprehensive and high-evidence research to further explore health professionals' practices with incarcerated individuals with diabetes and the effectiveness of diabetes management. Such studies are crucial for improving the quality of care provided to this vulnerable population. [ABSTRACT FROM AUTHOR]

Background: Breastfeeding support interventions are associated with longer breastfeeding duration. Contemporary nationally representative data on breastfeeding support as reported by women in England is lacking. Using English national maternity survey data, we describe sources and modes of breastfeeding support as reported by women who gave birth in 2020; sources of support are compared with earlier maternity surveys (2014, 2016, 2018). We also explore the characteristics associated with source/mode of support in 2020 (n = 4,611). Methods: Women who breastfed were asked about sources of breastfeeding support (midwife; other health professional; other formal breastfeeding support such as breastfeeding specialist, breastfeeding support group, peer supporter; and partner/friend/relative), how this help was given and whether they would have liked more help from a health professional with breastfeeding. Adjusted risk ratios (aRR) for the association between sociodemographic and pregnancy-related variables and each source/mode of support were estimated using modified Poisson regression. Results: From 2014 to 2020 support from midwives and other health professionals declined (from 84.0% to 64.7%, and 61.6% to 15.5% respectively) whereas other formal breastfeeding support and informal support from partners/friends/relatives remained constant at 27–31% and 34–38% respectively. The proportion of women who wanted more help with breastfeeding increased from 30% in 2014–2018 to 46% in 2020. In 2020, women most likely to want more help with breastfeeding were nulliparous (aRR = 1.64, 95%CI:1.50–1.79), younger (aRR = 1.21, 95%CI:1.03–1.42) and of Pakistani ethnicity (aRR = 1.30, 95%CI:1.06–1.60). Receiving breastfeeding support over the phone (35%) was more common than via video call (13%) or text message (5%); these percentages varied according to socio-demographic and pregnancy-related factors. Conclusions: Breastfeeding support has declined in recent years, and did not meet the needs of many women during the pandemic. Planning for a future emergency should include adequate provision of breastfeeding support particularly if staff are redeployed into other roles. The characteristics associated with support can inform service planning and delivery. Future research should use these factors to develop novel ideas for intervention, such as directly targeting partners or other informal networks with educational or psychosocial interventions. [ABSTRACT FROM AUTHOR]

Background: Clinical care contributes to at least 50% of the greenhouse gas (GHG) emissions of healthcare. This includes the 40% of healthcare that is harmful or low value, adding avoidable emissions without improving health or quality of care. Clinicians are well-placed to mitigate emissions associated with the provision of clinical care. This study aimed to explore clinicians' views on a new construct we have termed 'carbon health literacy' to understand how knowledge, skills and capacities related to the emissions of clinical care has application in clinical practice. Methods: Qualitative interviews were conducted between August 2022 and February 2023 with clinicians from Australia (n = 15) and Canada (n = 13). Clinicians with an interest in climate change and healthcare sustainability were sampled from a variety of clinical specialty areas, such as primary care, nursing, anaesthetics, and emergency. Clinicians were recruited through advertising on social media and via professional networks. A pre-piloted interview schedule was used to guide the interviews. Interviews were audio recorded, transcribed verbatim and analysed using framework analysis. Results: Participants viewed carbon health literacy as an increasingly important skill for clinicians to have or acquire, though they reported that the level of carbon health literacy and knowledge needed varies by job roles, clinical specialty areas, and individual capacity to generate healthcare system change. Many clinicians reported implementing strategies to mitigate their work-related GHG emissions, such as reducing waste or choosing lower carbon commuting options. There was limited awareness of reducing low-value care as a strategy to decrease emissions. All participants had encountered barriers to providing low-carbon care, including managing patient expectations, inadequate training and information, and limited capacity to generate system change in their organisational roles. Conclusions: To support the delivery of high value low carbon healthcare, work is needed to build the carbon health literacy of clinicians and remove other barriers currently impeding their capacity to practice and promote sustainable clinical care. [ABSTRACT FROM AUTHOR]

Objective: Concussion is a serious concern in sport, with the potential to cause short- and long-term health consequences. These concerns highlight the need for the translation of concussion management guidelines into use in real-world sports settings. This qualitative study explores community rugby players' concussion experiences as part of New Zealand Rugby's concussion management pathway. Methods: Semi-structured interviews were conducted with 36 rugby players (35 males and 1 female; 22 played at school and 14 at club-level; mean age 19.8 ± 4.8) Thematic analysis was utilized to analyze data. Results: Four themes were identified i) the symptom journey, ii) the role of a dedicated concussion management pathway in shaping players' experiences, iii) the influence of coaches and physiotherapists, and iv) rugby culture. Support received as part of the concussion management pathway, and from individuals who were part of players' concussion journey, deeply impacted their overall experience. However, players identified insufficient guidance while returning to school/work. At times, the sport's collective cultural values made it difficult for players to enact positive concussion management behavior. Conclusion: The findings highlight the importance of a defined management pathway to support players' recovery. Addressing negative aspects of rugby's collectivist culture remains critical for optimal concussion management and recovery. [ABSTRACT FROM AUTHOR]

Health and allied health professionals are uniquely positioned to collaborate in prevention, early intervention and responses to child maltreatment. Effective collaboration requires comprehensive interprofessional education (IPE), and inadequate collaboration across sectors and professions continually contributes to poor outcomes for children. Little is known about what interprofessional preparation health and allied health professionals receive before initial qualification (preservice) that equips them for interprofessional collaboration and provision of culturally safe care in child protection. This scoping review aimed to identify what is known internationally about IPE in child protection for preservice health and allied health professionals. Thirteen manuscripts reporting 12 studies met the inclusion criteria and were included in the synthesis. Key characteristics of the educational interventions are presented, including target disciplines, core content and their learning objectives and activities. Findings demonstrated primarily low-quality methodologies and educational interventions that had not been replicated beyond their initial context. Many educational interventions did not provide comprehensive content covering the spectrum of prevention, early intervention and responses for all types of child maltreatment, and/or did not clearly indicate how IPE was achieved. Key challenges to delivering comprehensive interprofessional child protection include lack of institutional support and competing priorities across disciplines who must meet requirements of separate regulatory bodies. Consequently, there is a need for further development and robust evaluation of educational interventions to explore how interprofessional collaborative skills for child protection can be developed and delivered in preservice health and allied health professional education. [ABSTRACT FROM AUTHOR]

Background: Empowering individuals with knowledge and skills is necessary for maintaining good oral hygiene. Supplementing chairside oral hygiene instructions can enhance patient education in maintaining proper oral hygiene. Audiovisual aids offer a dynamic and visual medium for demonstrating proper techniques, showcasing the consequences of poor oral hygiene, and highlighting the benefits of preventive measures. Aim: This study aims to evaluate the influence of oral hygiene instructions on sustaining periodontal health in patients. Materials and Methods: Forty-two patients were divided into two groups containing 21 participants. Baseline measurements were taken for the Simplified Oral Hygiene Index (OHI-S) and the Patient Hygiene Performance (PHP) Index. After these initial recordings, scaling was performed, followed by the delivery of oral hygiene instructions. Group I received instructions via videos, while Group II received verbal instructions. The patients were recalled 15 days postscaling for a follow-up, during which OHI-S and PHP Index were re-recorded. Results: The data analysis was conducted using paired t -tests and unpaired t -tests. The mean value of the OHI-S and PHP Index after giving instructions via videos is more beneficial than orally. Group I showed a statistically significant difference compared to Group II. Conclusion: The study concluded that oral hygiene instructions delivered through audiovisual aids have a positive effect on the periodontal health of patients. There is a potential benefit in enhancing instruction methods using audiovisual aids to achieve better reinforcement. [ABSTRACT FROM AUTHOR]

The Afromed Senior Research Fellowship Program is designed to enhance the skills and knowledge of health professionals and students in medical and clinical research. This manuscript examines the scholarship of teaching and learning (SoTL) within the program, focusing on the structured educational framework that includes weekend lectures, quizzes for assessment, and case scenario tests. Participants engage in a collaborative learning environment that promotes critical thinking and problem-solving skills essential for medical research.

Abstract Background In Norway, as in other countries, national eHealth systems, such as the Summary Care Record (SCR), have been implemented to improve the collaboration around patients by sharing patient information between health professionals across healthcare institutions and administrative levels. Although widely implemented across the health and care services in Norway, evaluations of the SCR indicate less use than expected. There is a need for analysis that lays out the visions and expectations of the SCR and contrasts these with detailed observations of use in everyday health professional work. This study adds to the eHealth research field by exploring this reality. Method This paper has a qualitative design with an ethnographic approach, including participant observation, qualitative interviews, and a document review. Qualitative individual interviews with 22 health professionals and six weeks of participant observation were conducted, and eight documents were reviewed. The field notes and the interview-transcriptions were analyzed following a stepwise-deductive induction analysis. Results The document review identified the expectations and visions of the SCR, including an underlying assumption of trust in shared patient information. However, this assumption is implicit and not recognized as a crucial element for success in the documents. In our observation and interview data, we found that health professionals do not necessarily trust information in the SCR. In fact, several procedures and routines to assess the trustworthiness of SCR information were identified that complicate and disturb the expected use. In our analysis, two main themes characterize the health professionals' handling of the SCR: adapting to workflow and dealing with uncertainty. Conclusion Our study illustrates that unconditional trust in shared patient information is an implicit assumption in SCR policy documents, but in their everyday work health professionals do not necessarily unconditionally trust shared patient information. Rather, sharing patient information through technology, such as the SCR, requires of health professionals to critically assess the digital information. The information in the SCR, as all sources of information presented to health professionals, becomes an item for their constant trust-work. Our study is of value to policymakers, health information systems developers, and the field of practice both nationally and internationally.

Aim: Cancer patients need supportive care in many areas. In the study is to determine the supportive care needs of gynecology oncology patients and the affecting factors. Materials and Methods: The descriptive cross-sectional study was conducted with 195 female patients who were diagnosed with gynecological cancer and applied to the day and outpatient units of two hospitals for chemotherapy and/ or radiotherapy. The data were collected with the "Descriptive Characteristics Form" andthe "Short Form of the Supportive Care Needs Scale (SCNS-SF)". Results: The mean SCNS-SF score of gynecological oncology patients was 77.74±16.14. It has been determined that the patients have more supportive care needs that are not met, especially in the areas of mental/psychological, health care and information, and physical/daily life. It was determined that the variables of age, education level, employment status, financial situation perception, presence of children, number of children, number of chemotherapy cycles, type of cancer and type of treatment had a statistically significant effect on the supportive care needs of the patients (p<0.05). Conclusion: It was determined that the supportive care needs of women were moderate. The most supportive care needs are in the areas of mental/ psychological, health care, and informing and daily life. Unmet care needs differ according to age, education level, employment status, perception of financial situation, presence of children, number of children, number of chemotherapy cycles, and disease stage. Healthcare professionals should determine the supportive care needs of women and their supporters according to their values, beliefs, and cultural characteristics, ensure that they are managed effectively, and they should take initiatives to improve the quality of life. [ABSTRACT FROM AUTHOR]

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Background: In Norway, as in other countries, national eHealth systems, such as the Summary Care Record (SCR), have been implemented to improve the collaboration around patients by sharing patient information between health professionals across healthcare institutions and administrative levels. Although widely implemented across the health and care services in Norway, evaluations of the SCR indicate less use than expected. There is a need for analysis that lays out the visions and expectations of the SCR and contrasts these with detailed observations of use in everyday health professional work. This study adds to the eHealth research field by exploring this reality. Method: This paper has a qualitative design with an ethnographic approach, including participant observation, qualitative interviews, and a document review. Qualitative individual interviews with 22 health professionals and six weeks of participant observation were conducted, and eight documents were reviewed. The field notes and the interview-transcriptions were analyzed following a stepwise-deductive induction analysis. Results: The document review identified the expectations and visions of the SCR, including an underlying assumption of trust in shared patient information. However, this assumption is implicit and not recognized as a crucial element for success in the documents. In our observation and interview data, we found that health professionals do not necessarily trust information in the SCR. In fact, several procedures and routines to assess the trustworthiness of SCR information were identified that complicate and disturb the expected use. In our analysis, two main themes characterize the health professionals' handling of the SCR: adapting to workflow and dealing with uncertainty. Conclusion: Our study illustrates that unconditional trust in shared patient information is an implicit assumption in SCR policy documents, but in their everyday work health professionals do not necessarily unconditionally trust shared patient information. Rather, sharing patient information through technology, such as the SCR, requires of health professionals to critically assess the digital information. The information in the SCR, as all sources of information presented to health professionals, becomes an item for their constant trust-work. Our study is of value to policymakers, health information systems developers, and the field of practice both nationally and internationally. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19 pandemic has exposed health professionals to conditions of increased stress, traumatic stress and depression, thereby reducing their resilience in treating patients with serious health problems, as well as in communication. In this environment, it is important to investigate the factors that influence nurses' attitudes towards informing patients who have serious or life-threatening illnesses. Aim: The aim of this study is to investigate the factors that influence nurses' attitudes towards informing patients who have serious or life-threatening illnesses. Material and Methods: One hundred thirty four nurses and assistant nurses of KAT hospital participated in the present synchronous research. A questionnaire was used for the data collection that included demographic / social characteristics, and 4 tools (scale of psychological empowerment-PEI, scale of physicians 'attitude towards informing patients, scale of physicians' attitude towards informing cancer patients, CD-RISC-10) . Data analysis was performed using SPSS 21. Results: Relatively high level of resilience (average 27.9, mean 6.38) and psychological empowerment (average 46,029, mean 7.41) was found. Regarding the three sub-scales of the WHO model: the sub-scale of truth disclosure, had a relatively high level (average 5.94, S.D.1.25), the sub-scale of concealment of truth had medium level (average 5.02, S.D.1,36), and the sub-scale personalized information with high level (average 6.86, S.D.1,009). Regarding the correlations, statistical significance was found (p:, 025) between the sub-scale Hidden Truth and Communication (<0.05), between the sub-scale Personalized Information and Communication (<0.01). In addition, statistical significance was found between Durability and Strengthening (<0.01). Conclusions: According to the objectives of the present study, the results showed the following: (a) nurses have a relatively high level of resilience, psychological empowerment and attitude in communication (for serious, chronic diseases), which highlights the special requirements of the nursing profession (b) personalized information is influenced by the attitude of nurses in communication (for serious & chronic diseases), and also, the work department of the nurse affects the disclosure and concealment of the truth in communication with the patient, and the position The nurse's responsibility affects the concealment of the truth when communicating with the patient about serious illnesses. However, new research on the subject of the present study needs to be conducted. Thus, it is proposed in the future to conduct a similar primary research with a larger sample and change the WHO measurement tool (or its extension), since it cannot work reliably due to its small size. [ABSTRACT FROM AUTHOR]

Physiotherapists who work with high-risk patient groups may face unexpected situations and complications during their professional practice that requires first aid knowledge. Clinicians may also use this first aid knowledge in public life. This study was planned to evaluate the first aid knowledge levels and first aid proficiency perceptions of physiotherapists and to make suggestions in the light of the results obtained. The data collection process of this cross-sectional study was carried out between March 1 and May 7, 2022. The sample of the study consisted of 224 physiotherapists (168 women), and the data were obtained with the help of an online questionnaire disseminated via Google Forms. The content of the questionnaire presented to the participants consisted of demographic information, institutions and units where they worked, inquiries about receiving first aid training, the content of these trainings, and 26 statements testing basic first aid knowledge. It was found that 25.4% (n:57) of the physiotherapists had provided first aid to someone before, whereas 81.2% (n:182) did not feel competent in applying first aid. Physiotherapists who received first aid training had a higher perception of competence. The median of the total number of correct answers obtained from the 26-statement questionnaire designed to evaluate the first aid knowledge levels was 19 (12–25), and the total number of correct answers of 33.5% (n:75) of the physiotherapists was below the median. There was no significant relationship between the age and tenure in the profession of the physiotherapists participating in the study and the total number of correct answers in the questionnaire (p >.05). The physiotherapists included in the study had low self-efficacy, knowledge, and skills in applying first aid. In this area, there is a need for structured practices and training to increase the first aid knowledge and competencies of physiotherapists. [ABSTRACT FROM AUTHOR]

Authentic patient activities in an interprofessional education (IPE) setting can develop collaborative, practice ready health professionals who have the skills to work within and across teams with patients at the center of their care. In this qualitative study, the student experience of a novel interprofessional case study activity, with lived experience content delivered via an authentic patient video was explored. Transcripts were analyzed using reflexive thematic analysis and identified three major themes: (a) from disease-centered to person-centered care, (b) reflecting on roles in interprofessional collaborative practice, and (c) teamwork and lived experience facilitates learning. When considered within the Interprofessional Education Collaborative (IPEC) framework, the student experience suggested positive change in all four core competencies: interprofessional communication, values and ethics, roles and responsibilities and teamwork. In addition, students highly valued the interprofessional learning experience, and the patient video created a more realistic case study by reducing clinical assumptions. In conclusion, a short, single exposure to a written case followed by an authentic patient video in an IPE setting had an immediate positive impact on entry-level student health professionals. This simple methodology is a viable way of bringing the authentic patient voice into the classroom with additional benefit from the interprofessional format. [ABSTRACT FROM AUTHOR]

Objective: This survey explored the relationships between burnout, moral injury, and suicidal/self-harm ideation among Chinese health professionals in mainland China. Methods: Health professionals were surveyed online using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel, Patient Health Questionnaire-9, and the Moral Injury Symptom Scale-Health Professional version. Results: A total of 6,146 health professionals participated in the study. The average age of participants was 34.9 ± 8.5 years, and suicidal/self-harm ideation was present in 2,338 participants (38.0%). The prevalence of suicidal/self-harm ideation was more common among those with severe burnout (vs. mild burnout), particularly in the dimensions of emotional exhaustion, depersonalization, and decreased personal accomplishment. The prevalence of suicidal/self-harm ideation among those with significant moral injury symptoms was higher than in those without moral injury. Unconditional logistic regression analysis demonstrated that those with moderate or severe emotional exhaustion, moderate or severe reduced sense of professional accomplishment, and moderate or severe depersonalization were at increased risk of suicidal/self-harm ideation. Structural equation modelling demonstrated that burnout significantly mediated the relationship between moral injury and suicidal/self-harm ideation. The proportion of mediation (PM) by burnout was 43.0%. Conclusions: This study found that burnout and moral injury were significant predictors of suicidal/self-harm ideation among health professionals in China. Both moral injury and burnout had positive and direct effects on suicidal/self-harm ideation, and burnout mediated the relationship between moral injury and suicidal/self-harm ideation. Interventions to address moral injury and subsequent burnout in Chinese healthcare workers may enhance the mental health of these healthcare professionals and increase the quality of care that they provide. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Electronic Medical Record Systems (EMRs) are integral to the work of nursing, medical and allied health professionals in Australia and other countries. Successful adoption of EMR systems is reliant upon their usability and effective use. Usability issues impact safety and quality, workflow, communication, and collaboration. The objective of the study was to measure clinician (nurse, medical and allied health professionals) experience of EMR usability in Australia. We conducted an observational study using a validated, cross-sectional survey, the National Usability-focused Health Information System Scale (NuHISS). Thirteen usability statements collect clinician impressions of EMRs related to ease of use, benefits and collaboration and technical quality. This paper presents responses of Australian clinicians using EMRs in primary care, hospitals and public and private sectors. In 2023, 534 health professionals from Australia submitted valid survey responses. The largest respondent group comprised nurses and midwives, working in publicly funded hospitals and having over three years of experience with the EMR mainly used. A majority (69%) agreed that the EMR system is stable and does not crash and 62% felt that the system responds quickly to inputs. Regarding ease of use of the EMR, 50% disagreed that the arrangement of fields and functions is logical, while 58% found the terminology clear and understandable. Sixty-two percent (62%) disagreed that routine tasks can be performed without extra steps, and 65% felt that significant training to learn the EMR is required. Although 63% agreed it is easy to obtain necessary patient information, 45% disagreed that entering and documenting data is quick and smooth. There were mixed responses regarding the EMR system's role in preventing medication errors, with 50% agreeing that it helps prevent errors and 27% disagreeing. There was agreement (74%) that the EMR system supports collaboration and information sharing within the same health service. Respectively, 51% and 47% disagreed regarding support of their EMR for collaboration between different health services and between clinicians and patients. We highlight the importance of understanding clinicians’ experiences with EMR usability. Our findings suggest areas where EMR usability can be strengthened to enhance user experience and support clinicians in delivering high quality, safe care. The study’s findings provide valuable insights for EMR system developers, vendors, and healthcare organisations, emphasising the need to improve usability to realise the full benefits of EMRs and support a digitally enabled healthcare system. Addressing these issues through targeted interventions is essential to enhance clinician satisfaction with the EMRs used, reduce burnout and improve patient care.

In South Africa, the sexual transmission of human immunodeficiency virus (HIV) between partners is criminalised under general criminal law offences such as attempted murder, assault and rape, despite the absence of specific HIV-related legislation. Recent court cases have opened the door to securing convictions. Contribution: These cases highlight the serious legal consequences of non-disclosure and the importance of consent to sexual intercourse. Health professionals in South Africa have a legal and ethical duty to counsel patients on HIV and may be obligated to inform patients who refuse to disclose their status to their partners about the potential legal implications under South African criminal law.

Abstract Objective Models of treatment for adults with severe and enduring eating disorders focus on harm reduction and improving quality of life. However, there is a notable gap in the pediatric literature in this area. The current study set out to assess the perspectives of health professionals regarding clinical care for young people (e.g., ages 10–25 years) with severe and enduring eating disorders, and to explore perceptions about appropriate treatment options for these presentations. Methods Health professionals were invited to complete a two-stage online survey about their experiences with clinical care for pediatric eating disorders through Canadian and Australian professional eating disorder networks. Survey 1 included questions about their experiences in supporting individuals with severe and enduring presentations. Participants who completed Survey 2 reviewed clinical vignettes and shared their perspectives about treatment recommendations and models of care, including for a severe and enduring presentation. Results A total of 85 clinicians responded to questions on Survey 1 about severe and enduring eating disorder presentations. A portion of these respondents (n = 25) also participated in Survey 2. The majority of respondents to Survey 1 reported providing clinical care for pediatric severe and enduring eating disorder presentations. Amongst respondents to Survey 2, there was low consensus amongst respondents for the clinical care that would be most appropriate for young people with a severe and enduring eating disorder presentation. Numerous challenges in models of care for severe and enduring presentations in pediatric settings were raised in responses on Survey 2, with clinicians sharing their awareness of models focusing on quality of life, while also raising concerns about the appropriateness of these models for young people. Conclusions The preliminary results of this study demonstrate that the majority of clinicians report that they have provided care to young people with severe and enduring presentations. There is a clear need for establishing guidance for clinicians working in pediatric eating disorder settings around models of care focused on quality of life. Engagement with interested parties, including those with lived experience, can clarify the development of terminology and clinical pathways for severe and enduring presentations of pediatric eating disorders.

Abstract Background Health professionals from different specialties in medical and psychological areas play an important role in diagnosis and treatment of eating disorders (EDs). This study aimed to identify gaps in knowledge about the diagnosis, etiology, and management of EDs and to assess health professionals’ attitudes towards these illnesses. Methods A new questionnaire was developed and validated. Residents and consultants working in disciplines involved in the management of EDs (namely, internal medicine, general practitioners, psychiatric area, psychological area, and surgical area) completed the questionnaire. Knowledge and attitudes were compared among the study groups through one-way ANCOVA and chi-square tests. Results The final version of the questionnaire consisted of 54 items assessing the following areas: stigma, treatment, physical complications, diagnosis, and aetiopathogenesis of EDs. For all health professionals the area of most deficiency was the aetiopathogenesis, while the best one was the management of physical complications. All medical professionals showed less knowledge than psychiatrists in terms of etiology, diagnosis, and treatment of EDs. A lack of knowledge about evidence-based psychotherapies, general psychopathology, and family members’ role in the management of EDs emerged among all health professionals. Stigma was found among non-mental health professionals who considered these patients to be different from others and responsible for their abnormal eating behaviors. Conclusions Clarifying the health professionals’ specific gaps occurring in the knowledge of EDs and in the attitudes towards these individuals may inform educational programs to improve early detection and management of EDs.

Introduction: Robotic rehabilitation is a recent advancement in the field of neurorehabilitation that can benefit patients suffering from traumatic brain injuries, strokes and spinal cord injuries. Despite its availability in India since more than a decade, the number of people who are availing such benefits are a minority of the patient population. Materials and Methods: The aim of the study was to understand the trends and perceptions of people from medical and non-medical professions. The objective of the study was to evaluate the awareness levels and general perceptions about robotics in rehabilitation, across people from healthcare and other fields including rehabilitation physicians from various parts of the country, through an open survey and using an 11-point scoring system for objective evaluation. The research work was conducted as an observational survey-based study. Questions related to awareness levels, self-perceived levels of affordability and effectiveness of robotics in the field of rehabilitation were covered through a questionnaire made by the author, completely masking the personal information of the respondents to ensure anonymity. Results: A total of 145 people from different parts of the country belonging to both healthcare and other fields responded. Scores were assessed out of 10, in all domains. The results show a significant number of people being completely unaware of robotics in the field of rehabilitation, with a low average awareness score of 3.4 out of 10. This trend was also seen amongst medical professionals. Although the reported levels of affordability were low at 3.6, the average scores of perceived effectiveness were high at 5.9. Most people believed financial limitations and lack of awareness and availability as common barriers of implementation of robotic rehabilitation in a country like India. Conclusion: This study shows that despite the availability of advanced resources in major cities in the country, there is a lack of awareness amongst doctors and members from other fields, which may result in potential benefiters not being able to make informed decisions about rehabilitative options. Although doctors of the field of rehabilitation generally had a more positive response, the rest of the members are largely unaware. Improving the availability and accessibility to such advances will help provide equal opportunity of access to clients who could benefit from the same. Upscaling the manufacturing and development of indigenous robots for rehabilitation, amongst other methods may help reduce the expenses on users, thereby improving logistic and financial accessibility and availability.

Abstract Background Virtual reality (VR) is a burgeoning technology within healthcare, though routine implementation of VR within hospital settings remains limited. Health professionals are key stakeholders in knowledge translation, though limited research has explored their knowledge and attitudes towards using VR for different purposes within healthcare. This study aimed to scope health professionals’ knowledge of, and attitudes towards, the use of VR applications in a public hospital setting. Methods A cross-sectional survey of multidisciplinary health professionals (medical, nursing, allied health professionals) was conducted in a major metropolitan public hospital in Australia. The custom survey was comprised of 28 mixed categorical and free-text fields designed to scope levels of knowledge, prior experience, and interest in VR; the perceived utility of VR within a hospital context; and perceived barriers and enablers of VR use within the hospital setting. Data were analyzed via descriptive and non-parametric statistics. Results One hundred and thirty-seven health professionals participated (38% allied health, 37% nursing, 24% medical). The majority had no prior exposure to VR in clinical (95%) or recreational (67%) settings; and only 16% were aware of any clinical research evidence for VR. Despite limited awareness, participants expressed support for VR use in hospitals. 99% reported VR had potential utility in healthcare, most commonly for clinical simulations (81%), clinical education (80%) and as a physical therapy tool (68%). Participants identified multiple barriers to VR implementation most commonly relating to perceived cost, lack of required infrastructure, time, knowledge and technical skill. Prominent enablers related to increasing capability at provider and system levels. Participants’ familiarity with VR was associated with stronger support for its’ use (Rho = 0.4, p

Lesbian, Gay, Bisexual, Transgender, Queer, Intersex and Asexual (LGBTQIA+) people struggle to identify a healthcare service that understands their problems and needs. Additionally, healthcare professionals also find it difficult to care for LGBTQIA+ as very little is studied or heard about management. The article presents a protocol for a pilot study aimed at the development of an LGBTQIA+ care curriculum for health science professionals. The study includes Phase I: The development of a curriculum based on a literature review and focus group discussion among LGBTQIA+ individuals, and Phase II: Pilot testing of LGBTQIA+ care curriculum. The study outcome will reflect the improvement in the knowledge of healthcare professionals on LGBTQIA+ care.

Background: Health professionals from different specialties in medical and psychological areas play an important role in diagnosis and treatment of eating disorders (EDs). This study aimed to identify gaps in knowledge about the diagnosis, etiology, and management of EDs and to assess health professionals' attitudes towards these illnesses. Methods: A new questionnaire was developed and validated. Residents and consultants working in disciplines involved in the management of EDs (namely, internal medicine, general practitioners, psychiatric area, psychological area, and surgical area) completed the questionnaire. Knowledge and attitudes were compared among the study groups through one-way ANCOVA and chi-square tests. Results: The final version of the questionnaire consisted of 54 items assessing the following areas: stigma, treatment, physical complications, diagnosis, and aetiopathogenesis of EDs. For all health professionals the area of most deficiency was the aetiopathogenesis, while the best one was the management of physical complications. All medical professionals showed less knowledge than psychiatrists in terms of etiology, diagnosis, and treatment of EDs. A lack of knowledge about evidence-based psychotherapies, general psychopathology, and family members' role in the management of EDs emerged among all health professionals. Stigma was found among non-mental health professionals who considered these patients to be different from others and responsible for their abnormal eating behaviors. Conclusions: Clarifying the health professionals' specific gaps occurring in the knowledge of EDs and in the attitudes towards these individuals may inform educational programs to improve early detection and management of EDs. Plain English summary: This article investigated attitudes towards individuals with eating disorders (EDs) and knowledge of the diagnosis and management of these illnesses among health professionals. A gap in the knowledge of diagnosis, aetiopathogenesis, and treatment emerged above all in non-mental health professionals. Psychotherapy effectiveness and the role of family members in the therapeutic process were not sufficiently acknowledged, and general psychological factors contributing to the onset of EDs were not recognized. Impaired attitudes were primarily observed among surgeons, although all health professionals considered these disorders as distinct from others and viewed these individuals as responsible for their abnormal eating behaviors. These findings outline a type of stigma towards EDs that is associated with health professionals and may impair early diagnosis and recovery. Educational programs should aim to provide continuous education to update and improve the knowledge of EDs among health professionals. [ABSTRACT FROM AUTHOR]

Objective: Models of treatment for adults with severe and enduring eating disorders focus on harm reduction and improving quality of life. However, there is a notable gap in the pediatric literature in this area. The current study set out to assess the perspectives of health professionals regarding clinical care for young people (e.g., ages 10–25 years) with severe and enduring eating disorders, and to explore perceptions about appropriate treatment options for these presentations. Methods: Health professionals were invited to complete a two-stage online survey about their experiences with clinical care for pediatric eating disorders through Canadian and Australian professional eating disorder networks. Survey 1 included questions about their experiences in supporting individuals with severe and enduring presentations. Participants who completed Survey 2 reviewed clinical vignettes and shared their perspectives about treatment recommendations and models of care, including for a severe and enduring presentation. Results: A total of 85 clinicians responded to questions on Survey 1 about severe and enduring eating disorder presentations. A portion of these respondents (n = 25) also participated in Survey 2. The majority of respondents to Survey 1 reported providing clinical care for pediatric severe and enduring eating disorder presentations. Amongst respondents to Survey 2, there was low consensus amongst respondents for the clinical care that would be most appropriate for young people with a severe and enduring eating disorder presentation. Numerous challenges in models of care for severe and enduring presentations in pediatric settings were raised in responses on Survey 2, with clinicians sharing their awareness of models focusing on quality of life, while also raising concerns about the appropriateness of these models for young people. Conclusions: The preliminary results of this study demonstrate that the majority of clinicians report that they have provided care to young people with severe and enduring presentations. There is a clear need for establishing guidance for clinicians working in pediatric eating disorder settings around models of care focused on quality of life. Engagement with interested parties, including those with lived experience, can clarify the development of terminology and clinical pathways for severe and enduring presentations of pediatric eating disorders. Plain English Summary: Treatment models focusing on harm reduction and quality of life (as opposed to eating disorder recovery) are available for adults with severe and enduring eating disorders. However, these models are not widely available for young people. In fact, there is very limited research on severe and enduring eating disorder presentations in pediatric populations. We assessed the views of health professionals regarding clinical care for young people with severe and enduring eating disorder presentations, and asked professionals about what treatment options might be most appropriate for these presentations. Most participants reported providing clinical care for pediatric severe and enduring eating disorder presentations. However, clinicians had diverse views about the treatment that would be most appropriate for a severe and enduring eating disorder presentation in a young person. Further research and engagement with clinicians and those with lived experience is needed to clarify the terminology and clinical pathways for severe and enduring presentations of pediatric eating disorders. [ABSTRACT FROM AUTHOR]

Introduction: Pharmacists are often not recognised as a core part of palliative care teams, despite their ideal placement to assist with the burden of medication management. Objective: This study explored the role of pharmacists working in the rural palliative care team, in the home‐based setting. Design: Health care professionals working with palliative care patients in rural South Australia participated in semi‐structured interviews. Data were analysed using thematic analysis. Findings: Data from 20 participants identified 10 themes. Theme 1: This model of care gives patients a choice. Theme 2: The pharmacist is a trusted source of support and information. Theme 3: Patient, carer and family distress is reduced. Theme 4: Enables patients to stay at home by improving medication knowledge and decreasing burden; 4.1—Patient, carer and family's understanding about medication management is improved, 4.2—Patient, carer and family travel is decreased, 4.3—Burden associated with getting to the doctor is decreased. Theme 5: Communication between all parties is enhanced; 5.1—Enhanced communication between the patient and health care team, 5.2—Enhanced communication within the health care team. Theme 6: Patient, carer and family burden of coordinating prescriptions and medications is reduced. Theme 7: Benefits health care professionals by improving medication knowledge, reducing workload and stress; 7.1—Understanding about medications and their management is improved, 7.2—Workload is reduced, 7.3—Work‐related stress is reduced. Theme 8: The disparity of care between rural and urban patients is reduced. Theme 9: Helps to address rural workforce shortages. Theme 10: Challenges of this model of care; 10.1—A need for greater pharmacist capacity to meet demand, 10.2—A need for increased and sustained funding for the pharmacist role, 10.3—Large amount of travel to get to patients. Conclusion: Rural health care professionals are supportive of pharmacists working as part of the palliative care team in home‐based settings and identified many benefits of this model of care. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the health professional's knowledge, atitude, and practices towards the COVID-19 pandemic in Karachi, Pakistan. Study Design: Cross-sectional study. Place and Duration of Study: Karachi Pakistan, from Mar to Jul 2020. Methodology: A total of 228 healthcare professionals, i.e. specialists, physicians, nurses, and technicians working in the district East of Karachi were included. Independent sample t test and ANOVA were used for inferential statistics. Results: Our findings showed that 95% study participants had a good knowledge regarding the infection and 81.8% showed a positive atitude towards the infection with over 98% reporting good professional practices regarding COVID-19 infection control. Conclusion: These findings underscore the effectiveness of ongoing education and training initiatives among health professionals in Karachi, contributing to their preparedness and ability to effectively respond to the chalenges posed by the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

In this study, it is aimed to reveal the effects of the leadership styles of the managers in health institutions on the job satisfaction and organizational commitment of the employees. The data necessary for the research, a survey was conducted among 140 medical professionals working in the administrative departments of hospitals on the Anatolian side of Istanbul with bed capacity of 600 and more. The first section of the study consist of the factor analysis of the measurement instruments of job satisfaction, organizational commitment, and five leadership behaviours. Kaiser-Meyer-Olkin (KMO) test, and the Bartlett's Sphericity test showed that the study sample was appropriate for the factor analysis. The second section includes multivarite regression model and the univarite analysis. The descriptive statistics of the participant characteristics, and the scales were presented with mean and standard deviation, and frequencies and percentage. The statistical significance was at 0.05 level. The exploratory variables were the participant charactersitics, and the leadership behaviours that found to have statistically significant relationship with the dependent variables. As a result, it is supported by our research findings that the organizational commitment of the personnel working in healthcare institutions is related to the concepts of task-oriented leader and people-oriented leader. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Ege University Nursing Faculty (JEUNF) is the property of Journal of Ege University Nursing Faculty (JEUNF) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)