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Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica 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.)

Purpose: Staff is essential to the university’s efficient administrative operations, which are critical for education, research, and service. Medical schools, often independent, need specialized administrative elements. This study explores how medical school staff perceives the organization using the Six-Box model and evaluates their perceived organizational support, job satisfaction, and organizational commitment based on the concept of job attitudes. Methods: This study employs a mixed-methods approach, integrating quantitative and qualitative data via a convergent parallel design. It simultaneously collects and analyzes data from a survey and consensus workshop for medical school staff. The survey data were statistically analyzed (IBM SPSS ver. 25.0; IBM Corp., USA), and the workshop discussions were subjected to content analysis. The findings combined provide a comprehensive understanding of the medical school administrative system. Results: Quantitative analysis revealed purpose (3.80) as the highest-rated organizational perception and rewards (2.72) as the lowest. Similarly, job satisfaction was highest (3.63) in job attitudes, while perceived organizational support (2.96) was the lowest. Group differences were observed by gender, enrollment capacity, and contract type (p<0.05). In qualitative research, keywords appeared in relation to their experiences within the medical school organization, encompassing doctor training, emotional responses, administrative features, personal attributes, and cultural influences. Overload, faculty issues, and communication gaps are obstacles. Strategies for overcoming these challenges focus on improving staff treatment, resource allocation, training, and communication channels. Conclusion: This study was conducted to explore a broad understanding of the administration of medical schools. Findings suggest challenges with workload, communication, and organizational support. We propose a dedicated medical school administrative system, improved work conditions, and enhanced communication. [ABSTRACT FROM AUTHOR]

Objectives: Current policies for older patients do not adequately address the barriers to effective implementation of optimal care models in New Zealand, partly due to differences in patient definitions and the in-patient pathway they should follow through hospital. This research aims to: (a) synthesise a definition of a complex older patient; (b) identify and explore primary and secondary health measures; and (c) identify the primary components of a care model suitable for a tertiary hospital in the midland region of the North Island of New Zealand. Method: This mixed-methods study utilised a convergence model, in which qualitative and quantitative data were investigated separately and then combined for interpretation. Semi-structured interviews (n=11) were analysed using a general inductive method of enquiry to develop key codes, categories and themes. Univariate data analysis was employed using six years of routinely collected data of patients admitted to the emergency department and inpatient units (n=261,773) of the tertiary hospital. Results: A definition of a complex older patient was determined that incorporates chronic conditions, comorbidities and iatrogenic complications, functional decline, activities of daily living, case fatality, mortality, hospital length of stay, hospital costs, discharge destination, hospital readmission and emergency department revisit and age – not necessarily over 65 years old. Well-performing geriatric care models were found to include patient-centred care, frequent medical review, early rehabilitation, early discharge planning, a prepared environment and multidisciplinary teams. Conclusions: The findings of this New Zealand study increase understanding of acute geriatric care for complex older patients by filling a gap in policies and strategies, identifying potential components of an optimal care model and defining a complex geriatric patient. Implications for Public Health: The findings of this study present actionable opportunities for clinicians, managers, academics and policymakers to better understand a complex older patient in New Zealand, with significant relevance also for international geriatric care and to establish an effective acute geriatric care model that leads to beneficial health outcomes and provides safeguard mechanisms. [ABSTRACT FROM AUTHOR]

Copyright of Notfall & Rettungsmedizin is the property of Springer Nature 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.)

Abstract The aim of this study was to investigate the prevailing practices suitable for Iranian healthcare centers to address climate change and to rank them in terms of priority. This paper, a mixed-methods study conducted in 2023, comprised a scoping review and a thematic analysis covering the period from 2000 to 2023 as the first phase of the study. In this regard, PubMed, Scopus, ProQuest, and the Cochrane Database of Systematic Reviews were searched. In the second phase, the authors engaged a group of experts to prioritize the most important practices suitable for Iranian healthcare centers to address climate change using the Grey MEREC-MABAC integrated approach. The scoping review resulted in 38 studies, and the thematic analysis revealed 11 primary categories of practices employed to address climate change. Subsequently, the Grey MEREC-MABAC approach indicated that the themes of 'Green Environment' (CC = 0.0929), 'Green Equipment, Waste, and Water Management' (CC = 0.0677), and 'Green Energy' (CC = 0.0653) were identified as having the highest priority among the practices deemed most important in the literature for addressing climate change within Iranian healthcare centers. The study proposed that practices or activities promoting biodiversity and environmental sustainability, such as organic food farming and tree planting, should be considered paramount approaches in Iranian healthcare centers to combat climate change.

The aim of this study was to investigate the prevailing practices suitable for Iranian healthcare centers to address climate change and to rank them in terms of priority. This paper, a mixed-methods study conducted in 2023, comprised a scoping review and a thematic analysis covering the period from 2000 to 2023 as the first phase of the study. In this regard, PubMed, Scopus, ProQuest, and the Cochrane Database of Systematic Reviews were searched. In the second phase, the authors engaged a group of experts to prioritize the most important practices suitable for Iranian healthcare centers to address climate change using the Grey MEREC-MABAC integrated approach. The scoping review resulted in 38 studies, and the thematic analysis revealed 11 primary categories of practices employed to address climate change. Subsequently, the Grey MEREC-MABAC approach indicated that the themes of 'Green Environment' (CC = 0.0929), 'Green Equipment, Waste, and Water Management' (CC = 0.0677), and 'Green Energy' (CC = 0.0653) were identified as having the highest priority among the practices deemed most important in the literature for addressing climate change within Iranian healthcare centers. The study proposed that practices or activities promoting biodiversity and environmental sustainability, such as organic food farming and tree planting, should be considered paramount approaches in Iranian healthcare centers to combat climate change. [ABSTRACT FROM AUTHOR]

Acute leukemia is a rapidly progressive cancer of the blood and bone marrow that requires a high degree of complex, specialized, resource-intensive clinical and supportive care. The aging Canadian population has introduced an unprecedented demand on the health care system for a variety of illnesses, including acute leukemia. The purpose of this work was to develop organizational requirements for service providers delivering care for patients aged 18 years and older with acute leukemia within a single-payer health care system in Ontario. This initiative was intended to support streamlining high-quality health care across Ontario. We worked collaboratively with an expert panel to conduct a review of the literature to synthesize the organizational requirements for delivering acute leukemia care. A total of 229 requirements were developed. The requirements were categorized into themes including (1) facility requirements, including infrastructure, data management, safety, policies and procedures; (2) availability of clinical services and service complexity; (3) personnel, including roles, responsibilities, and ongoing education; (4) patient care; (5) quality management; (6) clinical research; and (7) laboratory services. These requirements will act as a framework for the provision of service, complexity of care, safety, accessibility, and quality care across all levels from the patient, organization, and system perspectives. This framework will help support person-centred care, emphasizing providing care close to home, while optimizing the use of specialized resources. Moving forward, Ontario Health (Cancer Care Ontario) will continue to work with acute leukemia service providers in the province to determine compliance and focus improvement efforts in priority areas.

Acute leukemia is a rapidly progressive cancer of the blood and bone marrow that requires a high degree of complex, specialized, resource-intensive clinical and supportive care. The aging Canadian population has introduced an unprecedented demand on the health care system for a variety of illnesses, including acute leukemia. The purpose of this work was to develop organizational requirements for service providers delivering care for patients aged 18 years and older with acute leukemia within a single-payer health care system in Ontario. This initiative was intended to support streamlining high-quality health care across Ontario. We worked collaboratively with an expert panel to conduct a review of the literature to synthesize the organizational requirements for delivering acute leukemia care. A total of 229 requirements were developed. The requirements were categorized into themes including (1) facility requirements, including infrastructure, data management, safety, policies and procedures; (2) availability of clinical services and service complexity; (3) personnel, including roles, responsibilities, and ongoing education; (4) patient care; (5) quality management; (6) clinical research; and (7) laboratory services. These requirements will act as a framework for the provision of service, complexity of care, safety, accessibility, and quality care across all levels from the patient, organization, and system perspectives. This framework will help support person-centred care, emphasizing providing care close to home, while optimizing the use of specialized resources. Moving forward, Ontario Health (Cancer Care Ontario) will continue to work with acute leukemia service providers in the province to determine compliance and focus improvement efforts in priority areas. [ABSTRACT FROM AUTHOR]

The article explains important domains that enable health practitioners to manage up situations solve problems or issues. The domains discussed include emotional intelligence and self-awareness, shared vision and commitment with one's leadership, ownership of stewarding professional relationships, feedback, persuasion and tailored communication with target audience.

This study aimed to analyze the role of nurses in hospital management in the face of COVID-19. The study had a qualitative, descriptive, and exploratory approach. The setting was a hospital that was completely transformed to care for patients with COVID-19. At the time of data collection, ten nurses managed the services, and all participated in the semi-structured interview. After thematic analysis, the data were presented in three categories, representing the elements of Donabedian’s triad: structure, process, and result. Category 1 highlighted the hospital structure reconfiguration based on material and people management; category 2 addressed the work process restructuring to achieve goals with safety and quality; and category 3 focused on nurses’ experiences in describing the results achieved and expected. The analysis highlighted the importance of teamwork, involvement, and adaptation of managers in the face of the challenges of a new and life-threatening disease, scarce resources, and the complexity of human relationships in the crisis. In transformational leadership, these nurses encouraged behavior change, professional growth, and resilience. [ABSTRACT FROM AUTHOR]

Introduction: We measured and analyzed the overall and industrial hygiene teaching loads among existing official master's programs that offer certification as upper level technician in occupational risk prevention for the 2023-2024 term in Spain. Methods: We consulted the Ministry of Universities QEDU and RUCT websites, as well as the official master's degrees program websites. We collected information on public or private ownership of the university, whether or not the teaching was in-person, the required credits for attaining one or all three specialties, the credits specific to industrial hygiene, the program location and tuition costs for the master's degree. Results: Out the 53 degree programs identified, 29 accredit all three specialties (hygiene, safety and ergonomics/psychosociology), requiring fewer than 80 credits. Another six programs can be completed without reaching this minimum; thus, 35 degrees (two-thirds) do not meet the duration requirements mandated by Royal Decree 39/1997 to certify the three specialties. For training in industrial hygiene, only 11 degrees (one-fifth) offer at least 17 credits between the common part and the specialty and comply with the minimum 80 credits for the three specialties. Conclusions: Most degrees do not provide the training hours required for certification as upper-level technicians in occupational risk prevention in industrial hygiene. We propose creating an enabling degree, updating the contents, and recuperating the authorization of the labor authority, which guarantees compliance with the duration and contents of the training plans described in Royal Decree 39/1997, together with those described by ANECA for the verification and reaccreditation of the quality of the degrees. [ABSTRACT FROM AUTHOR]

To understand the factors influencing care management performed by primary health care nurses. This descriptive-exploratory study used a qualitative approach and was conducted in Boa Vista, Roraima. Data collection involved 25 nurses during May and June 2022 through semi-structured interviews. The findings highlight two facilitators that impact management in the basic health unit: the collaborative team and effective communication. The barriers identified include the management of material and human resources. Nurses serving as team coordinators in the family health strategy play a crucial role in managing primary health care nursing. Effective management involves more than merely delegating tasks; it requires teamwork. [ABSTRACT FROM AUTHOR]

Objective: To investigate the current situation of awareness and practice testicular self - examination (TSE) among medical students in Wuhan, and to explore the relationship between TSE knowledge and practice. Methods: A total of 500 male medical students from the First Clinical College and the Second Clinical College of Wuhan University, the School of Health and Nursing, Wuchang Institute of Technology, the Department of Medicine, Wuhan City College and the Hubei University of Chinese Medicine from January 2023 to November 2023 were selected by convenient sampling. The present situation of TSE consciousness, practice and knowledge of male medical students, and the barriers and facilitators influencing TSE practice, were analyzed by using the Chinese version of TSE consciousness scale. Results: The average age of the 500 respondents was (21.93±1.72) years, only 45.4% of the students had heard of TSE. In terms of TSE awareness, 31.3% respondents believed that all men should understand TSE, 57.7% believed that TSE contributes to the early diagnosis of TC, and 43.6% believed that men should start TSE between 21 and 25 years of age, 52.9% of the students did not know the optimal frequency of TSE. In terms of TSE practice, only 37.4% of the students had ever done TSE, but only 22.5% practiced regularly, and 22.0% of the students knew the procedures and procedures of TSE. On the TSE knowledge, the accuracy of four items is above 50%, and the accuracy of the remaining five items is less than 50%. In terms of barriers and facilitators influencing TSE practice, for most respondents, the barrier to TSE was their fear of finding a lump and feeling embarrassed about TSE, and felt that the test should be done only in older men. Conclusions: It is necessary to emphasize the importance of TSE in the training of medical students, so that these students acquire the health knowledge and skills of TSE, and encourage male medical students to undergo TSE regularly, so as to better promote the social effect in public health education. [ABSTRACT FROM AUTHOR]

Objective: The study aims to identify the effects of the University Reform during the 1978-1982 management of the University of São Paulo at Ribeirão Preto School of Nursing (EERP-USP). Methodology: Study in the field of History, in the area of History of Nursing, taking the Micro-History approach. To reach its objective, the study used Thematic Oral History. Results: The advances identified in management were related to human resources, physical infrastructure, consolidation of postgraduate courses, regulations and training of health professionals. As effects of the University Reform, it was observed the requirement, at the University of São Paulo, of the category of full professor for the exercise of direction, a fact that led to sixteen years of direction by non-nurse professors, adherence to the unification of the vestibular, the consolidation of graduate studies and curricular changes. Final Remarks: The study focused on the work of the two leaders at the time, but it is inferred that other people may have exercised leadership in the realization of the advances recorded in the minutes of the faculty board. [ABSTRACT FROM AUTHOR]

Background. 27 percent of PHC providers in Poland employ the healthcare coordinator. Objectives. The aim was to determine the expected competencies of the coordinator in light of the needs of employers and the possibilities of an educational system. Material and methods. In the first stage, 24 study programs were analyzed in terms of qualifications of a new profession. In the second, a survey was conducted to assess the usefulness of knowledge, skills and social competencies among the representatives of 22 PHC providers. In the third, an expert panel developed the key competencies of the coordinator. Results. The analysis identified a number of new, unique qualifications. In the area of knowledge: understanding of work in PHC including new concepts (patient-centered care, value-based care, deinstitutionalization), population approach, key healthcare measures, interpersonal and health communication, basics of clinical work of all members of an interdisciplinary team, reporting of services. In the area of skills: communication using call-center systems, organization of teamwork, identification of patients for HC interventions in IT systems, effective recruitment, evaluation of PHC activities, health coaching and advocacy, providing health campaigns in social media. With regard to social competencies: the coordinator should build and maintain permanent relationships between the members of an interdisciplinary teams, be open to changes and new solutions, can be a guide for a patient and has a patient-centric attitude. Conclusions. We defined the professional profile of an iPHC coordinator as a guide oriented on patient’s needs, who is open to changes and innovations and who is effective in communication and interdisciplinary team-work. [ABSTRACT FROM AUTHOR]

Copyright of Revista Família, Ciclos de Vida e Saúde no Contexto Social (REFACS) is the property of Universidade Federal do Triangulo Mineiro, Instituto de Ciencias da Saude 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.)

Abstract Objective: to analyze the availability (in terms of stock and composition) and accessibility (in terms of geographical distribution) of the nursing workforce in Brazil. Method: this is a descriptive, cross-sectional study with retrospective data collection, identified by combining databases available on institutional websites and structured according to indicators from the World Health Organization’s “National Health Workforce Accounts”. The study considered nursing professionals at senior level (nurses) and middle level (nursing auxiliaries and technicians). Indicators of stock, composition, distribution (by age group and gender) and the ratio of nurses to doctors were included. Results: there was an increase in the number of personnel between 2005 and 2010, mainly in middle and technical level professionals. There are more personnel aged between 36 and 55, with a predominance of women in all categories, despite the increase in men. There was an uneven distribution of personnel across the country’s regions, with the Southeast having the largest number of professionals. The ratio of nurses to doctors is less than one in the South and Southeast. Conclusion: despite the large number of nurses, their distribution is uneven. The growth of nursing technicians has significantly outstripped that of nurses, indicating more intensive technical training policies than those found in higher education.

BACKGROUND: The University of South Australia's Bachelor of Physiotherapy course, 'Work Health and Safety (WHS) Practice', provides students with introductory practical WHS experience. Students undertake 80-hour effort WHS projects for industry, culminating in a report for hosts. OBJECTIVE: To establish the types of industry that host WHS undergraduate physiotherapy placements and the nature of activities that students conduct. METHODS: Reports were retrospectively, systematically classified using a descriptive, document content analysis approach. Demographic data were collected: report and student numbers, placement locations and industry types. Selected reports were used as a subset for further analysis with definitions created to classify the nature of placement activities. RESULTS: Most reports were written by a pair of students (88%, n = 269), with placements based in metropolitan Adelaide (91%, n = 284). Various industries hosted students, including healthcare and social assistance (40%, n = 117) and manufacturing (30%, n = 89). Reports primarily included risk management activities as required by WHS legislation (97%, n = 229). CONCLUSION: Physiotherapy student WHS activities maintain close links with industry, involving stakeholders (workforce, students, University of South Australia and academics). At an entry-level standard, the student WHS activities align well with some criteria set as key competencies for Australian Occupational Health physiotherapy practitioners. [ABSTRACT FROM AUTHOR]

In today's complex healthcare landscape, exacerbated by resource constraints at various levels, optimization of health professionals' roles is becoming increasingly paramount. Interprofessional collaboration, underpinned by role recognition and teamwork, leads to improved patient and organizational outcomes. Hospital pharmacists play a pivotal role in multidisciplinary teams, and it is imperative to understand multidisciplinary viewpoints on hospital pharmacists' roles to guide role prioritization and organizational efficiency. However, no study extensively investigated multidisciplinary views on values of diverse pharmacist roles in tertiary settings. This study aims to address this gap by examining non-pharmacist health professionals' views on hospital pharmacists' roles, recognizing their specialized niches as a crucial step towards optimizing their roles and services in Australia and internationally. Multiple focus group discussions and interviews were held via a virtual conferencing platform. Study participants were recruited using the study investigators' professional networks who were non-pharmacist health professionals with experience working with pharmacists in hospital settings. Data were collected from transcripts of the focus group recordings, which were later summarized using descriptive statistics and thematic analysis. Overarching themes were categorized and mapped against work system models to conceptualize organizational implications of multidisciplinary feedback, linking them to patient and organizational outcomes. Twenty-seven health professionals participated across focus groups and interviews, with the majority of professions being doctors and nurses. Three major themes were identified as follows: (i) overarching perceptions regarding hospital pharmacists; (ii) professional niches of hospital pharmacists; and (iii) future opportunities to optimize hospital pharmacy services. Valued professional niches included patient and health professional educators, transition-of-care facilitators, and quality use of medicines analysts. The study highlights critical insights into hospital pharmacists' roles in Australia, identifying their niche expertise as vital to healthcare efficiency and success. Based on multidisciplinary feedback, the study advocates for strategic role optimization and targeted research for enhanced clinical, economic, and organizational outcomes. [ABSTRACT FROM AUTHOR]

Summary: Purpose: The purpose of this study was to develop the career growth scale for nurses (CGSN) and evaluate its psychometric properties. Methods: This study was conducted in four phases: (1) creating a pool of potential items through a qualitative design; (2) developing a preliminary scale using a modified two-round Delphi process; (3) refining the preliminary scale to finalize the scale using a cross-sectional survey; and (4) evaluating the psychometric properties of the final scale using another cross-sectional survey. A sample of 858 registered nurses from 12 general hospitals was recruited for this study. Results: The final scale consisted of 17 items categorized into three factors: career goal progress, professional ability and attribute improvement, and career promotion and prestige increase. The three factors accounted for 75.4% of the observed variance in career growth. The overall Cronbach's α was .96, and the intraclass correlation coefficient was .92. The content validity index was .97. Confirmatory factor analysis showed acceptable model fitness. Conclusions: These results showed that the CGSN has good psychometric properties and can be used to evaluate specific career growth among nurses. This new instrument can further help nurse managers and clinical nurses themselves assess career growth and identify unsatisfactory aspects of growth, thereby designing tailored training programs and evaluating the effectiveness of such interventions.

Background: The speed of advance in medical education, creativity in technology, limit time for new work has created new vision in medical education. Considering the importance of developing Iran's global position in the scientific and technological in Southwest Asia and the importance of improving the quality of learning and education, the present study identifies and examines the current status of mobile learning indicators in medical sciences universities. Methods: This study was applied in terms of purpose, descriptive-correlation in nature and survey method. The statistical population of the study consists of specialists from different medical groups. Based on Morgan's table, the sample size was estimated to be 200 people who were selected by simple random. Mobile learning components were extracted using text analysis and interviews with experts. In order to comply with the principle of validity in the questionnaire, in addition to the opinions of supervisors and advisors, the validity of factor analysis has been used. Cronbach's alpha coefficient was estimated above 0.7, so the reliability of the questionnaire was confirmed. For data analysis, exploratory factor analysis and univariate analysis were used in Spss23 software. Results: Four factors (infrastructure, organizational planning, tools and equipment, human resources) and 16 indicators explain about 79.9% of mobile learning variance. Also, according to the obtained results, there were significant differences between the current and desired conditions based on the values (sig

Background: The quality of services is significant factors in evaluating the performance of organizations. The purpose of this research was to examine how emotional intelligence mediated the performance of Tehran's Imam Khomeini Medical personnel. Methods: A questionnaire was employed in this practical cross-sectional investigation. Its constituent parts were ascertained by a review of relevant literature in the form of the first suggested model and verification by professionals in the fields of management and healthcare. The Ale-Omran Hospital service quality indicators, Salovey & Mayer's emotional intelligence emotions, and questionnaires evaluating customer expectations and perceptions were among the study's instruments. In this regard, 360 questionnaires were sent online using random stratified sampling. Exploratory and confirmatory factor analysis and validity were analyzed. Results: At 0.6, the coefficient of determination, or R2, suggests that the predictor variables account for 60% of the variation in the dependent variable. When it comes to increasing quality-oriented services, "setting strategic goals" has a greater impact than other predictor factors, according to the F2 value of the effect size of the predictor variables. The association between quality-oriented services and quality-oriented structure is therefore verified, with emotional intelligence acting as a mediating factor. Conclusion: Hospital organizational structures must take into consideration the elements that are effective in providing high-quality medical services from the perspective of their patients, given the mediating role that emotional intelligence plays in the relationship between quality-oriented services and quality-oriented structures.

Purpose Research pharmacy effort required to safely and compliantly manage investigational products (IP) varies between studies. No validated tool exists in the United States to evaluate these differences in effort. The Vizient Pharmacy Research Committee Investigational Drug Services (IDS) Subcommittee previously developed a systematic complexity scoring tool (CST) through expert consensus to assign a complexity score for pharmacy effort. This project seeks to develop and validate complexity categories based on CST scores. Methods Vizient member institutions in IDS assigned a CST complexity score and a perceived complexity category (low, medium, or high) for study initiation and maintenance. Receiver operating characteristic (ROC) curve analysis defined the best CST score cutoff points for each complexity category. Comparing the CST-assigned to the user-perceived complexity category determined whether the CST-assigned complexity category aligned with practitioner assignment. Results A total of 322 responses were used to determine complexity score categories. The AUC values for study initiation and maintenance were 0.79 (P < 0.001) for the low/medium boundary and 0.80 (P < 0.001) for the medium/high boundary, suggesting the performance of the CST is good. The agreement between CST-assigned and user-perceived complexity categories was 60% for study initiation and 58% for maintenance. The Kendall rank correlation coefficient between the raters and ROC categories was strong, with a value of 0.48 for study initiation and 0.47 for maintenance. Conclusion Development of the CST allows IDS pharmacies to objectively measure the complexity of clinical trials, which is a significant step towards assessing workload and guiding resource allocation. [ABSTRACT FROM AUTHOR]

The primary purpose of this study was to assess Athletic Trainers' (ATs) report of NCAA member institution compliance with the Arrington settlement, the concussion lawsuit vs. the NCAA, and to elucidate compliance predictors. A secondary purpose was to provide a contemporary concussion management clinical practice pattern description among NCAA collegiate athletic trainers. Head Athletic Trainers from NCAA Division I, II, and III completed an electronic questionnaire in August 2020 regarding their institution's response to the Arrington Settlement and their current concussion management clinical practice patterns. The 37-item questionnaire included AT and institution demographics, current concussion management policies, and response to the Arrington settlement with a specific focus on the five settlement requirements. An overall compliance score on the five requirements, compliance on the individual requirements, and concussion management practices are reported with descriptives. Regression was used to identify specific predictors of both overall and individual settlement requirements. An ANOVA compared compliance by NCAA division level. Being pressured to be non-compliant was assessed between sexes by a chi-square. There were 223 respondents (21.8%), and overall compliance was high (4.1 ± 0.7) with the five required Arrington Settlement components. Settlement requirement 1, pre-season baseline testing, and requirement 5, presence of trained personnel at all contact sport practices, had the lowest compliance rates at 44.8% and 73.3%, respectively. The number of sports the institution offered was the only significant predictor of each requirement. There was no difference in compliance between NCAA divisions. Although the overall rate of being non-compliant pressure was low (13.8%), females were 3.28x more likely report being pressured than males. NCAA institutions are generally compliant with the Arrington settlement; however, lack of clarity in the requirements, particularly requirement 1, raises potential concerns. Concussion management practices continue to incorporate multifaceted approaches and are largely consistent with current best practices. [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.)

Background Although it is known that resilience is negatively associated with burnout, and that certain interventions can effectively increase resilience, little is known about online resilience-enhancing interventions during the COVID-19 crisis. The aim of this study was to identify the association between an online resilience-enhancing intervention and workplace social support, and burnout among nurses working in the mainland and remote islands of Japan during the COVID-19 crisis. Methods Pretest-posttest was conducted between April 2020 and February 2021, and the questionnaire survey included the bidimensional resilience scale, the Japanese version of Pine's Burnout Measure, and the workplace social support scale. Changes in burnout, resilience, and social support and the associations with nursing discussions as intervention were analyzed. Participants were 98 Nurses with 1 to 10 years of experience from Japan's mainland and remote island hospitals of Kagoshima Prefecture participated in a baseline survey in April 2020. Of these, 76 participated in a secondary survey in September 2020, and 69 participated in the intervention program and a third survey in February 2021. The online intervention over Zoom consisted of small-group nursing discussions based on the broaden-and-build theory. Results Changes in burnout showed a significant negative association with change in workplace social support (Coef. = -0.019, 95% CI -0.035--0.003), as did the interaction between change in acquired resilience and intervention (Coef. = -0.088, 95% CI -0.164--0.011). Conclusion Change in workplace social support was significantly negatively associated with changes in burnout, as was the interaction of intervention and acquired resilience. Promotion of this intervention and making workplace social support more accessible may contribute to reduce burnout in nurses. [ABSTRACT FROM AUTHOR]

Background and objectivesThe United States has an underperforming health care system on both cost and quality criteria in comparison with other developed countries. One approach to improving system performance on both cost and quality is to use the Lean Management System based on the Shingo principles originally developed by Toyota in Japan. Our objective was to examine the association between hospital use of the Lean Management System and evidence-based or recommended quality improvement care management processes.MethodsA cross-sectional analysis of data from 223 hospitals that responded to both the 2017 National Survey of Healthcare Organizations and Systems and the 2017 National Survey of Lean/Transformational Performance Improvement in Hospitals was conducted.ResultsControlling for hospital organizational and market characteristics, the number of years using Lean was positively associated with use of electronic health record-based decision support, use of quality-focused information management, use of evidence-based guidelines, and support for care transitions at the P < .05 level. The degree of education and training in Lean methods and processes was also positively associated (P < .05) with greater support for care transitions. The number of years using Lean was marginally associated with screening for clinical conditions at the P < .10 level. There was an unexpected negative association between education and training scores and screening for clinical conditions.ConclusionsGreater experience in using the Lean Management System is positively associated with several evidence-based and/or recommended quality improvement care management processes.

Aim:Family health centers (FHCs) are reimbursed for their current expenditures based on a classification of four clusters in Turkey. This study compared the coordination, comprehensiveness, continuity, accessibility, and the first contact of care among different reimbursement FHC groups.Methods:The data were obtained from the Turkish data of the Quality and Costs of Primary Care in Europe study. Data was collected in provinces from six geographical regions. Physicians and patients from Classes A and B FHCs were called the first group, and others were called the second group.Results:A total of 296 physicians and 2623 patients were enrolled. According to the reimbursement groups, 593 (22.6%) patients received services from the first group and 2012 (77.4%) patients from the second group. The first contact with care and the admission frequency of 3 or more in the last six months were higher in the first group (respectively, 99.2% vs. 97.7%, p=0.027; 55.4% vs. 49.6%, p=0.015).Conclusion:The reimbursement classification did not make a difference in coordination, comprehensive care, continuity, accessibility, and being the first contact of care. Therefore, the current classification does not contribute to improving the quality of primary care in terms of service provision.

Background: The circumstances of employment are determined by a variety of elements in today's world. The present study investigated the mediating role of organizational partnership and hospital staff management in improving hospital performance and staff satisfaction. Methods: This study was applied, descriptive-correlation. The statistical population included all employees of hospitals in Bushehr province. Using stratified random sampling, 384 participants were chosen as the sample size based on Morgan's table. Organizational development was assessed using the 36-question questionnaire developed by Avolio, Gardner, and Valium, while organizational participation was assessed using the Hosseininoveh questionnaire. 30 elite individuals' opinions were sought after in order to verify and examine the face and content validity of the surveys. Over 0.70 indicates acceptable reliability, according to Cronbach's alpha coefficient. Data analysis tools included SPSS 23 and the Sobel test. Results: According to the findings, there is a link between organizational development in public organizations and internalized ethical perspective, idealized influence, and intellectual stimulation through organizational collaboration. Conclusion: Labor productivity is one of the most significant factors in economic policymaking. According to the studies and the trust of experts, one can expect productivity in other production factors when the factors affecting organizational development are first known.

ABSTRACT Objective: To develop a theoretical model for management of research groups in nursing graduate programs. Method: This is a Grounded Theory developed in a stricto sensu nursing graduate program of a public university. Data collection was conducted from April to October 2018 and the theoretical sample consisted of 21 participants arranged in three sample groups. Results: Research activities are linked to research groups, which require human, material and financial resources to develop their studies. These conditions call for management strategies and national and international interactions that result in theoretical, scientific and technological development of the profession. Final considerations: The theoretical model for management of research groups can serve as a guide for graduate programs in nursing and health for planning the work process and so that they can contribute with research of great impact for society.

Copyright of Revista Brasileira de Políticas Públicas is the property of Revista Brasileira de Politicas Publicas 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.)

Objective: In light of the health promotion approaches and strategies proposed in the Ottawa Charter, endorsed by the World Health Organization, it was analyzed how the national health authorities of Colombia, Brazil and Mexico, which have health systems structured differently, conceptualize and guide health promotion. Methodology: Documentary analysis of official information from the agencies in charge of health promotion in each country. Subsequently, a coherence analysis around this concept was carried out. Results: There are different levels of coherence regarding health promotion: in Colombia the concept is transmuted into individual risk management through the documents that implement the Ten-Year Public Health Plan; in Brazil, the concept of health promotion is applied coherently although operational priorities are focused on individual aspects, and each state and municipality implements it according to their needs and capabilities; in Mexico, health promotion is institutionalized, but the access of citizens to the service depends on insurance and individual agency. Conclusions: Health promotion is done within a framework of health service provision focused on individual risk control. Officially, the three countries showed coherence with the health promotion postulates set out in the Ottawa Charter, without adequate coherence in its implementation. [ABSTRACT FROM AUTHOR]

Copyright of Revista Venezolana de Gerencia (RVG) is the property of Revista de Filosofia-Universidad del Zulia 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.)

Supplemental Digital Content is Available in the Text. This mixed-methods study aims to understand what the perceptions of leaders and healthcare professionals are regarding causes of disparities, cultural competence, and motivation before launching a disparity reduction project in hypertension care, contrasting perceptions in Federally Qualified Health Centers (FQHCs), and in a non-FQHC system. We interviewed leaders of six participating primary care systems and surveyed providers and staff. FQHC respondents reported more positive cultural competence attitudes and behavior, higher motivation to implement the project, and less concern about barriers to caring for disadvantaged patients than those in the non-FQHC practices; however, egalitarian beliefs were similar among all. Qualitative analysis suggested that the organizational missions of the FQHCs reflect their critical role in serving vulnerable populations. All system leaders were aware of the challenges of provider care to underserved groups, but comprehensive initiatives to address social determinants of health and improve cultural competence were still needed in both system types. The study provides insights into the perceptions and motivations of primary care organizational leaders and providers who are interested in improving chronic care. It also offers an example for care disparity programs to understand commitment and values of the participants for tailoring interventions and setting baseline for progress. [ABSTRACT FROM AUTHOR]

Aim: This paper aims to propose Park's sweet spot theory‐driven implementation strategy, which makes optimal safe staffing policy really work in nursing practice. Background: For the last 40 years, mainstream nursing workforce research has emphasized that having more registered nurses leads to better patient outcomes, and yet staffing policies have failed to implement this crucial concept. Meanwhile, global nursing shortages have become rampant, a problem that only dilutes the skill‐mix ratios in the nursing workforce. Low fertility and an aging population worldwide are then accelerating these shortages. These dire circumstances may be persisting because of unclear, unsubstantiated cost‐efficiency in the nursing workforce. For this reason, there remains a dearth of well‐researched evidence for a clear threshold on optimal safe staffing levels that could maximize quality of care relative to cost given limited healthcare financial budgets and which could also be fitted into each care setting. Along with that, an implementation strategy for optimal safe staffing levels is nonexistent. Sources of evidence: An implementation strategy has been developed through interdisciplinary consilience‐based theory synthesis of both prospective theory and regulatory focus theory combined with Park's optimized nursing staffing (sweet spot) estimation theory. Discussion/conclusions: A theory‐driven novel implementation strategy is proposed, which functions as a nudge strategy that uses the synchronous balance of quality of care, nurse staffing, and cost. It illustrates (1) how to create shared value among patients, nurses, and stakeholders through robust evidence‐based, informed shared decision‐making rationales on the optimal safe nurse staffing levels and (2) how to induce stakeholders to overcome resistance to innovation and improve their nursing workforce through value chain in management science. Implications for nursing workforce policy: This novel implementation strategy may be a viable solution to mitigate the nursing shortage by leading stakeholders (1) to compete with each other (on the basis of nursing sufficiency) and (2) to competitively demonstrate the patient‐centered value (patient‐perceived care quality relative to cost) of their institutions. [ABSTRACT FROM AUTHOR]

BackgroundSingle-center comparative effectiveness studies evaluating outcomes that can occur posthospitalization may become biased if outcomes diagnosed at other facilities are not ascertained. Administrative datasets that link patients' records across facilities may improve outcome ascertainment.ObjectiveTo determine whether use of linked administrative data significantly augments thromboembolic outcome ascertainment.Research designRetrospective cohort study.SubjectsPatients with an acute isolated calf deep vein thrombosis (DVT) diagnosed at 1 Californian center during 2010-2013.MeasuresProximal DVT or pulmonary embolism (PE) within 180 days. We ascertained outcomes from linked California hospitalization, emergency department, and ambulatory surgery data and compared this information to outcomes previously identified from review of the center's medical records.ResultsAmong 384 patients with an isolated calf DVT, 333 could be linked to longitudinal administrative data records. Ten patients had a possible proximal DVT or PE (4 more clearly so) from administrative data; all were unknown from medical record review. Eleven patients with known outcomes from medical record review had no outcome from administrative data. The adjusted odds ratio of proximal DVT or PE with therapeutic anticoagulation attenuated from 0.33 [95% confidence interval (CI), 0.12-0.87] using only medical record review to 0.64 (95% CI, 0.29-1.40) using both medical record review and possible outcomes from administrative data. Restricting the outcome to diagnoses clearly involving proximal DVT or PE, the adjusted odds ratio was 0.46 (95% CI, 0.19-1.10).ConclusionsUse of linked hospital administrative data augmented detection of outcomes but imperfect linkage, nonspecific diagnoses, and documentation/coding errors introduced uncertainty regarding the accuracy of outcome ascertainment.

Abstract Background Artificial intelligence (AI) is increasingly used to support general practice in the early detection of disease and treatment recommendations. However, AI systems aimed at alleviating time-consuming administrative tasks currently appear limited. This scoping review thus aims to summarize the research that has been carried out in methods of machine learning applied to the support and automation of administrative tasks in general practice. Methods Databases covering the fields of health care and engineering sciences (PubMed, Embase, CINAHL with full text, Cochrane Library, Scopus, and IEEE Xplore) were searched. Screening for eligible studies was completed using Covidence, and data was extracted along nine research-based attributes concerning general practice, administrative tasks, and machine learning. The search and screening processes were completed during the period of April to June 2022. Results 1439 records were identified and 1158 were screened for eligibility criteria. A total of 12 studies were included. The extracted attributes indicate that most studies concern various scheduling tasks using supervised machine learning methods with relatively low general practitioner (GP) involvement. Importantly, four studies employed the latest available machine learning methods and the data used frequently varied in terms of setting, type, and availability. Conclusion The limited field of research developing in the application of machine learning to administrative tasks in general practice indicates that there is a great need and high potential for such methods. However, there is currently a lack of research likely due to the unavailability of open-source data and a prioritization of diagnostic-based tasks. Future research would benefit from open-source data, cutting-edge methods of machine learning, and clearly stated GP involvement, so that improved and replicable scientific research can be done.

Objective To analyze the research hotspots and theme in the field of infection prevention and control（infection control) management in operating room in recent six years in China, so as to provide reference for further research on infection control management in operating room. Methods The articles related to infection control management in operating room published in China National Knowledge Infrastructure（CNKI), Wanfang and VIP databases from 2015 to 2021 were selected as the research objects, and Nvivo software query, coding and cluster analysis were adopted as the main methods to visually present the research hotspots and theme groups in the field of infection management in operating rooms. Results A total of 128 literatures with 30 high-frequency keywords were included. After free coding, 8 parent nodes, 28 child nodes, 60 secondary nodes and 1 736 coding reference points were formed. Six theme groups had been formed, which were the guidelines for infection control of COVID-19 infection, construction and management of clean operating rooms, management of relevant personnel in operating rooms, management of surgical supplies, operating room environment control, theoretical support and occupational exposure control. Conclusion The research content related to infection control management in operating rooms is becoming increasingly mature, and is constantly improving in line with the development of the times. The research direction and theory are also showing a trend of diversification. In response to the huge challenge of COVID-19 situation, it is supposed to preparing for surgery protection in general hospitals actively, ensure the safety of patients and medical staff, and prevent hospital infection events. [ABSTRACT FROM AUTHOR]

Introduction: The article presents the professional biography of a great leader in Brazilian nursing, narrated from photographs and documents from the period. Objective: to describe the biography of nurse Edith de Magalhães Fraenkel and analyze the content of her photographic iconography, covering the period from 1942 to 1955. Methodology: This is a qualitative, historical=social and biographical research, guided by the methodology of analysis and interpretation of photographic sources, by Boris Kossoy. Results: Edith de Magalhães Fraenkel was a leading figure in Brazilian and São Paulo nursing. She had a notable performance in care, teaching and management of nursing schools and fought tirelessly to promote the development of the profession in Brazil and South America. The organization and curricular innovations implemented in the nursing course during her administration as the first director of the School of Nursing of the University of São Paulo are remarkable. She promoted the enrollment of men and women, white and black, from different social classes and of Brazilian and foreign nationality. Conclusion: Through Edith's direction, the School of Nursing of the University of São Paulo became a pioneer in promoting a culture of gender equality and valuing sociocultural diversity among students. [ABSTRACT FROM AUTHOR]

Copyright of Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi is the property of Balikesir Health Sciences Journal (BAUN Health Sci J) 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.)

Burns are preventable but potentially life-altering injuries that can significantly affect a person's health and quality of life and lead to death. With the morbidity and mortality they cause, burns are a major problem for the individual and society. Burns can occur any time, anywhere, and waiting for medical personnel to intervene is a waste of time, although there is usually no medical personnel around when they occur. Burn management is complex and multifaceted, but high-quality burn care begins with first aid immediately after injury. In the case of burns, research shows that the early administration of appropriate first aid improves patient outcomes after injury. First aid for burns can be applied in two stages. These; These are the procedures to be carried out in the accident area where the burn occurred and the procedures to be carried out after the burns are delivered to the relevant treatment units. Burn is a trauma that can be encountered frequently in primary care and can be treated by most family physicians, its treatment can be long and expensive, and it can have harmful and permanent results despite treatment. Prevention is more important than treatment, first aid is vital in prognosis, and society should be informed about this issue. In this context, it is essential to recognize the burn, to know the burn degree and referral criteria, and to adjust and apply the treatments according to the burn degree by the health personnel working in primary care. Although the treatments and procedures that can be applied to burn patients in primary healthcare institutions are limited, a timely and correct patient referral is important. Therefore, it is necessary to prepare algorithms to be applied to burn management in primary healthcare institutions. For this purpose, we tried to create an algorithm for burn management in primary healthcare institutions by considering current data in our study. [ABSTRACT FROM AUTHOR]

Aim: Family health centers (FHCs) are reimbursed for their current expenditures based on a classification of four clusters in Turkey. This study compared the coordination, comprehensiveness, continuity, accessibility, and the first contact of care among different reimbursement FHC groups. Methods: The data were obtained from the Turkish data of the Quality and Costs of Primary Care in Europe study. Data was collected in provinces from six geographical regions. Physicians and patients from Classes A and B FHCs were called the first group, and others were called the second group. Results: A total of 296 physicians and 2623 patients were enrolled. According to the reimbursement groups, 593 (22.6%) patients received services from the first group and 2012 (77.4%) patients from the second group. The first contact with care and the admission frequency of 3 or more in the last six months were higher in the first group (respectively, 99.2% vs. 97.7%, p=0.027; 55.4% vs. 49.6%, p=0.015). Conclusion: The reimbursement classification did not make a difference in coordination, comprehensive care, continuity, accessibility, and being the first contact of care. Therefore, the current classification does not contribute to improving the quality of primary care in terms of service provision. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective To reduce surgical center idleness by analyzing the competitive structure of the surgical center in a hospital, and thereby generate value in operations and increase hospital revenue. Methods The study used qualitative and quantitative methods and an action research approach involving the surgical center leadership of a small private specialized hospital in southeastern Brazil. We used the Strengths, Weaknesses, Opportunities, and Threats or SWOT tool to analyze the competitive structure of the surgical center and then implemented interventions as proposed by the science of improvement method proposed by the Institute of Healthcare Improvement. Results By applying the SWOT tool, we identified a concentration of surgeries in the specialty of Otolaryngology and the need to establish a health management system to reduce the idleness of the operating rooms. Based on subsequent intervention, procedures from other specialties were inserted that increased surgical production by 2.62X, reduced idleness by 67.84%, and increased revenue by over US$ 276,609.87 in 2018 compared to the previous year 2017. Conclusion Investing in quality, surgical schedule management, and inducting new surgeons to the clinical staff resulted in decreased surgical idleness, increased production, better uniformity in scheduling, and increased revenue, while costs remained below the linear trend, allowing for increased profits.

The American Society of Neurophysiological Monitoring (ASNM) was founded in 1989 as the American Society of Evoked Potential Monitoring. From the beginning, the Society has been made up of physicians, doctoral degree holders, Technologists, and all those interested in furthering the profession. The Society changed its name to the ASNM and held its first Annual Meeting in 1990. It remains the largest worldwide organization dedicated solely to the scientifically-based advancement of intraoperative neurophysiology. The primary goal of the ASNM is to assure the quality of patient care during procedures monitoring the nervous system. This goal is accomplished primarily through programs in education, advocacy of basic and clinical research, and publication of guidelines, among other endeavors. The ASNM is committed to the development of medically sound and clinically relevant guidelines for the performance of intraoperative neurophysiology. Guidelines are formulated based on exhaustive literature review, recruitment of expert opinion, and broad consensus among ASNM membership. Input is likewise sought from sister societies and related constituencies. Adherence to a literature-based, formalized process characterizes the construction of all ASNM guidelines. The guidelines covering the Professional Practice of intraoperative neurophysiological monitoring were initially published January 24th, 2013, and subsequently that document has undergone review and revision to accommodate broad inter- and intra-societal feedback. This current version of the ASNM Professional Practice Guideline was fully approved for publication according to ASNM bylaws on February 22nd, 2018, and thus overwrites and supersedes the initial guideline.

Abstract Background The judicialization of health care can be understood as a societal response to pressing healthcare needs, which probably are not being adequately addressed by the current healthcare system. This phenomenon increases the strain on service resources, both in the health sector and in the judiciary system as well, demanding an institutional reorganization to manage judicial actions. It is believed that each institution has developed strategies for coping with the problem in isolation and with little public disclosure. The purpose of this review will be to identify institutional strategies implemented and to investigate their effects in approaching the judicialization of health care. Methods Electronic searches will be conducted up to December 2021 on 11 databases, supplemented with gray literature and references lists of secondary studies. The descriptor “judicialization of health” will be the basis for conducting the main research. Studies describing any strategy implemented by public institutions to approach the judicialization of health care will be included. Results related to the quality of services provided by the implemented strategy reported in the studies and those that report accessibility, usability, and potential adverse effects or harms caused by the implemented strategy will be investigated. In addition, it will be explored if there have been changes related to the value or characteristics of health litigation. Two reviewers will independently screen all citations, abstract data, and full-text papers. The risk of bias in each study will be appraised using a tool suggested by Cochrane Effective Practice and Care Organization Group (EPOC). Subsequently, the reviewers will also extract the data of interest and classify the findings of these studies according to their performance at the institutional level. The results obtained will be described as a narrative synthesis. Discussion This review may provide evidence on the effects of the strategies implemented to approach the judicialization of health care. It will potentially benefit health care and legal professionals, decision-makers, and researchers by identifying the types and characteristics of strategies that have the potential to improve service delivery in the future. Systematic review registration PROSPERO CRD42020160608