Online multidisciplinary integrated rural healthcare education programs during the COVID-19 pandemic for students from different universities: Experiences and guidelines

Purpose: The COVID-19 pandemic has led to "forced innovation" in the health education industry. High-quality training of the future rural health workforce is crucial to ensure a pipeline of rural health practitioners to meet the needs of rural communities. This paper describes the implementation of an online multidisciplinary teaching program focusing on integrated care and the needs of rural communities. Design/methodology/approach: A multidisciplinary teaching program was adapted to allow students from various disciplines and universities to learn together during the COVID-19 pandemic. Contemporary issues such as the National Aged Care Advocacy Program for Residential Aged Care COVID-19 Project were explored during the program. Findings: This case study describes how the program was adopted, how learning needs were met, practical examples (e.g. the Hand Hygiene Advocacy within a Rural School Setting Project), the challenges faced and solutions developed to address these challenges. Guidelines are proposed for remote multidisciplinary learning among health professional students, including those in medical, nursing, pharmacy, dentistry, and allied health disciplines. Originality/value: The originality of this program centers around students from multiple universities and disciplines and various year levels learning together in a rural area over an extended period of time. Collaboration among universities assists educators in rural areas to achieve critical mass to teach students. In addition it provides experiences and guidance for the work integrated learning sector, rural health workforce practitioners, rural clinical schools, universities, policy makers, and educators who wish to expand rural online multidisciplinary learning. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Implementation of digital health interventions in rehabilitation: A scoping review.

OBJECTIVE: Digital health interventions have potential to enhance rehabilitation services by increasing accessibility, affordability and scalability. However, implementation of digital interventions in rehabilitation is poorly understood. This scoping review aims to map current strategies, research designs, frameworks, outcomes and determinants used to support and evaluate the implementation of digital interventions in rehabilitation. DATA SOURCES: Comprehensive searches from inception until October 2022 of MEDLINE, CINAHL, PsycINFO, PEDro, SpeechBITE, NeuroBITE, REHABDATA, WHO International Clinical Trial Registry and the Cochrane Library. METHODS: Two reviewers screened studies against the eligibility criteria. Implementation science taxonomies and methods, including Powell et al.'s compilation of implementation strategies, were used to guide analysis and synthesis of findings. RESULTS: The search retrieved 13,833 papers and 23 studies were included. Only 4 studies were randomised controlled trials and 9 studies (39%) were feasibility studies. Thirty-seven discrete implementation strategies were reported across studies. Strategies related to training and educating clinicians (91%), providing interactive assistance (61%), and developing stakeholder interrelationships (43%) were most frequently reported. Few studies adequately described implementation strategies and methods for selecting strategies. Almost all studies measured implementation outcomes and determinants; most commonly, acceptability, compatibility and dose delivered of digital interventions. CONCLUSION: The rigour of implementation methods in the field is currently poor. Digital interventions require carefully planned and tailored implementation to facilitate successful adoption into rehabilitation practice. To keep pace with rapidly advancing technology, future rehabilitation research should prioritise using implementation science methods to explore and evaluate implementation while testing effectiveness of digital interventions.

Reshaping pharmacy and allied health education for a post-pandemic world using Kotter's change model

The COVID-19 pandemic brought unprecedented challenges to higher education. The extraordinary challenges created by the pandemic required equally extraordinary efforts from faculty and other stakeholders to rapidly convert face-to-face classes to online/hybrid instruction. This rapid change was facilitated by use of a robust framework for not only making changes in short order but also sustaining the changes to reshape healthcare education for a post-pandemic future. To this end, the chapter discusses the effective use of Kotter's 8-step framework to successfully implement change in healthcare education at a college of pharmacy and allied health professions. This chapter discusses each step of Kotter's 8-step process to create, implement, and sustain change in pharmacy and allied health education. The model integrated people, processes, and effective strategies to create changes amid the pandemic (crisis). Lessons learned and implications for the future in a post-pandemic educational environment are presented. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Determinant Of The Covid-19 Adaptation Readiness Model

Objective: Currently, the spread of the COVID-19 virus has decreased significantly. However, the Indonesian government continues to create various policies to adapt to unpredictable conditions caused by the pandemic. Therefore, applying and maintaining community adaptation is paramount to increasing readiness in dealing with repeated COVID-19. This study aims to find out determinant of COVID-19 adaptation readiness of the community to coexist with COVID-19. Methods: We used a cross-sectional method with multivariate analysis using a logistic regressiontest. The sample is people who have been exposed to Covid-19 in the July-August 2021 period that met the inclusion criteria in the Auxiliary Health Center, East Pamulang, Banten. Of the 264 positive Covid-19 patients registered at the auxiliary health center, only 231 people were willing to fill out the questionnaire. The data collection used direct questionnaires from Desember 2022-Januari 2022. Result : The analysis of the five factors shows that the dominant factor on readiness to adapt to Covid-19 was social support with OR = 1.194;95% CI =1.117-1.276 and a Hosmer value of 0.377, which means the model used in this study is fit. Conclusion : Public Understanding of the pandemic conditions, which promotes mutual support and alerts in the health protocols, along with other measures in increasing the immunity system, such as adequate nutrition in preventing COVID-19, is essential to prepare the community to adapt to the new habits in coexisting with the Covid-19 pandemic. [ FROM AUTHOR] Copyright of Journal of Pharmaceutical Negative Results is the property of ResearchTrentz 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 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 . (Copyright applies to all s.)

Pandemic preparedness of diagnostic radiographers during COVID-19: A scoping review.

INTRODUCTION: As chest imaging is a tool for detecting coronavirus disease 2019 (COVID-19), diagnostic radiographers are a key component of the frontline workforce. Due to its unforeseen nature, COVID-19 has challenged radiographers' preparedness in combating its effects. Despite its importance, literature specifically investigating radiographers' readiness is limited. However, the documented experiences are prognostic of pandemic preparedness. Hence, this study aimed to map this literature by addressing the question: 'what does the existing literature reveal about the pandemic preparedness of diagnostic radiographers during COVID-19?'. METHODS: Using Arksey and O'Malley's framework, this scoping review searched for empirical studies in MEDLINE, Embase, Scopus, and CINAHL. Consequently, 970 studies were yielded and underwent processes of deduplication, title and abstract screening, full-text screening, and backward citation searching. Forty-three articles were deemed eligible for data extraction and analysis. RESULTS: Four themes that reflected pandemic preparedness were extrapolated: infection control and prevention, knowledge and education, clinical workflow, and mental health. Notably, the findings highlighted pronounced trends in adaptation of infection protocols, adequate infection knowledge, and pandemic-related fears. However, inconsistencies in the provision of personal protective equipment, training, and psychological support were revealed. CONCLUSION: Literature suggests that radiographers are equipped with infection knowledge, but the changing work arrangements and varied availability of training and protective equipment weakens their preparedness. The disparate access to resources facilitated uncertainty, affecting radiographers' mental health. IMPLICATIONS FOR PRACTICE: By reiterating the current strengths and weaknesses in pandemic preparedness, the findings can guide clinical practice and future research to correct inadequacies in infrastructure, education, and mental health support for radiographers in the current and future disease outbreaks.

Evidencing best practice for teaching empathy skills to healthcare professionals: literature review

Introduction: Research into patients' perception of empathy has revealed that patients with stomas feel unsupported by healthcare professionals, who can lack an understanding of how it feels to live life with a stoma. A literature review was undertaken to explore what is the evidence for best practice for teaching empathy skills to healthcare professionals and how this can be applied to caring for people with a stoma. Search strategy: Included studies were required to explore teaching empathy or measuring levels of empathy in pre- and post-graduate nurses and in healthcare professionals caring for patients with a stoma. Excluded studies were those involving paediatric and mental health nursing, as these domains of nursing were considered to differ in clinical specialism and any other healthcare professional discipline outside the nursing profession such as doctors or allied healthcare professionals. Results: Given the number of articles reporting that empathy is lacking in stoma care, it is remarkable that so little original research has been carried out in this area, specifically the lack of qualitative research. A variety of interventions were used to assess empathy in pre- and post-graduate nurses, from multiple nations with diverse cultures. Conclusions: Results from the data revealed several themes for the best practice of teaching empathy skills to healthcare professionals, including essential nurse attributes, innate nurse characteristics, nurse experience and the contribution of experiential learning.

Reduced quality of life, more technical challenges, and less study motivation among paramedic students after one year of the COVID-19 pandemic - a survey study.

INTRODUCTION: Despite the lack of knowledge about the SARS-CoV2 virus, the lack of personal protection gear among frontline healthcare workers, and lack of vaccines in the beginning of the pandemic, paramedic students in Norway contributed to the National response against the COVID-19 pandemic by working in test-stations, ambulance services, ambulance decontamination stations etc. Despite fear of contracting the COVID-19 reported by healthcare workers worldwide, paramedic students in Norway reported higher-than-average quality of life after four months of the COVID-19 pandemic (first pandemic wave). In this study we aimed to investigate how students reported their quality of life, study motivation and job satisfaction after one year of living with the COVID-19 pandemic. METHOD: At two data collection point, all paramedic students enrolled at Oslo Metropolitan University were invited to participate in a digital, online, self-administered survey. The first data collection was in June 2020 (the first pandemic wave), while the second data collection was in March 2021 (the third pandemic wave). Results from both samples were analyzed independently with descriptive statistics. Differences between the groups were analyzed using an independent T-test and Mann-Whitney-U test to discover changes over time. Multiple linear regression analysis was used to estimate the difference attributable to timing (first vs. the third wave), seniority, and student gender. RESULTS: The samples consist of slightly more female students than male students. The mean age in both samples is 24.6 years. Despite the higher-than-average level of quality of life in the first pandemic wave, results show that there was a significant reduction in students' health-related quality of life (p < 0.001, B -0.059, SE 0.016), study motivation (p = 0.002, 95% CI:0.09,0.41), and job satisfaction (p = 0.005, 95% CI:1.62,9.00) after the third pandemic wave in Norway. Surprisingly, students experienced more technical challenges in the third wave, e.g., poor internet connection, sound pollution, and poor picture quality, despite more experience among students and teachers. CONCLUSION: Our results show that paramedic students had significant worsening experiences in the late pandemic wave compared to the first pandemic wave. Universities and governments should learn from the COVID-19 pandemic to develop better preparedness plans for future pandemics and knowledge about students' well-being should be considered in future preparedness plans for higher education and the government plans for the education of front-line healthcare workers during a pandemic to facilitate the continuation of necessary education.

Speech-Language Therapist, Munich, Germany: One-to-One Intervention

As a speech-language therapist supporting English-speaking students from international schools in Munich, Germany, Shelley Hornberger shares the story of a student referred after many years of failed school and private phonics instruction. She reports significant progress made by this student, in spite of having to deliver the programme online for extended periods during the pandemic. [For the complete volume, "Systematic Synthetic Phonics: Case Studies from Sounds Write Practitioners," see ED619956.]

A Lurking Threat: Counselor Practices to Guard Against Cyber Threats

As a result of shifts in global power, the growth of cyber capabilities worldwide, and the impact of COVID-19 on the increasing use of-technology in varied workplaces, the potential for threat and disruption to mental health facilities is expected to increase. Counselors and their clients are vulnerable to these threats any time they share data online with each other, with third-party payers, and with allied health professionals. In Act, any private infonnation stored digitally is potentially at risk for exploitation or theft. This current environment highlights the need for an intentional process and approach that can help mental health counselors understand their digital assets and vulnerabilities in order to anticipate and protect against potential cyber threats. This type of process can be facilitated through the application of cyber intelligence and cybersecurity principles to online counseling services iii order to address ethical and legal obligations of counselors and to assuage client fears about potential privacy breaches. When counselors keep client data safe, Health Information Portability and Accountability Act and Family Educational Rights and Privacy Act violations are less likely to occur in a variety of settings where clients may be seen. Ati overview of the need for cybersecurity, a framework for bolstering cybersecurity, and specific guidelines for counselors are provided. [ FROM AUTHOR]

Experiences, risk perceptions, and COVID-19 vaccination outcomes among hospital workers.

BACKGROUND: Although COVID-19 vaccinations have been available to hospital workers in the U.S. since December 2020, coverage is far from universal, even in groups with patient contact. The aim of this study was to describe COVID-19-related experiences at work and in the personal lives of nurses, allied health workers, and non-clinical staff with patient contact, and to assess whether these experiences relate to COVID-19 vaccination. METHODS: Health care workers at a large Midwestern hospital in the U.S. were contacted to participate in an online cross-sectional survey during February 2021. A logistic regression model was used to estimate odds ratios (OR) for vaccination by different experiences, and we assessed mediation through models that also included measures of risk perceptions. RESULTS: Among 366 nurse practitioners / nurse midwives / physician assistant, 1,698 nurses, 1,798 allied health professionals, and 1,307 non-clinical staff with patient contact, the proportions who had received or intended to receive a COVID-19 vaccination were 94 %, 87 %, 82 %, and 88 %, respectively. Working and being physically close to COVID-19 patients was not significantly associated with vaccine intent. Vaccination intent was significantly lower among those with a previous COVID-19 diagnosis vs not (OR = 0.33, 95 % CI: 0.27, 0.40) and higher for those who knew close family members of friends hospitalized or died of COVID-19 (OR = 1.33, 95 % CI: 1.10, 1.60). CONCLUSION: Even when COVID-19 vaccination was available in February 2021, a substantial minority of hospital workers with patient contact did not intend to be vaccinated. Moreover, their experiences working close to COVID-19 patients were not significantly related to vaccination intent. Instead, personal experiences with family members and friends were associated with vaccination intent through changes in risk perceptions. Interventions to increase uptake among hospital workers should emphasize protection of close family members or friends and the severity of COVID-19.

Interdisciplinary Assessment of Quality of Dying and Death in a Pediatric Cardiac Intensive Care Unit during the Covid-19 Pandemic

BACKGROUND AND AIM: Cardiac Intensive Care Unit (CICU) interdisciplinary staff play an integral role supporting children and families at end-of-life (EOL). We examined staff's perceptions of quality of dying and death (QODD) before and during the COVID-19 pandemic. METHOD(S): We performed a cross-sectional survey of staff involved in all CICU deaths 6.30.2019-7.1.2021. Staff completed demographic questions, the pediatric-QODD instrument (standardized to 100), rated quality of the moment of death and the 7 days prior (0-terrible, 10-ideal). Intense EOL care included mechanical support, open chest, or cardio-pulmonary resuscitation. RESULT(S): 713 surveys were completed (72% response rate) for 60 deaths, including 455 (64%) during the pandemic, 246 (35%) from nurses, 208 (29%) medical providers, and 259 (36%) allied-health staff. Clinical experience varied (42% <=5years). 33 patients (55%) were receiving intense care. Median scores were 93 for QODD [IQR 84, 97], 9 for moment of death (IQR 7, 10), and 5 (IQR 2, 7) for the 7 days prior. QODD scores were 3 points lower for nursing and allied health compared to medical providers (p<0.001) and for staff with <5years of clinical experience compared to >15years (p=0.002)(figure). Intense care was associated with lower scores for moment of death and 7 days prior (both, p=0.001). Responses pre-COVID-19 and during the pandemic were similar (figure). CONCLUSION(S): Overall CICU staff positively perceived QODD with lower scores for quality of the 7 days prior to death. Perceptions varied by staff characteristics and medical intensity with no influence from the pandemic. Our data guide strategies to meaningfully improve staff wellbeing and EOL experiences. (Figure Presented).

The needs of medical professionals in performing their duties during the COVID-19 pandemic: A qualitative research study

Introduction: The COVID-19 pandemic situation is a huge global medical and public health issue that has affected people's physical health and mental wellbeing. Under the current circumstances, medical professionals are at risk of stress, anxiety, and subsequent mental health problems. Methods: The present study aimed to explore the needs of medical professionals in terms of promoting their mental health while performing their duties during the COVID-19 pandemic. The purposive sampling method was used to select 43 medical professionals in the following five groups: physicians, dentists, pharmacists, nurses, and medical technicians, who were frontline health workers or had the risk of contracting infection from infected patients in Thai hospitals during the COVID-19 pandemic. The data were collected using a semi-structured online interview. The informants were asked to talk about the need for mental health promotion of medical professionals while performing their duties during the COVID-19 pandemic for approximately 60 minutes. Content analysis and a reliability test were conducted according to the qualitative research process. Results: The research results consisted of three main themes: 1) physical safety welfare, composed of COVID-19 prevention and COVID-19 treatment;2) sources of mental support, comprising emotional support and electronic or media support;and 3) support from central professional agencies, including rewards and recognition and occupational protection. Conclusion: The medical professionals in this study suggested that the mental health promotion during the COVID-19 pandemic should cover the physical, mental, and social dimensions. Thus, a mental healthcare approach for medical professionals should be developed by focusing on social support. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Experiences of interaction between people with cancer and their healthcare professionals: A systematic review and meta-synthesis of qualitative studies.

PURPOSE: This study investigates patients' experiences of interaction with their healthcare professionals (HCPs) during cancer treatment and identifies elements that HCPs can utilize to improve cancer care provision. METHODS: PubMed, CINAHL, PsycINFO, SCOPUS, and Embase were systematically searched for relevant studies published from January 2010 until February 2022. Qualitative studies investigating adult patients' perspectives on their interaction with HCPs during cancer treatment were included. Studies conducted during the diagnosis or end-of-life treatment phase were excluded. Duplicate removal, screening, and quality appraisal were independently performed by four reviewers using Covidence.org. We performed a thematic meta-synthesis of qualitative data extracted from studies meeting the quality criteria in three stages: excerpts coding, codes categorization, and theme identification by merging similar categories. RESULTS: Eighty-eight studies were included for quality appraisal, of which 50 papers met the quality inclusion criteria. Three themes were identified as essential to positively perceived patient-HCP interaction: "Support, respect and agency", "Quantity, timing, and clarity of information", and "Confidence, honesty, and expertise". Overall, patients experienced positive interaction with HCPs when the approach was person-centered and when HCPs possessed strong interpersonal skills. However, patients expressed negative experiences when their preferences regarding communication and the type of personal support needed were ignored. CONCLUSIONS: This meta-synthesis emphasizes the importance for HCPs to recognize all patients' needs, including communication and personal support preferences, to provide high-quality care. Consequently, healthcare professionals should continuously train their verbal and non-verbal communication, empathy, active listening, and collaboration skills during their undergraduate and continuing education.

Patient and clinician experiences of remote consultation during the SARS-CoV-2 pandemic: A service evaluation.

Objectives: During the SARS-CoV-2 pandemic, clinicians were instructed to move all but emergency consultations to remote means to reduce the spread of the virus. The aim of this study was to evaluate patients' and clinicians' experiences of moving to remote means of consultation with their health care professionals during the SARS-CoV-2 pandemic. Methods: The study design was a qualitative service evaluation. Twenty-six clinicians and forty-eight patients who met the inclusion criteria consented to be interviewed. Clinician participants were from either medical, nursing, or allied health professional backgrounds. Patients were recruited from diabetes, acute care, and haematology and cancer areas. Data analysis was conducted using a thematic analysis framework. Results: Following coding and thematic analysis of the data collected from clinicians, five themes were identified: personal and professional well-being; providing a safe and high-quality experience; adapting to a new way of working; making remote consultations fit for purpose and an awareness of altered dynamics during consultation. Patient data was coded into 3 themes: remote consultation adds value; remote consultation brings challenges and concerns about remote consultation. Conclusions: Clinician and patient experiences reported here are reflected in the literature. The study indicates that remote consultation is not suitable for all patients and in all contexts. Whilst maintaining the benefits to patients, remote means of consultation needs organisational support and preparation. A way forward that maintains the benefits whilst addressing concerns seems urgent.

Abstracts from International Emergency Medicine Journals

Editor’s note: EMJ has partnered with the journals of multiple international emergency medicine societies to share from each a highlighted research study, as selected by their editors. This edition will feature an from each publication.

Reshaping pharmacy and allied health education for a post-pandemic world using Kotter's change model

The COVID-19 pandemic brought unprecedented challenges to higher education. The extraordinary challenges created by the pandemic required equally extraordinary efforts from faculty and other stakeholders to rapidly convert face-to-face classes to online/hybrid instruction. This rapid change was facilitated by use of a robust framework for not only making changes in short order but also sustaining the changes to reshape healthcare education for a post-pandemic future. To this end, the chapter discusses the effective use of Kotter's 8-step framework to successfully implement change in healthcare education at a college of pharmacy and allied health professions. This chapter discusses each step of Kotter's 8-step process to create, implement, and sustain change in pharmacy and allied health education. The model integrated people, processes, and effective strategies to create changes amid the pandemic (crisis). Lessons learned and implications for the future in a post-pandemic educational environment are presented. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Caregiver burnout, compassion satisfaction, and personality: The moderating role of work engagement and job satisfaction

Formal and informal caregivers experience both negative and positive aspects of caregiving, such as burnout and compassion satisfaction. However, the existing literature primarily focuses on the experiences of family caregivers and nurses, but neglects nursing assistants. This study examined the relationships among personality, burnout, compassion satisfaction, work engagement, and job satisfaction in a sample of certified nursing assistants (CNAs) employed in healthcare settings. Additionally, this study compared CNA data collected prior to and during the COVID-19 pandemic. Participants completed self-report surveys measuring burnout, compassion satisfaction, personality factors, work engagement, job satisfaction, intent to quit, and demographics. Results indicated significant positive relationships between compassion satisfaction and agreeableness and extraversion, as well as between burnout and neuroticism. Significant negative relationships were found between burnout and agreeableness and extraversion, as well as between compassion satisfaction and neuroticism. Work engagement and job satisfaction were not found to moderate these relationships. CNAs who participated prior to the COVID-19 pandemic reported lower burnout and higher compassion satisfaction compared to CNAs who participated during the pandemic. However, there were no differences in job satisfaction or intent to quit. The current study provided novel information about CNA personality, burnout, compassion satisfaction, and levels of job satisfaction and work engagement. The findings may be useful in developing interventions for CNAs to bolster compassion satisfaction and decrease burnout to potentially reduce turnover rates. (PsycInfo Database Record (c) 2022 APA, all rights reserved)