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American Journal of Speech-language... Jan 2022Previous research demonstrates the relevance of childhood trauma and attachment to communication development. This study aimed to understand speech-language pathology...
PURPOSE
Previous research demonstrates the relevance of childhood trauma and attachment to communication development. This study aimed to understand speech-language pathology (SLP) practitioners' knowledge, beliefs, training, and current practices regarding developmental trauma and attachment.
METHOD
An online survey was administered to SLP practitioners ( = 97) who work primarily with children from birth to age 6 years in Canada. Quantitative (univariate and bivariate) analysis was performed with SPSS. Qualitative responses were coded by two reviewers using thematic analysis to identify key themes.
RESULTS
SLP practitioners are working with children who have experienced trauma and adapt their practice when they are aware of this history. Practitioners also indicated, however, that they lack training with respect to trauma and attachment, their understanding of the concepts is narrow, they do not have standardized practices for obtaining trauma history, and they do not adapt their practice in consistent ways. The results show there is interest in understanding how trauma affects communication development, the relevance to their work, and that additional training is needed to support practitioners to identify and respond to trauma in early childhood.
CONCLUSIONS
Findings from this study support SLP practitioners' involvement in early identification of trauma and the development of best practices regarding trauma-informed SLP assessment and intervention. The results also inform how systems and areas of service need to be adjusted to be more accessible, flexible, and collaborative in order to support children and families whose lives have been impacted by trauma and indicate additional areas of research in the area.
SUPPLEMENTAL MATERIAL
https://doi.org/10.23641/asha.16968097.
Topics: Adverse Childhood Experiences; Child; Child, Preschool; Communication; Communication Disorders; Humans; Speech; Speech-Language Pathology
PubMed: 34763532
DOI: 10.1044/2021_AJSLP-21-00110 -
Indian Journal of Psychiatry Apr 2019The Mental Healthcare Act (MHCA) 2017, after parliamentary approval in 2017, came into effect from May 29, 2018. It is rights-based and empowers the patients to make... (Review)
Review
The Mental Healthcare Act (MHCA) 2017, after parliamentary approval in 2017, came into effect from May 29, 2018. It is rights-based and empowers the patients to make their own choices unless they become incapacitous due to mental illness. There is much emphasis on the protection of human rights of persons with mental illness. The act provides a framework and regulation on how a person with mental illness should be treated. The experts, on multiple occasions, have debated on whether the act is a boon or a bane for the practitioners in India. The MHCA 2017 brings about more impetus on documentation, unlike the previous acts. With the act in place, clear documentation with reasons for decisions made and care given are important for good practice. Although this may potentially raise the cost of care, this will ensure a safer practice of psychiatry and will prove beneficial for the patients and the psychiatrists. To comply with the provisions of the act, one will have to modify the manner in which one carries out the day-to-day practice. Regular training through workshops is required to understand the practical implications of different provisions of the act. Furthermore, regular peer group meetings may give a sense of support and an opportunity to learn from one another and help find solutions to difficult aspects. Overall, following this and adapting to the new act may bring uniformity in practice. This article aims to explore ways to leverage the MHCA 2017 from the practitioner's perspective.
PubMed: 31040452
DOI: 10.4103/psychiatry.IndianJPsychiatry_98_19 -
Behavior Analysis in Practice Mar 2023Functional communication training (FCT) is an effective and widely used procedure to reduce problem behaviors. The purpose of FCT is to replace a problem behavior with a... (Review)
Review
Functional communication training (FCT) is an effective and widely used procedure to reduce problem behaviors. The purpose of FCT is to replace a problem behavior with a socially appropriate and communicative behavior - the functional communication response (FCR), which produces the same reinforcer as the problem behavior. Recent reviews of FCT have focused on providing overall recommendations for how the procedure should be implemented. A relatively small body of literature has been devoted to the selection of the FCR. The purpose of this article is to propose a set of considerations for practitioners in selecting FCRs.
PubMed: 37006421
DOI: 10.1007/s40617-022-00705-9 -
International Journal of Medical... Dec 2022Like other computing devices mobile devices have inherent security risks. With today's wider use of mobile devices in medical institutions, particularly the practice of...
BACKGROUND
Like other computing devices mobile devices have inherent security risks. With today's wider use of mobile devices in medical institutions, particularly the practice of 'bring-your-own-device' (BYOD), the risk of medical data breaches is concerning.
PURPOSE
To investigate security risk perception and safeguard adoption of mobile devices among medical practitioners and IT administrators. Furthermore, to comprehend the perceived costs that practitioners feel these safeguards impose on them.
BASIC PROCEDURES
We conducted both quantitative and qualitative studies investigating whether age, gender and occupation have an impact on the perceived security of patient information and the behavior intentions formed when adopting BYOD. In the quantitative component, a survey was completed by 264 healthcare practitioners from three hospitals and affiliated clinics in New York City. In the qualitative component, we interviewed 36 of 264 subjects from the first study, including twelve physicians, twelve nurses, and twelve IT administrators. All participants had direct experience with BYOD devices. The length of each interview averaged forty-five minutes to an hour.
MAIN FINDINGS
We found that physicians have a significantly higher intent to comply with safeguards, compared to nurses. IT administrators prefer an encrypted network connection and Two Factor Authentication (2FA), or a biometric authentication method for accessing Electronic Medical records (EMR). All medical practitioners believe that the biggest threat to the security of medical information is theft or misplacement of the device. Physicians and IT administrators have a better understanding of malware and Wi-Fi threats than nurses.
PRINCIPAL CONCLUSIONS
This research provides valuable data regarding the healthcare practitioner's safeguard cost, attitudes and intended behaviors regarding the risks and use of mobile devices in healthcare. By understanding a user's perceptions, we can be better aware of how to educate healthcare practitioners, and how to develop policies that will reduce costs and achieve better productivity. We can also see how these processes may be improved by accessing patient information faster and by designing technology more effectively.
Topics: Humans; Computers, Handheld; Electronic Health Records; Delivery of Health Care; Health Personnel; Health Facilities; Computer Security
PubMed: 36242855
DOI: 10.1016/j.ijmedinf.2022.104882 -
PloS One 2021Dengue has emerged as a major public health problem in Bhutan, with increasing incidence and widening geographic spread over recent years. This study aimed to...
BACKGROUND
Dengue has emerged as a major public health problem in Bhutan, with increasing incidence and widening geographic spread over recent years. This study aimed to investigate the knowledge and clinical management of dengue among medical practitioners in Bhutan.
METHODS
We administered a survey questionnaire to all practitioners currently registered under the Bhutan Medical and Health Council. The questionnaire contained items on four domains including transmission, clinical course and presentation, diagnosis and management, and surveillance and prevention of dengue. Participants were able to respond using an online Qualtrics survey, with the invitation and link distributed via email.
RESULTS
A total of 97 respondents were included in the study (response rate: 12.7%), of which 61.86% were Health Assistants/Clinical Officers (HAs/COs) and 38.14% were medical doctors. The afternoon feeding behaviour of Aedes mosquito was correctly identified by only 24.7% of the respondents, and ~66.0% of them failed to identify lethargy as a warning sign for severe dengue. Knowledge on diagnosis using NS1 antigen and the clinical significance of elevated haematocrit for initial fluid replacement was strikingly low at 47.4% and 27.8% respectively. Despite dengue being a nationally notifiable disease, ~60% of respondents were not knowledgeable on the timing and type of cases to be reported. Respondent's median score was higher for the surveillance and reporting domain, followed by their knowledge on transmission of dengue. Statistically significant factors associated with higher knowledge included respondents being a medical doctor, working in a hospital and experience of having diagnosed dengue.
CONCLUSION
The study revealed major gaps on knowledge and clinical management practices related to dengue in Bhutan. Physicians and health workers working in Basic Health Units need training and regular supervision to improve their knowledge on the care of dengue patients.
Topics: Adult; Bhutan; Clinical Competence; Dengue; Female; Health Knowledge, Attitudes, Practice; Health Personnel; Humans; Male; Practice Patterns, Physicians'; Surveys and Questionnaires
PubMed: 34270594
DOI: 10.1371/journal.pone.0254369 -
Journal of Preventive Medicine and... Jun 2015Vaccine-preventable disease significantly contributes to the morbidity and mortality of adults worldwide. The rates of vaccination against influenza, pneumococcal...
Vaccine-preventable disease significantly contributes to the morbidity and mortality of adults worldwide. The rates of vaccination against influenza, pneumococcal disease and tetanus in adults and in high-risk group of people are far from the optimal coverage as suggested by Minister of Health. General Practitioners (GPs) can contribute to increase immunization in adults and in elderly people because these age groups attend frequently the surgery of their family doctors for reasons related to their chronic diseases. The GPs, on their side, can proactively involve patients through informatics tools that supply lists of specific patients and electronic alerts in patient records.
PubMed: 26789833
DOI: No ID Found -
Evidence-based Complementary and... 2015Background. While therapeutic acupuncture perception (deqi) has recently been investigated only for the subject's perception, classical acupuncture discussed acupuncture...
Background. While therapeutic acupuncture perception (deqi) has recently been investigated only for the subject's perception, classical acupuncture discussed acupuncture perception for both the practitioner and the subject. The aim of this study was to explore the practitioner's and the subject's acupuncture perception during acupuncture. Methods. Explorative crossover study to quantitatively document acupuncture perception of both the practitioner and the subject. Eighty-one participants acted as a practitioner or a subject. The practitioner's and the subject's acupuncture perceptions were collected using self-report type checklists. Acupuncture needles were inserted to LI4 or ST36, adopting a four-phase method: insertion into shallow, middle, and deep depths, followed by twirling manipulation. Pain, transmission, dullness, and soreness feelings of the subject and thick, tangled, solid, and empty feelings of the practitioner were analyzed for their correlation. Results. The practitioner's and the subject's perception showed a significant correlation. Acupuncture perception varied over four phases of needling, with a tendency to be rated higher when inserted deep. Perception for LI4 was generally higher than those for ST36. Conclusion. The practitioner's acupuncture perception was successfully documented and analyzed in relation to the subject's acupuncture perception and different needling conditions.
PubMed: 26689128
DOI: 10.1155/2015/635089 -
International Journal of Nursing... Apr 2021India is in dire need of an alternative to general medical practitioners to overcome a severe shortage of doctors, especially in rural and underprivileged regions.... (Review)
Review
India is in dire need of an alternative to general medical practitioners to overcome a severe shortage of doctors, especially in rural and underprivileged regions. Empowering nurses through nurse practitioner (NP) role is the superlative solution to provide quality health care in primary care setting. Based on conceptions and research findings of the NP' s role, we analyzed and examined the realities, scope, and barriers for implementing the NP' s role in India and propose future strategies to create a NP cadre.
PubMed: 33997140
DOI: 10.1016/j.ijnss.2021.03.003 -
Annual International Conference of the... Jul 2023In modern-day medical practices, practitioners and physicians are adapting to new technologies and utilizing new methods of communication with patients. Telemedicine, or...
In modern-day medical practices, practitioners and physicians are adapting to new technologies and utilizing new methods of communication with patients. Telemedicine, or telehealth, is one of the newest innovations in medical technology, enabling practitioners to communicate with their patients over the phone, video conferencing, or chat. However, clinical data and sentiments/attitudes are often not reflected in the practitioner's analysis and diagnosis of the patients they serve. As a solution to the problem of data incompleteness in telehealth, THNN allows medical practices to accommodate for possible missing or incomplete data and provide a greater quality of care overall. Through an ensemble of Natural Language Processing (NLP) and AI-enabled systems, THNN produces sentiment and incompleteness mapping to provide seamless results.Clinical relevance- The method presented utilizes telehealth natural language data to process the sentiments of patients and the incompleteness found in the conversations, increasing the possibility of improved healthcare outcomes.
Topics: Humans; Telemedicine; Delivery of Health Care; Videoconferencing; Neural Networks, Computer; Communication
PubMed: 38083566
DOI: 10.1109/EMBC40787.2023.10340989 -
Journal of Strength and Conditioning... May 2021Watkins, CM, Storey, A, McGuigan, M, and Gill, ND. Implementation and efficacy of plyometric training: Bridging the gap between practice and research. J Strength Cond...
Watkins, CM, Storey, A, McGuigan, M, and Gill, ND. Implementation and efficacy of plyometric training: Bridging the gap between practice and research. J Strength Cond Res 35(5): 1244-1255, 2021-Plyometric training is an effective method for improving speed and acceleration. However, a gap seems to exist between research recommendations and practitioner's actual programs. Some reports suggest as many as 400 jumps per session, while anecdotally some strength and conditioning coaches are using as few as 15-40 jumps even with elite athletes. Thus, the purposes of this study were to obtain a clearer understanding of the practitioner's perspective on plyometric training strategies as compared to literary recommendations and to compare any trends across competition level or sport categories. An integrative mixed-methods model was used. Globally, 61 strength and conditioning practitioners completed an anonymous online survey, containing 5 sections: 1. Sport and coaching background information, 2. Plyometric training focus, 3. Periodization strategy, 4. Plyometric program details, and 5. Efficacy of plyometrics for sport performance. Questions included yes/no, multiple choice, Likert scale, percentage-based, and open-ended questions. The majority (70.5%) of respondents reported regularly implementing plyometric training and overwhelmingly (96.7%) reported positive athlete feedback surrounding its perceived efficacy. Findings confirmed that many practitioners regularly use significantly lower session volumes than previous literary recommendations (p < 0.05). In addition, significant differences were noted in many program details across competition level and sport category including volume periodization, exercise choice, and plyometric intensity. Practitioners may want to reflect on these reported group differences when building training programs best suited for their athletes. Meanwhile, future research should consider these reported perspectives when formulating interventions in attempts of bridging the gap between practice and theory.
Topics: Athletes; Athletic Performance; Exercise; Humans; Muscle Strength; Plyometric Exercise
PubMed: 33780396
DOI: 10.1519/JSC.0000000000003985