Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: a cross-sectional survey.

Health literacy has been identified as an important and changeable intermediary determinant of health equity. Vocational education and training (VET) schools are a relevant setting for health behavior interventions seeking to diminish health inequities because many VET students come from low socio-economic status backgrounds. This study examines VET students’ health literacy and its association with health behavior based on a cross-sectional survey among 6119 students from 58 VET schools in Denmark in 2019. Two scales from the Health Literacy Questionnaire was used to assess domains of health literacy. Data were analyzed using Anova and logistic regression. The study population consisted of 43.4% female, and mean age was 24.2 years (range 15.8–64.0). The health literacy domain ‘Actively managing my health’ mean was 2.51, SD 0.66, and ‘Appraisal of health information’ mean was 2.37, SD 0.65. For both domains, being female, older age, attending the VET educational program Care-health-pedagogy, and higher self-rated health were associated with higher scale scores. In the adjusted analyses, lower scale scores were associated with less frequent breakfast, daily smoking, high-risk alcohol behavior and moderate-to-low physical activity. Our results show that low health literacy is associated with unhealthy behaviors in this population. Our results support and inform health literacy research and practice in educational institutions and services.

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Integrative Medicine in General Practice in Australia: A Mixed-Methods Study Exploring Education Pathways and Training Needs

Global Advances in Health and Medicine ◽

10.1177/21649561211037594 ◽

2021 ◽

Vol 10 ◽

pp. 216495612110375

Author(s):

Carolyn Ee ◽

Kate Templeman ◽

Amy Forth ◽

Vicki Kotsirilos ◽

Gillian Singleton ◽

...

Keyword(s):

Mixed Methods ◽

General Practitioners ◽

Integrative Medicine ◽

Informal Education ◽

Education And Training ◽

Mixed Methods Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

And Training ◽

Advanced Skills

Background Globally, a substantial proportion of general practitioners (GPs) incorporate integrative medicine (IM) into their clinical practice. Objective This study aimed to map the IM education and training pathways and needs of a cohort of Australian GPs who are members of the Royal Australian College of General Practitioners’ IM Specific Interest Network, which is a group of GPs with interest in IM. Methods We conducted a mixed-methods study comprising of an online, cross-sectional survey supplemented with in-depth semi-structured interviews. Data from the survey and interviews were initially analysed separately and then combined. Results Eighty-three (83) of 505 eligible GPs/GPs in training (16.4%) participated in the survey, and 15 GPs were interviewed. Results from the two datasets either converged or were complementary. Almost half (47%) of survey respondents had undertaken formal undergraduate or postgraduate IM education, a short course (63%), informal education (71%) or self-education (54%), in at least one of 20 IM modalities listed. Interviewees affirmed there was no single education pathway in IM. Survey respondents who identified as practicing IM were significantly more likely to have IM education, positive attitudes towards IM, particularly natural products, and higher self-rated IM knowledge and competencies. However, knowledge gaps were identified in professional skills domains of population health and context, and organisational and legal dimensions of applied IM practice. Interviewees also highlighted a range of professional and systemic barriers to the practice of IM, education, and training. There was broad support for recognition of IM as a sub-specialty through formalised post-graduate training and accreditation. Most survey respondents (62%) expressed interest in post-fellowship recognition of GPs with advanced skills in IM. Conclusion Our findings demonstrate that it is important to define best practice in IM for GPs in Australia and provide a standardised pathway towards recognition of advanced skills in IM.

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EVALUATION OF OUTCOME-BASED ACCOUNTING EDUCATION AND TRAINING IN SELECTED COLLEGES IN WEST OROMIA, ETHIOPIA

Business Management and Education ◽

10.3846/bme.2019.6921 ◽

2019 ◽

Vol 17 (0) ◽

pp. 1-20

Author(s):

Deresse Mersha Lakew ◽

Mohammed Getahun Musa

Keyword(s):

Practical Implication ◽

Nationwide Survey ◽

Education And Training ◽

Business Environment ◽

Accounting Education ◽

Vocational Education And Training ◽

Cross Sectional Survey ◽

Cross Sectional ◽

General Terms ◽

And Training

Purpose: The demand for accountants is increasing from time to time because of the increase in the complexity of the business environment. Higher education institutions are responsible for producing well qualified and ethical accountant required by different organisations. Specifically, Technical and Vocational education and Training (TVET) colleges play a great role in training middle and lower level accountant in Ethiopia. However, academicians, practitioner and employers are raising concern on the excellence and significance of training given in TVET colleges. The objective of this research is to evaluate the education and training in accounting offered by public and private colleges in West Oromia region, Ethiopia. Research Methodology: This study used the cross-sectional survey to obtain the opinion of the trainee, trainers and college deans on how TVET in accounting program is performing about each of the components of CIPP model and identify the knowledge and skill gap as compared to the actual work environment. Both descriptive and inferential statistical tools were used in the analysis. Findings: Examination of the existing TVET in accounting curriculum found that it has a limitation concerning relevance and content. The study further found that there is a lack of sufficient inputs such as an adequate number of qualified trainers, computers and Reference books. Trainers mainly use lecture methods, and there are various problems associated with continuous and summative evaluation. Therefore, it is recommended that the existing curriculum should be revisited, sufficient training inputs should be availed and cooperative training should be strengthened.Research Limitations: This research is based on the respondent’s opinion from a limited part of the country. The nationwide survey is required to conclude at the country level. Practical Implication: the finding and recommendation given in this study can be used in strengthening TVET in accounting education and training in Ethiopia. Originality / Value: Previous studies investigated the challenges of TVET education and training in general terms, and this specific study which focuses on TVET in accounting is the first attempt in Ethiopia.

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Preference to Patient-Centeredness in Undergraduate Audiology Students in Portugal

Journal of the American Academy of Audiology ◽

10.3766/jaaa.15129 ◽

2016 ◽

Vol 27 (10) ◽

pp. 816-823 ◽

Cited By ~ 3

Author(s):

Vinaya Manchaiah ◽

David Tomé ◽

Ashley L. Dockens ◽

Monica Harn ◽

Purushothaman Ganesan

Keyword(s):

Survey Design ◽

Education And Training ◽

Full Scale ◽

Patient Centeredness ◽

Cross Sectional Survey ◽

Patient Centered ◽

Cross Sectional ◽

Significant Difference ◽

The Difference ◽

And Training

Background: In health care, the model of patient-centered care is growing; and improved outcomes have been linked to patient-centeredness. Practicing audiologists have been found to strongly prefer a patient-centered approach as years in practice increase. It is unknown whether patient-centeredness begins during education and training. Purpose: The current study was aimed at understanding the preference to patient-centeredness in undergraduate audiology students in Portugal. Research Design: The study used a cross-sectional survey design. Study Sample: One hundred and thirty-seven undergraduate audiology students completed patient–practitioner orientation scale (PPOS) and provided some demographic details. Data Collection and Analysis: The data were analyzed using one-way analysis of variance and one-sample t tests. Results: A significant difference was found for sharing subscale (p ≤ 0.001), caring subscale (p = 0.033), and the PPOS full scale (p ≤ 0.001) among different undergraduate groups. Further, post hoc tests showed that the difference between year 1 and with years 2, 3, and 4 were significant for sharing subscale and PPOS full scale, but not for caring subscale. No significant differences were observed among the years 2, 3, and 4 for sharing subscale, caring subscale, and for PPOS full scale. When compared audiologists’ preferences from a previous study on audiologists with students’ preferences in the current study, significant difference for both subscales and full scale was found between year 1 students and audiologists (p ≤ 0.001), with higher preference to patient-centeredness was reported by qualified audiologists. Also, significant difference was found between audiologists and overall undergraduate group for caring subscale (p = 0.001). Conclusions: The current study suggests that audiology education influences preference to patient-centeredness. Within a year of undergraduate coursework, students tend to develop high preference to patient-centeredness, which stays stable during four years of undergraduate studies. These results provide useful insights to audiology education and training, particularly in the context of audiological rehabilitation.

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Budaya Keselamatan Pasien Rumah Sakit Umum Daerah Majene

Window of Health Jurnal Kesehatan ◽

10.33368/woh.v0i0.145 ◽

2019 ◽

pp. 194-205

Author(s):

Heriyati Heriyati ◽

Muhammad Fauzar Al-Hijrah ◽

Masniati Masniati

Keyword(s):

Patient Safety ◽

Safety Culture ◽

Survey Design ◽

Patient Safety Culture ◽

Total Sample ◽

Education And Training ◽

Work Climate ◽

Incident Reporting ◽

Cross Sectional ◽

And Training

The patient safety culture is important because building a patient safety culture is a way to build an overall patient safety program. This study aims to analyze the patient safety culture by analyzing the relationship of communication patterns, incident reporting systems (learning organizations), teamwork, education and training, work climate, leadership commitment, and no blaming culture with a patient safety culture. This study used an analytical survey design with a cross sectional study approach. This research was conducted at the Regional General Hospital of Majene, with a total sample of 226 respondents. Data were analyzed using the Spearman correlation test. The results of the study found a relationship between leadership commitment, teamwork, communication, work climate, no blaming culture, incident reporting, education and training with a culture of patient safety.

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The Role of Education and Training in Entrepreneurship Development in Nepal

Prithvi Academic Journal ◽

10.3126/paj.v2i0.31501 ◽

2019 ◽

Vol 2 ◽

pp. 1-9

Author(s):

Sushil Kumar Pant

Keyword(s):

Education And Training ◽

Cultural Factors ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Entrepreneurship Development ◽

Long Run ◽

The World ◽

The Impact ◽

And Training

There is a growing interest among policymakers and academics around the world about the role of entrepreneurship in the socio-economic development of a country. It is believed that if any society works towards encouraging its people to pursue their careers in creating enterprises through creative ideas it will be able not only to grow economically but will also be able to sustain in the long run. Various factors contribute to the development of entrepreneurship in a society; socio-cultural influence is one of the important factors. Though there are various components of socio-cultural factors, this study focused on the impact of education and training on entrepreneurship development. The method adopted was a cross-sectional survey and the design is descriptive. The findings show that education and training play some roles in making an individual motivated towards entrepreneurship. However, the significance of the influence could not be found in the present study. Therefore, it can be concluded that to develop entrepreneurship in a society, education and training on various dimensions of it should be encouraged by societies for their socio-economic growth.

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Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data

BMJ Quality & Safety ◽

10.1136/bmjqs-2019-010510 ◽

2020 ◽

pp. bmjqs-2019-010510

Author(s):

Ingrid ten Haken ◽

Somaya Ben Allouch ◽

Wim H van Harten

Keyword(s):

Adverse Events ◽

Parenteral Nutrition ◽

Home Care ◽

Significant Proportion ◽

Infusion Therapy ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Near Misses ◽

Medical Technologies ◽

Combining Data

BackgroundAdvanced medical technologies (AMTs), such as respiratory support or suction devices, are increasingly used in home settings and incidents may well result in patient harm. Information about risks and incidents can contribute to improved patient safety, provided that those are reported and analysed systematically.ObjectivesTo identify the frequency of incidents when using AMTs in home settings, the effects on patient outcomes and the actions taken by nurses following identification of incidents.MethodsA cross-sectional study of 209 home care nurses in the Netherlands working with infusion therapy, parenteral nutrition or morphine pumps, combining data from a questionnaire and registration forms covering more than 13 000 patient contacts. Descriptive statistics were used.ResultsWe identified 140 incidents (57 adverse events; 83 near misses). The frequencies in relation to the number of patient contacts were 2.7% for infusion therapy, 1.3% for parenteral nutrition and 2.6% for morphine pumps. The main causes were identified as related to the product (43.6%), the organisation of care (27.9%), the nurse as a user (15.7%) and the environment (12.9%). 40% of all adverse events resulted in mild to severe harm to the patient. Incidents had been discussed in the team (70.7%), with the patient/informal caregiver(s) (50%), or other actions had been taken (40.5%). 15.5% of incidents had been formally reported according to the organisation’s protocol.ConclusionsMost incidents are attributed to product failures. Although such events predominantly cause no harm, a significant proportion of patients do suffer some degree of harm. There is considerable underreporting of incidents with AMTs in home care. This study has identified a discrepancy in quality circles: learning takes place at the team level rather than at the organisational level.

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Adverse Events in Home-Care Nursing Agencies and Related Factors: A Nationwide Survey in Japan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18052546 ◽

2021 ◽

Vol 18 (5) ◽

pp. 2546

Author(s):

Noriko Morioka ◽

Masayo Kashiwagi

Keyword(s):

Adverse Event ◽

Patient Safety ◽

Adverse Events ◽

Home Care ◽

Process Of Care ◽

Related Factors ◽

Cross Sectional ◽

Home Care Nursing ◽

Number Of Patients ◽

Care Nursing

Despite the importance of patient safety in home-care nursing provided by licensed nurses in patients’ homes, little is known about the nationwide incidence of adverse events in Japan. This article describes the incidence of adverse events among home-care nursing agencies in Japan and investigates the characteristics of agencies that were associated with adverse events. A cross-sectional nationwide self-administrative questionnaire survey was conducted in March 2020. The questionnaire included the number of adverse event occurrences in three months, the process of care for patient safety, and other agency characteristics. Of 9979 agencies, 580 questionnaires were returned and 400 were included in the analysis. The number of adverse events in each agency ranged from 0 to 47, and 26.5% of the agencies did not report any adverse event cases. The median occurrence of adverse events was three. In total, 1937 adverse events occurred over three months, of which pressure ulcers were the most frequent (80.5%). Adjusting for the number of patients in a month, the percentage of patients with care-need level 3 or higher was statistically significant. Adverse events occurring in home-care nursing agencies were rare and varied widely across agencies. The patients’ higher care-need levels affected the higher number of adverse events in home-care nursing agencies.

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Impact of dementia education and training on health and social care staff knowledge, attitudes and confidence: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-039939 ◽

2021 ◽

Vol 11 (1) ◽

pp. e039939

Author(s):

Sahdia Parveen ◽

Sarah Jane Smith ◽

Cara Sass ◽

Jan R Oyebode ◽

Andrea Capstick ◽

...

Keyword(s):

Online Survey ◽

Social Care ◽

Education And Training ◽

Care Staff ◽

Cross Sectional ◽

Health And Social Care ◽

Training Content ◽

The Impact ◽

And Training ◽

Dementia Education

ObjectivesThe aim of this study was to establish the impact of dementia education and training on the knowledge, attitudes and confidence of health and social care staff. The study also aimed to identify the most effective features (content and pedagogical) of dementia education and training.DesignCross-sectional survey study. Data collection occurred in 2017.SettingsHealth and social care staff in the UK including acute care, mental health community care trusts, primary care and care homes.ParticipantsAll health and social care staff who had completed dementia education and training meeting the minimal standards as set by Health Education England, within the past 5 years were invited to participate in an online survey. A total of 668 health and social care staff provided informed consent and completed an online survey, and responses from 553 participants were included in this study. The majority of the respondents were of white British ethnicity (94.4%) and identified as women (88.4%).OutcomesKnowledge, attitude and confidence of health and social care staff.ResultsHierarchical multiple regression analysis was conducted. Staff characteristics, education and training content variables and pedagogical factors were found to account for 29% of variance in staff confidence (F=4.13, p<0.001), 22% of variance in attitude (knowledge) (F=3.80, p<001), 18% of the variance in staff knowledge (F=2.77, p<0.01) and 14% of variance in staff comfort (attitude) (F=2.11, p<0.01).ConclusionThe results suggest that dementia education and training has limited impact on health and social care staff learning outcomes. While training content variables were important when attempting to improve staff knowledge, more consideration should be given to pedagogical factors when training is aiming to improve staff attitude and confidence.

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